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partners with hospital and ambulatory clients to drive results. We offer network-enabled medical record, revenue cycle, patient engagement, care coordination, and population health services. athenahealth.com cpsi.com The CPSI family of companies MOST INFLUENTIAL WOMEN IN HEALTH IT: Meet the winners of the 2017 HIMSS award. They see it not just as a badge of honor, but a call to action to change culture, norms and expectations. PAGE 16

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www.HealthcareITNews.com THE NEWS SOURCE FOR HEALTHCARE INFORMATION TECHNOLOGY Q APRIL 2017 HIMSS Media / Vol. 14 No. 4

HEALTH IT TREND LINES From population health to precision medicine, EHRs to AI – a look back at what we learned at HIMSS17 and expect to see for the year going forward. PAGE 4

Hospitals moving to the cloud Could on-site datacenters be Next steps for extinct in five years? federal IT policy PAGE 15 At a pivotal moment, it’s time to reform regulatory See our ad on page 40 approaches, says John Halamka, MD. PAGE 14 A COORDINATED CARE EXPERIENCE MATTERS.

Our powerful healthcare solutions deliver the interoperability that gives providers access to all the patient data they need, when they need it. We’re working to keep providers and patients on the same page, because connected care is the best care. Learn more at InterSystems.com/Healthcare April 2017 | Healthcare IT News | www.HealthcareITNews.com CONNECT 3

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POST-HIMSS17

From pop health to precision medicine, EHRs to AI, a look back at what we learned in Orlando By Healthcare IT News staff April 2017 | Healthcare IT News | www.HealthcareITNews.com COVER STORY 5

FD<+)#'''?EACK?CAI< and technology professionals breaches and ransom- of surveys showing clinicians’ intense dissatisfaction with EHRs returned home from HIMSS17 in Orlando a month ago, ware attacks dominating – never mind the evolving strategic goals the systems need to ready to put the insights they learned there to work. the headlines in recent help attain – it’s little wonder more hospitals are putting money S As spring gets under way, it’s worth looking back on months offers little doubt into making them better. the trends and topics of discussion that dominated the annual as to why. At HIMSS17, there was an array of education sessions on opti- conference and promise to be top of mind for health IT pros in Individual healthcare mization topics such as enabling better EHR analytics, fixing the months ahead, from basic (but no less challenging) goals such data, once sedentary if usability problems that could impact patient safety and strategies mastering analytics tools to population health management, to not necessarily secure, is for integrating genomics data. more exotic and envelope-pushing technology applications like now in constant motion There was even a half-day User Experience Forum, with artificial intelligence, blockchain and beyond. – and exposed to more experts discussing the ways UX can be improved for care teams people, in more places to create a more transparent, intuitive way of care delivery. POPULATION HEALTH and in more ways – At it, Lorraine Chapman, senior director of healthcare at Effective population health management is essentially what we’re medical and IoT devices, Macadamian, a UX design and development firm, noted that all after, after all. And the perennially popular – if often hard smartphones, laptops – “healthcare is late to the game in terms of user experience.” to define – topic was much buzzed about in Orlando, from the than ever before, accord- Suzanne Cogan For any patients put-off by impersonal-feeling portals, or pro- enlightening education sessions to the jam-packed exhibit floor ing to the report. viders frustrated by ungainly user interfaces and counterintuitive HIMSS17’s Population Care Management Knowledge Center, Despite those risks, 60 percent of poll respondents said their workflows, that sentiment might be something of a no-brainer. for instance, was revised to focus more on care management, care organizations were deploying to environments with inadequate But beyond the obvious benefit to clinical end users, good UX coordination and the transitions of care, the better to help provid- security safeguards. The healthcare industry also is adopting has ROI for vendors, said Chapman, who noted that for every ers gain perspective on maintaining quality while controlling costs some of these technologies for sensitive data use – with 69 per- $100 spent up front in product development, “the cost of fixing in the service of value- based care. cent of U.S. respondents leveraging software-as-a-service, 59 issues later doubles, if not triples.” Smart UX strategies “save That’s no small feat, said Shelley Price, director of payer and percent big data, 46 percent mobile and 35 percent Internet of you from wasted product development cycles, and ensure that life sciences for HIMSS North America. “Organizations face the Things environments. what you produce is meeting a need,” she said. challenge of exchanging an unprecedented amount of clinical and Encryption is increasingly popular for data residing in such financial data across the healthcare continuum between both asso- locations: 65 percent of U.S. healthcare respondents opt to CLOUD COMPUTING ciated and disparate providers,” she said. encrypt in the public cloud, with the survey yielding similar At the HIMSS Cloud Computing Forum, meanwhile, a full slate To help, HIMSS highlighted the population health management numbers for Internet of Things data (59 percent) and container of healthcare and technology professionals offered testimony model developed by its Clinical and Business Intelligence Com- data (58 percent). about how remote-hosting is helping their organizations to speed mittee, aimed at helping providers select and implement of appro- But interest in encryption notwithstanding, many organiza- innovation. priate capabilities for their own specific value-based care goals. tions are still focused on network and endpoint security. The for- Indeed, if healthcare providers were long skeptical of the Meanwhile, no shortage of vendors announced new analytics mer is the top choice for healthcare security spending, according cloud, especially for perceived security challenges, more and capabilities to help their clients better wrangle their data. Orion to Thales, with endpoint security close behind at (61 percent). more IT pros have been embracing the agility and creativity Health debuted updates to its Amadeus platform, which the com- “In the U.S., digital innovation is transforming the way patient enabled by software-, platform- and infrastructure-as-a-service. pany says helps with measuring, analyzing and presenting clinical information is created, shared or stored,” said Peter Galvin, vice “The cloud is a game-changer that enables us to partner with and claims data – as well as non- traditional data formats – to president of strategy at Thales e-Security. “For healthcare data support pop health management and alternative payment models. to remain safe from cyber exploitation, encryption strategies “As IT executives are looking at all the really cool technologies need to move beyond laptops and desktops to reflect a world of to solve specific problems, they must think broadly: What is going Internet-connected heart-rate monitors, implantable defibrilla- to help the organization not just now but into the future for many tors and insulin pumps.” problems?” said Orion VP Suzanne Cogan. “IT executives need After all, the threats are only growing more multifarious and to get technologies that serve multiple purposes and not just one insidious, according to another recent report from Forrester, particular use-case.” which finds that healthcare remains atop cybercriminals’ target announced it had forged a deal with Geisinger lists. The good news is that security leaders can learn much from Health System spinoff xG Health Solutions to embed Geisinger- the myriad data breaches this past year. Forrester found three developed care management content directly into its EHRs and main takeaways: population health platform. Q Health technology professionals must make the case to “The unique thing that Geisinger did was the hard work of the C-suite to at least maintain – if not, ideally, increase – Joshua Newman, MD codifying medical knowledge in a way the computer could under- security budgets. While healthcare organizations on average stand it,” Epic President Carl Dvorak told Healthcare IT News. spend barely 23 percent of their IT budget on security, other people around the world,” said Intermountain’s director of inno- And population health specialist Caradigm at HIMSS17 unveiled industries such as utilities and telecom spend more than one- vation, Todd Dunn, whose group meets with 150 startups a year its Caradigm Risk Stratification system, a patient list app, able third (35 percent). as it looks for innovations that it can help develop and ultimately to be integrated within its suite of systems including Caradigm Q Providers should segment their data networks into use to improve care delivery, if not commercialize. Care Management, an enterprise care coordination workflow “micro-perimeters,” according to Forrester, which notes that Richard Stroup, director of informatics at Children’s Mercy application. the massive breach at Banner Health began with a point-of- Hospital in Kansas City, described work that uses Microsoft The technology is able to aggregate data from multiple EHRs sale system compromise – hackers gained access via a food Azure Cloud Services in an effort to save the lives of at-risk in real time, according to company officials, creating segmented and beverage payment system – then spread easily thanks to infants with a tablet-based app that tracks patients after they patient lists using clinical indicators, identify patients that meet to Banner’s had a legacy perimeter-based approach to security. leave the hospital. defined criteria, and streamline enrollment into programs within Q Third, healthcare organizations should continue to John Houston, vice president of information security and the care management tool so that care teams can engage patients encrypt, and encrypt some more, Forrester said. If Centene privacy and associate counsel at the University of Pittsburgh more quickly to drive better outcomes. had done so, the impact of the insurer’s loss of six hard drives, Medical Center, said that looking back to the year 2000, about “For value-based care to impact the quality of healthcare deliv- containing the health data of some 950,000 beneficiaries, 90 percent of software was on-premise at UPMC. Today, prob- ery, data from across the healthcare community must be aggregated could have been mitigated. ably about 75 percent of apps there are still on-premise because for use in reporting and analytics, which then must be connected As the volume of health data continues to balloon, the For- they’re legacy – but only about 20 percent of the contracts he to care workflows,” said Caradigm president and CEO Neal Singh. rester report made the case that security leaders rethink how that negotiates now are for on-premises. Salesforce, meanwhile, continued to hone its Health Cloud information flows, as “The tools exist now to enable experimentation,” said Mark product, rolling out new capabilities at HIMSS17 designed to healthcare’s business Johnston, director of global business development for healthcare enable better care coordination and help providers manage patient imperatives evolve. and life sciences at Amazon Web Services. risk stratification, spotting high-risk patients and tracking their Indeed there was no shortage of new cloud technology and progress across patient populations. EHR OPTIMIZATION partnerships in Orlando. NTT Data announced an expanded rela- “This allows providers to focus their attention and resources on A February KPMG poll, tionship with Oracle, bringing end-to-end cloud capabilities for those that need it the most, ensuring people have all the right tools done with the College Oracle’s Healthcare Foundation analytics platform. and medication they need to get healthy,” said Joshua Newman, of Healthcare Infor- The system provides healthcare organizations with the flexibil- MD, chief medical officer at Salesforce. “Providers can visually and mation Management ity to replace aging systems with an enterprise data warehouse dynamically manage all their data within the Health Cloud dash- Executives found that or to maintain their existing investments with an on-site solu- board to easily surface insights not just about individual patients 38 percent of CHIME’s tion, which will be transferred to an enterprise data warehouse, but also broader population trends.” hospital CIO members NTT officials said. say EHR optimization Verato announced a partnership with RightPatient to jointly PRIVACY & SECURITY is their capital invest- offer a cloud-based system that addresses the patient identity More than 80 percent of U.S. healthcare organizations say they’re ment priority for next challenges – spanning every point of encounter and extending upping their security budgets in 2017, according to a study released three years. through every repository of pre-existing medical records and by Thales during the conference. A cursory look at the data Neal Singh Given the drumbeat information, according to Verato officials. The partnership 6 COVER STORY www.HealthcareITNews.com | Healthcare IT News | April 2017

integrates RightPatient’s biometric patient identification plat- form with the Verato cloud-based patient matching platform to Ginni Rometty recognize a patient automatically at the moment of encounter and link that patient to all of his or her data distributed across systems. And Commvault, which markets enterprise backup, recov- ery, archive and cloud technology for healthcare, announced that its Commvault Data Platform was selected by CloudWave to power its new OpSus Backup service. The new healthcare backup service offering – part of the OpSus Healthcare cloud services portfolio – enables healthcare organizations to quickly, easily and securely use the cloud to protect and recover mission- critical application data. By building the OpSus Backup service on Commvault’s data management platform, CloudWave was able to deliver health- care enterprises a fully managed backup service that cuts costs while minimizing security, business continuity and regulatory compliance risks, the vendors said.

