Podcasts about Health information exchange

Alaska's growing Health Information Exchange, together with new state efforts, are working to lower healthcare costs and deliver better care.

Ray Lowe, CIO of AltaMed, discusses how healthcare organizations can leverage technology strategically to bridge health equity gaps while serving diverse, multilingual communities. Learn how AltaMed's digital transformation initiatives create more accessible, culturally competent care delivery models that other healthcare organizations can adopt.Ray Lowe, CIO, AltaMedMegan Antonelli, Chief Executive Officer, HealthIMPACT Live

Elon Musk's Grok and Crowdsourcing Medical Data – Elon Musk invites the public to submit medical images to his AI, Grok, raising serious privacy concerns and questions about AI's role in medical diagnostics.Australia's Workforce Report on Healthcare Professionals – Louise and George discuss whether the Australian government's workforce report is reductive in its vision for the role of tech.Health Technology in Conflict Zones – Health technology innovations are transforming care in war zones, with tools like telemedicine and AI bridging gaps in access and resources for conflict-affected populations.The First Wearable to Kill Cancer Cells – A new FDA-approved wearable device uses electric fields to target and kill cancer cells without harming healthy cells, marking a significant step forward in digital cancer treatments.The results of the US election are in. What might be the impact on global health and digital innovation in health?Remote monitoring in the islands off Ireland gives Kate a trip down memory lane.World-Class Health Information Exchange – We welcome Dr. Robin Mann and Dr. Honor Magon, co-authors of a popular Pulse+IT opinion piece, to discuss the vision for a world-class Health Information Exchange and its potential impact.Visit Pulse+IT.news to learn more, engage in this rapidly growing sector, and subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material. People in the know, get their news from Pulse+IT – Your leading voice in digital health news.Follow us on LinkedIn Louise | George | Pulse+ITFollow us on X Louise | George | Pulse+ITSend us your questions pulsepod@pulseit.newsProduction by Octopod Productions | Ivan Juric

Kendra Sticka, PhD, RDN, is the Executive Director of healthEconnect Alaska, the state-designated health information exchange (HIE). In this role, she spearheads the HIE's strategic growth and operations, including its continued expansion into underserved rural and urban communities. Dr. Sticka has worked in Alaska healthcare for more than 20 years, beginning as a clinical dietitian in hospital, clinical, and private practice before transitioning into academics and education. Prior to joining healthEconnect in 2023, she served as the Associate Dean of Clinical Health Sciences at the Univeristy of Alaska Anchorage. Dr. Sticka hold master degrees in nutrition and adult education and a PhD in biochemistry and molecular biology.To access the healthEconnect website, click here. 

This episode delves into the challenges faced by Fortune 100 companies in understanding consumers and how TARTLE provides a solution. Alexander McCaig and Jason Rigby discuss the limitations of traditional data collection methods, the rise of zero-party and first-party data, and the importance of ethical data practices. They highlight how TARTLE's platform enables brands to gain valuable consumer insights, build direct relationships, and expand into new markets. Key Takeaways: Challenges of Big Data: Privacy Concerns: Consumers are increasingly wary of how their data is collected and used. Data Quality: Traditional data collection methods often lead to inaccurate or incomplete data. Data Fragmentation: Data is scattered across various platforms and sources, making it difficult to create a unified view of the customer. TARTLE's Solution: Ethical Data Collection: TARTLE allows users to self-aggregate their data and share it directly with brands, ensuring transparency and control. Whole Person Profile: TARTLE enables the creation of comprehensive consumer profiles, offering deep insights into preferences, behaviors, and demographics. Direct Engagement: Brands can communicate directly with consumers through TARTLE's platform, fostering authentic relationships and gathering valuable zero-party data. Global Reach: TARTLE's presence in every country enables brands to expand into new markets and understand diverse consumer segments. Data Integration: TARTLE seamlessly integrates with existing CRM and CDP systems, streamlining data management and analysis. Actionable Insights: TARTLE provides AI-powered analysis and actionable recommendations to help brands make data-driven decisions. Call to Action: Visit https://tartle.co/consumer/ to learn more about TARTLE's consumer data solutions. Contact TARTLE to discuss how their platform can help your brand achieve its goals.

Data is the oil that fuels VC health tech investments. Health Systems are the oil fields and last week they shut off the supply to a few VC backed firms. Today, we explore.

Guest: Dr. Bruce Y Lee, Executive Director of PHICOR (Public Health Informatics, Computational, and Operations Research) [@PHICORteam]On LinkedIn | https://www.linkedin.com/in/bruce-y-lee-68a6834/On Twitter | https://twitter.com/bruce_y_leeWebsite | https://www.bruceylee.com/On Forbes | https://www.forbes.com/sites/brucelee/On Psychology Today | https://www.psychologytoday.com/us/contributors/bruce-y-lee-md-mba_____________________________Host: Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society PodcastOn ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli_____________________________This Episode's SponsorsBlackCloak

Guest: Dr. Bruce Y Lee, Executive Director of PHICOR (Public Health Informatics, Computational, and Operations Research) [@PHICORteam]On LinkedIn | https://www.linkedin.com/in/bruce-y-lee-68a6834/On Twitter | https://twitter.com/bruce_y_leeWebsite | https://www.bruceylee.com/On Forbes | https://www.forbes.com/sites/brucelee/On Psychology Today | https://www.psychologytoday.com/us/contributors/bruce-y-lee-md-mba_____________________________Host: Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society PodcastOn ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli_____________________________This Episode's SponsorsBlackCloak

Guest: Dr. Bruce Y Lee, Executive Director of PHICOR (Public Health Informatics, Computational, and Operations Research) [@PHICORteam]On LinkedIn | https://www.linkedin.com/in/bruce-y-lee-68a6834/On Twitter | https://twitter.com/bruce_y_leeWebsite | https://www.bruceylee.com/On Forbes | https://www.forbes.com/sites/brucelee/On Psychology Today | https://www.psychologytoday.com/us/contributors/bruce-y-lee-md-mba_____________________________Host: Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society PodcastOn ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli_____________________________This Episode's SponsorsBlackCloak

Learn how the Kentucky Health Information Exchange is leading the HIE marketplace with innovative services and advancing interoperability in the Commonwealth of Kentucky. Learn more about KHIE at their website, KHIE.ky.gov 

About Andrew Toy:Andrew Toy is the President of Clover Health, where he is responsible for driving the vision for how technology and analytics can improve the lives of Clover's members. Andrew joined Clover from Google, where he coordinated enterprise activities for the Android team and ran Machine Learning, Enterprise Search, and Analytics for the G-Suite team. Before that, he was the CEO and co-founder of Divide, a company focused on creating a split between work and personal data on mobile devices, which was acquired by Google in 2014. He earned his BS and MS in Computer Science from Stanford University. About Carladenise Armbrister Edwards:Dr. Carladenise Armbrister Edwards has served as the Chief Strategy Officer at Henry Ford Health, a $6B private non-profit system in Southeast Michigan; Providence, a $26B Catholic healthcare system with over 50 hospitals across seven Western states; and Alameda Health System, a public hospital authority located in Oakland, California. As the principal advisor to the CEO and executive team, she has led system-wide strategic planning, M&A, and other partnership ventures, business development, clinical and operational transformation initiatives, government affairs, marketing, and communications, population health, and managed care contracting. Dr. Edwards also served as Founding President and CEO of Cal eConnect, Inc., a nonprofit corporation that governed California's electronic Health Information Exchange.Additionally, she has held executive leadership roles in Georgia's Department of Community Health, Florida's Agency for Healthcare Administration, and the US Department of Health and Human Services. Dr. Edwards joined Clover Health's Board of Directors in July 2022. Dr. Edwards holds a Ph.D. in Medical Sociology from the University of Florida, a master's degree in Education and Psychological Services, and a bachelor's degree in Sociology from the University of Pennsylvania. Things You'll Learn:Medicare Advantage is the perfect example of how to provide health equity, as it gives money and resources to prevent illness and treat illness in a personalized manner.Decentralizing care can make clinicians more efficient and help them perform at the top of their license with the help of technology and analytics.The current hospital experience could be more efficient and scary, but it can be fixed using different tools and models of care.Organizations like Clover must ensure everybody gets access to the care they need, taking into account their social, economic, and environmental factors.Structural barriers, such as the structure of insurance and societal values, often create a disincentive to providing care to those who need it most.Everyone can be part of health equity by taking care of themselves first.Hospitals should be places where we go for certain aspects of our healthcare, not all of them.  Resources:Connect with and follow Andrew Toy on LinkedIn.Connect with and follow Carladenise Armbrister Edwards on LinkedIn.Follow Clover Health on LinkedIn.Visit the Clover Health Website.

Joy sits down with Kat McDavitt, Jaime Bland, and Mandira Singh, who discuss a maternal health program in North Omaha. The program is a collaboration between Cync Health RI, Innsena, and PointClickCare, aimed at improving maternal health outcomes in vulnerable populations across Nebraska. North Omaha was chosen as the first site because it has a predominantly African American population. The program involves using Health Information Exchange technology, and information sharing to connect providers and people for early notification and comprehensive information to impact maternal-child outcomes. The program will start with a few clinics and eventually expand to the whole state of Nebraska. -| The Health Equity Podcast Channel is made possible with support from Bayer G4A. Learn more about how Bayer G4A is advancing equity, access and sustainability at G4a.health -| This episode originally aired on March 14, 2022 on HIT Like a Girl. Listen, follow and subscribe here.

Since the beginning of the year, the Office of the National Coordinator for Health IT has rolled out several new updates to existing interoperability frameworks, including the 21st Century Cures Act, Trusted Exchange Framework and Common Agreement (TEFCA) and U.S. Core Data for Interoperability (USCDI) to improve standards that enable better health information exchange. National Coordinator for Health IT Micky Tripathi explains the latest with these frameworks and discusses the implications on areas like artificial intelligence, interoperability, health equity, data security and more.

