HealthTech Magazine - Technology Solutions That Drive Healthcare en 3D Printing Programs Fuel a Model Approach to Care <span>3D Printing Programs Fuel a Model Approach to Care</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Mon, 03/18/2019 - 11:48</span> <div><p>When Justin Ryan, Ph.D., director of the 3D Innovations Lab at <a href="" target="_blank">Rady Children’s Hospital–San Diego</a>, attends 3D printing conferences, he likes to talk to prop designers who are developing <strong>zombie heads or fake limbs</strong> for movies.</p> <p>“They can teach me an incredible amount about how to create advanced simulators,” Ryan says.</p> <p>Using 3D printers, medical professionals can create models of a patient’s case that then can be used to help plan and practice a procedure — in some cases so advanced that the models can bleed stage blood.</p> <p>At Rady Children’s, doctors leverage tools, including <a href="" target="_blank">HP</a>’s <strong>Jet Fusion 500/300 Series 3D printers</strong>, to <a href=" " target="_blank">print models for both new and previous cases</a>. That allows them to use specific prototypes for teaching and discussion purposes well after a procedure has taken place.</p> <p>“It’s really giving clinicians and the surgical team more information,” Ryan says. “When they set foot in the operating room, they know exactly what that child’s airway or that child’s heart is going to look like when they operate. The more information and better the plan, the better the procedure.”</p> <p><a href="" target="_blank"><em><strong>MORE FROM HEALTHTECH: </strong>Carnegie Mellon University engineers turned a MakerBot 3D printer into a -low-cost 3D bioprinter.</em></a></p> <h2 id="toc_0">3D Printing Translates to Better Patient Experiences</h2> <p>Everything from prosthetic limbs to replacement hips and knees can now be custom-made to fit the patient, a trend that Alan S. Louie, research director of life sciences at IDC Health Insights, expects to continue. That helps to create customer solutions, which can increase efficiency to provide better patient experiences.</p> </div> <div> <div class="field-author"><a href="/author/jen-miller" hreflang="en">Jen A. Miller</a></div> </div> Mon, 18 Mar 2019 15:48:28 +0000 juliet.vanwagenen_22746 42231 at Why It’s Important to Stay Informed About Health IT Regulations <span>Why It’s Important to Stay Informed About Health IT Regulations</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Thu, 03/14/2019 - 10:09</span> <div><p>As technology’s role in both healthcare and senior care continues to evolve and expand, <strong>rules governing use can be quite complex</strong>.</p> <p>At the <a href="" target="_blank">HIMSS19 conference</a>, much of the talk focused on the <a href="">Office of the National Coordinator for Health IT’s proposed rule</a> focusing on patient access to information and information blocking. In theory, the rule — which proposes adoption of <a href="">Fast Healthcare Interoperability Resource</a> (FHIR) standards to support the secure flow of information — would lead to consumers accessing their health information in real time via smartphones and other devices and becoming better partners in their own care, according to CMS Administrator Seema Verma.</p> <p>The rule was met with praise from many industry stakeholders. Former Health and Human Services Secretary Mike Leavitt called the rule “transformative” for consumerism in healthcare, while former National Coordinator for Health IT Karen DeSalvo talked about its potential to improve public health.</p> <p>The American Hospital Association, however, <strong>expressed apprehension about the rule’s inclusion of event notification</strong> as a condition of participation for Medicare and Medicaid.</p> <p>“We believe that CMS already has better levers to ensure the exchange of appropriate health information for patients,” Ashley Thompson, AHA senior vice president for public policy analysis and development, said in a <a href="" target="_blank">statement</a>. “We recommend the agency focus on building this exchange infrastructure rather than layering additional requirements on hospitals.”</p> <p>What’s more, the density of the proposed rule caused the HIMSS Electronic Health Record Association to ask for additional time for review. “The proposed rule from ONC is a substantive one,” a <a href="" target="_blank">letter</a> from the EHRA to National Coordinator for Health IT Donald Rucker says. “It suggests complicated, significant adjustments to the regulations already governing the health information and technology industry, and stakeholders deserve adequate time to provide thoughtful, detailed comments on the impacts of the proposals.”</p> <p>Federal and state policymakers must try to account for a plethora of different scenarios while also<strong> balancing opinions and requests from various stakeholders</strong> impacted both directly and indirectly. The importance of health IT professionals and providers paying attention to the regulatory landscape cannot be overstated.</p> <p><em><a href=""><strong>MORE FROM HEALTHTECH: </strong>Learn what federal regulations around electronic visit verification mean for states and caregivers.</a></em></p> <h2>Telehealth Regulations Are Promising but Complex</h2> <p>Telehealth is another area where navigating rules can be challenging.</p> <p>Many stakeholders have lauded recent steps taken by the Centers for Medicare &amp; Medicaid Services to help providers <a href="">better benefit from offering telehealth</a> to their patients. Of one effort in particular, a <a href="" target="_blank">November final rule published by CMS for the 2019 Physician Fee Schedule</a> that included a new code designated for virtual check-ins, providers and vendors alike at HIMSS expressed excitement about the agency’s direction. The code will <strong>enable providers to be reimbursed for the delivery of synchronous, two-way audio interactions enhanced with video</strong> or other kinds of data transmission.</p> <p>“There’s been a lot of federal movement in the last year or so, which has been nice,” said Shawn Valenta, administrator of telehealth for the Medical University of South Carolina. “There have been a lot of barriers.”</p> <p>What’s more, in October, <a href="" target="_blank">CMS published a proposal</a> to allow Medicare Advantage plans to offer telehealth benefits, regardless of whether a policyholder lives in an urban or rural area. That proposal could have big implications for expanding access to telehealth services for seniors.</p> <p>Still, <strong>reimbursement issues</strong> — and even issues around definitions — continue to loom, especially at the state level. The Georgia Senate in February recently passed two bills, <a href="" target="_blank">according to</a> mHealth Intelligence. One bill, <a href="" target="_blank">SB 115</a>, allows providers in other states to treat Georgia residents as long as they meet any applicable laws. The second, <a href="" target="_blank">SB 118</a>, proposes new definitions for telehealth and telemedicine. Telehealth, it says, would be defined as “the use of information and communications technologies, including, but not limited to, telephones, remote patient monitoring devices or other electronic means.” The bill states that a patient must be at “an originating site” and a provider must be at a “distant site.”