ARTIFICIAL INTELLIGENCE AI, cognitive computing, machine learning, neural networks – all have different specialties and shades of meaning, and all are starting to make their impact felt, in ways large and small in healthcare. Perhaps the most famous exemplar of artificial intelligence, of course, is IBM’s Watson supercomputer, which has already notched a string of exciting wins across healthcare. (It’s also, CEO Marc Benioff said in a statement. PRECISION MEDICINE in the case of MD Anderson Cancer Center, been involved with Indeed, plenty of name-brand IT companies — Amazon, IBM’s artificial intelligence expertise has recently been extend- some disappointments). Apple, Google, Microsoft — have made AI and machine learn- ing into genomics, Rometty said. Before her keynote at HIMSS17, IBM CEO Ginni Rometty ing big parts of their healthcare strategies. “We’ve been working with academic centers for years, told Healthcare IT News she’s excited about the future of AI The use case are many, Kenneth Kleinberg, managing direc- and last year we launched IBM Watson Genomics from in the industry. tor of research at the Advisory Board: clinical decision support, Quest Diagnostics. This is precision cancer medicine pow- “At IBM, we have already seen that cognitive healthcare is length of stay predictions, OR scheduling, natural language ered by Watson, and it will allow us to make cognitive real; it is cloud-based and it is already starting to change the processing, research data mining and analytics, as well as pat- genomic analysis available to any patient in the U.S. through way we approach health,” she said. “I expect that healthcare tern classification for tasks such as tumor detection. their doctor. will be a leader in what we call the ‘Cognitive Era.’ “Machine learning works best when there is lots of data; “Another example of how far the technology has come is “It’s important to understand the potential of AI,” she added. humans have the most challenges when there is too much shown by our partnership with Illumina to integrate Wat- “We think AI will be involved in everything from helping health data.” Kleinberg explained. “As EHRs, health information son for Genomics into their tumor sequencing process,” she systems answer patient inquiries to bringing more resources to exchanges, registries, genomics information, patient gener- added. “With this expanded access, we can help healthcare regions that are currently underserved. I recently came back ated health data, the Internet of Things and other sources professionals interpret genomic data like never before.” from trips to India and Africa, and there is tremendous potential are tapped, the need for machine learning will only grow to If precision medicine is still largely the province of well- for cognitive systems to help improve diagnoses and recom- help clinicians make more informed, complex, and timely funded academic medical centers and big integrated health mend treatment.” decisions.” systems, it was nonetheless a keen topic of interest for many Shortly after HIMSS17, Big Blue announced it was partner- At HIMSS17, Kleinberg explored the future with execs from conference attendees in Orlando. ing with Salesforce, integrating IBM’s Watson AI capabili- two medical AI startups: Cory Kidd, CEO of Catalia Health, and At the HIMSS17 Precision Medicine Symposium, Inter- ties directly into the Salesforce Intelligent Customer Success Jay Parkinson, MD, founder and CMO of Sherpaa. mountain’s gastrointestinal medical oncology director, Mark Platform. The overarching goal is to combine deep customer Catalia’s Mabu Personal Healthcare Companion helps with Lewis, MD, put forth the mission plainly: insights from Salesforce Einstein with Watson’s structured “long-term patient engagement” by having tailored conversa- “Our Holy Grail isn’t just to treat now, but to anticipate and unstructured data across many sources and industries tions with patients that can evolve over time as the platform what cancer is going to do,” Lewis said, adding, “Cancer is including weather, healthcare, financial services and retail, gains daily data about treatment plans, health challenges and a Darwinian nightmare, with millions of cells competing for the vendors said. outcomes. Sherpaa is billed as an “on-demand doctor prac- survival. If we can anticipate the changes, we may be able Both companies already have in place healthcare platforms tice” that connects subscribers with physicians, via its app, to get ahead of it.” that stand to benefit from the initiative: IBM Watson for Oncol- who can make diagnoses, order lab tests and imaging and The technology is getting us closer to making that happen ogy analyzes a patient’s medical information against a vast array prescribe medications at locations near the patient. every day, he said, but big challenges persist. of data and expertise to provide evidence-based treatment AI is fast advancing in healthcare in large part because “EMRs, and even our own data warehouses, can’t compute options while Salesforce’s Health Cloud patient management it’s evolving so quickly in the consumer space, said Kidd. the volume of genomic data and aren’t well-suited to the software incorporates Einstein. Take Apple’s Siri, for instance: “The more you talk to it, workflow,” said Lewis. “And there isn’t an excellent mecha- “The combination of Einstein and Watson will make busi- the better it makes our product,” he said. “Literally. We’re nism for outcome tracking.” nesses smarter and our customers more successful,” Salesforce licensing the same voice recognition and voice outlet technol- Meanwhile, infrastructure for managing genomic data is ogy that’s running on your “absent at most institutions,” he said. “True implementation iPhone right now.” comes from measurement outcomes and a clinical champion. Todd Dunn Parkinson, however, sees There needs to be at least one doctor who invests in preci- problems with simply add- sion medicine.” Interoperability is another challenge. HL7 has ing AI technology onto the made great use of FHIR, but it’s not yet used in labs. doctor-patient relation- “Having the data is one thing, but being able to act on ship as it currently exists. that information is another thing entirely,” Lewis said. Most healthcare encounters “This is not an academic exercise. This is trying to better involve “an oral conversation patient care.” between doctor and patient,” ?\Xck_ZXi\@KE\nj and HIMSS will continue the discussion he said, where “retention is at our inaugural Precision Medicine Summit, June 12-13 in 15 percent or less.” For AI to Boston. Speakers at the two-days event will include a mix of truly be an effective augmen- clinicians, health IT professionals, researchers at academic tation of clinical practices, medical systems, hospitals government and academic institu- that conversation “needs to tions and more. be less oral and more text- They’ll discuss how healthcare organizations are using driven,” he said. “I’m wor- precision medicine to deliver targeted, personalized care, ried about layering AI on a covering topics such as management of genomic data, reim- broken delivery process.” bursement challenges, ethical issues, workflow, security (Read more about that ses- and more. sion on page 24.) Visit www.precisionmedicinesummit.com for more information. THE FUTURE OF PREVENTATIVE MEDICINE DEPENDS ON A NETWORK THAT CAN SEE IT.

7RGD\WKHKHDOWKFDUHLQGXVWU\LVZRUNLQJZLWK%LJ'DWDWRJHWDKHDGRI ,WVVHFXUHKLJKSHUIRUPDQFHQHWZRUNR̆HUVUREXVWFDSDFLW\IRUDQDO\]LQJ WKHLUSDWLHQWV¶QHHGV7KHIXWXUHRIPHGLFLQHLVUDSLGO\HYROYLQJWREHWWHU SDWLHQWGDWD3OXVLWV¿EHURSWLF(WKHUQHWVROXWLRQVVFDOHXSWR*ESV LQFRUSRUDWHWKHDQDO\VLVRISDWLHQWLQIRUPDWLRQWRSURYLGHSUHYHQWDWLYH DQGDUHVSHFL¿FDOO\EXLOWWRVXSSRUWSRSXODWLRQKHDOWKLQLWLDWLYHVWR FDUH7RNHHSXSKHDOWKFDUHSURYLGHUVQHHGDQHWZRUNWKDWLVXSIRUWKH JLYHSDWLHQWVDEHWWHUIXWXUH9LVLWEXVLQHVVFRPFDVWFRPKHDOWKFDUH VWUDLQRIDOOWKLVEDQGZLGWKKHDY\GDWD7KH\QHHG&RPFDVW%XVLQHVV RUFDOOWROHDUQPRUH COMCAST BUSINESS ENTERPRISE SOLUTIONS 8 POLICY www.HealthcareITNews.com | Healthcare IT News | April 2017

AHA CEO Richard Pollack AHA, America’s Essential Hospitals, others oppose Elise Sweeney Anthony, director of ONC’s Office of Policy, speaking alongside colleagues at HIMSS17. American Health Care Act Medicaid reductions could mean how expanded coverage is helping to address scaled-back services or layoffs. these high-priority needs,” he added, noting that Americans “rely on hospitals and health MIKE MILIA RD# <[`kfi systems to provide them with access for their "U0/$ IFBMUI*5 MA OR NF A hospital groups, con- essential healthcare.” cerned about the financial impact Pollack urged Congress “to protect our that would be imposed on them patients, and find ways to maintain coverage XPSLDPOUJOVFTBNJE T under House Republicans’ pro- for as many Americans as possible,” he said. posed replacement for the Affordable “We look forward to continuing to work with Care Act, joined many other provider and the Congress and the administration on ACA 5SVNQBENJOJTUSBUJPO patient organizations this past month in reform, but we cannot support The American saying they couldn’t support the bill in the Health Care Act in its current form.” form under which it was first introduced. With the American Health Care Act’s pro- In a March 7 letter to the House of Rep- posed restructuring of (and effective reduc- USBOTJUJPOT resentatives, American Hospital Association tions in) Medicaid coverage, meanwhile, a new administration whose priorities on CEO Richard Pollack said AHA had deep safety net and critical access hospitals would 8k?@DJJ(.#f]]`Z`Xc health policy and government spending qualms about the American Health Care Act’s be bracing for the worst under the law – i\gfik\[gif^i\jjfe

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athenahealth partners with hospital and ambulatory clients to drive results. We offer network-enabled medical record, revenue cycle, patient engagement, care coordination, and population health services. athenahealth.com 10 POLICY www.HealthcareITNews.com | Healthcare IT News | April 2017 +PIO#PFIOFSBU)*.44  .PTUPG"$"GSBNFXPSLXJMMTUBZJO QMBDF HJWFO(01EJTBHSFFNFOUT @eXeXgg\XiXeZ\n`k_]fid\i G\eejpcmXe`X>fm%<[I\e[\cc# “Most of the ACA’s framework is going to stay 9f\_e\ijXpj_\Êjjb\gk`ZXc there,” said former House Speaker John Boehner at XYflkk_\gifjg\Zkf]i\g\Xc$ HIMSS17. “Coverage for kids up to age 26, covering those with preexisting conditions, subsidies for those Xe[$i\gcXZ\Y\ZXlj\ who can’t afford it who aren’t on Medicaid. All that I\glYc`ZXejÉn`cce\m\i#\m\i will be there.” X^i\\n_Xkk_\Y`ccj_flc[Y\%Ê MIKE MILIARD# <[`kfi E8AOIEK8GGEAI8E:<at HIMSS17 on Feb. 23, former Speaker of the House John Boehner, R-Ohio, and Democratic I former Pennsylvania Gov. Ed Rendell took part in a lively back-and-forth discus- sion about the future of the Affordable Care Act, the value of health IT and the prospects for Donald Trump’s presidency. Moderating the chat, HIMSS CEO Steve Lieber asked the two men what each politi- cal party did right and wrong in passing the ACA in 2010. “What they did right was offer affordable healthcare to all people, but what they did wrong is forcing people to be a part of a group that they didn’t want to belong to,” said Boehner. He criticized the fact that the legislation passed both chambers of Congress without a Boehner warned his fellow Republicans: healthcare system, using technology to its Trump administration, it seems clear “we’re single Republican vote. “Big things in Amer- “If you pass repeal without replace, anything fullest extent, we have to pay to lay the in for a pretty raucous ride,” he said. “I ica that are lasting happen on a bipartisan that happens is your fault. You broke it.” infrastructure,” he said. States and the fed- think the Trump presidency is going to look basis,” he said. That’s a big reason, he suspects, why eral government ought to participate in that. a lot like the Trump campaign: Sometimes Rendell said the Democrats succeeded in “most of the ACA’s framework is going to Sometimes you spend money to save money.” divisive, sometimes incoherent, sometimes extending healthcare coverage to 20 million stay there: coverage for kids up to age 26, The rapport between the two former disrespectful. But also sometimes effective.” people who didn’t have it before. “But where covering those with preexisting conditions, politicians was joking and jovial. “We’re a The problem, said Rendell, is that “you can’t they failed is in the affordability side of the subsidies for those who can’t afford it who couple of has-beens,” Boehner laughed. “All govern the same way you campaign. You simply equation,” he said. “There wasn’t enough aren’t on Medicaid. All that will be there.” we are now is celebrities.” can’t. You’ve got to value the institutions.” emphasis on cost-cutting as there should “What will be different is that CMS will “He’s going to do things that a normal have been.” not dictate to every single state exactly how politician like Ed or I wouldn’t do,” said Information technology is an essential way the plan is going to run,” he said. “Republicans have Boehner. “But he’s going to have an oppor- to do that, said Rendell, who pointed to tele- Boehner said he’s skeptical of the “repeal- tunity to do big things.” health, which is deployed “throughout Penn- and-replace” mantra for one big reason: The never, ever, not one Lieber asked what Boehner and Rendell sylvania (and is) particularly useful for small “replace” part of the equation is much easier think will be the Trump’s signature politi- counties, many of which have lost their pri- said than done. time agreed what a cal accomplishment. mary care physicians,” he said. “We try to deal In all his time in Congress, he said, “If I had to throw a dart today? Immi- with that by increasing the scope of practice “Republicans have never, ever, not one time healthcare proposal gration reform,” said Boehner. “There’s a by nurse practitioners, and telehealth has been agreed what a healthcare proposal should way to deal with this in a humane way. Four an enormous help in doing that.” look like. Not once. They will never ever should look like. Not years down the road, Donald Trump may be He also touted patient-centered medical agree what the bill should be. Perfect always the immigrant’s best friend.” homes as a “far better and more cost-effec- becomes the enemy of the good.” once. They will never Rendell looked at him quizzically: “Are tive way to treat patients.” you alright?” But as for the politics surrounding the HEALTH IT LEADS TO ever agree what the For his part, he suggested the easiest path future of the ACA, Rendell joked that the ‘BETTER OUTCOMES’ to a lasting positive legacy for Trump is “remedy is easy: We should get rid of Obam- If the politics of the ACA are thorny and bill should be. Perfect “inherently bipartisan, and it’s desperately acare, and keep the Affordable Care Act.” contentious, one thing that has always needed. It’s a big thing, and Donald Trump Semantics aside, Boehner complained seemed to “never be a political question” always becomes the wants to do big things: a real infrastructure that Republicans “were shut out” of the is the value of health information technol- revitalization program. The American infra- drafting of the ACA, and so they felt little ogy, Lieber suggested. “A common thought enemy of the good.” structure is crumbling.” inclination during the Obama administra- is that technology was one of the ways we At the close of the keynote, Rendell tion to fix it. “Our fingerprints weren’t on were going to solve some of the big prob- o+PIO#PFIOFS implored the HIMSS17 crowd to continue this, so the problems weren’t our problems,” lems in healthcare.” the work of developing a robust health he said. “If they had opened the door, we Boehner said that is “absolutely true.” His Indeed, they now find themselves observ- IT infrastructure and leveraging it for would have worked with them, but would GOP colleagues have always been committed ers and commentators on an entirely new improved outcomes. have wanted to make some changes.” to health IT because they see how it leads to political era. Someone else is in charge. “You all should keep doing what you’re That said, he conceded that Republican “better outcomes for the American people.” “All the norms are gone,” said Boehner. “All doing,” he said. “Keep innovating. Keep fingerprints will be “all over” whatever Rendell said continued investment in IT the bedrock principles – what you do, what finding ways to deliver quality care at a comes next for the healthcare law, which is essential to attaining its full potential. “If you don’t do – is all thrown out the window.” more affordable price tag. Eventually, we’re he said is a “work in progress.” we’re going to have a true information-based Now into the second month of the Donald going to get it right.” Q