Craig Behm, President and CEO of CRISP, Maryland's Health Information Exchange, explains how technology has advanced data sharing capabilities; registration to attend ASTHO's Tech Xpo and Futures Forum online are still available; the end of data sharing could make COVID-19 harder to control; and Carolyn Mullen, ASTHO Senior Vice President of Government Affairs and Public Relations, gives an update about the debt ceiling debate in Washington. CRISP Public Health TechXpo and Futures Forum End of data sharing could make Covid-19 harder to control, experts and high-risk patients warn Communicate With Care in Your Telework Policies

Last year, state lawmakers in Oklahoma passed SB 1369, the Oklahoma Healthcare Transparency Initiative Act. The legislation requires all healthcare providers to enter patient records into an online database. Set to go into effect on July 1st, the measure specifically requires providers to quote “submit health and dental claims data, unique identifiers, and geographic and demographic information for covered individuals to the Oklahoma Healthcare Transparency Initiative”. In advance of implementation, mental health care providers in Oklahoma are raising concerns about patient privacy and confidentiality. We spoke with  Sabrina  DeQuasie, a  therapist in Oklahoma. We reached out to the Oklahoma Health Care Authority, Oklahoma's Medicaid Agency. This is their statement below.    OHCA Invites Continued Feedback Regarding OKSHINE/HIE   Oklahoma City, OK – SB1369, passed in the 2022 legislative session, requires OHCA to set up a separate office, the Office of the State Coordinator for Health Information Exchange, with responsibility to oversee a statewide health information exchange with patient data from all healthcare providers. The proposed rules for the program were first introduced in September and have gone through two rounds of public comments, resulting in more than 300 comments. These comments, along with input from the public and dozens of stakeholder engagement meetings, are guiding and informing the implementation process. OHCA is grateful for the feedback of Oklahoma patients and providers.   The opportunity to utilize the HIE is significant, with potential to reduce adverse drug events, redundant testing, and promote a culture of improved collaboration among different healthcare providers, resulting in a more streamlined, holistic health care approach for Oklahomans. The agency understands the importance of privacy considerations in this effort and is working to ensure best practices and appropriate privacy safeguards, including all legal and licensure requirements under HIPAA and other applicable state and federal laws.   The proposed rules allow temporary exemptions based on size, technological capability or financial hardship. OHCA is actively engaging with providers to discuss exemption criteria for specific provider types regarding transmission of data restrictions, with a particular focus on behavioral health, and are expecting to revise the proposed rules to apply exemptions based on provider type.   After the passage of SB 1369, the rule proposal is the first step in a thorough process to develop regulations that will achieve the desired benefits for Oklahoma's citizens, serving the needs of providers and patients alike. To ensure your concerns are addressed, OHCA invites you to be a part of the conversation. Please send your feedback through the new comments feature on oklahoma.gov/ohca/okshine. This page will be updated with new information as it becomes available.

Last year, state lawmakers in Oklahoma passed SB 1369, the Oklahoma Healthcare Transparency Initiative Act. The legislation requires all healthcare providers to enter patient records into an online database. Set to go into effect on July 1st, the measure specifically requires providers to quote “submit health and dental claims data, unique identifiers, and geographic and demographic information for covered individuals to the Oklahoma Healthcare Transparency Initiative”. In advance of implementation, mental health care providers in Oklahoma are raising concerns about patient privacy and confidentiality. We spoke with  Sabrina  DeQuasie, a  therapist in Oklahoma. We reached out to the Oklahoma Health Care Authority, Oklahoma's Medicaid Agency. This is their statement below.    OHCA Invites Continued Feedback Regarding OKSHINE/HIE   Oklahoma City, OK – SB1369, passed in the 2022 legislative session, requires OHCA to set up a separate office, the Office of the State Coordinator for Health Information Exchange, with responsibility to oversee a statewide health information exchange with patient data from all healthcare providers. The proposed rules for the program were first introduced in September and have gone through two rounds of public comments, resulting in more than 300 comments. These comments, along with input from the public and dozens of stakeholder engagement meetings, are guiding and informing the implementation process. OHCA is grateful for the feedback of Oklahoma patients and providers.   The opportunity to utilize the HIE is significant, with potential to reduce adverse drug events, redundant testing, and promote a culture of improved collaboration among different healthcare providers, resulting in a more streamlined, holistic health care approach for Oklahomans. The agency understands the importance of privacy considerations in this effort and is working to ensure best practices and appropriate privacy safeguards, including all legal and licensure requirements under HIPAA and other applicable state and federal laws.   The proposed rules allow temporary exemptions based on size, technological capability or financial hardship. OHCA is actively engaging with providers to discuss exemption criteria for specific provider types regarding transmission of data restrictions, with a particular focus on behavioral health, and are expecting to revise the proposed rules to apply exemptions based on provider type.   After the passage of SB 1369, the rule proposal is the first step in a thorough process to develop regulations that will achieve the desired benefits for Oklahoma's citizens, serving the needs of providers and patients alike. To ensure your concerns are addressed, OHCA invites you to be a part of the conversation. Please send your feedback through the new comments feature on oklahoma.gov/ohca/okshine. This page will be updated with new information as it becomes available.

As an innovative extension of the region's first Health Information Exchange platform, Malaffi, the Department of Health – Abu Dhabi (DoH) launches the Malaffi Health Portal at Gitex Global 2022. The portal seeks to provide the emirate's community members with a convenient and secure access to their centralised medical records via a website and application. Studies show that most patients forget up to 80 per cent of the instructions when they leave a clinical setting, meaning secure access to this information online will empower people to be active participants in their own healthcare. Hosted on Acast. See acast.com/privacy for more information.

With a new mandate looming, Timi Leslie of Connecting for Better Health explains how Golden State stakeholders are working on the huge project of building an info exchange infrastructure for providers, payers and public health agencies.

  Dina CEO Ashish V. Shah joins Eric to discuss the advantages and challenges in transitioning care from the hospital to the home. He shares what it takes to replicate the facility-based experience outside of the hospital and deliver measurable quality improvements cost-effectively. Ashish provides a step-by-step blueprint for creating an exceptional transition-to-home care model you can replicate at your own organization.    Our GuestAshish V. Shah is CEO of Dina  Ashish leads the Dina (Dena) team on its mission to power the healthcare industry's transition to virtual and in-home care. He founded the company in 2015 and remains passionate about empowering care teams with the tools they need to help people age. A recognized thought leader, Shah previously served as CTO at Medicity, the market leader for vendor-neutral Health Information Exchange solutions (acquired by Aetna in 2011).    This episode is sponsored by Dina Dina powers the future of home-based care with its care-at-home platform and network that can activate and coordinate multiple home-based service providers, engage patients directly, and unlock timely home-based insights that increase healthy days at home. Dina works with many leading health systems, ACOs and health plans to extend their reach into the home to help people live their best lives.   The platform creates a virtual experience for the entire healthcare team so they can communicate with each other--and help patients and families stay connected--even though they may not physically be under the same roof. Dina helps professional, and family caregivers capture rich data from the home, using artificial intelligence to recommend evidence-based, non-medical interventions. 

What does it take for an entire network of safety net health centers to transition to a new electronic health record (EHR) system — one that enhances coordinated care and is better equipped to serve their communities? For Community Health Center Network (CHCN), it was a multiyear journey involving many readiness assessments, drumming up excitement to encourage staff buy-in, and lots of collaboration across all levels of the organization. In this episode, we discuss lessons learned  and the bright spots of this enormous project. Here's where you can learn more about the people, places, and ideas in this episode: Molly Hart, director of clinical optimization, Community Health Center Network (CHCN)Amit Pabla, chief quality and transformation officer, Axis Community Health (Note:  He has since moved on from this role.)Oregon Community Health Information Network (OCHIN)OCHIN EpicTechnology Hub, a CCI program that helps organizations vet, pilot, evaluate, and spread innovative digital health solutions targeting Medicaid markets and historically underinvested communities.© 2022 Center for Care Innovations. All Rights Reserved.

In this episode, we chat with Dr Mohammed Al Redha, Director of Health Information and Smart Health Development at Dubai Health Authority (DHA), who shares insights on a cutting-edge project named NABIDH. NABIDH, as he explains, is a world-class health information exchange that securely integrates or unifies patient data from all public and private facilities in Dubai, resulting in improved quality and patient safety, reduced cost and evidence-based care. With more than 3,000 health facilities in Dubai, NABIDH will usher in an era of smoother and more efficient healthcare via a single interface.

Thank you for sharing your time with me and guest, Teresa Younkin today on Alopecia Life. I met Teresa at a conference last year. We were talking about healthcare reform and what she does, and I was super impressed. What started out as personal advocacy for her family has led to something more expansive around healthcare. Teresa is super excited about the health information exchange, and she shares more about that with us today, along with how to ask for what we want to make the most of our doctor's appointments. Her life mission is to leave the healthcare industry in a better way than she found it, and she's certainly succeeding. Thank you for listening to this episode of Alopecia Life. Check out the show notes for all the resources Teresa has provided, informing us about what has been put in place since the beginning of the year, along with what is coming up. If you have additional questions about what we talked about today, her contact information is here too.https://teresayounkin.com/https://www.linkedin.com/in/teresayounkin/https://www.cms.gov/nosurprises/consumers/new-protections-for-youhttps://www.cms.gov/nosurprises/consumers/understanding-costs-in-advancehttps://www.cms.gov/nosurprises/consumers/notices-you-may-get-whether-you-should-sign-themThis is a link to the form referenced in the link above: https://www.cms.gov/files/document/notice-and-consent-form-example.pdfhttps://www.cms.gov/nosurprises/consumers/understanding-costs-in-advancehttps://www.cms.gov/nosurprises/consumers/payment-disagreements  This is important if you are paying for medications or services that are not covered and you are paying for them out of pocket.Support the show (https://www.buymeacoffee.com/deeanngraham)

Public schools and facilities will be closed. Church bells will chime, while a number of flags will fly at half-mast.  Because in 1983, former Republican President Ronald Reagan proclaimed that the third Monday of January would forever be observed as Martin Luther King Jr. Day.This coming Monday, Jan. 17, Monitor Mondays will honor the slain civil rights leader with a special report recognizing efforts by various stakeholders to advance a variety of initiatives designed to improve health equity in America.Reporting on how communities of color can benefit from regulatory efforts by the Centers for Medicare & Medicaid Services (CMS) and related federal agencies will be Lenel James, a business lead for Health Information Exchange & Innovation for the BlueCross and BlueShield Association (BCBSA). Mr. James was formerly associated with the Region V Regional Health Equity Council of Department of Health and Human Services (HHS) Office of Minority Health. In addition, he previously served on the Board of the Cosmopolitan Chamber of Commerce in Chicago, the second largest African American Chamber of Commerce in the US.Other segments to be featured during the live broadcast include the following:Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report. Legislative Update: Former CMS official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the status of healthcare legislation associated with the current COVID-19 pandemic.SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of the healthcare regulations and the SDoH.

The health of all Americans is on the line – particularly among the nation's communities of color, where maternal health issues, behavioral health issues, diabetes, and cardiovascular conditions have a disproportionate impact.Recognizing this national concern, the Blue Cross Blue Shield Association has devised a national health equity strategy to confront such health disparities. All this follows the release by the National Center for Health Statistics of 2022 ICD-10-CM codes, both new and updated, for education, food insecurity, and housing, with implementation effective beginning Oct. 1, 2021.During the next live edition of Talk Ten Tuesdays, Lenel James, MBA, an Health Level 7 (HL7) “fellow” and the business lead for Health Information Exchange and Innovation at the Blue Cross Blue Shield Association (BCBSA), will report on the massive effort underway. Lenel has been with BCBSA and has served as its voting representative to HL7 for almost 20 years, and has extensive experience in healthcare and technology strategy. He also serves as payor advisor for for the HL7 Da Vinci Project, and was elected to the HL7 Board in 2020.The live broadcast will also feature these other segments:Tuesday Focus: Patient Safety Indicators (PSI): Christel Kemble with Covenant Health will report on the vexing issue of patient safety indicators.Mental Health Report: Internationally renowned psychiatrist and award-winning author Dr. H. Steven Moffic will report on the “good, bad, and ugly” of America's collective mental health. The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.  News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

In the podcast's debut episode, our very own Dr. Thomas Agresta gets together with Jenn Searls, Executive Director of Connecticut's official state-designated Health Information Exchange (HIE), Connie. Jenn stops by to talk about her journey to becoming Connie's Executive Director and the organization's progress since it commenced operations on May 3rd, 2021.   Tune in to hear more about Jenn's vision for the future of Connie in leading Connecticut to better health. To find out more about Connie, visit conniect.org Learn more about the Office of Health Strategy's Medication Reconciliation and Polypharmacy Committee This podcast is brought to you by the UConn Health Interoperability, Innovation and Learning Lab and Connie, Connecticut's state-designated health information exchange. Music by Hugh Blumenfeld, "Mozart's Money.