</p> <p>Keeping up with these and other regulations may seem like a daunting task, especially for providers more concerned with caring for patients on a day-to-day basis. Ultimately, though, <strong>being mindful of the regulatory landscape is necessary</strong> to have a good sense of where a health IT initiative currently stands and the potential challenges that lie ahead.</p> <p><em>This article is part of </em>HealthTech<em>’s <a href="">MonITor blog series</a>. Please join the discussion on Twitter by using <a href="">#WellnessIT</a>.</em></p> <p><em><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="MonITor_logo_sized.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></em></p> </div> <div> <div class="field-author"><a href="/author/ginna-baik-0" hreflang="en">Ginna Baik</a></div> </div> Thu, 14 Mar 2019 14:09:04 +0000 juliet.vanwagenen_22746 42226 at HHS Digs into How AI-Based Tools Can Help Battle Diseases <span>HHS Digs into How AI-Based Tools Can Help Battle Diseases</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Wed, 03/13/2019 - 11:50</span> <div><p>Leveraging data effectively can go a long way toward improving healthcare outcomes, and emerging technology is setting the stage for the development of digital tools that can help providers improve patient care and decision-making via data.</p> <p>Recognizing this, the Department of Health and Human Services in January concluded a <strong>14-week technology sprint</strong> known as The Opportunity Project (TOP) Health sprint. During the sprint, <strong>10 teams delivered digital tools</strong> that were built with federal data and AI to <strong>enhance medical testing</strong>, explore new kinds of treatment and improve care via analytics for a variety of diseases. Federal agencies partnered with private sector organizations on the project, including <a href="" target="_blank">Microsoft</a> and <a href="" target="_blank">Oracle</a>.</p> <p>“At HHS, we recognize that Federal government alone cannot solve our most important and complex challenges,” HHS CTO Ed Simcox <a href="" target="_blank">said in a blog post</a>, adding, “the TOP Health sprint is a valuable step in leveraging skills from industry with public resources to promote better health outcomes.”</p> <p>HHS also conducted the project with the <a href="" target="_blank">Presidential Innovation Fellows</a> (PIF), a program run by the General Services Administration. This past week, HHS released more information on one of the key challenges the sprint identified: AI approaches for facilitating an experimental therapy ecosystem. The challenge, according to the HHS blog post, sought to answer the question, how can we do better by leveraging standards and emerging technologies?</p> <p>According to HHS, the program led to new insights on how sharing federal data with the private sector could be encouraged and monitored. Agencies were “interested in understanding and customizing datasets for various use cases, but were primarily focusing on internal government use,” according to <a href="" target="_blank">a separate HHS blog post</a>. And, the agency says, the “lightweight collaboration through TOP Health strengthened the intersection of government and industry.”</p> <p>Joshua Di Frances, executive director of the PIF program, said in a blog post that this collaboration across agencies and private companies shows there are new avenues for combining open federal data and AI technologies. “Through incentivizing links between government and industry via a bidirectional AI ecosystem, we can help promote usable, actionable data that benefits the American people,” he said.</p> <p><em><a href="" target="_blank"><strong>MORE FROM HEALTHTECH:</strong> See how data lakes can help providers take analytics to the next level.</a></em></p> <h2>HHS Turns to AI to Bolster Patient Care</h2> <p>According to a blog post by <a href="" target="_blank">Gil Alterovitz</a>, a research affiliate with the Veterans Affairs Department, and <a href="" target="_blank">Kristen Honey</a>, innovator in residence at HHS’ office of the CTO, agencies and patient advocates who worked together on AI projects largely said that the sprint “allowed for an open exchange of ideas and the opportunity for further collaboration between the U.S. government and private sector companies.”</p> <p>By <strong>January 2019</strong>, seven TOP Health teams had delivered digital tools. The teams used data from the open-data portal <a href="" target="_blank"></a> to “create digital products, apps, and gamification inventions to improve <strong>clinical trials, experimental therapies, and data-driven solutions</strong> for complex challenges from cancer to Lyme and tick-borne diseases,” Alterovitz and Honey said.</p> <p>Among the tools was the Microsoft Healthcare Bot built by Microsoft Healthcare in Israel. The tool aims to “democratize clinical trials matching by helping patients and doctors find suitable trials quickly and easily” through conversational AI, advanced machine reading on clinical trials eligibility criteria, natural language processing and smart qualification.</p> <p>The Energy Department’s Oak Ridge National Laboratory had its SmartClinicalTrials team work on “a<strong> large knowledge graph representation</strong> for cancer clinical trials to enable discovery of new concepts from unstructured text.”</p> <p>And, Oracle Public Sector and Oracle Healthcare built a patient-centric solution for clinical trial matching. The solution matches patients battling cancer with clinical trial programs and uses AI to “provide a more simplified and personalized experience for determining treatment.”</p> <p>The private sector was looking to “minimize risk” when choosing which data sets to use among the vast quantities of available federal data, Alterovitz and Honey said. “Through the TOP Health process, multiple <strong>high-value datasets were unlocked from over a dozen collaborating agencies/departments</strong>.”</p> <p><a href="" target="_blank"><em><strong>MORE FROM HEALTHTECH:</strong> See how Geisinger Health is planning to make DNA sequencing routine.</em></a></p> <h2>Open Data Can Make a Difference in Cancer Outcomes</h2> <p>The TOP program required data and collaboration from several agencies. The U.S. Patent and Trademark Office, for instance, assembled a large set of invention topics to help inspire prospective inventors, including those with applications in the AI ecosystem and experimental therapeutics space.</p> <p>The VA offered access to de-identified cancer patients for use in <strong>matching to trials/therapeutics and analytical tools</strong> for AI and machine learning.</p> <p>HHS says the AI work allowed researchers to create new data sets, and they were able to derive fresh insights from the data. For example, the <a href="" target="_blank">National Cancer Institute</a>, which is part of the National Institutes of Health, “generated three new data sets including data on: structured eligibility criteria, participants based on call samples to contact center, and medical professional-curated participant/trial match rating,” according to the HHS blog post. NCI also provided medical professional curation to make data sets and give guidance.</p> <p>At the end of the day, the program is about helping patients, and HHS said user-centered feedback from a wide range of individuals guided the development of all the digital tools.