12 BUSINESS www.HealthcareITNews.com | Healthcare IT News | April 2017

ONC CONTINUED FROM PAGE 8 coordinator for health IT and chief medi- week. Zayas-Cabán spoke of a new pilot working very closely with new leadership amount about 21st Century Cures,” said cal information officer. Each offered an for the Sync for Science precision medi- as well as our colleagues on who’s doing White, referring to the landmark healthcare update on their particular area of focus. cine project, hoped to launch in May. what on those things,” he said. “I know a law signed into law by President Obama Gettinger noted that ONC’s new SAFER Pazinski said work continues on interop- lot of the iceberg has not been above the in December. erability, measuring providers’ progress surface, but when it’s time to make that But White and 10 of his ONC colleagues on sending, finding, receiving and inte- information public, we will.” – “super friends,” he called the group – “We are working on an grating data from outside sources and Currently, ONC is operating under a most of whom are holdovers from the orderly and timely tracking how they’re using it to inform continuing resolution, which means “you Obama administration, were happy to care decisions can continue to do the things you have talk about an array of topics of pressing transition. It really is The Town Hall touched upon top- been doing,” he explained. That means importance to various stakeholders who ics from patient-generated data, chal- those aspects of 21st Century Cures for filled the room. an opportunity for us lenges with the exchange of CCDA and which ONC already has authority, “we Appearing with White were Seth Pazin- ADT information, enhanced oversight can continue to expend appropriations ski, director of the Office of Planning, to start working with and accountability for its certification on those things and work on them.” Evaluation and Analysis; Deven McGraw, Secretary Price and program and new focuses on behavioral For other provisions, “which were not acting chief privacy officer; Elise Sweeney health and long-term/post-acute care. necessarily in our previous authorities, we Anthony, director of the Office of Policy; really think about As for 21st Century Cures, the law, need to have either a new appropriation Rebecca Freeman, PhD, RN, chief nurs- “particularly the health IT provisions, or an anomaly added if there isn’t another ing officer; Thomas Mason, MD, chief where the were the culmination of a year and a continuing resolution in the next couple medical officer and acting director of the half or two years of very active dialogue of months that says, ‘please start working Office of Clinical Quality and Safety; John administration is, and between us at ONC, staff on the Hill, both on these new things,’” said White. Rancourt, deputy director of the Office of what is needed.” in the House and the Senate, as well as key “We are working on an orderly and Care Transformation; Teresa Zayas-Cabán, stakeholders who came in, and we talked timely transition,” said Sweeney Anthony. acting chief of staff and chief scientist; o&MJTF4XFFOFZ"OUIPOZ to them extensively,” said White. “We’re very excited about that and a lot Steve Posnack, director of the Office of Now that it’s been passed, the work of the structure that it provides. It really Standards and Technology; Lisa Lewis, guides, which offer best practices for EHR ONC can do on it the short term is lim- is an opportunity for us to start work- deputy national coordinator for operations safety, are “ever so much closer” to being ited until Price gets more settled in at ing with Secretary Price and really think and chief operating officer; and Andrew published. Posnack hinted at new ONC HHS. “The boxes are unpacked, they’re about where the administration is, and Gettinger, MD, acting deputy national prize challenges to be unveiled later this getting the curtains in place, but we’re what is needed.” Q

With performance measurement now under way, CMS officials unpack MIPS requirements

the higher their potential score.” percent penalties – will begin in 2019. Medicare clinicians who participate in Those eligible professionals who par- MIPS will be reimbursed based on a score ticipated in meaningful use will be familiar of zero to 100, determining whether they with the approach to ACI, said Elizabeth S. Holland, senior technical advisor at the Division of Health Information Technology, “We wanted to Quality Measurement & Value-Based Incen- tive Group at CMS. take a step back Advancing Care Information, she said, is “based on, but not identical to, the EHR and ensure that Incentive Program.” (Which continues on, incidentally, for hospitals and Medicaid- eligible professionals – although the latter anyone who wants group can participate in both MIPS and MU.) to participate in That component is calculated using a base score, a performance score and a bonus score. The base score measures clinicians on the program can security risk analysis, e-prescribing, patient access and sending of summaries of care. participate.” Performance score assesses patient-spe- o.PMMZ.BD)BSSJT cific education, view/download/transmit, secure messaging, patient-generated data receive a bonus or a penalty. The score is and more. Bonus scores can be improved weighted according to four components: by more advanced capabilities, such as Quality (accounting for 60 percent in year chronic care management and capture of Clinicians get a primer on on two of the more technology-intensive one), Cost (zero percent for the 2017 transi- patient-reported outcomes. details of two of the more components of the program. tion year), Advancing Care Information (25 As for Improvement Activities, clinicians With the new payment framework, “cli- percent) and Clinical Practice Improvement can choose from more than 90 initiatives IT-focused components nicians can pick their pace,” said Molly Activities (15 percent). grouped in nine subcategories: Expanded MIKE MILIARD#<[`kfi MacHarris, program lead at the Qual- The session on Feb. 21 focused on the lat- Practice Access, Population Management, ?<N8JONCP  OF finalized four ity Measurement & Value-Based Incentive ter two, ACI and CPIA, which depend espe- Care Coordination, Beneficiary Engagement, months ago, but we’re already in Group at CMS. cially on the use of certified EHR technology. Patient Safety and Practice Assessment, Par- the initial performance year for The agency has heard from stakeholders The performance period for this first tran- ticipation in an Alternative Payment Model, T the new Merit-based Incentive that “we were moving a little bit too fast,” sition year can be as little as 90 days or as Achieving Health Equity, Integrating Behav- Payment System, which ushered in sweeping she said. “We wanted to take a step back much as a year, but data must be submitted ioral and Mental Health, and Emergency changes for how clinicians get reimbursed as and ensure that anyone who wants to par- to CMS by the end of Q1 2018, said MacHa- Preparedness and Response. part of MACRA. On Feb. 21 at HIMSS17, two ticipate in the program can participate.” rris. By the middle of that year, CMS will Much more detailed explanations of how officials from the Centers for Medicare and That said, she added: “The more active a give feedback on performance, and then pay- the component scores are weighted and cal- Medicaid Services offered a detailed primer clinician’s participation is in the program, ment adjustments – whether bonuses or 4 culated can be found at CMS.gov. Q for the better

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clinician demands. The certification program has drain on health IT developer resources with no +%@dgifm\XZZ\jjkf:DJZcX`dj[XkXkf[i`m\ 2013 JESSE NEAL AWARD WINNER established a culture of compliance in an industry incremental gain to patient care. The certifica- ZXi\Zffi[`eXk`fe% The government does not share ready for data-driven innovations. ONC’s role in tion program needs to be limited to verification AGENDA SEE PAGE 15 April 2017 | Healthcare IT News | www.HealthcareITNews.com INSIGHT 15 Hospital datacenters: Will they be extinct in 5 years? Prominent healthcare Azure Cloud services to host an app and data executives are predicting a that literally save lives of at-risk pediatric “The onsite datacenter of the future will patients by tracking them after they leave have only two employees: a man and a drastic shift from the hospital, according to Richard Stroup, dog,” said Richard Stroup, director of Children’s Mercy director of informatics. informatics at Children’s Mercy. “The on-premise IT infrastructure man will be there to feed the dog; the What’s more, Stroup explained that put- dog will be there to guard against the into the cloud. That ting the app on Microsoft’s cloud also enabled man messing with the datacenter.” includes electronic health it to make the service available to other Chil- dren’s hospitals. Seattle Children’s was the records, clinical decision first to tap into it, and Cincinnati Children’s support and analytics. signed on to use it in February.

MERPK@D<CAIOL@E8J?EACK?CAI< HISTORY REPEATING ITSELF JPJK

AGENDA CONTINUED FROM PAGE 14 ity laid out in the rule is beyond the scope that tifier to improve efficiency and safety. While interoperability landscape. These organizations its own cost and quality data associated with the Congress envisioned when it established a certi- patient-matching technology and processes have can drive standards-based interoperability not millions of taxpayer dollars spent through Medi- fication program, and it paves the way for future improved tremendously since HIPAA was enacted, through regulations but through market action. care and Medicaid. If clinicians had access to the overreaches that will inhibit the entire industry. a national patient identifier would still offer con- Deploying industry-standard interfaces and APIs complete claims data for their patients, it would -%8mf`[X_\Xmp$_Xe[\[XggifXZ_kfgXk`\ek siderable efficiency and safety benefits and would and actively participating in “retail” commercial enhance interoperability, driving improvements jX]\kp%Patient safety organizations (PSOs, estab- remove a barrier to seamless interoperability. exchange such as CommonWell and Carequality from increased price transparency for patients to lished under the Patient Safety and Quality /%@dgifm\XZZ\jjkf:DJ[XkXfegifm`[\ij will do more to advance interoperability than any better informed decision-making and communica- Improvement Act of 2005) play an important role kfjglik_\Zi\Xk`fef]dXib\k$YXj\[gifm`[\i amount of ONC “enhanced oversight.” tion by clinical teams. There is no legal barrier to in improving care quality by providing a space for [`i\Zkfi`\j%CMS has the most comprehensive ('%;i`m\Xc`^ed\ekf]le`]fidgXk`\ekgi`mXZp CMS sharing its claims data with HIPAA covered the healthcare community to confidentially share nationwide information on providers in the cXnjXZifjjk_\Zflekip% It’s obviously not practi- entities for the purposes of treatment, payment and learn from patient safety issues. It is essential country. By making this information available cal to try to battle each of the 56 states and territo- and healthcare operations. that ONC leverages this existing framework as as a “shared service” through industry-standard ries one-by-one, or to try to statutorily enact fed- ,%