Finding the right doctor is just one part of the puzzle. A lot of times, we see diagnosis going wrong, patients wanting a second opinion and treatment taking longer than expected because of disease complications.   Why is that so?   Well, it is very difficult to come up with an accurate prognosis if the patient can't recount their past medical conditions.   So, what if there was a health locker of sorts, containing all of the patient's past medical tests, lab reports, details of previous conditions, their diagnoses, etc.   And this health locker were to be linked to a randomly-generated 14-digit unique Health ID, similar to other unique identifiers like Aadhaar.   With each visit to the doctor, the patient would just have to provide their Health ID for the doctor to access their past medical history.   This is what the government aims to do with its recently launched Ayushman Bharat Digital Mission.   There are some other details we need to look into:   One can get a Health ID by self-registering on the ABDM portal They can also request for the creation of a Health ID at a participating medical health facility Health ID can be created via mobile or Aadhaar Beneficiaries will also have to sign into a Health Information Exchange and Consent Manager (HIE-CM) These consent managers will be mobile apps that will enable the sharing of personal health records with doctors   Here's how this will work.   You go to a doctor and they ask for your past medical records.   They will raise a request for accessing your personal health records, which you will have to approve through the consent manager app.   In the future, there will likely be multiple such consent manager apps for beneficiaries to choose from. So, it will be very similar to how UPI works, or the upcoming Account Aggregator framework for financial services.   The ABDM is expected to be a major boon for India's healthtech startups.   From telemedicine to online pharmacies to startups that are developing health lockers, the India online healthtech market is vast.   According to a media report:   India has 5,295 healthtech startups Of these 133 eHealth startups have raised funding Market is expected to expand at a CAGR of 39.6% between 2020 and 2025 to $10.6 bn Telemedicine, which includes startups like Practo, MFine, DocTree, DocPrime and CallHealth, has the highest potential and may reach $5.4 bn by 2025   The portability of electronic medical records through Health IDs will provide a major fillip to startups.   Telemedicine startups offer online doctor consultations.   Now, with Health IDs encapsulating a patient's entire medical history, telemedicine will only grow more robust.   Besides the Health ID, the ABDM will also see the creation of a national registry of doctors practising acceptable forms of medicine, as well as medical and diagnostic facilities.   According to Dr Ajay Bakshi, a volunteer with the Indian Software Product Industry Roundtable or iSPIRT, trust is very important in healthcare. India struggles with fake doctors and quacks. ABDM's national registry of doctors and medical facilities will enhance citizens' trust in the healthcare provider they're approaching.   Every allopathic doctor in India caters to 1,511 people on average. This is much higher than the World Health Organization (WHO)-prescribed norm of 1 doctor per 1,000 people.   Moreover, most of these doctors are concentrated in the metro cities, leaving rural areas vastly underserviced and at the mercy of fake doctors and quacks.   While improving the doctor-population ratio will take time, India's techno-solutionism may have figured out a workaround.   The recently launched Ayushman Bharat Digital Mission (ABDM) will create a Unified Health Interface (UHI).   This will be:   An interoperable system that would allow a patient to take the services of a doctor irrespective of whether they were on the same technology platform as the doctor P

In this episode of the InOn Health podcast, Carrie Paykoç, director of the Office of eHealth Innovation in Colorado, joins KP to discuss the intersection of public policy and technology and how it works to support all Coloradans for their health and wellbeing. Before joining Colorado's Office of eHealth Innovation, Carrie previously held various positions in non-profit organizations, healthcare startups, and tech companies. The Office of eHealth Innovation launched in 2015 through executive order to establish strategy, policy, coordinate funding across Colorado. Before the COVID-19 pandemic, the office primarily focused on implementing projects and initiatives to fulfill Colorado's health priorities. The Office of eHealth Innovation developed the state strategy in 2017, creating a roadmap for initiatives and developing methods to measure progress. Carrie outlines two primary initiatives:1) Advancing health information exchange and data sharing2) Aligning and advancing care coordination to support communities and infrastructure for delivering information effectively These initiatives enabled more agility and flexibility regarding prompt responses during a public health crisis. Carrie outlines the purpose of health information exchange, which focuses on stewarding information to various healthcare providers to ensure understanding of the patient to ensure necessary service and support. She addresses current challenges to instill the best delivery methods, which involves catching up to current technology standards based on current rules, regulations, and interpretations of when and how information is shared (policy constraints). Carrie provides an overview of social health information exchange—regardless of record or application, information can be exchanged freely. This concept addresses someone's needs like housing and food while assessing adequate and available resources. Carrie discusses how health equity can evolve to serve everyone—assess policy, laws, and rules—and examine the barriers in place. If so, create the necessary change to prevent poor outcomes and situations. An opportunity to advance health equity involves enabling access to healthcare affordably and effectively through sharing information and appropriate services and treatments when/where needed. Connect with Carrie:https://www.linkedin.com/in/carrie-yasemin-payko%C3%A7-b189b517/https://twitter.com/OeHI_ColoradoConnect with KP:linkedin.com/in/kaakpema-kp-yelpaala-379b269/https://twitter.com/inonhealthinonhealth.com/podcastinonhealth.com/

In this episode of Health+Tech, McGuireWoods partners Jonathan Ishee and Andrea Lee Linna talk to George Gooch, CEO of the Texas Health Services Authority (THSA), about their cybersecurity, health information exchange and pandemic surveillance initiatives. They also discuss: Information blocking rule compliance Recent Texas legislation (now signed into law) affecting healthcare breach notification The role of health information exchange in public health surveillanceTHSA initiatives using open-source digital health tools to provide real-time situational awareness to healthcare providers during the pandemic

A chat with Tom Moore of Healthix Inc., the largest HIE in the US, housing data for over 20 million unique lives. From detecting patients who may be homeless or at risk for readmission to providing key alerts directly to providers and assisting with closing quality of care gaps, Healthix is true to its mission of mobilizing health information across their communities to advance patient care. Its current initiatives embody the Small Data principle of "lower volume and higher value." - Tom Moore. Tom Moorehttps://www.linkedin.com/in/tom-moore-366368/Tom has worked in information technology for over 20 years including software development, business process re-engineering and management in government, financial services, telecommunications, professional publishing, life sciences and health care. He is currently the Senior Vice President of Innovation for Healthix, a leading health information exchange (HIE) providing services in metro New York City to millions of patients and thousands of providers from hospitals, physician practices, home health agencies, nursing homes and managed care organizations. In addition to leading several major interoperability initiatives, Tom works closely with Healthix members to define and design information services to support improvements in care coordination across disparate organizations.#HIE #SmallData #BigData #ClinicalAlerts #HIV #Homeless #qualityimprovementSubscribe to our podcast, and leave a reviewConnect with us on Instagram, FaceBook, Twitter , and LinkedInhttps://eima-inc.com/lets-talk-small-data@letstalksmalldatapodMusic credit: Yung Kartz

The HITECH Act, part of the broad American Recovery and Reinvestment Act of 2009, ushered in major changes for health care's information and informatics landscape. The legislation may best be known for "meaningful use" requirements attached to hospital and/or physician funding to support the adoption of electronic health records (EHRs).The law also greatly boosted health information exchanges, or networks that share clinical information across different health care settings.On today's episode of A Health Podyssey, Dr. Julia Adler-Milstein, director of the Center for Clinical Informatics and Improvement Research at the University of California San Francisco, joins Health Affairs Editor-in-Chief Alan Weil to discuss a survey of health information exchange organizations she and colleagues published in the May 2021 issue of Health Affairs. The survey reveals a level of maturity in the field of health information exchange, but a few critical issues continue to threaten the ability to achieve the potential and promise of EHRs. Listen to Alan Weil interview Julia Adler-Milstein on the evolution of health information exchange organizations, TEFCA, and health data governance.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

260. Algorithmic Matching in Client Registries Intended Audience: Newcomers to Healthcare IT On today's episode, we continue the discussion on client registries. How to client registries actually do the match of patient records? Algorithmic matching becomes essential in how we determine the matches. Some of the algorithms used discussed today are: Deterministic Fuzzy Probabilistic To learn more about client registries, you can check out the Health Information Exchange textbook by Brian E. Dixon: https://www.amazon.com/Health-Information-Exchange-Navigating-Managing/dp/0128031352 ========== Interested in learning more about pharmacy informatics? Check out the FREE Introduction to Pharmacy Informatics course at www.pharmacyinformaticsacademy.com ! New to LinkedIn and not sure where to start? Download my free ebook, "Professional Networking Unlocked", at https://www.tonydaopharmd.com/ebook Follow us on social media! Twitter: @pharmacyitme Instagram: @pharmacyinformatics LinkedIn: https://www.linkedin.com/company/pharmacyitme/ Website: Pharmacy IT & Me Email: tony@pharmacyitme.com Follow Tony's personal Twitter account at @tonydaopharmd Network with other pharmacists at Pharmacists Connect!http://pharmacistsconnect.com For more information on pharmacy informatics, check out some of the following useful links: ASHP's Section of Pharmacy Informatics and Technology: https://www.ashp.org/Pharmacy-Informaticist/Section-of-Pharmacy-Informatics-and-Technology/ HIMSS Pharmacy Informatics Community: https://www.himss.org/library/pharmacy-informatics Disclaimer: Views expressed are my own and do not reflect thoughts and opinions of any entity with which I have been, am now, or will be affiliated.

256. Data Quality, Metadata, and Standards in Client Registries Intended Audience: Newcomers to Pharmacy Informatics Last time we talked about what Client Registries are and how they can be used as a method on how to streamline patient record matching. Today, we go into a little more detail about some of the other attributes and potential issues. Data Quality Metadata Standards Check out more information about Client Registries in the Health Information Exchange by Brian E. Dixon: Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Dixon, Brian, eBook - Amazon.com ========== Interested in learning more about pharmacy informatics? Check out the FREE Introduction to Pharmacy Informatics course at www.pharmacyinformaticsacademy.com ! New to LinkedIn and not sure where to start? Download my free ebook, "Professional Networking Unlocked", at https://www.tonydaopharmd.com/ebook Follow us on social media! Twitter: @pharmacyitme Instagram: @pharmacyinformatics LinkedIn: https://www.linkedin.com/company/pharmacyitme/ Website: Pharmacy IT & Me Email: tony@pharmacyitme.com Follow Tony's personal Twitter account at @tonydaopharmd Network with other pharmacists at Pharmacists Connect!http://pharmacistsconnect.com For more information on pharmacy informatics, check out some of the following useful links: ASHP's Section of Pharmacy Informatics and Technology: https://www.ashp.org/Pharmacy-Informaticist/Section-of-Pharmacy-Informatics-and-Technology/ HIMSS Pharmacy Informatics Community: https://www.himss.org/library/pharmacy-informatics Disclaimer: Views expressed are my own and do not reflect thoughts and opinions of any entity with which I have been, am now, or will be affiliated.

