Rick Casteel Vice President, Information Technology

Upper Chesapeake Health

Technology in Health Care A changing landscape presented by:

Rick Casteel

• Graduated from Havre de Grace High

• Graduated from Harford Community College R.N. Nursing Program

• Worked at Fallston General Hospital as a Staff Nurse

• Completed Bachelor in Science in Nursing - UMBC

• Worked at University of Maryland Downtown Campus

• Returned to Harford Memorial and was the first clinical analyst on the EMR project

• Moved to IT administration and completed Masters in Computer Information Systems @ University of Phoenix

• Became VP of IT in 2002

University of Maryland Upper Chesapeake Health

Upper Chesapeake Medical Center Harford Memorial Hospital

UM UCH Service Theme

We create a healing and compassionate

environment by providing the finest in care,

courtesy and service to all people with whom

we interact.

Every patient, every encounter, every day

Trends in Healthcare I.T.

The surge in computing power and mobile connectivity have fashioned a foundation for mobile health (mHealth) technologies that can transform the mode and quality of clinical research and health care on a global scale. Unimpeded by geographical boundaries, smartphone-linked wearable sensors, point-of-need diagnostic devices, and medical-grade imaging, all built around real-time data streams and supported by automated clinical decision–support tools, will enable care and enhance our understanding of physiological variability. However, the path to mHealth incorporation into clinical care is fraught with challenges. We currently lack high-quality evidence that supports the adoption of many new technologies and have financial, regulatory, and security hurdles to overcome. Fortunately, sweeping efforts are under way to establish the true capabilities and value of the evolving mHealth field.

www.ScienceTranslationalMedicine.org 15 April 2015 Vol 7 Issue 283 283rv3

The emerging field of mobile health Steven R. Steinhubl,* Evan D. Muse, Eric J. Topol

“Old” and “New” medicine

Systems where mobile devices have already been developed or prototyped.

Trends in Healthcare I.T.

Bloomberg Business Article

Apple Healthkit

Vivify Health

Philips CareSage

Meaningful Use

Meaningful use

The main components of Meaningful Use are:

• The use of a certified EHR in a meaningful manner, such as e-prescribing.

• The use of certified EHR technology for electronic exchange of health information to improve quality of health care.

• The use of certified EHR technology to submit clinical quality and other measures.

• In other words, providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.

Meaningful Use

Meaningful use

The meaningful use of EHRs intended by the US government incentives is categorized as follows:

• Improve care coordination

• Reduce healthcare disparities

• Engage patients and their families

• Improve population and public health

• Ensure adequate privacy and security

Meaningful Use

Meaningful use

The Obama Administration's Health IT program intends to use federal investments to stimulate the market of electronic health records:

• Incentives: to providers who use IT

• Strict and open standards: To ensure users and sellers of EHRs work towards the same goal

• Certification of software: To provide assurance that the EHRs meet basic quality, safety, and efficiency standards

• Eventual penalties in reimbursement for non-compliance

CMS Meaningful Use Timeline

CMS MU Stage 3 Proposed Rule

• Submit key metrics to CMS related to:

• Protecting PHI

• CPOE & Electronic RX

• Clinical Decision Support

• Patient Electronic Access

• Coordination of Care

• HIE – Summary of Care on transition

• Public Health reporting

• Clinical Quality Measures

Trends in (HealthCare) Tech

• Mobility/BYOD (post desktop world)

• Workflow Automation (efficiency)

• Cloud/Internet/Hosted Systems

• Remote Access without boarders

• Video communications

• Security Exposure

• Systems Integration

• Big Data and reporting demands

• Regulatory requirements and controls

• Vendor/Product consolidations

• Patient Engagement

• Population Health

Current Technology Efforts at Upper Chesapeake

System Integration

Business Intelligence

Security Population Health Mobility Work Automation

• Data Exchange • Foreign System

Federation • CRISP Data

Exchange

• Dashboards • Data

correlation • “Big” Data • DR/DW

development • Custom apps

• Multi-Factor Authentication

• Encryption • DLP

• Patient Portals • CRISP

Expansion • State data

reporting • Patient

encounter management

• E-Prescribing • Tele-Health

• Win 8.1/10 Hybrid devices

• MDM • Smartphone

Pilot • Secure

Texting • Imaging ZFP

• Paper lite • SharePoint

Workflows • Education of

Work Force • Voice

Recognition

Questions