Top Health IT Issues Faced By Hospitals

It’s obvious from the varying responses below that there are a plethora of health IT issues affecting a number of areas in and throughout hospitals. In reviewing a number of healthcare issues, the following thought leaders offer what they feel are the top IT issues in healthcare.

As is often the case in profiles such as this, the responses are diverse and varied. Do you agree with their assessments?

Badri Narasimhan

Badri Narasimhan, founder and CEO, AlertMD LLC

I work with hospitals nationwide and I find that the top issues facing the hospital are:

1. How to align the interests of the physician with the hospital in a world where the hospital takes risk? Physicians used to get paid by “time and material” in the old world and the hospital got paid by “contracted costs.” The new reality has both the physician and the hospital getting paid a fixed amount to then manage the cost of healthcare on a “fixed price” for lack of a better word. IT challenges: The tools in the “time and material” world are unsuitable to manage the new reality in a “fixed price” world. This is a top challenge.

2. Real-time P & L — If you ask a hospital CFO what the profitability of the current patients in Unit 10, they would give you a blank stare. This is because the do not know what they are going to get paid (the DRG or diagnosis-related group reimbursement) much less what their current costs are. Thus, the lack of visibility into managing costs creates havoc. IT challenges: Systems that can develop a view into costs and projected revenue require a lot of specialized people to provide the information even in hospitals that have a partial solution. Most hospitals do not know where to turn for new ways of thinking. This is a big IT challenge.

Doug Nebeker, owner and technical expert, Power Admin LLC
Staying on top of compliance and auditing tasks is a top issue facing hospital IT departments today. As more and more data moves into the digital space, IT departments can easily become overwhelmed as staff gets bogged down with the tedious task of trying to keep track of what’s happening where in the system. Network monitoring software is seeing a boom as a result, quickly becoming an IT necessity for managing increasingly complex network auditing and compliance processes. Technology is meant to help, not hinder, and so as we continue to utilize it in new ways we must ensure our process management keeps pace.

Paul Banco, CEO, etherFAX

Hospitals and other healthcare organizations will always have the need to exchange “unstructured” data. While there is a large focus on meaningful use, ICD and other mandates, many hospitals and organizations are not taking into account the need to quickly, affordably and securely transmit unstructured data while also staying HIPAA compliant. One of the main issues is that public cloud services are not HIPAA compliant. Healthcare organizations can work around this by extending their existing fax server solutions to the hybrid cloud, allowing both custom and popular EHR applications to communicate with each other via a private secure network, guaranteeing delivery with military grade end-to-end encryption. By eliminating the need for costly and cumbersome network fax systems, such as fax boards and recurring telephony fees, hospitals can leverage the hybrid cloud to swiftly manage all business-critical fax communications while staying HIPAA compliant.

David Finn
David Finn

David S. Finn, CISA, CISM, CRISC, ISACA professional influence and advocacy committee member, health IT officer, Symantec
Healthcare is undergoing fundamental changes in reimbursement, care delivery models and the technology required to make these changes. Technology and information is no longer an adjunct to the business of healthcare — it is a strategic imperative. This information, however, is among the most regulated and protected information under the law. The data must be shared more widely with more people and organizations, all the while with stricter security and privacy controls. At a high level, the most critical issues facing health IT are:

1. Security and Privacy
Healthcare, historically, has not invested in nor staffed appropriately in terms in of Privacy and Security. Providers and business associates need to catch up with other regulated industries and those targeted for the value of their data.

2. Data Management
The digitization of healthcare has led to the massive collection of data. As healthcare becomes more dependent on this data, the storage, protection, back-up and recovery of the data is critical. It must include disaster recovery/business Continuity.

3. Interoperability and Information Exchange
Affordable Care Organizations (ACO), health information exchanges (HIE) and new care delivery models (home care, remote monitoring and other requirements) will drive information exchange.

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Carnegie Tri-County Municipal Hospital Goes Wireless to Improve Productivity, Patient Experiences

Carnegie Tri-County Municipal Hospital, a 21-bed facility in rural Oklahoma, was experiencing growing demand for wireless networking from their staff and patients. The hospital, which houses several clinics, offices and offers a variety of outpatient services, would benefit from a mobile Wi-Fi network improving staff productivity and patient experience. So leadership formulated a plan to upgrade its existing network with enhanced wireless access throughout the facility, as well as increase security and simplify management.

They approached Carnegie Telephone, the hospital’s telephone service provider, with the goal of obtaining a managed solution that met these requirements:

Carnegie Telephone has been serving Oklahoma since 1903. It is been on the forefront of offering digital communications, HDTV and fiber broadband. To meet Carnegie Tri-County Municipal Hospital’s demands, Carnegie Telephone required a security appliance with features including content filtering, as well as Ethernet switches and high-performance wireless access points (APs).

In their product selection for the Carnegie Tri-County Municipal Hospital’s wireless network, Carnegie Telephone discovered a wireless APs. These APs had all the important enterprise features like multiple SSIDs and VLAN support to build multiple virtual wireless networks for the hospital. But the real kicker was a built-in controller that could be used to control up to 24 other Aps, from provider ZyXEL.

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