“I would like to thank all of the vendors that help support us and we would like to make sure they have everything they need. I would also like to thank all of the HIMSS participants that came out this year. We are hoping to take away the information and be able to optimize it …View full post
“There is a heightened awareness today as healthcare informatics and as a result of this, we now have created amazing new partnerships for the field of healthcare. You can come here and see so many different kinds of vendors for whatever your needs are ranging from sponsors, contractors, healthcare, technology, partners, collaborators, and many more. The connectivity oppurtunities and variety …View full post
“This year we hope to raise awareness and educate the community about the various options that exist within healthcare and technology. We hope to see our fellow CIO’s implimenting these new options in the hopes of improving the future of patient safety.” – Daniel Morreale NJHIMSS Board Member Left to right Daniel Morreale and Danielle …View full post
Our vendors are setting up and the welcoming keynotes are underway. This is our biggest NJ / DV Region HIMSS Conference yet with 700+ attendees. We look forward to exploring the advances in Healthcare Technology with you! Check this blog often as the entire event will be covered in real-time.View full post
Permanent link to this article: http://fall.njhimss.org/nj-himss-2012-overview/
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Can HIEs Really Achieve Financial Sustainability: A Case Study and Discussion of Transformational Approaches and Unique Partnerships
William Gillespie dove into a case study about Pennsylvania’s HIE execution as an example for financial stability:
- Multiple private health insurers covers 78% of the population (16% of this is medicaid and medicare the rest)
- 84% of hospitals have less than 300 beds
- 47% have less than 100 beds
- 3000 physicians in small 1-2 practices in 2300 rural areas
After these statistics, he proposed a question to the audience, “What is the next step to take?” What are we going to do to start building an HIE that is not only successful at transmitting information between physicians, but a sustainable one?
To start, a plan requires buy-in from everyone involved.
- Articulate high level model - “Are we going to exchange immunization records? Are we going to perform analytics?”A plan needs to be established in accordance with the laws and practices already in place.
- Collect market research - Every market is very different. There needs to be an investigation into the state-specific legal system and how health care providers large and small operate in it before stakeholders can be engaged and buy into the HIE. This research not only gives insight on how the HIE should operate, but how to show ROI to the potential participants.
- Engage stakeholders - William emphasized this point: without the active participation of everyone involved in the system from payers to providers there won’t be enough entities to make the HIE worthwhile.
- Come to general consensus on the plan - Without agreement from all parties, you could potentially have the best plan only for disagreements to crop up because not all parties were able to present their needs in an organized manner.
The Prescription for Pennsylvania (http://www.thefutureofnursing.org/resource/detail/prescription-pennsylvania) that included allocating $17 million for a state-level HIE initiative started in 2007. William described how the great number of small practices in PA led to the fairly quick adoption to participate in the HIE.
Camella Brown stepped in to talk about the national presence of HIEs and how we can sustain them. “Grants are wonderful, how do we sustain an HIE though after it runs out?”
- There are 250 HIEs nationally, but only 18 are currently financially self-sustaining
- $8 billion has been spent on providers for HIEs
- $19 billion was allocated
- $750 billion is wasted in the healthcare industry through unnecessary tests and prescriptions
Knowing these statistics, we can see that there should be a huge ROI by fixing the waste problem. Yet if the HIEs are not successfully planning and executing as they should be, they will fail to save. So Camella discussed various success strategies of HIEs she has had communication with.
- Payers, physicians, and hospitals must all be on board. By starting with claims you can get everyone to pay their share for the services provided.
- The driver of sustainability is physician adoption. Most HIEs only ever attain 20-30% while the most successful ones create 75% or higher adoption. In order to gain adoption an HIE must give physicians what they want: exchange and move data. The ability to look up data is less useful to that audience because they have no time to do that. In fact the doctor doesn’t even have to know they’re on an electronic system as long as someone at the point of care is familiar and trained with the technology to manage it.
- In one area there were a number of institutions that had 84% of the population’s patient data. The creation of another institution was impossible simply because the system could not sustain another one, so creating an HIE allowed for ease of communication.
Camella asked the audience, “How do we have a dialogue that can respond to healthcare transformation?” She then showed an infographic detailing the drivers of change and enablers of change. The concept is that there are healthcare needs and technological enablers, and as long as the enablers stay ahead of the needs of healthcare we can continue to make progress without wasting time implementing proprietary solutions. For example: if we have tools embedded in workflow and have predictive modeling and forecasting based on data collected from population based reporting we can reach Triple Aim goals for measurable improvements. (http://www.ihi.org/offerings/initiatives/tripleaim/pages/default.aspx)
Their presentation closed with Camella saying, “We have 95% of the data, but the only thing we’re doing with it is clinical messaging!”
