Redox Extends Capabilities of Salesforce Health Cloud with Patient Data from Electronic Medical Records

Redox has announced it is extending the capabilities of Salesforce Health Cloud with its EMR integration engine.

Redox provides a modern API solution for clinical integration with electronic medical record (EMR) systems. The addition of Redox to the Health Cloud product provides streamlined sharing of clinical data and a comprehensive view of patient conditions and clinical events. Health Cloud is generally available for purchase today, giving healthcare providers new ways to make smarter care decisions, engage with patients across their caregiver networks and manage patient data. Redox joins Salesforce as a Health Cloud launch partner at the Healthcare Information and Management Systems Society (HIMSS16) Conference in Las Vegas.

“We are devoted to accelerating the adoption of great technology in healthcare. We believe Salesforce Health Cloud represents a great step for the industry and look forward to helping the solution positively impact the maximum number of lives,” said Niko Skievaski, Co-founder & President, Redox. “Health Cloud brings together data from many sources and presents a comprehensive view of the patient. Accessing data from the electronic medical record real-time through a modern infrastructure is an integral piece of this puzzle and we are proud to partner with Salesforce to deliver robust EMR integrations.”

“We live in the age of the customer, and patients now expect personalized and engaging experiences with their healthcare providers,” said Joshua Newman, MD, Chief Medical Officer, GM, Salesforce Healthcare and Life Sciences. “Health Cloud is all about building stronger patient relationships, and Redox is a valuable part of our journey towards creating a modern healthcare platform for patients, doctors, and everyone else involved in care.”

Redox Key Features

Redox integrates with electronic medical records and standardizes disparate data formats to consistent JSON data models. Partners establish connectivity with Redox once and are then able to send and receive data with any health system or digital health application through a modern web service API. Redox provides robust maintenance and support of connections ensuring data flows appropriately and allows organizations to focus on core functions.

Read more...

Mission Health Selects PeraHealth To Enhance Clinical Surveillance, Patient Safety

Asheville, N.C.-based Mission will integrate PeraHealth’s suite of clinical surveillance solutions into its existing enterprise data warehouse and its Cerner electronic medical record (EMR) system, helping care teams visualize a full picture of patient condition. The software will also be used at the 763-bed Mission Hospital to remotely monitor patients and support bed management across the health system’s five other hospitals located throughout western North Carolina.

“Our partnership with PeraHealth further demonstrates our commitment to providing fully integrated patient care that improves the health of the people and communities we serve,” said Ronald A. Paulus, M.D., president and CEO at Mission, the only health system in the nation named to Truven Health Analytics’ Top 15 Health Systems list four years in a row (2012-2015).

Powered by the Rothman Index, a disease-agnostic measure of patient condition used to predict patient readmission and mortality risk, PeraHealth software pulls data from all major EMR systems. The data is automatically translated into an Index score that’s presented in color-coded graphs computed upon admission and trended across the entire episode of care. The Rothman Index is validated by 18 peer-reviewed publications, including a recent article detailing how its use by a nurse rapid response team was linked to a 30 percent mortality reduction.

“Providing clinicians with innovative, analytics-driven resources to help deliver the right care, in the right place, at the right time is essential in today’s healthcare environment,” said Dr. Chris DeRienzo, Chief Patient Safety Officer at Mission Health. “We believe our partnership with PeraHealth will enhance communication among caregivers, especially during care transitions, and deliver new methods of reducing preventable harm to our patients through machine learning and predictive analytics.”

Patients frequently exhibit subtle warning signs in the hours and days before experiencing life-threatening health problems. Considering the average five-day hospital stay includes at least 24 patient handoffs, these signs can easily be missed during department transfers and shift changes, increasing the potential for unnecessary patient harm and costs.

“Detecting potential patient deterioration is extremely challenging for any care team,” said PeraHealth CEO Stephanie Alexander. “By clearly trending a full picture of patient condition in real-time, PeraHealth solutions alert clinicians earlier to subtle health issues, which can increase the likelihood of successful intervention. We are honored to partner with Mission Health to support their use of innovative analytics to provide high value patient care.”

Read more...

