Technology in Health Care A changing landscape presented by: Rick Casteel Vice President, Information Technology Upper Chesapeake Health

Transcription

1 Technology in Health Care A changing landscape presented by: Rick Casteel Vice President, Information Technology Upper Chesapeake Health

2 Rick Casteel Graduated from Havre de Grace High Graduated from Harford Community College R.N. Nursing Program Worked at Fallston General Hospital as a Staff Nurse Completed Bachelor in Science in Nursing - UMBC Worked at University of Maryland Downtown Campus Returned to Harford Memorial and was the first clinical analyst on the EMR project Moved to IT administration and completed Masters in Computer Information University of Phoenix Became VP of IT in 2002

3 University of Maryland Upper Chesapeake Health Upper Chesapeake Medical Center Harford Memorial Hospital

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6 UM UCH Service Theme We create a healing and compassionate environment by providing the finest in care, courtesy and service to all people with whom we interact. Every patient, every encounter, every day

7 Trends in Healthcare I.T. The surge in computing power and mobile connectivity have fashioned a foundation for mobile health (mhealth) technologies that can transform the mode and quality of clinical research and health care on a global scale. Unimpeded by geographical boundaries, smartphone-linked wearable sensors, point-of-need diagnostic devices, and medicalgrade imaging, all built around real-time data streams and supported by automated clinical decision support tools, will enable care and enhance our understanding of physiological variability. However, the path to mhealth incorporation into clinical care is fraught with challenges. We currently lack high-quality evidence that supports the adoption of many new technologies and have financial, regulatory, and security hurdles to overcome. Fortunately, sweeping efforts are under way to establish the true capabilities and value of the evolving mhealth field April 2015 Vol 7 Issue rv3 The emerging field of mobile health Steven R. Steinhubl,* Evan D. Muse, Eric J. Topol

8 Old and New medicine

9 Systems where mobile devices have already been developed or prototyped.

10 Trends in Healthcare I.T. Bloomberg Business Article Apple Healthkit Vivify Health Philips CareSage

11 Meaningful Use Meaningful use The main components of Meaningful Use are: The use of a certified EHR in a meaningful manner, such as e-prescribing. The use of certified EHR technology for electronic exchange of health information to improve quality of health care. The use of certified EHR technology to submit clinical quality and other measures. In other words, providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.

12 Meaningful Use Meaningful use The meaningful use of EHRs intended by the US government incentives is categorized as follows: Improve care coordination Reduce healthcare disparities Engage patients and their families Improve population and public health Ensure adequate privacy and security

13 Meaningful Use Meaningful use The Obama Administration's Health IT program intends to use federal investments to stimulate the market of electronic health records: Incentives: to providers who use IT Strict and open standards: To ensure users and sellers of EHRs work towards the same goal Certification of software: To provide assurance that the EHRs meet basic quality, safety, and efficiency standards Eventual penalties in reimbursement for non-compliance

14 CMS Meaningful Use Timeline

15 CMS MU Stage 3 Proposed Rule Submit key metrics to CMS related to: Protecting PHI CPOE & Electronic RX Clinical Decision Support Patient Electronic Access Coordination of Care HIE Summary of Care on transition Public Health reporting Clinical Quality Measures

16 Trends in (HealthCare) Tech Mobility/BYOD (post desktop world) Workflow Automation (efficiency) Cloud/Internet/Hosted Systems Remote Access without boarders Video communications Security Exposure Systems Integration Big Data and reporting demands Regulatory requirements and controls Vendor/Product consolidations Patient Engagement Population Health

17 Current Technology Efforts at Upper Chesapeake System Integration Data Exchange Foreign System Federation CRISP Data Exchange Business Intelligence Dashboards Data correlation Big Data DR/DW development Custom apps Security Population Health Mobility Work Automation Multi-Factor Authentication Encryption DLP Patient Portals CRISP Expansion State data reporting Patient encounter management E-Prescribing Tele-Health Win 8.1/10 Hybrid devices MDM Smartphone Pilot Secure Texting Imaging ZFP Paper lite SharePoint Workflows Education of Work Force Voice Recognition

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