InformationWeek Stories by Marianne Kolbasuk McGeehttp://www.informationweek.comInformationWeeken-usCopyright 2012, UBM LLC.2012-07-23T09:00:00ZHealth IT Pros Face Salary GapElectronic medical records, compliance, and other initiatives are driving demand for health IT pros. But according to <em>InformationWeek</em>'s 2012 Salary Survey, their compensation still trails that of IT professionals across all industries.http://www.informationweek.com/news/240004124?cid=RSSfeed_IWK_authorsImplementation of electronic health records (EHRs), compliance with government regulations, and other healthcare IT initiatives are driving up demand for health IT pros these days. But while their pay inched up last year, health IT professionals' compensation still, for the most part, lags behind IT pros across all industries, according to the <em>InformationWeek</em> 2012 IT Salary Survey. <P> However, while health IT managers earned smaller paychecks than IT managers across other industries, healthcare CIOs fared better than CIOs in general. The median total compensation for CIOs across all industries in the 2012 survey was $161,000; healthcare CIOs earned $180,000. Healthcare IT staffers also did better than healthcare IT managers, whose increases in base pay and total compensation in 2012 over 2011 were slightly smaller than those seen from 2010 to 2011. <P> These numbers make sense when considering where organizations are in a variety of compliance-related cycles. From 2010 to 2011, for example, healthcare organizations--and their IT managers--were gearing up and planning for projects ranging from the Centers for Medicare and Medicaid Services' EHR Meaningful Use Stage 1 implementation to ICD-10 conversion and compliance with ramped-up Health Insurance Portability and Accountability Act (HIPAA) rules. <P> During that period, healthcare IT managers saw a slightly larger rise in total compensation than they did during the prior 12 months. From 2011 into 2012, these new projects were well underway at healthcare organizations facing impending deadlines, with small armies of IT talent doing much of the heavy lifting at that point (and with said IT staffers seeing a slightly bigger pay bump at the time). <P> The larger total compensation earned by healthcare CIOs compared with CIOs across all industries may reflect the level of challenges healthcare organizations are experiencing from an IT perspective. In fact, finding and keeping the needed IT and clinical IT skills to accomplish the multiple, high-profile projects in progress at most healthcare organizations is one of the biggest worries that CIOs have, according to the Health Information and Management Systems Society's (HIMSS) 2012 survey of 302 IT leaders. <P> Nearly a quarter of respondents said a lack of adequate staffing resources was the top barrier to IT implementation. In previous years, inadequate financial resources had been the No. 1 challenge faced by HIMSS survey respondents in terms of IT barriers. Meanwhile, the U.S. Department of Labor has predicted a shortage of 50,000 healthcare IT professionals, based on the extensive healthcare IT-related reform and regulatory mandates underway and expected down the road. <P> To view highlights from <em>InformationWeek</em>'s 2012 healthcare IT salary survey, click through the following slides. For a more in-depth look at all 47 figures, check out the complete <em>InformationWeek</em> Report <a href="http://reports.informationweek.com/abstract/105/8789/Healthcare/research-2012-it-salary-survey-healthcare.html">2012 IT Salary Survey: Healthcare</a>.</a> (Free registration is required.)Median annual base pay for healthcare IT staff in 2012 rose to $83,000 from $78,000 last year, according to the survey of 636 health IT staffers and 536 health IT managers. For health IT managers, base pay in 2012 was reported at $109,000, up from $103,000 in 2011. Across all industries, median base pay in 2012 is $85,000 for IT staff and $108,000 for IT managers. (See the full <a href="http://reports.informationweek.com/abstract/166/8739/Professional+Development+and+Salary+Data/research-2012-it-salary-survey.html ">2012 IT Salary Survey</a> for complete results). <P> <strong>RECOMMENDED READING:</strong> <P> <a href="http://reports.informationweek.com/abstract/166/8773/Professional+Development+and+Salary+Data/research-2012-app-developers-salary-survey*.html">Research: 2012 App Developers Salary Survey</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240003545">How To Break Into Healthcare IT</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">Today's Hottest Health IT Jobs Are Epic</a> <P> <a href="http://www.informationweek.com/article/preview?articleID=240002426">25 CIOs Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/global-cio/compensation">Global CIO: Compensation</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240000347">Software Engineer: 2012's Top Job</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003011">Rev Up Your IT Career</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003800">5 Ways To Escape A Career In IT</a>The gap between healthcare IT professionals and IT professionals in general is wider when it comes to total compensation. Median total compensation, including bonuses and direct cash payments, for healthcare IT staff in 2012 was $85,000, up from $80,000 in 2011. Total pay figures for healthcare IT managers rose to $114,000 from $110,000 in 2011. By comparison, median total compensation across all industries in 2012 was $90,000 for IT staff and $116,000 for IT managers. <P> <strong>RECOMMENDED READING:</strong> <P> <a href="http://reports.informationweek.com/abstract/166/8773/Professional+Development+and+Salary+Data/research-2012-app-developers-salary-survey*.html">Research: 2012 App Developers Salary Survey</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240003545">How To Break Into Healthcare IT</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">Today's Hottest Health IT Jobs Are Epic</a> <P> <a href="http://www.informationweek.com/article/preview?articleID=240002426">25 CIOs Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/global-cio/compensation">Global CIO: Compensation</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240000347">Software Engineer: 2012's Top Job</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003011">Rev Up Your IT Career</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003800">5 Ways To Escape A Career In IT</a>Topping the salary chart for health IT pros were CIOs, with a median of $170,000 in 2012 (compared with $150,000 in 2011); CTOs, with $160,000 in 2012 (compared with $118,000 in 2011); and VPs, with a median base of $142,000 (down from $162,000 in 2011). Note that some of the changes in pay may reflect smaller bases of respondents with those titles participating in the survey. <P> Among management ranks, the <em>InformationWeek</em> survey found, healthcare IT project managers and program managers saw the biggest hikes in base salary. Project managers earned a median base pay of $107,000 in 2012, up from $93,000 in 2011, while program managers in 2012 earned $116,000, up from $110,000. <P> <strong>RECOMMENDED READING:</strong> <P> <a href="http://reports.informationweek.com/abstract/166/8773/Professional+Development+and+Salary+Data/research-2012-app-developers-salary-survey*.html">Research: 2012 App Developers Salary Survey</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240003545">How To Break Into Healthcare IT</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">Today's Hottest Health IT Jobs Are Epic</a> <P> <a href="http://www.informationweek.com/article/preview?articleID=240002426">25 CIOs Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/global-cio/compensation">Global CIO: Compensation</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240000347">Software Engineer: 2012's Top Job</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003011">Rev Up Your IT Career</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003800">5 Ways To Escape A Career In IT</a> <P>By job title, healthcare IT staffers who will earn a six-figure base pay in 2012 are architects, who will earn a median of $116,000 (compared with $110,000 in 2011); systems architects, who will earn a median of $108,000 (compared with $83,000 in 2011); and systems programmers, who will earn a median of $100,000 (compared with $90,000 in 2011). <P> <strong>RECOMMENDED READING:</strong> <P> <a href="http://reports.informationweek.com/abstract/166/8773/Professional+Development+and+Salary+Data/research-2012-app-developers-salary-survey*.html">Research: 2012 App Developers Salary Survey</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240003545">How To Break Into Healthcare IT</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">Today's Hottest Health IT Jobs Are Epic</a> <P> <a href="http://www.informationweek.com/article/preview?articleID=240002426">25 CIOs Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/global-cio/compensation">Global CIO: Compensation</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240000347">Software Engineer: 2012's Top Job</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003011">Rev Up Your IT Career</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003800">5 Ways To Escape A Career In IT</a> <P><strong>Survey Date:</strong> January 2012 <P> <strong>Region:</strong> North America <P> <strong>Number of Respondents:</strong> 1,172 healthcare IT professionals in 2012, composed of 636 IT staff and 536 IT managers <P> <strong>Purpose:</strong> To track IT salary and compensation trends from the perspective of those on the front lines, <em>InformationWeek</em> conducts an annual U.S. IT Salary Survey. Now in its 15th year, it's the largest employee-based IT salary survey in the country. Last year 18,201 full-time IT professionals completed the Web-based survey. This year 13,880 took part. The goal of this trendable study is to measure various aspects of compensation, benefits, and job satisfaction. This report focuses on the 1,172 healthcare IT professionals who participated in the survey. <P> <strong>Methodology:</strong> The survey was designed by <em>InformationWeek</em> and fielded online. The survey was promoted in <em>InformationWeek</em>'s daily and weekly newsletters. In addition, email invitations with an embedded link to the survey were sent to qualified IT professionals from <em>InformationWeek</em> Business Technology Network print, newsletter, and events databases. The survey was fielded from November 2011 to January 2012. <P> The information in the <a href="http://reports.informationweek.com/abstract/105/8789/Healthcare/research-2012-it-salary-survey-healthcare.html">report</a> is based on responses from 1,172 healthcare IT professionals. Unemployed and part-time workers were excluded from these results, as were respondents from outside the United States. This report uses median rather than mean or average figures for salary and percentage changes to eliminate distortions caused by extremes at the high or low ends of the responses. <P> <strong>RECOMMENDED READING:</strong> <P> <a href="http://reports.informationweek.com/abstract/166/8773/Professional+Development+and+Salary+Data/research-2012-app-developers-salary-survey*.html">Research: 2012 App Developers Salary Survey</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240003545">How To Break Into Healthcare IT</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">Today's Hottest Health IT Jobs Are Epic</a> <P> <a href="http://www.informationweek.com/article/preview?articleID=240002426">25 CIOs Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/global-cio/compensation">Global CIO: Compensation</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240000347">Software Engineer: 2012's Top Job</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003011">Rev Up Your IT Career</a> <P> <a href="http://www.informationweek.com/news/global-cio/careers/240003800">5 Ways To Escape A Career In IT</a>2012-07-03T18:18:00ZResearch: 2012 Healthcare CIO 25http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25*.html?cid=RSSfeed_IWK_authors2012-06-21T10:00:00Z25 CIOs Transforming Healthcare<em>InformationWeek Healthcare</em>'s second annual list of IT executives highlights the exceptional thinkers and doers who are moving patient care forward.http://www.informationweek.com/news/240002426?cid=RSSfeed_IWK_authorsWhat makes a health IT executive stand out from the crowd? A quick scan of the CIOs and CMIOs profiled in our second annual CIO 25 honor roll will make the distinctions clear. Common threads: passion, and dedication to improving patient care. <P> Take Drexel DeFord, senior VP and CIO of Seattle Children's Hospital and chair of the College of Healthcare Information Management Executives. One of the driving forces behind his work was the death of a patient as a result of medical errors. The investigation after that tragedy revealed clinicians' pervasive frustration with slow computer login times and eventually led to major changes in Seattle Children's IT infrastructure. <P> Likewise, there's no doubt that Dr. Peter Greene's work in creating smarter computerized physician order entry order sets and clinical alerts as Johns Hopkins' CMIO was driven by his experiences working with patients as a cardiothoracic surgeon. <P> Similarly, CIO Mike Restuccia and his team at Penn Medicine are inspired by genuine concern for patients' welfare. Under his stewardship, the healthcare system has made innovative use of its electronic health records to recruit patients for clinical research trials. Penn's program gives patients access to potentially lifesaving treatments they would likely never know about otherwise. <P> In a similar vein, Mark Hulse, CIO at Moffitt Cancer Center and Research Institute, recently launched the organization's Health and Research Informatics platform, based on Oracle data warehouse and analytics software. Part of Moffitt's Total Cancer Care program--a longitudinal study that involves 17 community hospitals in 10 states--the platform helps doctors collect and analyze patient clinical, genomic, and molecular tumor data to determine therapies based on cancer types and stages, previous treatments, age, medical history, genetic markers, and other characteristics. As a result, clinicians can quickly identify patients suitable for clinical trials and research projects. In the past, finding patients who fit the criteria "could take weeks or months," said Hulse. <P> Mike LeRoy, CIO at Detroit Medical Center, also has his sights set on saving lives. Last year, the medical center opened a "smart unit," a 30-bed acute care telemetry unit that links medical devices with clinical and workflow software to improve the safety, quality, and efficiency of patient care. Clinicians get vital signs and other patient data from bedside devices in real time, and information flows right to the patient's EHR. <P> George Brenckle, senior VP and CIO at UMass Memorial Health Care, is making his contribution to better patient care by harnessing the power of big data. With the help of Informatica, a data integration vendor, UMass has aggregated and cleaned up the healthcare system's enterprise master patient index, giving users easy access to the data contained in more than 5 million patient records. That sets the stage for the kind of data analytics that can improve clinical outcomes and lower costs. <P> UMass also has built an ICU "bunker," a central command center that's patched into the 10 intensive care units in the hospital system. Specialists in the bunker have video and audio access to the ICUs and receive real-time data on patients. The command center has been responsible for a 20% drop in mortality at UMass's ICUs since it was put in place, said Brenckle. <P> The list of life-saving changes that passionate health IT leaders are making goes on and on, which is why we hope you'll take a closer look at the exceptional doers and thinkers profiled here. (Wondering who made our first list? Read <a href="http://www.informationweek.com/news/healthcare/leadership/229301286">The InformationWeek Healthcare CIO 25</a>.) <P>UC San Diego Health System recently received a Stage 7 award from HIMSS Analytics, signifying that it had reached the most advanced level of EHR development based on the association's criteria. Much of the credit for that achievement belongs to Edward Babakanian, CIO of UC San Diego Health Sciences, which includes the health system and its medical school and research arm. <P> Babakanian led the effort to create the advanced EHR. First, members of his team improved the performance of the legacy system they inherited, replacing green screens with graphical user interfaces and installing file caches that cut data retrieval time. Then they introduced computerized physician order entry and persuaded most doctors to use it. After that came an electronic medication administration record and a successful effort to get drug suppliers to bar code most of their units. <P> Over the past several years, UC San Diego also has converted both its inpatient departments and its ambulatory care clinics to the Epic HER system. UC San Diego Medical Center already has attested to Stage 1 Meaningful Use, and the health system's 300 ambulatory care physicians were almost ready to attest early this year. "I'm pretty sure that we're ready for any Stage 2 requirement," Babakanian said. "We're at 100% CPOE, and Stage 2 requires only 60%." <P> Another reason he believes UC San Diego could easily meet the Stage 2 criteria is that it has made significant progress toward interoperability with local healthcare organizations. Using a grant from the Office of the National Coordinator of Health IT, it's developing a health information exchange with Sharp HealthCare, Rady Children's Hospital San Diego, Scripps Health, and Kaiser Permanente.&#9; <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Data integration is a buzz phrase in medical informatics. At Ochsner Health System, southeast Louisiana's largest healthcare provider, it's far more than a catchphrase--it's a key part of Ochsner's strategic plan, VP and CIO Chris Belmont said. <P> Under Belmont's lead, Ochsner has replaced legacy IT systems with Epic's EHR system and integrated a long list of applications into a data warehouse. In the past, doctors, administrators, and in some situations even patients had to scavenge through multiple systems to find the information they needed, Belmont said. That meant that figuring out something as simple as how many hospital visits a patient had in the last 12 months became a major headache, he said. <P> Belmont needed a way to take all the rich data the healthcare system had collected in the last 15 years--including clinical and operational data--and combine it all in one place so users would have easy access. Using Informatica's data integration software, Ochsner spent the past year moving data from 22 different IT systems into a data warehouse, giving employees access to a huge store of financial, clinical, administrative, and operational information. <P> Access to detailed work schedules, for instance, lets Ochsner's managers better adjust the labor pool to the ebb and flow of business. It also lets them manage productivity among their 850 physicians, eight hospitals, and 35 clinics. "The data analytics we can do now lets us track clinicians' patient loads and make sure each physician's schedule is full," Belmont said. <P> Bottom line? Data integration has improved the clinician's user experience, and that lets Ochsner run more efficiently and provide better care. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Carol Bickford is a trailblazer in nursing informatics. Her career in healthcare started 40 years ago in the Navy Nurse Corps, and she's still an outspoken advocate of patient-centric health IT. Bickford describes herself as "a canary in the mine." Health IT must address the full spectrum of patients in all care settings, she said. <P> Bickford is a registered nurse and nursing Ph.D. who's held medical-surgical, ambulatory care, administrative, and informatics positions. She's now a senior policy fellow in nursing practice and policy at the American Nurses Association, providing input to government initiatives, including the National Committee for Vital and Health Statistics and the Office of the National Coordinator for Health IT. <P> She also tells policymakers that even though nurses aren't eligible for Meaningful Use incentives, they are important to health IT. The emerging role of chief nursing informatics officer is a step in the right direction, she said, because the job makes sure health IT addresses all levels of patient care. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>One of the challenges of running the IT department of a five-hospital organization that also includes two academic medical centers, two affiliated medical schools, and two physician groups, according to Aurelia Boyer, senior VP and CIO of New York-Presbyterian Healthcare System, is synchronization. <P> For example, a major priority for the hospitals at one point might be to improve connectivity with physician offices. But the practices might be busy getting 500 physicians to prescribe electronically. "It's not that everyone doesn't agree on what we want to do, but the timing of those things can get difficult," she said. <P> In some ways, complying with the federal Meaningful Use requirements has been less daunting. All New York-Presbyterian Healthcare System hospitals are using the Allscripts' Sunrise electronic health record system, and all are using computerized physician order entry for 100% of their orders, Boyer said. Nursing notes all are electronic and so are most physician notes, she said. <P> Resident physicians at the New York-Presbyterian's academic medical centers led the way in getting doctors to adopt the inpatient EHR system, Boyer said. Then, at some point, faculty physicians and other staff members began to realize that having a record-keeping system that was half electronic and half paper was inefficient and unsafe. "The physicians themselves said this is not a good practice, we have to go all one way." So with leadership from some department chairs, Boyer said, everybody got on board. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Like many other top-flight healthcare systems, UMass Memorial Health Care sees the value of "big" data. Senior VP and CIO George Brenckle worked with Informatica, a data integration vendor, to aggregate and clean up the healthcare system's enterprise master patient index, giving users easy access to the data contained in more than 5 million patient records. <P> The system also lets UMass address some crucial questions that its transactional applications haven't been able to deal with. Among them: How many patients have been seen at UMass, and which of them are being seen at a primary care site in a specific time frame. <P> Under Brenckle's stewardship, UMass also has built an ICU "bunker," a central command center that's patched into the 10 ICUs in the hospital system and three external ICUs at community hospitals. <P> Specialists in the bunker have video and audio access to the ICUs and get real-time data on patients. The command center has been responsible for a 20% drop in mortality at UMass's ICUs since it was put in place, Brenckle said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>The smallest state in the U.S. has some of the loftiest health IT endeavors under way, and leading the charge is Gary Christensen, CIO and COO of the Rhode Island Quality Institute (RIQI). <P> The nonprofit is the only organization in the country to receive federal funding for three of the HITECH Act's biggest programs. It serves as a regional extension center, runs the state's health information exchange, and leads Rhode Island's efforts as one of 17 national Beacon Community Programs. <P> RIQI last year helped Cumberland Primary Care, a member of RIQI's regional extension center, become the first practice in the country to send e-health record data to a state HIE using the direct messaging and interoperability protocols. If Rhode Island can scale the technologies' use statewide, it can serve as a model for larger states, and RIQI will have a national impact on health IT. "Rhode Island is an excellent petri dish," said Christensen. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Dr. Steven Davidson, chief medical information officer and former chair of emergency medicine at Maimonides Medical Center, has had many successes in medicine and health IT, but one project got stopped in its tracks. <P> The emergency department at Maimonides, a century-old, 705-bed academic medical center in Brooklyn, N.Y., with a history of technological innovation, turned on its electronic health record as planned, at 7:30 a.m. on a Tuesday. On Sept. 11, 2001. In New York. <P> "Of course, we turned it off at 9:10," Davidson recalled. He and his charges finally brought the system up for good in April 2002 after patient volumes returned to normal. It included a full EMR with computerized physician order entry, results reporting, and an electronic medication administration record. <P> "My history is as an innovator," Davidson said. That's clear from the foresight he had to ask Allscripts, Maimonides' EHR vendor, for a second site license so he could replicate the HealthMatics ED EHR to create a data warehouse that's being used for business intelligence and analytics reporting. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Drexel DeFord, senior VP and CIO of Seattle Children's Hospital and chair of the College of Healthcare Information Management Executives, is on a mission to improve care for the children treated in his institution. <P> In 2010, a patient died as a result of medical errors at the hospital, DeFord recalls. Hospital leaders analyzed the facility's processes to figure out how to prevent a repeat. One of the things they heard from clinicians was that as they moved around the hospital it took too long to log in to computers and pull up records. <P> DeFord and his team decided the best solution was to move to a virtual desktop infrastructure (VDI). Now it takes clinicians 25 seconds to boot up, rather than several minutes, he said. "We've taken 45 minutes out of a typical clinician's day just in logon and boot-up times," he said. <P> VDI also provides a mobility option that clinicians didn't have before: Anywhere they log in, they get the same PC image with the same applications, exactly as they left it during their last login. In addition, IT security has improved with VDI because all software patches are applied centrally. Also, the IT staff is accomplishing more because it no longer has to do desktop maintenance, DeFord said. This improvement is a perfect example of Seattle Children's "lean" philosophy: becoming more efficient to free up resources for more important work. <P> <strong>ICD-10 On Front Burner</strong> <P> Seattle Children's has devoted substantial efforts to preparing for ICD-10, DeFord said, and won't slow down even now that the government has postponed the ICD-10 deadline. <P> DeFord views ICD-10 as more important than Meaningful Use. "If you want to file claims and get paid, you have to do ICD-10. Meaningful Use is your bonus check," he said. "If you do Meaningful Use, you'll get some additional dollars. But if you don't do ICD-10, you won't be in business." <P> Seattle Children's is also at the forefront of computerized physician order entry. Instead of using canned order sets, it has developed specialty order sets--and generously provides them to other pediatric institutions heading down the CPOE path. <P> The challenge with order sets is that they must constantly be reviewed and updated, DeFord said. The same, he said, is true of EHRs: Implementation is only the beginning of the long process of maintaining and improving these systems. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>CentraState Health System maintains a "very tight relationship" with community physicians and offers a lot of support services, said Neal Ganguly, VP and CIO of the not-for-profit health organization, which includes the CentraState Medical Center, an acute-care facility in Freehold, N.J.; three senior living communities; and a family medicine center. <P> CentraState has been helping local physicians in various ways, including providing advice on how to select, adopt, and implement electronic health record systems. Because the local doctors' practices have installed a variety of EHR systems, CentraState also has built a private health information exchange to connect with physician offices. The organization decided that this was a more efficient approach than building expensive, point-to-point interfaces with each EHR. <P> To connect with providers outside its own exchange, Centra&#173;State has joined a regional health information exchange, Jersey Health Connect, that includes 17 other hospitals, Ganguly said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Baptist Health in Jacksonville, Fla., made a strategic decision nearly 10 years ago to open its Baptist Medical Center South facility, then under construction, as a paperless facility. When the first patients entered in 2005, a full EHR was in place, making it the first all-digital hospital in northeast Florida and among the first in the country. <P> "That began our journey to deploying electronic medical records at not only our hospitals but at our ambulatory clinics, too," senior VP and CIO Roland Garcia said. All five Baptist Health hospitals now use Cerner EHRs for inpatient care, and the health system recently completed rolling out an Allscripts system at its network of more than 40 primary care clinics. <P> IT has "given us a competitive edge in our local market," Garcia said. Baptist Health led quality and patient satisfaction rankings in National Research's 2009-2010 survey of the Jacksonville area, including for personalized care, latest technology and equipment, and the widest range of services. Baptist also made the 2011 InformationWeek 500 for its innovative use of IT. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Debe Gash, VP and CIO of Saint Luke's Health System, spearheaded a pioneering connectivity project that improved care and laid the groundwork for the interoperability of systems that will be a key part of Meaningful Use Stage 2. <P> Five years ago, the Kansas City, Mo., health system, which includes 11 acute-care hospitals and employs about 300 physicians, introduced a secure messaging system, partly to get doctors more involved in improving the quality of care. The Web-based system lets hospitals deliver results and transcribed reports to physicians, who also use it to communicate with each other and with patients. <P> In addition to the communication system, Saint Luke's is driving the implementation of a regional imaging exchange. In the last year, it has connected the majority of hospitals in the area, letting them use the exchange to distribute images, Gash said. "When a patient is transferred from a rural facility to one of our metropolitan hospitals, we can do the image exchange and don't have to wait for the CD to arrive," she said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Dr. Peter Greene, the CMIO at Johns Hopkins Medicine, spends a lot of time thinking about ways to improve the health system's clinical decision support system (CDSS). "Alert fatigue is a massive problem in hospitals, so we are trying to create smarter alerts and 'choreographed' alerts to make it easier to manage patient care and reduce the number of unnecessary alerts," he said. <P> For instance, Greene and his colleagues at Johns Hopkins--which encompasses the university's medical school and integrated health system--have devised a smarter way to order postoperative insulin regimes for diabetic patients. Several hundred different insulin regimens are available for these patients. Instead of making the physician slog through countless screens and alerts in the CPOE, behind-the-scenes programming inserts key pieces of information from the patient's e-chart to help find the right regimen. The ordering physician only needs to answer a few questions before the CDSS makes a specific recommendation. <P> Greene's team also has tackled the complexities of managing indwelling urinary--a.k.a. Foley--catheters in hospitalized patients. The standard of care for surgical patients calls for removal of the Foley by the end of the second post-op day. On a busy surgical unit, that task is easily overlooked, risking needless complications. Using a team-based decision support approach, Greene said, so-called choreographed alerts are sent to members of the nursing and medical staff at various points in a patient's care. The alerts ask the appropriate clinician to document the presence of the catheter and explain why it's still needed. <P> Greene's efforts have gone a long way toward easing one of the main reasons so many docs in the trenches hate EHRs--alert noise. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>At Moffitt Cancer Center and Research Institute, IT is playing a critical role in providing more personalized treatments, whether it's tailoring specialized care or identifying the right patients for clinical trials. <P> Leading the way is Mark Hulse, a one-time practicing RN who joined the Tampa, Fla., nonprofit as CIO three years ago after serving for six years as CIO at North Shore Medical Center near Boston. <P> One key project is the center's new Health and Research Informatics platform. Based on Oracle data warehouse and analytics software, the platform is foundational to Moffitt's Total Cancer Care program, a longitudinal study that involves 17 community hospitals in 10 states. The program collects and analyzes patient clinical, genomic, and molecular tumor data to determine therapies based on cancer types and stages, previous treatments, age, medical history, genetic markers, and other characteristics. <P> That data eventually will be applied at patient bedsides for clinical decision support. Already, it's helping Moffitt identify patients suitable for clinical trials and research projects. In the past, finding patients who fit the criteria "could take weeks or months," Hulse said. <P> Among the other IT initiatives he's exploring: embedding multipurpose medical devices into the walls of patient rooms, expanding clinicians' use of mobile devices, and using speech recognition and natural language processing to capture doctor-patient conversations and then analyze some of that data. <P> Hulse's experience as an RN gives him a broad perspective. "Doctors are more episodic," he said, "but nurses are always there, for everything from care to food services to lab work." If "clinical transformation" is to become more than a buzz term, Hulse said, even IT pros must understand all facets of care, including quality, safety, and costs. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>EHRs aren't built for medical research. "The workflows are so far away from what researchers want to do," said Warren Kibbe, director of cancer informatics for the Robert H. Lurie Comprehensive Cancer Center at Northwestern University's Feinberg School of Medicine, and director of bioinformatics for the university's Center for Genetic Medicine. <P> Kibbe's team does a lot of custom application development because there aren't suitable commercial products to manage the kind of research and analytics projects that the cancer center does. The cancer center's data warehouse is enhancing its research efforts. "We've come a long way in understanding how research and patient care go hand in hand," Kibbe said. Anatomically defined cancer, such as breast cancer, can arise from many different causes, he said. "We don't fully understand this yet, but we're getting there very rapidly." <P> Analyzing the data in the warehouse should help researchers better understand diseases and enable clinicians to make more informed treatment decisions. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Mike LeRoy, CIO at Detroit Medical Center, has an affinity for technologies that improve not only patient care and safety, but also clinician workflows. <P> DMC, which includes nine hospitals with a total of 1,800 beds, was innovating with IT for patient care years before the feds waved incentive dollars at healthcare providers. DMC, acquired by Tennessee-based Vanguard Health Systems in late 2010, embarked on deploying Cerner e-medical record systems in 2006. <P> DMC last year opened a "smart" unit, a 30-bed adult acute-care telemetry unit that links medical devices and clinical and workflow software to improve the safety, quality, and efficiency of patient care. In patient "smart rooms," vital signs and other data collected from bedside devices is presented to clinicians in real time and flows right to the patient's EMR, eliminating repetitive manual work. <P> DMC also is introducing "smart beds," which feature sensors that monitor patient movements and mattress pressure. Smart-infusion pumps wirelessly connect patient IVs with hospital pharmacy drug formularies. DMC also is equipping nurses and select doctors with VoIP smartphones that send telemetry alerts, such as when a patient is experiencing ventricular fibrillation. "Response time is seconds, down from minutes," LeRoy said. <P> With more data feeding into EMRs, information overload was a concern, so DMC rolled out dashboards that provide graphics-intensive clinical summaries. <P> DMC also is looking at how these smart technologies can improve nurses' workflows. "If a nurse has 10 patients, how does the nurse know what order to see patients, other than bed to bed?" LeRoy said. Dashboard icons and alerts direct care to patients who need it immediately. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Harry Lukens has a cultlike following among the 315 people he oversees as senior VP and CIO at Lehigh Valley Health Network, which runs two hospitals as well as community health centers and clinics in eastern Pennsylvania. <P> Not your typical manager, Lukens every few weeks convenes what he calls his "Wild Ideas Team" where he has one rule: "no snickering." Every idea, no matter how off the wall, gets considered. Medication bar coding, which Lehigh has had in place since 2006, came from that group. <P> Lukens also hosts what his secretary has dubbed "Harry Hours," taking employees to lunch or happy hour to get feedback and answer questions. <P> Lukens' tech group has a low turnover rate. It was 30% when he arrived 18 years ago and went negative last year when two people returned to the fold. "We make sure people get the education they need, on our dime," he said. <P> Lukens is serious about the work he does. His mantra: "Technology in healthcare has no value unless it's supporting patient care in some way." <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Dr. Farzad Mostashari took over as the national coordinator for health IT a year ago, picking up where Dr. David Blumenthal left off after serving in that role for two years. Mostashari was well positioned to take on the top federal health IT job, having been deputy national coordinator for programs and policy since July 2009. <P> Mostashari has spent the last year overseeing the execution of Meaningful Use Stage 1 and other HITECH Act programs. He also oversees the drafting of the next two stages of the Meaningful Use program. <P> Prior to coming to ONC, Mostashari led the New York City Department of Health and Mental Hygiene Primary Care Information Project, which worked to get more than 1,500 healthcare providers to use technology to improve preventive care in underserved neighborhoods. Working so closely with healthcare providers, Mostashari said, helped him understand the challenges they face in deploying health IT. The most important thing he learned in New York is that it was "going to be a continued process, with providers getting better and better and better," he said. He's now applying that approach on the national stage. <P> As of February 2012, 211,500 providers had registered to participate in the Meaningful Use program, with a total of $3.8 billion in incentive money already paid to Medicare and Medicaid providers. The progress so far has been "nothing short of breathtaking," he said. <P> Now the challenge is to get clinicians to use the systems. Providers face daily struggles in using IT efficiently and in meaningful ways, Mostashari said. The market will help, he adds. In the next few years, we should see vendors making health IT systems easier and more intuitive and efficient. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Partners Healthcare is one of 32 Pioneer accountable care organizations selected by the Centers for Medicare and Medicaid Services (CMS) to test a new payment model that requires these ACOs to take on more financial responsibility for patient care than the other participants in CMS' Shared Savings Program. <P> The Boston health system needs to do more work to prepare for this complex undertaking, said James Noga, VP and CIO at Partners, which includes seven acute care hospitals, 20 community health centers, rehabilitation facilities, and a network of more than 5,000 physicians. <P> To succeed in the ACO program, Noga said, Partners must gear up for a new approach to care delivery that emphasizes population health management, a model that focuses on keeping patients healthy and managing their care between encounters with the health system. Building on an earlier demonstration project in which Partners participated, the organization is increasing its emphasis on the use of electronic patient registries and event-driven alerts to help primary care doctors manage their patients, he said. <P> Partners is taking a proactive approach in other areas. It began planning for ICD-10 two and one-half years ago, putting a program management structure in place across the enterprise. Despite CMS's recent decision to delay the ICD-10 deadline, Noga said, "we have not slowed down." In fact, Partners is training its affiliated private practice physicians on ICD-10 documentation. <P> Since 2008, Partners has required its physicians to use either the health system's homegrown electronic health record system or GE Healthcare Centricity if they want to keep working with Partners. As a result, all of its doctors now have EHRs, and Noga expects them to attest to Meaningful Use this year. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>As VP and CIO of Atlantic Health System, a three-hospital group in New Jersey, Linda Reed does more than maintain information systems. She's also president of Jersey Health Connect, a regional health information exchange that connects 18 hospitals, two independent physician groups, and a long-term-care facility. <P> Reed's other big project is developing an infrastructure for Atlantic's new accountable care organization, which includes its own hospitals; Valley Hospital in Ridgewood, N.J.; and more than 1,200 physicians. <P> In other areas, Atlantic has added electronic nursing documentation, electronic medication administration, and computerized physician order entry in the last five years. Partly because nurses were empowered to use CPOE early on, all inpatient orders are now entered electronically, Reed said. <P> Physician use of the system "goes up and down," she admits. "You have to remind them to keep doing it." Eventually, she said, Atlantic will simply eliminate paper order forms. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Mike Restuccia and his team at Penn Medicine have taken their EHR system a step beyond the ordinary, marrying it to clinical research trials. When recruiting patients for trials, medical researchers typically use billboards, newspaper ads, and sometimes social media to get the word out. But those methods often don't attract enough of the right patients. <P> Penn Medicine, which consists of the University of Pennsylvania's Raymond and Ruth Perelman School of Medicine and health system, uses the trove of data in its EHRs to find clinical trial candidates and then alert their doctors. Penn uses a feature of the EpicCare EMR called Research Trial Advisory to do this. <P> Doctors working from offices and clinics outside the hospital provide 85% to 95% of patient care, Restuccia said, and as a result, they have an ongoing, trusted relationship with patients and are better positioned to recruit them for clinical trials. Once researchers identify the candidate criteria for a trial--which includes diagnosis, gender, age, lab results, and medication--an alert is embedded in the ambulatory EHR of patients that match the criteria. Doctors of those patients get a message on their EHR screens encouraging them to discuss the trial with the candidate. <P> Penn Medicine has eight studies now using the Penn Research Trial Advisory. And the fact that researchers have come forward to request that their clinical trial recruitment characteristics be embedded within the EMR suggests the tool is having an impact. <P> The clinical trial tool wouldn't have been possible without Penn having deployed an Epic ambulatory EHR system for the more than 1,800 physicians employed in the healthcare system. That's no small feat when you consider that many major health organizations have yet to get all their docs on one common system. <P> Penn's ambulatory system is integrated with its inpatient Allscripts Sunrise Clinical Manager, letting clinicians seamlessly share patient data, and its IT and clinical leaders introduce common processes, workflow adjustments, and best practices across the healthcare system with relative ease. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Rick Schooler, CIO and VP of Orlando Health in Florida, sounds more like a chief medical officer than a tech pro. A "new level of decision support," driven by business intelligence, is moving health IT closer to what Schooler calls the endgame of disease management, clinical analytics, and population health. <P> Schooler believes that the success of transforming the nation's health system rests on how well organizations input and mine their data, both in real time at the point of care and in post-care review. <P> "This is real for healthcare and it's not going away," he said. "If you don't believe that, you probably need to get out of healthcare." <P> The seven-hospital Orlando Health organization made the 2011 InformationWeek 500 list largely because Schooler has been successful in tying together myriad, disparate information systems. These systems contain such data as patient demographics, laboratory results, medical images, clinical documentation, patient history, problem lists, medication lists, allergies, and discharge summaries. <P> "A health system like ours literally has hundreds of clinical information systems," Schooler said. Different vendors provide systems for registration, scheduling, billing, and ancillary departments. "There are all these technologies that need to be integrated." <P> With that in mind, Schooler and his team have implemented an enterprise data warehouse and advanced analytics tool sets, and they recently established a corporate enterprise analytics team. <P> The technology might have evolved, but the strategy for integrating systems is the same as it's always been. "It all stems from getting effective workflows into place," Schooler said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>After four years as senior VP and CIO for St. Joseph Health System, a $4.3 billion California-based healthcare system, Larry Stofko is taking on a new challenge as executive VP of the health system's Innovation Institute. The institute, which has internal and outside funding, is designed to introduce health IT products, services, investments, and partnerships. Stofko's 25 years of experience in healthcare IT made him the obvious choice to be part of the institute's executive leadership team. <P> As CIO at St. Joseph, Stofko has spearheaded several progressive initiatives, including the deployment of wireless smart IV pumps, remote ICU monitoring, medication bar codes, RFID, and a physicians' portal. <P> Since moving to the Innovation Institute, Stofko has launched its Innovations Lab, which is tasked with "mining and harvesting ideas from employees and physicians," he said. As administrative and IT staff, and physicians and other clinicians detect problems and come up with potential solutions, the lab will bring these to technology partners to prototype, pilot, and commercialize them. <P> Projects on the drawing board focus on breakthroughs in the areas of mobile health, personalized medicine, consumer technologies, and gamification. One project, for instance, uses IT tools to coordinate and standardize pre-op and post-op care based on personal health records and evidence-based medicine. <P> These new tools and platforms will be built to scale rapidly across healthcare organizations nationally, and, in some cases, internationally. <P> The rationale for the Innovation Institute was pretty straightforward, said Stofko: Traditional third-party reimbursement of medical services is shrinking and the institute is an important way for St. Joseph to innovate and explore growth opportunities. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Micky Tripathi was in the trenches of an e-health revolution long before most people were convinced a national, digitized, connected health information transformation would happen. <P> Back in 2003, Tripathi helped found the Indiana Health Information Exchange, what is now one of the country's largest and most successful regional health information exchanges. That was long before federal subsidies for electronic records, and even before President George W. Bush's 2004 goal for most Americans to have e-health records by 2014. <P> Tripathi worked first as a consultant and later as CEO and president of the Indiana Health Information Exchange, which partnered with the Regenstrief Institute to create a statewide health information infrastructure. <P> In 2004, the exchange brought in a local executive, Dr. Marc Overhage, and Tripathi moved on to become CEO of the Massachusetts eHealth Collaborative. <P> MAeHC is a nonprofit organization--with a for-profit consulting arm--that in 2004 led a $50 million initiative funded by Blue Cross Blue Shield of Massachusetts to roll out connected e-health records to providers in three communities in the state. <P> MAeHC is involved with HIE efforts in California, Massachusetts, Missouri, New Hampshire, and New York. Tripathi's 30-person organization also runs the regional extension center in New Hampshire. <P> Tripathi taps his consulting background to help organizations map where they broadly want to be in five years and what concrete goals they want to implement in the next two years. Said Tripathi, "If we pretend to know what health IT will look like in five years, we're kidding ourselves." <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>Will Weider, CIO of Ministry Health Care, a Catholic health system with 15 hospitals, 47 clinics, a health plan, and a hospice in northern and eastern Wisconsin, tries to keep his priorities straight. <P> Two of the hospitals, Ministry Saint Clare's Hospital and Ministry Saint Joseph's Hospital, have already attested to Stage 1 Meaningful Use and received their bonus payments. <P> Now, Ministry is working on a much larger IT project: Creating a single, standardized information system across all its hospitals, based on the implementation of a GE Healthcare Centricity Enterprise EHR and management system at Saint Clare's. That hospital opened as an all-digital facility in 2005, the first in the state to fully implement a computerized physician order entry system that met the definition of the Leapfrog Group, an association of employers and other healthcare buyers focused on improving standards of care and safety. <P> "That's our model. We've kind of been using that as our laboratory," Weider said. "We're very proud of that hospital." <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>This is an important time for the University of Chicago Medical Center. The academic healthcare organization is almost done with its implementation of an Epic Systems electronic health record and is getting ready next year to open a 1.2 million-square-foot pavilion that will add 240 patient rooms to the main hospital, which contains 532 beds. Eric Yablonka, VP and CIO of the medical center, expects to be ready to attest to Stage 1 Meaningful Use by the fall. <P> Yablonka, who won the 2006 John E. Gall Jr. CIO of the Year Award from the College of Healthcare Information Management Executives, said that in the next few years, he will look for cost savings and efficiency gains while also helping to improve clinical outcomes through IT. <P> He also will beef up analytics for research, clinical, and business purposes to support clinical collaboration and care coordination. For example, the university's Institute for Translational Medicine seeks to speed research breakthroughs into clinical practice. "We want to go from bench to bedside," Yablonka said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://reports.informationweek.com/abstract/105/8834/Healthcare/research-2012-healthcare-cio-25.html">2012 Healthcare CIO 25</a> <P> <a href="http://reports.informationweek.com/abstract/105/5954/Healthcare/research-healthcare-cio-25-the-leaders-behind-the-healthcare-it-revolution.html">2011 Healthcare CIO25</a> <P> <a href="http://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html"> Healthcare IT 2012 Priorities Survey: Government Mandates Dominate</a> <P> <a href="http://reports.informationweek.com/abstract/105/8752/Healthcare/research-accountable-care-organizations-and-health-it.html">Accountable Care Organization Shared Savings Program</a> <P>2012-06-18T16:32:00ZResearch: 2012 IT Salary Survey: Healthcarehttp://reports.informationweek.com/abstract/166/8789/Professional+Development+and+Salary+Data/research-2012-it-salary-survey-healthcare.html?cid=RSSfeed_IWK_authors2012-06-08T12:26:00Z8 Health Information Exchanges Lead The WayLook inside some of the most established HIEs and how they help U.S. health organizations share data, in the name of lower costs and better patient care. http://www.informationweek.com/news/240001675?cid=RSSfeed_IWK_authorsThe HITECH Act's Meaningful Use program raises the bar for data sharing among doctors, hospitals, clinics, and other providers, with the goal of improving patient care coordination and quality. That's driving more healthcare organizations to join formal health information exchanges. But not all HIEs are alike. <P> Some healthcare providers are joining public health data exchanges, including statewide initiatives that have received funding from the HITECH Act or other sources. Other providers are collaborating with healthcare organizations in their region to form private efforts among hospitals and affiliated doctors and medical groups. <P> Although the Meaningful Use program has been fueling renewed HIE activity over the last couple of years, health data exchange efforts have been going on for more than a decade, with <a href="http://www.informationweek.com/news/199702199">mixed success</a>. After burning through seed money, some HIEs have run out of funds. Also, convincing healthcare providers to share information with competitors about their patients has been a tough sell, as has the notion of hospitals and doctors paying subscription fees to participate in--and financially support--these data exchange efforts. But the Meaningful Use criteria demanding more patient information sharing are slowly but surely changing minds. <P> Many of the HIEs operating today--both private and public--include participants such as hospitals, doctor groups, labs, pharmacies, and payers. And increasingly, more-specialized caregivers are beginning to join HIEs, including rehabilitation and long-term care facilities. Among the most common data currently shared include lab results, clinical summaries, medication lists, and medical image reports. Some exchanges also assist payers and providers in administrative transactions such as eligibility verification. <P> The proposed Meaningful Use Stage 2 agenda demands medical image sharing, with some HIEs already planning to incorporate this service. In fact, Maine's state-designated HIE, HealthInfoNet, recently announced that it had kicked off <a href="http://www.informationweek.com/news/healthcare/interoperability/240001194">a pilot</a> for healthcare providers to share patient medical images, including mammograms, MRIs, x-rays, and CT scans, statewide for the first time in the U.S. <P> "More people are doing health data exchange; it's definitely picking up," said Jennifer Covich Bodenick, CEO of the <a href="http://www.ehealthinitiative.org/about-us.html">eHealth Initiative</a>, a national organization representing 200 healthcare stakeholders ranging from public health agencies to private healthcare providers and consumer groups. About 234 HIEs currently operate in the U.S., including private and publicly funded exchanges, according to eHealth Initiative, which has been <a href="http://www.ehealthinitiative.org/map-of-hie-activity-in-the-us.html">tracking HIE</a> activities and progress for nearly a decade. Despite an interest in HIEs, providers have to divide their attention among many different IT initiatives, including Meaningful Use compliance and transitioning from ICD-9 to ICD-10, said Bodenick. "The biggest issue facing the healthcare industry right now is competing priorities," she said. Healthcare organizations figuring out their strategies for sharing patient data need to examine whether that includes participating in HIEs. <P> Here's a sampling of several HIEs in operation today, along with an overview of the kinds of services they offer to healthcare organizations seeking to securely share patient data.The Indiana Health Information Exchange, the U.S.'s largest HIE and one of the oldest, serves more than 19,000 doctors and 80 hospitals, with data on more than 7 million patients. <a href="http://www.ihie.org/About/default.php">IHIE</a>, created by the Regenstrief Institute, a medical informatics think tank, runs the Indiana Network for Patient Care (INPC), a secure network that provides a "virtual patient record" to participating doctors. That record includes information from encounters covering more than 80% of care provided at hospitals within Indiana. For instance, when a patient is admitted to a hospital or emergency department, the INPC provides a clinical abstract of the patient's medical history even if the individual has never been treated at that particular facility. "INPC speaks for patients when they may not be able to speak for themselves," said an IHIE spokeswoman. The INPC also contains radiology images, discharge summaries, operative notes, pathology reports, and medication records. Clinicians can access information in the INPC ony when a triggering event occurs, such as a visit to an emergency department. <P> The INPC Management Committee, which is made up of various healthcare community stakeholders, strictly governs the amount of time a physician has access to patient records. Access varies by patient class including Emergency Department, inpatient, and outpatient encounters, with the duration of access varying depending on the care being delivered. These security restrictions and limitations ensure that only healthcare providers responsible for treatment gain access to patient data. IHIE also offers a clinical messaging service called Docs4Docs. It delivers real-time patient results securely from 49 Indiana hospitals and specialty facilities to over 19,000 physicians across the state and beyond. Docs4Docs offers a single source for providers to find lab, radiology and transcription reports from multiple locations. <P> Clinicians, who are estimated to receive over a million clinical messages daily, get their Docs4Docs results in their practice's E-medical record system, in a Web-based inbox, or by fax. An IHIE spokeswoman said IHIE staff work closely with EMR vendors to ensure connectivity and accuracy. The Web inbox logins are maintained and vetted by the IHIE Client Services department. IHIE also says that all physician office fax numbers are researched and verified before any results are delivered. <P> As for IHIE's business model, individual providers do not pay anything to participate. The exchange contracts with hospitals and health systems on INPC and Docs4Docs. IHIE also has received federal and state investments and grants. In 2010 it received $16 million in ARRA investments as part of the Beacon Community Collaboration Program. This investment established the Central Indiana Beacon Community and IHIE is the lead organization in that program, said an IHIE spokeswoman. "Our focus for the future is on sustainability by developing and delivering services that the market needs and wants to pay for and reducing dependency on grants and government investments," she said. "We are still interested in opportunities such as the Healthcare Innovation Challenge posed by CMS earlier this year. We applied for another sizable funding opportunity and are waiting to hear on whether it will be awarded to us." <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />Like Indiana's HIE, the New England Health Exchange Network has a long history. NEHEN was launched in the late 1990s by a group of New England healthcare organizations to share data with payers in an effort to streamline administrative transactions, including insurance eligibility checks. In recent years, NEHEN has been extending its services to support <a href="http://nehen.org/products/clinical.aspx">clinical data exchange</a>. In 2009, NEHEN strengthened that strategy by acquiring MA-Share, which was an initiative of the Massachusetts Health Data Consortium to help New England healthcare providers share clinical data. <P> Among the services offered by NEHEN is NEHENClinical, a set of software tools that allow health information systems, including EMRs, to send and receive clinical information with other providers and payers. Built on a flexible framework, NEHENClinical can accept any clinical transaction that uses the HL7 2.5.1 or Continuity of Care Document (CCD) specification, route it securely and reliably, and deliver it to another exchange partner, including providers, payers, and government agenies. NEHEN members have open access to NEHEN's underlying database and transaction routing engine so that participating organzations can integrate the tools into the rest of their health information technology workflow and architecture. <P> NEHEN uses a tiered subscription model based on organization size. NEHEN has "no grant funding, we are a member-funded, member-directed organization," said Sira Cormier, NEHEN program director. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />The Michiana Health Information Network, now in its twelfth year of service, offers healthcare providers across the Midwest advanced integration and communication tools for exchanging clinical data. Based in South Bend, Ind., MHIN offers immediate access to patient information in a single longitudinal record that integrates data from thousands of providers and health systems. MHIN's latest tool--cross document sharing (XDS)--lets participants in <a href="http://www.mhin.com/page/204/Company">MHIN</a> generate or accept an inquiry from any healthcare entity, facilitating Continuity of Care Document (CCD) delivery and ultimately a more complete picture of a patient's health through an aggregate summary of medical information. Clinicians can access this care summary (pictured above) through any EHR, reflecting MHIN's HIE interoperability. Providers and facilities across the healthcare spectrum--ranging from hospitals and laboratories to extended care facilities and public health departments--generate 10 million MHIN transactions a month. MHIN is subscription based. It offers annual and monthly subscriptions, depending on the size and needs of the healthcare organization. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />CORHIO is the nonprofit, state-designated entity for health information exchange in Colorado. This HIE focuses on improving provider productivity through the exchange of clinical information through connected EHRs. <a href="http://www.corhio.org/">CORHIO</a> also offers HIE services to paper-based provider offices through Web-based programs. Using CORHIO's secure, Web-based "community health record" application on a desktop, laptop, or tablet computer, an authorized clinician or caregiver can search for a patient and access a longitudinal view of that patient's medical history. <P> The exchange aggregates patient information in the community health record from all of the HIE's participating providers. That's especially helpful in emergency situations, or when providers see a new patient for the first time. The image above shows the search box on the left side, along with some sample search results on the right. Patient information is neatly organized by tabs at the top of the page, including patient demographics, fact sheets, reports, and tests. <P> CORHIO has received two grants focused on building capacity for statewide health information exchange and launching HIE by community. Those include a grant from the Colorado Health Foundation and nearly $10.9 million in HITECH funding. CORHIO used these funds to alleviate a portion of its one-time set-up cost, as well as the cost of linking CORHIO to Quality Health Network (QHN), a fully functioning regional HIE in the Western Slope of Colorado. However, CORHIO says its long-term sustainability will depend on a fee-based subscription model. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />Greater Houston's Healthconnect, launched in 2010, is an independent, community-based organization responsible for enabling information exchange among healthcare providers in a 20-county region of Houston that has 7 million people. Healthconnect's goal is to mobilize healthcare information electronically across organizations to enhance the safety, quality, and efficiency of care and improve information access throughout the region. Still under development, <a href="http://www.ghhconnect.org/">Healthconnect</a> envisions eventually providing an array of services, including secure provider-to-provider communication; a community health record--a clinical summary for a patient from all participating organizations; and a referral exchange. Other services being planned include electronic results delivery; surveillance and state reporting; integration into EHR platforms; and HIE-to-HIE data exchange. <P> Healthconnect's tiered pricing structure reflects the number of physicians in the practice group, and net patient revenue and discharges for major hospital systems. "We have Medicaid managed care plans and commercial payers paying per member per month for their number of covered lives," said a Healthconnect spokeswoman. "The model was created based upon benchmarking with all successful, sustainable HIEs in the U.S." In addition, Healthconnect "also anticipates local philanthropy to subsidize the connection costs for some of safety net clinics and charity care," she said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />HealthBridge began in 1997 as a private regional effort to improve health care quality by sharing health information electronically in the Cincinnati, Ohio, tri-state area. But over the years, its services and membership have grown, and its success and financial sustainability has drawn the attention of other HIE efforts and government leaders. For instance, <a href="http://www.healthbridge.org/">HealthBridge</a> currently is providing technology services and consulting to help run several other HIEs, including HealthLinc in Bloomington, Ind., and the Northeast Kentucky Regional Health Information Organization in Morehead, Ky. Over the last three years, HealthBridge has been helped lead projects funded by the Office of National Coordinator for Health IT, including the Greater Cincinnati Beacon Collaboration (GCBC), an effort to use health IT to improve emergency and other patient care. HealthBridge also is the lead organization in the Tri-State Regional Extension Center, which serves healthcare providers in southwestern Ohio, northeastern Kentucky, and south-central Indiana. HealthBridge's HIE network encompass more than 50 hospitals, 800 physician practices, 7,500 physicians, and six different communities in four states. In 2011, its secure electronic network sent more than 60 million electronic messages, including clinical lab tests, radiology reports, discharge summaries, and other information. <P> Recently, HealthBridge announced that 66 practices in Cincinnati went live with a new Emergency Department Admit Alert System developed through HealthBridge and a group of community partners and providers involved with GCBC. The real-time ED Admit Alert System informs practices when patients are admitted into emergency departments or hospitals so they can offer follow-up care. HealthBridge's HIE receives messages from 21 hospitals when an inpatient admission or ED visit occurs. Under the new ED Admit Alert System, ED or admit messages are matched against patient panels from participating practices to check if any patients with diabetes or asthma are present. If the system finds a match, it immediately sends out an electronic alert to the patient's primary care practice. <P> HealthBridge gets its funding from "a hybrid model--mostly subscription based but also some transaction fees and some grant funding," said a spokeswoman. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />Maine's state-designated health information exchange, HealthInfoNet, recently launched a new medical image pilot that will make the HIE the first in the nation to support statewide sharing of X-rays, CT scans, MRIs, mammograms, and other medical images. HealthInfoNet <a href="http://www.informationweek.com/news/healthcare/EMR/221601130">went live</a> in 2009 and currently supports the exchange of health records for 1 million of the 1.3 million people who live in the state. Until now, HealthInfoNet provided access to medical image reports, but with the pilot, physicians also will have instant access to the actual medical images themselves, rather than wait for copies of patients' MRIs and other diagnostic imaging to be sent on disks. <a href="http://www.hinfonet.org/about-us">HealthInfoNet</a> will be able to link each image with a single patient identifier through its HIE Master Person Index, allowing clinicians to search for a patient's prior images when needed, to track changes over time. The HealthInfoNet medical image archive is made possible with a cloud-based architecture and services provided by Dell, which in December 2010 <a href="http://www.informationweek.com/news/healthcare/clinical-systems/228900134">acquired</a> medical image archiving vendor InSite One. HealthInfoNet operates on subscription fees from participating healthcare organizations, and the HIE also has received HITECH funding. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />Launched in April 2011, the Care Continuity Consortium brought together several private, innovative healthcare organizations who individually also were EHR early adopters. CCC members include Geisinger Health System in Pennsylvania, Kaiser Permanente in California, Mayo Clinic in Minnesota, Intermountain Healthcare in Utah, and Group Health Cooperative in Washington state. The <a href="http://xnet.kp.org/newscenter/pressreleases/nat/2011/040611interoperability.html">consortium's</a> aims to demonstrate to other organizations how the use of national health IT standards can help them securely share patient health data among disparate EHR systems, across disparate geographic regions. For instance, if a patient from one system gets sick or has an accident while traveling and seeks healthcare from another organization--or if any healthcare provider sends patients to another--clinicians at each of the consortium systems can easily and quickly access important information about the patient's medications, allergies, and health conditions. The goal is to provide clinicians with key information so they can quickly choose the best treatment while avoiding unintended consequences such as adverse medication interactions. KP, Mayo, Geisinger, Intermountain, and Group Health currently fund the exchange. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">Grow Your Own Health Information Exchange</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/240000350">Private Health Information Exchanges Take Over</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/229400609">Direct Project Rapidly Advancing Health IT Interoperability</a><br /> <a href="http://www.informationweek.com/news/healthcare/EMR/240000979">Cloud-Based EHRs, Telemed Come To Rural Colorado</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800393">3 Traits Shared By Successful HIEs</a><br /> <a href="http://www.informationweek.com/news/healthcare/security-privacy/232800368">New York Moves To Protect Health Data Privacy</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800271">Covisint Cloud Hosting Michigan HIE</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232800170">$564 Million Later, Little Health Information Exchange Happening</a><br /> <a href="http://www.informationweek.com/news/healthcare/interoperability/232602402">Doctors, Patients Can Spur HIE Progress, Feds Say</a><br /> <a href="http://www.informationweek.com/news/healthcare/patient/232602026?token=610a9e0eaf024df2e80ef794b4120105">How To Achieve Better Patient Engagement</a><br />2012-06-06T12:30:00ZHealth IT Faces Eventful SummerSupreme Court's upcoming decision on healthcare reform and feds' Meaningful Use Stage 2 final rules add up to a heated summer for healthcare IT execs.http://www.informationweek.com/news/240001606?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232900968"><img src="http://twimgs.com/informationweek/galleries/automated/786/01_Dollars_ICD_full.jpg" alt="The Great ICD-10 Debate: Healthcare Coding Transforms" title="The Great ICD-10 Debate: Healthcare Coding Transforms" class="img175" /></a><br /> <div class="storyImageTitle">The Great ICD-10 Debate: Healthcare Coding Transforms</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE -->Many business executives slow down and get a chance to smell the roses during the summer, but I'm predicting health IT leaders will have little time to chill out during this vacation season. Court rulings and federal rules likely will keep them preoccupied. <P> The first and biggest event could come by the end of this month, namely the <a href="http://www.informationweek.com/news/healthcare/policy/232700400">Supreme Court's ruling</a> on the constitutionality of President Obama's healthcare reform. Although the Patient Protection and Affordable Care Act isn't IT centric, many of its programs, including accountable care organizations (ACOs) and health insurance exchanges (HIX), are fueled by IT. <P> If the Court knocks down the Act, healthcare leaders will need to reevaluate their plans and participation in ACOs, and those decisions will then influence the order of their health IT priorities and spending. ACOs represent new payment models that are tied to coordination of care and quality. Although some of these new ACO efforts are already up and running--in large part because of a recently launched <a href="http://www.informationweek.com/news/healthcare/policy/232301110">Pioneer ACO</a> program by the Centers of Medicare and Medicaid Services (CMS)--lots of other new ACOs might get swept by the wayside. <P> Similarly, if the court overturns the Affordable Care Act, burgeoning <a href="http://www.informationweek.com/news/healthcare/policy/240001281">health insurance exchanges</a>--marketplaces where the uninsured in each state by 2014 can shop for coverage&#8212;also will sputter. The exchanges are expected to provide consumers with online tools <a href="http://www.informationweek.com/news/healthcare/admin-systems/240000349">to compare</a> features and costs of policies. Without the reform law's individual insurance mandate, the need for HIXs evaporates. <P> <strong>[Read <a href="http://www.informationweek.com/news/healthcare/policy/232800142?itc=edit_in_body_cross">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a>.]</strong> <P> Publication of the HITECH Act's Meaningful Use Stage 2 final rules will likewise capture healthcare leaders' attention this summer. That's likely to happen sometime in July, though it could come a little later. A couple of years ago, when the feds were finally done ironing out the details of Meaningful Use Stage 1, CMS published those final rules on July 28, 2010. So, don't be surprised to see a similar timeline for Meaningful Use Stage 2's final rules. <P> By now, healthcare IT leaders have a pretty good idea of what to expect in the final rules, considering that CMS issued the proposed rules in March. Now it's a matter of seeing what public comments--including those from medical associations, consumer organizations, and health IT groups--CMS will consider when drafting the final regulations. <P> It's the accumulation of those seemingly small <a href="http://www.informationweek.com/news/healthcare/patient/240000186">details</a> in the Meaningful Use Stage 2 rules that could tilt the priorities that health IT organizations focus on during the coming year or two. <P> For instance, should CMS insist that hospitals release information to patients about their hospitalizations within 48 hours of being discharged? Should healthcare providers be required to have 40% of patient medical images accessible through their certified EHRs? Those can be huge undertakings for organizations not yet tied into health information exchanges, which can help with heavy image sharing. Those sorts of fine points could make IT leaders redeploy some tech talent to focus more time working on secure patient portals, internal systems integration, and custom interface development rather than other projects. <P> In any case, the rules and rulings coming over the next few weeks and months should keep healthcare CIOs and other leaders on high alert. <P> Finally, on a personal note, this is my final column for <em>InformationWeek Healthcare</em>, as I will be leaving to start Stage 2 of my own health IT-related editorial career. Thanks to all who helped make my many years reporting and writing at <em>InformationWeek</em>, and especially at <em>InformationWeek Healthcare</em>, such a rich experience. <P> <i>Get the new, all-digital <a href="http://www.informationweek.com/gogreen/052112hc/?k=axxe&cid=article_axxt_os">Healthcare CIO 25</a> issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)</i> <P>2012-05-31T08:05:00ZMaine Health Information Exchange Adds Medical ImagesHealthInfoNet, Maine's health information exchange, becomes first in the nation to support statewide sharing of X-rays, CT scans, and other medical images.http://www.informationweek.com/news/240001194?