National Decision Support Company Launches CareSelect

Today, National Decision Support Company (NDSC) announced CareSelect, a new enterprise-wide appropriate use criteria (AUC) and clinical pathway delivery engine integrated with electronic medical records (EMR).

"With over 2 million monthly transactions being generated by more than 100 health systems using our flagship solution ACR Select, we have rapidly become the market's choice to enable the delivery of EMR integrated imaging appropriate use criteria (AUC)," saidMichael Mardini, CEO, NDSC. "Through this experience we have also earned the trust of EMR vendors and guideline publishers alike, and due to the rich interoperability we've achieved with our EMR partners we have expanded into new clinical areas through CareSelect."

CareSelect is designed to house and manage both national and local guidelines and enable healthcare organizations to directly manage the delivery and configuration of EMR advisories using the most up to date clinical knowledge—all within the native EMR user interface.

Guidelines are constantly changing and providers are struggling to manage the delivery of all this new medical knowledge to healthcare providers in a meaningful way. Compliance and quality are critical success factors in a value driven healthcare environment and CareSelect enables the delivery of a wide range of medical knowledge to healthcare providers without the need to reconfigure the EMR each time a guideline changes or needs to be added.

Through the company's work with the American College of Radiology and numerous other imaging criteria sources, NDSC has proven its competence in distilling medical knowledge into actionable criteria. "With CareSelect, we are now applying natural language processing and sophisticated algorithms to the EMR data, enabling high impact advisories across the care continuum," said Mardini. "These new capabilities also extend the sophistication of the imaging guidelines we can deliver with ACR Select, to include automated indication calculation, and to cover more complex clinical scenarios."

Through CareSelect, the company is delivering high impact clinical advisories covering a range of medical conditions across the care continuum, such as those from Choosing Wisely, an initiative of the ABIM and theNNT.com that cover a range of care settings and conditions, including anti-biotic stewardship, high cost lab testing and utilization management in the Emergency Department.

NDSC is currently deploying CareSelect at select healthcare organizations and will demonstrate its latest developments, including integrations with leading EHRs, at HIMSS 2016, booth #11010, March 1-3, 2016, Las Vegas, NV.

Read more...

BayCare Health System Recognized for Achievement in Electronic Medical Record Adoption by Leading Global Organization

BayCare Health System's progress in adopting an electronic medical records (EMR) system was recognized by the Healthcare Information and Management Systems Society (HIMSS), a global organization known for thought leadership on improving health care through information technology (IT).

Electronic medical record systems can improve patient care, increase patient safety, enhance medication safety and increase efficiency. BayCare Health System reached Stage 6 of 7 in the EMR Adoption Model developed by HIMSS Analytics, a non-profit subsidiary of HIMSS, that collects and analyzes health care data. The adoption model identifies and scores hospitals using an eight-step scale (0-7) that charts the path to a fully paperless environment. Less than 20 percent of U.S. hospitals and health systems tracked by HIMSS Analytics have reached Stage 6 as they convert to a fully automated/paperless medical records system. The ten BayCare hospitals recognized join only three others in the Tampa Bay area that have achieved this milestone.

BayCare Vice President and Chief Information Officer Timothy Thompson commented, "BayCare's IT strategy has been focused on providing a better care environment for our patients through meaningful information. This recognition by HIMSS validates our leadership position in information technology, not just in Florida but across the U.S. Our achievement enables us to offer health care providers better access to important health information. It also puts relevant information at our patients' fingertips through the MyBayCare.org portal."

Stage 6 hospitals have achieved a significant advancement in their IT capabilities that positions them to successfully address many of the current industry transformations, such as meaningful use criteria in the American Recovery and Reinvestment Act; claims attachments for the Health Insurance Portability and Accountability Act; pay for performance; and government quality reporting programs.

The BayCare facilities recognized for reaching Stage 6 are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, St. Joseph's, St. Joseph's Children's, St. Joseph's Hospital-North, St. Joseph's Women's and South Florida Baptist.

Read more...

A Proposal To Increase EHR Satisfaction Using Education

A recent study presented at the 2013 HIMSS conference revealed through the survey of 4,279 clinicians that EHR satisfaction has declined from 39% in 2010 to 27% in 2012.