Shareefa AlabdulmonemOLHKVMLZLY]PJLZ6ɉJLVM[OL*062PUN-HPZHS:WLJPHSPZ[/VZWP[HSHUK9LZLHYJO*LU[LY:H\KP(YHIPH Marion J. BallZLUPVYHK]PZVYYLZLHYJOPUK\Z[Y`ZWLJPHSPZ[OLHS[OJHYLPUMVYTH[PJZH[0)49LZLHYJO Rachelle BlakeMV\UKLYHUK*,6VM6TUP4PJYVHUK6TUP4LK:VS\[PVUZ Christina CaraballoZLUPVYOLHS[OJHYLZ[YH[LNPZ[H[.L[9LHS/LHS[O Karen Guice, MDMVYTLYHJ[PUNHZZPZ[HU[ZLJYL[HY`VMKLMLUZLMVYOLHS[OHɈHPYZ Lisa Stump*06@HSL5L^/H]LU/LHS[O:`Z[LTHUK[OL@HSL:JOVVSVM4LKPJPUL Karen DeSalvo, MDMVYTLYHJ[PUNHZZPZ[HU[ZLJYL[HY`MVYOLHS[OPU[OL<:+LWHY[TLU[VM/LHS[OHUK/\THU:LY]PJLZ

?< ?@MSJ Most Influen- I would like to dedicate this award to all the women of tial Women in Health IT Awards recognize influ- healthcare in Saudi Arabia. The transformations we are T ential women at all stages making together symbolize the importance we place on of their career progressions. The Awards celebrate those female women’s health and the importance of a healthy nation. visionaries harnessing the power of It gives us an opportunity to be role models to the younger IT to transform health and health- “ care. They are unique among power generation as to the changes we would like to happen.” lists and award programs: inclusive of all women of influence, no mat- - SHAREEFA ALABDULMONEM ter where they may be in the health IT field. This year’s recipients were selected jointly by a judging panel of influential women, and in future years, the winners will be asked to serve on the panel the following year. HIMSS launched the initia- If we can help each other more and really promote tive in 2016 and celebrated seven fellow females, that’s what I would recommend.” women with the inaugural awards at HIMSS17. “- MARION BALL

When there’s a glass ceiling, create a new ceiling. You define it. You redefine it your way. And keep “moving, ladies.” - RACHELLE BLAKE April 2017 | Healthcare IT News | www.HealthcareITNews.com WOMEN IN HEALTH IT 17

I feel like (this award) really helped me get more respect within my own organization, especially when we work in a world where the technologists are “very much on a pedestal in our industry. Often, we need to come in and pause, and not necessarily get the coolest, most innovative technology, but solve a problem.” - CHRISTINA CARABALLO

This is really more about what we have a responsibility to do into the future. It’s about how we are working with our teams to really make a difference. We’re all now “a team. Now we have to decide how that translates into the kind of action that’s going to change the culture and the norms and the expectations so we’re not concerned about the place of women.” - KAREN DESALVO, MD

I find myself – in listening to all the wonderful conversation – asking how do we take this moment and this recognition and turn it into something. The analogy “that comes to my mind is how the Grand Canyon was created: Water, just steady, consistent water. And, over time, you get the Grand Canyon.” - KAREN GUICE, MD

Many times awards are a recognition of past accomplishments. This one, for me, was really a call to action. The choice of the word influence “was incredibly smart, and for me represents an expectation that we are all today at the start of what we will accomplish next.”

- LISA STUMP 20 WOMEN IN HEALTH IT www.HealthcareITNews.com | Healthcare IT News | April 2017 Women in Health IT roundtable focused on influence, great expectations

98@E#<[`kfi$Xk$CXi^\ In 2006 the average female IT worker OR;JMAKKER%HIMSS Executive made 81 percent of the average male IT Award recipient Lisa Stump, CIO at Yale Vice President Carla Smith salary and by 2015 that difference wid- New Haven Health System and the Yale School of Medicine, said she viewed and the women she called ened to the point where women are com- the award as a call to action. W upon to help her create the pensated at a rate of 78 percent for doing inaugural Most Influential Women in Health the same jobs, according to the HIMSS IT Awards, are in accord on this. Longitudinal Gender Compensation As they see it, “influential” is the dfk Assessment, released in July 2016. aljk\. The women who received the award Work on closing the pay gap continues, are also in agreement. even as the women at Women in Health They see the distinction not only as a IT roundtable at HIMSS17 turned their badge of honor, but also a call to action. attention to how best to influence. The “Many times awards are a recognition roundtable this year included the seven of past accomplishments,” said award recipients of the HIMSS Most Influential recipient Lisa Stump, CIO at Yale New Women in Health IT Award, as well as the Haven Health System and the Yale School judges for the initiative. of Medicine. “This one, for me, was really Naming the award was intentional rath- a call to action,” she added. “The choice er than serendipitous, and the members of the word ‘influence’ was incredibly of the roundtable liked it. smart, and for me represents an expecta- “One of the things that I was impressed tion that we are all today at the start of with this award in the first place was colleagues and say, ‘we want you too; all ing the awardees. what we will accomplish next.” the choice of the word “influential,” said of you can start influencing right now.’” “We really spent some time on the Stump, one of seven women to receive Adrienne Eden, vice president of educa- “In this initiative, there are no win- word influential,” Smith said. “This is HIMSS’ first-ever Most Influential Women tion at CHIME and one of the judges for ners and losers,” Smith told the crowd not the most senior women in health IT. in Health IT Award, spoke at the HIMSS17 the awards. “We didn’t look at power. We gathered for a reception and dinner the This is not the oldest women in health Women in Health IT Roundtable, the sec- weren’t looking at lifetime accomplishment. evening prior to the roundtable. “Every- IT. We chose the word influential on pur- ond one HIMSS has held on the topic of We were looking at influence.” body wins in this because we raise the pose – because you can be influential at women in the health IT workplace. Last “It’s so important that women under- water for all.” Smith noted Women in the very beginning of your career as well year, the roundtable focused on pay stand how influential we are, and how Health IT was a grassroots initiative that as being influential at the end of your inequity in the sector, how to close the much change we can provoke from wher- had grown over the span of just one year. career.” She noted the women being hon- gap and how best to recognize women’s ever we are.” Eden added. “The award is At HIMSS17, there were more than 800 ored, each of them accomplished, were at achievements in health IT. really meant to wake up all of our women women attending the reception celebrat- varying stages of their careers. Q Don’t just connect. Let connectivity drive innovation.

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170 years until we end unconscious bias in the workplace? Put gender on your agenda.

ey.com/womenfastforward #WomenFastForward © 2017 EYGM Limited. All Rights Reserved. 1701-2157856. ED0217 All Rights Reserved. Limited. © 2017 EYGM 22 CLINICAL www.HealthcareITNews.com | Healthcare IT News | April 2017 Allscripts CEO Paul Black $.*0TIBWFDFOUSBMSPMFJO QSPUFDUJOHDZCFSTFDVSJUZ MIKE MILIA RD# <[`kfi FFOFKEN#healthcare data secu- rity is thought about in terms of the safety of a hospital's IT infra- T structure (the job of the CIO and CISO), or the financial and reputational risk of a breach (the province of the CFO and CEO). But CMIOs also need to be well- attuned to the serious threats cyber crimi- nals pose to clinical information. “These types of attacks can really disrupt the clinical care we provide for our patients," Allscripts, NantHealth team said one physician executive. "It's not just Kevin Johnson and Daniel Nigrin, MD about data." At the AMDIS/HIMSS Physicians' Execu- plans in place, to be able to reconfigure with Cancer Treatment tive IT Symposium on Feb. 18, the security workflows when needed, to recognize the role of the chief medical information officer importance of email and alternate forms of was highlighted, as the black-market value communication, he said. Centers of America to combine of health records increases and rampant ran- "These types of attacks can really disrupt somware attacks put EHRs at risk. the clinical care we provide for our patients," Daniel Nigrin, MD, chief information said Nigrin. "It's not just about data." clinical decision support officer at Boston Children's Hospital and a Security consultant Kevin Johnson said practicing pediatric endocrinologist, speaks most health organizations still "don't truly The platform enables Allscripts and NantHealth began planning this from experience. He fought a lengthy and understand the kinds of attacks that exist," project in early 2016 to help patients and pro- much-publicized battle against the hacktiv- whether network-based, web-based or the oncologists to identify viders alike benefit from the clinical capabili- ist group Anonymous back in 2014. result of the negligence of trusted third par- evidence-based treatment ties of an integrated solution,” said Paul Black, Over the course of about a month that ties. Third-party risk is "astronomical," he Allscripts CEO. spring, Nigrin and hospital IT staff engaged said, "from the doctors who have privileges regimens for patients The resulting Clinical Pathways integrates in "a series of cat and mouse events" with to the vendors who deal with you." through integration of the latest cancer research available, treatment Anonymous, whose members had targeted Similarly, too few provider organiza- regimens and complementary therapies into the the hospital to protest a controversial cus- tions appreciate that "breach harm has NantHealth’s eviti platform Allscripts Sunrise EHR, giving oncologists the tody case involving one of its patients. many forms," said Johnson. And once the and Allscripts’ Sunrise EHR. ability to create a curated list of care protocols It started with a threatening online video, bad guys get in, they're just getting started: at the point of care, the vendors explained. BIL SIWIC progressed to low-level distributed denial- "Their goal is to expand their foothold. And C B@#DXeX^`e^<[`kfi When the treatment platform is engaged, of-service activity – and moved eventually there's always ways in." 8E:

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MIKE MILIARD#<[`kfi IFDN8KJONKFJ@I@#Alexa to Cor- tana, consumers and patients have become much more familiar with F artificial intelligence and natural language processing in recent years. Pick your terminology: machine learning, cog- nitive computing, neural networks/deep learning. All are becoming more common- place – in our smartphones, in our kitchens – and as they continue to evolve at a rapid pace, expectations are high for how they'll impact healthcare. Skepticism is, too. And even fear. As it sparks equal part doubt and hope (and not a little hype) from patients, phy- sicians and technologists, a panel of IT experts at HIMSS17 discussed the future of AI in healthcare on the afternoon of Feb. 19 during the HIMSS17 Conference Kenneth Kleinberg, managing director at The Advisory Board Company, spoke with prescribe medications at locations near the CONSUMER APPLICATIONS he said. "So there's a lot of education for the execs from two medical AI startups: Cory patient. "Seventy percent of the time, the DRIVING CLINICAL INNOVATIONS patient about how to take a picture." Kidd, CEO of Catalia Health, and Jay Par- doctors have a diagnosis," said Parkinson. AI is fast advancing in healthcare in large kinson, MD, founder and CMO of Sherpaa. "Most cases can be solved virtually." Rather part because it's evolving so quickly in THE PATIENT'S VIEW Catalia developed a small robot, the Mabu than just a virtual care, platform, it enables the consumer space. Take Apple's Siri, for If artificial intelligence is having a promising if Personal Healthcare Companion, aimed at "care coordination with local clinicians in instance: "The more you talk to it, the better controversial impact so far on the clinical side, assisting with "long-term patient engage- the community," he said. it makes our product," said Kidd. "Literally. one of the most important aspects of this evo- In this fast-changing environment, there We're licensing the same voice recognition lution also still has some questions to answer. are many questions to ask: "We're starting to and voice outlet technology that's running Most notably: What do the patient think? "We're starting see these AI systems appear in other parts of on your iPhone right now." One one hand, Kleinberg pointed to AI our lives," said Kleinberg. "How valuable are For his part, Parkinson sees problems with pilots where patients paired with human- to see these AI they? How capable are they? What kind of simply adding AI technology onto the doc- oid robots "felt a sense of loss" after the test authority will these systems attain?" tor-patient relationship as it currently exists. ended. "One woman followed the robot out systems appear And also: "What does it mean to be a phy- Most healthcare encounters involve "an oral and waved goodbye to it." sician and patient in this new age?" conversation between doctor and patient," he On the other, "some people are horrified in other parts of Kidd said he's a "big believer – when it's said, where "retention is 15 percent or less." that we would be letting machines play used right." For AI to truly be an effective augmenta- a part in a role that should be played by Parkinson agreed: "It has to be targeted tion of clinical practices, that conversation humans," he said. our lives. How to be successful." "needs to be less oral and more text-driven," The big question, then: "Do we have a Another important question: For all the he said. "I'm worried about layering AI on a place now for society and a system such as valuable are hype and enthusiasm about AI, "where on broken delivery process." this?" he asked. the inflection curve are we?" asked Klein- But machine learning is starting to change "The first time I put something like this in they? How berg. "Is it going to take off and get a lot the came in areas large and small through- a patient's home was 10 years ago now," said better? And does it offer more benefits at the out healthcare. Kleinberg pointed to the area Kidd. "We've seen, with the various versions capable are patient engagement level? Or as an assistant of imaging recognition. IBM, for instance, of AI and robots, that people can develop an to clinicians?" made headlines when it acquired Merge attachment to them. At the same time, the typi- they? What kind For Kidd, it's clearly the former, as Cata- Healthcare for $1 billion in 2015, allowing cal conversation is two or three minutes. It's not lia's technology deploys AI to help patients Watson to "see" medical images – the largest like people spend all day talking with these." of authority will manage their own chronic conditions. data source in healthcare. It's essential, he argued, to be up front "The kinds of algorithms we're develop- Then there are the various iPhone apps with patients about just what the technol- these systems ing, we're building up psychological mod- that say they can help diagnose skin cancer ogy can and should do. els of patients with every encounter," he with photos users take of their own moles. "How you introduce this, and how you attain?" explained. "We start with two types of psy- Kleinberg said he mentioned the apps to a couch the terminology around this technol- chologies: The psychology of relationships dermatologist friend of his. ogy and what it can and can't do is actu- o,FOOFUI,MFJOCFSH – how people develop relationships over "I want to quote him very carefully: He ally very important in making it effective for time – as well as the psychology of behavior said, 'Naaaaahhhhhh.'" patients," said Kidd. "We don't try to con- ment." It's able to have tailored conversa- change: How do we choose the right tech- But Parkinson took a different view: vince anyone that this is a doctor or a nurse. tions with patients that can evolve over time nique to use with this person right now?" "About 25 percent of our cases have pho- As long as we set up the relationship in the as the platform – developed using principles The platform also gets "smarter" as it tos attached," he said. "Right now, if it's a right way so people understand how it works of behavioral psychology – gains daily data becomes more attuned to "what we call weird mole we're sending people out to see and what it can do, it can be very effective. about treatment plans, health challenges our biographical model, which is kind of a dermatologist. But I would totally love to "There is this cultural conception that AI and outcomes. a catch-all for everything else we learn in replace that (doctor) with a robot. And I and robotics can be scary," he conceded. Sherpaa is billed as an "on-demand doc- conversation," he said. "This man has a cou- don't think that's too far off." "But what I've seen, putting this in front of tor practice" that connects subscribers ple cats, this woman's son calls her every In the near term, however, "you would be patients is that this is a tool that can do with physicians, via its app, who can make Sunday afternoon, whatever it might be that amazed at the image quality that people tak- something and be very effective, and people diagnoses, order lab tests and imaging and we'll use later in conversations." ing photographs think are good photographs," like it a lot." Q April 2017 | Healthcare IT News | www.HealthcareITNews.com CLINICAL 25 Epic CEO Judy Faulkner says two new electronic health record versions are in development

