As COVID-19 closes in the on U.S., the need for longitudinal health data and interoperability have never been greater. Providers need access to the full picture of every patient they treat, and epidemiologists need to consolidate data from multiple sources to track the spread of the disease and determine where more aggressive containment strategies need to be employed.
For many organizations already overwhelmed, fragmented systems lead to an infrastructure bottleneck, resulting in degraded data quality, gaps in care coordination, medical errors and burdensome workflows. Lack of comprehensive medical data impairs a provider’s ability to know how many people have the virus, the geographical location of confirmed cases, and the effectiveness of treatment.
Even as capacity restrictions force organizations to work without barriers—via drive-thru screenings, make-shift tents or by way of telehealth—real-time access to data can help streamline care management, whether fast tracking admissions or empowering patients at home through online portals.
Here are just five ways data interoperability plays a pivotal role in addressing the epidemic:
Coordination of Care: COVID-19 provides a sobering reminder of just how dire an integrated, scalable and interoperable healthcare infrastructure is. Coordination among first responders, public health officials, labs, acute and post-acute facilities will be critical to efficiently deal with the explosion of cases. Insurers will also be a key player of the care coordination team as to not slow down or hold up prior authorizations and patient discharges. Access to information about hospitalizations and test results among healthcare participants will be vital for enhanced continuity of care across settings and transitions. Real-time data afforded by interoperability bypasses the need for phone calls and faxes, which create delays and information inaccuracies.
Patient Identification: A complete view of one’s medical history can be a matter of life or death in the face of COVID-19. Bringing disparate medical records together into a cohesive story enables those on the frontlines insight into an individual’s pre-existing medical conditions, medications, allergies, etc. to make the most informed decisions under insurmountable circumstances. Patient demographics and data standardization play a huge role. Accurate patient identification ensures data about an individual is correctly linked, updated and shared, for improved clinical decision-making and enhanced care quality and safety. As health officials look to track and predict the spread of the virus. A complete view of the patient population can only be done with a firm understanding of the patient’s identity, and the key relationships the patient has to their next of kin and to their providers of care.
By Brooke Faulkner, freelance writer; @faulknercreek.
Up to a fifth of patients with serious conditions are first misdiagnosed, and that leaves tremendous consequences. With the help of healthcare technology, doctors are able to diagnosis patients more effectively and easier. For example, migrating patient data from paper to online, known as electronic health records (EHRs), has greatly aided the medical world. Technology, especially using artificial intelligence and predictive analytics, has enabled doctors to make faster, more accurate diagnoses, and thus provide better care.
The volume of big data
Duquesne University estimated there to be 150 exabytes of healthcare data collected in 2011. Four years later, they reported about 83 percent of doctors had transitioned from using paper to electronic records. By now, with the ubiquity of the cloud, these numbers have assuredly gone up.
Massive amounts of data make predictive analytics possible, as trends can be spotted and analyzed. By spotting patterns, diagnosis of a disease becomes easier even for doctors unfamiliar with a specific disease or symptom. Uploading symptoms allows a computer to compare records and identify symptoms comorbid of other problems. This allows even specialized doctors to recognize issues outside of their field. Medical mistakes lead to the death of some 440,000 people each year; while misdiagnosis is only a part of this number, correct diagnosis and treatment will reduce it.
Big data can even be collected in the form of PDFs as part of telemedicine. A doctor can send PDFs to patients as part of a poll or survey or simply to collect symptom information from the patient. From there, data entered in the PDF can be collected and analyzed, generating patient data or feedback for the doctor.
Google flu trends
Google ran what can best be called an experiment from 2008 to 2014. Using artificial intelligence, the search engine recorded flu-related searches in an attempt to predict the severity of an outbreak, as well as the affected geographical area.
It was a flawed model, and tried to use big data as a replacement, rather than a supplement, for traditional data collection and analysis. It completely missed a flu outbreak in 2013, the data off by a massive 140 percent, and Google Flu Trends ended its public version in 2014. The algorithm monitoring flu-related search terms was simply not sophisticated enough to provide accurate results. While new data is no longer available to the public, historical data remains available to the Centers for Disease Control and other research groups. It’s possible that once the algorithm and predictive analysis is capable, the program will continue.
By Brooke Faulkner, freelance writer, @faulknercreek.
The proliferation of wearable mobile-connected devices has done a lot of good for people trying to lead healthier lives. People are able to gather data about their sleep to help them get better rest, track insomnia, stress, and exercise, and keep up to date on their own daily routines and health.