While many organizations and publications have speculated about what has caused the decrease in satisfaction, I’d like to suggest we dedicate our resources to solving the problem instead of simply discussing the causes. Like so many transitions in the past, I wonder if the solution could simply be a matter of education? The study cited that the number of clinicians using EHRs who claimed to be “very dissatisfied” increased by 10% during those two years. This begs the question, are all users dissatisfied with their specific program, or may the dissatisfaction be caused by change itself? After all, physicians and nurses are being forced to change a long standing practice of paper charting.

According to the Pew Research Center’s Internet and American Life Project 20% of Americans did not use the internet and 13% did not have access to a computer in 2010. Outside of those numbers there are many medical professionals who are simply uncomfortable with computers or do not have strong typing skills. If a nurse is learning how to navigate a keyboard while simultaneously having to learn a system, it’s not surprising that he or she may be dissatisfied with the change. The disruption in workflow could be greatly improved by teaching nurses and doctors how to integrate EHRs into their daily tasks while still in the classroom.

Academic electronic health records programs, like EHR Tutor, allow students to gain exposure to EHRs before entering the workplace. Learning how to use electronic charting while still learning how to do the basics of their job, teaches students to be just as comfortable with a computer as they would be with a pen and piece of paper. This is something that may help ease the transition to electronic charting in the future.

In addition to being generally dissatisfied, the number of users dissatisfied with the “features and functionality” of their EHR system increased from 51% to 61%. One pain point seemed to be the fact that the features and functionality in many EHRs do not align well enough with clinicians’ workflow. Workflow can be determined by meetings with key stakeholders, shadowing medical personnel during their workday and conversations with designated doctor or nurse champions. The process works best when input from the people who will be using the system is carefully considered and fully utilized. However, improving workflows will not solve the entire problem.

For example, let us examine a problem like “alert fatigue”. In many systems, alerts pop up with warnings about drugs that may be unnecessary or elementary for a prescribing physician, or with a warning that a field is missing data that may not be relevant to the patient. An alert may also appear after a particular issue has been handled. While the alerts may seem logical to a programmer, they don’t necessarily make sense in the field. Thankfully, there are more and more schools offering courses on healthcare technology, which provide a foundation of knowledge for future developers and analysts.

Centers like the Training Hub for Operative Technologies in Healthcare at Imperial College in London offer full programs dedicated to healthcare technology. For current developers, Coursera.org offers free courses including “Health Informatics in the Cloud”, “Interprofessional Healthcare Informatics” and “Healthcare Innovation and Entrepreneurship”, all of which examine the real life work of medical professionals in relation to the technology they use. This is a knowledge set that is absolutely necessary for a programmer trying to design a system for those very people. By having companies sponsor those classes or conversations, we would open the lines of communication and enhance the education of program developers.

Along with a decrease in satisfaction regarding features and functionality, the amount of clinicians who said they would not purchase their current EHR system again if given the chance increased from 25% to 38%. This cannot be solely the fault of developers; some of the onus must fall on consumers themselves. Instead of hearing the lament, “If only I would have known…” after an EHR implementation, we can begin by making sure medical offices do know what they are getting with any particular system and what they should expect when shopping for an EHR. Educating consumers is imperative. For example, the level of computer skills and familiarity with technology needed when using different programs may be a huge factor for a practice with less computer savvy practitioners.

Reading the reviews on EHRCompare.com quickly revealed that AdvancedEMR can be difficult to set up and implement for less technologically inclined staff, whereas Practice Fusion seems to be less customizable, but easier to use (based on user reviews alone). Using EHRCompare to research multiple EHRs, a user can search by specialty, setting, and hosting preference. Then, all applicable EHRs will appear with an overview of features along with user reviews. That information not only gives consumers a great place to start, it teaches them what questions to ask and what to look for. What are some pain points a consumer may not have thought of? How do the program specs translate to office usage?

Another great resource is the Health IT government website which has a full list of all certified EHR systems: http://oncchpl.force.com/ehrcert/CHPLHome. It has a large checklist of features for each product, allowing consumers to see, at a glance, what is available and what is missing. That way, consumers know all the details even if the EHR sales rep did not disclose them all. Knowing what to look for can help buyers purchase the best system for their particular practice.

