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8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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Health Information
Exchange (HIE) andAnalytics movingHealthcare Forward
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Health care CIOs must
be champions of
information exchange
Analytics: Moving
health care forward
Beyond just being something that is required forfederal initiatives, Health Information Exchange (HIE) and
Analytics represents transformational elements that will
propel the health care industry to a new level of care and
patient engagement. Driving this transformation are key
clinical and business factors: the desire to comply with
federal mandates, create better clinical outcomes, improved
efficiency and cost control.
This E-Guide explores some of the more important issuessurrounding health information exchange (HIE) and
analytics. Topics include:
How to standardize data across disparate networks
How to keep patient data private
Drivers behind the use of analytics
Various types of analytic functions
Health care CIOs must be champions of informationexchangeBy Jean DerGurahian, Executive Editor Published
LAS VEGAS -- Here, it's easy to think of "exchange" as the passing of money
into the hands of the house coffers. But CIOs were treated to a few different
other concepts of exchange during their forum at the Health Information and
Management Systems Society's HIMSS 2012 conference.
Beyond just being something that is required for federal initiatives,information exchange represents the transformational element that will propel
the health care industry to a new level of care and patient engagement,
according to presenters at the College of Healthcare Information
Management Executive's CIO Spring Forum.
http://searchhealthit.techtarget.com/guides/HIMSS-2012-conference-coveragehttp://searchhealthit.techtarget.com/guides/HIMSS-2012-conference-coverage8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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Data sitting in systems is only the first step of building an IT foundation inhealth care, according to Paul Grundy, M.D., president of the Patient-
Centered Primary Care Collaborative. As the cheerleaders of information for
organizations, CIOs have the responsibility of showing "there's some power
under that data -- and you have to start using it."
Health information exchange powers the medical home
Grundy was talking about information exchange in the context of the patient-
centered medical home, a model that's being trumpeted by the collaborative
as a way to improve care and regulate costs while shifting from a fee-for-
service reimbursement structure to one focused on outcomes andperformance.
Showing data from several years of research, Grundy pointed to pilot
projects across the country that have allowed providers to reduce hospital
admissions, help patients manage chronic illnesses and decrease the use of
emergency departments while maintaining their costs.
As the research has come out, the industry has taken notice and is
considering how to align payments with performance, he said. "Now, after
four years of pilots, the insurers are moving in the same direction."
Grundy said communication, as well as shifting the organizational culture, is
how providers will be able to reengineer their practices. "It's thinking about
having a population and managing it, and having the data to do it."
Inside that communication factor is another type of exchange -- getting all the
people in an organization to cooperate. CIOs are in the information business,
and they must figure out how to empower people to be part of and work with
the network, said Ken Blanchard, cofounder of the Ken Blanchard
Companies and visiting lecturer. "One of the best ways to excite people is to
share information with them."
http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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Analytics: Moving health care forwardBy Jean DerGurahian, Executive Editor
Hospital administrators are leading the use of health care analytics for a
range of functions in provider settings. Driving their increased use are a few
key clinical and business factors: the desire to meet meaningful use
requirements, create quality reports, and better capture revenue, according
to the results of SearchHealthIT.com's business intelligence survey.
Results are based on 243 responses from CIOs and other senior IT
executives at medical centers, health systems and physician practicesacross the country. The survey was conducted online in August. For the
purpose of the questions, business intelligence was defined as analytics
used for administrative, back-office functions while clinical data pertained to
information found in clinical, patient-facing situations.
Clinical data analytics and business intelligence applications are important to
hospitals as they expect to increase some spending in the next two years on
new tools for areas such as supply chain management, health information
exchange (HIE) and predictive analysis of disease. Administrators are
working in teams with their IT department and other hospital staff in
determining what to spend, and where to spend it, as BI takes on a greater
role in health care.
It all comes back to HIE, either within an organization or among various care
settings and providers. The country is moving toward greater exchange as
providers demand more information to care for their patients, according to
Daniel Porreca, executive director of HEALTHeLINK. The Western New York
regional health information organization (RHIO) links about 2,000 physicians,
16 hospitals, labs and radiology providers along with three major insurers in
the region.
Exchanging data builds the foundation for turning around and using that data
in a variety of ways. But just putting technology in place isn't enough; health
care practitioners have to feel comfortable using analytics and integrating
those functions into workflow.
http://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliance8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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That's where information exchanges can play a significant role, Porrecasays. Collecting data, making it available in a useable way and providing
tools for analysis are the three components of successful HIE. "We're not
going to have quality improvement and cost efficiencies" without integration
and a cultural shift.