254. The Client Registry Intended Audience: Newcomers to Pharmacy Informatics Last time we talked about unique patient identifiers and today we talk about client registries. How do we get to the perfect identifier? It may not even be possible, which is where client registries come into play. To learn more about client registries, check out the really great textbook called Health Information Exchange by Brian E. Dixon. You can find the book at Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Dixon, Brian, eBook - Amazon.com Do you have a topic you'd like to hear about? Reach out and let us know! ========== Interested in learning more about pharmacy informatics? Check out the FREE Introduction to Pharmacy Informatics course at www.pharmacyinformaticsacademy.com ! New to LinkedIn and not sure where to start? Download my free ebook, "Professional Networking Unlocked", at https://www.tonydaopharmd.com/ebook Follow us on social media! Twitter: @pharmacyitme Instagram: @pharmacyinformatics LinkedIn: https://www.linkedin.com/company/pharmacyitme/ Website: Pharmacy IT & Me Email: tony@pharmacyitme.com Follow Tony's personal Twitter account at @tonydaopharmd Network with other pharmacists at Pharmacists Connect!http://pharmacistsconnect.com For more information on pharmacy informatics, check out some of the following useful links: ASHP's Section of Pharmacy Informatics and Technology: https://www.ashp.org/Pharmacy-Informaticist/Section-of-Pharmacy-Informatics-and-Technology/ HIMSS Pharmacy Informatics Community: https://www.himss.org/library/pharmacy-informatics Disclaimer: Views expressed are my own and do not reflect thoughts and opinions of any entity with which I have been, am now, or will be affiliated.

Liz Peloso has experienced digital health from many sides. With roughly a decade's experience as a practicing nurse, a decade in private sector health consulting, and a decade in global health, she can speak for multiple actors in this field. In this episode, Liz recounts how technology has helped and hurt her work, as a neonatal intensive care nurse, as a clinical transformation consultant, and as a responder to the 2004 tsunami in Indonesia. In each chapter of her life, Liz shares key insights into the business of making change in healthcare. Most recently, Liz was the Global Director for the Better Immunization Data (BID) Initiative, a Bill and Melinda Gates Foundation project, to improve the collection and use of immunization data in sub-Saharan Africa. This included the development and implementation of electronic immunization registries in both Tanzania and Zambia. She has been a special advisor to the Ministry of Health in Rwanda overseeing the Rwanda Health Enterprise Architecture Project, which saw the successful implementation of a full Health Information Exchange. She worked as a senior manager in the National Health practice of a large consulting company, as well as for one of the largest EMR system vendors, before leaving to focus on Global Health exclusively.

It seems like everything is interconnected nowadays: smartphones with laptops, sleep patterns with fitness trackers, doorbells with light switches. Why can't our health records have the same level of integration? Phil Brown, VP of Human Resources at Mohawk Industries, joins me today on CHRO Champions to give us the lowdown on the health information exchange. Plus, we talk about… -How Phil helped establish a system of on-site clinics for employees -The benefits and challenges of merging EMRs from different systems -Advice for those trying to move the health information exchange forward CHRO Champions is hosted by Geoff Rowson of Totem. To hear more episodes like this one, subscribe to CHRO Champions on Apple Podcasts, Spotify, Google Play, or wherever you listen to podcasts.

Jessica Ruff (2nd year CI fellow, MetroHealth), Victor Garcia (2nd year CI fellow, Stony Brook), Bryan McConomy (2nd year CI Fellow, Regenstrief Institute) and Gene Lucas (2nd year CI Fellow, NYP-Columbia) talk about life during the pandemic, how their institutions have responded to the crisis and somehow even talk about vacuums. Interview: Bryan McConomy talks with Brian Dixon, PhD (Regenstrief Institute), Drew Richardson and Beck Learn (Indiana Health Information Exchange) discuss how the information exchange helped to bridge the gap between public health and public health systems in Indiana. (Note: this interview was recorded in April 2020)

Kendra Cotton (MSc. Nursing) joins hosts Yousuf Hasan and Elizabeth Mohler to chat about her research on technology and information flow among health care professions. Kendra tells us why health information exchange among professionals is important for effective patient care. She also chats about how social media is a great tool for caregivers to facilitate communication especially amid the pandemic..To learn more about Kendra and her clinical work as a registered nurse, visit here.   Recorded on November 10th, 2020 Produced by Laura Munoz BaenaTheme song provided by https://freebeats.io Produced by White Hot

Health care providers throughout the world are working together to share key clinical information to improve patient quality, safety and efficiency of healthcare. Dr. Emel Hamilton joins Field Notes to share the details of how FMCNA is leading the way in improving care transitions for chronic kidney disease patients. 

President and CEO of the Kansas Health Information Network, Laura McCrary, joins Coruzant Technologies for the Digital Executive podcast. She shares how her organization is helping to share timely information across healthcare providers, especially during this challenging time with COVID-19.

177. Ideal Patient Identifiers in Health Information Exchange Intended Audience: Newcomers to Pharmacy InformaticsHealth information exchange relies on being able to exchange patient information in an easy fashion. One of the ways to do this is by having patient identifiers that are defined nationwide. Today's episode talks about some of the ideal attributes of universal patient identifiers. Follow us on social media! Twitter: @pharmacyitme Instagram: @pharmacyinformatics LinkedIn: https://www.linkedin.com/company/pharmacyitme/ Website: Pharmacy IT & Me Email: tony@pharmacyitme.com Follow Tony's personal Twitter account at @tonydaopharmd Network with other pharmacists at Pharmacists Connect!http://pharmacistsconnect.com For more information on pharmacy informatics, check out some of the following useful links: ASHP's Section of Pharmacy Informatics and Technology: https://www.ashp.org/Pharmacy-Informaticist/Section-of-Pharmacy-Informatics-and-Technology/ HIMSS Pharmacy Informatics Community: https://www.himss.org/library/pharmacy-informatics Disclaimer: Views expressed are my own and do not reflect thoughts and opinions of any entity with which I have been, am now, or will be affiliated.This podcast is powered by Pinecast.

As CMIOs we do not learn a lot about HIEs and there isn't a class you can go take to brush up on this topic. So to learn more, I interviewed the smartest person I know on the topic. Dr. Samit Desai is an emergency physician, and the chief medical officer at Audacious Inquiry, a company that partners with our state HIE (called CRISP). We discuss how HIEs help us with population health, how these entities function, and where we hope to get to with improved interoperability.

Lori Manteufel, Health IT Project Specialist, and Steve Rottmann, Chief Operating Officer, discuss how to improve patient care through interoperability with Health Information Exchange (HIE).

Dear Friends & Colleagues,The promise of real-time health information connectivity and coordination of care has been elusive. That is, until now. Jay Desai, co-founder and CEO of a company called ‘Patient Ping’, has created a platform that allows for real-time notification of a patient encounter in any healthcare facility or home care. Even more revolutionary, the platform delivers bi-directional information automatically.  The need for this type of connectivity is obvious to healthcare professionals and organizations that are accountable for the quality, safety, appropriate utilization and cost effectiveness of care delivered. Part of the challenge for providers is that approximately 30 to 50% of healthcare costs incurred by most integrated delivery systems is actually from clinical care delivered outside of the home system. This percentage is higher for independent provider groups and systems in highly competitive markets. That means that even in the best of integrated delivery networks, there is already a 30 to 50% ‘accountability handicap’.  Prior to co-founding PatientPing in 2013, Jay Desai worked at the CMS Innovation Center (CMMI) where he helped develop Accountable Care Organizations (ACO’s), bundled payments and other value-based initiatives. He has an MBA in Healthcare Management from the Wharton School of Business at the University of Pennsylvania, and a BA from the University of Michigan.Jay's professional passion lies at the intersection of technology, policy and community. He first discovered the need for real-time, cross-institutional connectivity when he was at CMS. Provider groups were asking CMS for some way to ‘know’, in real-time, when and where their patients were receiving clinical care. These systems needed to know so they could intervene and prevent unnecessary, as well as potentially, harmful tests and procedures. They needed to know so they could follow-up when their patients were discharged from another institution. It's a critically important issue for patients and providers - and this is where Jay Desai and PatientPing come in…In this interview we’ll discuss:The two major offerings of PatientPing - the “ping” notification that tells you where your patients are; and the “stories” which tell you where your patients have been.The different ways healthcare systems are utilizing PatientPing to communicate between hospital-based care/case managers, ambulatory care medical homes, emergency departments, nursing homes and home health services.The remarkable outcomes demonstrated with the PatientPing platform, and how they are achieving those results.PatientPing’s customizable “consumer grade user-experience”,as well as the enhancements they're making.PatientPing is designed to not only respond to the needs of accountable providers and organizations. It’s also designed to create healthier ‘communities of care’ – to enhance the complex inter-dependencies of the clinical ecosystem. The data PatientPing is collecting is beginning to demonstrate that avoidable healthcare utilization across communities is decreasing: lower avoidable emergency room visits, hospital admissions and nursing home days - all of which leads to better care at lower costs.There is more than one value proposition PatientPing offers. The embedded analytics will also reveal care patterns - allowing systems and communities to better understand where patients are going, and allow for more proactive preventive care. Another easily overlooked value proposition is the user experience. The information PatientPing relies on was already there beforehand. They’ve simply made it more accessible to providers of care. As Jay points out, it’s analogous to the situation with Google Maps. The GPS data was already present when companies like Google and Waze made it easily accessible and usable for the consuming public. PatientPing has done something very similar with the data in the Health Information Exchange network and the health information locked up in proprietary electronic medical records. They’ve made this information accessible and consumer-friendly for providers of care - across and between institutions and practices. It may be a simple concept but the impact and value proposition is profound. It’s going to assist providers and patients with better communication, better integration and better coordination of care. It’s going to make healthcare delivery more seamless and safe. And, who wouldn’t want that?ReplyForward

Health Information Exchanges (HIEs) play a critical role in improving the continuity of patient care across healthcare entities and geographies. HIEs often operate behind the scenes to coordinate the secure sharing of information across healthcare entities. Organizations considering using or interfacing with a Health Information Exchange (HIE) will benefit by listening to this Podcast discussion about security and privacy trends with Nick VanDuyne, Executive Director at NY Care Information Gateway and Meditology's Brian Selfridge.   As the manager of a regional health information gateway partnered with the state of New York, Nick gives us an insider view of risk management security issues and approaches including: Key questions to ask in evaluating HIE or Regional Health Information Organizations (RHIOs). Specifically, how to evaluate the security and privacy controls of the entity. Challenges faced by the “big data” aspect of an HIE or RHIO and security approaches to address them.  As well as methods for reconciling the security and privacy expectations of a wide range of disparate stakeholders that share and use health data (hospitals, state agencies, and others). The use of security certifications in providing demonstrable assurance of security controls to your members and business partners. An insider view of the inherent security strengths or vulnerabilities of healthcare data communication protocols like HL7, DICOM and newer HIE-specific protocols such as DIRECT. Opinions about emerging technologies and security considerations for the next wave of innovations poised to hit the healthcare market.