Many of the devices exist not just as trackers but as ways for people to motivate themselves to exercise more, go to bed at more regular times, and other little things that slip by in the daily grind.
Specialists can access information far more quickly and easily to help us with medical problems. With the way technology is advancing, you can now even also use online apps to calculate sleeping patterns and wake up times.
Healthcare Data in the Modern Age
Sleep is absolutely related to health. Many health issues affect our sleep or are caused by issues with sleeping. A number of medical professionals are interested in how, when, and for how long we sleep. These days, that information is stored in digital medical records, which have a number of advantages. Specialists can access information far more quickly and easily to help us with medical problems.
There are, however, disadvantages to medical records being easily accessible and easily updatable. Privacy and security have become major concerns for healthcare providers, as the records contain our most sensitive information, which proves highly valuable to hackers.
Official medical records, however, are just the tip of the iceberg. We use the internet not only as a go-to for advice about medical conditions, but as a method to voluntarily record all sorts of data about us. Recording, storing, and tracking sleep data on our personal devices gives us a lot of power to “do it yourself” when it comes to preventative health and tracking changes in our sleep patterns. This ease of use, however, comes with a cost. It’s not all about sinister hackers, either; that data can be used in all sorts of ways that are, while not outright damaging, at least partially invasive.
Wearables, Bluetooth and Data
Tech companies are working on more advanced ways to use high-tech devices to track our sleep. These include wearables and even devices that don’t need to be attached to the body. The amount of information gathered, and its accuracy, varies greatly by device. The Bluetooth connectivity and the ability to store, track, and share the data the devices collect are parts of their appeal.
The number and type of people who benefit from this information is vast. Sleep disorders are a common side effect of other medical disorders, and managing sleep is an important part of living a healthy lifestyle, especially for people who are at greater risk for certain conditions.
You don’t need to have or be at risk for medical complications to make use of sleep data, however. There are plenty of careers in the U.S. which require people to work long or unconventional hours. Night shifts and long shifts, such as those worked by nurses, can cause havoc with the circadian rhythms that regulate our sleep. This can create complications for otherwise completely healthy people. Being able to self-regulate with the help of wearable devices is a great advantage.
To face and handle several challenges along the way, the healthcare industry is looking towards the IT sector for the best tools and equipment. As demands for better treatment and diagnostic procedures continue to rise, it is best for healthcare organizations, especially hospitals, to upgrade their infrastructure and deliver the best results to this end.
Big data, demands for better therapeutic methods, as well as increasing management-side complexity are challenges that clinics and hospitals will have to address. Automation is nothing new in this respect, but it demands wider adaptation among healthcare organizations that struggle with outdated equipment and lackluster patient information management.
With that being said, it is imperative for these organizations to look into hospital management systems and how they can help streamline regular and complex operations.
Automation saves costs
Automation points the way to the future of healthcare technology. One thing’s for sure, there will be a high dependence on automated systems for such areas as healthcare denial management and revenue accounting. Through an effective software product, a hospital can make significant cuts to operational costs, enabling the savings to be channeled towards the development of better facilities and the procurement of advanced equipment.
Automation lightens the workload
Hospital staff have a lot of things on their plates. More often than not, they will have to handle routine tasks such as validating patient data and organizing a large bulk of information. Using intelligent solutions to everyday responsibilities enables you to lighten the workload on your staff so they can focus on more important functions.
Automation streamlines medical billing
Another high point of using effective hospital management software is that it allows an organization to make proper computations for their patients. This has always been a challenge that hospitals need to endure way back when accounting software was not as sophisticated as it is now. But with recent innovations in modern tech, it is possible for hospitals to reduce the amount of paperwork in accounting and to bill their patients without the possibility of a dispute.
The healthcare industry is in a period of great uncertainty, with major questions looming around how regulations, standards and reimbursements – particularly regarding care quality and interoperability– will be changing for hospitals in the coming year. One thing is clear though: In order to provide the efficient and high-quality care needed to meet patient expectations, hospitals need to focus on the intelligent application of new technologies. Here are four trends that will influence healthcare IT in 2018:
The opioid epidemic will trigger growth in investments around patient and staff safety
The growing opioid epidemic now causes nearly 100 deaths each day, and is projected to cause 500,000 deaths over the next decade, primarily due to overdoses. That is not only putting pressure on hospitals to reevaluate how they use opioid medications and monitor patients once back in the community, but it is also forcing them to address the physical safety of staff and patients. This is because the opioid epidemic has led to an increase in violent crimes in healthcare facilities. Emergency departments in particular are under heavy strain, with more patients presenting with addiction symptoms, compounding wait times and leading to more patient disputes. Hospitals will have to invest significantly more in technologies to protect staff and patients, such as patient monitoring solutions and staff duress systems to prevent potentially dangerous patients from harming themselves or others.
