Blog

December 3rd, 2014

HealthGeneral_Dec03_AIDC Health Insights has issued its predictions for health-care in 2015, and just as one might expect, they revolve around cost, technology, and operational efficiency. Here are some of the key takeaways.

Cybersecurity. By 2020, 42% of digital health-care data will be unprotected. That creates a risk. By 2015, half of all health-care organizations will have experienced one to five cyberattacks in the previous 12 months—and one third of those attacks will have been successful.

Cloud computing. Hosted infrastructure will become key to data collection, aggregation and analysis, such as by 2020, 80% of health-related data will pass through the cloud at some point in its lifetime.

Mobility. Health-care organizations will seek to improve consumer experience, leading to 65% of transactions to happen on mobile devices by 2018. This will require health-care organizations to develop multi-channels that cater to various screen sizes.

Chronic-condition management. Around 70% of health-care organizations will invest in consumer-facing wearables, remote monitoring tools, and virtual care and the like in order to better manage patients with chronic conditions.

Big data. All of this will lead to more demand for big data. And, more than half of health-care organizations will manage it with routine operational IT by 2018.

Read more about IDC Health Insights’ predictions here. If you are looking to integrate better technology in your practice, please contact us today to see how we can help.

 

Published with permission from TechAdvisory.org. Source.

November 3rd, 2014

HealthGeneral_Nov03_AA Westchester County, New York, practice has surged from 16 physicians in 1996 to 250 physicians today thanks to care transformation driven by analytics.

Westmed Medical Group, which operates five large ambulatory care sites staffed by both primary care and specialist physicians, currently has more than 250,000 patients and $285 million in annual revenue.

Under the group’s “industrial” care model, process and procedure data is analyzed to determine what clinical tasks can be shifted from physicians to nurses, what workflows can be streamlined to enhance patient care, and what tests can be reduced, for example. Westmed CEO Simeon Schwartz says “That allows us to get our arms around the care process. If a neurologist is doing twice the number of MRIs for headaches than anyone else, we now understand why that's happening and we've put in a headache approval form.”

Strengths and weaknesses in clinical staff performance are shown in user-friendly dashboards so care providers can see what they are doing. This is key to the group’s success, says Schwartz. “The fundamental nature of our management strategy is that we do not tell doctors what to do—we show them what they are doing,” he says, noting that physicians are highly data-driven and tend to do the right thing.

The results of Westmed’s efforts have been monumental. Staffing is 3.91 employees per physician vs. 5.5 for the average multispecialty group. And, Westmed operates at 12.8 percent below the American Medical Group Association (AMGA) median for practice overhead even though it’s located in one of the most expensive areas of the country.

Do these numbers feel unattainable in your practice? The truth is, with a properly implemented and maintained system and analytics platform, they are actually quite attainable. If you are looking to learn more about how you can improve your practice, contact us today to learn about the systems we offer and how they can help.

Published with permission from TechAdvisory.org. Source.

October 3rd, 2014

HealthcareIT_Oct02_AThe deployment and utilization of electronic medical records (EMRs) is driving a health-care technology revolution as physicians find that their EMRs complement their other systems, enabling the establishment of patient portals, medication tracking, and electronic prescribing among other things.

Physicians are making strides in regard to technology adoption, however, in many cases it’s the result of necessity rather than desire. As the industry moves away from the fee-for-service model, and places more emphasis on quality reporting, physicians have to pay attention to workflows so they can capture data in a timely manner.

What some physicians don’t understand is the benefit of technology to their practices. In addition to giving physicians more time to spend with their patients, it allows them to serve as caretakers of personal health information, and this puts them in a position to be more dominant in accountable care organizations and control relationships with provider partners.

One area in which physicians are behind is ICD-10 conversion. Many who had hoped for the delay, and now that they have it, aren’t moving forward fast enough. Indeed, some industry analysts believe the one-year delay to October 2015 may have actually slowed down the process of conversion.

If you are struggling with the technology in your practice, contact us today. Our wide-variety of services can be tailored to help make technology not only easier to use but also manage. We can also help ensure that your practice is ready for ICD-10 well ahead of the projected deadline.