</p> <p>For example, patient advocates such as Stephen Aldrich, the 63-year-old founder and former CEO of <a href="" target="_blank">Bio Economic Research Associates</a>, a private research and advisory firm, provided valuable feedback and perspective.</p> <p>Aldrich was diagnosed with metastatic stage 4 adenocarcinoma of the esophagus in late March 2017. “My response to my fatal cancer diagnosis served as an inspirational case study for the sprint group,” Aldrich said, adding that he is <strong>hopeful for the future of experimental therapeutics via AI and open data</strong>.</p> <p>“I am extremely grateful to live at a time when what used to be a terminal cancer diagnosis can be turned into something much less threatening due, in no small part, to our exploding ability to gather and analyze personal genomic information,” Aldrich said. “<strong>I envision a day when all cancer patients have had their cancers fully sequenced</strong>, and enjoy direct control over their fundamental genomic and health data, enabling them to quickly identify the best potential treatment options for their unique cancers. Amazing cures are possible, if we enable them to happen.”</p> </div> <div> <div class="field-author"><a href="/author/phil-goldstein" hreflang="en">Phil Goldstein</a></div> </div> Wed, 13 Mar 2019 15:50:12 +0000 juliet.vanwagenen_22746 42221 at How Telehealth Programs Can Evolve to Meet Patient Demands <span>How Telehealth Programs Can Evolve to Meet Patient Demands</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Tue, 03/12/2019 - 12:32</span> <div><p>There are more than a few reasons why hospitals across the country choose to implement telemedicine. For some, telehealth can provide a board-certified emergency physician for consultation in the event they need to perform an infrequent procedure. Others rely on telemedicine to support providers, delivering a better work-life balance to clinicians. Many opt for virtual consults with the aim of keeping care local, avoiding unnecessary transfers and offering specialized services. </p> <p>Whatever the reason, telemedicine is much more than a connection between a provider and a patient; it has the potential to save workforces, communities and, most important, patient lives. And the sooner hospitals grasp the idea that this care delivery innovation can be a powerful way to tackle their goals and challenges, the better off they will be.</p> <p><a href="" target="_blank"><em><strong>MORE FROM HEALTHTECH: </strong>See how Avera Health has expanded </em></a> <a href="" target="_blank"><em>reach</em></a> <a href="" target="_blank"><em> and improved care with telehealth.</em></a></p> <h2>What Is Telemedicine?</h2> <p>Several terms — telemedicine, telehealth, virtual care, e-health — are used to describe the <strong>real-time, two-way interactive communication between the patient and the physician</strong> or provider at a distant site.</p> <p>The broad definition of telemedicine typically does not account for the additional hospital-focused benefits, such as:</p> <ul><li>assisting in recruiting and retaining providers</li> <li>collegial consults with bedside physicians and nurses</li> <li>on-call support and assistance with nursing documentation</li> <li>access to tertiary-level hospital services</li> </ul><p>Simply put, telemedicine, done properly will look different depending on where it is deployed in the hospital and can be a solution for many issues that hospitals face.</p> <p><em><a href="" target="_blank"><strong>VIDEO: </strong>See how telehealth is moving care closer to the patient.</a></em></p> <h2>Rural Care Facilities: The Ideal Use Case for Telemedicine</h2> <p>Rural communities rely on their local physicians and providers for virtually all of their healthcare needs, and yet those providers have few colleagues to turn to for a quick consult. One of the most challenging parts of the job can be emergency room coverage. Rural hospitals typically staff emergency departments with an on-call, offsite provider who may take <strong>20 to 30 minutes</strong> to arrive at the hospital. The two nurses staffing the building at night will manage these patients with standing orders or phone orders while they await physician arrival. Many rural physicians experience few critical encounters each year, making unpredictable and time-sensitive situations that much more stressful.</p> <p>Tele-emergency care, <strong>designed with the end-user experience in mind</strong>, can offer rural stakeholders the consistent, reliable and easy-to-use services they require to augment emergency care. The last things the teams at the rural hospitals need when dealing with a trauma is difficulty in getting technology to work or waiting for a physician to be available. The equipment’s ease of use is vital, but consistent and secure video access also impacts successful adoption.</p> <p>When the team and technology align to form a great service offering, amazing things can happen for remote hospitals. A hospital in Wagner, S.D., for example, tapped Avera eCARE emergency and hospitalist services alongside their unique staffing model to increase the average daily census and improve Hospital Consumer Assessment of Healthcare Providers and System scores while significantly decreasing overall costs for the hospital.</p> <p><em><a href=""><strong>MORE FROM HEALTHTECH:</strong> Complexity is a definitive part of the telehealth experience.</a></em></p> <h2>How to Create a Virtual Healthcare Delivery Model</h2> <p>Those looking to develop a telemedicine program should begin by listening to the needs of practicing clinicians with the aim of tapping telemedicine to augment care delivery. With this practice, <a href="" target="_blank">Avera eCARE</a> now provides services in over <strong>420 hospitals around the country over the past 25 years</strong>. Born as a virtual care option for Avera Health’s internal customers, the eCARE program has grown to include several sustainable telemedicine programs geared toward addressing workforce issues, extending expertise to underserved populations and reducing total cost of care by treating patients in the most appropriate setting.</p> <p>Based on demand from the marketplace, Avera eCARE has expanded hospital-focused offerings for intensive care units, emergency rooms, pharmacies, hospitalists, behavioral health departments and specialty clinics. In each case, the setting had an impact on how the services were designed and developed.</p> <p>With the ER offering, for example, one of the main priorities was to make sure communication was clear and consistent, which could be achieved by a direct point-to-point connection. A second critical consideration was ease of use, to allow the clinical team at remote hospitals to keep their hands on the patient instead of fiddling with devices. To enable that, we created a system that requires just one touch from the nursing team — the push of a red button on the wall — after that, everything is handled from the telemedicine hub; for example, <a href="" target="_blank">Polycom Cameras</a>’ pan, tilt and zoom capabilities are controlled via the telemedicine hub and not by the clinicians. </p> <p>It should be noted that the ER service is designed dramatically differently from the other Avera eCARE services, some of which use remote monitoring equipment, mobile carts or proprietary software programs to fit the needs of the service line. There is no single technology solution for all settings.</p> <p><em><a href="" target="_blank"><strong>INFOGRAPHIC:</strong> Are telehealth offerings meeting patient expectations?