On PopHealth Week Fred Goldstein and Gregg Masters chat with healthIT industry thought leader and innovation pioneer in the health information exchange space, Dr. David Kibbe, Principal at The Kibbe Group, LLC. As a clinician, clinical informaticist and deep healthIT policy thinker and 'doer', Dr. Kibbe shares insights on the current state of the healthIT market, the future of health information exchanges, and the strategic challenges before health system or enterprise leadership to successfully navigate platforms, and implement sustainable business models that support their operations. More about Dr. Kibbe: "As of January, 2019, Dr. Kibbe is consulting via The Kibbe Group LLC. As a senior advisor, Kibbe will engage health care provider organizations and federal/state agencies to assist in their strategic planning and implementation of health information exchange challenges and opportunities via Direct and FHIR. For six years Kibbe served as President/CEO of DirectTrust, the governance body and trust framework provider for a large and growing national health information exchange network reaching 1.8 million end users at over 130 thousand health care organizations in the US year end 2018." "As co-founder of Direct Trust, a non-profit trade alliance sponsored by ONC, Kibbe served as "chief collaborationist" with a dedicated group of volunteers from hundreds of entities, whose common goal has been to create a secure, interoperable and ubiquitous means of electronically sharing information across the boundaries of organizational walls and different health IT vendor products so that providers and patients can have better, faster, cheaper access to the data and information needed to make continuously improving healthcare decisions." Join us for an insightful exchange.  

17. Oh, HIE There Intended Audience: Newcomers to Pharmacy InformaticsToday, we briefly go over what Health Information Exchange is and why pharmacy informatics and technology specialists should care. More Resources Health Information Exchange What is HIE?Follow us on social media! Twitter: @pharmacyitme Instagram: @pharmacyinformatics Website: Pharmacy IT & Me Email: pharmacyitme@gmail.com Follow Tony's personal Twitter account at @tonydaopharmd For more information on pharmacy informatics, check out some of the following useful links: ASHP's Section of Pharmacy Informatics and Technology HIMSS Pharmacy Informatics CommunityThis podcast is powered by Pinecast.

Understanding What Drives Health Information Exchange Use During Postacute Care Transitions by Managed Care Cast

Host: Brian P. McDonough, MD, FAAFP Guest: Martin Lupinetti Guest: Richard Snyder, MD First there was paper, then there were traditional electronic health records…so what’s next? Well, more and more states across the country have been diligently working on the development and implementation of health information exchange, bringing all available information to a single point of care. Join Dr. Brian McDonough as he dives deep into the database with Rich Snyder, Chief Medical Officer of Independence Blue Cross, and Martin Lupinetti, President of HealthShare Exchange.

As we conclude this second of a two-part series on our country's healthcare system, we explore what changes are currently underway. And more importantly, how they will impact both doctors and patients. Department Chair of Health Policy and Management at the IU Fairbanks School of Public Health, Nir Menachemi shows us what these changes look like and how his team's innovation already saves millions of dollars in waste.  ---- Do you have a question? Looking to get help on a business decision? Know a great guest for our show? Email roipod@iupui.edu so we can help your organization make better business decisions. ---- Ready to take your next step? Check out if a Kelley MBA is right for you: https://bit.ly/35aeAfZ ---- SHOW NOTES: MATT: On the last episode, we sat down with the Department Chair of Health Policy and Management at the IU Fairbanks School of Public Health, Nir Menachemi, who took us inside why healthcare in the United States is so high, yet still has a low rank amongst other developed nations. Using the nursery rhyme, Humpty Dumpty, Nir showcased how, as a country, we're pretty good and putting Humpty Dumpty back together, however we fail to explore why or even help prevent him from climbing the wall in the first place. If you missed last week's podcast, I highly recommend you go back and listen because this week's episode is picking up where we left off. Let's get to the podcast… ||ROI Music Plays|| MATT: Welcome to another episode of the ROI Podcast presented by the Indiana University Kelley School of Business, I'm your host Matt Martella alongside Associate Dean Phil Powell. And today we're going to conclude this two part podcast by exploring what changes are on the way inside our healthcare system that will affect both doctors and patients. But before we dive into this week's content, we just want to say thank you for tuning in today. We work hard to put out a weekly podcast that helps organizations make better business decisions. For those tuning in for the first time, we want to say welcome to the Kelley Family. We're honored you're taking the time to see what we're all about. If you have any questions, suggestions for a topic you would like us to explore, or just recommend a guest for our show, send us an email to ROI-pod, that's roipod@iupui.edu.  And for those who are enjoying our podcast, it would mean the world to us if you could leave us a review on your favorite podcasting app. Your reviews help our show grow. So last week, Nir Menachemi said as a country we spend, on average, $10,000 per person in the United States on healthcare. The focus on that spending is being able to put a sick person back together. Yet, access to great care is only 10% of our overall healthy well-being. We fail to address or even prevent people from getting sick in the first place. Nir Menachemi: The healthcare system is a misnomer, and I focused on the term "healthcare" because we really have a "sickcare" system. We also don't have the "systemness" associated with the term “healthcare system”. Systems, and I think of the best analogy as the digestive system, it's a whole bunch of things working together towards one common goal. Our healthcare system doesn't work well inherently together across all these different settings. PHIL: He also used the term “fee-for-service” as a way to describe how doctors see patients. A patient is sick, they go see a doctor, the doctor fixes them and the doctor collects a fee from the insurance company. There are little to no incentives for prevention. As Nir also said, it can be perverse at times because the sicker a patient is the more money that can be generated for the healthcare provider under our current “fee-for-service” mentality. Leaving a lot of room for poor decisions to be made that ultimately affect us, the patient. Nir Menachemi: You ask someone in elementary school and they'll tell you it's your diet and exercise, and those are all those health behaviors that that in the 15 minute clinical encounter with your doctor, even though they know that's what's the most important, they just don't get a chance to focus on it, in part because that's not how the healthcare system gets financed. Reimbursement is for fixing you when you go wrong, not for when counseling you on what to do to prevent you from getting sick in the first place.  MATT: So what can be done to change this mentality inside our current healthcare system? The first thing to understand is the culture of how we view healthcare as a country has to change. And here's the good news, it's already changing. Nir Menachemi: Right now, we're in the midst of a literal revolutionary change to how we reimburse healthcare in this country. For the last 7 or 8 years, we have been transitioning off of this fee-for-service mentality and on to what's called value-based healthcare. Leading the charge is CMS, which includes Medicare, Medicaid, and the big governmental payers of healthcare, and they're basically recognizing that we're at this crossroads right now. We cannot afford as a nation to continue spending as much as we do, and worse, we have an aging population that's going to go onto Medicare, the Baby Boomers. Mathematically, we just don't have enough money in the system to not focus on prevention anymore. PHIL: According to the US Census Bureau, there are roughly 76.4 million baby boomers that are starting to enter the latter years of life. And if we look at the industry data available, by 2020 the baby boomers are expected to double the cost of Medicare and Medicaid. And this “value-based” healthcare could give us the answer to not only an aging baby boomer generation ready to retire, but also how we can better our healthcare system. It starts with changing how physician offices are incentivized. Nir Menachemi: Value-based says rather than focus on fee-for-service, where the incentive is to increase the number of patients that you see, value-based purchasing are a collection of different payment mechanisms to physicians and hospitals that says, "let's see if we can incentivize value". Value is basically the ratio between cost and quality, so you can improve the value of something by either reducing the costs or by improving the quality. The way they're incentivizing value includes a full gradiation of different approaches. One of the lowest approaches involves what's called pay-for-performance - that says to a doctor or a hospital, if you achieve certain benchmarks amongst your patients in terms of either mortality rates, adherence rates to certain things, or the quality of the care that you provide reaches a certain benchmark, we'll give you a bonus. Pay-for-performance is a very low-level way to change fee-for-service to start being more value-focused. Pay-for-performance also includes the concepts of no pay for no performance, and that also includes not reimbursing for certain things that should've never occurred in the first place. Certain types of nosocomial infections, these are infections that occur within the hospital as a result of being exposed to the hospital environment. That should not occur, and if that happens, CMS is saying they're not paying for it. Likewise, the whole idea of CMS not paying for hospital re-admissions - so if you are a hospitalized patient, and you go home, you should not be re-hospitalized in the next 30 days. CMS says that if that occurs, they're docking the pay of the hospital that first discharges [a] patient before they should've been let go. All the way on the other end of the continuum is something called accountable care, and accountable care says rather than paying you per person, per issue, per disease, per fix, it re-conceptualizes payment to be, an insurance company might assign a hospital company 20 or 50,000 patient, and say, "you are responsible for all the care that these patients need for the next year, and we're going to pay you a fixed amount per patient, per month." Once you accept that contract, you are responsible for keeping them healthy. If they all get really sick and come to you, that doesn't change how much you're going to make, you're going to have to expend more resources to tend to their needs. If you're, however, able to figure out a way to keep them healthy and keep their disease at bay so that they're not over-utilizing unnecessary care, you'll get to keep more at the end of every month because those individuals would not have used your resources that you've made available to them. That really begins shifting the way doctors and hospitals think about what their role is. Under accountable care, where you have what's called this capitated rate, this per-member, per-month fee that you collect - it starts getting you motivated as a provider to say, "How can I prevent this person from needing this expensive procedure?" You are now suddenly spending much more time on things that previously did not generate you revenue, but instead, is averting the bad outcome for the patient. That's in your interest, under accountable care, as a provider, it's in the interest of the insurance company who doesn't want runaway costs that continue to happen. It's also in the interest of the patient who does not want the complication soon in their future. As a nation, we're learning how to find the right combination of financial incentives to bring everyone onto the same boat rowing in the same direction, because previously fee-for-service was not in anyone's best interest, per se, when thinking about everyone together.  MATT: The second thing to understand is this change will not come easy because as organizational leaders, we know how hard culture change can be just inside our company – let alone an entire industry. Nir Menachemi: It's very stressful for physicians, for hospitals, and for all the players where the rules are changing, mainly because these entities and individuals have never really been trained to think this way. You rarely learn in medical school how to keep someone healthy - you are focused much more on how to fix them when they are broken. Hospitals have never really developed the cultures, structures, or infrastructures to deal with people who are healthy. In fact, it's scary to all those individuals because under accountable care, for example, you are responsible for say, the population of patients that you are "at-risk" for - the reason why we use the term "at-risk" is because if they all get sick, it hurts you financially, not the insurance company, because you signed up for that per-person, per-month payment. How do you engage a population that doesn't walk through your clinic doors? How do you think about things to keep them healthy and managing their risk factors so that they don't get sick when the entire history of your business and conceptualization is about, "wait for them to show up in my waiting room, and then fix them". This involves lots of things that healthcare just hasn't been doing well, that we have developed much better outside of healthcare. I always think about how Delta, the airline, gets my loyalty based on status that they give me, and I sometimes scratch my head and find myself in Atlanta on a layover just because I'm so loyal to the airline, and what I feel like I get is a glass of wine and a bag of peanuts, but nevertheless, I am intensely loyal and play the game of I do what they want me to do, and they do what I want them to do for me. I love the upgrades, sitting in the VIP rooms, being able to have my luggage come out first, and all the things that they're rewarding me for my business. All the different hotel chains have figured out how to engage consumers. Healthcare organizations are now trying to figure out how to incentivize the patients that they are at-risk for to engage in the behaviors that makes everyone win. That is scary, in part because it requires business skills, healthcare skills, grounding in marketing, grounding in informational technology - because you need to leverage a lot of data that's available to you - it requires skills in strategy-making and operations, which operations really focuses on quality improvement, which again, plays into value. These are not the average things that physicians, for example, feel well-grounded in. PHIL: A baked in teamwork, as Nir said of allowing a sort of “self-governing” body so to speak create checks and balances across multiple health networks in order to receive reimbursement for providing valuable care to patients. Nir also said that a lot of physician offices are becoming part of a larger health network, like Community Health Networks as an example. He says this also helps in managing responsibility of a population under this new value-based care. Nir Menachemi: When you are an accountable care organization, contracting with CMS, let's say, for Medicare-covered lives, and you get 80,000 assigned to you, you as the accountable care organization needs to be able to provide every last service that this patient is going to need in your market. You need to cover all the different specialties, emergencies, primary cares, hospitals, rehabs, nursing homes, anything that this patient is going to need. You have to band together into these larger consortiums, either formally or informally. You could be acquired and literally be a subsidiary of this larger group, or you can contract with them to be business partners to share these responsibility and the care that this person needs. Either way, whether it's formal or less formal, you are now, as a group of providers, expected to coordinate what you all do for that patient better. For example, if someone gets their hip replaced, that might require a whole bunch of out-patient care prior, an in-patient stay, then more post-in-patient care, and maybe some nursing and rehab. Then, there might be some home health associated with it after the patient is home and still needing some kind of services. If you, as the entity collectively, are all responsible for it, you are going to start saying, "Wait, physical therapist, you guys are doing things that are not evidence-based, and that's taking money away from our shared hive that we were each going to get a piece of". Or, if the group determines that the orthopedic surgeons were doing things that were not consistent with some of the best guidelines, someone might say, "Wait a second, we have no money left over because one of the team members that's responsible for the entire continuum care that this person needs is inconsistent with best practices." MATT: And finally, the third understanding about how healthcare is changing is to see it in action. Nir Menachemi: My group here at the Fairbanks School of Public Health has been working on lots of different population-health management strategies, developing them in conjunction with partners: we work with Eskenazi Health, IU Health, and other health systems throughout the region and country. One of the innovations that we were recently recognized with as being the first place winners of the Inject Tech Competition here at the Life Sciences Summit in Indiana was an algorithm that is designed to improve and identify individuals who come to primary care clinics who might be in need of social services by clinicians, such as social workers, dietitians, mental health counselors, or medical legal partnership providers. We developed this machine-learning algorithm that's running live at Eskenazi Health right now, and basically it helps identify in the morning, with the entire roster of patients coming in today, it helps identifying based on every bit of information that's available to us - which includes all the info embedded in the electronic health record of that patient - all of the information available to us through the Health Information Exchange in Indiana - sometimes referred to as either the Indiana network for Patient Care, or commercially as the Indiana Health Information Exchange, IHIE - all the information that's available to us based on a zip code of where the patient lives, and we have either zip code level data, or in some cases even smaller census-track level data, of things like crime rates, how far they are from a food desert, whether or not there are sidewalks in the neighborhood, what the unemployment rate is, and we take all this information that is assembled from the POLIS Center, the Regenstrief Institute, the electronic health records, and all these sort of different partners that we have on campus, and we predict what the probability is of you, the patient, are of needing either a social worker, dietician, etc. That allows folks in the clinic to then match the neediest patients to the limited providers that are available to help with those needs. Going back to the original thing that I said, the vast majority of our health is a function of our behaviors, and our behaviors are a function of our life circumstance. If you're a diabetic who happens to live in the highest crime area and in a food desert, exercising and eating right is not an option for you. You need help with that, and let's just put this context, a teen with diabetes: mom's not letting him run around outside if it's a high crime area, she's not letting them walk back and forth from school if there are no sidewalks, she's not able to get the diet that this kid needs to get his disease under control because there is no place to buy that kind of food. And by the way, even if there was, it's unaffordable because the “healthiest" food is typically the most expensive. So, if we can have a dietician intervene during that kid's diabetic check-up, and instead of trying not to wait for that diabetic kid to have complications that he will then have to deal with, maybe we can proactively figure out a way to help that family cope with that kid's disease, given their life circumstances. Social workers know how to do that, nutritionist [as well], all of these ancillary "wrap-around" service providers know how to do that. Our algorithm figured out a way to optimize the use of those providers in such a way that we can address the behavioral and environmental conditions that are exacerbating people's health. What we found was - and this article just came out in the current issue of Health Affairs, it's been getting a lot of attention nationally both in the media and social media - that using this algorithm and these wrap-around service providers is able to save millions of dollars in averted unnecessary emergency room visits and hospitalizations for some of the patients that are most vulnerable to having their health exacerbated. This is just scratching the service of what's possible, but this was an innovation of leveraging big data, new artificial intelligent approaches to computation and identifying people at risk, and more importantly, deploys resources that we already have in the community that are just not being orchestrated for the end goal of better health for everyone. Doctors and nurses can do what they do best, social workers and dieticians can do what they do best, and patients embedded in their environments and communities are engaged in such a way that's consistent with their life situation. Everybody hopefully wins, and again, is rowing in the same direction towards the shared goal of improved health for the individual. ||ROI Music Plays|| MATT: So let's recap. Last week we explored the problems inside our healthcare system, as a country. This week we went into what changes are already taking place and what we can expect as doctors and patients. First, how we view healthcare needs to continue to change. Baby boomers are reaching retirement and our current system cannot support them. But the good news is, we're starting to see the change take effect. Value-based healthcare offers ways to give patients superior care by focusing on prevention and doctors more incentives to keep people healthy. The second thing to know is change will not come easy. As leaders, a culture shift takes time – especially across an entire industry. Healthcare providers are currently at work figuring out how these changes will be made. And finally, the third thing to know about this change is we can see it at work, right here in Indianapolis. Nir and his team have created a computer algorithm that pairs a patients highest needs with the right specialist. Whether that be a nutritionist, social worker, physician, or counselor, this program is already saving millions of dollars in unnecessary procedures – creating a win-win for both health providers and patients. This has been another episode of the ROI Podcast presented by the Indiana University Kelley School of Business – where we work hard to help organizations make better business decisions. I'm your host Matt Martella alongside Associate Dean Phil Powell – we'll see you next week.

