Baystate Health’s Regional HIE Invites Outside Providers to Participate to Help Enhance Patient Care

Integrating clinical information supports the needs of the community

Baystate Health is an integrated delivery network (IDN) that includes five hospitals and more than 90 primary and specialty care practices serving a region of western Massachusetts with 800,000 residents. We know that patients who are coming to our facilities are also visiting other facilities outside of our network. As a result, they might be at risk of receiving duplicate procedures and imaging exams.Exchanging information to enhance patient care

To address these concerns and to enhance patient care, we spent several million dollars to expand our electronic health record (EHR) into a regional health information exchange (HIE). We then invited hospitals and physician groups outside our network to participate at no cost to make our HIE both attractive and more effective.

Starting with an electronic medical record (EMR) and associated applications that provide demographic, claim and coding data, we built a clinical data repository that integrates and aggregates clinical information from Baystate entities and facilitates interfaces with disparate data sources from other organizations and their EMRs. Our platform addresses the challenge of standardizing the proprietary code language and data sets from the various EMR platforms to create a comprehensive view of patient health information.

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Diagnostic Reading #14: Five “Must Read” Articles on Health IT and Radiology from the Past Week

This week’s articles include: the need for greater integration between PACS and other IT tools in radiology; ability of implantable devices to improve patient care and compliance; accountable care organizations are expected to reduce costs but many patients seek care outside their network; a study examines the movement to incorporate “patient-reported outcomes” into clinical care; and Yelp reviews provide insight into patient experiences.

Survey: The state of system integration in academic radiology departments – Health Imaging

Academic radiology departments report varying levels of integration between PACS and other IT tools such as dictation systems, critical notification systems and electronic medical records, according to results of a study published online in the Journal of the American College of Radiology.

Mobile devices will interface with IT to improve care, save billions –Health Data Management

Implantables are being customized to address specific health issues and can tremendously improve patient compliance. Smart pills can monitor and

Medical concept icons for web and mobile phone.

wirelessly transmit biomedical data to providers and send alerts to patients to take their meds. A dime-sized chip can enable doctors to continually monitor patient vitals. And the list keeps growing: a “bionic eye” that allows the blind to see and a cardioverter-defibrillator to treat sudden heart attacks.

ACOs using analytics, IT to manage out-of-network care – Health Data Management

Accountable care organizations are expected to reduce overall healthcare costs by coordinating care: minimizing ineffective or duplicative services and maximizing communication among the various members of each patient’s care team. At the same time, under current federal ACO rules, providers have no leverage to keep their attributed ACO patients from seeking care outside their network. A June 2014 study of care patterns in 145 ACOs, published in the Journal of the American Medical Association, found that 66 percent of specialist visits took place outside the ACO’s network.

How patients’ reports on their health can help doctors do a better job – NPR

A study published in the April issue of the Health Affairs journal examines the movement to incorporate “patient-reported outcomes” into clinical care. It may seem like a no-brainer to include patients’ assessments of their physical and mental conditions and quality of life into medical care, but such patient-generated data have traditionally been confined to research rather than clinical settings. Clinicians have typically focused more on physical exams, medical tests and biological measures to guide patient care.
Yelp provides untapped insight into patient experience – Modern Healthcare

Excessively pricey bills, long waits for staff, rude doctors and difficulties setting up appointments drove people to rant about their hospitals on Yelp, according to a study. While those issues frustrate patients, most are not tracked on government surveys and ratings programs meant to capture patients’ experiences in U.S. hospitals. Researchers say it’s a missed opportunity for actionable feedback and to identify more robust measures.

#PACS #radiology

White Paper: Functional Requirements for Enterprise Clinical Data Management

Defined requirements lay the path for future growth and change2016-03-18 13_31_20-Functional_Requirements_Enterprise Data Management.pdf - Adobe Reader

As healthcare organizations plan for the future growth and integration of clinical data into their IT ecosystems, it’s crucial to start with clearly defining the functional requirements that span the needs of users across the enterprise. Why? Because well-defined functional requirements specify exactly what IT systems need to accomplish in each department and across the healthcare organization, and delineate the metrics for success. Also, functional requirements help frame the core questions posed in Requests for Proposals (RFPs) or tenders and define for vendors the capabilities that must be provided to advance interoperability and accessibility. Lastly, if your organization wants to plan for growth and change, functional requirements define the standards that must be met to ensure future compatibility and minimize disruption.

This white paper provides an overview of the key functional requirements that must be built around four distinct modules:

  • Data capture and ingestion
  • Clinical management
  • Enterprise repository/archive
  • Collaboration

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Diagnostic Reading #12: Five Must Read Articles on Radiology and Healthcare Technology from the Past Week

This week’s articles include: tips for providers who are changing healthcare information systems; University at Buffalo and UBMD Orthopaedics win a $2 million NIH grant to study concussion damage; the FTC increases protection for consumer health data; an international team builds a new type of low-dose xray detector; and two-factor authentication can help protect the security of your accounts.

Tips for radiology practices on changing information systems – Diagnostic ImagingCarestream Clinical Collaboration

Get a prenuptial agreement before partnering with your PACS vendor. That’s the recommendation of Steven C. Horii, MD, director of medical informatics in the department of radiology at the Hospital of the University of Pennsylvania. Horii says the agreement should include guaranteed access to your old database and – in the event the vendor goes out of business – access to their database schema. Also, when considering a HIS or RIS replacement, find out how prospective vendors will handle the conversion and desired workflow capabilities.

