The Clinical and Financial Transformation of Asia’s Largest Private Hospital HCT Project Volume 4, January 30, 2007
In January 1997, Bumrungrad Hospital opened its 554-bed replacement facility along with a newly commissioned computer system. A few months before the facility opened, the management team realized that the clinical and financial information systems they had purchased and customized would not be able to meet end users’ needs and cope with patient volumes. Unfortunately, due to long implementation cycles of hospital systems, they were left with no other choice but to open their doors with their new system.
Patrick Downing, Global Care Solutions, Curtis Schroeder, Bumrungrad Hospital

 Personalizing Your Communications With Physicians, Patients and Employees HCT Project Volume 4, January 30, 2007
More than 600 healthcare organizations rely on Vignette healthcare solutions to electronically capture, store, manage and access critical patient information in both clinical and back-office settings.

 Eliminating Healthcare Fraud Through Technology HCT Project Volume 4, January 30, 2007
There are many types of healthcare fraud. It can be driven by healthcare and insurance providers, patients, employers or any combination of the above. Healthcare providers might make claims for services not provided, or overcharge for services they did provide.
James Taylor, Fair Isaac Corporation

 A Vision Shared HCT Project Volume 4, January 30, 2007
Global Care Solutions provides software exclusively for the healthcare industry. GCS has two main products: Hospital 2000 enterprise HIS, and the Amalga PACS/RIS.
Patrick Downing, Global Care Solutions

 Benchmarking Toward Excellence HCT Project Volume 3, November 14, 2005
The Medical Center of Central Georgia (MCCG) recognized the value of benchmarking as a means to achieve national levels of excellence, but it had experienced inconsistent results with early attempts to drive change and improve across the organization. MCCG wanted to implement a robust operational and clinical benchmarking program. Its objectives were to build on the organization’s previous successes and to lay a solid foundation to measure future performance so that executives and management could ensure that they were meeting their targets. With the goal of re-attaining 100 Top Hospitals® status within one year, MCCG engaged Solucient® Professional Services to revitalize its ACTION O-ITM program. MCCG had been named a Solucient 100 Top Hospitals National award winner in 1993, and a 100 Top Hospitals Cardiovascular winner in 1999 and 2001.

 Catholic Health Initiatives - Developing an Enterprise Web-Based Knowledge Management System HCT Project Volume 3, November 14, 2005
Catholic Health Initiatives (CHI) is a $6.7 billion national not-for-profit health care organization consisting of 69 hospitals; 43 long-term care, assisted and independent living and residential facilities; and five community-based health organizations located in 19 states.

 Chartlogic Case Study HCT Project Volume 3, November 14, 2005
With today’s challenges facing medical practices including government mandates, lower reimbursement and cost risk management, the physicians and administrator at Dover Orthopaedics needed a better alternative for managing patient charts. So in 2001, administrator Marilyn Orr set out to find an electronic medical record system (EMR) for her four-physician practice. Another administrator, who had been through the same experience, had given Marilyn some advice. The administrator advised her to “respect the culture of your group and understand what they are willing and able to do.” With this advice and the list of practice objectives, Marilyn began her search.

 Healthcare in Germany Today HCT Project Volume 3, November 14, 2005
Germany is driving a unified view of patient information across the country, which will ultimately reduce costs and improve overall patient service.
Dr. Harald Deutsch, Accenture

 Q and A With Dr. Clem McDonald HCT Project Volume 3, November 14, 2005
The director of Regenstrief explains how the longest-standing continuously running EMR system was developed.
Clem McDonald, Regenstrief Institute, Inc.