Overall, any change in procedure involves a long, arduous education process. While there are technical problems to overcome in the present, many problems can be prevented with simple education in the future. Using the resources available we can make sure new medical professionals, EHR programmers and consumers all have access to the best resources and knowledge base possible. This is something that can only lead to improvement.

Read more...

CMS:Electronic Health Records Empower Patients And Equip Doctors

 CMS:Electronic Health Records Empower Patients And Equip Doctors

The Centers for Medicare & Medicaid Services (CMS) have released new data that demonstrate that doctors and hospitals are using electronic health records (EHRs) to provide more information securely to patients and are using that information to help manage their patients’ care. Doctors, hospitals, and other eligible health care providers that have adopted or meaningfully used certified EHRs can receive incentive payments through the Medicare and Medicaid EHR Incentive Programs.

Already, approximately 80 percent of eligible hospitals and more than 50 percent of eligible professionals have adopted EHRs and received incentive payments from Medicare or Medicaid. By meaningfully using EHRs, doctors and other health care providers prove they have been able to increase efficiency while safeguarding privacy and improving care for millions of patients nationwide.

Since the EHR Incentive Programs began in 2011:

  • More than 190 million electronic prescriptions have been sent by doctors, physician’s assistants and other health care providers using EHRs, reducing the chances of medication errors.
  • Health care professionals sent 4.6 million patients an electronic copy of their health information from their EHRs.
  • More than 13 million reminders about appointments, required tests, or check-ups were sent to patients using EHRs.
  • Providers have checked drug and medication interactions to ensure patient safety more than 40 million times through the use of EHRs.
  • Providers shared more than 4.3 million care summaries with other providers when patients moved between care settings resulting in better outcomes for their patients.

Now, more than ever, EHRs are enabling more patients to access their health information, and allowing health care providers across a variety of settings to share patient medical records and information securely, while still protecting patient privacy. “Electronic health records are transforming relationships between patients and their health care providers,” said CMS Administrator Marilyn Tavenner.

“EHRs improve care coordination, reduce duplicative tests and procedures, help patients take more control of their health and result in better overall health outcomes.“

“More patients than ever before are seeing the benefits of their providers using electronic health records to help better coordinate and manage their care,” said Farzad Mostashari, M.D., national coordinator for health information technology. “These data show that health care professionals are not only adopting electronic health records rapidly, they’re also using them to improve care.”

The Obama administration has encouraged the adoption of health information technology starting with the passage of the Recovery Act in 2009. The Act has been a critical factor in improving the quality of health care and lowering costs, and ultimately transforming our health care delivery system.

Read more...

Orion Health Chooses HP to Support Managed Health Services

Orion Health Chooses HP to Support Managed Health Services

HP (NYSE: HPQ) have announced that Orion Health, a New Zealand-based leader in health information exchange (HIE), electronic health records (EHR) and healthcare integration solutions, has selected HP Converged Cloud to support its global managed health services. Health technology solutions enable providers to quickly and securely access critical patient data in order to coordinate patient health and improve population health.

These solutions need to be standardized to meet both compliance and regulatory requirements. Orion Health has implemented products and solutions that are used by hundreds of thousands of clinicians to help facilitate care for tens of millions of patients across more than 35 countries. Clinicians, provider facilities and original equipment manufacturing (OEM) partners rely on Orion Health to facilitate data exchange between hospitals, health systems, HIEs, EHRs, and affiliated providers and medical devices.

This results in improved care coordination and enhanced quality of care. HP is providing Orion Health with a scalable and secure virtual infrastructure that is based on HP CloudSystem Matrix, an Infrastructure as a Service (IaaS) for private and hybrid cloud environments. This enables customers to quickly provision their infrastructure for physical and virtual environments. By implementing HP CloudSystem Solutions and HP Cloud Maps Solutions, Orion Health will have the flexibility to deliver cloud services that are tailored for each of its customers.

"Through a combination of HP Cloud Maps and Orion Health Managed Services, we will be able to quickly build a comprehensive catalogue of applications for simple deployment, reducing the time to deliver a new application," said Paul Cunningham, chief technical architect, Orion Health.

"By selecting HP, Orion Health will have the flexibility to deliver cloud services that are tailored for each customer on demand, and will be more agile and efficient while maintaining industry compliance and security standards."