HEALTHeLINK, which connects several different electronic health record
products through its HIE platform, recently began to participate in the
Veterans Affairs Department's virtual lifetime electronic record (VLER) pilot,
which aims to ensure the records of vets who receive care in both military
and civilian settings are streamlined and maintained seamlessly. That goal ofhaving records follow patients wherever they go is one ultimately officials and
practitioners hope to see occur for all people, through a national information
network.
Meanwhile, regional exchange networks are filling the needs of providers and
patients. That's going to continue to grow, Porreca says. "The strong
commitment has been there, and I think the value is being realized."
Explore the impact of business intelligence in provider settings, and the
results of the SearchHealthIT.com reader survey, in this report.
Making use of health care analytics
Like many industries, health care seeks ways to improve efficiency and
reduce costs. Hospitals are turning to analytical tools to help accomplish
those goals, with 42% of survey respondents pointing to that desire as the
driver for using such tools. On the other hand, more than half, 56.4%, say the
desire to comply with federal mandates and create better clinical outcomes
for patients are driving the use of analytics.
While nearly half of respondents say they already make extensive use of
analytics, hospitals equally are just getting started or are planning to
implement data analytics.
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Analytics tool increasingly important
While mandates and economics are driving health care to use analytics, whatthey use those tools for also becomes more important. Administrative
business intelligence -- using analytics for back-end office functions, billing,
and improving efficiencies -- is more important this year than last, according
to 65% percent of survey respondents.
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Some 69% of respondents, however, said clinical analytics -- using patient
data to improve clinical outcomes, report quality measures, and identify
medical and patient trends -- is more important compared to last year.
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Hospitals apply analytics to range of clinical and operational functions
Analytics are applied to a range of functions within health care organizations,
from clinical quality reporting to supply chain management. The next three
graphs describe the types of projects survey respondents most likely are
using analytics for. Expect analytics tools to be applied increasingly to
projects such as predictive analysis and health information exchange in the
next two years as federal mandates continue to be rolled out.
http://searchhealthit.techtarget.com/news/2240035355/Applying-data-analytics-software-to-the-hospital-supply-chainhttp://searchhealthit.techtarget.com/news/2240035355/Applying-data-analytics-software-to-the-hospital-supply-chain8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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Implementing analytics across departments and disciplines
While survey respondents reported that administrators are the primary users
and decision makers for analytics systems in hospitals, results indicate that --
like an electronic health record implementation project -- increasingly, it is
cross-department groups that influence which systems are used and how
those systems will be applied to workflow. Not least important is a hospital's
IT department, which plays a significant role in selecting systems and
deploying them across the organization.
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Analytics: Moving
health care forwardAnalytics software purchasing considerations
Hospitals in general believe they already have purchased the analytics toolsthey'll need to meet upcoming demands. Most survey respondents said they
either purchased analytics directly from a vendor (39%) or that the tool was
included in the electronic health record package (37%). Of those planning to
buy analytics tools, 29% said they will buy directly from an analytics vendor,
compared to 26% who will purchase a tool as an add-on from their EHR
vendor.
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Health care cloud functions catching on, slowly
In general health care organizations are not using the cloud for analytics,
with only 21% and 22% of respondents said they use cloud functions for
business intelligence and clinical data analytics, respectively.
But the cloud is still emerging as a useful application for other parts of healthcare. Some 24% of respondents reported they turn to the cloud for data
storage. The need to store an expanding archive of medical images is
increasingly driving some health care providers to turn to cloud services.
Many hospitals' data centers are already crowded; advances in scanning
technologies mean they will have an ever-mounting volume of data to
http://searchhealthit.techtarget.com/news/2240016469/SaaS-based-clinical-data-analytics-seen-as-next-wave-of-automationhttp://searchhealthit.techtarget.com/news/2240016469/SaaS-based-clinical-data-analytics-seen-as-next-wave-of-automation8/2/2019 Inter Systems sHealthIT IO#104148 E-Guide 040312
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maintain. The cost of managing, cooling and expanding data centers in somecases is looking less favorable than putting the data into the cloud. In a
similar fashion, as the health care industry moves to electronic health
records, EHR technology is expected to encourage cloud storage.
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