LEADERS IN. Executive Insight

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2 LEADERS IN Innovative Systems Paul Shumway, Senior Vice President, Novarad Corporation Technology is changing at an everincreasing pace and many of these improvements in information technology (IT) greatly impact hospital and healthcare systems. Currently, healthcare executives are under a mandate to make information more accessible and more complete. With a focus on health information exchanges (HIEs), HIPAA, and the Affordable Care Act (ACA), executives must have the ability to be cognizant in these areas as well as be mindful of ways to cut costs in order to make this new type of healthcare work in their facility. One of the most efficient ways executives can cut costs is through their imaging data storage their largest data set while simultaneously preparing their image data to be more accessible and complete. However, how do executives comply with this new IT movement to make patient records more complete and accessible while at the same time cutting costs? The answer lies within the technology now being developed by the vendor-neutral archive (VNA) manufacturers. VNAs are being designed to center not only around a better way to store large data, but a better way to use large data and large data volumes. As the healthcare industry moves into 2014, the focus of the healthcare industry will broaden beyond picture archiving and communication systems (PACS) in order to meet their data storage and communication needs. Within the coming years, many hospital executives will implement VNAs that provide archival and clinical functionality. As these VNAs are implemented, hospitals will move away from static archiving and storage systems, toward secure cloud based systems provided by experienced healthcare companies. SPONSORED CONTENT BY NOVARAD CORPORATION Dell Healthcare, for example, has been an industry leader for healthcare and IT solutions. Novarad has partnered with Dell Healthcare to develop the bestin-class, online and cloud-based VNA. Branded as the MARZ VNA, this archive is vendor neutral and has a web-based Uni-Viewer capable of viewing DICOM and non-dicom imaging data from a patient-centric viewer. In addition, lifecycle management, the XDS protocol, and full indexing means that you are getting a superior viewer and a full-scale imaging and data management solution. In transitioning to a VNA, there is a minimal reliance on the PACS archive and hospitals can depend on the VNA as the main imaging archive and communication tool for images in many areas : radiology, oncology, and pathology, to name a few. MARZ VNA provides an intelligent management gateway onsite that pulls all image data into an indexed, patient-centric, online archive. Although MARZ is cloud based, it includes an on-site sever that backs up imaging data for two or more years. This solution is complete with hardware and software obsolescence. This not only eliminates the need for hardware replacements or additions to servers as your facility grows but also eliminates the future costs to software upgrades. MARZ is priced for your facility; you only pay for what you need. After a one-time fee per study for ingestion into the archive, your facility then has unlimited access to that imaging data. This allows the solution to be scaled to your facility s size and data management needs. Many hospital executives ask, What separates MARZ VNA from other archives in the healthcare industry? The answer is the partnership between Dell Healthcare and Novarad. The main The web-based Uni-Viewer provides one-click access from the EMR or HIS to imaging data, whether DICOM or non-dicom. framework, both the hardware and storage software, is provided by Dell. Because of this architecture, it creates a structured archive centered on collaboration, indexing and scalability. Additionally, the Dell Healthcare archive is the largest cloudbased healthcare archive in the world, which brings the added security and protection to ensure your patients data remains protected, keeping you compliant with current regulations. The MARZ Uni-Viewer, powered by Novarad, adds 20 years of radiology and image management expertise to the VNA. This web-based Uni-Viewer provides oneclick access from the EMR or HIS to imaging data, whether DICOM or non-dicom. This gives physicians access to any image, study or report associated with their patients. This patient-centric viewer eliminates the need for physicians, radiologists or technicians to comb through multiple databases in search of patient information. The future of healthcare is changing. However, to progress, executives must understand all the complexities and take appropriate steps to meet the demands of their facility, staff and their patients. To learn more about Novarad, visit 2

