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Exploring the Use of Technology and Innovation to Create Efficiencies and Higher Quality in Health Care

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Exploring the Use of Technology and Innovation to Create Efficiencies and Higher Quality in Health Care EXPLORING THE USE OF TECHNOLOGY AND INNOVATION TO CREATE EFFICIENCIES AND HIGHER QUALITY IN HEALTH CARE HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON WAYS AND MEANS U.S. HOUSE OF REPRESENTATIVES ONE HUNDRED FOURTEENTH CONGRESS SECOND SESSION SEPTEMBER 14, 2016 Serial No. 114–HL11 Printed for the use of the Committee on Ways and Means ( U.S. GOVERNMENT PUBLISHING OFFICE 22–232 WASHINGTON : 2017 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 I:\WAYS\OUT\22232.XXX 22232 COMMITTEE ON WAYS AND MEANS KEVIN BRADY, Texas, Chairman SAM JOHNSON, Texas SANDER M. LEVIN, Michigan DEVIN NUNES, California CHARLES B. RANGEL, New York PATRICK J. TIBERI, Ohio JIM MCDERMOTT, Washington DAVID G. REICHERT, Washington JOHN LEWIS, Georgia CHARLES W. BOUSTANY, JR., Louisiana RICHARD E. NEAL, Massachusetts PETER J. ROSKAM, Illinois XAVIER BECERRA, California TOM PRICE, Georgia LLOYD DOGGETT, Texas VERN BUCHANAN, Florida MIKE THOMPSON, California ADRIAN SMITH, Nebraska JOHN B. LARSON, Connecticut LYNN JENKINS, Kansas EARL BLUMENAUER, Oregon ERIK PAULSEN, Minnesota RON KIND, Wisconsin KENNY MARCHANT, Texas BILL PASCRELL, JR., New Jersey DIANE BLACK, Tennessee JOSEPH CROWLEY, New York TOM REED, New York DANNY DAVIS, Illinois TODD YOUNG, Indiana LINDA SA´ NCHEZ, California MIKE KELLY, Pennsylvania JIM RENACCI, Ohio PAT MEEHAN, Pennsylvania KRISTI NOEM, South Dakota GEORGE HOLDING, North Carolina JASON SMITH, Missouri ROBERT J. DOLD, Illinois TOM RICE, South Carolina DAVID STEWART, Staff Director NICK GWYN, Minority Chief of Staff SUBCOMMITTEE ON HEALTH PATRICK J. TIBERI, Ohio, Chairman SAM JOHNSON, Texas JIM MCDERMOTT, Washington DEVIN NUNES, California MIKE THOMPSON, California PETER J. ROSKAM, Illinois RON KIND, Wisconsin TOM PRICE, Georgia EARL BLUMENAUER, Oregon VERN BUCHANAN, Florida BILL PASCRELL, JR., New Jersey ADRIAN SMITH, Nebraska DANNY DAVIS, Illinois LYNN JENKINS, Kansas JOHN LEWIS, Georgia KENNY MARCHANT, Texas DIANE BLACK, Tennessee ERIK PAULSEN, Minnesota ii VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22232.XXX 22232 C O N T E N T S Page Advisory of September 14, 2016 announcing the hearing .................................... 2 WITNESSES Paul Black, Chief Executive Officer, Allscripts ..................................................... 26 Michael Gallup, President, TeleTracking Technologies ........................................ 10 Greg Long, Chief Medical Officer, Senior Vice President, Systems of Care, Thedacare ............................................................................................................. 35 Jared Short, President and Chief Operating Officer, Cambia Health Solutions 19 SUBMISSIONS FOR THE RECORD Patient Flow Quarterly ........................................................................................... 68 HiMSS ...................................................................................................................... 79 Alliance for Home Dialysis ...................................................................................... 81 American Psychiatric Association .......................................................................... 85 Cape Fear Valley Health System ........................................................................... 88 TeleTracking Technologies ...................................................................................... 91 CHiME ...................................................................................................................... 104 International Association of Fire Chiefs ................................................................ 108 NACDS ..................................................................................................................... 111 nhe ............................................................................................................................ 117 RCSPG ...................................................................................................................... 119 Carilion Clinic .......................................................................................................... 123 QUESTIONS FOR THE RECORD The Honorable Tom Price ....................................................................................... 