For the thousands among us who make the annual trip to HIMSS, it’s not just about business opportunities and networking. It’s also about keeping up with the industry’s dynamic nature, and to learn about new and innovative approaches to deal with the realities of healthcare IT, and to gain a clear insight into regulatory trends and requirements. It’s for establishing a strategic direction to our own endeavors as champions of health IT.
From proposed new rulings on providing easier access to patient data to health system interoperability which impacts healthcare systems, providers, and innovators, let’s look at the key insights from CMS administrator Seema Verma at HIMSS 2019 –
Patient data belongs to patients only and hospitals shouldn’t have to seek permission from EHR vendors to use their own data. To quote the CMS Administrator herself, “So let me be clear. The idea that patient data belongs to providers or vendors is an epic misunderstanding. Patient data belongs to patients.”
Information blocking is a ‘thing of the past’ and will not be tolerated nor will excuses in the matter be accepted. All players need to stop blaming someone else when problems related to health data sharing come up and should stop feigning innocence. Everyone should aim to have the healthcare system working and working well.
CMS will focus on payers to see that claims data is incorporated into the patient record to help improve care and outcomes. By liberating claims data for providers, patients, and innovators and infusing it into patient records, we begin a digital data revolution which could power research efforts to help develop new cures and treatments. Providers can use claims data to understand someone’s health issues better to make better decisions, enhance safety by predicting future healthcare events, and avoid duplication.
To improve the discharge process for patients and their care teams and enhance transitions in patient care, new proposals aim to improve the patient and provider experience through data sharing and electronic notification capabilities. It will be made mandatory for hospitals to electronically notify providers and the patient’s care team when a patient is admitted, discharged or transferred, as a condition of Medicare participation.
Verma proposed to put the weight of CMS behind patient record matching because it is critical to resolve issues with data-sharing. She wants everyone to visualize a future when health data would include the entire HIPAA-designated data record set to deliver new possibilities for healthcare. The combined data of underlying databases will power the health system, by using APIs and other technologies, to create a single patient record using data from disparate sources.
CMS also envisages a future when the data enables physicians and health systems to tools like artificial intelligence and machine learning to help interpret the information to provide high quality, evidence-based, cost-effective care. The tools that are used at point of care will be user-friendly for clinicians. They give access to the right data for the right person when they need it. Technology should power the healthcare system, not burden it.
Verma expects to have data shared across the spectrum of the entire healthcare delivery system, in a scalable model which keeps healthcare data flowing freely across the entire healthcare system.
In a healthcare environment with multiple disparate systems, Dapasoft can help you build an interoperable, seamless patient-focused health IT system which puts patients first. This strategy has helped our clients to get on a path of innovation to promote future advancements in healthcare through care-collaboration and more personalized healthcare. That really sums up our vision for healthcare data. In fact, it’s our raison d’etre. Do write in to talk to us about how Dapasoft can help you achieve healthcare data interoperability and transparency.
Digital transformation has caught up with the healthcare industry. Healthcare organizations are slowly realizing that their competitiveness is predicated on their adoption of technology and a failure to adapt to change could be catastrophic.
Organizations need to approach digital transformation carefully because technology will define the true worth of all product and services in the future, especially in the healthcare industry. HIMSS 2019, therefore, is the perfect place for a sneak peek into the future of healthcare. With just three more days to go here’s a curated list of exciting sessions at HIMSS 2019.
1. Session: Improving Provider Data Accuracy with Blockchain
(Health Information Exchange, Interoperability, Data Integration) When: 13th Feb, 11:30 am – 12:30 pm Where: Orlando – Orange County Convention Center – W230A What to expect: This session will provide an overview of why Humana, MultiPlan, Optum, Quest Diagnostics and UnitedHealthcare have formed an alliance (named the Synaptic Health Alliance) to explore the use of blockchain technology in tackling the challenge of accurate and efficient provider data management and sharing.
2. Session: Creating the Next Generation of Digital Engagement
(Consumer, Patient Engagement & Digital Connected Health) When: 14th Feb, 8:30 am – 9:30 am Where: Orlando – Orange County Convention Center – W304E What to expect: This presentation will share insights into the initiatives Novant Health has developed to maximize engagement at each point across a patient’s healthcare journey.
