6. Please keep an eye on HIMSS MN Communications for further information
HIMSS MN 2014-2015 Event Calendar
Date Format
March 12th Networking Event
April 13th HIMSS National Chapter Reception (Hard Rock Chicago)
May 21st 14th Annual Spring Conference (Send in abstracts!)
June 25th 3rd Annual Charity Golf Tournament
June TBD Twin Cities Summer Social
July TBD SE Minnesota Summer Social
August 5th Webinar: Patient Portal
8. Agenda
Competition Can’t Stand in the Way of Results
Sharing Data is Not Enough
Innovators Will Still the Day
Security is Not an Excuse
The New Collaboration Paradigm6
5
4
3
2
Current State1
9. Healthcare – It’s about the patient
Have you ever been to a clinic, or heard a patient’s
story, where it seems the entire process is about
meeting standards, regulations and contract
language?
11. Healthcare – It’s about the patient
At the core of improving healthcare is a unified view
of the patient and their goals by all the patient’s
providers and payers.
Federal and State laws have been passed to drive
toward this, but true interoperability continues to
elude us. While progress has been made in smaller
groups, large-scale interoperability will take a
radically different way of thinking.
12. Healthcare – It’s about the patient
“Why are you here today and can you tell me your
symptoms over the last three months?”
14. Current Obstacles
We can address foundational, structural and
semantic levels of interoperability, but what about
the missing data?
EHR vs. PHR vs. Payer data
We overlook the value of narrative clinical notes
Different organizations view interoperability strictly
through the lens of the data they need
Address smaller providers - home-grown and legacy
applications
Traps of proprietary technology and standards
15. Sharing Data is not Enough
Data is not information
Most organizations are not fully leveraging the
data they have to create actionable information
We need to share the goals of the patient and the
next best action
The patient needs to be in the drivers seat
16. Healthcare – It’s about the patient
If you are unfortunate to see a specialist in another
network, you get “fill out these ten medical history
forms so we can get information that is already in
your records. Oh and by they way start from birth.”
18. Healthcare can’t be a zero-sum game
Healthcare is extremely complex, and is built upon
a long history of siloed efforts
All else being equal, a firm does what is in their
best interest – the joint provider and payer interest
needs to be the patient’s interest
Lower exit cost for patients, “a true marketplace”
Registries are desired, but let’s look at patient-
physician driven sharing methods. i.e. Blue button
Reduces the feeling of a loss of control by the patient
Reduces the concern of being on “the grid”
Competition Can’t Stand in the Way of Results
19. Don’t make cost saving the driver of interoperability.
What can’t we do today that we would be able to do?
Provide better care for chronic disease any where
Avoid information gaps between providers
Reduce the exit cost to the patient
Stop asking questions you know I can’t answer
Interoperability enabling a learning health system
Patients will learn from the outcomes that have been
achieved for specific treatments and be able to make
informed decisions based on that understanding
Innovators Will Steal the Day (cont’d.)
20. The technology needs to work across borders
The software is a tool, the information is the
product
Duplicating and overlapping standards, from
vendors and standards development
organizations (DSO), slow us down
Vendors currently are not incentivized to
achieve what is best for the patient
The New Collaboration Paradigm
23. Please keep an eye on HIMSS MN Communications for further information
HIMSS MN 2014-2015 Event Calendar
Date Format
March 12th Networking Event
April 13th HIMSS National Chapter Reception (Hard Rock Chicago)
May 21st 14th Annual Spring Conference (Send in abstracts!)
June 25th 3rd Annual Charity Golf Tournament
June TBD Twin Cities Summer Social
July TBD SE Minnesota Summer Social
August 5th Webinar: Patient Portal
Hinweis der Redaktion
UCare is an independent, nonprofit health plan
Was created in 1984 , with almost 500,000 members in Minnesota and western Wisconsin. UCare serves more people from diverse cultures and more people with disabilities than any other health plan in Minnesota.
Just over $4 billion in revenue and just shy of 1000 employees
So how do we get to true collaboration in HealthCare and not just build interoperable systems. And why is this even important?
We need to remove the EMR and Claims systems from being the center of our universe and put the patient there.
Interoperability mandate is one of the tools that can unify our view of the patient but compliance alone will not necessarily drive the outcomes we need.
So how do we think differently about this.
Several success stories I read about are tied to vendor proprietary technology which in my opinion has it’s limits.
I like my vendor partners and we need them.
What does this have to do with interoperability and collaboration?
A physician can only see what’s in the EMR. A lot of us don’t see physicians in only one health system.
A lot of history and information correlation is lost when this happens.
This leads to a health care information map that looks something like this.
And by the way, some of those pipes are blocked.
EHR system across providers (Currently the main focus).
How about including payer data which would really support ACO and other similar relationships. This could also drive population health. Payer get the information of the doctor vist when you patient was out of town.
And for those of use that are embracing PHR solutions or even just wearables that keep our vitals, sleep and exercise history.
The value of knowledge diminishes over time
knowledge has little power if no one shares it
Knowledge has almost no power if not leverage to address a need.
Knowledge is very inter-related; i.e. one part adds value to another part and when combined, knowledge has much more power in contrast to restricting knowledge to certain select areas.
Knowledge in itself gives you no strategic advantage unless acted upon.
Tell that to Anthem.
Security is a big obstacle. This is a key element the opposition to interoperability use in their argument.
But lets first align expectations with reality. Physical security example. Cyber security in reaching a tiping point similar the crime wave in 1933 to 1934 which led to the formation of the FBI. This is clear a national security issue, which CIOs alone can’t fix. We should not let anyone think we can.
However, what if we create models that allow interoperability but let the patient decide how much risk, vs, value they want.
How useful will phones be, if I could only call people in my city or who use the same phone company. Anything short of open standards, has a limit.
The video conferencing market is a good example of the vendors eventually realizing the importance of interoperability and forming the Unified Communications Interoperability Forum Alliance.