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232900968"><img src="http://twimgs.com/informationweek/galleries/automated/786/01_Dollars_ICD_full.jpg" alt="The Great ICD-10 Debate: Healthcare Coding Transforms" title="The Great ICD-10 Debate: Healthcare Coding Transforms" class="img175" /></a><br /> <div class="storyImageTitle">The Great ICD-10 Debate: Healthcare Coding Transforms</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> HealthInfoNet, Maine's designated state health information exchange (HIE), will throw on the switch to medical image archiving and sharing Thursday, making the HIE the first in the nation to support statewide sharing of X-rays, CT scans, MRIs, mammograms, and other medical images. <P> HealthInfoNet, which <a href="http://www.informationweek.com/news/healthcare/EMR/221601130">went live</a> in 2009 and currently supports the exchange of health records for 1 million of the 1.3 million people who live in the state, this week will begin a pilot to make patients' medical images accessible to the state's healthcare providers. <P> Until now, HealthInfoNet provided access to medical image reports, but now physicians will also have instant access to the actual images themselves, rather than waiting for image copies to be sent (for example) on disks, said Jerry Edson, a consultant on the HealthInfoNet medical imaging project, and former CIO of Maine Medical Center. <P> "We had the image reports in the HIE, but people want the images," he said. That's particularly the case for rural Maine physicians who don't have access to picture archiving and communication systems (PACS) but want to view in a timely manner <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232600983">patients' medical images</a>, for example, to compare the progression of a disease or injury against previous image studies, he said. <P> <strong>[ Some hospitals and clinicians are fighting quick patient access to medical records. See <a href="http://www.informationweek.com/news/healthcare/patient/240000186?itc=edit_in_body_cross">Compromise On Health Data Access May Be Ugly</a>. ]</strong> <P> HealthInfoNet will be able to link each image with a single patient identifier through its HIE Master Person Index, allowing clinicians to search for all a patient's prior images to track changes over time. <P> The HealthInfoNet medical image archive is supported through a cloud-based architecture and services provided by Dell, which in December 2010 <a href="http://www.informationweek.com/news/healthcare/clinical-systems/228900134">acquired</a> medical image archiving vendor InSite One, said Jim Champagne, executive director of Dell services industry sector, and former CEO of InSite One. <P> Currently, for healthcare clients, including HealthInfoNet, Dell (via its Unified Clinical Archive technology and services) manages approximately 71 million clinical image studies comprised of more than 5 billion images from over 800 clinical imaging centers, said Champagne. <P> The HealthInfoNet archive includes five years of previous images studies and is expected to generate about 1.8 million new medical images containing more than 45 terabytes of data annually. HealthInfoNet also estimates that by consolidating medical images onto a single archive, Maine healthcare providers will save a total of $6 million over seven years through a reduction of distributed image storage and transport costs. <P> HealthInfoNet, Dell, and the pilot group of Maine health care organizations will work together over the summer to confirm the system design and integrate the service with existing PACS systems and the HIE. HealthInfoNet expects to end the pilot phase in the fall and expand the service statewide by 2013. <P> There will be 52 imaging centers in Maine participating in the medical image archive, which represents about 80% of all medical images generated in the state. Other providers are expected to join HealthInfoNet in the meantime, as well. <P> As part of its medical imaging offerings, Dell provides more than 10,000 interfaces to PACS so that those systems can connect to its cloud-based archives. <P> <a href="http://www.hinfonet.org/about-us">HealthInfoNet</a>, an independent, non-profit organization, currently has 34 of Maine's 39 hospitals contracted to participate in its HIE, and 25 of them are already connected. There are also 182 physicians groups in Maine currently participating in the HIE, and 25 behavioral health centers will also be connected by year end. In addition, long-term care facilities and home nursing providers are also signing up. Healthcare providers pay a subscription fee to participate in the <a href="http://www.informationweek.com/news/healthcare/interoperability/240001051">HIE.</a> <P> In addition to the latest medical imaging services being offered by HealthInfoNet, the HIE also supports the exchange of patient clinical data including hospital discharge summaries, medication histories and e-prescribing info, lab results, diagnoses, problem lists, allergies, and claims information. <P> <i>Get the new, all-digital <a href="http://www.informationweek.com/gogreen/052112hc/?k=axxe&cid=article_axxt_os">Healthcare CIO 25</a> issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)</i>2012-05-25T09:28:00ZHow To Improve Communication Between CliniciansAlthough mandated to communicate better with patients, some healthcare providers also are looking for tech tools that get info to staff faster.http://www.informationweek.com/news/240001026?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/240000353"><img src=http://twimgs.com/informationweek/galleries/automated/796/01_Intro_full.jpg alt="10 Wearable Devices To Keep Patients Healthy" title="10 Wearable Devices To Keep Patients Healthy" class="img175" /></a><br /> <div class="storyImageTitle">10 Wearable Devices To Keep Patients Healthy</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE -->Under the HITECH Act's proposed rules for Meaningful Use stage 2, healthcare providers will be required to give patients access to their records, including information about recent office visits and hospitalizations. That means providers are going to have to make a lot of changes in how they communicate with patients. Among the tools expected to help make those changes happen: secure messaging, patient portals, and electronic scheduling features of EHRs. <P> Another aspect of healthcare communications that <a href="http://www.informationweek.com/news/healthcare/EMR/240000310">HITECH</a> does not address but is nevertheless vitally important is notifying clinical staff. Staff notifications can range from letting nurses know in a timely way about the availability of shift changes, alerting doctors and other staff about emergency situations, to even warning staff about dangerous impending weather. <P> At Arkansas Heart Hospital in Little Rock, staff communications are starting to get easier and more efficient. The 112-bed specialty hospital recently began rolling out Vortex Connect, a workforce communication tool that lets staff members set personal preferences in the way they want to receive information about scheduling, <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/240000353">emergencies</a>, and other issues. <P> <strong>[ Want more lessons learned from InformationWeek 500 winners? See <a href="http://www.informationweek.com/news/global-cio/interviews/231600980?itc=edit_in_body_cross">20 Innovative IT Ideas To Steal</a>. ]</strong> <P> While each employee can set his or her own personal preference for getting communications&#8212;including emails, texts, and voice messages--administrators sending the messages can target certain individuals, specific groups within a department, or an entire department. <P> The Vortex software makes it easier to send targeted messages based on staffer preferences, So if one nurse prefers to get text messages about open shifts, while another prefers to get a voice mail and a third like email, a staffing manager can direct notifications about the shift to all of them based on how they want to be notified. And since some shifts require nurses with specific skills (respiratory care, for example) the managers can be more accurate about who they are sending notifications. <P> Besides allowing managers to quickly notify nurses of shift changes or the availability of hours, the workforce management and communications tool also lets other managers or administrators send out important information via their mobile devices. Staffers can also receive the information on their <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/240000469">mobile devices. </a> <P> "Being in tornado alley, being able to notify staff of that type of thing can be critical," said Ray McKee, CIO of the <a href="http://www.informationweek.com/news/healthcare/patient/240000186">Arkansas Heart Hospital. </a> <P> At this Arkansas hospital, Vortex replaces emails and phone calls that managers would send manually to staff who, on their off-hours, might not check email or voice messages in a timely enough way to allow them to sign up for an available shift on short notice, for example. <P> Also, the tool allows the hospital to target emergency messages and "codes" for action that the organization doesn&#8217;t necessarily want broadcast over an intercom or public address system, he said. "Hospitals are good on codes," he said. While some alerts, like a super-urgent, life or death Code Blue generally needs to be broadcast widely and immediately over the intercom to get all employees' attention, other slightly less urgent codes are better suited for a more targeted base via channels other than the intercom, he said. <P> "You want to broadcast, but you don't want to cause panic," he said in an interview with <em>InformationWeek Healthcare.</em> The <a href="http://www.vortexconnect.com/">Vortex</a> communication tool allows notifications to be "quickly pushed out" to specific groups or individuals. <P> McKee said the Vortex communication tool is "built into" scheduling applications provided to Arkansas Heart Hospital from ADP, but can also be used unbundled and directly provided by Vortex. At press time, Arkansas Heart Hospital had piloted the Vortex with select groups of clinicians, but is planning to go live for all 900 employees very soon. <P> Neil Grunberg, VP of business development at Vortex, said the communication tools can also be integrated with a variety of third-party applications, including workforce management software from Kronos and Lawson <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">enterprise resource planning</a> systems from Infor. Grunberg said Vortex also works with various clinical software offerings from vendors like Cerner. <P> Before launching Vortex at Arkansas Health Hospital, "I was waffling just a bit," said McKee. But "we were in the middle of a payroll migration, and if there's a hiccup, no one gets paid," he said. McKee decided later that the Vortex would've come in handy to let workers know that they could've come in to pick up their pay in person in case there were any issues during the payroll system migration, he said. <P> "It's a useful tool to let people know what's going on," he said. <P> In fact, other healthcare organizations are learning that too. Grunberg says that about half of Vortex's clients are in the healthcare sector. "Home healthcare is huge," in terms of growth these days, as managers look to improve communication with field nurses, he said. <P> At some other healthcare organizations, employee web portals are the key medium for communication with staff. That's the case at Beth Israel Deaconess Medical Center in Boston, where a secure employee portal is the primary method for keeping staff informed about everything ranging from organizational news, policies, to urgent messages. <P> When employees log on to the password protected portal, they are signed onto the various programs each are authorized to access, such as the work scheduling. If a user is inactive for a short amount of time, they're automatically logged off and need to sign on again on the portal's home screen. The portal can be accessed by remote authorized users, as well. <P> It is on this main portal screen where emergency notifications also appear within a two-inch "red line" across the display, said Cindy Whitcome, BIDMC director internal communications. BIDMC limits the "red line" for communicating to staff about very serious or urgent situations, most often coming from the organization's emergency preparedness command center, she said. <P> "We use the red line very judiciously, for true emergencies" because BIDMC doesn't want people to become complacent to overuse, she said. Over the last couple of years since the portal was launched, the red line has only been used a handful of times, including a tornado warning, major power outage and for the recent testing of a "fake contagious emergency," she said. <P> "The red line isn't about traffic jams, it's about notifying a captive audience about very important information," she said. <P> <i>Get the new, all-digital <a href="http://www.informationweek.com/gogreen/052112hc/?k=axxe&cid=article_axxt_os">Healthcare CIO 25</a> issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)</i>2012-05-25T09:00:00Z11 BI Tools To Analyze Healthcare OperationsAlthough clinical decision support systems remain the rock stars in many large hospitals and group practices, let's not forget the need to analyze operational, financial, and quality control data.http://www.informationweek.com/news/240001004?cid=RSSfeed_IWK_authorsPutting a clinical decision support (CDS) system in place without also installing a more generic business intelligence (BI) program is like building a skyscraper on a sandy lot. And with all the attention CDS gets these days, it's easy to forget that for healthcare providers to survive in a competitive market they need a strong BI foundation to correlate, analyze, and glean insight from financial and operational data. <P> A <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">recent study</a> by research firm KLAS makes it clear that most healthcare organizations do see the value of these less-glamorous tools. The study found that more than 50% of healthcare organizations plan to replace or buy new BI systems over the next three years. <P> Of the 147 respondents KLAS surveyed, representing 137 healthcare provider organizations, about one-third said they intend to purchase new BI tools, while 19% said they will replace their BI systems. Another 33% reported that they will continue with their current BI tools, while 14% said they have no plans to change these systems. <P> In general, many of these BI tools can provide healthcare organizations with various predictive analytics, data modeling, forecasting, and trending for operational, financial data, and clinical data. <P> Healthcare providers have lots of tools to choose from, including offerings from mainstream software vendors such as Oracle, IBM, and SAP. (SAP's Business Objects product is pictured above.) There are also various BI and <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">clinical analytics</a> offerings from developers of health IT systems such as McKesson and Cerner, and niche products for specific data analysis from vendors such as Omnicell, which offers software specifically for medication and supply inventory analysis. <P> What are healthcare providers hoping these BI tools can accomplish? Most are looking for an assortment of functionality, including analysis of financial and departmental data, including emergency, surgical, and pharmacy analytics, as well as insight into physician quality, performance improvement, and patient outcomes. The insights gleaned from these tools can also help leaders better understand accountable care organization (ACO) activities, especially as new ACOs and reimbursement change emerge under healthcare reform. <P> In fact, the KLAS study identified the "wish list" of the top five healthcare-specific functions sought by organizations from their BI products. On that list are 1) enterprise analytics; 2) predictive analytics; 3) ACO analytics; 4) healthcare data integration/data warehousing; and 5) population health. Currently, a third of healthcare organizations have no BI tools, according to the KLAS study, while half are using a single BI vendor or product, and 17% have multiple BI products or vendors. In any case, KLAS expects more healthcare providers to be shopping for BI tools over the next few years. Here are several programs worth checking out now.Information Builders sells BI software tools to many industries. For healthcare providers, the company's BI tools, which include <a href="http://www.informationbuilders.com/solutions/healthcare">WebFocus</a>, offer insights that can boost decision support to improve quality of care, increase patient satisfaction, and operate more efficiently. <P> The company says its "data intelligence, integration, and integrity" tools can also help providers "achieve Meaningful Use, and transform into accountable care organizations by turning financial, clinical, and administrative data into information that clinicians, staff, and administrators need for evidence-based decision-making." <P> The offering includes tools for integrated health intelligence and performance management that allow organizations to improve labor productivity, asset utilization, and supply-chain costs. The tools can help healthcare leaders view key performance indicators across service lines and departments to improve workflow and coordination of care. <P> Hospitals and medical practices can also use these tools to improve financial management and reporting, budgeting, and planning, and to enable physician and patient profiling, market share analytics, and clinical informatics. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>Dimensional Insight's Diver is an enterprise-wide reporting and analytics platform that the vendor provides to a number of different industries, including healthcare. <P> <a href="http://www.dimins.com/healthcare.html">Diver</a> offers an integrated, Web-based BI suite that features dashboards, scorecards, alerts, and interactive reports so that key performance indicators are delivered to the specific users that need them, whether they're hospitals' chief financial officers or clinical care administrators. The software can assemble and analyze data from multiple internal and external sources with a single view. <P> Diver's tools include analysis software for operations such as staffing, strategic planning, and utilization; supply chain management; finance, including payroll, budgets, and denials management; and clinical, such as physician score carding, quality, outcomes, and patient satisfaction. <P> Health IT research firm KLAS has named Diver "Best in KLAS" for business intelligence and reporting for three straight years. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>The <a href="http://www.omnicell.com/Products/Business_Analytics/Pandora_Analytics.aspx">Pandora</a> suite of modular intelligence software from Omnicell allows healthcare organizations to analyze medication and supply distribution throughout a hospital. The Pandora analytics tool assists healthcare organizations with drug diversion prevention, regulatory compliance, and inventory optimization. <P> Pandora can also customize reports to fit each healthcare provider's unique environments and needs. Confidential or sensitive patient and drug usage data stay in servers within a hospital's data center. <P> The software can help providers prioritize action items for compliance, lowering costs and addressing operational issues. The tools can also help track costs per patient visit or case. For clinical operations, the software can be used to identify suspicious activity, inform nursing staff about cancelled medication transactions, and track improvements based on actions taken. <P> Pandora's My Views and My To Do Lists enable pharmacists and nurse managers to filter content to their areas of focus. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>IBM's Cognos software is an integrated business intelligence suite that provides a wide range of analytics capabilities across many industries. Its features and functionality are often used by healthcare organizations to improve decision making related to both patient care and business performance. In fact, healthcare IT research firm KLAS said IBM's BI tools are among the most considered by healthcare providers looking into purchasing BI technology. <P> IBM says its BI products can aggregate, benchmark, and use health system data to help reach business goals by providing a unified picture, in real time, of the hospital's operations from clinical, administrative, and financial perspectives. For example, organizations can use the software can to gain insights into a variety of areas, from supply chain to chronic disease management. Administrators can discover, track, and assess trends--for example, detecting changes in the average length of time patients are waiting in the emergency room, or changes in hospital bed utilization rates--and then make operational adjustments to address them, says <a href="http://www-01.ibm.com/software/analytics/cognos/">IBM.</a> <P> IBM Cognos Active Reports allow users to create scorecards to measure hospital performance. Managers can use Cognos Dashboards to browse and explore data. Scorecards can be used to track performance based on key performance indicators and link healthcare business strategy to operational tactics. Similarly, scorecards can also be used to set quantifiable goals for any time period and to monitor progress on specific projects and activities. <P> In the screenshot above, IBM Cognos Active Reports track care coordination and patient safety in an accountable care organization setting. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>QlikTech's offers its QlikView platform to many industries, including healthcare. For healthcare providers, <a href="http://www.qlikview.com">QlikTech</a> provides a range of tools to help organizations effectively address the challenges brought about by the changing regulatory environment. <P> The QlikView <a href="http://www.informationweek.com/news/software/bi/240000306">platform</a> enables users to analyze huge volumes of business data, defining and asking their own stream of questions--on the spot, on the road, and with teams, according to the company. The software provides intuitive user-driven analysis that managers can implemented in days or weeks. <P> Providers can utilize QlikView to help monitor and improve performance within various functional areas, including clinical operations, care delivery, resource planning, finance and revenue cycle, the executive suite, and supply chain management. <P> The product enables healthcare providers to answer questions like these: <P> --"Who are my best-performing physicians and what are the key performance indicators that they deliver?" <P> --"What are my most costly procedures and why are they so costly?" <P> --"What are the satisfaction levels for our patients and how are these trending in conjunction with changes in process and procedures?" <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>While Oracle provides BI tools to many industries, Oracle Enterprise Healthcare Analytics is a suite of advanced data warehousing and analytics software geared to the medical community. The software enables providers to gain a detailed, holistic view of the healthcare enterprise to improve financial performance, care quality, and outcomes, according to Oracle. <P> The <a href="http://www.oracle.com/us/industries/healthcare/058441.html">Oracle suite</a> can provide a complete view of financial and operational performance by integrating data from electronic medical records, clinical departmental systems, patient accounting, enterprise resource planning, research, and other systems to help providers derive value and insight from clinical and operational data. <P> There are several key products within the Oracle Enterprise Healthcare Analytics suite, including Oracle Healthcare Data Warehouse Foundation and Oracle Healthcare Analytics Data Integration, as well as offerings for operating room and supply chain analytics. <P> Oracle says its offerings also provide out-of-the-box integration with third-party analytics applications for cost analytics, safety monitoring, accountable care, registry reporting, and Meaningful Use compliance. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>Lawson, which was acquired last year by Infor, offers Lawson Analytics for Healthcare to help healthcare organizations extract data from Lawson applications as well as third-party systems. The <a href="http://www.infor.com/industries/healthcare">Lawson software</a> connects staffing, clinical, supply chain, and financial information to assist in better decision making. <P> Lawson Analytics for Healthcare provides insight into the factors affecting margins and productivity in three key areas: labor productivity, supply chain, and financial management. Prebuilt analytic content allows healthcare organizations to answer questions like, "What is the actual average wage rate compared to budget?" and "How are suppliers performing against the Perfect Order standards?" <P> Organizations can use this information to quickly implement changes that reduce nursing agency and overtime expenses, capitalize on supply chain savings opportunities, and free up clinicians to spend more time on patient care. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>Differentiating itself from some of the big-name BI players who offer their products to many industries or who also sell other kinds of non BI-related enterprise software, Humedica focuses exclusively on business intelligence and analytics software for the healthcare industry. That includes hospitals and health systems as well as ambulatory care providers and life sciences companies. <P> <a href="http://www.humedica.com/about/index.html">Humedica's MinedShare</a> products--which are offered via a software-as-a-service model--include a population health dashboard and predictive health analytics for chronic health failure patients. <P> The company says its longitudinal clinical data analysis provides insights into the sequence of care for defined patient groups, such as those with specific diseases or chronic conditions. Through its analytics, the MinedShare products also help users address topics such as identifying patients at high risk for preventable complications and helping organizations reduce hospital re-admissions. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>SAP is well known in manufacturing and other circles for its financial software, enterprise resource planning, and business intelligence tools. The company's products are also often favored by healthcare organizations. <P> In its recent report about BI tools in healthcare, research firm KLAS said SAP is most often considered by providers that use Epic clinical information systems, such as e-health records. In healthcare settings, KLAS said SAP is often "seen as a tool set instead of a solution; typically considered by larger organizations with sophisticated IT staffs." It's worth noting that BI software from Epic, Cerner, and Siemens all partially use software from SAP, said KLAS. <P> Pictured above is <a href="http://www.sap.com/solutions/analytics/business-intelligence/index.epx">SAP BusinessObjects</a> used to dig through a healthcare organization's financial data for expense and revenue analysis. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>Life Care Centers of America (LCCA), which operates skilled nursing centers across the United States, taps into PerformancePoint Services and Excel Services in Microsoft's SharePoint Server 2010. The organization combines this tool with SQL Server Reporting Services to dig into financial and other data. <P> Shown here are two BI dashboards used by LCCA. <P> Microsoft says its SQL Server, SharePoint, and Office Suite provide an enterprise-wide BI offering that can scale down to department-level needs and scale up to a system-wide approach to BI and advanced analytics. <P> Texas Children's Hospital has also implemented <a href="http://www.microsoft.com/en-us/bi/default.aspx">Microsoft BI tools</a> to help identify and decrease bottlenecks associated with patient flow, while other healthcare providers utilize the software for service-line analysis and reporting in areas like orthopedics, cancer, and diabetes, and to help improve the quality and efficiency of medical service delivery, align with organizational goals, reduce costs, and improve margins. Microsoft delivers business intelligence through three layers: Performance Management, Reporting and Analysis, and Data Warehouse. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>McKesson, a big-box provider of EHRs and other clinical systems software, also offers BI tools to help healthcare organizations dig into clinical, financial, and operations data. <P> According to KLAS, McKesson's BI tools are used frequently by healthcare providers, especially those already using McKesson software--even though the company's tools are also capable of working in other environments. <P> KLAS writes, "McKesson appears to be ahead in creating [various] analytical packages and offers surgery and pharmacy analytics." <P> <a href="http://www.mckesson.com/en_us/McKesson.com/">McKesson</a> says its approach is "to combine the reliability of a healthcare data model with the flexibility of interactive business intelligence to help stakeholders predict, model, and measure performance." <P> Among the company's most recent BI offerings is McKesson Performance Analytics Explore, an in-memory BI solution that provides guided, dynamic analytics, predictive modeling, and a robust statistical package. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/240000032">Healthcare Providers Have Big BI Plans</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/232901424">CRM Platform Can Churn Out Customized Health Apps</a> <P> <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">ACOs Need Better Data Transparency, Management</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232901566">EHR Vendors Ask For Meaningful Use Reporting Changes</a> <P> <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">How Mobile, Cloud, Are Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900576">Clinicians Need Unconventional IT Tools For Toughest Cases</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511">10 Innovative Clinical Decision Support Programs</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/229100335">KLAS Report Identifies Keys To Clinical Decision Support</a> <P> <a href="http://www.informationweek.com/news/healthcare/patient/232900330">Despite Flaws, Personal Health Records Are Smart Medicine</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232800300">Is Your Clinical Decision Support Built On Quicksand? </a>2012-05-24T10:26:00ZNorth Carolina Fights Medicaid Fraud With AnalyticsIn two years, IBM data mining software has identified $191 million in potentially false Medicaid claims.http://www.informationweek.com/news/240000909?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232900968"><img src="http://twimgs.com/informationweek/galleries/automated/786/01_Dollars_ICD_full.jpg" alt="The Great ICD-10 Debate: Healthcare Coding Transforms" title="The Great ICD-10 Debate: Healthcare Coding Transforms" class="img175" /></a><br /> <div class="storyImageTitle">The Great ICD-10 Debate: Healthcare Coding Transforms</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> States budgets are under pressure, and Medicaid funding is often among the hardest hit. But in some states, including North Carolina, data analytics software is helping to uncover millions of dollars in potential savings through the detection of fraudulent Medicaid billing. <P> North Carolina's department of health and human services began collaborating with IBM in 2010 to develop <a href="http://reports.informationweek.com/abstract/105/5118/Healthcare/strategy-bi-and-analytics-in-healthcare.html?cid=SBX_iwk_fture_Analytics_Healthcare_healthcare&itc=SBX_iwk_fture_Analytics_Healthcare_healthcare">analytics</a> to help identify suspicious billing patterns by healthcare providers. <P> To date, North Carolina has identified $191 million in potentially false Medicaid claims by 206 outpatient behavioral health providers in the state. North Carolina processes about 88 million claims totaling about $12 billion annually from 66,000 providers who treat the state's two million Medicaid patients. <P> Using the IBM software, the state has identified suspicious claims that include submissions from providers with patterns of billing that don't fit "the norm," said Al Delia, secretary of North Carolina's department of health and human services in a <a href="http://asmarterplanet.com/blog/2012/05/how-north-carolina-leads-the-fight-against-medicaid-fraud.html">recent blog</a> posting. <P> <strong>[ Too many organizations approach IT projects from the wrong angle. Learn why in <a href="http://www.informationweek.com/news/healthcare/leadership/240000533?itc=edit_in_body_cross">Kaiser Permanente CEO: Health IT Must Focus On Quality</a>. ]</strong> <P> Examples of suspicious activity uncovered include: providers billing for more than 24 hours of service in a single day; overbilling in the treatment of individual patients; and double billing for the same services--such as billing for group therapy sessions, and then billing for individual sessions with the same patients. <P> Using three years' worth of North Carolina Medicaid claims data, IBM data mining software, which features special algorithms and modeling capabilities, was applied to detect common fraud and abuse schemes, said Shaun Barry, IBM's fraud and abuse management leader heading the North Carolina project. <P> Also applied in the project was IBM InfoSphere Identity Insight, which is software "that helps the agency understand 'who is who,' and resolve any identity conflicts that arise," said Barry in an email interview with <em>InformationWeek Healthcare</em>. <P> "For example, it resolves many different distinct provider numbers into single entities based on shared attributes, characteristics, and numbers," he said. "This helps North Carolina determine if providers are using different names to provide services in an effort to expand their bill capabilities," he said. <P> To date, North Carolina has completed 10 investigations into cases of suspicious outpatient behavioral health billing, yielding a total of $6.2 million in potentially fraudulent payments. These cases have already been referred to the Medicaid investigations unit of the North Carolina attorney general's office for further investigation. <P> Meanwhile, investigations into many other suspicious cases are underway. <P> In addition to the North Carolina project, IBM is working with a variety of different agencies across a half-dozen states "to root out fraud" using analytics software, Barry said. However, "North Carolina is the only one using this specific combination of tools," he said. <P> In the future, the U.S. healthcare industry's transition from ICD-9 to ICD-10 coding for medical billing also should make it easier to detect fraud, said Barry. <P> ICD-10, short for the International Classification of Diseases, 10th edition, expands by thousands the number of medical diagnosis and in-patient procedure codes used for clinical, billing, and financial systems of healthcare providers, payers, and other covered entities, compared to ICD-9. The U.S. Department of Health and Human Services recently <a href="http://www.informationweek.com/news/healthcare/policy/232800525">announced</a> a proposed rule to postpone the compliance date for ICD-10 by one year to Oct. 1, 2014. <P> The <a href="http://www.informationweek.com/news/healthcare/policy/232900195">transition to ICD-10</a> will provide health insurers with "better, more detailed information on how providers treat their patients," Barry said. "They will be able to spot suspicious behaviors faster and with greater precision" before claim are paid. <P> However, in the short term, Barry suspects that the implementation of the ICD-10 coding system "will give fraudsters a greater opportunity to cheat the system." <P> That's because for many types of medical procedures, ICD-10 adds considerable <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232900968">complexity</a> through the increased number and granularity of codes. "Fraudsters will take advantage of this complexity--during the transition to ICD-10, even the most well-intentioned provider may find it difficult to comply in full with the design of the new codes." <P> <i>Get the new, all-digital <a href="http://www.informationweek.com/gogreen/052112hc/?k=axxe&cid=article_axxt_os">Healthcare CIO 25</a> issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)</i>2012-05-16T09:00:00Z10 Wearable Devices To Keep Patients HealthyWearable devices equipped with sensors, Web connections, or both, help consumers and healthcare providers track health and fitness. Take a look at what's possible now.http://www.informationweek.com/news/240000353?cid=RSSfeed_IWK_authorsSmartwatches may be cool, but wearable health monitoring devices could save your life. These gadgets now run the gamut in goals, from managing chronic disease to optimizing fitness programs. <P> Some devices allow medical providers to monitor a patient's disorder, in the hopes that doctors can intervene earlier and patients can avoid complications. Other devices can detect whether an elderly patient has taken a fall, or remind patients it's time to take their medications. Still other wearables allow consumers to keep tabs on their own health and fitness, helping them lose weight or sleep better. <P> <a href="http://www.abiresearch.com/research/1003408">ABI Research</a> last year estimated that the market for wearable health-related devices--ranging from heart monitors to biosensors that read body temperature and motion--will reach more than 100 million device sales annually by 2016. The market for wearable sports and fitness-related monitoring devices is growing, too, projected to reach 80 million device sales by 2016. <P> Wearable devices provide output and connect to the Web in various ways. Some enable wearers to monitor their own readings using a mobile phone and a special website. Others allow data to be downloaded and viewed by third parties such as healthcare managers, or clinicians who are watching for disturbing trends that merit medical intervention. Some devices simply encourage wearers to share their fitness progress with work-out buddies and friends via social media sites. Thanks in part to trends such as wearable devices, the overall mobile health market is growing substantially. Research and analysis firm <a href="http://www.globaldata.com/PressReleaseDetails.aspx?PRID=109&Type=Industry&Title=Medical+Devices">GlobalData</a> expects the market to grow in value from an estimated $0.5 billion in 2010 to over $8 billion by 2018, significantly revolutionizing healthcare delivery and management. <P> Take a look at the range of devices in use now, from hospital settings to homes.Hospital patients often are tethered to various monitors, pumps, and medical gear. The <a href="http://www.healthcare.philips.com/us_en/products/patient_monitoring/products/intellivue_mx40/">IntelliVue MX40</a> from Philips Electronics tries to simplify some of that by putting Philips telemetry into a compact wearable patient monitor that can be used to monitor ambulatory patients and patients during transport. <P> The MX40 allows patients to walk around care settings and has a touchscreen display that lets clinicians see ECG, oxygen saturation (SpO2), and other vital signs in real time with just a push of a button. The device is also watertight to withstand patient showering, accidental immersion into water, and disinfectant cleaning. <P> The device helps saves nurses' time because it lets them check on patients' ECG rhythms without making a call to technicians at central station monitors. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>Telehealth vendor Numera recently <a href="http://numera.com/telehealth-telemedicine/2012/04/numera-acquires-bluelibris/">acquired BlueLibris, </a> a maker of health monitoring devices. Its soon-to be-released wearable mobile device provides two-way, hands-free voice communication through a cellular network; GPS location tracking; and automated fall detection algorithms for Personal Emergency Response Services (PERS). Pictured here is the flagship BlueLibris device in a charging cradle. <P> Numera says BlueLibris devices also will be equipped with Numera's telehealth gateway technology, allowing patients to upload biometric measurements from a variety of health devices through the mobile personal health gateway and receive personalized reminders to take medications, upload measurements, and receive coaching specific to health conditions. <P> Numera plans to market the BlueLibris product through distribution and business partners by the fourth quarter of 2012. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>Zephyr Technology's <a href=" http://www.zephyr-technology.com/wp-content/uploads/2012/01/ZEPHYR-GOES-STRAPLESS-AT-2012-CES.pdf ">BioHarness BT</a> sensor technology is used by third-party makers of products to add biometric monitoring capabilities to wearable fitness gear. An example of that includes Under Armour's E39 electronic compression garment, which tracks the wearer's measures, including breathing and heart rate data, which can be transmitted to computers or mobile devices. Other measures BioHarness BT can monitor are blood oxygen, ECG, and blood pressure. The device also can connect to smart phones for transmission of the data to the <a href="http://www.ZephyrAnyWhere.com/life">Zephyr portal</a>. From here, the data can be pushed to an individual's personal electronic health records and dispatch and service center Web applications. <P> In April, 3M New Ventures, the venture organization of 3M, announced that it had invested in Zephyr Technology and was collaborating with the company for new physiological and biomechanical sensor and monitoring applications. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>BodyMedia and Avery Dennison Medical Solutions, a business unit of Avery Dennison Corporation, have developed a disposable body motion monitoring patch they say offers a comfortable, economical way to gather physiological data for health and wellness initiatives. <P> The patch combines Avery Dennison Medical Solutions' proprietary MetriaTM Wearable Sensor Technology in a skin-friendly patch with BodyMedia's proprietary algorithms and body monitoring expertise, which are used in BodyMedia's previously announced armband monitoring product. The new wearable patch initially will be used as an evaluation tool for weight management and monitoring calorie burn, steps taken, activity levels, and sleep patterns through multiple sensors that collect more than 5,000 data points per minute, said BodyMedia. The patch allows that data to be uploaded to a computer or mobile device for use as a guideline to determine the need for weight loss and other wellness efforts. <P> The patch, which is worn on the back of the left tricep, can remain in place for up to seven days, including while showering. Future applications are expected to include corporate wellness programs, remote elder care and safety, and monitoring of vital signs for a variety of health conditions. <P> Expected to launch by the end of this year, the patch will use sensor technology similar to that developed for <a href="http://www.bodymedia.com/Products/Learn-More/Sensors">BodyMedia</a> armband-based body monitoring systems that have been used for weight-loss support since 2001. The companies hope the patch's smaller size, shorter- term use, and significantly lower price will help consumers to see the value of continuous body monitoring for weight management. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <br><br><a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>The Zoll LifeVest wearable defibrillator monitors heart patients at risk for sudden cardiac arrest. If a life-threatening heart rhythm is detected, the device delivers a shock to restore normal heart rhythm. <P> The <a href="http://lifevest.zoll.com/medical-professionals/how-lifevest-works.asp">LifeVest</a> can be used for a wide range of patient conditions or situations, including following a heart attack, and before or after bypass surgery or stent placement. It's also suitable for patients with cardiomyopathy or congestive heart failure. The vest also can be used as a temporary safeguard while a patient's physician evaluates the individual's long-term arrhythmic risk and treatment plans. <P> Zoll says the LifeVest is lightweight and easy to wear, allowing patients to return to their activities of daily living at home, while having the peace of mind that they are protected from sudden cardiac arrest. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>The consumer-oriented Basis B1 wrist band--expected to become available in 2012-- incorporates five sensors to provide a precise view of a person's health immediately and over extended periods of time. The device includes: an optical blood flow sensor that detects heart rate, through pulse or blood flow; a 3D accelerometer, a highly sensitive sensor that detects the smallest movements, regardless of whether users are alert and active or sleeping; a body temperature sensor to measure exertion during activity; an ambient temperature sensor to detect the outside temperature and compare it to body temperature to boost the accuracy of caloric burn calculations; and a galvanic skin response sensor to measure the intensity of sweat output. <P> <a href="https://mybasis.com/">Basis</a> says the B1 multi-sensor band helps provide an "insightful picture of your health." The band can link to the wearer's personal Web dashboard so he can easily view performance, share data, and engage with other Basis B1 users. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>Nike FuelBand, a fitness monitoring wristband, captures and displays four different metrics: time, calories, steps, and "NikeFuel," a metric coined by Nike that measures the user's physical activity. NikeFuel is a proprietary technology that measures activity through the movement of the user's wrist and uses algorithms based on oxygen kinetics. Unlike calorie counts, which vary based on gender and body type, NikeFuel is "a normalized score that awards all participants equal scoring for the same activity regardless of their physical makeup," said the company. Nike FuelBand users also can choose to also receive a calorie count to understand how many calories are burned versus how much NikeFuel is earned. <P> The wrist band can sync with <a href="http://www.nikeinc.com/news/nike-fuelband-makes-life-a-sport">Nike's website</a> through a built-in USB port, or wirelessly through Bluetooth to a free iPhone app to record the user's activity each day and track progress. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>The tiny Fitbit Ultra tracks a user's steps, distance, and sleep, as well as counting calories burned. Wireless uploads are automatically sent to user's personal dashboard on <a href="http://www.fitbit.com/">Fitbit's site</a>, where free online tools show how the user's physical activities add up. An iPhone app also lets users log workouts, diet, and food goals. <P> Fitbit Ultra not only holds an accelerometer but an altimeter that tracks the number of stairs or hills climbed each day. To keep you going, the tracker also displays motivational messages when you start moving. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>BodyMedia's Link Armband, a body-monitoring armband equipped with Bluetooth wireless technology, communicates directly with a smartphone app. The device provides real-time, up-to-the minute streams of information such as caloric burn data, physical activity level, and steps taken. The armband collects physiological data using four sensors that capture more than 5,000 data readings every minute. The raw data includes measurements of heat flux, skin temperature, motion, and galvanic skin response. <a href=" http://www.bodymedia.com/">BodyMedia</a> says proprietary algorithms convert these readings to capture key parameters that directly affect people's health and wellness: calorie burn, physical activity duration, steps taken, and sleep duration and efficiency. <P> BodyMedia also offers a subscription-based service called Activity Manager that lets users enter their own body parameters and goals for a running progress report. Goals can include steps taken, time spent in moderate and vigorous activity, nutritional analysis, and sleep efficiency. <P> <b>Recommended Reading:</b> <P> <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900190">Forget Google Glasses: Meet Wearable Health Monitors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">11 Telemedicine Tools Transforming Healthcare</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://informationweek.com/news/healthcare/mobile-wireless/232600091">Roomba Maker Sets Sights On Telemedicine</a> <P> <a href="http://informationweek.com/news/galleries/healthcare/mobile-wireless/232500058">9 Tablets Fit For Doctors</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416">Is That Healthcare Website Making You Sick? </a> <P> <a href="http://informationweek.com/news/healthcare/patient/232602026">How To Achieve Better Patient Engagement</a> <br><br><a href="http://informationweek.com/news/galleries/healthcare/patient/232500827">9 Tech Innovations For Your Health</a> <P> <a href="http://www.informationweek.com/news/galleries/healthcare/patent/232900297">9 Popular Personal Health Record Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232900745">As More Docs Use Digital Records, So Will Consumers</a> <P>2012-05-15T11:59:00ZTowers Watson To Acquire Extend HealthBenefits and talent management consulting firm plans to buy online health insurance exchange provider Extend Health for $435 million.http://www.informationweek.com/news/240000349?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232901341"><img src="http://twimgs.com/informationweek/galleries/automated/790/01_NYPPortal_tn.jpg" alt="9 Health IT Tools Patients Should Understand" title="9 Health IT Tools Patients Should Understand" class="img175" /></a><br /> <div class="storyImageTitle">9 Health IT Tools Patients Should Understand</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE -->Professional services firm Towers Watson has signed an agreement to purchase Extend Health, an online health insurance exchange for supplemental Medicare coverage, for $435 million. <P> The addition of <a href="https://www.extendhealth.com">Extend Health's</a> health insurance exchange technology infrastructure, call centers, and existing base of 75 carriers represented in its online marketplace will help Towers Watson--best known for workplace benefits and talent management consulting services--to expand its offering into helping clients provide their retirees with assistance in purchasing private health insurance, including supplemental Medicare health plans. <P> Extend, which was founded in 2004, is based "largely on Microsoft technology," said Stephen Krupa, a director at Extend Health and managing member of Psilos Group, a <a href="http://www.informationweek.com/news/healthcare/leadership/232900754">health investment firm</a> which owned approximately 40% of Extend Health. Another major Extend Health investor, prior to the Towers Watson sale, was Revolution Health Group. <P> Microsoft last year introduced a health insurance exchange product for states launching their own health insurance exchanges as part of a mandate under <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">healthcare reform </a>. <P> That <a href="http://www.informationweek.com/news/healthcare/admin-systems/229203006">Microsoft HIX offering</a> for states is based on core components from Extend, including those built on Microsoft software such as BizTalk Server 2010 and Microsoft SQL Server. <P> <strong>[ Practice management software keeps the medical office running smoothly. For a closer look at KLAS' top-ranked systems, see <a href="http://www.informationweek.com/news/galleries/healthcare/admin-systems/232602435?itc=edit_in_body_cross">10 Top Medical Practice Management Software Systems</a>. ] </strong> <P> In addition, <a href="http://www.informationweek.com/news/healthcare/admin-systems/227300381">Extend Health's technology</a> offering includes online decision support tools that can help retirees shop for supplemental Medicare plans based on their individual <a href="http://www.informationweek.com/news/healthcare/patient/240000186">patient needs</a>, including preferred network of doctors, prescribed medications, co-pays, and other factors. <P> "These decision support tools help a retiree choose a plan with the best value for their particular needs," said Krupa in an interview with <em>InformationWeek Healthcare</em>. <P> Extend Health brings to Towers Watson an exchange that currently has clients in the public and private sectors, including nearly three dozen Fortune 500 companies and more than 200,000 retirees. <P> Krupa said the acquisition is subject to clearance under the Hart-Scott-Rodino Antitrust Improvements Act and is expected to close in about 60 days. <P> Extend Health in January had also filed a registration statement with the Securities and Exchange Commission for a proposed initial public offering of its common stock. The number of shares to be sold and the price range for the proposed offering had not yet been determined. Since the company is being sold to Towers Watson instead, the IPO will not happen, said an Extend Health spokesman. <P> Extend Health will operate as a new business segment within Towers Watson, joining three existing segments of benefits, talent and rewards, and risk and financial services. The new Exchange Solutions segment will be led by Bryce Williams, co-founder and CEO of Extend Health, and will begin with more than 300 Extend Health employees. <P> Towers Watson, based in N.Y., was formed in 2010 by the merger of Towers, Perrin, Forster & Crosby and Watson Worldwide. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-05-11T00:57:00ZResearch: Healthcare IT 2012 Priorities Surveyhttp://reports.informationweek.com/abstract/105/8692/Healthcare/research-healthcare-it-2012-priorities-survey.html?cid=RSSfeed_IWK_authors2012-05-10T17:35:00ZCompromise On Health Data Access May Be UglySome hospitals and doctors oppose giving patients electronic data as quickly as required by proposed Meaningful Use Stage 2 regulations. Consumer groups want more speed--and the compromise likely won't please either side.http://www.informationweek.com/news/240000186?