</a></em></p> <h2>3 Early Considerations for a Sustainable Telehealth Program</h2> <p>Certain decisions need to be made early on when creating a sustainable telemedicine program. Here are three considerations healthcare and IT teams should take into account when building out a telehealth program:</p> <h3>1. Will a specific team be identified to lead the program? </h3> <p>Defining a department to oversee and execute responsibilities is vital in the implementation and overall success of the program. Lack of a dedicated team can result in a duplication of efforts, variability in systems and processes, and limited resources to develop, design and distribute telemedicine across the system.   </p> <h3>2. Understand the existing culture and behavior of the users</h3> <p>Identifying change management needs early is important to successful technology adoption. The specific reason for lack of adoption may not be related to technology, but to how virtual providers interact with the end user. Excellent customer service is essential; fostering relationships and trust between patients and providers can make or break a program.</p> <h3>3. Evaluate technology for functionality, technical issues and user error</h3> <p>To uncover technical or design problems in advance of a launch, IT teams should gather technology requirements up front. Those efforts can help to keep costs and labor for telehealth implementations in check by preventing multiple implementations, reducing time spent troubleshooting or patching technical glitches. Moreover, it can help teams to focus on providing a better user experience, rather than fighting with technical glitches.</p> <p>For each telehealth offering, IT teams should identify, in advance, industry standards and benchmarks for video quality and security, including network uptime and video latency, jitter and packet loss. Other technical recommendations include standardizing technology, establishing customer service resolution protocols for technology issues, and developing a plan to measure and report <a href="">HIPAA security compliance</a>.</p> </div> <div> <div class="field-author"><a href="/taxonomy/term/12051" hreflang="en">John Parks</a></div> </div> Tue, 12 Mar 2019 16:32:09 +0000 juliet.vanwagenen_22746 42216 at 3 Ways to Manage the Cyber Risk Posed by Connected Medical Devices <span>3 Ways to Manage the Cyber Risk Posed by Connected Medical Devices</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Mon, 03/11/2019 - 13:04</span> <div><p>Connected medical technology is rapidly transforming patient treatment.</p> <p>Pacemakers, insulin pumps, <a href="">wearable devices that track patient activity levels</a> and pills containing <a href="">ingestible sensors</a> that track medication adherence are among the innovations that allow physicians to <a href="">monitor patients remotely</a>, promising <strong>more cost-effective care and improved outcomes</strong>.</p> <p>But connected <a href="">medical devices also raise concerns about patient privacy and cybersecurity</a>. Connected devices <a href="">gather vast amounts of patient data</a> and create more points for connection, raising the risk of a security breach that can involve not just the data but also control of the device itself.</p> <p>Companies manufacturing such devices should understand regulatory and litigation risks associated with them and regularly take steps to minimize those risks.</p> <p>Meanwhile, providers making use of the technology for patient care should also be aware of the dangers and step in where possible to ensure patient privacy and device security. In the wake of a major cyber incident, a healthcare organization may face government investigations, both domestically (by the U.S. Food and Drug Administration and other federal and state regulatory agencies, such as the Federal Trade Commission and state attorneys general) and internationally (by foreign data privacy and consumer safety regulators). Moreover, breaches can draw unwanted media attention, customer demands and litigation — all of which require a careful and rapid response. Counsel must be prepared to simultaneously coordinate responses on all fronts.</p> <p>So, what can healthcare organizations do to reduce the risk of a cyber incident? There are <strong>three strategies that can help keep devices safe.</strong></p> <p><em><a href="" target="_blank"><strong>MORE FROM HEALTHTECH:</strong> Medical device vulnerabilities continue to plague the industry. Are your systems at risk?</a></em></p> <h2>1. Design Medical Devices with Cybersecurity in Mind</h2> <p>The first step to a secure device landscape is to design connected products to be secure from the outset. This means product design teams developing connected products should include privacy and cybersecurity experts in the process. Design teams should also be in regular communication with litigators to <strong>stay informed of developing areas of legal risk</strong>.</p> <p>The FDA published guidance for the <a href="" target="_blank">Postmarket Management of Cybersecurity in Medical Devices</a> in December 2016. More recently, the agency published draft guidance on the <a href="" target="_blank">Content of Premarket Submissions for Management of Cybersecurity in Medical Devices</a> in October 2018, which offers detailed recommendations for the design of connected medical devices. According to the guidance:</p> <ul><li>Those developing connected medical devices should consider the use of authentication, authorization and encryption to prevent unauthorized commands being sent to any safety-critical system and to prevent unauthorized access to sensitive information.</li> <li>Products should be designed with the ability to detect and respond to dynamic cybersecurity risks, including the deployment of routine security updates and patches.</li> <li>Designers should scrutinize labeling to ensure it effectively informs end users of key security information.</li> </ul><p>Additionally, <strong>effective privacy notice and consent agreements</strong> are of the utmost importance. Choice of law and arbitration clauses embedded in these documents can significantly shape the course of civil litigation that follows a cyber incident.</p> <p><em><a href="" target="_blank"><strong>MORE FROM HEALTHTECH: </strong>See how IoT is changing healthcare networks.</a></em></p> <h2>2. Closely Monitor Medical Devices for Vulnerabilities</h2> <p>Once a connected product is on the market, healthcare organizations should <strong>closely monitor, identify and address cybersecurity vulnerabilities</strong>. Internet-connected products are notoriously complex. Providers should build a quality review team for such products, bringing together members with diverse expertise who, together, will have a full understanding of the potential risks posed by the product.</p> <p>The FDA’s post-market guidance offers a detailed description of key components of a program to monitor for cybersecurity vulnerabilities. It advises organizations to develop:</p> <ul><li>Methods to identify, characterize and assess cybersecurity vulnerabilities</li> <li>Methods to analyze, detect and assess threat sources</li> </ul><p><strong>Monitoring should include a number of sources of information</strong> to identify possible cybersecurity vulnerabilities. These include information from independent security researchers, in-house testing departments, suppliers of software and hardware, and complaints from patients, physicians or healthcare facilities. With regard to software, an organization should implement practices to monitor all third-party software components for new vulnerabilities and ensure that updates and patches are effective.