 Q and A With Dr. Donald W. Simborg HCT Project Volume 3, November 14, 2005
The key developer of HL7 predicts what standards are on the horizon in healthcare.
Donald W. Simborg, M.D., HL7 (Health Level 7)

 Q and A With Dr. John Halamka HCT Project Volume 3, November 14, 2005
The CEO of the RHIO for Massachusetts describes how they have implemented a system for sharing all of the clinical data in the entire region.
John D. Halamka, M.D., M.S., NEHEN

 Q and A With Marc Probst HCT Project Volume 3, November 14, 2005
The CIO of Intermountain Health Care describes how they are fulfilling their objective of a unified longitudinal medical record.
Marc Probst, Intermountain Health Care

 Q and A With Micky Tripathi HCT Project Volume 3, November 14, 2005
The best strategies for creating health information infrastructures that connect providers across the state can be determined through community initiatives.
Micky Tripathi, Massachusetts eHealth Collaborative

 Q and A With Wayne Thompson HCT Project Volume 3, November 14, 2005
The CIO of the nation’s largest health science university explains the phaseby- phase process of implementing a local health information infrastructure.
Wayne Thompson, University of Medicine & Denistry of New Jersey

 Using Market Projections to Identify Growth Opportunities HCT Project Volume 3, November 14, 2005
Located in a booming healthcare market, Denton Regional Medical Center’s key challenge is choosing the right capital projects, based on accurate projections of growth opportunities. Since 1996, the hospital has relied on Solucient to help make projections that have been used to plan a replacement hospital, an outpatient imaging center and various other projects.

 A Digital Imaging Transformation In Radiology Departments HCT Project Volume 2, July 17, 2004
In the near future, institutions will turn to health care IT technologies to deliver the tools needed to produce and distribute information that directs the diagnosis and treatment of patients.
Michael W. Jackman, Kodak Health Imaging

 A Key Opportunity for Return on Value: Capturing Comorbid Condition Documentation HCT Project Volume 2, July 17, 2004
Anesthesiologists can become critical facilitators of improved documentation of comorbidity, resulting in safer patient care and enhanced revenue for surgical patients.
Jerry Stonemetz, DocuSys

 An Industry View of Payer-Provider Collaboration HCT Project Volume 2, July 17, 2004
Within the many geographies and landscapes of health care, it is incumbent upon companies to work together to adopt a common vision, to share goals and objectives, and to achieve concurrence on expected outcomes with specific criteria to validate measurable attainment.
Jon Zimmerman, Siemens Medical Solutions

 CEO Chet Burrell Explains RealMed's Role As a Bridge Between Payers and Providers HCT Project Volume 2, July 17, 2004
There is really no investment required by a practice to get on the service, so ROIs tend to be high as measured by administrative cost savings and faster time to payment.
Chet Burrell, RealMed Corporation

 Clinical Decision Support: The Technology Is Now Equal to the Challenge HCT Project Volume 2, July 17, 2004
By collecting knowledge in real time, next-generation clinical decision support not only improves workflow but directly enhances the diagnostic and therapeutic abilities of caregivers.
Joseph I. Bormel, M.D., M.P.H., QuadraMed Corporation

 Customer Service HCT Project Volume 2, July 17, 2004
Many complex interrelationships and transactions are required for any single health care experience. A collaborative approach supported by an integrated information infrastructure is necessary for all constituents to achieve their common goal: better medical outcomes for less cost.
Scott Whyte, Catholic Healthcare West, Britton Pim, Capgemini, Paul Quigley, Capgemini, Linda Flink, Capgemini, Donald Gravlin, Capgemini

 Dr. Bill Crounse and David Lubinski Explain How Adaptive Design Can Improve Health Care Systems HCT Project Volume 2, July 17, 2004
Never before have we had the technology and devices that can actually give clinicians a tool that improves safety and quality, but also makes them more productive.
David Lubinski, Microsoft Corporation, Bill Crounse, M.D., Microsoft Corporation

 Driving and Measuring Supply Savings HCT Project Volume 2, July 17, 2004
Supply chain management presents enormous opportunities for health care executives seeking to reduce costs across the organization and gain new efficiencies. But to make it a long-term success, they need a program that will consistently measure and track savings.
Judy Rowe, Neoforma

 EAI Provides Opportunities for Collaboration HCT Project Volume 2, July 17, 2004
Enterprise application integration enables information sharing, transaction processing, and collaboration across the health industry. Payer-provider collaborations form the hub and provide the access points for transactions among the other constituents.
Brian D. Peterson, Capgemini