K_\e\nm\ij`fejn`ccgifm`[\ that Moody’s and Standard & Poor's statistics members from around the world visited her and Medical Center in Flint, Michigan discovered gXk_nXpj]figifm`[\ijn_f[feÊk demonstrate that Epic customers reaped profit- her husband in Madison; she engaged in work the extent of the Flint water crisis. e\\[k_\]lccm\ij`fef]8@E# <[`kfi$Xk$CXi^\ For Faulkner, 2016 was a very good year, It was Mona Hanna-Attisha, MD, the doctor taken forever to get these results,” Hanna-Atti- N?8K8;@==EREN:< a year can indeed. From June through December, family who — with the help of the Epic EHR at Hurley sha was quoted as saying. Q make. In the world of Epic founder and CEO Judy Faulkner, W where creating new technology meets with a delight for words, 2016 was a pro- ductive and rewarding year. How so? “We’re developing some really nifty new soft- ware,” she told Healthcare IT News on Feb. 19 after attending the daylong CHIME-HIMSS CIO Forum at HIMSS17. “There’s going to be three versions of Epic,” Faulkner said. “That’s what we’re working on now. There’s Epic Sonnet.” She pauses to note that an “epic” is a long poem – as in “Homer’s Odyssey.” As she put it, “Even though we’re computer scientists, we can still be literate.” Sonnet, she said, is the smaller poem. She describes Sonnet, which is now in development, as Epic technology with some of the features removed. It has a lower price point, and it can “We’re developing some really nifty new software.” o&QJDGPVOEFSBOE$&0+VEZ'BVMLOFS be just the right technology for organizations that don’t need the features of the full Epic EHR. 4JNQMJGZUIFDPNQMFYJUJFTPG Then, there’s yet another version, one between the full Epic EHR and the Sonnet. Both will pro- vide a path toward upgrading to the full product. IFBMUI*5NBSLFUJOH “We’re finding that people need different things,” she said. “So, if you are a critical-access As marketers, you know what’s needed to break through the clutter and get hospital, you don’t need the full Epic. The two your message delivered — it’s called disruption. 5IF#SBOE)*5.BSLFUJOH4VNNJU  new versions of Epic in development can pro- vide a pathway to adding all the features at a )*.44GJSTUDPOGFSFODFEFEJD UFEFYDMVTJWFMZUPIFBMUI*5NBSLFUJOH XJMMIFMQZPV later time. t 5BLFDIBSHFPGUPEBZTFWFSDIBOHJOHEJHJUBMFOWJSPONFOU JODMVEJOH And then there’s “Caboodle” – the name DPOUFOUDSFBUJPO EBUBBOBMZUJDTBOEDVTUPNFSFYQFSJFODF of Epic’s data warehouse. “I don’t like boring words,” Faulkner said. t #VJMEZPVSCSBOEBOEGVFMJUTHSPXUIXJUIUIFFYQFSUTXIPGPDVTTPMFMZ The trade name for Epic's analytics suite is POIFBMUI*5NBSLFUJOH Cogito, from the Latin phrase “Cogito ergo sum” – “I think, therefore I am.” In mid-2016, t -FWFSBHFUIFMBUFTUJOTJHIUT TUSBUFHJFTBOEUPPMTGSPNUIFNPTUFYQFSJFODFE Epic renamed the data warehouse portion of the QSPGFTTJPOBMTJOUIFJOEVTUSZTPZPVDBONBLFZPVSCSBOETUBOEPVU suite “Caboodle,” and Faulkner is now working REGISTER NOW! on Kit – as in Kit & Caboodle. “Kit is making %POUNJTTZPVSDIBODFUPMFBSOGSPNUIFIFBMUI*5NBSLFUJOHFYQFSUT everything very open,” Faulkner said. Faulkner seems to relish her work and is WWWBRANDHEALTHITCOM buoyed by it. Is there any time when it becomes a grind? “Some parts do,” she replied. “Sometimes what becomes a grind is not the work itself, but how long it takes and how much of my life it takes and how little I have for other things.” However, there are rewards – for example, knowing that there are so many drug-to-drug interactions – a quarter million – averted through Epic system alerts. She’s also pleased that Epic customers have June 15–16, 2017 | Las Vegas, NV done well financially, she said. Yes, Epic EHR installations are known to cost millions of dol- lars. But, Faulkner has done the math and cre- ated charts. Over the years 2004 to 2015, and across all healthcare organizations, she believes 26 BUSINESS www.HealthcareITNews.com | Healthcare IT News | April 2017

/VBODF &QJDQBSUOFS UPIFMQWFUFSBOT  XJUIEJTBCJMJUJFT NTT Data and Oracle 9p`ek\^iXk`e^ElXeZ\Êj8@n`k_8@E# <[`kfi$Xk$CXi^\ gain independence and better access to the the cloud L8E:<COMMUE@CAK@ONJ8E; Epic information they need fast and securely. Systems are collaborating on putting Nuance has delivered speech recogni- EKKXeefleZ\[Xk?@DJJ(.`k`j to provide analytics for multiple stakeholders artificial intelligence and health IT tion technology to the U.S. Veteran’s Health in the healthcare enterprise.” N to work helping wounded warriors. Administration System through long-stand- \ogXe[`e^`kji\cXk`fej_`gn`k_ The system provides healthcare organiza- There are nearly 20 million military veterans ing relationships across the health system, FiXZc\kf`eZcl[\Zcfl[ tions with the flexibility to replace aging sys- in the U.S., and 4 million have service-connect- which includes 14,000 physicians across 152 tems with an enterprise data warehouse or to ed disabilities, by the government’s count. hospitals supporting more than 8 million ZXgXY`c`k`\j]fiFiXZc\Êj maintain their existing investments with an The two IT companies announced at patients annually. Nuance’s clinical docu- _\Xck_ZXi\XeXcpk`ZjgcXk]fid% on-site solution, which will be transferred to HIMSS17 they would work together to make mentation solutions support all branches of an enterprise data warehouse, NTT explained. it easier for disabled veterans to schedule the Department of Defense at hundreds of BILC SIWICB@# DXeX^`e^<[`kfi Combined with Oracle Healthcare Founda- medical appointments. facilities across the U.S and overseas. KK ;8K8#@E:% 8EEFLE:<;during tion, NTT Data’s portfolio of analytic capabili- Epic’s electronic health record, paired Satish Maripuri, executive vice president HIMSS17 its expanding relation- ties for population health, regulatory require- with Nuance’s healthcare virtual assistant and general manager of Nuance’s healthcare ship with Oracle to include end-to- ments, quality measures and clinical research technology, Florence, makes the task eas- division, noted that the company has invest- N end cloud capabilities for Oracle’s will enable organizations to enhance business ier, Nuance executives say. Nuance’s AI- ed heavily over the past decade to develop Healthcare Foundation, a healthcare analytics agility, the vendor said. powered conversational user interface and conversational and cognitive virtual assis- platform. The platform provides data integra- “With the evolution of population health, simple design support intuitive voice-driven tant and AI technologies. tion and warehousing of clinical, financial and precision medicine and value-based care, interactions, making it possible to schedule “This is an important, invaluable initia- administrative modules in a cloud solution. healthcare organizations are being driven to an appointment in seconds, they add. tive to help our nation’s veterans get what “This collaboration with Oracle will help find new ways of aggregating and managing Voice-driven workflows will be featured they need faster and to become more inde- healthcare organizations implement a cloud- structured and unstructured data from a vari- as part of the Medical Appointment Schedul- pendent,” Maripuri said in a statement. based solution that will improve outcomes ety of systems,” said Steve Rosenberg, general ing System program – MASS, a nationwide “We are very proud of our work with and deliver tangible business results,” said Dan manager, Oracle Health Sciences. “The expand- deployment of Epic scheduling software in Nuance to embed their advanced AI technol- Allison, president, global healthcare and life ed relationship between NTT Data and Oracle VA Medical Centers, aimed at improving ogy into Epic’s EHR to deliver next-genera- sciences, at NTT Data. “In addition, our work Health Sciences will provide healthcare busi- veterans’ access to care. tion assistive capabilities to our nation’s vet- with Oracle reinforces NTT Data’s commit- nesses with a data integration, warehousing and The goal is to help people with disabilities erans,” added Epic President Carl Dvorak. Q ment to innovation, as we bring data together analytics solution, now available in the cloud.” Q

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i8FVODPWFSFE QSPWJEFSWJTJUT5IFPUIFSQFSDFOUUBDLFEUFMFIFBMUIPOBTBOFXTFSWJDF BDDPSEJOHUPUIFTVSWFZCZ*%$)FBMUI*OTJHIUTSFTFBSDIEJSFDUPS+FGG WFSZJOUFSFTUJOHJOTJHIUTGPSFYBNQMF UIFTJ[FPGBO"$0JOUFSNTPG 3"/%SFTFBSDIFSTTUVEJFEUIFQBUUFSOTPGPWFS CFOFGJDJBSJFTPGUI  3JWLJO5IFSFQPSU i1BZFSBOE1SPWJEFS*OWFTUNFOU1MBOTGPS%JHJUBM w CFOFGJDJBSJFTDPWFSFEJTJOWFSTFMZSFM UFEUPQFSGPSNBODF w#BSEIBOFYQMBJOFE IFBMUIQMBO$BM1&34GSPNUP5IFQMBOJODMVEFEUFMFNFEJDJOF BTTFSUTUIBUQJMPUQSPHSBNTHFTUBUJOHBDSPTTTZTUFNTGPSCPUIQSPWJEFST i5IFMBSHFSUIFTJ[FPGBO"$0 the more likely it is to be inefficient.” In the VTF8IJMFUIFTFSWJDFJODSFBTFEBDDFTTUPIFBMUIDBSF SFTFBSDIFSTGPVOE BOEQBZFSTBSFSFBEy to be put into action. Most of those existing digital TUVEZTNPEFM #BSEIBOTBJE BDSPTTUIFFOUJSFTFUPG"$0T UIF OFXTUSBUFHJFTBSFOFFEFE JGUFMFIFBMUIJTUPCFDPNFBDPTUTBWJOHEFWJDF USBOTGPSNBUJPOJOJUJBUJWFTBSFJOQJMPUPSSFTFBSDIQIBTF *%$OPUFE XJUI SFTFBSDIFSTGPVOEUIBUBQFSDFOUJODSFBTFJOIFBMUI*5VTBHFXBTBTTPDJBUFE i5IFSFNBZCFBEPTFSFTQPOTFXJUISFTQFDUUPDPOWFOJFODFBOEVTFoUIF EJHJUBMUSBOTGPSNBUJPONBLJOHVQQFSDFOUPGUIFJSOFXJOJUJBUJWFT XJUIBQFSDFOUJODSFBTFJOUIFMFWFMPGFGGJDJFO Z. i)FBMUI*5IFMQTUP NPSFDPOWFOJFOUUIFMPDBUJPO UIFMPXFSUIFUISFTIPMEGPSTFFLJOHDBSFBOE 1BZFST GPSUIFJSQBSU BSFOPXJOWFTUJOHNPSFJOEJHJUBMUFDIOPMPHJFTUP JNQSPWFUIFFGGJDJFO ZPGBO"$0 w#BSEIBOBEEFE BOEiIBTBQPTJUJWF UIFHSFBUFSUIFVTFPGNFEJDBMTFSWJDFT w3"/%T-PSJ6TDIFS1JOFT USBOTGPSNUIFDPOTVNFSFYQFSJFODFBOEUIFPQFSBUJOHNPEFM FTQFDJBMMZ NPEFSBUJOHFGGFDUPOUIFSFMBUJWFQFSGPSNBODFPG"$0Tw QJDUVSFE UIFSFQPSUDPBVUIPS TBJEJOBTUBUFNFOU JODMPVE #JH%BUB BOBMZUJDT BOETFDVSJUZ UIFTVSWFZGPVOE SAN FRANCISCO, CA MAY 11-12, 2017

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Register Now: healthprivacyforum.com/sanfrancisco/2016 | #HITprivacy 28 BUSINESS www.HealthcareITNews.com | Healthcare IT News | April 2017 Health Catalyst, Regenstrief partner to commercialize natural language processing technology

K_\ZfdgXe`\jjXpk_\p`ek\e[kfglk systems that together serve 85 million patients k_\Xik`]`Z`Xc`ek\ c`^\eZ\$gfn\i\[ across the country. Regenstrief CEO k\okXeXcpk`Zjk\Z_efcf^pkfnfib “Eighty percent of clinical data is locked away Peter Embi, MD in unstructured physician notes that can’t be read XZZ\c\iXk`e^X[mXeZ\j`egXk`\ekZXi\% by an EHR and so can’t be accessed by advanced 98@E# <[`kfi$Xk$CXi^\ decision support and quality improvement appli- <8CK?CAK8CPJKand t he Regenstrief cations,” Peter Embi, MD, president and CEO of Institute are working together to com- Regenstrief Institute, said in a statement. “We will mercialize nDepth, Regenstrief’s nat- help millions of patients benefit from the untapped H ural language processing technology. potential hidden within unstructured data.” nDepth is an acronym for NLP Data Extrac- Memorial Hospital at Gulfport, in Gulfport, tion Providing Targeted Healthcare. Indianapo- Miss., served as the co-development partner lis-based Regenstrief developed the technology and first deployment site for Health Catalyst’s to harness unstructured data. integration of nDepth. The 445-bed not-for- Salt-Lake City-based Health Catalyst, a data profit health system deployed the Health Cata- warehousing and analytics company, has been lyst data and analytics platform in 2014. in the business of extracting data to boost care nDepth analyzes any document type to mine quality since it launched in 2008. the unstructured data for insights for clinicians Regenstrief’s nDepth is artificial intelligence- and quality improvement professionals. The tech- powered text analytics technology. It was nology employs Natural Language Processing – a developed within the Indiana Health Informa- combination of linguistics, pattern recognition, and tion Exchange, the largest and oldest HIE in machine learning – to derive meaning from text. the country. nDepth enhances these foundational technol- Regenstrief fine-tuned nDepth through ogies with clinical domain expertise and phe- extensive and repeated use, searching more notype libraries built and curated by clinicians. than 230 million text records from more than Some recent applications of nDepth include 17 million patients. finding patients with metastatic melanoma, The goal of the partnership is to speed improve- identifying pre-diabetic patients for clinical ments in patient care by unlocking the unstruc- trials, and capturing hypoglycemic events. tured data within electronic health records. Health Catalyst and Regenstrief Health Catalyst will incorporate nDepth announced the partnership at HIMSS17 in into its data analytics platform in use by health February in Orlando. Q

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Sponsored by www.HIEWatch.com April 2017 | Healthcare IT News | www.HealthcareITNews.com BUSINESS 29 Zipnosis, PokitDok intertwine claims processing and telemedicine with new platform

Dlck`:Xi\?\Xck_Jpjk\d and PokitDok delivers a seamless experience functionality, Zipnosis officials explained. working to strip costs and unproductive [\m\cfg\[XjkiXk\^pkff]]\i` j for our patients. “PokitDok designed claims adminis- time out of clinical visits. We leveraged our Zipnosis previously worked with Pokit- tration tools to support emerging digital HIPAA-compliant data connections to health m`iklXcZXi\gcXk]fidgfn\i\[Yp Dok to verify eligibility for defined popu- health companies like Zipnosis,” said Lisa insurers and payers to facilitate this new Q`gefj`jkf\dgcfp\\jXjX lations and built on that foundation to Maki, co-founder and CEO of PokitDok. workflow. The result is quality care delivery facilitate the development of the new claims “This engagement really hit our sweet spot: with improved efficiency. Q Zfm\i\[Y\e\]`kXe[nXek\[kf dXb\k_\ZcX`djgifZ\jjX j\Xdc\jj\m\ek% BILC SIWICB@# DXeX^`e^<[`kfi ELEMED@CIE< KECHEOLOGP MEN$ ;OR Zipnosis launched a new claims processing functionality AHIP Institute T with partner MultiCare Health H P & Expo System and integration partner PokitDok, A I at HIMSS17. The Essential Event for MultiCare developed a strategy to offer its the Health Care Industry virtual care platform powered by Zipnosis 2 1 0 7 JUNE 7-9 | AUSTIN, TX to employees and dependents as a covered benefit and wanted to make the claims pro- cess a seamless, behind-the-scenes event. “We determined that we needed to find a simple way to manage claims submissions Answers You Need Today, for our virtual visits, and Zipnosis provided the right solution,” said Christi McCarren, Plus Direction for Tomorrow During these uncertain times, one thing is more certain than ever — the need to work together as “We determined we focus on making health care better, more affordable and more sustainable. Join thousands of health care professionals in Austin, as we focus on the most pressing issues: that we needed to 7 Changing Health Care from the Outside In: How Far Have We Come and What’s Needed Next? find a simple way Deborah W. Brooks, Co-Founder and Executive Vice Chairman, The Michael J. Fox Foundation for Parkinson’s Research (MJFF) to manage claims Jamie Heywood, Co-Founder & Chairman, PatientsLikeMe 7 Reinventing Health Care for the Future submissions for Joseph R. Swedish, Chairman, President & Chief Executive Officer, Anthem, Inc. 7 Balancing Innovation and Affordability of High Cost Drugs our virtual visits, David A. Ricks, President and Chief Executive Officer of Eli Lilly and Company Eric H. Schultz, President and Chief Executive Officer of Harvard Pilgrim Health Care, Inc. and Zipnosis 7 The Future of Precision Medicine Eric J. Topol, MD, Author, The Patient Will See You Now and The Creative Destruction of Medicine; and provided the Director, Scripps Translational Science Institute 7 Primary Care, Remixed right solution.” Zubin Damania, MD (aka ZDoggMD), Internist and Founder, Turntable Health 7 What Do You Stand For? Connecting with Consumers in the New Health Care Economy o$ISJTUJ.D$BSSFO Roy Spence, Jr., Co-Founder & Chairman, GSD&M

senior vice president of retail health and 7 The Battle for the Heart and Mind of the Health Care Consumer: Lessons Learned from community-based care for MultiCare. Other Industries Scott Brown, vice president of product John Mackey, Co-Founder and Chief Executive Officer, Whole Foods Market and engineering at Zipnosis, concurred: 7 Making Health Care Accessible and Affordable for All Americans “MultiCare gave us an excellent opportunity Governor Michael Leavitt, Founder & Chairman, Leavitt Partners; former Governor of Utah and Secretary of to expand the functionality of the Zipnosis Health and Human Services in the Bush Administration platform. We thrive on finding solutions to support our clients, and our partnership 7 Moderator with PokitDok made this one possible.” Susan Dentzer, President & Executive Officer, Network for Excellence in Health Innovation MultiCare employees are verified as eli- gible for the virtual care benefit when they log into or create an account on MultiCare CUSTOMIZE YOUR INSTITUTE & EXPO EXPERIENCE eCare, MultiCare’s virtual care service. They Beyond General Sessions, Mix and Match Concurrent and can receive diagnosis and treatment for Breakfast Sessions from Eight Educational Tracks more than 10 common conditions, includ- ing cold and flu, seasonal allergies, bladder infections and minor skin conditions. In a Year When You Really Need Answers, Institute & Expo Delivers. Claims information is compiled by the Register by April 26 and Save. www.ahip.org/InstituteExpo Zipnosis platform and routed via PokitDok to the payer. Connect with Us @AHIPCoverage, #AHIPInstitute | ® America’s Health Insurance Plans | www.facebook.com/ahip “Patients don’t see what’s going on Content and Design AHIP—All Rights Reserved: © AHIP 2017 behind the scenes,” McCarren said. “The collaboration between MultiCare, Zipnosis 30 DATA www.HealthcareITNews.com | Healthcare IT News | April 2017 Hacker Kevin Mitnick on the dangers of human factors for health data security At the CHIME-HIMSS CIO Forum, the infamous former black- hat showed how social engineering puts systems at risk — and how to build a human firewall to protect against it. MIKE MILIARD# <[`kfi Kevin Mitnick <>

