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Build Eisenhower’s Highway System for Today’s Needs A modernized, interconnected healthcare system would electronically
link physician offices, hospitals, pharmacies, public
health agencies and other key first responders, providing valuable
data to prepare for and respond to an emergency. David Merritt, Center for Health Transformation HCT Project Volume 4, January 30, 2007
Business Intelligence and the High-Performance Provider Using business intelligence tools to transform data into actionable
insights, healthcare providers can better measure, manage
and improve how they do business. To this end, providers will create
a list of parameters to monitor and compare with established
benchmarks to measure high performance. Lewis Redd, Accenture, R. Wesley Champion, Accenture HCT Project Volume 4, January 30, 2007
Business Process Outsourcing Goes Mission-Critical In today's ‘no margin, no mission’ healthcare environment, an outsourcing vendor able to combine
business process expertise, global delivery and thorough knowledge of healthcare issues is a
provider's best ally in transforming back-office support services into a competitive advantage. Elizabeth Guyton, Accenture HCT Project Volume 4, January 30, 2007
Clinical Decision Support: Lessons From the Field on the Integration of Medical Intelligence and Information Technology Although still in
its early stages, a growing body of research of both what is and
what is not working in CDS is appearing. This paper will focus on
the most recent lessons learned in this emerging discipline of CDS
and conclude with recommendations of the most promising
avenues of investigation and development. Stephen G. Patterson, H. Lee Moffitt Cancer Center and Research Institute, William Bria, University of Michigan, Sandra French, B.A., R.N., B.C., Shriners Hospitals for Children HCT Project Volume 4, January 30, 2007
Consumer-Centric Focus on Billing Improves Patient Satisfaction As patients become the real healthcare customers, hospitals must provide them with tools that
provide quick and easy access to personal and financial healthcare information. David C. Hammer, McKesson (EMC) HCT Project Volume 4, January 30, 2007
Creating Electronic Health Record Systems with InterSystems HealthShare® The Fast Path to Connected Healthcare Joel F. Richman, InterSystems Corporation HCT Project Volume 4, January 30, 2007
Development of a ‘Mobile Web’ for Healthcare Data Collection Using Tablet PC and Mi-Forms Technology Over the past two years we have been
developing a technology that utilizes tablet PC technology with
an innovative software product called Mi-Forms (Mi-Co, Inc.,
Research Triangle Park, N.C.). The beauty of this technology is
that it makes data collection and validation concurrent and
portable, incorporating information that already exists in the
hospital information system with data at the point of care. Richard E. Shaw, Sutter Pacific Heart Centers HCT Project Volume 4, January 30, 2007
Early Experiences With Positive Patient Identification How do we positively identify
our patients so that we are confident they are receiving the correct
medications, have the correct blood samples sent to the lab and
receive the right blood products during a transfusion? John D. Halamka, M.D., M.S., NEHEN HCT Project Volume 4, January 30, 2007
Eliminating Healthcare Fraud Through Technology 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 HCT Project Volume 4, January 30, 2007
Healthcare Collaborative Spearheads Adoption of EHRs in Massachusetts A forward-thinking nonprofit company is funding pilot projects in three Massachusetts communities
to prove the worth of ubiquitous adoption of electronic health records, embedded decision support and
health information exchange. Micky Tripathi, Massachusetts eHealth Collaborative HCT Project Volume 4, January 30, 2007
High Performance: A Road Map to Payer Success in U.S. Healthcare The only constant in the healthcare industry is the existence of continual change. In an ever-evolving business climate, what can payers do to outperform peers? The answer lies in their ability to harness change through a series of high-performance attributes used to define success. Peter Kongstvedt, M.D., Accenture, Erik Swanson, Accenture HCT Project Volume 4, January 30, 2007
Hitachi Application Optimized Storage™Solutions for Aligning IT and Business Objectives From Fortune 100 enterprises to small businesses, in today’s business world,
applications and the storage environments they depend upon have become
critical drivers of business processes and decisions that impact organizational
growth, risk, and profitability. Therefore, it’s imperative that businesses more
closely align storage infrastructure with application needs. Hitachi Data Systems, HCT Project Volume 4, January 30, 2007
Intelligent Communications Enhance Productivity What does intelligent communications mean to a healthcare
organization? Quite simply, it is the result of embedding communications
inside your work flow and processes. Leveraging this
intelligence means hospitals can use different communications