Big data advancements will pave the way for the rise of predictive and prescriptive analytics
Regardless of how the major causes of uncertainty affecting the healthcare industry – such as the future of the Affordable Care Act – resolve themselves, it is certain that there will be no return to the pre-ACA era. As healthcare industry writer and consultant Edgar Wilson has pointed out in the context of primary care, the expansion of insurance coverage did not magically create more capacity. It challenged hospitals to find new ways to serve more patients, more personally, without adding cost. Hospitals will continue to look for practical ways to improve their efficiency by leveraging data to better predict patient care requirements, and demand for medications and equipment needs. The benefits of these predictive analytics capabilities are enormous.
According to a February 2017 report by the Society of Actuaries, 93 percent of healthcare providers said predictive analytics is important to the future of their business, and 57 percent believe predictive analytics will save their organization 15 percent or more over the next five years. In addition to predictive analytics, prescriptive analytics will have a growing impact. Ongoing advancements in the collection, aggregation and analysis of data will provide hospitals with greater operational insights, enabling them to optimize staffing levels and other aspects of operations while enabling staff members to deliver more effective, targeted care.
Staffing shortages combined with rising care expectations will drive adoption of AI and automationContinue Reading
Guest post by Alexandra Roden, content editor, Connexica.
Just a few years ago, big data and the Internet of Things (IoT) were terms generally unheard of. This year they continue to revolutionize technology and the ways in which we acquire and process data, but what do they mean for the healthcare industry?
Xenon Health describe IoT as “a phenomenon through which the operational aspects of the physical world become increasingly integrated with digital platforms, enabling information to move seamlessly toward the computational resources that are able to make sense of it.” Essentially, IoT goes hand-in-hand with the mobile age and the diversity of data that is currently being retrieved from agile and mobile locations.
Big data is a related concept – it addresses the ever-increasing amounts of data that are created every second of every day and recognizes that these figures will only continue to grow. For example, in the “social media minute” every single minute there are 277,000 tweets are sent, Whatsapp users share 347,222 photos and Google receives more than 4,000,000 search queries. These figures are remarkable even for those of us caught up in the social media hype, and most shocking of all is the realization that the global Internet population now represents 2.4 billion people. That’s a lot of people creating a lot of data – the question now is how we can utilize this data in a meaningful way.
IoT has revolutionized many industries and will continue to do so in the foreseeable future, but what about healthcare? Organisations within this industry tend to adopt new technologies slowly, relying upon solid evidence and demonstrable impact and efficiency before committing to any such change. The shift towards IoT is, however, beginning to take place, and increasing amounts of available patient data are beginning to inform decision making processes within this sector.
By Darin M. Vercillo, MD, chief medical officer and co-founder, Central Logic.
Healthcare has been changing rapidly for the last 60 years and advances have now reached record speed, including in the realm of data intelligence. In trying to keep pace as well as to protect and advance their own businesses, many processes and systems have understandably been organized into silos. That era must come to a close.
Care coordination teams need rich collaboration of data and must now be connected. Hospitals, clinics, home health care workers, primary care physicians, vendors, and others must speak with each other, in the same language, and completely share patient data with an open, collaborative attitude. The industry is all abuzz with this uncharted territory called interoperability. It is clear that data warehouses, now bursting with valuable information, must be streamlined for three very simple reasons: patient safety, cost-effective healthcare delivery and overall population health management. A happy byproduct when data intelligence becomes actionable and systems work collaboratively is a financial benefit, but as a physician, I believe excellent patient care always wins the day, and should be the driving factor.
At the risk of this being looked at as “just a financial issue,” consider also that hospitalization is generally a marker for severe illness. Our goal is a healthier population. As we (patients and providers) succeed collectively with hospital treatment and post-acute care, then re-admissions will naturally decrease, and patients will live healthier, more satisfied, lives. Ultimately, this is our goal.