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232901341"><img src="http://twimgs.com/informationweek/galleries/automated/790/01_NYPPortal_tn.jpg" alt="9 Health IT Tools Patients Should Understand" title="9 Health IT Tools Patients Should Understand" class="img175" /></a><br /> <div class="storyImageTitle">9 Health IT Tools Patients Should Understand</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE --> The government's proposed rule for Meaningful Use Stage 2 and the comment period that ended earlier this week kicked off a battle between patients and providers. At the heart of the war is the Centers for Medicare and Medicaid Services proposal that patient information be available to the individuals within 36 hours of discharge from a hospital and within 24 hours of an office visit. <P> Understandably, patient and consumer rights groups want individuals able to access their medical information as soon as possible so they can act on it swiftly, while healthcare providers want more time to gather data and make it available to patients. Providers fear they'll be forced to rush complex data to patients before it's complete, accurate, and secure. <P> On the provider end of the battlefield is the American Hospital Association, which says 36 hours is not enough time to provide discharged patients with information about their hospital stay. The proposed CMS requirement is technically "unfeasible" and riddled with potential conflicts with current HIPAA privacy and security regulations, <a href="http://www.aha.org/advocacy-issues/letter/2012/120430-cl-cms0044p.pdf">says the AHA. </a> The AHA has requested CMS to modify its proposed rule and give hospitals 30 days to make information available to patients upon discharge. <P> <strong>[ Read <a href="http://www.informationweek.com/news/healthcare/security-privacy/232301516?itc=edit_in_body_cross">More Patient Data Risks, Lawsuits Predicted In 2012</a>. ]</strong> <P> The AHA says it's not possible for hospitals to gather and deliver the proposed patient information within 36 hours. That information includes: <P> --Admittance and discharge date and location. <P> --Reason for hospitalization. <P> --Names of care providers during hospitalization. <P> --Problem list maintained by the hospital on the patient, verified to be up-to-date. <P> --Relevant past diagnoses known by the hospital. <P> --Medication list maintained by the hospital on the patient, both current admission and historical, and verified to be up-to-date. <P> --Medication allergy list maintained by the hospital on the patient, both current admission and historical, and verified to be up-to-date. <P> --Vital signs at discharge. <P> --Laboratory test results that are available at time of discharge. <P> --Care transition summary and plan for next care provider for transitions other than home. <P> -- Discharge instructions for patient. <P> -- Demographics maintained by hospital on gender, race, ethnicity, date of birth, preferred language, and smoking status. <P> In addition, the CMS proposal requires all of this information to be available for patients to: 1) view online; 2) download, in both a "human readable form" and coded to the specific vocabulary, document, and other standards adopted by the Office of National Coordinator for Health IT; and 3) request that the hospital transmit it to them. <P> "Thirty days are necessary to make determinations about how to respond to a request no matter the format of the protected health information," said the AHA in its comments to CMS. <P> "While providing an electronic copy of protected health information maintained in an e-health record eventually may be facilitated more easily by technology, the process of determining which records are relevant and appropriate takes the same amount of time as it does for evaluating paper records," wrote the AHA. <P>In addition to the AHA's complaint, the American Medical Association, which represents physicians, isn't happy with the Stage 2 proposal that at least half of patients be given clinical summaries within 24 hours of an office visit. In <a href="http://www.ama-assn.org/resources/doc/washington/ehr-stage-2-certification-sign-on-letter-07may2012.pdf"> its comments, AMA</a> recommends that the turnaround be three business days, and the threshold be only 20% of patients, rather than 50%. The AMA suggested some other tweaks to the rule. <P> "The measure should also be based on unique patients seen during the EHR reporting period, and not based on every office visit to minimize reporting burdens. In addition, a physician should have the flexibility to include only the information that the physician believes to be relevant for the summary," said AMA in comments submitted to CMS. <P> "We do not want to turn patient visits into typing sessions where physicians are keying information into the EHR just so they can print a clinical summary after every visit rather than spending time communicating with their patients regarding their care." <P> The AMA bid to provide clinical summaries to patients three days after an office visit instead of CMS' 24-hour proposal isn't as extreme as AHA's request to release patient info up to a month after discharge from a hospital instead of CMS' 36-hour proposal. <P> Then again, hospitalizations are generally a lot more complex and generate a lot more data from multiple departments than most doctor office visits. <P> On the other end of the battle over patient access to info is the Consumer Partnership for eHealth and the Campaign for Better Care. The consumer group represents two dozen patient and consumer advocacy groups, including AARP, National Partnership for Women and Families, and Advocacy for Patients with Chronic Illness. The group advocates patients having access to their information within 24 hours of an office visit and discharge from a hospital. <P> "We take issue with the proposed timeframes for when the patient's information must become available to the patient, because the proposed approach is not consistent with the patient's workflow during transitions of care, and does not ensure information availability to patients and their caregivers when they need it most and are most motivated to follow through with self-care instructions: immediately following an encounter or admission," wrote the Consumer Partnership for eHealth and the Campaign for Better Care in comments sent to CMS. <P> <a href="http://www.nationalpartnership.org/site/DocServer/CPeH_CBC_Comments_MU2_FINAL.pdf?docID=10281">The group</a> also makes an important point that should remind AHA of something that will soon <a href="http://www.informationweek.com/news/healthcare/leadership/232901612">pinch the pocketbooks</a> of hospitals: Financial penalties and reduced reimbursements from CMS for care of patients readmitted within 30 days. <P> "The shorter timeframe [to provide discharged patients with their information] will also help address cost issues, considering the impact patient non-adherence has on readmission and the penalties hospitals will incur for avoidable re-hospitalizations starting in October 2012," wrote the consumer group to CMS. <P>The consumer group is correct, especially about hospitalizations: Patients getting access to discharge instructions and other pertinent information about their hospitalization upon leaving the facility--or soon after--is vital for the transition and continuity of care and self-care. <P> The <a href="http://www.informationweek.com/news/healthcare/policy/232901465">AHA's argument</a> to extend the turnaround time to 30 days seems to fly in the face of business logic when you consider the pressure hospitals are under to reduce 30-day readmissions of patients. Once patients leave a hospital, bean counters need to cross their fingers that patients and caregivers will adhere to the instructions they're given by clinicians so that they don't suffer complications and end up returning to the hospital with greatly reduced (or no) reimbursement for the next wave of care. <P> To be fair, not all hospital leaders are opposed to shorter turnaround times to release patient information. <P> Ray McKee, CIO at Arkansas Heart Hospital, a 112-bed specialty hospital in Little Rock, Ark., thinks that his organization in most cases could likely comply with the CMS rule. "For us, it shouldn't be a big deal," he said. <P> However, the caveat for hospitals in general to meet the rule depends on "how accurate chart capture is" and whether communication methods with patients "are safe and secure." Given options, McKee's organization likely would favor providing information via a secure portal, rather than "push" information out to patients. "Communication is dicier" in doing that, he said in an interview with <em>InformationWeek Healthcare.</em> <P> "The reason this has patient advocates so inflamed is that so many have been told in the past: 'You cannot have your data' or 'it will take 2 weeks and you have to pay per page to get it'&#8212;AHA brought back many raw nerves at a time when patients feel they had made progress," said Lindsey Hoggle, managing partner at the health informatics consulting firm Health Project Partners, LLC in Gaithersburg, Md. <P> "Hospital readmissions are a huge cost to Medicare and hospitals--and much work is being done to correct this," said Hoggle in an email interview with <em>InformationWeek Healthcare. </em> "The goal of digital health data is that whoever appropriately needs access can have it at the right time for the right patient." <P> "In many hospitals--in the paper world--the discharge notes are not ready for a few days, much less immediately," said Hoggle. "Physicians often would dictate discharge notes well after the patient left. While some clinicians get behind in their notes, to think they will remember anything to say 30 days later is suspect," she said. "Having worked in clinical care, the longer you wait to document care--or any summary--the more difficult it is to remember details." <P> "Perhaps the hospitals are thinking they would need time to 'move'" or get the data to patients--but again, 30 days is certainly not needed," she said. <P> I predict that the final rule will be a compromise that won't thrill patients and consumer groups or the healthcare providers. Hospitals--and maybe doctor offices, too--will likely be given more time, perhaps several days, to prepare information before it's released to patients. However, extending the turnaround time to more than two or three days isn't doing anyone, especially patients, any favors in the end. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-05-07T16:11:00ZEHR Vendors Ask For Meaningful Use Reporting ChangesEHR software vendors say doctors and hospitals need more time to qualify for Meaningful Use Stage 2 and ask the feds to tweak their reporting requirements.http://www.informationweek.com/news/232901566?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232900297"><img src="http://twimgs.com/informationweek/galleries/automated/779/01_Intro_tn.jpg" alt="Is A Personal Health Record In Your Future? " title="Is A Personal Health Record In Your Future? " class="img175" /></a><br /> <div class="storyImageTitle">Is A Personal Health Record In Your Future? </div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> The Electronic Health Records Association, which represents dozens of software vendors, has joined a chorus of organizations and asked the federal government to change the reporting process that will be used by hospitals and medical practices to qualify for Meaningful Use Stage 2. <P> The EHR Association was generally supportive of rule proposals for Meaningful Use Stage 2, but suggested several modifications in comments the group formally submitted last week to the Centers for Medicare and Medicaid Services and the Office of National Coordinator for Health IT. The comments were made in response to the notice of proposed rule-making (NPRM) on the Meaningful Use Stage 2. <P> The major proposed change would alter the timetable that eligible providers and hospitals use in reporting their Stage 2 compliance to the federal government. Instead of demanding a full year of reports to prove compliance, the association said using a three-month or six-month reporting period would give doctors and hospitals more time before the reporting period started to deploy, implement, modify, and embrace their new systems, Mark Segal, co-chair of EHR Association's public policy leadership workgroup and VP of government and industry affairs at GE Healthcare IT, said in an interview with <em>InformationWeek Healthcare</em>. <P> EHR Association's suggestion about shortening the reporting period for Stage 2 is similar to comments submitted to CMS and ONC by several other <a href="http://www.informationweek.com/news/healthcare/policy/232901473">other</a> industry organizations, including College of Health Information Management Executives (CHIME) and the American Hospital Association. <P> <strong>[ Learn how to love your EHR, or at least <a href="http://www.informationweek.com/news/healthcare/EMR/232901480?itc=edit_in_body_cross">How To Ease EHR Frustration</a>. ]</strong> <P> CHIME last month also <a href="http://www.cio-chime.org/chime/PressReleases/pr4_30_2012_4_31_06.asp">recommended</a> that eligible providers and hospitals be allowed to use a continuous 90-day EHR reporting period for Stage 2, "mimicking the approach used by CMS in Stage 1." <P> The association told CMS in a letter that the members of the health IT industry as well as the government advisory group HIT Policy Committee had agreed that "a full 18 months is needed between release of the final rules and when providers need to upgrade" their systems to comply with the final rules. Shortening the reporting time would allow healthcare providers <a href="http://www.informationweek.com/news/healthcare/EMR/232901149">more flexibility</a> in implementing and upgrading their systems to meet Stage 2 requirements, said Segal. <P> However, CMS' proposed rule would essentially reduce this upgrade time to approximately 12 months for eligible hospitals and 15 months for eligible providers, especially if those healthcare providers were expected to report Stage 2 compliance for a full year. <P> From an EHR industry perspective, a too narrow timeline for implementation, upgrades, and subsequent MU reporting by providers puts pressure on vendors, health IT services firms and IT organizations that are working with hospitals and eligible clinicians, and also puts training pressures on the providers themselves. <P> However, by slashing the required reporting period from one year to 90 days or 180 days, healthcare organizations have more time to get their implementations and upgrades working properly. <P> "Shorter reporting lets us load-balance implementation with customers," said Segal. "There are physical limits on the pool of people who can work on these projects," he said. <P> The <a href="http://www.informationweek.com/news/healthcare/policy/232901465">American Hospital Association</a> in its comments to CMS also said it wants the agency to give hospitals a 90-day reporting period in the first year of stage 2, just as they have in Stage 1. <P> In addition to modifying the reporting period for Stage 2 compliance, the EHR Association in its comments to CMS and ONC also requested changes in the number of clinical quality measures required in the rules. <P> "We are concerned that EHR developers and their clients will be challenged by the large number of proposed clinical quality measures and the dearth of available detail on their final specifications," said EHR Association in a letter to CMS. <P> "The data elements needed to support the proposed and final measures will add to the large volume of data elements proposed for meaningful use and certification. As a result, there could be increased development and implementation complexity that will make it especially challenging to develop quality data capture workflows that are usable and integrate well into clinicians' workflows," said EHR Association in its letter. <P> Segal said the government's proposals include large number of clinical quality measures but a lack of specifications, as well as definitions that "need to be tightened up," making it difficult for vendors to plan and <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232900968">write code</a> for their software products, especially in light of the compliance timelines proposed by the government. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-05-03T16:49:00ZCRM Platform Can Churn Out Customized Health AppsLos Angeles County Department of Public Health uses Microsoft's customer relationship management platform to rapidly develop niche health-related apps when off-the-shelf doesn't fit.http://www.informationweek.com/news/232901424?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/admin-systems/232602435"><img src="http://twimgs.com/informationweek/galleries/automated/755/01_EpicResolutescreen_tn.jpg" alt="10 Top Medical Practice Management Software Systems" title="10 Top Medical Practice Management Software Systems" class="img175" /></a><br /> <div class="storyImageTitle">10 Top Medical Practice Management Software Systems</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE -->Most healthcare organizations, including public health departments, have a lot on their IT to-do lists. The Los Angeles County Department of Public Health (LADPH) is no exception. <P> The agency tries to purchase commercial off-the-shelf software whenever possible. The problem is that off-the-shelf apps often can't meet the agency's specialized needs. Custom development efforts, on the other hand, can be time-consuming and costly--and still often miss the mark in meeting users' needs, said Jim Green, CIO of LADPH in an interview with <em>InformationWeek Healthcare. </em> <P> So the department two years ago began taking an innovative approach to developing specialized tools. It began using Microsoft's Dynamics CRM platform for custom application development, a strategy also known as extended relationship management (xRM). <P> Green is using Microsoft 's CRM xRM framework to create customized applications instead of building custom .Net applications or purchasing expensive commercial systems, such as a pharmacy inventory management app that likely would have been overkill. <P> <strong>[ Take more control over your own health. Read <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232901341?itc=edit_in_body_cross">9 Health IT Tools Patients Should Understand</a>. ]</strong> <P> "When we first dipped our toe in CRM two years ago, we developed an environmental application for our vehicle inspection program," said Green. The application enabled the LADPH's environmental department to track and manage cases related to the safety of food sold from vehicles in Los Angeles, such as fruit carts. That included food vendors with the required permits, as well as those mobile vendors operating unlawfully without permits. <P> The environmental department had a Microsoft Access database, but no reliable way to track and manage cases. Tapping the capabilities of Microsoft Dynamics CRM xRM, it took only a few weeks for Green's team to develop a special vehicle inspection tracking app, he said. "The previous application was an amateur <a href="http://www.informationweek.com/news/software/bi/232901387">database application</a>. We created a more cohesive application for the department." <P> "The [CRM] platform accelerates development dramatically by taking care of a lot of the plumbing and providing many built-in capabilities," said Green. "We still have requirements analysis and specifications, writing a significant amount of Javascript code in the user interface, building the screens and reports, building system interfaces, and testing. But on the other hand, there is no database code to develop, all the basic user interface elements are there, basic reporting --including dashboards--is available with no coding, and auditing capabilities are built in too," he said. <P> Besides assessing environmental factors in the air, water, and food that might make people sick, among many other duties the LADPH investigates communicable disease cases and outbreaks and treating affected individuals. <P> Still, "there's a fairly narrow range of clinical services we provide," said Green, so purchasing a third-party <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232901341">pharmacy system</a> to comply with California mandates about pill container labeling and patient drug information would have been going overboard. Most of the drugs prescribed by public health clinicians are related to just a handful of communicable diseases--including tuberculosis and sexually transmitted diseases-- that are screened for and treated at the department's 14 community health centers. <P> "We have a small formulary of drugs we prescribe, yet we still have to comply with state prescription labeling requirements, which have the goal of improved patient safety," he said. <P> Those requirements include dispensing medications that are labeled with information such as the drug name and instructions for taking the med, and also a picture or description of what the drug looks like. "We used CRM to create an application for generating prescription labels, and integrated it with our legacy patient registration and scheduling systems," said Green. Before that, labels were handwritten by public health workers.The CRM platform was also used to create tools for inventory management for prescription drugs. The department's resulting Pharmacy Inventory and Labeling System, or PILS, is currently being implemented in all 14 of the department's community health centers, Green said. <P> Among other applications the department developed using the CRM platform is a case management system for the department's public health nurses and investigators who often work in the field or at the department's community health centers. <P> "Our case management has been an area that's lacked any automation or workload management tools," Green said. In the past, <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232901236">disease investigations</a> involved "tons of paperwork and logging information into paper spreadsheets," Green said. The applications LADPH built using the CRM xRM framework help automate the assignment of public health nurses and investigators to cases, and then provide tools to help them manage the workflow of the cases. That includes built-in reminders about actions and follow-ups that need to occur in a case. <P> LADPH's past experience with custom application development included a sometime-random mish-mash of home-grown apps that didn't meet the department's needs, he said. "We've found custom development to be costly, time consuming, risky and that they don't get the traction we'd like to get," he said. "I didn't have the confidence we'd get the work done" using other custom-application development approaches, he said. <P> Still, before using a CRM platform for developing, Green advises doing some cost analysis first. <P> "Due to the high per-seat licensing cost for CRM, it only makes sense where the cost savings on the development side are substantial, or where the number of users is few, or where the users already have CRM for another purpose." <P> For example, "if I need to roll out an application to all 4,000 public health workforce members, for a low-complexity application that they will use once in a while, it's going to be cheaper to develop and maintain it as a .NET application," Green said. "If on the other hand I am developing for the public health nurses or pharmacists, who already have a CRM license, then CRM development is going to be cheaper-- as long as the project is suited to the platform." "On the PILS and case management projects, I am certain we would have spent far more had we used traditional custom development," he said. <P> All in all, using the <a href="http://crm.dynamics.com/en-us/extended-crm">CRM xRM</a> framework for building specialized tools, "we can get working software into the hands of the users more quickly so they can start realizing the benefits," Green said. <P> "It's much more about reducing risk and delivering business value more quickly," he said. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-04-30T14:30:00ZAmerican Well Revamps Telehealth PlatformOnline Care 6.0 update adds conveniences for consumers and healthcare providers connecting outside the office; changes include support for smartphones and medical devices.http://www.informationweek.com/news/232901173?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982"><img src="http://twimgs.com/informationweek/galleries/automated/763/01_philips_eICU_tn.jpg" alt="Telemedicine Tools That Are Transforming Healthcare" title="Telemedicine Tools That Are Transforming Healthcare" class="img175" /></a><br /> <div class="storyImageTitle">Telemedicine Tools That Are Transforming Healthcare</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> American Well's telehealth platform has been reworked to make it easier for consumers to connect with healthcare providers, including adding support for mobile telehealth encounters and expanding interoperability with medical devices. <P> American Well's Online Care 6.0 update, released Monday, represents the company's "significant investment in the consumerism of our service," said American Well CEO Roy Schoenberg in an interview with <em>InformationWeek Healthcare</em>. <P> The company's <a href="http://www.informationweek.com/news/healthcare/patient/231600953">previous releases</a> "revolved around health plans" that make American Well's services available to members, and focused on users first creating profiles to become eligible for online care, said Schoenberg. The new release allows "even just consumers, as well as [health plan] members to go online and immediately see a list of providers and services, available upfront, often with one click," he said. "It's very patient oriented." <P> In addition to the American Well site being reworked for improved ease of use, the company has added support for touch-screen mobile devices, allowing patients to access healthcare providers via iPhones, iPads, and iPods, Schoenberg said. Initially, the mobile support will enable voice-based communications, but by summer, two-way video encounters will also be available. <P> <strong>[ Telehealth, like most IT initiatives, has risks and benefits. See <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232800145?itc=edit_in_body_cross">Telemedicine Dilemma: Savings Or Healing Hands More Important?