3 Upgrade Your Existing Disaster Recovery to a VNA-Ready DR. Then when you re ready flip the switch to a full VNA. It s that easy with MARZ DR. BASIC DR MARZ DR With a flip of the switch, you can activate a list of built-in features, and have a full VNA. Static DR Untested Expensive legacy pricing Active DR Easy to test Affordable pricing Inactive built-in VNA features Patient centric Indexed On line Economical Cloud based Ingestion of existing Data XDS Protocol HIE ready Anywhere access through Uni-Viewer Lifecycle management Seamless integration Image enablement of EMR Open standards Meaningful Use Stage 3 DICOM and Non-DICOM image data Upload CD/DVD image data into VNA MARZ is the most comprehensive Vendor Neutral Archive. Born through a partnership between Dell Healthcare and Novarad, it leverages 50 years of industry expertise to create the world s most accessible VNA. With the Dell clinical cloud archive and Novarad s enterprise image management tools you will receive a secure, reliable VNA. MARZ Vendor Neutral Archive is the end-to-end medical imaging storage solution that offers a one-time pay-per-study fee and provides access to images anytime, anywhere Novarad Corporation,

4 LEADERS IN Bridging Skin Hygiene and Health Technology How improvements in technology are transforming healthcare. Since 1946, GOJO Industries, Inc., has been a leader in skin health and hygiene solutions. Over the decades, GOJO has been at the forefront in utilizing scientific and technological advancements to create new products and innovative tools to create well-being solutions to improve patient outcomes. GOJO is known globally as the inventor of PURELL Instant Hand Sanitizer, offering unprecedented germ kill for healthcare and other markets. GOJO, the leaders in hand hygiene, has also recognized the value of informatics in healthcare settings and has worked to develop SMARTLINK, an electronic compliance monitoring (ECM) solution to facilitate the collection, storage, retrieval and dissemination of recorded data to document the hand hygiene habits of healthcare workers. Monitoring hand hygiene practices of healthcare workers and providing timely feedback regarding performance are important aspects of a multifaceted hand hygiene program. Currently, direct observation is considered the gold standard method for determining hand hygiene compliance rates; however, this can be time consuming, expensive and despite best efforts, is known to have several biases that can dramatically overstate compliance rates. Furthermore, only a small portion of all hand hygiene events that occur are captured (new data suggests less than 1%) raising questions regarding the statistical validity of the hand hygiene rates reported. SMARTLINK was developed to serve as a better metric for monitoring, data gathering and analysis of hand hygiene compliance, leaving the direct observation method to facilitate the assessment of the quality of hand hygiene and whether SPONSORED CONTENT BY GOJO INDUSTRIES, INC. healthcare workers are performing hand hygiene at the appropriate opportunities. Lori Moore, clinical application specialist at GOJO, adds that direct observation provides an opportunity for hand hygiene program owners to coach and teach staff about technique and when to clean hands. With ECM, hand hygiene data is collected 24 hours a day, 7 days a week resulting in greater numbers of hand hygiene events and opportunities than could be achieved through direct observation. Automated collection tools with the ability to collect data 24/7/365 allows for a more holistic picture of the hand hygiene habits within a facility, explains Jeff Hall, compliance systems director at GOJO. This robust data allows for greater statistical accuracy regarding hand hygiene rates and improved monitoring of trends and changes that may occur as a result of interventions. In addition, dashboards automatically present the data in user friendly and meaningful views which eliminate the need to collect, enter and format data for presentation. GOJO SMARTLINK technology provides many options for collecting and reporting hand hygiene performance. This versatile, patented, plug-and-play solution allows data to be collected using a variety of wireless communication technologies such as RFID, Wi-Fi and Infrared. The flexibility of the GOJO SMARTLINK solution allows GOJO to provide community-level, person-specific hand hygiene measurement options to its customers. Through a network of integrated sensors throughout the hospital, data can be transmitted from the GOJO touch-free dispensing systems and staff badges to a central processing server for reporting and analysis. By working close- This robust data allows for greater statistical accuracy regarding hand hygiene rates and improved monitoring of trends and changes that may occur as a result of interventions. ly with industry-leading real-time location systems (RTLS) companies, GOJO has developed solutions that integrate seamlessly with many existing internet technology (IT) investments including nurse call, asset tracking, patient and staff monitoring, and condition monitoring systems. However, the use of technology to collect, store, and disseminate data regarding hand hygiene events and opportunities is not sufficient to improve and sustain compliance. The data must be interpreted in a meaningful way. Using a Six Sigma-based approach, GOJO provides support services with experienced clinicians who perform on-site audits and baseline measurements and become part of your performance improvement team. Introducing technology to improve hand hygiene and decrease hospital-associated infections is not a silver bullet states Tim Cambier, compliance program director at GOJO. The delivery of a successful hand hygiene management program that is sustainable and drives long-term improvement requires a combination of accurate and reliable technology, dedicated people, preferred products, and both staff and patient education. To learn more about your skin health and hygiene solutions, visit 4