A re-upload of a podcast with Brian Dixon, MPA, Ph.D., FHIMSS, Assistant Professor, Health Informatics, Indiana University; Research Scientist, Regenstrief Institute; Investigator in Residence, Department of Veterans Affairs

Lyman Dennis, PhD joins us at the www.cibhs.org Health Informatics conference to talk about his presentation. He is the Executive Director of Connect Healthcare. Their goal is to provide seamless health information among providers, facilities and patients to enhance the safety and effectiveness of healthcare across their service area.All health data in their community is electronic, accurate This consistently coded and is available to every treating provider at the point of care and to the treated patient. The North Bay (California) combines agricultural (especially wine-growing), local commercial and commuting populations. Of the 1.2 million people in the four counties, some 25% receive healthcare through Medi-Cal and 15% through Medicare.

Charlie Hewitt has had a long, impressive career in I.T. culminating in a position as Chief Information Officer for the City of Providence RI (2003-2010) and as Director of the Health Information Exchange, Program Management (2010-2015). He is now involved in the Mile of History Association (MoHA) which aims to restore and preserve the historically significant Benefit Street in Providence, RI. They chat from history to how A.I. is going to change health care and the use of electronic health records in a big way.

To continue the advancement of high-quality care in today’s health care landscape, providers require greater collaboration and data exchange than ever before. In this episode of The Cerner Podcast, we're joined by Dr. Jeffrey Cleveland, the medical director for the Carolinas HealthCare System, a not-for-profit health care system with more than 900 comprehensive care locations in North and South Carolina. Jeffrey shares his thoughts on how to leverage health information exchange technologies for the benefit of the patient.

Dr. Alessi discusses the “Healing Meals Project” with Ms. Sarah Leathers and the Health Information Exchange with CSMS president Dr. Steven Thornquist.

In this episode, Dr. Idris Adjerid, Assistant Professor at the Mendoza College of Business at Notre Dame, discusses the results of a recent study which examined the impact of health information exchanges (HIEs) on Medicare spending. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante:  Hi! This is Mike Passanante. And Read More

Host Dr. Ryan Stanton and Dr. Ben Zanniello discuss how health information exchanges can assist in the goal of providing patient-centered care.

Impact of Direct Exchange on Long-Term Care Pharmacy PART 1 of 3 - with Louie Foster  Audience: Current DocuTrack users and those interesting in emerging technologies This podcast will review CMS initiatives, their impact on the role of pharmacies in the health care system, and how health information exchange technologies will be key in shaping the services provided to pharmacy customers in the future.   Participants will be provided insight to the use of existing technologies such as Outlook, smartphones, and DocuTrack to increase Health Information Exchange integration. Learning Objectives: Articulate to healthcare partners the value & services that a pharmacy partner can provide. Identify how to implement value driven services for your customers. Discuss how to use existing technology already available in the pharmacy to leverage integration into centralized patient records. Recognize technology enhancements to better integrate existing technology into centralized patient records. CONTACT:  Jason Hetrick Integra, Inc. jason.hetrick@integragroup.com  (P) 360.707.4504 www.integragroup.com See omnystudio.com/listener for privacy information.

Impact of Direct Exchange on Long-Term Care Pharmacy PART 1 of 3 - with Louie Foster  Audience: Current DocuTrack users and those interesting in emerging technologies This podcast will review CMS initiatives, their impact on the role of pharmacies in the health care system, and how health information exchange technologies will be key in shaping the services provided to pharmacy customers in the future.   Participants will be provided insight to the use of existing technologies such as Outlook, smartphones, and DocuTrack to increase Health Information Exchange integration. Learning Objectives: Articulate to healthcare partners the value & services that a pharmacy partner can provide. Identify how to implement value driven services for your customers. Discuss how to use existing technology already available in the pharmacy to leverage integration into centraliz

Steve Rushing joins The Cerner Podcast to discuss how the education, research and commercialization of developing solutions that aid in the exchange of health information can support the Triple Aim.