</a> ]</strong> <P> "At the end of the day, webcams aren't going to work for some consumers," Schoenberg said of the previous need for American Well telehealth patients and healthcare providers to use webcam-equipped desktop or laptop computers to engage in videoconferencing. <P> "Mobile devices, such as iPads and iPhones, that have full-blown videoconferencing capabilities eclipse desktop and laptops" for telehealth encounters, he said. The handheld devices make it easier for consumers to connect with healthcare providers from any room of their homes--as well as on the road, in the workplace, or anywhere else they could seek telehealth services. <P> For healthcare providers, a free American Well mobile application allows clinicians to manage their online waiting rooms, as well as send and receive fee-based secure messages. <P> The new version also makes it easier for healthcare providers to extend virtual <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">teleheath services</a> to existing patients in their physical practices, as well as allow "warm transfer" capabilities that enable providers to directly transfer patients to affiliated providers, such as medical specialists, at the end of an online visit, Schoenberg said. <P> Also, Online Care 6.0 supports real-time connectivity with medical devices that patients with <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232901120">chronic conditions</a> often use at home, including glucose meters for monitoring diabetic patients and spirometers, which are used by asthmatics. Online Care 6.0's ability to support real-time transmission of data from these devices makes it easier for physicians to provide telehealth services to a wider spectrum of patients, including those who are house-bound and having difficulty traveling for office visits. <P> The enhanced platform also supports derma-cams, opthalmoscopes, stethoscopes, otoscopes, and other devices used by physicians and nurses. This also makes it easier for healthcare providers to consult with other providers, such as a community clinic clinician looking to bring in consultation by a specialist or other expert, said Schoenberg. <P> The new capabilities are available now from <a href="http://www.americanwell.com/">American Well</a>. The company's clients, including health plans, are expected to make the new services available to their members as the health plans upgrade their existing systems to Online Care 6.0, Schoenberg said. <P> In related news, Consult A Doctor, a provider of <a href="http://www.informationweek.com/thebrainyard/news/mobile/232900958">cloud-based telemedicine</a> services, revealed it will also soon be offering a new iPhone application to link consumers with Consult A Doctor's 24x7 nationwide network of telehealth providers. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-04-27T08:30:00ZThe Great ICD-10 Debate: Healthcare Coding TransformsHealthcare's move to ICD-10, an updated set of diagnosis and inpatient procedure codes, will affect everything from billing systems to medical records. After several delays, debate still rages on how to time the transition.http://www.informationweek.com/news/232900968?cid=RSSfeed_IWK_authorsThe U.S. transition from the International Classification of Diseases Revision 9 (ICD-9) to ICD-10 has been underway for years, with a couple of deadline extensions adding to the timeline. The most recent deadline delay is a bit of a reprieve for overworked ICD-10 transition teams, as long as organizations <a href="http://www.informationweek.com/news/healthcare/policy/232900195">don't squander</a> the extra time. Meanwhile, there are some organizations that are just opposed to ICD-10, period. <P> ICD-10 is complex and can't be explained in a nutshell. But the bottom line is that the transition from ICD-9 to ICD-10 diagnosis and inpatient procedure codes impacts nearly every system used by doctor practices and hospitals, from billing systems to medical records. <P> The first ICD-10 delay in the United States came in January 2009, when the Centers for Medicare and Medicaid Services (CMS) pushed the implementation date out two years, from the original compliance date of Oct. 1, 2011 to Oct. 1, 2013. <P> Most recently, on April 9, 2012, the U.S. Department of Health and Human Services (HHS) <a href="http://www.informationweek.com/news/healthcare/policy/232800525">proposed extending</a> by one year the deadline for ICD-10 compliance to Oct. 1, 2014 from Oct. 1, 2013. <P> When U.S. healthcare providers, payers, and other covered entities were told they had to comply by Oct. 1, 2013, many didn't expect they'd be ready in time, considering the many other regulation-related projects that they're also juggling. So, in February 2012, the Department of Health and Human Services (HHS) bowed to a chorus of opposition from health industry groups, including the American Medical Association, to push the Oct. 1, 2013 compliance deadline further out. <P> "A one year delay provides some <a href="http://www.informationweek.com/news/healthcare/policy/232700400">breathing room</a>, but a two-year delay would be a game changer," said Dr. Harry Greenspun, senior advisor for healthcare transformation and technology at Deloitte Center for Health Solutions. An extension longer than a year "penalizes people who are on track," he said. <P> Some suspected that CMS might abandon the move to ICD-10, or perhaps wait for the next revision--ICD-11--from the World Health Organization in 2015. <P> While industry watchers and insiders considered that slim possibility, that scenario seemed riddled with problems, too, even if laggards would've welcomed an indefinite pardon in tackling ICD-10. <P> For one thing, waiting for ICD-11 would eventually bring more work to healthcare organizations making the switch from ICD-9, since ICD-11 is expected to build on ICD-10. Also, a sudden about-face to skip ICD-10 and move to ICD-11 would be unfair and disruptive to organizations that have been diligent in transitioning to ICD-10.ICD-10 includes 68,000 diagnosis codes, compared to 13,000 in ICD-9, while inpatient procedure codes in ICD-10 grow to 87,000 from only 11,000 in ICD-9. The new codes in ICD-10 provide greater clinical detail and cover medical treatments and technologies not reflected in the older ICD-9 codes. <P> <a href="https://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10/">CMS has said</a> that while ICD-10 expands the number of codes, a large portion of ICD-10 codes only differ in one parameter. For example, nearly 25% of ICD-10 codes are the same except for indicating the right side of the patient's body versus the left. Another 25% of the codes differ only in the way they distinguish among "initial encounter," versus "subsequent encounter," versus "sequelae." Sequelae refers to conditions that are usually the aftermath of another disease, injury, or event, such as neck pain resulting from whiplash suffered in an auto accident. &#9; <P> Yet the increased code detail in ICD-10 means that required clinical documentation by providers "will change substantially." CMS says ICD-10 includes a more robust definition of severity, comorbidities, complications, sequelae, manifestations, causes, and a variety of other important parameters that characterize the patient's condition. <P> Even the American Medical Association, whose members have opposed ICD-10 because of the burdens and expense the conversion puts on doctor practices, acknowledges that the additional codes allowed by ICD-10 offer more flexibility than what's offered by ICD-9. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>A problem with ICD-9 is the lack of specificity in the information conveyed in the codes. For example, if a patient is seen for treatment of a sprained or strained ankle, there are only four possible ICD-9 diagnosis codes. <P> However, under ICD-10, those diagnosis codes for a sprained or strained ankle expand to 72, including multiple new codes that distinguish between right and left ankle, as well as codes indicating initial encounters, subsequent encounters, and sequelae encounters, according to Cognizant Technology, an IT services firm that provides ICD-10 remediation work for healthcare providers and payers. <P> This greater detail in diagnosis codes allows for richer analysis down the line. It also reduces the chance that payers, upon submission of claims, will request additional information from physicians about why a patient was seen multiple times for sprains. <P> <font size="1">Image credit: Image courtesy of Cognizant Technology.</font> <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>The <a href="http://www.ahima.org/">American Health Information Management Association</a> has a long list of reasons why the organization <a href="http://www.informationweek.com/news/healthcare/policy/232600038">supports ICD-10</a>, said its CEO, Lynne Thomas Gordon. Among those reasons are the improved patient care and research capabilities that are promised by ICD-10. <P> For instance, ICD-10 will address many gaps in ICD-9's current diagnosis codes, and the expanded codes will allow for better analysis of healthcare data and provide more flexibility as new medical advances and discoveries evolve, said Gordon. <P> Today, medical technology and treatment advancements cannot be accurately reflected in current ICD-9 coding, including devices used in cardiac care, spinal fusions, and <a href="http://en.wikipedia.org/wiki/Drug-eluting_stent">drug eluting stents</a>. Limitations in coding often translate to limitations in coverage and reimbursement or confusion, said Gordon. <P> "The whole purpose of ICD-10 is to improve quality," she said. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>The <a href="http://www.ama-assn.org/">American Medical Association</a> is one of the groups opposed to ICD-10. In letters to the HHS heads and Congress, the AMA has cited burdens that the ICD-10 transition puts on medical practices, especially as the code conversion work is taking place at a time when healthcare providers are faced with many other regulatory and health IT related mandates. <P> The AMA was among that groups that <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">lobbied HHS to change its stance</a> on ICD-10. Pictured above is the first page of <a href="http://www.ama-assn.org/resources/doc/washington/icd-10-comment-letter-02feb2012.pdf">a letter</a> sent by AMA to HHS in February, citing the group's displeasure with ICD-10 and urging the agency to rethink its ICD-10 plans. <P> In part, it states: "In the wake of this onslaught of overlapping regulatory mandates and reporting requirements, HHS has an opportunity to ease the burdens on physician practices by halting the implementation of ICD-10 and calling on appropriate stakeholders, including physicians, hospitals, [and] payers to assess an appropriate replacement for ICD-9 within a reasonable timeframe." <P> While HHS is upholding the U.S. transition to ICD-10, the agency did propose in April to postpone the ICD-10 compliance deadline one year to Oct. 1, 2014. <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>If you think moving from ICD-9 to ICD-10 is tough, the work would be even more burdensome for healthcare entities if the United States skipped ICD-10 and went straight to ICD-11. <P> That's because ICD-11 is expected to build on ICD-10. Plus, skipping ICD-10 midstream would be unfathomably unfair to those organizations that have already spent millions of dollars and many years converting their systems from ICD-9 to ICD-10. <P> The work that's already gone on with ICD-10 has been anything but quick and easy. <P> "We're not talking years, we're talking decades," said Carl Ascenzo, VP of global healthcare at <a href="http://www.virtusa.com/">Virtusa</a>, a Westborough, Mass., IT services firm. "It's been 30 years since work started on ICD-10, and almost 20 years since the U.S. completed its version of ICD-10," said Ascenzo, pictured above. In fact, work on ICD-10 was started in 1983 by the World Health Organization and adopted by the World Health Assembly in 1992. In 1995, the United States finalized its draft of ICD-10, and compliance deadlines have been a moving target since. <P> Extending ICD-10 compliance to 2014 might help some organizations ensure that their clinical, billing, financial, and other systems are working properly for ICD-10, Ascenzo said. However, a delay longer than that would have been more disruptive to many organizations, he said. <P> "In my opinion, to do [the work] well, delay it a bit but don't stop it, we need to get this done," he said. <P> "Most companies take ICD-9 and put on a mapper for ICD-10 to make sure [diagnosis or procedure codes] match," he said. "The problem with that is the great expansion of codes in ICD-10, where before there might be four codes for a diagnosis, but now there might be 30 or 40," he said. "As we move forward with ICD-10, we have to make sure clinical accuracy is there as well as financial [accuracy]," in terms of codes used for reimbursement from payers, said Ascenzo, who was formerly CIO at Blue Cross Blue Shield of Massachusetts. <P> Also, while an ICD-11 draft by the World Health Organization is expected in 2015, it likely won't be ready for implementation for at least another five years after that--and the United States would also need to make modifications for its use here. That all would've meant even longer delays, said Ascenzo. <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>CMS has said that while ICD-10 expands the number of codes, a large portion of ICD-10 codes only differ in one parameter. For example, nearly 25% of ICD-10 codes are the same except for indicating the right side of the patient's body versus the left. Another 25% of the codes differ only in the way they distinguish among "initial encounter," versus "subsequent encounter," versus "sequelae." <P> Still, increased code detail contained in ICD-10 means that required clinical documentation by providers "will change substantially," according to CMS. ICD-10 includes a more robust definition of severity, comorbidities, complications, sequelae, manifestations, causes, and a variety of other important parameters that characterize the patient's condition, CMS said. <P> The move to ICD-10 doesn't impact just technology, but also an organization's business processes, people, and partners. The chart above (<a href="http://twimgs.com/informationweek/galleries/automated/786/07_ICD-10_LG.gif">click here for a larger image</a>), provided by IT services firm <a href="http://www.cognizant.com/">Cognizant Technology</a> which performs ICD-10 remediation work, illustrates how the transition from ICD-9 to ICD-10 impacts payers and providers. <P> <font size="1">Image credit: Image courtesy of Cognizant Technology.</font> <P> <strong>Recommended Reading:</strong> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900195">Don't Hit Snooze Button On ICD-10</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800525">Feds Propose One-Year ICD-10 Delay</a> <P> <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">AMA Wants To Put Brakes On ICD-10 Implementation</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600038">Stay On Course With ICD10 Plans, AHIMA Urges</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232900797">ICD-10 Boosts Appeal Of Computer-Assisted Coding Tools</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">Health IT Priorities: Time To Deliver</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232600818">Feds May Delay ICD-10 Deadline</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232700400">IT Decisions Hang On Supreme Court Healthcare Ruling</a> <P> <a href="http://www.informationweek.com/news/healthcare/policy/232800142">If Court Squashes 'Obamacare,' IT May Suffer: HIMSS</a> <P> <a href="http://www.informationweek.com/news/healthcare/EMR/232800474">Feds Release New Healthcare Quality Measures</a> <P> <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232602615">Healthcare CIOs Need To Understand Physicians' Pain</a>2012-04-25T09:00:00ZPhilips, Vidyo Partner To Extend TelehealthCollaboration aims to expand telemedicine services into specialties such as pediatrics, neurology, emergency care, home health, and transitional care.http://www.informationweek.com/news/232900872?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982"><img src="http://twimgs.com/informationweek/galleries/automated/763/01_philips_eICU_tn.jpg" alt="Telemedicine Tools That Are Transforming Healthcare" title="Telemedicine Tools That Are Transforming Healthcare" class="img175" /></a><br /> <div class="storyImageTitle">Telemedicine Tools That Are Transforming Healthcare</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> Philips Electronics and Vidyo are partnering to expand the variety of enterprise telehealth services that healthcare organizations can offer patients. <P> The non-exclusive collaboration will help Philips healthcare customers--including hospitals that use Philips' Visicu eICU technology--to extend telehealth services into new specialty areas, including <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232400268">stroke</a>, mental health, and pediatrics, as well as home care of patients with chronic illnesses or who were recently discharged from a hospital, said Deb Dominianni, a Philips marketing manager, in an interview with <em>InformationWeek Healthcare</em>. <P> Philip's eICU technology allows critical care clinicians to remotely monitor and examine ICU patients so that hospitals dealing with intensive care physician shortages can provide patients with 24x7 <a href="http://www.medterms.com/script/main/art.asp?articlekey=23392">intensivist</a> expertise. <P> <strong>[ Could offering patients free telehealth consults actually save money? See <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900280?itc=edit_in_body_cross">VA: Remove Copayments For Video Telehealth Consultations</a>. ]</strong> <P> The Vidyo/Philips collaboration will combine Philips' enterprise telehealth products, including technology used in its <a href="http://www.informationweek.com/news/10000106">eICU</a> offerings, with Vidyo's Adaptive Video Layering Technology, an advanced audio and video platform for real-time, two-way communication and collaboration. <P> The combined <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">telehealth technologies</a> are aimed at hospitals and other providers "that have initiatives to address care, quality, costs, and shortages of staff," said Karsten Russell-Wood, a Philips global product marketing manager, in an interview with <em>InformationWeek Healthcare</em>. <P> For healthcare providers seeking new <a href="http://www.informationweek.com/news/healthcare/mobile-wireless/232900668">mobile telehealth</a> capabilities, the Philips/Vidyo offering will allow clinicians to securely use smartphones, tablets, laptops, and other mobile devices to provide real-time consultations and care for patients, he said. Vidyo application programming interfaces (APIs) also allow video and audio capabilities to be added within the clinical workflow, such as within emergency rooms or ICUs, said Dominianni. <P> The new telehealth offerings can be used to support patients in transitional care, such as individuals with congestive heart failure who are being discharged from a hospital and moved to a rehab facility or back home, she said. <P> "As healthcare providers evolve into <a href="http://www.informationweek.com/news/healthcare/policy/232600825">accountable care organizations</a> and medical homes, they're looking to extend their services to improve care and address costs," she said. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-04-24T11:02:00ZICD-10 Boosts Appeal Of Computer-Assisted Coding ToolsGrowing number of hospitals and other inpatient organizations plan to purchase computer-assisted coding tools to help with ICD-10 mandate, says new KLAS Research report.http://www.informationweek.com/news/232900797?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/admin-systems/232602435"><img src="http://twimgs.com/informationweek/galleries/automated/755/01_EpicResolutescreen_tn.jpg" alt="10 Top Medical Practice Management Software Systems" title="10 Top Medical Practice Management Software Systems" class="img175" /></a><br /> <div class="storyImageTitle">10 Top Medical Practice Management Software Systems</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE --> <P> Computer-assisted coding tools help to automatically generate medical codes for billing from clinical documentation in EHRs and transcription systems. These tools are frequently used in outpatient settings, but now interest in the software is growing in inpatient settings, especially as the transition to ICD-10 promises to make the jobs of medical coders more complex. <P> A new report released this week by research firm KLAS found that nearly half of healthcare providers surveyed plan to purchase an inpatient CAC product within the next two years. <P> Much of that interest in CAC is driven by worries about the effect ICD-10 will have on staff productivity and efficiency. The U.S. <a href="http://www.informationweek.com/news/healthcare/policy/232600287">transition to ICD-10</a> means that diagnostic codes will jump to 68,000 from 13,000 in ICD-9, while inpatient procedure codes will grow to 87,000 from only 11,000. <P> <strong>[ Despite the ICD-10 deadline extension, it's important for healthcare organizations to keep the momentum going. See <a href="http://www.informationweek.com/news/healthcare/policy/232900195?itc=edit_in_body_cross">Don't Hit Snooze Button On ICD-10</a>. ]</strong> <P> The new codes in ICD-10 provide greater clinical detail and cover medical treatments and technologies not reflected in the older ICD-9 codes. However, they'll make <a href="http://www.informationweek.com/news/healthcare/EMR/232700445">work</a> for medical coding related professionals more difficult. <P> CAC tools don't eliminate the need for human medical coders, but they can make it easier for professionals to review and look up codes and intricate code-related processes involved with billing and financial systems. The tools take structured text and unstructured text from EHRs, and can use natural language processing with transcription systems to create codes used for billing and reporting systems. <P> CAC greatly reduces the process of assigning codes, according to Graham Triggs, a senior research manager at KLAS and author of the new report, <a href="http://www.klasresearch.com/KlasReports/Published/?productid=722">Computer Assisted Coding: A Glimpse at The Future of HIM Technology.</a> <P> Even with the Centers for Medicare and Medicaid Services' recent proposal to delay for one year the <a href="http://www.informationweek.com/news/healthcare/policy/232900195">compliance deadline</a> of ICD-10 to Oct. 1, 2014, from Oct. 1, 2013, interest in CAC is growing, though actual use of the products is still very limited in inpatient settings, Triggs said. <P> "Now that ICD-10 has been postponed, [healthcare organizations] have more breathing room," said Triggs. This gives organizations more opportunity to evaluate tools that will automate processes to help make up for lost productivity in the transition to ICD-10, as well as help make coding more precise for reimbursement and reporting. <P> While CAC has been used mostly in outpatient settings, pressure and concerns about ICD-10 are pushing more inpatient organizations like hospitals to evaluate CAC tools. Coding processes, workflow, and cost structures in outpatient setting are very different from inpatient settings, so CAC products sold into out-patient environments like clinics and doctor officers "aren't easily translated" for inpatient use, Triggs said. "The marketplace for inpatient CAC products is young but growing." <P> KLAS found that among the CAC vendors being considered by inpatient organizations are 3M, whose 360 Encompass is an integrated, all-in-one product featuring an encoder, grouper, and CAC; OptumInsight, which recently acquired A-Life, a vendor of CAC products for outpatient and inpatient settings; and Dolbey, which offers a speech-recognition CAC product. Other vendors include Precyse, QuadraMed, Platocode, M*Modal, Cerner, and CodeRyte. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i> <P>2012-04-24T08:24:00ZAs More Docs Use Digital Records, So Will ConsumersHITECH Act is prompting widespread adoption of e-health records, but there's more to "Meaningful Use" than what's in the government's programs.http://www.informationweek.com/news/232900745?cid=RSSfeed_IWK_authorsWith billions of dollars of HITECH Act incentives are being waved in front of healthcare providers for the meaningful use of health IT, you shouldn't be surprised to learn that the percentage of healthcare providers using digital records has doubled over the last two years. Undoubtedly, that's impressive progress, considering that e-health record technology has been around for decades, and adoption was in single-digit percentages until very recently. But digging below the surface, there are a couple key things to keep in perspective. <P> For starters, it's a good thing the <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">HITECH Act's</a> financial incentives are tied to a laundry list of objectives and measures that healthcare providers need to accomplish through the meaningful use of health IT, and aren't just being paid for the broad <em>adoption</em> of EHRs. <P> As you probably know, the HITECH Act Meaningful Use incentive program has three stages, and with each stage there's a more complex set of objectives for healthcare providers to achieve to receive payments. Without those MU benchmarks, there's no telling how <a href="http://www.informationweek.com/news/healthcare/clinical-systems/232900410">EHRs</a> would be used--or not used--once they're out of the box. As it is, even with EHR adoption growing--and the MU program is probably driving the majority of those implementations--clinicians are still glued to paper. <P> Doug Fridsma, director of the Office of Standards and Interoperability of the Office of the National Coordinator, stated at an American Health Information Management Association conference this week that the number of primary care physicians using EHRs has doubled to 40% from 20% in two years, and since 2009, the number of hospitals adopting the technology has more than doubled to 35% from 16%. But despite that progress, another recent sobering <a href="http://www.informationweek.com/news/healthcare/EMR/232602972">study</a> shows that 8-in-10 healthcare organizations--from doctor offices to hospitals--still use some form of paper records. <P> Digital pen maker Anoto found in a recent survey of professionals at 103 healthcare organizations of various sizes that while three-quarters have rolled out EHRs, 80% of them still use paper based records in some fashion. <P> Anyone that's been involved with an EHR rollout knows that getting medical and administrative staff to use health IT tools is among the biggest hurdles, and that bad habits can persist. The Meaningful Use programs attempt to get healthcare providers to embrace better habits by requiring them to electronically document key data about patients, such as whether they smoke, as well as conduct key safety measures, like ordering drugs electronically and automatically checking for possible drug interactions. Without being encouraged by HITECH incentives to use the various features of EHRs, surely many clinicians would choose to ignore those capabilities indefinitely. <P> That leads me to another key point: Without doctors using EHRs, you're not going to get buy-in from patients to use personal health records to manage their own health. When patients are relatively healthy, encounters with healthcare providers are few and far between. Starting a PHR to track very occasional vaccinations or even to record a yearly exam isn't a high priority for a lot of people unless it's super easy to do. That means having data available from healthcare provider to load into a digital record, not typed by hand by the patient. And it also means <a href="http://www.informationweek.com/news/healthcare/patient/232602026">giving patients a reason</a> to visit a PHR more than once a year, if that. <P> Chronically ill patients certainly have good reason to use <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232900297">PHRs</a> to manage prescriptions, medical appointments, and lab results, and to refer to discharge instructions after a hospitalization. But again, if PHRs are too hard to use--and if there's no data that's available to be loaded into them--few <a href=http://www.informationweek.com/news/healthcare/patient/232400272>patients will use them. </a> <P> "Widespread consumer adoption of PHRs remains elusive," said Lynne Dunbrack, program director at IDC Health Insights. "Uptake and reasons expressed for not using a PHR have remained remarkably consistent for the past five years," she said in an email interview with <em>InformationWeek Healthcare.