5 T echnology is changing at an everincreasing pace and many of these improvements in information technology (IT) greatly impact hospital and healthcare systems. Currently, healthcare executives are under a mandate to make information more accessible and more complete. With a focus on health information exchanges (HIEs), HIPAA, and the Affordable Care Act (ACA), executives must have the ability to be cognizant in these areas as well as be mindful of ways to cut costs in order to make this new type of healthcare work in their facility. One of the most efficient ways executives can cut costs is through their imaging data storage their largest data set while CA-8 1/8 x 10 1/2.indd 1 SMARTLINK 5 1/9/14 3:40 PM

6 LEADERS IN What if You Could Empower Your Entire Enterprise With Connectivity? Count on Quest Diagnostics to help Empower Your Organization with Healthcare IT Solutions and Services QUEST DIAGNOSTICS Every day, more than 2,400 hospitals and 300,000 physicians count on Quest Diagnostics health information technology (HIT) solutions to help improve patient outcomes and empower connectivity. Advanced healthcare internet technology (IT) solutions are critical to meet the demands of health systems as stakeholders seek to improve healthcare, drive efficiency, and accelerate interoperability among acute and ambulatory environments. Quest Diagnostics HIT connectivity solutions support multiple healthcare stakeholders, integrate platforms, and optimize workflows strategically across health systems. The result is a connected healthcare system with access to critical diagnostic insights through an open, compatible secure network. ChartMaxx Enterprise Content Management, nine-time Best in KLAS award winner, helps your organization better manage documents and data with integrated clinical, financial and administrative workflows. ChartMaxx version 6.2 recently achieved 2014 Edition Modular EHR ONC Health IT Certification that supports both Stages 1 and 2 of the Meaningful Use (MU) program. This certification reflects Quest s commitment to innovations that help healthcare providers turn diagnostic and other health data into insights to electronically share health information across a community of providers. More than 170 hospitals in the United States and Canada use ChartMaxx ECM 24/7 to access the complete legal medical record. SPONSORED CONTENT BY QUEST DIAGNOSTICS Care360 Data Exchange and Care360 EHR empowers physicians, health systems, patients and accountable care organizations (ACOs) to stay synchronized and connected. More than 1.2 million healthcare providers, 310,000 physicians in 95,000 physician offices use the Care360 platform for fast and easy access to patient health information through Care360 lab orders and results, eprescribing and Care360 electronic health records (EHR). Our next generation of connectivity will expand the technologies for order decision support, enhanced mobility, interoperability, and condition-based views. Hospital Diagnostics Services create lab benefits to improve patient outcomes and quality, for efficient care. Customized lab management allows your hospital to improve operations and testing. Our LIS interface can implement standard reference laboratory interfaces to align with all major LIS to get bi-directional interfaces implemented faster. Health IT Quality Solutions through this quality certification program, Quest Diagnostics supports quality EHR technology vendors to provide assurance to physicians that their choice of a qualified-certified EHR solution will facilitate effective laboratory data interoperability. Care360 Seamless Integration with Large HIT Systems and Vendors has 15,000 EMR connections with 200 vendors and is expanding integration to major enterprise HIT systems and health information exchanges. IntelliTest Manager is an application to access and effectively manage new test information, test updates and changes based on specific account utilization. This flexible online tool allows users to access new test information, test updates and changes based on their specific account utilization over the last 12 months. Joint Directory of Services (JDOS ) combines Quest Diagnostics laboratory tests and your hospital s laboratory tests in one succinct directory. A customized online JDOS application that helps clients look up test codes, CPT codes, specimen requirements, reference ranges and clinical usage information to assist them in choosing the right test(s) for their patients. Patient Portal and Mobile Health App is a mobile health application that empowers the patient to see, store and share his or her personal health information. Patients can store various healthcare providers names and contact information, immunization records and medical records. In addition, patients can make an appointment, monitor blood pressure and weight, store vital health stats, allergies to foods or medications and the names and numbers of prescriptions and their dosages. Blueprint for Wellness is a program to empower measurable health improvement, improve productivity and lower healthcare costs. We provide biometric screenings and unique services to empower measurable health improvement, improved productivity and lower healthcare costs for employees. Quest Diagnostics is more than a world leading diagnostic lab company we empower enterprise connectivity. For more information, visit QuestDiagnostics.com 6