Troy Trygstad, PharmD, PhD, MBA, is Vice President of Pharmacy Programs at Community Care of North Carolina (CCNC), a parent organization of 14 regional care-management networks. These networks bring together medical practices, county health departments, hospital systems, and mental health providers to integrate care delivery for Medicaid, Medicare, private plans, employers, and the uninsured. CCNC and its networks are responsible for developing and evaluating innovative care systems in North Carolina. Under his direction at CCNC, the Network Pharmacist Program has grown to include pharmacists who are involved in a number of diverse activities including medication reconciliation, e-prescribing facilitation, and management of pharmacy benefits. He has also been involved in novel adherence implementations, as well as the development of adherence technologies that use administrative claims data to predict, intervene, and triage adherence interventions and coaching opportunities. Dr. Trygstad received his PharmD and MBA degrees from Drake University and a PhD in pharmaceutical outcomes and policy from the University of North Carolina. Twitter: @TroyTrygstad 00:00 “I am optimistic about the future of pharmacy, but I fear those who are stagnant.”02:00 Practice transformation.03:20 Bridging the divide between measurement and payment.04:30 Fee For Service Systems and Fee For Product Systems.06:00 TRUE: Collaboration with community pharmacies is advantageous for any entity responsible for a panel of patients with high-level medication use.08:00 The definition of a Medical Neighborhood.10:50 Marrying the concept of a Pharmacy Home and a Medical Home.13:50 The Pharmacy Home Project at CCNC.15:30 How a PCP can become part of the Pharmacy Home Project.18:30 How a patient can become part of the Pharmacy Home Project.19:50 What's the appeal of a Pharmacy Community, and who foots the bill.22:45 How pharmacies need to change in order to become viable in the transforming future of healthcare.24:40 “All reimbursement on drugs is sort of equal.”27:30 Why workflow considerations are the hardest part.28:40 “We want all pharmacies to be all things.”32:00 How a Health Information Exchange can help a pharmacy adapt.

Tomas Gregorio is the Senior Executive Director of Healthcare Systems Innovation at the NJ Innovation Institute. In that capacity he has overall managerial responsibility for program development and execution of NJII's activities organized under the Healthcare Systems i-Lab. Mr. Gregorio brings a rich and diverse background to the job having served various roles as a senior executive in regional hospital systems as well as with allied consulting and software industries. He was most recently the Sr. Vice President & COO for HealthEC, LLC, a leading provider of best-in-class data connectivity and consulting solutions for the healthcare industry. Prior to that he served as President and CEO of Meadowlands Hospital and before that, at Newark Beth Israel Medical Center was the Vice President Administration and Vice President & CIO. Mr. Gregorio has also been a principal advisor in NJIT's efforts to establish and build both NJ-HITEC and the Highlander Health Data Network (HDN). Tom spent seven years of his career as a management consultant with PricewaterhouseCoopers where he worked in over 23 hospitals around the country, hundreds of affiliated and independent practices, and several insurance companies and TPAs. The types of projects he worked on included vendor selection for financial, billing, and clinical systems, system implementation, support operations development, and healthcare business operations management. He also contributed to early HMO models in the Northeast and overall quality and process improvement initiatives. Having developed a deep understanding of hospitals and physician practices' technology capabilities, he comfortably applies technical solutions to clinical and business problems to accomplish meaningful results for his clients. As a hospital executive, Mr. Gregorio further developed his ability to oversee complex healthcare operations. Mr. Gregorio's extensive experience in managing new and existing hospital operations was showcased during the change of ownership of Meadowlands Hospital Medical Center in 2010. As the CEO, he led the team responsible for contract conversions and systems implementations during the transition. He also made key organizational decisions including hiring the executive team, determining which staff members were retained, and negotiating new collective bargaining agreements. In his roles as CEO, he ensured that senior management and administrative functions of the hospital were in compliance with state and federal regulations, rules of accrediting bodies, and licensing standards. His method of maintaining and improving quality is based on a systems approach: recognizing the value of measuring each aspect of an operation, down to the cost per unit of service. As a result, he instituted control systems for the maintenance of financial, human and capital equipment assets resulting in oversight of all financial affairs and ensuring that services are produced in a cost-effective manner. Tom has proven his ability to identify the root cause of an organization's problems and make the necessary adjustments to resources and processes. In doing so, he cultivates environments that function effectively, efficiently, and produce results in a timely fashion. Tom's commitment to the delivery of quality and compassionate healthcare extends far beyond his administrative experience. Some of his innovations include a project to monitor the health of senior citizens with Diabetes and high blood pressure, and a physician house call service that tracks senior citizens' health remotely and generates referrals to the hospital, physician or family members; a technology that was unheard of in the US at that time. During his time as VP of Administration and CIO at Newark Beth Israel, he brought his innovations across cultural and international lines with a Bloodless Medicine program and an initiative which brought patients from the Middle East to Newark Beth Israel. His diverse background provides a unique perspective rarely seen in traditional hospital executives. Mr. Gregorio's firsthand knowledge of healthcare technology and operational excellence span the entire healthcare landscape. Over the last two years, Mr. Gregorio had the opportunity to begin an Accountable Care Organization (ACO) service line with HealthEC. The population management software and services developed under this project are directly in-line with the new reimbursement models facing the healthcare industry today. HealthEC's products and services helped one of their clients manage over 100,000 lives and save 6 million dollars through the Medicare Pioneer ACO program. With this project as well as Health Information Exchange technologies like the Highlander Health Data Network, Tom uses his knowledge of hospital operations to promote a change in hospitals from being a revenue source to a cost center. In addition to creating ACO and HIE infrastructures, he has contracted with community physicians and created the value propositions needed to work in a population management based operation. Outpatient services are the future and population health and ACO's are the vehicles currently in place to make that transition. Mr. Gregorio is also a professor of Health Information Technology and Management Information Systems at NJIT in Newark NJ. Tom has a BS in Organizational Management Nyack College and an MBA in Management of Technology from NJIT. 00:00 Tom discusses NJII.03:30 The grant from CMS that NJII just received.04:30 “It's our job to provide them the technology and services so that they can understand as a business how to transition to pay-for-value.”04:50 Who are the 11,000 physicians that need to transition to the pay-for-value service?05:30 Tom discusses making sure physicians are prepared in time for the payment transition in two years.08:00 Tom explains where NJII begins in assisting and convincing providers to transition into pay for performance programs.10:00 Segmenting physicians into three categories, and causing change.12:30 How NJII can benchmark and stratify physicians' patients.13:30 The four phases that NJII has laid out: assess, capture, transform, and manage.19:30 How NJII estimated the 11,000 physicians that it could assist in the transition.21:00 How NJII assesses.22:30 TCM: Transitional Care Management.25:20 How NJII can help all involved networks benefit from a physician's transition to value-based pay.26:40 NJII's system, ‘Capture'.29:30 NJII's transform phase.31:00 Tom's advice for trends in this transition.34:00 NJII's manage phase.36:00 You can find out more information by calling 973.642.4500, emailing tomas.gregorio@njii.com, or visiting www.njii.com.

Dr. Jan Lee is the Chief Executive Officer of the Delaware Health Information Network (DHIN). She is a board certified Family Practice physician with a Master of Medical Management degree and a wealth of leadership experience. Prior to joining DHIN, she was Vice President of Knowledgebase and Content for NextGen Healthcare, a leading vendor of health information technology products and services, where she was responsible for the development of clinical content in 26 medical specialty areas for the NextGen electronic health record. She transitioned to NextGen from a career in the United States Air Force, where she had worldwide assignments in clinical settings from outpatient clinics to medical centers, several academic appointments, and varied leadership and command assignments. She served in a senior leadership capacity at Headquarters, Air Force as the Chief Information Officer of the Air Force Medical Service. She steered management of a $3.2B IT portfolio supporting 130K Department of Defense healthcare employees and 9.1M beneficiaries worldwide. She led implementation of the Department of Defense EHR throughout the Air Force to 75 facilities of all sizes supporting all medical and surgical specialties and subspecialties. She has served on a range of national level committees and workgroups, and is frequently sought as a speaker on health and health IT topics. Her specific areas of interest are health policy and the use of health IT to improve clinical practice and population health. Recent recognition includes listing in “Guide to America's Top Family Doctors” and “Who's Who in America” and selection by “Cambridge Who's Who” as Executive of the Year. 00:00 Jan explains DHIN, the Delaware Health Information Network.02:45 How DHIN works with other HIEs.03:00 How National Standards for HIEs make exchanging information across borders easier.04:00 There are no laws that prevent hospitals from participating in more than one HIE.04:30 DHIN's interstate agreement with Maryland's HIE.05:00 How DHIN is enabling continuity of information to support continuity of care.06:00 The secondary initiatives that DHIN pursues.07:30 DHIN's effort to encourage providers to follow up with patients after hospital visits to cut down on readmittance.09:00 Why it is in enlightened self-interest for providers to pursue early follow-ups after hospital discharge.11:40 Transitional Care Management: The effort that you spend in reaching out to a patient, in order to get them to return for a follow-up visit.13:20 How DHIN operates as a backbone for patients and providers setting up follow-up visits after a discharge.17:00 “When you've got the data, there is so much more you can do than simply pat the patient on the back and say, ‘On to the next one'.”18:00 DHIN's work in research and clinical trials.23:00 How DHIN helped prevent a Swine Flu outbreak.25:30 The two ways for public health to access data.27:15 How DHIN is getting patients involved in their own data and healthcare.35:00 How DHIN is one of the only self-supporting HIEs in the nation.42:00 You can find out more information at DHIN.org, as well as on Facebook, LinkedIn, and Twitter.  

Teresa Rivera joined the Utah Health Information Network in 2007. As President & CEO, she is accountable to ensure that UHIN achieves its mission of providing services that reduce healthcare costs and improve quality and access for the community through exchange and use of administrative and clinical information. UHIN's broad membership includes all the hospitals, ambulatory surgery centers, national laboratories and approximately 90% of the medical providers in Utah. Teresa's past experience includes responsibility for operations as the Vice President of Benefit Administration at BlueCross BlueShield of Utah and client relations as the Vice President of Client Relations at HealthCare Insight, a fraud and overpayment discovery service. She has had the opportunity to work with production, service, technical and membership areas in those companies. Her focus is service, employee development and community involvement which she believes is essential to business success. Teresa holds a MBA with an emphasis in Human and Organizational Development and a Bachelor of Science, Summa Cum Laude, in Management with a minor in Computer Science from Westminster College Teresa is married with two adult children. Her community activities have included working with the Utah Partnership for Education; Salt Lake Community College Customer Service Program and Executive Program Advisory Councils; Utah/Intermountain Chapter of the International Customer Service Association; and the Salt Lake Master Gardener Association and currently is a member of HIMSS and holds a Board position at Mountain West Chapter of AAHAM, Utah Chapter of HIMSS, Strategic HIE Collaborative, HIE User Group and National Association of Trusted Exchange, NATE. 00:00 Teresa talks about the start of the Utah Health Information Network (UHIN), one of the oldest HIEs in the country.01:50 UHIN's origin as a Clearing House, and what a Clearing House does in the healthcare industry.03:00 UHIN's vision for the future as it grew as an organization supporting quality effort.04:30 UHIN's decision to move towards the clinical focus, and the challenges it presented.06:20 “One of the most difficult aspects of starting a Health Information Exchange is the governance.”07:40 UHIN's strategy to work with entities with the largest amount of data first, in order to build an advantage and grow as an HIE.08:30 One of UHIN's most successful tactics when growing and connecting with providers.10:00 How UHIN's connection with providers are benefiting patients and building new endeavors to improve patient health overall.18:30 The next step in linking pharmacies to UHIN's HIE initiatives.21:00 The next piece in connecting pharmacies to HIEs in order to follow up that patients are receiving their medications.24:30 Connecting Long Term Care to HIEs.27:00 Long Term Care's disqualifications for EHR and HIE reimbursement grants, and UHIN's work to assist LTC providers with joining HIEs despite this.29:40 The Poison Control Center and the benefits of its connection to HIEs as well.32:00 HISPs and what they do.34:00 Making HIEs interoperable.37:50 You can learn more at www.UHIN.org.