Appropriate, timely sharing of vital patient information will not only address re-admission rates that have clearly become egregious, but improved collaboration of data needs to happen to better inform decision making at the point of care. Without a keen eye to patient safety and success, it is too easy for details to slip through the cracks. All too often, history has demonstrated that hand-off points are the riskiest for failures in patient care.
Nearly everyone has a story where the current system has failed patients — just ask Jennifer Holmes, our CEO. Her father’s healthcare team made an error in medication that ultimately cost him his life. Similar medication errors and decreased duplicate testing can be avoided when a patient’s entire care coordination team has visibility into the data – all the data – to improve care efficiencies and diagnoses.
But all this sharing and playing nice in the sandbox is easier said than done.
Guest post by Lucy Doyle, Ph.D., vice president, data protection, information security and risk management, McKesson, and Karen Smith, J.D.,CHC, senior director, privacy and data protection, McKesson.
Today there are opportunities and initiatives to use big data to improve patient care, reduce costs and optimize performance, but there are challenges that must be met. Providers still have disparate systems, non-standard data, interoperability issues and legacy data silos, as well as the implementation of newer technologies. High data quality is critical, especially since the information may be used to support healthcare operations and patient care. The integration of privacy and security controls to support safe data handling practices is paramount.
Meeting these challenges will require continued implementation of data standards, processes, and policies across the industry. Data protection and accurate applications of de-identification methods are needed.
Empowering Data Through Proper De-Identification
Healthcare privacy and security professionals field requests to use patient data for a variety of use cases, including research, marketing, outcomes analysis and analytics for industry stakeholders. The HIPAA Privacy Rule established standards to protect individuals’ individually identifiable health information by requiring safeguards to shield the information and by setting limits and conditions on the uses and disclosures that may be made. It also provided two methods to de-identify data, providing a means to free valuable de-identified patient level information for a variety of important uses.
Depending on the methodology used and how it is applied, de-identification enables quality data that is highly useable, making it a valuable asset to the organization. One of the HIPAA- approved methods to de-identify data is the Safe Harbor Method. This method requires removal of 18 specified identifiers, protected health information, related to the individual or their relatives, employers or household members. The 18th element requires removal of any other unique characteristic or code that could lead to identifying an individual who is the subject of the information. To determine that the Safe Harbor criteria has been met, while appearing to be fairly straightforward and to be done properly, the process requires a thorough understanding of how to address certain components, which can be quite complex.
The second de-identification method is the expert method. This involves using a highly skilled specialist who utilizes statistical and scientific principles and methods to determine the risk of re-identification in rendering information not individually identifiable.
We need to encourage and support educational initiatives within our industry so more individuals become proficient in these complex techniques. At McKesson, we are educating our business units so employees can better understand and embrace de-identification and the value it can provide. This training gives them a basic understanding of how to identify and manage risks as well as how to ensure they are getting quality content.
Embracing Social Media and New and Improved Technologies
One of the challenges we face today in de-identifying data is adapting our mindset and methodologies to incorporate new emerging technologies and the adoption of social media. It is crucial to understand how the released data could potentially be exposed by being combined with other available data. New standards are needed.
While de-identifying data can be challenging and complex, the task is made easier when we remember and adhere to our core directive to safeguard data. With this in mind incorporating new technologies is part of an ongoing process of review.
When done properly, de-identification enables high quality, usable data, particularly when the expert method is used. De-identification should not be viewed as an obstacle to data usage, but rather as a powerful enabler that opens the door to a wealth of valuable information.
HIMSS organizers, in preparation of its annual conference and trade show and as a way to rally attendees around several trending topics for the coming show, asked the healthcare community how it feels about several key issues. I’ve reached out to readers of this site so they can respond to what they see as the future of healthcare innovation, data security, patient engagement and big data.
Their responses follow.
Do you agree with the following thoughts? If not, why; what’s missing?
Sean Benson, vice president of innovation, clinical solutions, Wolters Kluwer Health Future innovations in health IT, big data in particular, will focus on the aggregation and transformation of patient data into actionable knowledge that can improve patient and financial outcomes. The ever-growing volume of patient data contained within disparate clinical systems continues to expand. This siloed data often forces physicians to act on fragmented and incomplete information, making it difficult to apply the latest evidence. Comprehensive solutions will normalize, codify and aggregate patient data in a cloud system and run it against clinical scenarios to create evidence-based advice that is then delivered directly to the point of care via a variety of mobile devices. This will empower physicians with patient-specific knowledge based on the latest medical evidence delivered to the point of care in a timely, appropriate manner, ultimately resulting in higher quality treatment and more complete care.