Published with permission from TechAdvisory.org. Source.

September 5th, 2014

GeneralHealthcare_Sep03_AThe Drug Enforcement Administration (DEA) is making it more difficult for physicians to prescribe opioids, and in doing so, has necessitated changes to e-prescribing.

The issue stems from titles II and III of the Comprehensive Substance Act (CSA), under which controlled substances are classified into one of five schedules based on potential for abuse and likelihood of dependence. The DEA has rescheduled hydrocodone-combination products (HCPs) from schedule III to schedule II in an attempt to curtail abuse and dependence.

But, the regulations around schedule II drugs are much more restrictive than those around schedule III drugs. There will be only two ways to prescribe HCPs after the rule change becomes effective October 6: with a paper-based prescription handed to the patient or e-prescribing. Any other means of prescribing, such as phone calls or faxes, are not allowed.

For e-prescribing, some changes may be necessary at the electronic medical record (EMR) level and at medical practices as well as at pharmacies. EMR vendors and practices will have to implement the security that's required by the DEA in regards to identity management and factor authentication. As for pharmacies, currently only about two-thirds are ready to receive electronic prescriptions of controlled substances; the others will have to make some changes.

If you are one of the practices that needs to make these changes in order to meet DEA requirements, contact us today to see how our systems can help.

Published with permission from TechAdvisory.org. Source.

August 5th, 2014

GeneralHealthIT_Aug05_AThe Department of Health and Human Services has set the final deadline for health-care organizations to transition to ICD-10, and it’s just 14 months away—on October 1, 2015.

ICD-10 is designed to provide better patient care, disease management, and quality measurement—especially for patients under the care of multiple providers.

It replaces ICD-9, whose limited structural design lacks the flexibility to keep pace with changes in medical practice and technology. The longer ICD-9-CM is in use, the more the quality of health-care data will decline, leading to faulty decisions based on inaccurate or imprecise data, according to the Journal of AHIMA.

Originally, the deadline for ICD-10 Compliance was October 1, 2014, and health-care organizations worked feverishly to prepare for it. But then came the Protecting Access to Medicare Act of 2014, which called for delaying ICD-10 implementation. That threw countless health-care organizations back into flux.

Now it’s final, and health-care organizations have necessary certainty to move forward with their implementation processes, including testing and training. How will you use the extra time?

If you are looking to upgrade your systems to ICD-10, or to ensure your practice is ready, contact us today to learn more about how our solutions can help.

Published with permission from TechAdvisory.org. Source.

July 3rd, 2014

GeneralHealthCare_July03_AA strategy commonly used in manufacturing and aviation offers the potential for better health care at lower cost, according to a recent report.

That strategy - systems engineering - is an interdisciplinary approach to designing and managing complex systems.

According to "Better Health Care and Lower Costs: Accelerating Improvement Through Systems Engineering," a report from the President's Council of Advisors on Science and Technology (PCAST), the key is the use of tools such as alerts and checklists that adjust for the human factor.

It’s worked in many industries. As one example of using systems engineering, U.S. commercial airlines have reduced fatalities significantly since the 1960s, with the risk of dying now one in 45 million flights. Similar gains have been seen in space stations, satellites, and education.

Now forward-thinking physicians are embracing systems engineering with the same level of devotion. Simply having doctors and nurses in an I.C.U. make their own checklists for what they thought should be done each day decreased the average length of stay by half.

According to the PCAST report, systems engineering, with an emphasis on high-quality data to assist health-care providers and measure progress, is the wave of the future in health care. Contact us today to learn more about how our services can help your practice.

Published with permission from TechAdvisory.org. Source.

June 6th, 2014

GeneralHealthcare_June06_AUnauthorized data access by employees is one of the most significant security problems in health care, according to a new report.

The findings by KLAS, which consulted 106 health-care providers to produce its report "Security and Privacy Perception 2014: High Stakes, Big Challenges," echo that of another reported produced by Verizon.

The latter also found that 15 percent of health-care security incidents are attributable to insider misuse—that is, theft by employees. That number is higher than in 13 other industries.

The good news: Internal security is becoming part of the everyday discussion for many health-care providers, who are turning to outside experts, including health-care security service firms and health-care IT consultants, for security services.

Also key to preventing unauthorized data access by employees is ensuring that employees understand the importance of confidentiality. Sometimes, the intentions are not bad: An employee, for example, may download patients' personal health information to take home and work on it, but then the employee’s device gets lost or stolen.

As the stakes get higher, says the report’s author, more and more health-care organizations are outsourcing to ensure they are covering all of their bases. If you are looking to ensure your information is secure, contact us today to see how our solutions can help.

Published with permission from TechAdvisory.org. Source.

May 6th, 2014

GeneralHealthcare_May06_ABusiness intelligence and analytics have become must-haves in today's challenging health-care environment, according to a new report from research firm KLAS.

Analytics involves extracting useful information from data. Increasingly, it is being used been used by health-care organizations - for example, to track the quality of care in the patient population, provide clinical decision support, understand billing problems, and more.

The report - entitled "Healthcare Analytics Perception 2014: Analytics for Value-Based Care-A New Paradigm" - concludes that the recent shift toward valued-based health care has increased practitioner demand for analytics, and that demand has led to a new wave of products and services.

As a result, health-care practitioners have more and more choices. According to KLAS, health-care providers who were surveyed for the report mentioned that they were considering, all told, 87 vendors for business intelligence and analytics.

Where the market is heading is yet to be determined, says Joe Van De Graaff, author of the report, but “to fulfill short-term analytics needs, many providers report shifting more consideration to vendors with health-care-specific solutions.”

If you are looking to integrate and efficient analytics system in your practice, contact us today to learn more about our solutions and how we can help.

Published with permission from TechAdvisory.org. Source.

April 2nd, 2014

gloStream_Apr02_AIn a surprising move, the House of Representatives approved a bill that includes a delay to mandatory ICD-10 implementation until October 2015. After the announcement we are sure that many medical practices breathed a long sigh of relief.

The problem: Without a fix to the Sustainable Growth Rate (SGR) formula, Medicare physicians face a 24% reimbursement cut beginning April 1. This is obviously something that does not sit well with many of the country's medical practitioners - and rightly so. No one wants to see hard-earned profits sink because of a medical bill.

Joseph Pitts introduced a bill, H.R. 4302, that proposed to replace the reimbursement cut with a 0.5% payment update through the end of 2014 and a 0% percent payment update from January 1 through March 311, 2015.

The American Medical Association, which wants payment stability for its constituents, responded by urging House of Representatives members to vote down the proposed legislation. The code sets were caught in the crossfire.

Note: Before the ICD-10 delay takes place (and the SGR fix becomes permanent), the Senate must vote on the proposed legislation and President Obama must sign it into law. It would be a good idea to keep abreast of this issue because it will likely directly affect your practice.

If you are looking for help upgrading to ICD-10, or ensuring your practice meets established standards, contact us today to see how we can help.

Published with permission from TechAdvisory.org. Source.

March 1st, 2014

HealthcareGeneral_Feb25_AThe Office of the National Coordinator for Health IT (ONC) has issued proposals for 2015 electronic health record (EHR) certification criteria.

Notably, implementation of the 2015 certification criteria is voluntary. Health-care providers that have EHRs certified to the 2014 criteria do not need to re-certify to 2015 criteria to participate in meaningful use. The idea, says the ONC, is that EHR developers and health-care providers can move to the 2015 criteria at their own pace.

This is the first time the ONC has proposed certification criteria separate from the Centers for Medicare & Medicaid Services' meaningful-use regulations, and the change marks a new regulatory approach. The ONC will likely make more frequent changes to rules to improve standards. National Coordinator Karen DeSalvo says it reflects the “ONC's commitment to incrementally improving interoperability and efficiently responding to stakeholder feedback.”

Comments will be accepted on the proposed rule - published in the Federal Register on February 26, 2014 - through April 28. If you are looking to learn more about this change and how you can implement it in your practice, contact us today to see how we can help.

Published with permission from TechAdvisory.org. Source.