</p> <p>Further, a quality review team should have a process in place to <strong>evaluate the level of risk presented by an identified vulnerability</strong>. The process should also address ways to control those risks and monitor the effectiveness of the controls.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank" title="CDW Cybersecurity Insight Report"><img alt="Cybersecurity-report_EasyTarget.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <h2>3. Develop a Robust Cyber Risk Management Plan</h2> <p>Another crucial aspect of medical device security is the need for robust organizational — rather than product-specific — <strong>cyber risk management planning</strong>. An organization’s risk management strategy should include:</p> <ul><li>Periodic enterprise wide risk assessments of connected devices</li> <li>Exercises to assess cyber incident response</li> <li>Cybersecurity education and training</li> <li>Periodic reviews of insurance coverage for cyber incidents and related claims</li> <li>Identification of external forensic experts or crisis managers before an incident</li> <li>Periodic review of internal corporate policies and governance mechanisms that will shape the flow of information to the board in the event of a cyber incident</li> </ul><p>Ultimately, <strong>the promise of connected medical devices goes hand in hand with increased cyber risk</strong>. By tapping the resources available to providers and developers, as well as applying lessons learned from other industries, healthcare organizations can work to protect patients and staff from the impact of a medical device security breach.</p> </div> <div> <div class="field-author"><a href="/taxonomy/term/12031" hreflang="en">Stephanie Carman </a></div> <div class="field-author"><a href="/taxonomy/term/12036" hreflang="en">Michelle Kisloff</a></div> <div class="field-author"><a href="/taxonomy/term/12041" hreflang="en">Jodi Scott</a></div> <div class="field-author"><a href="/taxonomy/term/12046" hreflang="en">Rebecca Umhofer</a></div> </div> Mon, 11 Mar 2019 17:04:17 +0000 juliet.vanwagenen_22746 42211 at International Women’s Day: 3 Women to Know in Health IT <span>International Women’s Day: 3 Women to Know in Health IT</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Fri, 03/08/2019 - 06:03</span> <div><p>The healthcare industry is ever evolving, with technology at the heart of a growing number of initiatives to improve the delivery of patient care, as well as the consumer experience.</p> <p>Strong, influential women are at the helm of many of these efforts. Through their work, these three, and countless other women, continue to push the envelope for changing the way providers think about innovation and engagement. Read on to learn more about their efforts, and give a shout out to other women in health IT you’d like to recognize on Twitter <a href="">@CDW_Healthcare</a>.</p> <p><em><a href="" target="_blank"><strong>SEE MORE:</strong> Read about one woman's journey to IT success.</a> </em></p> <h2>Sheri Rose</h2> <p>As CEO and Executive Director of the <a href="" target="_blank">Thrive Center</a> in Louisville, Ky., Sheri Rose educates senior care organizations — and the industry at large — about how and why technology is beneficial for older adults.</p> </div> <div> <div class="field-author"><a href="/author/dan-bowman" hreflang="en">Dan Bowman</a></div> </div> Fri, 08 Mar 2019 11:03:19 +0000 juliet.vanwagenen_22746 42191 at How to Lay the Groundwork for Successful Healthcare Analytics Projects <span>How to Lay the Groundwork for Successful Healthcare Analytics Projects</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Wed, 03/06/2019 - 09:10</span> <div><p>Data analytics are already at work in healthcare organizations far and wide to inform organizational change and care decisions.</p> <p>"Hospitals and health systems have<strong> mountains of clinical, operational and financial data </strong>at their disposal, thanks to the proliferation of electronic health records, time management systems and other sources of data within their organizations," a <a href="" target="_blank">recent report from HIMSS Analytics notes</a>.</p> <p>Many healthcare systems are putting this data to use and seeing true impacts on patient care. At <a href="" target="_blank">Massachusetts General Hospital</a> in Boston, for example, the organization is using data analytics to boost performance and create a more transparent culture, Andrea Tull, director of reporting and analytics, quality and safety management for Massachusetts General Hospital, <a href="">tells <em>HealthTech</em></a>.</p> <p>“The technology has definitely helped us <strong>up</strong><strong> our game in quality improvement</strong>,” she says. “Mass General has always been a data-driven institution, but analytics allows us to leverage the data to answer more targeted questions.”</p> <p>Meanwhile, at <a href="" target="_blank">Union Hospital of Cecil County</a> in Elkton, Md., analytics helps the organization stay on top of possible security threats and manage clinical quality through the use of data visualization dashboards.</p> <p>“It’s a really good way to <strong>ingest data that is organized and more serviceable for individuals</strong>, from security to business,” UHCC HIPAA Security Officer Nolan Forrest <a href="">tells <em>HealthTech</em></a>. “It’s incredibly powerful.”</p> <p><em><a href=""><strong>MORE-FROM-HEALTHTECH:</strong> See how data lakes can take healthcare analytics to the next level.</a></em></p> <h2>Experts Weigh In on Healthcare Analytics Best Practices</h2> <p>But while but while nearly<strong> 93 percent of organizations have an analytics strategy in place</strong>, the HIMSS Analytics report has also found that many organizations aren’t making the best use of their data, and around <strong>30 percent haven’t been executing on their analytics strategy in some time</strong>. Further, data-based decision-making can be siloed, limiting its impact.</p> <p>Although data analytics can be transformational, organizations must first consider some basic principles prior to deployment in order to <strong>avoid situations where data and analytics might become lost or skewed</strong>, IT leaders say.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Digital%20Transformation_IR_1.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <p>For instance, Cara Martino, a registered nurse and enterprise business intelligence manager for <a href="" target="_blank">Jefferson Health</a>, says that<strong> IT staff need deep organizational knowledge</strong>, not just technical skill, to meet the needs of end users.</p> <p>Lauren Bui, vice president for data management and analytics at Dallas-based <a href="" target="_blank">CHRISTUS Health</a>, calls data governance vital. “<strong>Start by standardizing definitions and identifying core metrics</strong>, then make sure that they’re clearly published,” she says.</p> <p>Tull says that organizations must be sure to start such efforts in areas where they will have the biggest impact. “Prioritize your analytics projects,” she says.