3. Session: Clinical Optimization: One Approach to Integration
(Improving Quality Outcomes Through Health Information & Technology) When: 14th Feb, 8:30am – 9:30am Where: Orlando – Orange County Convention Center – W206A What to expect: This session dives into how to reduce care variation, improve clinical outcomes and lower overall costs by implementing a simple, yet effective, clinical optimization strategy.
4. Session: Digitally Transforming Patient and Caregiver Experiences
(Consumer, Patient Engagement & Digital Connected Health) When: 15th Feb, 12:00 pm – 1:00 pm Where: Orlando – Orange County Convention Center – W308A What to expect: In this session, the speakers will discuss key digitalization initiatives at the Cleveland Clinic and the learnings from a multi-year digital transformation currently under way.
5. Session: FHIR Interoperability: Point-of Care Healthcare Apps in the Real World
(Health Information Exchange, Interoperability, Data Integration) When: 15th Feb, 12:00 pm – 1:00 pm Where: Orlando – Orange County Convention Center – W304A What to expect: This session will describe Geisinger’s evolving approach to using FHIR resources to extend homegrown apps beyond our current EHR system, allowing us to share our innovation more broadly than ever before.
TED talks are all about ideas worth spreading. From self-help techniques to innovation in science and technology, TED talks are now considered a congregation for some of the greatest minds in the world. With one of the biggest healthcare conferences (HIMSS) just around the corner, here’s our selection of four of the best TED talks every Health IT leader should watch.
Visualizing the Medical Data Explosion
This talk covers how analyzing medical data has changed over the years due to medical data explosion. A single CT scan generates 25,000 images of the human body, which is equivalent to 20 GB data. All this data helps the healthcare teams to extract relevant information, given the right equipment. Anders Ynnerman also discusses sophisticated new tools like virtual autopsies, which enable physical autopsies and forensic evaluations. They also help to locate metal fragments embedded in a body. The speaker demonstrates touch devices which help with diagnoses, and an MRI which maps brain activity and how the neurons are working, when the person is engaged in certain activities.
Key Takeaway: Health IT has really helped in delivering scores of data related to patients and diseases but learning to analyze that data correctly is the next step in the evolution of new age healthcare models
Let’s Pool our Medical Data
From Avicenna in 980 AD to Carlos Finlay in the 1800s, man has tried to understand disease to treat it. Finlay pioneered the concept of “informed consent”, paving the way for performing clinical studies on human beings, to further our understanding of disease. Today, doctors aim to snuff out the disease itself, by studying genomes which carry the weight of a legacy, trailing over generations and even millennia. But data confidentiality is hampering the possibility of finding innovative new treatments, by hiding the connections between diseases. Privacy is important, but data needs to be shared, if we want to find a real cure to a disease. Can people voluntarily share their medical records and data through standardized legal tools and standardized technology? When Vanderbilt ran a study, which asked for bio-samples for a bio-bank, only 5% of people refused.
Key Takeaway: John Wilbanks founded the world’s first fully digital, fully self-contributed, global and ethically approved clinical research study where people can directly contribute data. This is done through express consent, and people can upload their personal medical history and join an effort to move forward in health as a society, creating a Wikipedia for medical research which contributes to the greater good.
It’s Time to Redesign Medical Data
This talk is about behavioral barriers which make most patients disobey a doctor’s advice. Can we provide information to people and educate them to make better choices and better decisions in life? It’s intriguing because dentists got people to brush and floss their teeth, but other disciplines haven’t seen similar success.. The TED talk focuses on how efficient people are more compliant and personalized information works better than fear-mongering. It’s important to specify individualized points of action, by building an emotional connect with options, choices, benefits and trade-offs. It’s also necessary to create a feedback loop, which connects the information with the action. For this to succeed, we need personalized data. We need to clearly tell people what the drug is for and who it is good for and then offer the statistics on its effectiveness and also its side effects. Same goes for lab test results too.
Key Takeaway: Redesigned medical data is a powerful catalyst for change and tackling behavioural barriers is a pre-requisite to bring about that change.