Permanent link to this article: http://fall.njhimss.org/track-1-healthcare-transformations-2/
Creating an Organizational Culture of Compliance for Information Privacy and Security
Policies, Procedures and Authorization is an extremely important factor when it comes to information privacy and security. Compliance with HIPAA helps organizations overcome challenges they may face with auditors. It’s not just about having policies and procedures in place, but employees need to know how to effectively execute those rules with training and internal audits.
Question: What’s your favorite form of access control and why do you think it is most beneficial to organizations?
Gerry Blass, Guest Speaker – “The Roll-Based Tool is the best method. It allows organizations to have access to particular information depending on their job description. Hence, access is organized by department and job code. It also allows for accountability.“
Permanent link to this article: http://fall.njhimss.org/track-3-privacy-and-security-3/
Overcoming Barriers to Real-Time Point of Care Documentation
by PresenterLisa Ann Bove
Bedside documentation is important for adaptation of clinical information systems. Clinicians are finding it difficult to adapt to documenting the proper away. However, that can be countered by providing them with the appropriate device that they are more comfortable with and with more ease of use. The workstations on wheels and mobile tablet devices are high on the adaptability list. Hospitals are quickly building up their network infrastructure to support these needs. The applications must also adapt to tablet and workstations on wheels.
Permanent link to this article: http://fall.njhimss.org/track-2-clinical-informatics-3/
The Intersection of Privacy and Security: Are your Privacy and Security programs “In-Synch” or “Out-of-Touch”?
Francois Bodhuim, Guest Speaker – “To prevent High Risk, all devices are encrypted for maximum security in the event a device goes missing or is stolen. Also, implementation of recovery software is a nice feature for the reason that when the device is powered on and activated, the organization receives an alert notifying them where their device is.”
Guillermo Martinez, Guest Speaker – “Internal Audit groups help organizations maintain compliance and essentially prepare the organization for state audits.”
Question: What is the biggest issue you have seen in relation to security and what method would you use to rectify the issue?
Francois Bodhuim – “The biggest weakness in an organization are employees.”
S. Arnold Zimmerman- “It is imperative that organizations understand Risk Management.”
Guillermo Martinez – “Tools and policies are to be in place to secure people who aren’t tech savvy.“
Permanent link to this article: http://fall.njhimss.org/track-3-privacy-and-security-2/
Using RTLS to Drive Patient Flow and Asset Management Benefits
Presented by: Alex Kopeykin
“The main focus of this meeting revolved around Design Assets and Patient Traffic System. Ideally we are supporting a new design with current technology and ensuring the design is replicatable. This design helps us view, real-time, of what the status of beds are and this process has proven to be faster, as well as, decrease financial costs.” Alex Kopeykin, Guest Speaker.
Permanent link to this article: http://fall.njhimss.org/track-4-advanced-technologies-2/
Are you Audit-Ready? Why Healthcare needs a Common Privacy and Security Framework
Presented by: Hussein Syed
“The first framework that really encompassed security was NIST. In regards to Meaningful Use, you really need to address Risk Assessment in order to assess the level of control before you look at HIPAA Compliance.” Dr. Bryan Cline, Guest Speaker.
“High Trust has 3 distinct levels. As an organization grows and gets more complex, they work their way up the ladder to level 3 for compliance and security. An organization wants to protect their info, but at the same time not in a way that is going to hinder the productivity of that organization, especially when it comes to end users or employees working off a particular framework or policy.” Gregory Michael, Guest Speaker.
“It is important not to put anything in a policy that your organization doesn’t follow or do. Adopting a framework that is beneficial to the organization shows auditors that the organization is serious about compliance. Present risks in a quantifiable way to make buy-ins by management and stakeholders better understandable and justifiable. Perform gap analysis to show what progress can be made with the specific implementations.” Manuj Lal, Guest Speaker.
Permanent link to this article: http://fall.njhimss.org/track-3-privacy-and-security/
Sustainable Clinical Governance Planning for the world after Go Live
Dr. Jim Gamble, Janine Gesek, Dr. Mark Van Kooy
In this session they discussed setting up workflow for device management and continued clinical support for the users. This includes training and issue resolutions. A strong presence after Go Live is of great importance because user adoption may decrease if there is lack of support.
Permanent link to this article: http://fall.njhimss.org/track-2-clinical-informatics-2/