</p> <p>Finally, be clear on the goal of the analysis, says Cynthia Burghard, a research director with IDC Health Insights. <strong>“Know what end users want to do with the data</strong>,” she says.</p> </div> <div> <div class="field-author"><a href="/author/tommy-peterson" hreflang="en">Tommy Peterson</a></div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Wed, 06 Mar 2019 14:10:49 +0000 juliet.vanwagenen_22746 42206 at Mobile Devices Boost Patient and Clinician Satisfaction <span>Mobile Devices Boost Patient and Clinician Satisfaction</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Tue, 03/05/2019 - 10:46</span> <div><p>Traditional communication devices, such as pagers, have finally begun to give way to more modern tools in healthcare organizations. Smartphones, tablets and other mobile devices are making headway in modern treatment centers and <strong>effectively streamlining clinician communication</strong> while simultaneously <strong>improving patient satisfaction</strong>.</p> <p>At Kansas-based <a href="" target="_blank">Truman Medical Centers</a>, for example, the organization increased patient and nurse satisfaction alike by adopting <a href="" target="_blank">Zebra Technologies</a> <a href="" target="_blank">TC51-HC mobile computers</a>. By pairing the computers with a system that can connect clinicians, patients and family members, the provider has been able to more effectively communicate across the care spectrum.</p> <p>"Our nurses can take high-quality pictures of wounds or other medical issues and securely text those images to a member of the care team using the TC51-HC and Cerner’s Camera Capture application," Amy Peters, a registered nurse at Truman Medical Centers <a href="" target="_blank">tells Healthcare IT News</a>. "What is great about this is that it <strong>saves nurses time and creates a perpetual, real-life record</strong> automatically saved in a patient’s chart."</p> <p>But mobile deployments can also provide better care for patients.</p> <p>At <a href="" target="_blank">Phoenix Children’s Hospital</a> in Arizona, for example, the organization has buoyed patient satisfaction immensely by placing an <a href="" target="_blank">Apple iPad</a> in every room and encouraging patients to make use of it. In addition to health records and treatment plans, patients have access to entertainment options, including games and social media.</p> <p>“Research shows that the quality of stay for patients and their potential medical recovery can be greatly influenced by whether they have a <strong>distraction device</strong> like this,” Executive Vice President and COO David Higginson <a href="">tells <em>HealthTech</em></a>. “We have patients with cystic fibrosis who have to be in isolation over the winter months. Imagine being a teenager locked in a room with no access to social media for a month. It’s miserable.”</p> <p><em><a href="" target="_blank"><strong>MORE-FROM-HEALTHTECH:</strong> Push notifications arm nurses with real-time alerts at Phoenix Children's Hospital</a>.</em></p> <h2>IP Phones Personalize Virtual Communication for Virtua Health</h2> <p>Meanwhile, new IP phones at <a href="" target="_blank">Virtua Health</a> in New Jersey are integrated with the organization’s electronic health record and customer relationship management systems, <strong>allowing hospital staff to provide more personalized responses</strong> when patients call to schedule an appointment.</p> <p>“When the phone rings at our call center, a screen pops up showing who’s calling, so the staff can view their records, identify them by name and <strong>have a really good conversation</strong>,” Senior Vice President and CIO Thomas Gordon says.</p> <p>Because physicians and nurses carry their IP phones at all times, they can access patients’ EHRs wherever they are. And because medical monitoring devices constantly feed data to the patient’s records, that can offer doctors advance warning of life-threatening events.</p> <p>Using analytics, the system hypothetically can identify a patient who’s about to suffer a crisis and send an alert to the physician’s phone, so he or she can intervene before the event happens.</p> <p>“We’re in the process of piloting something like that right now,” Gordon says. “It’s basically an <strong>early warning system</strong>, where the nurse or doctor would get a critical alert based on artificial intelligence.”</p> </div> <div> <div class="field-author"><a href="/author/dan-tynan" hreflang="en">Dan Tynan</a></div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Tue, 05 Mar 2019 15:46:24 +0000 juliet.vanwagenen_22746 42201 at Healthcare CIOs Face New Pressures and Novel Opportunities <span>Healthcare CIOs Face New Pressures and Novel Opportunities</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Mon, 03/04/2019 - 12:53</span> <div><p>There’s no doubt that the <a href="">role of technology is accelerating in healthcare</a> and ushering in massive changes. Along with that, the role of the CIO is evolving as well.</p> <p>In fact, Black Book Market Research raised some eyebrows with its <a href="" target="_blank">2018 study</a> that found healthcare CIOs losing influence in IT purchasing to departmental managers. According to the survey, only <strong>21 percent </strong>of CIOs said they believed they were meaningfully involved in market-facing innovations and strategic departmental IT selections. More ominously, only <strong>15 percent </strong>of CIOs surveyed (down <strong>55 percent</strong> from the previous year) said the role of health system CIO was becoming increasingly strategic.</p> <p>So, what do these changes mean for CIOs?</p> <p><em><a href="" target="_blank"><strong>VIDEO: </strong>Former federal CTO Aneesh Chopra wants to create the “healthcare internet."</a></em></p> <h2>Healthcare CIOs Embrace Collaboration with Business Leaders</h2> <p>It’s not all bad news. <strong>Collaboration between business leaders and IT leaders is increasing</strong>, says Doug Brown, managing partner at Black Book.</p> <p>“The successful CIO is adapting to be the orchestrator of multiple IT support functions, not the IT purchase decision-maker,” he says. “The new CIO must make sure he or she is recognized as the go-to person for help on integrating technologies, ensuring they meet corporate policies and getting the right price, rather than the leader of complex vendor selections for specific business units.”</p> <p>However, the broad distribution of decision-making power around the acquisition, deployment and management of digital technology is a huge challenge for CIOs because business units want independence, Brown adds.</p> <p><em><a href=""><strong>MORE-FROM-HEALTHTECH:</strong> See how one CIO embraces healthcare innovation.</a></em></p> <h2>Hospital CEOs Look to Forge Digital Innovation, Automation</h2> <p>What do CIOs think of Brown’s analysis? David Chou, vice president and principal analyst at Constellation Research, recently left a <a href="">position as CIO and digital officer</a> at <a href="" target="_blank">Children's Mercy Hospital in Kansas City</a>, Mo. He agrees that many CIOs run the risk of being overlooked as strategists in their organizations.</p> <p>“<strong>A lot of organizations now have two roles</strong>: They have the CIO, who has been there for a long time, and a chief digital officer, who has been brought in by the CEO to focus on digital transformation. That is the writing on the wall,” says Chou. “The CEOs are trying to drive a different type of thinking, and they see that the traditional mindset is not working.”