University of Buffalo awarded $2 million grant to study concussions – Health Imaging

Researchers at the Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo received a five-year, $2 million grant from the National Institutes of Health to study the impact concussions have on an individual’s body and brain. Physicians from UBMD Orthopaedics & Sports Medicine will conduct the study and are looking for teenage participants.

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Libro Blanco : Estrategias de Empresa de Imagenologia para Fusiones y Adquisiciones

Enterprise Imaging Strategies for M&AsTres estrategias para minimizar la interrupción de servicio después de una fusión

Como consultor de las TI en el Cuidado de la Salud, tengo la oportunidad de reunirme con altos ejecutivos en hospitales a lo largo del país. Debido a la tendencia de adquisiciones por la fuerte afiliación al cuidado de la salud hoy en día, no me sorprende que este sea un tema principal para altos ejecutivos y líderes de los departamentos que se verán afectados. Una preocupación particular es asegurarse de que los servicios de imagenologia no se vean interrumpidos durante o después de la adquisición. Esto requiere que la protección y accesibilidad a través de ajustes de cuidados. Para poder hacer frente a este desafío se requiere una estrategia de imagenologia robusta a lo largo de la empresa posterior a la fusión. Recientemente, El Instituto para la Transformación de Tecnología para la Salud (iHT2) llevo a cabo un proyecto de investigación, del cual fui participe. De esta investigación resultaron un detallado libro blanco y un seminario que exploró tres estrategias clave de integración:

  • Estrategia Centrada en el Departamento de PACS
  • Estrategia Centrada en la Empresa de Almacenaje
  • Estrategia a lo Largo de la Empresa

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EMR, EHR, PACS & VNA: Looking Beyond the Acronyms [Part Two of Two]

These Letters Have a Lot to Say about the Past, Present and Future of Healthcare IT

Per leggere la storia in italiano, clicca qui

Last week, Part I of this series looked at the motivations, challenges and standards involved in developing EMR / EHRs to support more efficient and effective patient-centered care. We also looked into the history of the PACS concept for acquiring, archiving, managing and accessing radiology images.

In Part II, we look at the evolution of PACS technology to serve diagnostic departments beyond radiology. And we introduce another acronym, the VNA (Vendor Neutral Archive), which points the way to a fully interconnected platform for sharing clinical images from every department across the enterprise. Thereby supporting the imaging requirements of the acronyms we began with in Part I: the EMR / EHR.  Carestream-clinical-collaboration-platform
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EMR, EHR, PACS e VNA: Guardare al di là degli acronimi [Parte 2]

Parte 2 dei nostri ABC sul passato, presente e futuro dell’IT sanitaria

La settimana scorsa, nella Parte 1 di questa serie abbiamo esaminato le motivazioni, le sfide e gli standard coinvolti nello sviluppo degli EMR / EHR per supportare una cura più efficiente e più efficace incentrata sul paziente. Inoltre abbiamo considerato la storia del concetto del PACS per l’acquisizione, archiviazione, gestione e accesso alle immagini radiologiche.

Nella Parte 2, tratteremo l’evoluzione della tecnologia PACS per dipartimenti diagnostici al di là della radiologia. Introdurremo un altro acronimo, il VNA (Vendor-Neutral Archive), che indica la strada verso una piattaforma completamente interconnessa per la condivisione di immagini cliniche provenienti da tutti i dipartimenti dell’intera struttura sanitaria. A questo proposito, nella Parte 1 tra gli acronimi avevamo iniziato, sul tema dei requisiti per l’imaging, con l’ EMR / EHR.Carestream Clinical Imaging

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CIO Perspective: Business and technology alignment remains top concern

Study reveals CIOs worry most about matching technology with business needsVueIcon.docx - Microsoft Word

CIOs have a lot on their mind, especially when it comes to understanding the latest technologies and their applications. According to the Society for Information Management’s 2016 IT Trends Study, a top CIO concern is making IT more responsive to the organization and better aligning IT with the business. A case in point: in healthcare: the right investment in technology can improve access to clinical images and patient data, and promote collaboration.

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EMR, EHR, PACS & VNA: Looking Beyond the Acronyms [Part One of Two]

These Letters Have a Lot to Say about the Past, Present and Future of HealthIT

Per leggere la storia in italiano, clicca qui

Sometimes talking about health information technologies can feel like trying to read alphabet soup. More than most industries, ours can seem like a simmering stew of acronyms.2016-02-17 09_44_20-_ 2

Even if you’ve mastered the letters and what they mean, you may find yourself challenged by the need to converse with others who haven’t. And technologies can intersect in various ways, adding to the confusion.

Here’s a quick overview of a few important acronyms – what they mean, how they relate to each other and what they say about the past, present and future of healthcare IT – along with links to more information.

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Diagnostic Reading #7: Five Must-Read Articles From the Past Week

EHR TechnologyThis week’s articles include: a study that finds advanced EHRs can reduce adverse effects; the opportunity for radiologists to participate in value-based healthcare models; increased use of telehealth technology by substance abuse treatment providers; tweaks to PACS workstation software that could help radiologists cope with the data deluge; and a nationwide analysis of electronic health records that has uncovered several previously unknown risk factors for Type 2 diabetes.

Patients with fully electronic health records experienced fewer adverse events, such as hospital-acquired infections, according to a study funded by the Agency for Healthcare Research and Quality (AHRQ) and published in the Journal of Patient Safety.

Improve population health. Optimize the patient experience. And cut costs. That, of course, is the “Triple Aim,” the Institute for Healthcare Improvement’s boiled-down Continue reading