Laura Adams is the President and CEO of the Rhode Island Quality Institute (RIQI), a center of collaborative innovation that advances health and healthcare transformation. RIQI is the only organization in the nation to win all three of the major HITECH health IT grants which funded CurrentCare (the statewide health information exchange), the RI Regional Extension Center and the RI Beacon Community, bringing in $27M in funding. She was recently appointed to the Governor's Workgroup on Healthcare Innovation. Laura served on the ONC's HIT Policy Committee's Governance Panel for the Nationwide Health Information Network. She is a member of the Health Information Management and Systems Society (HIMSS) Center for Patient and Family Centered Care Advisory Group and chaired the Institute of Medicine's (IOM) Planning Committee for the “Digital Infrastructure for Population Health and a Learning Healthcare System” workshop series. Laura led the governance consulting for the Improving Performance in Practice (IPIP) Initiative, a RWJF-funded collaboration among the American Board of Medical Specialties, and the Boards and Societies of Internal Medicine, Family Physicians and Pediatrics. She traveled in the U.S. and Europe with W. Edwards Deming in the study of statistical-based quality improvement. She was Founder, President and CEO of Decision Support Systems, a New York-based company specializing in Internet-based healthcare decision support. Laura has been a faculty member of the Institute for Healthcare Improvement (IHI) in Boston since its inception. She directed the IHI Idealized Design of the Intensive Care Unit project and served as faculty in the VHA's ICU improvement collaborative. She was among the first to bring the principles of healthcare QI to the Middle East, in conjunction with Donald Berwick, MD and the Harvard Institute for Social and Economic Policy in the Middle East. She served as IHI faculty at the inaugural IHI Middle East Forum on Quality Improvement in Healthcare in Doha, Qatar in 2013. Her publications include co-authoring with Gustafson, et al, Developing & Testing a Model to Predict Outcomes of Organizational Change, Health Services Research, 38(2), 751-776 and co-authoring “Collaborating with Consumers to Advance Health Knowledge and Improve Practice” Herzlinger, R, Consumer-Driven Health Care: Implications for Providers, Payers and Policymakers, 2004. She also co-authored “A Draft Framework for Measuring Progress Towards the Development of a National Health Information Infrastructure, BMC Medical Informatics Decision Making, June, 2005.   Laura co-authored “Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback”, Nelson, J., Mulkerin, C., Adams, L. and Pronovost, P.; Quality and Safety in Health Care (QSHC), Aug 2006. She co-authored with Peter Pronovost, MD, et.al. in The Rhode Island ICU Collaborative: A Model for Reducing CLABSI and Ventilator-associated Pneumonia Statewide, QSHC, 2010;19:555-561.   She also co-authored publication with M. Vigorito and B. Sexton entitled Collaborative Improvement in Sepsis Identification & Treatment, JQPS, Vol. 37, No. 11, Nov. 2011. RIQI won the 2013 National Council for Community Behavioral Health Excellence Award for Impact in serving those with behavioral health and substance abuse challenges. Laura has received citations from the RI Congressional delegation for her visionary leadership and contributions to improving the healthcare system in Rhode Island. She received University of Northern Colorado's Distinguished Alumni award and in 2014, RIQI was named RI's Most Innovative Company in Healthcare by the Providence Business News. 00:00 Laura explains the mission of the Rhode Island Quality Institute (RIQI).00:30 Laura explains what the general concept of a Health Information Exchange is--one of the services provided by the RIQI.03:00 The issues with the uptake of Health Information Exchanges.04:30 “What business are we in? We want to share that information because patient's lives depend on it.”06:15 The tragedy of the commons in relation to Health Information Exchanges.08:50 Why transparency is important to the RIQI.09:10 “The only power we have is the power of vision.”10:20 The balance between the financial incentive to hoard data and the moral incentive to save lives by sharing data.11:40 The payment for value system, and how this is encouraging providers to share their data instead of hoarding it.13:30 The improvements that Laura has observed from active Health Information Exchange.15:00 Laura explains the dashboard system that RIQI has developed, and the alerts that this system provides for Nurse Care Managers.17:00 How RIQI is expanded this alert system to extend to patients and their families.23:50 How patients would be able to upload their own information into the Health Information Exchange.26:45 Advanced Directives and other information gaps that only patients are able to provide.29:00 How RIQI's Health Information Exchange system sifts efficiently through an immense amount of data.33:30 How RIQI is connecting their Health Information Exchange system with their major providers one at a time.37:45 You can find out more at www.RIQI.org or by emailing Laura directly at LAdams@RIQI.org.

www.HealthcareTechTalk.com Give us feed back: 317-214-0504 or Contact@healthcaretechtalk.net The goal of health information exchange (HIE) is to improve the quality, safety and efficiency of care delivery by making health information readily exchangeable between key stakeholders, including patients, hospitals, providers, payers, employers, and public health.  In this episode we are joined by John Kansky, CEO of the Indiana Health Information Exchange (IHIE).  Formed in 2004, IHIE is the one of the oldest and largest health information exchanges in the country, which has also established a model of health information exchange upon which other states base their HIE infrastructure.  John discusses how HIEs improve the health of patients through better coordination of care and gives us three secrets to IHIE’s success… Start 15 years before anyone else… The moral - be patient.  Also be clever, work hard, and realize that a well-oiled HIE doesn’t happen overnight (or per John, even in a decade). Get buy-in from key leaders in your market… CEOs of significant healthcare organizations, research organizations (Indiana is fortunate to have the Regenstrief Institute), directors of physician networks, even large businesses who would have a stake in the exchange of health information (large employers, health insurance houses, etc.). Focus on doing things that solve a problem and attracts someone to pay for that solution.   With regard to #3, John has kindly provided us with a couple slides that directly addresses the matter, including one he refers to as The Peanut Butter Principle, which you can review here and in our Resources section of the website.  So, join us for discussion on this and much, much more about health information exchange in this episode!   www.ihie.org

May 18, 2014 - In this Policy Prescriptions® edition of the podcast, Cedric Dark, MD MPH, Assistant Professor of Medicine at the Emergency Medicine Residency Program at Baylor College of Medicine, speaks with Dr. Ellana Stinson, a practicing emergency physician in Boston, MA, and Dr. Jason Shapiro, Associate Professor and Chief of the Division of Informatics in the Department of Emergency Medicine at Mount Sinai Hospital. The discussion points include: a review of the article "Does Health Information Exchange Reduce Redundant Imaging?: Evidence from the ED," EMR versus HIEs, regional sizes and accessibility of HIEs. Intro music by Kämmerer, 'Take Left' from the album 'Rhodes to Wisdom,' powered by JAMENDO.

Join Richard and his guest Dr. Dale Alverson, Medical Director, Center for Telehealth and Cybermedicine Research University of New Mexico, as they discuss the uses, challenges, and implications of Telehealth and Medicaid health care. Topics of the discussion include: What is really Telehealth? How would it apply to Medicaid? Where is it being used successfully in Medicaid now? What are the challenges? Where do we go from here? What impact does this have on Health Information Exchange?  

Join Richard and his guest Dr. Dale Alverson, Medical Director, Center for Telehealth and Cybermedicine Research University of New Mexico, as they discuss the uses, challenges, and implications of Telehealth and Medicaid health care. Topics of the discussion include: What is really Telehealth? How would it apply to Medicaid? Where is it being used successfully in Medicaid now? What are the challenges? Where do we go from here? What impact does this have on Health Information Exchange?  

Andrew B. Serwin is the founding chair of the Privacy, Security, and Information Management Practice and is a partner in the San Diego office of Foley & Lardner LLP. He is a member of the Intellectual Property Litigation, Information Technology and Outsourcing, General Commercial Litigation, and the Trademark and Copyright Practice Groups. He is also a member of the Venture Capital, Emerging Technology, Life Sciences, and Health Care Industry Teams. Mr. Serwin has extensive experience in privacy and security matters, including state, federal and international restrictions on the use and transfer of information, security breach compliance, incident response, marketing restrictions, and the drafting and implementation of privacy and security policies. Mr. Serwin also advises media and Internet companies regarding online contracting issues, licensing issues, domain name issues, and intellectual property issues, as well as litigation resulting from information security incidents. Mr. Serwin has unique experience in representing start-up and Internet companies because he served as President and General Counsel of an online political magazine, InPolitics.com. Mr. Serwin has broad experience in technology and business law, including corporate finance, partnership law, securities, e-commerce, software development and licensing, intellectual property licensing and protection, manufacturing and distribution arrangements, joint ventures, information technology transactions, as well as real estate transactions. He has also advised hedge funds and broker dealers in a variety of transactions. Mr. Serwin's litigation practice includes unfair competition matters; intellectual property litigation; corporate governance disputes; complex commercial litigation; e-commerce matters; partnership disputes and real property matters. He is the author of "Information Security and Privacy: A Practical Guide to Federal, State and International Law", a 2,000 page treatise that examines all aspects of privacy and security laws, published by Thomson-West. Mr. Serwin is also the author of the "Internet Marketing Law Handbook", also published by Thomson-West, which covers topics such as privacy and security, commercial e-mail laws, spyware and unfair competition law. He is also the author of West's Corporate Counsel's Primer on International Privacy and Security (July 2007), the advertising section of the "ABA Model Web Site: A Knowledge Management Approach to E-Business Model Web Site" that provides guidance on "best practices" for Internet issues, as well as Co-Chair and principle author of the Privacy and Security Section of the ABA's new publication, "Selling Products and Services and Licensing Software Online: An Interactive Guide With Legal Forms and Commentary to Privacy, Security and Consumer Law Issues", (June 2007). Mr. Serwin was recently appointed to the privacy and the legal subcommittees of the Privacy & Security Advisory Board of the California Health and Human Services Agency by the California Office of HIPAA Implementation. The committee is charged with developing standards for California's Interoperable Health Information Exchange for electronic health information, which includes creating and adopting a process to develop and set overall standards, overseeing the coordination, analysis, and promulgation of privacy and security requirements for the Health Information Exchange, researching and developing model contracts and related documents, and providing guidance regarding the interaction of HIPAA and California law. He is also a member of the San Diego Chapter of the San Diego FBI Infragard Group, an organization dedicated to promoting ongoing dialogue and timely communication between information technology companies and the FBI. As a member, he receives daily, non-public briefings on information security and other threats, including early warnings about new attacks on financial services companies or healthcare providers. He was also recognized as a "Southern California Super Lawyer" in 2007 and 2008, is AV-rated by Martindale Hubbell, and was previously identified as one of the leading intellectual property attorneys by the Daily Transcript in its 2005 "Top Attorneys List." He is also the former Co-Chair of the California State Bar's Cyberspace Law Committee, and the former chair of the San Diego County Bar Association's Web site Committee from 2002-2004. Mr. Serwin is also a frequent presenter and commentator on technology and legal matters. He is also a columnist for The Daily Transcript on technology issues. Mr. Serwin also serves on the editorial board of Thomson-West's Cyberspace Lawyer, as well as the Privacy and Information Law Report. He is also a member of the Publications Board of the Business Law Section of the American Bar Association. (619) 685-6428 www.FOLEY.COM