</p> <p>In fact, Chou says he included the word digital in his title because he thought the traditional CIO title seemed focused only on back-office infrastructure.</p> <p><a data-entity-type="" data-entity-uuid="" href=""><img alt="StoneGate Senior Living" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <p>“Adding digital to the title reflects an interest in creating new business models by using technology,” he explains. “While it may not change the organization <strong>100 percent</strong> from the start, it creates a different impression, because in the next generation, CIOs will have to take it upon themselves to be digital leaders. Technology has become more of a commodity. Now you have to help business units utilize the technology to the greatest level of efficiency.”</p> <p>Besides focusing on EHR optimization, organizations see automation as a way to become more efficient and cut costs, Chou adds.</p> <p>“They are looking at ways to improve things like<strong> supply chain automation and revenue cycle and billing automation</strong>, so there are not as many manual interventions. The CIO or CDO plays a big role in putting that together. They also are trying to figure out how to create the next-generation patient experience using technology.”</p> <p><em><a href="" target="_blank"><strong>MORE-FROM-HEALTHTECH: </strong>Hybrid cloud deployments take IT flexibility to the next level.</a></em></p> <h2>IT Infrastructure Remains Top of Mind for CIOs</h2> <p>Despite the changes, Dr. Daniel J. Nigrin, senior vice president for information services and CIO at <a href="" target="_blank">Boston Children's Hospital</a>, believes the role of the CIO has only grown more important.</p> <p>“It has become more of a <strong>strategic position within the organization</strong> simply because more of the operational systems we depend on in the hospital are automated and powered by IT systems,” he says.</p> <p>In terms of routine operations, the IT infrastructure is critical, and the role of the CIO in overseeing that shouldn’t be minimized. But even more important are the forward-thinking opportunities that make themselves available, Nigrin added.</p> <p>“<strong>CIOs are no longer delivering functionality on request</strong>. They are proposing new and innovative ways of running the organization,” he says. “The word digital is used everywhere nowadays, but it reflects the fact that healthcare as an industry is trying to catch up to the rest of the world, where there is consumer enablement and self-service functionality, putting data into the hands of patients and families. Facilities are looking to technology to push those along.”</p> <p><em><a href=""><strong>MORE-FROM-HEALTHTECH:</strong> Automation streamlines patient care at innovative hospitals.</a></em></p> <h2>Decentralization vs. Centralization in Healthcare IT</h2> <p>There was a time when consolidation, aiming to eliminate shadow IT groups, was one of the larger drivers in IT, Nigrin says. He agrees that an <strong>awareness</strong><strong> of everything that is going on in IT across an organization is critical</strong>. But Boston Children’s has also realized that a central focus can cause the organization to miss out on potential opportunities.</p> <p>“A team like our digital health accelerator can be nimbler in evaluating new technologies,” he says. “I do think it is helpful in some ways to allow ourselves to become a bit more decentralized than we have been in the past, to allow some of these groups to focus on target areas. But we absolutely have to make sure we are all working collaboratively and communicating nonstop.”</p> <p>Chou believes the key is to create a governance structure that involves IT oversight, but gives departments the freedom to use the technology they want to be more efficient.</p> <p>“<strong>It is a juggling act</strong>,” he says. “The trend toward decentralization will continue. I don’t see <strong>80 percent </strong>of the buying power moving outside IT, but if IT is not providing good service, that percentage will grow higher and higher.”</p> <h2>How CIOs Can Evolve to Fit a Changing Health IT Landscape</h2> <p>Mary Finlay, director of the Harvard T.H. Chan School of Public Health’s <a href="" target="_blank">Leadership Strategies for Information Technology in Health Care</a> program, works with IT leaders who want to reach beyond the traditional role in their organizations. </p> <p>For several years, CIOs focused on implementing EHRs and meeting <a href="" target="_blank">Meaningful Use requirements</a>, she says. The <strong>emphasis now has shifted to three main areas</strong>:</p> <p>1. Optimizing the EHR to improve clinician productivity</p> <p>2. Helping the provider or health system organize and make the best use of its data</p> <p>3. Learning about emerging technologies, such as artificial intelligence or blockchain</p> <p>There is a risk for CIOs of being perceived as too focused on infrastructure and not enough on business transformation.</p> <p>“That is one of the things CIOs worry about quite a bit,” she says, noting that in her course she works with CIOs on how to ensure they are a strategic partner, working alongside other leaders in the organization. “A big part of that is establishing credibility and demonstrating you are a strategic thinker so that you don’t find yourself in a situation where people find a way to work around you.”</p> <p>Finlay also suggests that CIOs should not view a chief digital officer or chief innovation officer as a threat, but rather<strong> treat that person as a new partner</strong>.</p> <p>“It comes down to building those relationships and determining how you are going to work together to bring value to your organization,” she says. “The CIOs don’t have to come up with all the ideas themselves. Innovation happens throughout the organization. You want to figure out how to foster and support that.”</p> <p>For example, Nigrin’s IT department works closely with Boston Children’s innovation and digital health accelerator program. </p> <p>“Sure, it helps to have a distinct group focused on innovation, but to have it operate in isolation, separate from the operational IT arm of the organization, is an exercise in futility,” he says.</p> <p>Often, if there are silos, promising projects can stall. The key to pushing innovation through is to partner early and stay closely connected to the innovation group. That way, hospital CIOs can ensure that the operational arm is engaged early, Nigrin says, “and when you hit upon that promising new idea, you can deploy it for real, scale it and get it into hands of clinicians or patients.”</p> </div> <div> <div class="field-author"><a href="/author/david-raths" hreflang="en">David Raths</a></div> </div> Mon, 04 Mar 2019 17:53:11 +0000 juliet.vanwagenen_22746 42196 at Data Lakes Take Healthcare Analytics to the Next Level <span>Data Lakes Take Healthcare Analytics to the Next Level</span> <span><span lang="" about="/dashboard/julietvanwagenen22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Thu, 02/28/2019 - 09:51</span> <div><p>With the transition to value-based care underway, making the best use of data to further patient satisfaction is top of mind for healthcare leaders everywhere. Enter the data lake: an architecture that can help providers store, share and use electronic health record and other patient data.