</em> <P> According to an IDC Health Insights' Connected Health Consumer Survey conducted in 2011, only 7% of respondents reported ever having used a PHR, and less than half of these respondents (47.6%) are still using one to manage their family's health, she said. <P> When asked why they did not use a PHR, about 51% of respondents indicated that they were not exposed to the concept of a PHR. In 2006, when a similar IDC Health Insights survey was conducted, approximately 7% of respondents indicated that they used a PC-based or Web-based PHR, and a little more than half (51.9%) were unaware of PHRs. <P> But as more doctors use EHRs, its likely more patients will use PHRs. "If you take into consideration patient portals, which provide a patient view into their electronic health records and are a form of tethered PHRs, consumer use will begin to increase modestly as physicians attempt to encourage their patients to use the patient portal to meet the Stage 2 meaningful use measurement objectives," said Dunbrack. <P> "Qualifying for Meaningful Use incentives is dependent on patients taking action," she said. Under MU requirements, not only do providers have to provide more than half of their patients online access to their health information and the ability to download it and share with third parties, but more than 10% of patients have to actually do so. <P> In addition, more than 10% of unique patients seen by an eligible provider during the EHR MU reporting period will have to send a secure message. <P> "To achieve this measure, providers will have to promote the availability of their patient portals or PHRs and secure messaging with their practice," she said. Stage 2 requirements take effect in October 2013 for eligible hospitals and in January 2014 for eligible providers. <P> So while the HITECH Act's MU program is certainly fueling adoption of EHRs by physicians, the legislation will also eventually prompt <a href="http://www.informationweek.com/news/healthcare/patient/232900330">more patients to use PHRs</a> to manage their health information as well. But for health IT to have a long term impact on productivity, patient safety, and process efficiency, "meaningful use" will need to continue long after the Meaningful Use incentives programs end. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-04-12T10:43:00ZDon't Hit Snooze Button On ICD-10Given a one-year extension for ICD-10 compliance, healthcare groups must make the most of the preparation time.http://www.informationweek.com/news/232900195?cid=RSSfeed_IWK_authorsLots of healthcare CIOs, doctors, and admins have been losing sleep over ICD-10. But now that the Centers for Medicare and Medicaid Services this week has proposed <a href="http://www.informationweek.com/news/healthcare/policy/232800525">extending the ICD-10 compliance deadline</a> by one year, healthcare organizations need to make the most of this extra time, and not just hit the snooze button. <P> Everyone loves getting an extended deadline from time to time, especially with tough assignments. While it's great to have some extra wiggle room to make sure a job is well done, the trouble with delayed deadlines is that they give procrastinators more excuses to postpone the inevitable. <P> Hopefully, <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">healthcare organizations that have argued</a> for more time to complete their code conversion from ICD-9 to ICD-10 will use the extra year to proceed with work that's already underway--and if they haven't started, they'll get going quick. But with all the other health IT and non-IT related projects, mandates, and deadlines that providers are dealing with right now--including Meaningful Use, HIPAA audits, and payment reform--there is a pretty good chance that this extra time won't end up being used for ICD-10 efforts, but rather for reallocating resources to other tasks. <P> Meanwhile, the delay also penalizes <a href="http://www.informationweek.com/news/healthcare/policy/232600038">organizations that have made strides</a> in preparing for the previous Oct. 1, 2013, ICD-10 deadline. <P> "A delay will mean increased costs, because those that have implemented ICD-10 will have two systems to support," said Lynne Thomas Gordon, CEO of the American Health Information Management Association in a recent interview with <em>InformationWeek Healthcare.</em> "There will be lost momentum," she said. <P> The delay also translates into added uncertainty for ICD-10 trainers working within healthcare organizations. It will likewise create headaches for <a href="http://www.informationweek.com/news/galleries/healthcare/leadership/232800319">universities and colleges</a> that over the last several years have changed their curriculum to prepare students in time for ICD-10's anticipated implementation, according to Gordon. <P> Nonetheless, the extra year to complete the transition to ICD-10--which has five-times the number of diagnostic and in-patient procedure codes as ICD-9 and impacts nearly every system ranging from clinical to financial--will be critical to many organizations that truly have <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">too much to juggle</a> right now. <P> Still, one also has to wonder if organizations getting more time for ICD-10 remediation will even take the new deadline seriously. After all, this is the second time in three years that the U.S. Department of Health and Human Services has postponed ICD-10. In 2009, HHS extended by two years the then-deadline of Oct. 1, 2011 to Oct. 1, 2013. Now that's been pushed back another year. <P> Healthcare organizations have seen other deadlines moved by CMS, including the transition to HIPAA 5010 electronic transaction standards, for which the enforcement date was moved several times from Jan. 1, 2012, then to March 2012, now to June 30, 2012. <P> It's fine to give and get more time in order to ensure that important projects are successful. But when deadlines are moved too frequently, there's a good chance that some will just ignore the new due-date, figuring it's not going to stick. And then when the next new big project comes along, that deadline too will be approached with even more skepticism. <P> Bottom line, before the next big healthcare mandate is announced, perhaps the feds should overhaul their initial deadline-setting process so that dates more realistically reflect the effort that's needed for compliance, rather than trash deadlines later. <P> Then again, no matter what the deadline, there will always be last-minute crammers and snoozers. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i>2012-04-10T08:40:00ZFeds Propose One-Year ICD-10 DelayDepartment of Human and Health Services proposes extending ICD-10 compliance deadline to Oct. 1, 2014. It also proposes unique ID numbers for health plans to save provider frustration and money.http://www.informationweek.com/news/232800525?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/policy/232301297"><img src="http://twimgs.com/informationweek/galleries/automated/710/01_image_tn.jpg" alt="Top 9 Health IT Stories Of 2011" title="Top 9 Health IT Stories Of 2011" class="img175" /></a><br /> <div class="storyImageTitle">Top 9 Health IT Stories Of 2011</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE --> The U.S. Department of Health and Human Services (HHS) Monday announced a proposed rule to postpone the compliance date for ICD-10 by one year to Oct. 1, 2014. <P> The compliance deadline for ICD-10 had been set for Oct. 1, 2013. However, in February, after pressure from <a href="http://www.informationweek.com/news/healthcare/admin-systems/231903369">some health industry groups</a>, including the American Medical Association, HHS disclosed it was evaluating <a href="http://www.informationweek.com/news/healthcare/admin-systems/232700145">extending the deadline</a> for ICD-10, but did not announce how long the extension would be. <P> Meanwhile, in addition to extending the ICD-10 deadline, HHS Monday also proposed establishing a unique health plan identifier (HPID) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). <P> The Centers for Medicare and Medicaid Services (CMS) said in a statement that unique HPIDs "would save health care providers and health plans up to $4.6 billion over the next 10 years" by cutting red tape and "simplifying administrative processes for doctors, hospitals, and health insurance plans." <P> <strong>[ Is it time to re-engineer your clinical decision support system? See <a href="http://www.informationweek.com/news/galleries/healthcare/clinical-systems/232300511?itc=edit_in_body_cross"> 10 Innovative Clinical Decision Support Programs</a>. ]</strong> <P> Currently, when health plans and entities such as third-party administrators bill providers, the billing party is identified using a wide range of different identifiers that do not have a standard length or format. As a result, healthcare providers run into a number of time-consuming problems, such as misrouted transactions, transactions rejected due to insurance identification errors, and difficulty determining patient eligibility. <P> As for ICD-10, AMA and some other healthcare provider organizations had written letters to HHS Secretary Kathleen Sebelius in recent months expressing concern that physicians would be unable to meet the Oct. 1, 2013 compliance deadline for ICD-10, due to the many other technology-related, regulatory, and reporting projects also underway at their organizations, including the rollout of e-medical record systems to participate in the <a href="http://www.informationweek.com/news/healthcare/EMR/232602445">HITECH Act's</a> financial stimulus programs for the adoption of meaningful use of health IT. <P> Before HHS' announcement of the one-year ICD-10 delay, some industry watchers had speculated that HHS might postpone ICD-10 indefinitely or perhaps until the World Health Organization (WHO) releases its draft of the upcoming ICD-11, which is expected in 2015. <P> ICD-10, short for the International Classification of Diseases 10th edition, expands by thousands the number of medical diagnosis and in-patient procedure codes used for clinical, billing, and financial systems of healthcare providers, payers, and other covered entities, compared to ICD-9, which is still used in the U.S. today. The U.S. is the last major country to move to ICD-10. <P> Depending on the size of a medical practice, the AMA estimates the cost of implementing ICD-10 to range from $83,290 to more than $2.7 million per organization. Some think the figure could climb to <a href="http://geekdoctor.blogspot.com/2011/09/challenges-of-icd10-implementation.html">$100 million or more</a> for multi-hospital systems. <P> "This is a massive administrative and financial undertaking for physicians, requiring education, software, coder training, and testing with payers," said AMA CEO James Madara in a <a href="http://www.ama-assn.org/resources/doc/washington/icd-10-comment-letter-02feb2012.pdf">letter</a> to Sebelius in February. <P> ICD-10 includes 68,000 diagnosis codes, compared to 13,000 in ICD-9, while in-patient procedure codes in ICD-10 grows to 87,000 from only 11,000 in ICD-9. The new codes in ICD-10 provide greater clinical detail and cover medical treatments and technologies not reflected in the older ICD-9 codes. <P> CMS said the conversion to ICD-10 will allow greater analysis of clinical and treatment data and will help to reduce fraud and improve accuracy in reimbursements. <P> Some healthcare provider organizations have contended that the burdensome remediation work needed to comply with ICD-10 outweigh the potential benefits. <P> HHS said the one-year delay for ICD-10 compliance offers providers more time to prepare and fully test their systems. <P> Industry speculation in recent weeks of the U.S. possibly skipping ICD-10 and instead transitioning from ICD-9 to ICD-11 wasn't exactly embraced by some, who argued that such a move eventually would be even more burdensome for healthcare providers while penalizing organizations that have been making solid progress with their ICD-10 conversion work. <P> ICD-11 will build on ICD-10, and final U.S. requirements for ICD-11 might not be ready for at least another five years after the WHO finishes its draft in 2015, said Carl Ascenzo, VP of global healthcare at Virtusa, a Westborough, Mass.-based IT services firm. <P> "It's been 30 years since work started on ICD-10, and almost 20 years since the U.S. completed its version of ICD-10," said Ascenzo, who was previously CIO at Blue Cross Blue Shield of Massachusetts."In my opinion, to do [the work] well, delay it a bit but don't stop it. We need to get this done," he said in an interview with <em>InformationWeek Healthcare</em>. <P> Lynne Thomas Gordon, CEO of the American Health Information Management Association, said her organization had been <a href="http://www.informationweek.com/news/healthcare/policy/232600038">opposed</a> to delaying the ICD-10 compliance deadline. <P> "I'm scared there will be lost momentum," she told <em>InformationWeek Healthcare</em> before the HHS announced the one-year delay. <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i> <P>2012-04-03T12:27:00ZMobile App Helps Consumers Shop For HealthcareCastlight Health mobile app lets consumers use their smartphones to look up cost and quality information about their healthcare providers, an especially helpful tool for patients with high-deductible plans.http://www.informationweek.com/news/232800146?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --><div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/patient/232700416"><img src="http://twimgs.com/informationweek/galleries/automated/771/01_Intro_Dreamstime_tn.jpg" alt="Is That Healthcare Website Making You Sick?" title="Is That Healthcare Website Making You Sick?" class="img175" /></a><br /> <div class="storyImageTitle">Is That Healthcare Website Making You Sick?</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div><!-- /KINDLE EXCLUDE --> For a lot of patients, just the thought of asking their doctor how much a check-up, X-ray, or lab work costs can feel awkward. But a new mobile app makes it easy for many patients <a href="http://www.informationweek.com/news/healthcare/patient/232700470">to find that information</a> without confronting their doctors or their staff. <P> <a href="http://www.castlighthealth.com/company/">Castlight Health,</a> which provides an online shopping platform for healthcare, recently introduced a new mobile app that lets consumers use their smartphones to access healthcare pricing and quality data about their providers. <P> Castlight Mobile is available as a native application on Apple iOS and Google Android devices, and is also accessible to Blackberry and other smartphone users via an optimized mobile Web offering. The application is free to all employees of Castlight's employer customers. <P> Those customers include Regis Corp., which operates 8,000 corporate-owned hair salons, including Supercuts, nationwide. Regis in March rolled out Castlight, which employs 50,000 workers in the U.S., including 17,000 full-time employees who are eligible for health benefits. <P> <strong>[ Read <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982?itc=edit_in_body_cross">11 Telemedicine Tools Transforming Healthcare</a>. ]</strong> <P> Most of Regis Corp.'s health plans from Aetna have high deductibles, ranging from $2,500 to $5,000, while the average Regis employee is 27 years old and female, said Allison Brown, Regis' director of employee services. <P> Although many of those employees work in salons, others are field managers who often are on the road. "When someone has an illness or an accident when they're away from home, panic sets in," said Brown. <P> The mobile app allows Regis' traveling employees to use their smartphones to find providers in their health plan network who are located near their hotel and "gives them cost information, and a map and play-by-play directions to get there," she said. "It's been really helpful." <P> The <a href="http://www.informationweek.com/news/galleries/healthcare/mobile-wireless/232602982">mobile app</a> is also convenient for employees in other industries, including field salespeople, grocery clerks, truckers, and manufacturing workers, who are often on the road or don't have desk jobs providing easy access to computers or the Web, said Ethan Prater, VP of products at Castlight, a venture-backed company whose investors include the Cleveland Clinic and Morgan Stanley Investment Management. <P> Castlight has an interesting family tree. The San Francisco-based company was co-founded in 2008 by CEO Dr. Giovanni Colella, who also co-founded RelayHealth, which was acquired by <a href="http://www.informationweek.com/news/healthcare/admin-systems/231000348">McKesson</a>. Castlight's other co-founder was <a href="http://www.informationweek.com/news/government/leadership/232602357">Todd Park</a>, former chief technology officer of the U.S. Dept. of Health and Human Services, who was recently named CTO of the U.S., replacing the nation's first CTO, Aneesh Chopra. <P> The "secret sauce" of Castlight's offering is the company's "data sources," including employer healthcare claims, data about negotiated rates, and quality data from centers of excellence, on which Castlight applies algorithms to calculate cost and quality information about providers, said Prater. The company provides its services to self-insured employers, including companies in the retail, manufacturing and financial services industries, who often offer employees high-deductible health plan choices, he said. <P> This "healthcare transparency" is delivered to Castlight's client's employees via a Web-based portal that allows consumers to <a href="http://www.informationweek.com/news/healthcare/policy/232700400">shop for healthcare</a> and make their choices based on quality ratings of healthcare providers in their networks, as well as cost information, such as out-of-pocket expenses. <P> For many Castlight clients such as Regis, the service replaces stodgy, static books that were mailed to employees annually to inform them about providers in their health plan networks. But even that information didn't contain price data, said Brown. <P> "When people go into their doctor's office for a routine annual check-up, there are often services, like tests that show up as itemized costs on their bills later, and some of those things aren't covered," said Brown. The Castlight service allows Regis employees to check out this cost information for tracking their out-of-pocket expenses before making an appointment. The mobile app can help Regis workers find healthcare info on the fly when they're ill and looking for care from providers who might include nearby retail or workplace clinics. <P> "The information is easy to find and easy to use for a lay people," she said. <P> Regis is in the midst of rolling out wireless networks in its salons nationwide so employees can have easier access to this health information from work, she said. <P> Some Regis employees already have been saving out-of-pocket costs by using Castlight's services, Brown said. That includes one employee whose doctor billed her a higher fee than what was listed for that doctor on the Castlight portal. The employee successfully requested a fee correction from the doctor's office, she said. <P> Castlight is helping Regis employees be more educated healthcare consumers by filling an information gap, Brown said. <P> "Doctors often can't talk about price," she said. And at the same time, "there's something about doctors' white coats that have patients saying yes to everything," she said. <P> <em>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxt_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</em> <P> <P>2012-03-29T12:00:00ZToday's Hottest Health IT Jobs Are EpicGot Epic Systems implementation experience or certifications? If so, you're among health IT's most sought-after professionals. But when it comes to pay, experience still matters.http://www.informationweek.com/news/232700445?cid=RSSfeed_IWK_authors<!-- KINDLE EXCLUDE --> <div class="inlineStoryImage inlineStoryImageRight"> <a href="http://www.informationweek.com/news/galleries/healthcare/admin-systems/232602435"><img src="http://twimgs.com/informationweek/galleries/automated/755/01_EpicResolutescreen_tn.jpg" alt="10 Top Medical Practice Management Software Systems" title="10 Top Medical Practice Management Software Systems" class="img175" /></a><br /> <div class="storyImageTitle">10 Top Medical Practice Management Software Systems</div> <span class="inlinelargerView">(click image for larger view and for slideshow)</span></div> <!-- /KINDLE EXCLUDE -->One of the hottest skill sets healthcare employers are looking for these days --especially those who are rolling out new <a href="http://informationweek.com/news/healthcare/EMR/232602445">health IT systems</a>--is in <a href="http://www.epic.com/">Epic</a> e-medical record products. While there are about 35 different Epic certifications available, and <a href="http://www.informationweek.com/news/healthcare/leadership/232300826"> certifications</a> are important in positioning and marketing talent, healthcare employers seem to value experience most highly. <P> These are some recent findings by <a href="http://www.footepartners.com/about_foote_partners_llc.htm">Foote Partners</a>, a Vero Beach, Fla.-based independent IT benchmark research and advisory firm that regularly compiles and analyzes IT pay, skills, and certification data from thousands of U.S. employers. Next week, Foote Partners will release results of a salary survey that examines pay trends for skills and certifications related to the Epic systems. <P> "Of all the vendors in the EHR/EMR space, the one we kept hearing the most about from our many hospital and health care systems customers and prospects is Epic Systems," said David Foote, co-founder, CEO and chief research officer of Foote Partners. "Epic is by no means the largest vendor, but it seems to have a cachet in the marketplace, a strong product differentiation," he said in an interview with <em>InformationWeek Healthcare</em>. <P> <strong>[ For more about Epic's strong position in the EHR/EMR market, see <a href="http://www.informationweek.com/news/healthcare/EMR/232500018?itc=edit_in_body_cross">Epic Tops List Of Meaningful Use Early Responders</a>. ]</strong> <P> Despite the nearly three dozen professional certifications available for Epic applications and heavy demand for Epic talent, Foote said, "We didn't find that it was very popular for employers to be paying separate premiums for these Epic certifications." <P> "It&#8217;s not like the premiums we&#8217;ve been surveying and reporting over the past 18 years for 245 certifications in areas such as security, networking, systems, database, project management, etc.," Foote continued. "There's a gap between Epic talent supply and demand. We thought we&#8217;d find pay tied to certifications, but we didn't. It's still too wild West." <P> According to Foote, the lack of specific pay premiums associated with Epic certifications is similar to what he has seen over the years with another popular software vendor's product certifications, SAP, in the enterprise resource planning arena. <P> Currently, Epic credentials "are like SAP with certifications. No one pays extra for the certifications," he said. Rather, employers often say they prefer candidates with Epic certifications, but they also look closely at overall skills and experience as well as other certifications, such as project management, relevant to a potential employee's role and responsibilities. <P> While many healthcare organizations may not have yet figured out formal pay policies to reward talent with specific EMR certifications, the credentials do seem to be important for some hiring employers and clients, said Brock Bauer, managing director of Technisource, a provider of health IT services and staffing, including Epic consultants. <P> "What we're seeing is that a lot of healthcare companies are afraid of hiring non-certified talent," he said. "It's really more of a fear factor than [a] risk factor." <P> Epic consultants can currently command between $60 and $100 an hour, and sometimes upward of $200 an hour, according to Foote. But much of the higher pay for Epic talent seems more closely related to retaining people once they're involved with implementations. <P> Erik Hardin, an Epic-certified consultant who works for Technisource, has seen firsthand the kind of demand that's out there for Epic expertise. "I get 10 to 15 calls a week from recruiters," he said. Hardin has eight Epic certifications, has worked on previous Epic implementations, and is currently engaged in a multi-year Epic EMR rollout at a large hospital system in California. <P> Hardin enjoys his work as a consultant and the rewards it brings. The 27-year old is making "five times" what he earned a few years ago installing Epic at a hospital near his home in Ohio, he said in an interview with <em>InformationWeek Healthcare</em>. Earning nearly $100 an hour, Hardin is also racking up thousands of frequent flyer miles from his weekly commute from Ohio to his West Coast client. That's allowed him to vacation in six countries over the last year, fly his girlfriend to California for weekend visits, and arrange a trip to Hawaii for his parents. <P> The pay and perks compensate Hardin for his heavy travel and frequent 60- to 65-hour work weeks. Eventually, if he tires of the long commutes or if the demand for EMR implementation <a href="http://informationweek.com/news/healthcare/leadership/231903446">talent</a> wanes, Hardin says he might consider other health IT-related work within a hospital or other healthcare organization closer to home. <P> "Even when the implementations are done, there will always be a need for support and enhancement roles," he said. But for now, "I love what I do." <P> <i>The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital <a href="http://www.informationweek.com/gogreen/031912hc/?k=axxe&cid=article_axxe_os">Time To Deliver</a> issue of InformationWeek Healthcare. (Free registration required.)</i> <P>