Google’s DeepMind developing Most healthcare orgs have AHIMA posts toolkit to help technology to track health data compromised email credentials hospitals prep for HIPAA audits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oolkit addresses key aspects of %FFQ.JOETBJEJUTOFX GPSTBMFPOUIFEBSLXFC UIFSFQPSU 1IBTFBVEJUT JODMVEJOHIFMQ 7FSJGJBCMF% UB"VEJUQSPKFDUDPVMECFUIFGJSTUTUFQTU XBSEBiBTFS GPVOE"OECFUXFFOBCPVUQFS JOHDPWFSFEFOUJUJFTBOECVTJOFTT WJDFUIBUDPVMEHJWFNBUIFNBUJDBMBTTVSBODFBCPVUXIBUJTIBQQFOJOH DFOUBOEQFSDFOUPGPSHBOJ[BUJPOTIBEDPNQSPNJTFEFNBJMBDDPVOUT BTTPDJBUFTVOEFSTUBOEUIFJSSFTQFDUJWFSFRVJSFNFOUT5IFUPPMLJUBMTP XJUIFBDIJOEJWJEVBMQJFDFPGQFSTPOBMEBUB XJUIPVUQPTTJCJMJUZPG 5PNBLFNBUUFSTXPSTF QFSDFOUPGUIFTFTUPMFOQBTTXPSETBSF GFBUVSFTCFTUQSBDUJDFTBOEUJQTUPNFFUBMMUIFOFDFTTBSZSFTQPO GBMTJGJD UJPOPSPNJTTJPOw5IFBJNJTUPFOBCMFIPTQJUBMT BOEFWFOUV GPVOEJODMFBSUFYUPOUIFEBSLXFC8IJMFUIFPUIFSTUPMFOQBTTXPSET TJCJMJUJFT4UBSUFEMBTUZFBS UIF%FQBSUNFOUPG)FBMUIBOE)VNBO BMMZQBUJFOUT UPHBJOSFBMUJNFJOTJHIUJOUPXIFSFBOEIPXEBUBJT BSFTPMEFODSZQUFE UIFMFWFMPGFODSZQUJPOVTFEJTOUFOPVHIUPTUPQB 4FSvices’ Office for Civil Rights audits incMVEFEFTLBOEPOTJUF being used.” In DeepMind’TDBQBDJUZBTEBUBQSPDFTTPSGPSIPTQJUBMT  IBDLFSGSPNDSBDLJOHJU)BDLFSTHFUJOUPUIFTZTUFNXJUIQIJTIJOHBOE WJTJUTi1IBTFBVEJUTBSFCSPBEFSBOESFRVJSFBNPSFEFUBJMFEMFWFM UIFDVSSFOUMZDSFBUFTBOBVEJUBCMFMPHBOZUJNFJUDPNFTJOUPDPOUBDU LFZMPHHJOHBUUBDLT SFTFBSDIFSTTBJEi#ZVOEFSTUBOEJOHUIFUZQFTPG PGDPNQMJBODFXJUI)*1""QSJWBDZ TFDVSJUZBOECSFBDIOPUJGJD UJPO XJUIQBUJFOUJOGPSNBUJPO8JUI7FSJGJBCMF% UB"VEJU JUXJMMFYQBOEPO DIBOHFTQFPQMFNBLFUPUIFJSQBTTXPSETPWFSUJNF IBDLFSTDBODSFBUF SFRVJSFNFOUT w")*."$&0-ZOOF5IPNBT(PSEPOTBJEJOBTUBUFNFOU UIBUi&BDIUJNFUIFSFTBOZJOUFSBDUJPOXJUIEBUB XFMMCFHJOUPBEE BVTFSQSPGJMFBOEEFUFSNJOFBQFSTPO TOFXQBTTXPSEGBJSMZBDDVSBUFMZ i5IJTUPPMLJUDBOIFMQIFBMUIDBSFPSHBOJ[BUJPOTBOEIFBMUIJOGPSNBUJPO BOFOUSZUPBTQFDJBMEJHJUBMMFEHFSw CZVTJOHTJNQMFHVFTTJOHPSTPQIJTUJDBUFEBVUPNBUFEBMHPSJUINTw NBOBgement professionals prepare for audits.” MAY 15-16, 2017 GRAND HYATT UNION SQUARE SAN FRANCISCO, CA

FROM BIG DATA SESSIONS INCLUDE

TO SMARTER CARE Hype and Disappointment Healthcare is undergoing a massive transformation: on the Road to Healthcare’s Reimbursement is shrinking, providers are taking on Promised Land more risk, and patients are more engaged than ever. The survivors of this transformation will those organizations with the ability to use analytics to Using Bigger Data Better to transform data. Improve Population Health

The HIMSS Big Data & Healthcare Analytics Forum brings together the nation’s leading experts to help tackle some of the toughest data challenges. When Predictions Move Outside the Hospital

REGISTER NOW The Power of bigdatahitforum.com/sanfrancisco/2017 Non-Traditional Datasets 32 DATA www.HealthcareITNews.com | Healthcare IT News | April 2017 Argonaut Project building on success with FHIR

implementation guide Micky Tripathi

Interoperability guru Micky guide is significant, said Tripathi. If interop- Tripathi touts progress made erability standards are “ingredients,” he on public APIs. explained, the new Argonaut guide for high- priority use cases is like a “cookbook” that MIKE MILIA RD# <[`kfi explains how to put it all together. E<8ICP=<9IL8IP#the HL7 Argonaut The Argonaut Project is so named because Project published its FHIR Data and it was formed in the wake of the landmark Document Query Implementation Guide, JASON report, “A Robust Health Data Infra- I which it bills as a “major step forward” structure,” in which a government advisory for the agile interoperability standard. panel of scientists was “highly critical of A few weeks later, at HIMSS17, Argonaut where we were in healthcare” about interop- leader Micky Tripathi offered updates on the erability, said Tripathi. new guide and put the project’s accomplish- Back then, Tripathi had some disagree- ments these past three years into perspective. ments with the report’s findings. “There’s The Argonaut Project, launched under probably more progress in various types of you just want data elements for quality mea- needed to make FHIR “relevant and usable,” the HL7 umbrella in 2014, comprises heavy health information exchange than the JASON surement, or clinical decision support – or, said Tripathi. “We need to have more of a hitters from both the vendor and provider authors seem to give credit for,” he told increasingly, the kinds of lightweight apps way to get market input into the development sides: Accenture, athenahealth, Cerner, Epic, Healthcare IT News in 2014. But it’s also hard people are developing.” process, get collaboration and consensus, as McKesson, Meditech, Surescripts, The Advi- to argue with JASON’s recommendation that Indeed, beyond just being cumbersome, early as possible.” sory Board Company, Beth Israel Deaconess, healthcare data exchange make much better C-CDA is “too myopic, and “too healthcare- Epic, Cerner, Meditech and others are Intermountain, Mayo Clinic, Partners Health- use of public APIs. centric,” he said, “creating barriers for innova- already basing their APIs using Argonaut Care and Boston Children’s Hospital. Current interoperability is largely based tors everywhere else in the economy who are guidance. The new FHIR implementation “The idea was to get a group of implement- around HL7’s Consolidated Clinical Docu- doing all sorts of great things. Those develop- guide hopes to spark even faster adoption of ers together, people who do this for a living ment Architecture standard, but that’s a ers have no interest in coming into healthcare the standard in 2017 and beyond. – providers and vendors – to accelerate the “complex vehicle for exchanging data, and if it’s going to be based on C-CDAs.” This year, the Argonaut Project plans to use of FHIR and make it more practical and somewhat unwieldy,” said Tripathi. “It’s got FHIR, on the other hand, is flexible to both broaden its focus to other use cases for FHIR real for people,” said Tripathi, CEO of the structured data embedded in it, but it’s all document level and data level exchange and and OAuth standards, said Tripathi, such as a Massachusetts eHealth Collaborative. wrapped up in a document. is based on modern internet conventions. It’s scheduling API to enable better appointment “It’s completely private sector initiated and “If you just want a particular data element, a RESTful API that developers from outside functionality across EHRs (thus enabling eas- funded, not an ONC edict,” he said. “The like an allergy, you get a C-CDA,” he added. healthcare can pick that up and say, “That, ier referral management for ACOs tackling private sector needs to be stepping up more, “I might not want the whole C-CDA, but it’s I understand.” population health management), and work to take over interoperability.” the only show in town. C-CDAs work for a The Argonaut Project prioritizes speed- to enable better integration of external apps The release of the new implementation particular kind of use case, but sometimes to-market, gathering the stakeholder input into EHRs. Q

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@e]fidXk`Z`jkE\g_`NXckfe#D; Medical Center, said that ultimately providers’ “Cloud is key to our future. My advice: Get in “I’m sure people are targeting Amazon, Z_Xcc\e^\j_\Xck_@Kgif]\jj`feXcjkf responsibility is not all that much different than and persevere in the process.” Google and Microsoft, but because they get protecting data anywhere they store it — but Washington University’s Walton said that that all the time, they’re more prepared to kXb\X_Xi[cffbXk_fnj\Zli\k_\`i recommended moving cautiously. many people in healthcare are inhibited by secu- defend against it,” Walton said. “You‘re hard e\knfibjXZklXccpXi\% “We did it very slowly and vetted it. It was rity concerns but don’t even realize how much pressed to match the same security as one of successful over the course of months,” Chu said. data they actually have in the cloud already. these companies.” Q KOM SLCCIV8E# <[`kfi$`e$:_`\] K?< E8K@ON8C ?OSG@K8C still con- cerned about putting health data in the cloud, but there is a growing con- H sensus among security specialists that the fears are not as necessary as they once were. That was among the overarching themes to emerge from the Healthcare IT News Cloud Computing Forum at HIMSS17 on Feb. 19. Nephi Walton, for instance, threw down the gauntlet: “Security concerns about the cloud are valid, but I challenge you to look at your own orga- nizations and see how secure they actually are.” Walton, a biomedical informaticist at the Washington University School of Medicine, posted that to attendees. That’s not to say storing personal health information or personally-identifiable informa- THE EDGE FOR tion in the cloud is a simple matter. “Security EXCELLENCE concerns about To capitalize on emerging market opportunities in healthcare real estate, it’s imperative to have the latest industry information to make the cloud are the best decisions for your business. Acquire the essential insight to take action by attending the industry’s largest, most respected valid, but I conference. Gain access to the experts, information and important challenge you to connections you need to achieve your most ambitious goals. look at your own Register now to save $100. mob.boma.org organizations and see how secure they actually are.” o/FQIJ8BMUPO BCJPNFEJDBM JOGPSNBUJDJTUBUUIF8BTIJOHUPO 6OJWFSTJUZ4DIPPMPG.FEJDJOF

Beaufort Memorial CIO Ed Ricks said that “there’s no such thing as a HIPAA-compliant” solution. “I always pause when a vendor says they are HIPAA compliant,” added Anahi Santiago, CISO of Christiana Care Health System. “HIPAA is based on risk management.” Santiago said that risk management requires Connecting industry thought leaders with real life practices – 24/7 constant reevaluation of vendors and policies. Chad Wilson, Children’s National Medical Cen- Find what you’re looking for: ter IT security director, added that the devil is ¢ in the details of contracting. • Conference education sessions • 20+ Decision Focused Topics “You really have to build a relationship with • CAHIMS and CPHIMS Credits • 65,000+ subscribers that company and understand their frame-   ‡:HELQDUVDQG9LUWXDO%ULH´QJV  ‡([SHUW&RQWULEXWRUV work,” Wilson said. Walton, Ricks, Santiago, and Wilson, it’s worth   ‡2QOLQH&RXUVHV     ‡6XEMHFW0DWWHU([SHUWV noting, all already have applications and data in the cloud. Christiana, in fact, implemented a cloud-first strategy for new apps and technologies. Our subscribers consumed more than 155,000+ hours of decision focused content last year “Anything is doable on the security front,” Santiago said, explaining that Christiana Equip yourself with focused knowledge. Anywhere. Anytime. It’s Easy. demands certifications such as HITRUST or ISO and looks at SOC II reports, among other policies and procedures, from any vendors it works with. Kristin Chu, director of information services Just visit: Himsslearn.org/easy at the University of California at San Francisco 34 JOBSPOT www.HealthcareITNews.com | Healthcare IT News | April 2017 How optimistic are health IT pros? Extremely, recent study finds The research also reveals that health IT pros are trending back toward shorter work weeks

BILL S IWICKI, DXeX^`e^<[`kfi @E:<)'(+#K?<ELMBERof health- care IT professionals who report- ed feeling “extremely optimistic” S about their career opportunities has increased by 47 percent, according to a new study from Pivot Point Consulting. That optimism may be fueling their career choices as well, as the new research shows that during that period, healthcare IT contractors and consultants who declined considering a full-time position increased by 25 percent, and the number of full-time employees who would consider consulting has hovered around 70 percent over two years, found the Pivot Point Consulting 2017 Healthcare IT Market Report, released on Feb. 20 at HIMSS17. Greythorn, a healthcare staffing firm, has released market reports for the past five years covering issues of compensation, ben- efits packages and career motivation. At the More than 800 healthcare IT profession- since 2014, research shows that over the same allowed employers to identify what consti- end of 2016, the company was acquired and als, made up of consultants (65 percent) and period, job seekers have begun to prioritize tutes a competitive offer for top talent,” merged with Pivot Point Consulting to form full-time employees (35 percent), responded bonuses (28 percent increase), the commute explained Ben Weber, managing partner at Pivot Point Consulting, a Vaco Company. This to the 2016 online survey. (21 percent increase), and challenging and Pivot Point Consulting. “Through our analy- year’s market report reflects its new name, and Health IT professionals are also trending interesting work (17 percent increase). sis of the survey data year over year to cre- marks the first time historical data has been back toward a shorter work week with a 9 “The market reports we’ve published ate this report, workers are empowered to analyzed to identify industry trends, offering percent increase of survey participants work- have provided healthcare IT professionals evaluate their career paths in light of indus- a broader picture of what is happening in the ing 31 to 45 hours. And while factors such an opportunity to benchmark their compen- try trends, which leads to more informed healthcare IT industry, the firm said. as job security have become less important sation packages and skill sets; they have also decision-making.” Q