</p> <p>Already, healthcare organizations have begun to tap data lakes with the aim of uniting disparate data from across hospital systems. <a href="" target="_blank">Phoenix Children’s Hospital</a> in Arizona, for instance, collects and stores information for medication and patient analysis in their data lake, freeing previously siloed data to boost patient care.</p> <p>“We pulled data from <strong>40 systems</strong> — everything from the surgery system to the scanned medical records to the general ledger and payroll,” David Higginson, executive vice president and chief administrative officer at Phoenix Children’s, <a href="">tells <em>HealthTech</em></a>. “<strong>Anyplace we could tap data, we did</strong>.”</p> <p>The organization’s move to data lakes has helped to effectively shift its culture, creating a data-driven approach to problem-solving. It has also delivered several practical solutions, such as a kidney care dashboard that pools information from multiple systems across the hospital to monitor for kidney injuries that can result from the use of powerful drugs. Moreover, after analyzing more than 750,000 medication orders, the hospital has developed an algorithm to support more accurate dosing.</p> <p>Phoenix Children’s isn’t alone. Paul Black, CEO of EHR and practice management provider Allscripts, recently <a href="" target="_blank">told Healthcare Dive</a> how the organization uses data lakes, tapping artificial intelligence, machine learning and human ingenuity to sift out “correlations” hospitals might not see.</p> <p>Certainly, interest in the technology is growing, as research forecasts the<a href=""> data lakes market</a> to increase at a rate of <strong>28 percent </strong>between 2017 and 2023.</p> <p>So what does it take to make the most of a data lake? The first step is to <strong>understand the tool and what it can offer</strong>.</p> <p><em><a href=""><strong>MORE-FROM-HEALTHTECH: </strong>Can a chief data officer help you make the most of data?</a></em></p> <h2>What Is a Healthcare Data Lake?</h2> <p>Essentially, a data lake is an architecture used to store high-volume, high-velocity, high-variety, as-is data in a centralized repository for Big Data and real-time analytics. </p> <p>Healthcare organizations can <strong>pull in vast amounts of data</strong> — structured, semistructured, and unstructured — in real time into a data lake, from anywhere. Data can be ingested from Internet of Things sensors, clickstream activity on a website, log files, social media feeds, videos and online transaction processing (OLTP) systems, for instance.</p> <p><a data-entity-type="" data-entity-uuid="" href=""><img alt="StoneGate Senior Living" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <h2>A Healthy Data Lake Requires Maintenance</h2> <p>There are no constraints on where the data hails from, but it’s a good idea to <strong>use metadata tagging to add some level of organization to what’s </strong><strong>ingested</strong>, so that relevant data can be surfaced for queries and analysis.</p> <p>“To ensure that a lake doesn’t become a swamp, it’s very helpful to <strong>provide a catalog that makes data visible and accessible to the business</strong>, as well as to IT and data-management professionals,” says Doug Henschen, vice president and principal analyst at<a href="" target="_blank"> Constellation Research</a>.</p> <p>New York’s <a href="" target="_blank">Montefiore Health System</a>, for example, sees the value of a well-maintained data lake for the large volumes of data it deals with; it links that data to metadata and ontologies, Dr. Parsa Mirhaji<a href=""> tells <em>HealthTech</em></a>. The health system <strong>uses its </strong><strong>multisourced</strong><strong>, tagged data to support artificial intelligence and deep learning</strong>. </p> <p>Montefiore has created an environment in which researchers can experiment and learn from the data better than they could if they had to rely on just a massive information repository, says Mirhaji, director of clinical research informatics at the<a href="" target="_blank"> Albert Einstein College of Medicine and Montefiore Medical Center-Institute for Clinical Translational Research</a>.</p> <p>“It requires consistent management of metadata, terminology management, ontology management, linked open data and modeling, as well as the kinds of automated algorithms that can use these resources efficiently to solve difficult problems,” he says.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="IT%20Infrastructure_IR_2.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <h2>How Providers Can Get Started with Data Lakes</h2> <p>So how can healthcare organizations begin to build out a data lake? The first step is by adopting the necessary underlying Big Data architectures.</p> <p>Phoenix Children’s Hospital began the journey by standing up an on-premises<a href="" target="_blank"> Microsoft SQL server</a> to extract, transform and load packages. It also adopted<a href="" target="_blank"> Microsoft</a>’s reporting services application.</p> <p>But while many providers, such as<a href="" target="_blank"> Oracle</a>, offer both on-premises and cloud data lake solutions, most organizations are turning to the cloud for data lake architectures.</p> <p> “Cloud-based options — whether provided by cloud providers or software vendors with their own cloud services — are seeing the lion’s share of the growth these days,” says Henschen, adding that many vendors also provide Big Data infrastructure as part of their cloud offerings.</p> <p>Spark and <a href="" target="_blank">Hadoop</a> Big Data architecture services, for instance, exist on <a href="" target="_blank">Microsoft Azure</a>, <a href="" target="_blank">Google Cloud</a> and other leading cloud services. Cloud providers also can offer advanced security for data lakes.</p> <p>Another important aspect to beginning a data lake journey is to understand the investment necessary to dive in. It’s a large undertaking, but for many organizations it ultimately is worth it.</p> <p>“When data volumes start creeping into the tens of terabytes, it’s time to consider something in the lake vein,” says Henschen.</p> <h2>Data Lakes vs. Data Warehouses </h2> <p>Data lakes should not be confused with data warehouses. Where data lakes store raw data, <strong>warehouses store current and historical data in an organized fashion</strong>.</p> <p> Data warehouses are best for analyzing structured data quickly and with great accuracy and transparency for managerial or regulatory purposes. Meanwhile, data lakes are primed for experimentation, as organizations can load a variety of data types from multiple sources and quickly engage in ad hoc analysis, explains Kelle O'Neal, founder and CEO of  management consulting firm<a href="" target="_blank"> First San Francisco Partners.</a></p> <p>“The rapid inclusion of new data sets would never be possible in a traditional data warehouse, with its data model–specific structures and its constraints on adding new sources or targets,” O’Neal says.</p> <p>Organizations may use both data lakes and data warehouses. The decision about which to use is based on “understanding and optimizing what the different solutions do best,” she says.</p> </div> <div> <div class="field-author"><a href="/author/jennifer-zaino" hreflang="en">Jennifer Zaino</a></div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Thu, 28 Feb 2019 14:51:18 +0000 juliet.vanwagenen_22746 42186 at