 Health Care: Measuring What Matters to You HCT Project Volume 2, July 17, 2004
In today’s turbulent health care industry, payer organizations need a solution to help them better manage business challenges. Enterprise performance management may just be that solution.
Alan Probert, Business Objects, Patrick Morrissey, Business Objects

 Health Information Technology: Implications for Healthcare Organizations HCT Project Volume 2, July 17, 2004
In the spring of this year, President Bush established a vision of interoperable electronic health records within 10 years, and appointed David Brailer, MD, PhD to serve as the National Coordinator for Health Information Technology (HIT). This established a focal point for action and captured the attention of both the health care industry and the nation.
Peter Kongstvedt, M.D., Accenture, John Quinn, Accenture, Hindy Shaman, Capgemini

 John Hummel Explains How to Promote Employee Adoption of New Technologies HCT Project Volume 2, July 17, 2004
It is important that the clinical leadership and the administration leadership – the CEO, the COO, the CFO, and the CMO – understand what the ultimate vision is and how it will benefit each of their areas.
John Hummel, Sutter Health

 Lessons from DuPont--Culture, Cost, and People HCT Project Volume 2, July 17, 2004
Similar to the chemical industry in the 1970s, the health care industry received a safety wake-up in 1999. Health care can respond by adopting a beyond-compliance prevention mindset approach to ensure that safety is a fundamental line management responsibility throughout the organization.
Deborah L. Grubbe, P.E., DuPont

 Moving Forward With Wireless Voice And Converged Medical Devices HCT Project Volume 2, July 17, 2004
Communications infrastructures, such as computerized physician order entry systems, in conjunction with new workflow paradigms, are making dramatic contributions toward improving access, quality, and efficiency in patient care.

 NEHEN: An Electronic Transaction Exchange for Massachusetts' Health Care System HCT Project Volume 2, July 17, 2004
Fundamentally different from the typical health care electronic translation model needed in the marketplace, the NEHEN is a standards-based approach for exchanging HIPAA-compliant eligibility transactions with minimum administrative costs to the members.
John D. Halamka, M.D., M.S., NEHEN

 Next Generation Payer-Provider Connectivity HCT Project Volume 2, July 17, 2004
The challenges of clearinghouses will be met by forward-thinking health care organizations that are willing to take the initiative to leverage emerging technologies, market drivers, and the HIPAA regulatory environment to their strategic advantage.
Sandy Williamson, CapTech Ventures, Inc., Brian Deasy, CapTech Ventures, Inc.

 Online Collaboration Improves Health Care Delivery HCT Project Volume 2, July 17, 2004
Through collaborative online business processes, all participants can contribute to quality improvements that can help organizations become the health care employer and provider of choice in its community.
Jennifer Langer, PeopleSoft, Inc., Jamie Wyatt, PeopleSoft, Inc.

 Paving the Way For a Collaborative Future HCT Project Volume 2, July 17, 2004
Despite existing and potential barriers, the benefits of collaboration between the major entities in health care remain high. Properly done, collaboration could increase the efficiencies of the entire system, thereby helping to manage overall costs.
Peter Kongstvedt, M.D., Accenture, Hindy Shaman, Capgemini

 Power Protection Systems: Protecting Investments in Capital Health Care Equipment HCT Project Volume 2, July 17, 2004
Even with backup generators, medical equipment is still at risk for power interruptions during transfer time – risking the health of patients and the quality of medical data, and damaging costly, sensitive systems.
Ken Appelt, Powerware

 Project Management HCT Project Volume 2, July 17, 2004
The complexity of payer-provider collaboration necessitates a clear view of the project and its progress. Because of the sheer magnitude and large number of players involved, collaboration requires a formalized, structured methodology to keep the project moving forward.
Mel Armbruster, Capgemini, Jamie Dimond, Capgemini, Rob Shingles, Capgemini, Cindy Urbancic, R.N., Accenture, Judith M. Wilczewski, R.N., Accenture

 Scheduling Software Supports Health Care's Fine Balance HCT Project Volume 2, July 17, 2004
A challenge for health care is the efficient and harmonious interaction between the stakeholder entities – meeting the needs of each, while reducing frustration factors and achieving expectations.
Barry M. Rundquist, Unibased Systems Architecture Inc., Jacque L. Fryday, B.S., C.I.S.M., Independent Consultant

 The Clinical and Financial Transformation Of Asia's Largest Private Hospital HCT Project Volume 2, July 17, 2004
With the “big bang” approach, Bumrungrad Hospital implemented an enterprise software solution that provides doctors, nurses, radiologists, and lab technicians with immediate clinical information and satisfies the billing and material management needs of back-office users.
Patrick Downing, Global Care Solutions, Curtis Schroeder, Bumrungrad Hospital

 The Collaboration Process HCT Project Volume 2, July 17, 2004
Collaboration demands a shift in relationship dynamics and an openness to change. When this occurs, payers and providers can join together to cut costs, improve patient care, and increase visibility.
Jamie Dimond, Capgemini, Christopher Bonus, Capgemini, Cy Hufano, Capgemini, Michael Einig, Capgemini

 A Structured Approach to Physician Adoption of Technology HCT Project Volume 1, July 01, 2003
One of the most significant barriers to computerized physician order entry or other advanced clinical systems is a lack of clinician adoption. Value cannot be realized if clinicians won't use the technology. A structured methodology can help health care organizations foster clinician adoption.
Barbara A. Crowell, Dearborn Advisors, LLC

 ABCs of Partnering HCT Project Volume 1, July 01, 2003
The resources, knowledge, and experience required for a successful clinical transformation initiative are immense. So are the risks. Only a collaborative, “partnering” relationship among the system buyer, the system vendor, and the clinical transformation consultant can devote sufficient time and resources, and the right methodologies to drive the Clinical Information System to its desired future state.
Jay Toole, Capgemini, Carol Belmont, Capgemini, Kathleen Meredith, R.N., M.S.N, M.B.A., Capgemini, Robert B. Williams, M.D., Capgemini

 Accelerated Solutions HCT Project Volume 1, July 01, 2003
Clinical transformation requires more than implementation of technology. Changing how things are done requires a significant behavior shift on the part of each constituency of the health system. Accelerators can facilitate acceptance and adoption.
Cy Hufano, Capgemini, David Friedman, Capgemini

 Achieving Standardization Through CIS Implementation HCT Project Volume 1, July 01, 2003
Standardization of clinical processes and practices is the reason for the effort and expense of building a clinical information system. It is the means by which quality and safety of patient care are improved, efficiencies realized, and costs reduced.
Robert B. Williams, M.D., Capgemini, Jay Toole, Capgemini, Michele Salvaneschi, R.N., Capgemini

 Are You Ready? HCT Project Volume 1, July 01, 2003
Before heading full-speed in the direction you think you want to go, be sure you know where you are coming from. Assessing the readiness of your organization to adopt new processes and technologies is a vital first step that prevents unpleasant and costly surprises later on.
Joe Poats, Accenture, Michele Salvaneschi, R.N., Capgemini

 Change Management: An Integral Component of Clinical Transformation HCT Project Volume 1, July 01, 2003
Clinical transformation requires changes in processes, technologies, and people. A successful CIS implementation must include plans for dealing constructively with overt and covert resistance to change arising from the anxiety of clinicians and supporting staff. Managing change requires that the people affected by change participate significantly in the process by which decisions are made and change is implemented.
David Friedman, Capgemini, Ken Gebhart, Capgemini, Lynda E. Crandall, Capgemini

 Future Directions: Where Is the Technology Heading? HCT Project Volume 1, July 01, 2003
A Web Services Framework (WSF) for designing clinical information systems promises to dramatically improve the efficiency and effectiveness with which health care information is delivered and consumed. WSF is the future of clinical information systems, and this future is available now.
Chris Brandt, Capgemini, Ashif Jiwani, Accenture

 How to Organize HCT Project Volume 1, July 01, 2003
Building a computer information system from the ground up is analogous to undertaking the construction of a new hospital building in terms of expense and complexity. Careful planning is essential. Charters and detailed work plans are a good place to start the planning process.
Manuel Lowenhaupt, M.D., Accenture, David Friedman, Capgemini

 Implementation Approaches HCT Project Volume 1, July 01, 2003
There's a big difference between systems installation and success. Many health care organizations have automated their current environment, only to find that users reject the system, promised functionality does not materialize, costs exceed estimates, and ROI falls short of expectations. Instead, healthcare organizations need to optimize their clinical operations by using information technology to drive significant quality and financial improvements. This section identifies the characteristics of clinical transformation projects that help assure success.
Laureen M. King, Capgemini, Karyl Woldum R. N., Capgemini

 Information Technology in the Emergency Department HCT Project Volume 1, July 01, 2003
Adhering to fundamental critical success factors while avoiding common pitfalls will increase the chance of building, integrating, and deploying a successful computer-based patient record. Organizations that strive for, and measure, improvements in patient care and satisfaction are more likely to thrive than those that measure financial benefits more exclusively.
Kenneth N. Sable, M.D., Maimonides Medical Center

 Integrated Results Reporting Information System: The First Phase of Clinical Decision Support HCT Project Volume 1, July 01, 2003
Complete, organized, timely, and usable medical information via a Results Reporting Information System (RRIS) can be the first step towards clinical decision support. Moreover, RRIS is both easier to implement and more rapidly adopted by health care workers than other new systems.
William Bria, University of Michigan

 Lessons Learned in Physician Design and Use of Advanced CIS and CPOE — It's About Time! HCT Project Volume 1, July 01, 2003
Designing and implementing an advanced CIS is a complex and high-risk journey. To this end, physicians need to get on board from the project's inception. Physicians have the clinical perspective necessary for a successful implementation.
Robert B. Williams, M.D., Capgemini

 Managing the Risks: Are You Scared Yet? HCT Project Volume 1, July 01, 2003
Nervous about the risks involved in implementing an advanced clinical information system? Good! Anxiety motivates caution and a thoughtful quest for answers to hard questions. The question is: are you anxious enough? Here are reasons your anxiety is justified.
Manuel Lowenhaupt, M.D., Accenture, Michele Salvaneschi, R.N., Capgemini

 Measures That Matter HCT Project Volume 1, July 01, 2003
Measuring is a way to assess and improve performance. It is important to measure the things that matter to stakeholders: the quantitative and qualitative aspects of service, quality, and financial performance.
Brent Barnhisel, M.B.A., M.H.A., Capgemini

 Negotiating a Success-Oriented Contract HCT Project Volume 1, July 01, 2003
The complexity and high costs of new information technologies merit more strategic agreements to ensure value realization. HCO managers and analysts should approach contracts with the objective of getting full value from new systems. Clear vendor agreements on a host of issues from initial system costs, to help with clinician adoption, are crucial.
Richard D. Mager, Dearborn Advisors, LLC

 Question & Answer with Bill Spooner, VP and CIO of Sharp Healthcare HCT Project Volume 1, July 01, 2003
Barry Jacobs talks to Bill Spooner about the necessity of multiple products and vendors, and end-user participation.
Bill Spooner, Sharp HealthCare

 Question & Answer with David Muntz, Senior VP and CIO of Texas Health Services HCT Project Volume 1, July 01, 2003
David Muntz asserts that while technology is not the endpoint, it can help alleviate an escalating sense of chaos people seem to feel.
David Muntz, Texas Health Resources

 Question & Answer with Jeff Goldsmith, President of Health Futures, Inc. HCT Project Volume 1, July 01, 2003
Jeff Goldsmith discusses how clinical IT will integrate a patient's history with embedded best practice guidelines to help clinicians design the best possible treatment plan.
Jeff Goldsmith, Ph.D., Health Futures, Inc.

 Question & Answer With John Haughom, M.D., Senior VP of Health Care Improvement at PeaceHealth HCT Project Volume 1, July 01, 2003

PeaceHealth

 Quick Results HCT Project Volume 1, July 01, 2003
An analysis of current clinical functions by an experienced consultant can generate fast and simple improvements in patient care efficiency as well as increase clinician acceptance and adoption of clinical information systems down the road.
Marj Bogaert, R.N., M.S.N, Capgemini

 Selecting a Clinical IT Vendor HCT Project Volume 1, July 01, 2003
Correct vendor selection can accelerate and enhance the success of a clinical transformation implementation. Thinking through the selection criteria and process is key to reaping the maximum benefit from clinical transformation.
Robert Reese, Capgemini, Susan Abla, Capgemini, Christopher VanPelt, Capgemini

 Special Interview With Jim Gabler, Director of GartnerGroup's Healthcare Industry Research and Advisory Services HCT Project Volume 1, July 01, 2003
Gartner's Jim Gabler believes it's crucial to build in an understanding that business accountabilities drive IS projects.
James M. Gabler, Gartner, Inc.

 Special Section: Medical Safety HCT Project Volume 1, July 01, 2003
Medication error and patient safety emerged as critical issues in health care in 1999 when the Institute of Medicine (IOM) released their report, To Err is Human: Building A Safer Health System. The report estimated that as many as 98,000 patients die in hospitals each year due to medical errors.
Brian Shea, Pharm.D., Capgemini, Jill Fainter, HCA, Inc.

 Sustainability: Education & Training HCT Project Volume 1, July 01, 2003
Sustaining the benefits of clinical transformation requires that staff be effectively trained on the new system. Designing and implementing a training program based on time-tested training principles will ensure a clinical transformation that pays dividends over many years.
Phil L. Morlan, Capgemini, Drew Kemmeling, Capgemini

 The Challenge of Vendors' Products HCT Project Volume 1, July 01, 2003
Health care buyers of clinical information solutions need to understand how vendors develop, implement, maintain, and update their software in order to make intelligent buying decisions. They need to know which problems with vendor solutions can be avoided, which ones can be mitigated, and which ones must be accepted and managed.
John Quinn, Accenture

 The Future is Now at the World's First All-Digital Heart Hospital HCT Project Volume 1, July 01, 2003
Heartfelt Vision: The Indiana Heart Hospital is dedicated to the prevention and cure of heart disease in a completely digital environment created to provide superior care, diagnosis, treatment and intervention.

 The Impact of Clinical Information Systems and Automation to Health System Pharmacies HCT Project Volume 1, July 01, 2003
Higher labor, equipment, and materials costs for the pharmacy are probable with the implementation of pharmacy clinical information systems. These costs should be offset, however, by improvements in the quality of patient care, increased patient satisfaction, and lower overall care costs.
James Baker, Cardinal Health, Julie Cole, Cardinal Health

 The Need for Transformation HCT Project Volume 1, July 01, 2003
The lessons of the past are clear: Effectively using technology in the health care industry requires redesigning core clinical business processes. Though past investments in information technology have yielded disappointing business results, future competitiveness requires integrating and automating processes. Powerful, reliable, and flexible tools now exist that can support the workflow of clinicians.
Jay Toole, Capgemini

 The Project Management Office: Putting It All Together HCT Project Volume 1, July 01, 2003
To focus and drive a clinical transformation effort, a strong project management discipline is needed. A project management office can steer a clinical transformation by spearheading performance improvement measurements as well as traditional project monitoring efforts.
Cindy Urbancic, R.N., Accenture

 Top 10 Pitfalls HCT Project Volume 1, July 01, 2003
Implementing an advanced clinical information system is a complex undertaking, fraught with dangerous pitfalls. Knowing the most common fallacies and misconceptions can help decision makers avoid costly mistakes.
Manuel Lowenhaupt, M.D., Accenture