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ACCELERATING THE VISION ENHANCING CARE 3UHFLVLRQPHGLFLQHLVRQƓUH,QIDFWLWōVJRWWHQ FEATURED SPEAKERS VRELJWKDWDQDO\VWVH[SHFWWKHPDUNHWWR VN\URFNHWSDVWELOOLRQZRUOGZLGHE\ -RKQ+DODPND&,2%HWK,VUDHO $VPRUHKHDOWKFDUHRUJDQL]DWLRQVQDWLRQZLGH 'HDFRQHVV SXWSUHFLVLRQPHGLFLQHLQWRSUDFWLFHWKH Realizing the Promise of Precision Medicine: Obstacles and Opportunities RSSRUWXQLWLHVLWEULQJVIRUGLVHDVHWUHDWPHQW DQGSUHYHQWLRQDUHHQRUPRXV%XWWKH FKDOOHQJHVDUHUHDO /\QGD&KLQ'LUHFWRU,QVWLWXWHIRU +HDOWK7UDQVIRUPDWLRQ7KH The HIMSS Precision Medicine Summit was designed 8QLYHUVLW\RI7H[DV6\VWHP to provide attendees with the insights and tools they Personalizing Precision Medicine and Improving Lives need to address those challenges head on – and take the next steps. 5REHUW*UHHQ0'03+3URIHVVRURI 0HGLFLQH+DUYDUG'LUHFWRU REGISTER NOW *HQRPHV3HRSOH5HVHDUFK3URJUDP theprecisionmedicinesummit.com/boston/2017 Genetic Testing in Healthy Populations 36 PEOPLE www.HealthcareITNews.com | Healthcare IT News | April 2017 ON THE MOVE 3JDIBSE#FTTFS .% OBNFE3PCFSU The American Medical Association tapped Brian D. Vandenberg 8PPE+PIOTPO'PVOEBUJPO$&0 as its senior vice president and general counsel. Russell Rich- , chief health and mond, MD joined PeraHealth Board of Directors. Richmond is the 3JDIBSE#FTTFS .% medical editor for ABC News and former chief executive officer of Advanced Practice Strategies and executive acting director of the Centers for Disease chairman and board director of Validic. Accumen hired three new Control and Prevention, was appointed client delivery leads for its Patient Blood Management team: Lisa president and chief operating officer of Kelly,.YHJL/LÅPUand Carolyn Clancy. Former ONC Privacy #SJBO%7BOEFOCFSH the Robert Wood Johnson Foundation. Chief Lucia Savage was named chief privacy officer of Omada RWJF is the largest charitable founda- Health. Welltok appointed Rob Scavo as president and chief operating officer. tion solely focused on healthcare. Besser MGMA added to its Board of Directors: Mike Biselli, president and succeeds Risa Lavizzo-Mourey, MD, who CEO of Catalyst Health-Tech Innovation; Eric D. Crockett, Health led the organization for 14 years. During Care systems Engineering, Mayo Clinic; Anne C. Hill, CEO Gastro- 3JDIBSE#FTTFS .% that time, Lavizzo-Mourey directed the enterology Associates of the Piedmont, PA; Richard T. Schlosberg, organization’s programming on reducing childhood obesity, promoting MD , pediatrician and co-owner of ABCD Pediatrics in San Antonio; health equity and expanding healthcare coverage. Besser will continue and 1LɈ>PSSPHT:TP[O president and CEO of Piedmont Health- Lavizzo-Mourey’s work on the Culture of Health in America program. care PA in Statesville, NC. 9VUHSK>/VSKLY1Y, vice president 1FUFS&NCJ .% of Baylor Scott & White Health in Temple, TX was named chair of MGMA’s board of directors. Peter Embi, MD joined Signet Accel, a software and *OUFSNPVOUBJOFYFDVUJWF-BVSB,BJTFS services company as chief medical officer. Embi is president and CEO of the Regen- UPUBLFUIFIFMNBU44.)FBMUI strief Institute. WellCare of Georgia named Sonya Nelson as state president. The SSM Health board of directors selected healthcare executive Laura National Patient Safety Foundation appointed Eric Thomas, MD to its advisory Kaiser as its next president and CEO. She will succeed William board. Thomas is a professor of medicine at McGovern Medical School at the Uni- Thompson who is retiring at the end of April. Thompson has been versity of Texas Health Science Center in Houston. Avaap tapped Craig Joseph, MD with the organization for 37 years. Kai- ser, a Missouri native with more than as CMO. Holly Elliot joined HCA Gulf Coast Division as vice president of Women’s 30 years of experience in healthcare, and Children’s Services. President and CEO of Blue Cross Blue Shield Association joins St. Louis, Missouri-based SSM Scott Serota was appointed to the Brain Research Foundation Health from Intermountain Healthcare, board of directors. Intermountain Healthcare appointed Shannon where she has served as executive vice Connor Phillips, MD as chief patient safety and experience officer. president and chief operating officer for Rodney Neal was named vice president of Strategic Program Man- the past five years. Prior to Intermoun- agement for Werum IT Solutions America. HealthSparq appointed tain Healthcare, she held a number of Mark Menton as CEO. Menton served as HealthSparq’s interim leadership roles at Ascension Health CEO since October 2016. (UUH4J*SHɈLY[` joined Health Union -BVSB,BJTFS )PMMZ&MMJPU over 15 years, including serving as as senior vice president of Insights. president and CEO at Sacred Heart Health System.

BENCHMARKS: Patient engagement. demands much more than just patient portals. Effective True empowerment engagement requires WELCOME NEW that many moving parts be made to work together. REPRINTS PAGE 34 CORPORATE MEMBERS Published in partnership with Extend your editorial coverage and leverage THE NEWS SOURCE FOR HEALTHCARE INFORMATION TECHNOLOGY Q MARCH 2017 Diamond www.HealthcareITNews.com HIMSS Media / Vol. 14 No. 3 Google third-party endorsements with high quality www.google.com/health marketing products. Contact us today to learn Platinum Unisys how we can help you promote your success www.unisys.com with marketing products like: GOLD EHRs Evolving Brocade Communication System 3FQSJOUTBOEF1SJOUT Allscripts CEO Paul Black on www.brocade.com interoperability, innovation and staying relevant in a 'SBNFE"XBSET Net worth maturing market. CNSI PAGE 38 ‘Data is the currency of the www.cns-inc.com/ 21st Century,’ says our contributor, offering some %FTLUPQ"XBSET tips on making it pay for your healthcare organization. Epion Health PAGE 22 www.epionhealth.com 1FSNJTTJPO-JDFOTJOH See our ad on page 40 HSTpathways www.hstpathways.com 800-290-5460 I [email protected] I 1LSS`ÄZO/LHS[O http://reprints.ygsgroup.com/m/himssmedia www.jellyfishhealth.com The YGS Group is an authorized partner of HIMSS Media for reprint and award products Measuring Your Technology’s Success Across Healthcare & Health

HIMSS Health IT Value Suite

Meaningful Use ACO Navigator Pathways to Value Value STEPS Fact Finder A starting point toward A collection of plans A health IT value Delivers easily accessible health IT capabilities focused on key areas optimization framework information on Meaningful in an organization’s with high potential for stakeholders formulating Use measures and pursuit of accountable care. for value realization. their value strategies reporting timelines.

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( 1,500 International examples 38 NEWSMAKER www.HealthcareITNews.com | Healthcare IT News | April 2017 IBM CEO Ginni Rometty on AI, advice to young women and more

from banking to automotive to retailing. Q. Do you think artificial intelli- And I’m especially proud that IBM chose to gence will be real, and can it work in start with one of the toughest areas – health- healthcare? care. IBM’s moonshot is to have Watson help A. At IBM, we have already seen that cogni- beat cancer. It is being taught by the very best tive healthcare is real; it is cloud-based, and doctors in the world, from Cleveland Clinic it is already starting to change the way we to Memorial-Sloan Kettering and many oth- approach health. I expect that healthcare ers. We are now able to bring improved can- will be a leader in what we call the “Cog- cer diagnoses to thousands of patients today, nitive Era.” and through our network of hospital partners, It’s important to understand the potential we have extended the same care to remote of AI. We think AI will be involved in every- places that seldom see an oncologist from thing from helping health systems answer rural parts of the U.S. to villages in India. patient inquiries to bringing more resources It’s hard to think of a bigger goal. And to regions that are currently underserved. I that’s the type of thing that keeps me ener- recently came back from trips to India and gized, and makes me proud to be an IBMer. Africa, and there is tremendous potential for cognitive systems to help improve diagnoses Q. What engages you the most about and recommend treatment. your work at IBM? Were there periods We know AI is growing rapidly – but over the years that stood out as par- not all AI is the same. And the term “AI” is ticularly exciting? not adequate and doesn’t really reflect the ‘In our industry, you My brother, my sisters and I all learned just by A. I meet regularly with thousands of our reality of what we need to do. That is why watching her, nothing she ever said. She didn’t employees all over the world, and what we at IBM prefer “cognitive.” What we’re have to keep innovating’ have a college degree, but no money, she had to stands out to me is the creativity we apply building with Watson includes the tech- 98@E#<[`kfi$Xk$CXi^\ do something. For a while, we had to go on food to solving important problems for our clients nologies generally grouped under AI, but 9D:

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IoT Security: Just One Stop on the Roadmap of Enterprise Transformation

A fl exible, virtualized network can support the data demands created by the integration of IoT devices, thus enabling customer-experience solutions to leverage the data in meaningful ways.

By Lea M. Sims Verizon Enterprise Solutions

In this series, we’ve looked at how IoT can transform healthcare and why enterprises In the same manner, when sensor-driven IoT devices enable automated tracking and advancing IoT solutions need to look closely at IoT security when it comes to their IoT alerting in ways that eliminate redundant manual processes, that data informs and devices and connections. IoT testing and certifi cation can go a long way in addressing shapes new workfl ows and streamlines operations. potential data vulnerabilities around IoT connections. Having a long-term roadmap for digital acceleration is critical. If you’re looking to Securing your healthcare enterprise means making sure your data is protected at deploy IoT solutions, you need to position that goal within the larger roadmap of rest and in transit. It means securing all access points—internal, external and cloud. where your organization is going. It starts with asking the right questions: It means having the right identity and access management safeguards in place. And it means securing your machine-to-machine connections. • Can my network support my current and future goals for growth? Can it support the data load of my IoT solutions and the demand for But securing your communication is only one part of much bigger strategy that data by downstream applications? for digital transformation. • Do I have the right security measures in place to safeguard critical Where IoT can streamline operations and deliver meaningful data, it’s only as data at rest and in transit, both within and outside of my organization? eff ective as the infrastructure it’s built upon and the degree to which that data can be leveraged to drive enterprise outcomes. Digital transformation is being driven • Do I need to invest in solutions that virtualize data exchange and by the need to capture, analyze and leverage enterprise and customer data from information sharing so that I can deploy new applications quickly? multiple sources. IoT sensors will increase not only the amount of data being generated but also the demand for business intelligence. • What applications and solutions will best position the data coming from my IoT solutions to streamline my operations and enable better Integrating IoT solutions should be done with an eye on end-to-end capability. patient experiences? Fast, agile networks are critical to enabling timely analysis of sensor-generated data. Nothing is more integral to enterprise operations than communication—how an That means your IoT is only as eff ective as your network is agile. How will you organization enables the free fl ow of information while still addressing data address bandwidth management as demand for data increases? How will you security and information integrity. This means architecting an ecosystem that transform that data into useable information for downstream applications? radically reshapes how people connect to people and how people connect to Supporting a robust IoT strategy will likely require you to virtualize, move information. Therefore, transforming your enterprise to become more responsive data through the cloud and upgrade your network with fl exible solutions like and adaptive to both threat and opportunity has to start with the fundamental software-defi ned networking to enable you to grow with your data. infrastructure that drives communication and collaboration, from the agility of your network to the usability of your patient-experience solutions. If a fl exible, virtualized network can support the data demands of your sensor- driven connections, the right customer experience solutions can leverage that data About the Author: Lea M. Sims, Thought Leadership Strategy, in meaningful ways—to support everything from real-time clinical decision-making Verizon Enterprise Solutions to remote patient monitoring to workforce enablement. Consider the data being captured and automatically analyzed by sensor-based monitoring devices and wearables. Transmitting that information quickly and securely and positioning it in the right application at the right moment in the right hands is the only way those IoT devices can actually make an impact on patient care. When smart home sensors detect a change in patient behavior or activity and that data is analyzed, transmitted securely through the cloud and then delivered to a caregiver’s tablet application, that’s how data becomes information—when it informs and shapes human response and decision-making.

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