7 Empower your decisions Count on Quest Diagnostics to help make choices for better health Improve patient outcomes, enhance patient experience, and increase efficiencies. Visit us at booth #3064 QuestDiagnostics.com 7

8 LEADERS IN ICA: The Interoperability Experts Come as you are: A continuum for moving toward full interoperability from any baseline The healthcare industry still has much to do to achieve full interoperability. Nevertheless, hospitals can begin to leverage existing data, tools, networks and technology to create a baseline of participation that sets the stage for effective interoperability to support care coordination. Whether the initial goal is simply to transfer information from one point to another, or to perform sophisticated data analysis for population health initiatives, ICA suggests that there are key steps hospitals must take to make tangible progress. Step One: Identify and prioritize your medical trading partners It is impossible to create population health management or other collaborative care initiatives without knowing which other organizations share patients with the hospital. After all, the most effective connections are going to be with those facilities and practices that provide care for patients seen in common. Because most healthcare is delivered locally, determining where patients receive care can involve a relatively straightforward, low-tech evaluation of the surrounding healthcare community. However, organizations that prefer more analytical data might want to work directly with payers to get a more detailed snapshot of the patient population to identify where they can achieve the greatest economic impact. Step Two: Determine the processes needed for efficient workflow and care coordination It is important to identify workflow processes across your organization and, if they are currently supporting care coordination, to expand that review to the extended enterprise. Once you determine the processes that need to be adapted or initiated, you can then develop the most effective interoperability strategy for your organization. Step Three: Assess the technical landscape among partner organizations After identifying and prioritizing who to share information with, hospitals must assess the technical landscape that exists across those partners. Gather information about the systems they use and their level of adoption. Questions to ask include: n Do you have an electronic health record (EHR)? n Where are you in the adoption of your EHR? Is your EHR Direct enabled? n Have you qualified for Meaningful Use Stage 1? If so, are you applying for Stage 2? n Are you participating in a health information exchange (HIE)? Step Four: Determine which data is of the highest value for sharing Until technological hurdles are overcome and full interoperability is achieved within the healthcare industry (in the absence of perfect data 100% of the time), actionable data delivered to the right person, at the right time, is better than no progress. The key is to start early to get to a functional state, set realistic expectations and not let perfection be the enemy of good enough. To be successful, hospitals CIOs must understand the business drivers in the community and align their interests around the mutual benefits interoperability can bring to quality and financial goals. form, organizations should consider how it might interrelate with other internet technology (IT) systems by supporting functionalities such as direct messaging and allowing data access within EHR workflow or a secure portal. GET STARTED No matter where a hospital starts, achieving interoperability is about more than just checking Meaningful Use boxes; it is about enabling a strategy that allows providers to meet basic requirements for Meaningful Use, while building a foundation for broader care coordination and thriving within future reimbursement models. To be successful, hospitals CIOs must understand the business drivers in the community and align their interests around the mutual benefits interoperability can bring to quality and financial goals. Interoperability, in support of care coordination, will not happen overnight. Yet every hospital can use existing processes and tools to move ever closer, one step at a time. To learn more about ICA, visit Step Five: Select a capable platform In order to create a unified view across the extended provider network, hospitals will need to implement a technical platform capable of creating and sharing an aggregate record in workflow out of data from disparate sources. When selecting a plat- SPONSORED CONTENT BY INFORMATICS CORPORATION OF AMERICA 8

9 ICA untangling interoperability challenges and creating connected clinical networks Real Challenges. Real Conversations. Real Solutions. copyright 2014 Informatics Corporation of America l 1801 West End Avenue, Nashville, TN 9