The implementation of HP CloudSystem Matrix will enable Orion Health to:

  • Increase performance through a scalable IaaS model that rapidly adjusts to dynamic business demands in minutes.
  • Increase availability through a system enclosure that adds redundancy to each server so there is no single point of failure.
  • Maintain compliance and regulatory requirements by hosting sensitive and private data on-site in a secure environment.
  • Lower administration costs by enabling individual administrators to manage both virtual and physical resources using the same set of tools.

Orion Health will leverage HP's global reach to provide its integrated solution around the world, enabling it to generate new revenue streams by enhancing its managed services IaaS offering.

"As the health technology market evolves and grows, healthcare technology providers need to quickly and easily access information while complying with global regulatory requirements," said Saar Gillai, senior vice president and general manager, Converged Cloud, HP. "With a global understanding of the healthcare regulatory environment coupled with its expertise and portfolio, HP is uniquely positioned to provide complete HP Converged Cloud solutions that reduce deployment times and enable integrated health services worldwide."

Read more...

Report on Survey of Physician Adoption of Electronic Health Records

Health information technology (HIT) has the potential to revolutionize the delivery of health care. This report considers in particular the growth of electronic health records—a common example of HIT—and how it might affect the cost and quality of health care. Health information technology (HIT) refers to a variety of electronic methods used to manage information about people's health and health care.

This report expands on the findings of an earlier report—Health Information Technology in the United States—from 2006 that examined the barriers to widespread HIT adoption and the challenges faced in accurately measuring it. The authors provide new survey data from general physicians and from those serving vulnerable populations, while exploring methods to evaluate the effects of HIT on cost and quality of health care. The chapters of the report focus on a range of topics that include an economic analysis of HIT, the state of HIT internationally, and patients' experiences with electronic health records (EHR) and personal health records.

Key Findings:

  • 13 percent more physicians are using EHR since 2006;
  • there is no significant association between EHR use and quality of care;
  • providers who serve vulnerable populations are no less likely to provide HIT enhanced care than other providers;
  • and several developed nations are approaching universal implementation of EHR systems.

The type of data generated by HIT and EHR can help providers better understand disparities in health care quality and may improve the patient experience and medical outcomes.

Read more...

AT&T 4G LTE Expands In Copiah County

AT&T* has expanded its 4G LTE network in the Jackson area to include parts of Copiah County bringing more customers the latest generation of wireless network technology. AT&T launched 4G LTE last year in Jackson, and the expanded coverage is part of its ongoing rollout across the market. AT&T 4G LTE provides several benefits, including:

  • Faster speeds. LTE technology is capable of delivering speeds faster than many other mobile Internet technologies. Customers can stream, download, upload and game faster than ever before.
  • Cool new devices. AT&T offers several LTE-compatible devices, including new AT&T 4G LTE smartphones and tablets. -- Faster response time. LTE technology offers lower latency, or the processing time it takes to move data through a network, such as how long it takes to start downloading a webpage or file once you've sent the request. Lower latency helps to improve services like mobile gaming, two-way video calling and telemedicine.
  • More efficient use of spectrum. Wireless spectrum is a finite resource, and LTE uses spectrum more efficiently than other technologies, creating more space to carry data traffic and services and to deliver a better network experience.

"Improving our local communities is my top priority," said Representative Greg Holloway. "It is always great to see improved infrastructure that will help draw economic development to the region." "We continue to see demand for mobile Internet skyrocket, and our 4G LTE network in Copiah County responds to what customers want from their mobile experience -- more, faster, on the best devices," said Mayo Flynt, president, AT&T Mississippi.

AT&T's 4G Network

AT&T's innovation and investment have resulted in the nation's largest 4G network, covering more than 292 million people with ultra-fast speeds and a more consistent user experience. Our 4G LTE network delivered faster average download and upload speeds than any of our competitors in PCWorld/TechHive's most recent 20-market speed tests.

AT&T's 4G LTE network delivers speeds up to 10 times faster than 3G, as well as multiple innovations that optimize the network for performance. Our network's radio components are placed close to the antenna at most cell sites, instead of inside the base station, which helps minimize power loss between the base station and antenna and, in turn, improves the performance of our 4G LTE network.