tools depending upon the particular user, environment or operational
requirement. Today, intelligent communications enables
healthcare organizations of all sizes (from a local physician’s office
to a nationwide healthcare system) to deliver competitive advantage
through improved organizational efficiency. Scott Washburn, Avaya HCT Project Volume 4, January 30, 2007
Leadership Strategies for Reaching Top Performance Faster It is not an easy task to move an average-performing hospital
forward. Encouraging signs, such as the success of the 100,000
Lives Campaign and optimism on the part of hospital leaders,
suggest that progress is being made. However, an objective analysis
of publicly available data suggests otherwise, showing that nearly
2,000 boards and CEOs still face the problem of demonstrating any
measurable improvement in performance during their tenure. Jean Chenoweth, Solucient, part of Thomson Healthcare, Kaveh Safavi, M.D., J.D., Solucient, part of Thomson Healthcare HCT Project Volume 4, January 30, 2007
Lessons Learned From a National Pay-for-Performance Program Pay for performance has finally come of age in healthcare. The Bridges To Excellence programs have
identified 10 key ingredients to a successful program. Francois de Brantes, Bridges To Excellence HCT Project Volume 4, January 30, 2007
Leveraging Health Information Technology and Health Information Exchange for Value-Based Healthcare Initiatives Concerns about cost and quality are driving the federal government
to take action. On August 22, 2006, President Bush issued an executive
order calling for healthcare programs that are administered or
sponsored by the federal government to make available cost and
quality information to their beneficiaries, as well as to utilize HIT systems
and products that meet recognized interoperability standards. Janet Marchibroda, eHealth Initiative HCT Project Volume 4, January 30, 2007
Making the Case: An Evolutionary Strategy to Achieve Interoperability I’m not suggesting that these efforts were ill-advised or ill-conceived.
But as I’ve analyzed these initiatives, it has become apparent
to me that there may well be a different, strategic approach
that can accomplish the interoperability many integrated delivery
networks seek and that can bypass many of the innate barriers
that have largely stymied these efforts to date. I call this an “evolutionary”
or “stepping stone” approach to interoperability. Peter van der Grinten, dbMotion HCT Project Volume 4, January 30, 2007
Passwords – the Weakest Link in Healthcare Security Passwords are still the most pervasive tool used to secure systems.
As a result, the cost of managing password-based security
represents a growing burden for the healthcare IT professional.
Despite countless expenses and hours in creating guidelines and
procedures and purchasing safeguards, one user can still override
all efforts by simply sharing a password. Vance Bjorn, DigitalPersona HCT Project Volume 4, January 30, 2007
Pervasive Healthcare The global healthcare industry is facing a crisis in chronic
care that soon will be exacerbated as the baby boomer
generation ages. This growing demand for chronic care is
placing a tremendous economic burden on governments, private
employers and individual consumers, and it is straining the
capacity of skilled care professionals and nursing homes. Meanwhile,
technologies, like miniaturized sensors, wireless networks
and mobile devices, are enabling telehealth and remote monitoring
of patients, and redefining the new healthcare reality. Luis E. Taveras, Accenture, Dr. Dadong Wan, Accenture HCT Project Volume 4, January 30, 2007
Preventing Medication Errors With New Technologies St. Clair Hospital in Pittsburgh implemented – with dramatic results – a medications verification
system that combined bar coding with passive RFID tagging. Thomas Ague, St. Clair Hospital, Richard Schaeffer, St. Clair Hospital HCT Project Volume 4, January 30, 2007
Q&A With Carol Diamond The managing director of the health program at the Markle Foundation
explains why public trust is essential to the successful exchange of electronic
health information – and how we can build it. Carol Diamond, Markle Foundation HCT Project Volume 4, January 30, 2007
Q&A With Daniel Nigrin Practicing physician and IT innovator Dr. Daniel Nigrin discusses his
experiences at Children’s Hospital Boston and the special challenges that
face the pediatric specialty. Daniel Nigrin, Children's Hospital Boston HCT Project Volume 4, January 30, 2007
Q&A With Grace-Marie Turner If we don’t approach healthcare like other sectors of the economy, where
consumers shop for value and seek services that are faster, better and
cheaper, we’re doomed to default into a government-run healthcare system. Grace-Marie Turner, Galen Institute HCT Project Volume 4, January 30, 2007
Q&A With Gregg Malkary One of the nation’s leading healthcare consultants assesses current IT trends
and takes a high tech peek into the future. Gregg Malkary, Spyglass Consulting Group HCT Project Volume 4, January 30, 2007
Q&A With Greta Sherman Although online job recruitment facilitates the hiring of more qualified