Susan Reese, MBA, RN, CPHIMS, chief nurse executive, Kronos Incorporated
Gamification — the trend of creating computer-based employee games and contests for the purpose of aligning employee productivity with the organization’s goals — is currently a popular topic with business leaders and IT. For proof, consider that Gartner recently projected that by 2015, 50 percent of all organizations will be using gamification of some kind, and that by 2016, businesses will spend a total of $2.6 billion on this technology.
With numbers like these, it is clear that that gaming is serious business and that it is here to stay. But at this point, you may be asking yourself, “Could gamification work in my healthcare environment? What potential benefits could it have?””
Today, many healthcare organizations are looking to the future and considering gamification as a way to increase employee engagement, collaboration, and productivity as well as to align their behavior with larger business goals – but they don’t know how to do it quite yet. Also, gamification can be a delicate decision, complete with advantages and risks. After all, employees’ day-to-day work responsibilities and careers are not games and can’t be trivialized. Healthcare organizations must be careful to avoid sending the wrong message to their workforce, or the whole program could backfire, or even lead to more negative consequences.
Mike Lanciloti, vice president of product management and marketing, Spectralink
In today’s digital age, healthcare IT needs to come a long way to get up to speed in innovation and connectivity. However, as we begin to see mobile play a larger role in the industry, healthcare is moving the needle on innovation as well.
The mobile revolution has picked up in healthcare for both health IT professionals and in patient care. Primary as healthcare providers find ways to utilize smartphones, mobile devices and Wi-Fi networks to improve the communication and efficiency of their workforce.
Through mobile devices, clinicians have the ability to access what they need, when they need it. Mobile devices ensure nurses and mobile staff are equipped with the right technology to promote timely, efficient and reliable communication. This not only allows healthcare professionals to perform their jobs more effectively but also helps deliver a higher quality of patient care.
The growing mobile trend does present several questions for the industry. Hospital managers are quickly learning that an influx of smartphones into the hospital setting can become a larger problem than anticipated. Not only do personal devices lack the security required for enterprise-owned devices, they pose other risks, calling into question issues surrounding encryption, authorized access and mobile security. Personal phones aren’t designed to be equipped with the same encryption capabilities as enterprise-owned mobile devices.
Dell unveils findings from its first Global Technology Adoption Index (GTAI), uncovering how organizations truly using security, cloud, mobility and big data to drive success. The market research surveyed more than 2,000 global organizations and found that security is the biggest concern in adopting cloud, mobility and big data. Furthermore, while 97 percent of organizations surveyed use or plan to use cloud and nearly half have implemented a mobility strategy, big data adoption is trailing as approximately 60 percent of organizations surveyed do not know how to gain its insights.
“We know that security, cloud, mobility and big data are the top IT priorities in all industries, but we need a deeper understanding of the practical realities of how companies are using these technologies today and what, if anything, is preventing them from unleashing their full potential,” said Karen Quintos, chief marketing officer, Dell. “This research cuts through the hype and provides a clearer roadmap for how Dell can enable our customers to thrive.”
“Despite mounting security risks and increased reliance on the Internet and technology to run their businesses, many small and midsize organizations are underprepared to deal with today’s security threats, let alone those of the future,” said Laurie McCabe, partner, SMB Group. “These companies know that disruptive technologies like cloud, mobility and big data can drive innovation and create competitive advantage. But it’s often difficult for them to take a strategic approach and overcome security concerns in order to fully harness the potential.”
Security Concerns Are Creating Big Barriers The Dell GTAI found that IT decision-makers still consider security the biggest barrier for expanding mobility technologies (44 percent), using cloud computing (52 percent) and leveraging big data (35 percent). While security concerns are holding organizations back from further investing in major technologies, a lack of readily available security information is similarly preventing organizations from being prepared during a security breach. Only 30 percent of respondents said they have the right information available to make risk-based decisions, and only one in four organizations surveyed actually has a plan in place for all types of security breaches.
The security barrier becomes even more serious as the C-suite becomes less engaged. Only 28 percent of organizations polled have a C-suite mindset that is fully engaged with security initiatives. However, in organizations where executive leadership is involved in security, confidence is markedly increased. Among organizations that are very confident in their security, 84 percent of senior leaders are fully or somewhat engaged, compared to only 43 percent of senior leaders at organizations who are not confident in their security.
Other significant Dell GTAI security findings include: