Milton Silva-Craig, president of TransUnion Healthcare, discusses his thoughts for the future of healthcare, payment reform, new patients and financial pressures in the reform era and changes he sees on the horizon.
How has the role of data analytics changed in the healthcare industry, especially in light of the ACA and reform?
It is no longer a nice tool to have at your disposal. It is a requirement. It is the foundation necessary to support the outcomes of reform. Moving forward, reimbursement will be tied directly to outcomes and performance. The only way to measure such performance will be through the use of data. It will be the insights gleamed from the data that will allow providers to be successful in managing the intersection of patient care and a healthy business.
Guest post by John Moynihan, healthcare segment manager, Global Industry Marketing, Siemens Enterprise Communications and Randy Roberts, vice president, mobility portfolio, Siemens Enterprise Communications.
Technology in business today can seem like a zero-sum game. When the employees win, they are able to do whatever it takes to be productive. But doing that tends to tie the hands of IT, keeping them from locking down devices and services well enough to make sure their information is secure. This situation is becoming more common in the medical industry, with clinicians and computing staff often at odds over convenience versus security. Doctors, traditionally reluctant to adopt new technology or take any risks with tried-and-true methods for caring for their patients, have taken to mobility as a duck to water.
Because access to patient information allows them to better do their jobs, doctors in particular are quickly adopting tablets and smartphones. And while they’re not ignorant of the security risks of these devices, particularly the potential for patient information to be lost or stolen, their focus is on caring for their patients. In fact, even if their business doesn’t provide or specifically allow for mobility, they are bringing their own devices into the office.
Fortuneteller Farzad Mostashari said recently that a lull in adoption of EHRs is expected, by him, and that 2014 will be a huge – banner – year for the adoption of the technology to participate in the meaningful use program, since 2014 is the last year to participate and still be eligible for federal incentives.
The penalty phase begins in 2015.
The incentive program is having a clear impact on adoption of the technology, as we all know. Without the “free” federal money and the threat of cuts in reimbursements, motivation to implement the oft described as burdensome technology was lagging.
After having spent several days in a hospital recently caring for a loved one, I can unequivocally say that there is no comparison for patient engagement – in relation to meaningful use and in regard to health IT such as EHRs – between the hospital setting and the ambulatory practice.
Simply put, there is no comparison between the amount of attention given to the topic of patient engagement in ambulatory practice and in hospital care, at least as far as the patient experience is concerned.
Guest post by Girish Kumar Navani, CEO and co-founder, eClinicalWorks.
In a world becoming more and more connected by technology, we have countless resources that fit in the palms of our hands. Thanks to smartphones, we are empowered to shop, bank and manage our social networks and more – whenever and wherever we choose. And companies are working in new ways to meet our needs by building apps and optimized websites that make our lives easier.
This notion of consumerization – the power of the consumer to drive technological innovation – is taking hold in healthcare. It means giving patients tools to track, understand and maintain their health, and meeting their demand for easy access to their doctors and personal health information. Empowering patients in this way could lead to big changes in our healthcare system.
Because I’m fascinated with the lack of information surrounding pricing of various electronic health records and because I admire the work of AmericanEHR Partners, I thought it relevant to shine a little light on another interesting piece of information from the organization.
As this seems to be the year of the big EHR switch, and because seemingly the folks at AmericanEHR hear as much as I do about the lack of transparency in the pricing structure of these solutions, I thought I’d publish some guidance for what to consider when making the transition to EHRs. In my research on the subject – I’m developing a piece on the subject of EHR pricing – I came across this piece, compiled by the AmericanEHR from the Maryland Health Care Commission.
Breaking news hits the wires from the College of Healthcare Information Management Executives (CHIME), which has responded to a recent query by a group of six Republican senators who are hell bent on slowing down the meaningful use program to ensure its operating efficiently and not just handing out money to everyone claiming they’ve met Stage 1 (and eventually the other stages).
What’s remarkable about the news, though, is that CHIME actually issues a letter calling for a one-year extension of meaningful use Stage 2. According to CHIME’s letter, as reported by Healthcare Informatics,
When I worked with Sage Healthcare, one of the tenants of our marketing campaign was ensuring the market and those we served were well aware of the length of time our product had been used in ambulatory practice and its worth to countless physicians during that time.
Thirty years is a long time, especially for the ever changing world of software and technology; perhaps too long.
But I digress. Certainly, a product with three decades of service deserves to be recognized as one of the market’s leaders. After all, it is in the Smithsonian as the first practice management system in use commercially.
Guest post by William Daniel, M.D., medical director of Quality at Mid-America Heart Institute, Kansas City, and Chief Medical Officer for Emerge CDS.
With the new wave of healthcare reform upon us, hospitals are seeking ways to meet requirements of . With a growing number of hospitals incorporating electronic health records, health IT tools are becoming more prevalent. In fact in August 2012, a second stage of meaningful use guidelines for EHRs was set requiring physicians to use some form of clinical decision support in their practice.
The purpose of clinical decision software (CDS) software is to help the doctor?patient work process run more smoothly, however, often times, hospital staffs complain about technologies adding more time and money to the work flow. In a CompTIA’s study, 56 percent of respondents noted a need to make health IT tools easier to use, improve interoperability and increase operating speed.