candidates, the current staffing crisis in healthcare is about more than
just that; it encompasses better education and enhanced practice
environments as well. Greta Sherman, Monster.com HCT Project Volume 4, January 30, 2007
Q&A With Jay Srini An evolving area of healthcare technology
pertaining to consumer-enabling and
patient-enabling technologies is sometimes
referred to as “pervasive healthcare”
or “unbound healthcare.” The fundamental
premise is that healthcare has to follow
the patient and not vice versa. In other
words, care is provided in a distributed
healthcare ecosystem whether the patient
is at home, at the workplace or at a longterm
care facility. Jay Srini, University of Pittsburgh Medical Center HCT Project Volume 4, January 30, 2007
Q&A With Melissa A. Fitzpatrick The chief healthcare strategist for SAS discusses the importance of
managing data and transforming it into useful, actionable information. Melissa A. Fitzpatrick, SAS HCT Project Volume 4, January 30, 2007
Q&A With Michael Meisel RES-Q Healthcare Systems’ Michael Meisel discusses the evolution and
direction of staffing and scheduling solutions. Michael Meisel, RES-Q Healthcare Systems HCT Project Volume 4, January 30, 2007
Q&A With Stephen Lieber The president and CEO of HIMSS discusses his organization’s efforts in
driving America’s move toward an interoperable healthcare system. Stephen Lieber, HIMSS HCT Project Volume 4, January 30, 2007
Software Plus Collection Expertise Equals Powerful Accounts Receivable Platform Faced with a formidable competitive challenge from national diagnostic companies, both hospital-based and independent clinical laboratories are adopting a more aggressive stance in their efforts to defend and increase market share. Behind the push is a realization that the advantages enjoyed by smaller labs – immediate consultation with a pathologist, rapid turnaround and detailed knowledge of the local market – can be key differentiators in the crowded lab market. Eddie Miller, Per-Se Technologies HCT Project Volume 4, January 30, 2007
Telehealth: A Cure for the Coming Healthcare Crisis Caring for an aging population and chronically ill patients
requires a new strategy – a paradigm shift that telehealth is uniquely
positioned to provide. Although telehealth technology spans the
basic to the futuristic, it’s fundamentally defined as the use of electronic
data and communication systems to deliver medical information
and services remotely through a telephone line or the Internet.
Although the concept is simple, the impact is significant. Scott Sheppard, WebVMC HCT Project Volume 4, January 30, 2007
The Business of Healthcare Demands a Legal EHR The business of healthcare depends upon a hospital’s ability
to produce a legal health record, the hospital’s documented
set of information for each patient encounter. The legal
health record helps the hospital get paid, justifies its performance
and improves its performance. Carlton M. Cottrell, ChartOne, April D. Robertson, ChartOne HCT Project Volume 4, January 30, 2007
The Case for Decision Support: Safer Medication Management and Lower Costs Putting the right information in the hands
of the right people at the right time via a systematic deployment
process is a key success factor in an organization’s ability to
ensure the safety and quality of medication use while managing
drug costs. Jerome A. Osheroff, M.D., Thomson Healthcare Micromedex, Gina Moore, Thomson Healthcare Micromedex HCT Project Volume 4, January 30, 2007
The Clinical and Financial Transformation of Asia’s Largest Private Hospital 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 HCT Project Volume 4, January 30, 2007
The Impact on Healthcare Costs For American Companies Because U.S. healthcare challenges have created a competitive gap for American companies, many
are calling for the transformation of the healthcare industry. Jeffrey Rideout, M.D., M.A., F.A.C.P., Cisco Systems, Inc. HCT Project Volume 4, January 30, 2007
Toward a Mature Security Model HIPAA Administrative Simplification intends to do what
other industries have successfully achieved by sitting
down with competitors – standardize common electronic
transactions to reduce healthcare’s overhead cost.While not a surprising
piece of legislation, Administrative Simplification’s companion
privacy and security regulations have jolted just about
every corner of the industry. Kate Borten, The Marblehead Group HCT Project Volume 4, January 30, 2007
WiFi-Based Patient Monitoring Healthcare is an ideal environment for the use of wireless and
mobile computing technologies. From a process perspective, the
hospital of today can be compared to a logistical or supply chain
operation. There are multiple departments through which the
patient moves, while at the same time, critical patient-specific
information is needed for real-time decision support. Clinicians
must have access to this information at the right time – wherever
they are – without increasing their workload. Scott Bradley, Dräger Medical Systems HCT Project Volume 4, January 30, 2007
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