63 iii VerDate Sep 11 2014 09:29 May 03, 2017 Jkt 022232 PO 00000 Frm 00003 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22232.XXX 22232 VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00004 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22232.XXX 22232 EXPLORING THE USE OF TECHNOLOGY AND INNOVATION TO CREATE EFFICIENCIES AND HIGHER QUALITY IN HEALTH CARE WEDNESDAY, SEPTEMBER 14, 2016 HOUSE OF REPRESENTATIVES, COMMITTEE ON WAYS AND MEANS, SUBCOMMITTEE ON HEALTH, Washington, D.C. The subcommittee met, pursuant to call, at 10:05 a.m., in Room 1100, Longworth House Office Building, Hon. Pat Tiberi [chairman of the subcommittee] presiding. [The advisory announcing the hearing follows:] (1) VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00005 Fmt 6633 Sfmt 6633 I:\WAYS\OUT\22232.XXX 22232 2 <¥) WAYS AND MEANS CHAIRMAN KEVIN BRADY Chairman Tiberi Announces Hearing on Exploring the Use of Technology and Innovation to Create Efficiencies and Higher Quality in Health Care House Ways and Means Health Subcommittee Chaim1an Pat T iberi (R-OH) announced today that the Subcommittee will hold a hearing on Exploring the Use of Technology and Innovation to Create Etliciencies, Higher Quality, and Better Access for Beneficiaries in Health Care. The hearing will take place on Wednesday, September 14, 2016 in I 100 Longworth House Office Building, beginning at 10:00 AM. In view of the limited time to hear witnesses, oral testimony at this hearing wi ll be from invited witnesses only. However, any individual or organization may submit a written statement for consideration by the Committee and for inclusion in the printed record of the hearing. DETAILS FOR SUBMISSION OF WRITTEN COMMENTS: Please Note: Any person(s) and/or organization(s) wishing to submit written comments fo r the hearing record must follow the appropriate link on the hearing page of the Committee website and complete the informational fom1s. From the Committee homepage, h!!P-:1/waysandmeans.house.gov, select "Hearings." Select the hearing for which you would like to make a submission, and click on the link entitled, "Click here to provide a submission for the record." Once you have followed the online instructi ons, submit all requested information. ATTACH your submi ssion as a Word document, in compliance with the formatting requirements listed below, by the close of business on Wednesday, September 28,2016. For questions, or if you encounter technical problems, please call (202) 225-3943. FORMATTING REQUIREME 'TS: The Committee relies on electronic submi ssions fo r printing the official hearing record. As always, submissions wi ll be included in the record according to the discretion of the Committee. The Committee will not alter the content of your submission, but we reserve the right to format it according to our guidelines. Any submission provided to the Committee by a witness, any materials submitted for the printed record, and any written comments in response to a request for written comments must conform to the gu idelines listed below. Any submission not in compliance with these guidelines will not be printed, but will be maintained in the Committee files for review and use by the Comm ittee. VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00006 Fmt 6633 Sfmt 6633 I:\WAYS\OUT\22232.XXX 22232 Insert 22232.001 3 All submissions and supplementary materials must be submitted in a single document via email, provided in Word format and must not exceed a total of I 0 pages. Witnesses and submitters are advised that the Committee relies on electronic submissions for printing the official hearing record. All submissions must include a list of all clients, persons and/or organizations on whose behalf the witness appears. The name, company, address, telephone, and fax numbers of each witness must be included in the body of the email. Please exclude any personal identifiable information in the attached submission. Fail ure to fol low the formatting requirements may resul t. in the exclusion of a submission. All submissions for the record are final. The Committee seeks to make its faci lities accessible to persons with disabilities. If you arc in need of special accommodations, please call 202-225- 1721 or 202-226-34 11 TTDfTTY in advance of the event (four business days notice is requested). Questions with regard to special accommodation needs in general (including availabi lity ofConunittee materials in alternative formats) may be directed to the Committee as noted above. Note: All Committee advisories and news releases are available at http://www. waysandmeans.house.gov/ f VerDate Sep 11 2014 12:30 May 01, 2017 Jkt 022232 PO 00000 Frm 00007 Fmt 6633 Sfmt 6602 I:\WAYS\OUT\22232.XXX 22232 Insert 22232.002 4 Chairman TIBERI. The subcommittee will come to order. Wel- come to the Ways and Means Subcommittee on Health hearing on exploring the use of technology and innovation to create effi- ciencies, higher quality, and better access for beneficiaries
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