Soon, We’ll Cure Diseases with a Cell not Pill
This talk by Siddartha Mukherjee shows how antibiotics have made us believe that stopping a disease is all about popping a pill. But only 0.025 percent of all chemical reactions in our body can be targeted by this method. We are now turning to immunotherapy from chemotherapy, bringing spectacular new medicines to treat cancer. Pills are no more the answer to depression, and this TED talk examines why we need to re-look at kidney failure, diabetes, hypertension, and osteoarthritis too.
Key Takeaway: The time has come to treat diseases with a cell and not a pill. Encouraging the growth of some cells, or stopping some from growing makes the treatment of disease individualized, immersive and genome-based.
The J.P. Morgan Healthcare Conference kicked off on Monday in San Francisco. The conference is the biggest annual healthcare event in the world and rightly so, as more than 9,000 attendees are expected to take part in the conference this year. It is holy ground for healthcare companies looking to present and drive change in the healthcare space. This year, more than 450 companies from biotech, pharma, insurance and hospital systems are participating and presenting.
The conference has come a long way from 1983 when its first edition was hosted. At that time only 20 companies had attended the conference with just 200 attendees. Today, however, the J.P. Morgan Healthcare Conference helps shape and drive issues of importance for healthcare companies for the year.
From healthcare service providers to pharmaceutical firms, the conference is a playfield for everything related to healthcare.
This year, Health IT is expected to make big news at the conference. Companies like Microsoft, Apple, Google and Amazon have recently started to invest heavily in healthcare and especially into health IT and that is expected to drive a lot of interest at the conference.
New entrants from technology sector like Amazon is developing a machine learning tool which mines patient data and puts them in direct competition with traditional Health IT companies like AllScripts and Cerner. Moreover, entry of new digital therapy companies are also expected to impact the current value chain.
All these new entrants working with existing EHR system raises significant interoperability challenges. At the conference Issues like interoperability in healthcare and the need to consolidate multiple data standards are also expected to drive a big audience. Similarly, solutions like managed care are also expected to make headlines at the J.P. Morgan Healthcare Conference as healthcare service providers and payors look to tackle the menace of rising costs.
BORN Conference 2017 in Toronto during the High Park Sakura
BORN Conference 2017 in Toronto
The BORN 2017 conference was in Toronto during the cherry blossoms season in High Park, also know as the Sakura. Over 200+ attendees came to the conference from across Ontario. The keynote speaker was Dr. Neel Shah. Neel is an Assistant Professor at Harvard Medical School and Director of the Delivery Decisions Initiative at the Ariadne Labs for Health Systems Innovation. He is an expert in designing, testing, and spreading system interventions that improve the safety, affordability, and experience during pregnancy and childbirth. He is a co-author of a recently published book on value base healthcare focused on using data to improve the value of healthcare.
Neel and other speakers at the BORN conference presented the importance of data-driven decision making. This approach is not new to healthcare providers and researchers in Ontario using Born Information System (BIS) for researching maternal and perinatal health. Since 2012 there has been an extensive amount of information coming into BIS; roughly about 3,000 entries a day cataloging 140,000 births which account for are about 40% of all births in Canada. The data comes from different sources all playing a critical role in the pregnancy journey. The sources of data to BIS include fertility clinics, prenatal and newborn screening labs, specialized antenatal clinics, birthing hospitals (including NICUs), birthing centers, midwifery practice groups, prenatal and neonatal screening follow-up clinics, primary care settings and autism treatment centers.
This extensive longitudinal health data set is one of the most comprehensive in Canada, if not globally. There are over six KPIs that BORN team and ON healthcare providers have been working on tracking for the last five years. At the conference, Dr. Sandra Dunn presented the research study done by BORN team on maternal-newborn care practices and outcomes across Ontario based on the use of Maternal-Newborn Dashboard (MND), for all hospitals providing maternal-newborn care. The big takeaway is four of the six KPIs have been shown to have a positive impact on the health of Ontario women and children.
The two-day conference was both inspiring and insightful for every Dapasoft team member who attended the event. As an organization, we are humbled to play a small role using our Corolar Platform and health analytics capabilities to help BORN advance healthcare for all Ontario citizens. The Most exciting news from the BORN 2017 Conference was the announcement made by Mari Teitelbaum that during the two days BORN Information System recorded the 1 millionth birth in Ontario!