The network also is designed with its core elements distributed across the country, which helps reduce latency, or the delay when using the Internet, because your request isn't traveling as far. Even as AT&T continues to expand its 4G LTE coverage, customers can get 4G speeds outside of 4G LTE areas on our 4G HSPA+ network, unlike some competitors, where smartphone customers may fall back to slower 3G technologies when outside of LTE coverage. AT&T's focus to deliver the best possible mobile Internet experience goes beyond 4G to embrace additional connection technologies.

AT&T operates the nation's largest Wi-Fi network**** including more than 32,000 AT&T Wi-Fi Hot Spots at popular restaurants, hotels, bookstores and retailers, and provides access to more than 402,000 hotspots globally through roaming agreements. Most AT&T smartphone customers get access to our entire national Wi-Fi network at no additional cost, and Wi-Fi usage doesn't count against customers' monthly wireless data plans. AT&T also is a leading developer of Distributed Antenna Systems, which utilize multiple small antennas to maximize coverage and speed within stadiums, convention centers, office buildings, hotels and other areas where traditional coverage methods are challenging.

Over the past five years, AT&T invested nearly $98 billion into its operations across the country. Since 2008, AT&T has invested more capital into the U.S. economy than any other public company. In a July 2012 report, the Progressive Policy Institute ranked AT&T No. 1 on its list of U.S. "Investment Heroes."

*AT&T products and services are provided or offered by subsidiaries and affiliates of AT&T Inc. under the AT&T brand and not by AT&T Inc. ** Limited 4G LTE availability in select markets. LTE is a trademark of ETSI. Claim based on a comparison of U.S. national carriers' average 4G LTE download speeds for Android(TM) and Windows smartphones and iPhone 5. 4G speeds not available everywhere. *** 4G LTE device and data plan required. Learn more about 4G LTE at att.com/network. ****A Wi-Fi enabled device required. Other restrictions apply. See www.attwifi.com for details and locations.

Read more...

Final HHS Health IT Safety Plan issued

  • The Joint Commission to expand capacity to investigate Health IT-related events

A plan to guide health information technology (IT) activities across the Department of Health and Human Services (HHS) to eliminate medical errors, protect patients, and improve the quality and efficiency of health care was issued today by HHS. The final Health IT Patient Safety Action and Surveillance Plan addresses the role of health IT within HHS’ commitment to patient safety.

The Plan builds on recommendations from the 2011 Institute of Medicine report, titled Health IT and Patient Safety: Building Safer Systems for Better Care, and from public comments. “When implemented and used properly, health IT is an important tool in finding and avoiding medical errors and protecting patients,” said National Coordinator for Health IT Farzad Mostashari, M.D. “This Plan will help us make sure that these new technologies are used to make health care safer.”

  • The Plan, implemented by the Office of National Coordinator for Health IT (ONC), outlines the responsibilities to be shared across HHS and details significant participation from the private sector.
  • Through the Plan: ONC will make it easier for clinicians to report health IT-related incidents and hazards through the use of certified electronic health record technology (CEHRT).
  • The Agency for Healthcare Research and Quality will encourage reporting to Patient Safety Organizations and will update its standardized reporting forms to enable ambulatory reporting of health IT events.
  • The Centers for Medicare & Medicaid Services (CMS) will encourage the use of the standardized reporting forms in hospital incident reporting systems, and train surveyors to identify safe and unsafe practices associated with health IT.
  • Working through a public-private process, ONC will develop priorities for improving the safety of health IT.
  • ONC and CMS will consider adopting safety-related objectives, measures, and capabilities for CEHRTs through the Medicare and Medicaid EHR Incentive Programs and ONC’s standards and certification criteria.

To accompany the Plan’s surveillance of safety-related capabilities in CEHRT, ONC today issued guidance clarifying that ONC-Authorized Certification Bodies will be expected to verify whether safety-related capabilities work properly in live clinical settings in which they are implemented. In addition to the Plan, today Dr. Mostashari announced ONC has contracted with The Joint Commission to better detect and proactively address potential health IT-related safety issues across a variety of health care settings.

The Joint Commission will expand its capacity to investigate the role of health IT as a contributing cause of adverse events and will identify high priority areas for expected types of health IT-related events.

Read more...
Subscribe to this RSS feed