THE OFFICIAL NEWS OF WEDNESDAY FEB. 22, 2017 17 HIPAA & BREACH REPORTING PAGE 4 HEALTH IT TRENDS PAGE 49 FHIR & THE ARGONAUT PROJECT PAGE 49 WHICH TOPICS WILL DOMINATE THE CONVERSATION AT HIMSS17? BIG DATA & ANALYTICS 45% INTEROPERABILITY 42% SHOW MACRA / MIPS 22% POPULATION HEALTH 27% PRECISION MEDICINE 18% SECURITY 40% TELEHEALTH 25% VALUE-BASED CARE 31% SOURCE: HEALTHCARE IT NEWS READER SURVEY D FORAILY MORE SHOW COVERAGE SEE DESTINATIONHIMSS.COM EPIC ANNOUNCEMENT REPLACING THE AFFORDABLE CARE ACT MIKE LEAVITT BELIEVES CHANGES WILL BE DEFERRED FOR TWO TO FOUR YEARS AFTER ANY REPEAL. PAGE 8 JUDY FAULKNER UNVEILS TWO NEW EHR VERSIONS. PAGE 8 SOCIAL HURDLES DOCS NEED TO TREAD CAREFULLY WITH PLATFORMS LIKE TWITTER. PAGE 54 STEVE LIEBER AND MIKE LEAVITT MICHAEL RUTTY ATTACHING VALUE TO DATA AN EHR HEADACHE? ALL ABOUT REIMBURSEMENT Payers seek ways to quantify AMA’s CMIO says technology is CMS officials unpack MIPS use of data. page 4 falling short. page 51 categories. page 53 A COORDINATED CARE EXPERIENCE MATTERS. Our powerful healthcare solutions keep providers and patients all on the same page. Because connected care is the best care. Learn more at InterSystems.com/himss17 FHIR-SIDE CHAT AT THE INTERSYSTEMS HIMSS17 BOOTH 1561: Dr. Russell Leftwich, Senior Clinical Advisor for Interoperability, InterSystems Wednesday, February 22, 12:00 p.m. - 1:00 p.m., Booth 1561 SPONSORED ADVERTORIAL Democratizing data to transform population health and care Serving more than 700,000 patients in the East of England, Lincolnshire Health and Care (LHAC) combines 13 health and social care organizations, including mental health and community services. LHAC’s Gary James explains how the county’s new integrated Care Portal system, based on InterSystems HealthShare®, is helping transform healthcare for an aging and widely dispersed population. Why introduce the Care Portal now? Clearly these effi ciencies will have a monetary value, but more The challenges we are facing today in Lincolnshire are similar importantly, the system frees the clinician to treat more patients, to those of health systems around the world. We need to deliver while also improving performance. We expect it to have a huge sustainable services for a rapidly aging population. impact supporting shared care planning for conditions like diabetes or end-of-life care, where multidisciplinary teams Almost 10 percent of the county is more than 75 years old. More are involved. than 14 percent of our population lives in some of England’s poorest areas, where lifestyle conditions like heart disease and On its own, the Care Portal is unlikely to completely transform diabetes are forcing us to reconsider how and where we deliver the way we work. But we view it as an important fi rst step services. And like many providers, we’re working within toward achieving our shared vision for LHAC. increasingly stretched budgets. What is that vision? We need to provide high-quality patient care while also delivering One of the most important challenges for local healthcare effi ciencies, but be intelligent about changing services. Making organizations is to work together. The structure of our LHAC Gary James arbitrary cuts often creates new problems, so we’re taking a partnership enables us to create systemwide strategy change Lincolnshire Health and Care diff erent approach – putting information sharing at the heart with clinicians at the center. Our own research and key policy of our plans. drivers highlight how a shared care record reduces risk, improves decision-making and helps avoid duplication and waste. How will a shared record transform clinical care? “We are Some of our GP practices report more than 15 percent Also, we want patients to do more than consent to their prevalence of diabetes, with patients regularly moving among information being shared by healthcare professionals. Our aim is confi dent that diff erent healthcare providers. As a result, patient data could be to involve patients in their own care. In the future, the new system fragmented even in the same hospital, where there can be up will include an online portal giving patients access to their health our shared to 50 data sources. When we look at the health and social care information across multiple care providers. In time, they will also environment in the county, there are potentially hundreds of be able to share their records with friends, family, and caregivers. care record data sources. It’s easy to get carried away with possibilities. In developing The Lincolnshire Care Portal sits outside organizational silos. the Care Portal, we’re investing in our system, our staff , and our will enable us It is an end-to-end system where clinicians across Lincolnshire patients. In so many cases, the drive to save money can result in view the entire patient journey through a shared care record declining standards of care. In Lincolnshire, we are confi dent that to establish in real time, including current prescriptions and medical history. our shared care record will enable us to establish a more joined up, sustainable health and care system. a more But will the new portal save money? The driving force for LHAC is to identify programs that will both joined up, improve outcomes and save money. We estimate that we will save up to £23 million ($24 million) over fi ve years – in part by avoiding duplicate tests and X-rays. sustainable More importantly, a majority of the savings will be in time rather health and than cash. For example, a hospital pharmacist can take up to 30 minutes to review a patient’s current and past drug regimen. care system.” With the Care Portal, this can be done in seconds. Visit us at booth #1561 About InterSystems InterSystems is the engine behind the world’s most important applications. In healthcare, fi nance, government, and other sectors where lives and livelihoods are at stake, InterSystems is the power behind what matters. Founded in 1978, InterSystems is a privately held company headquartered in Cambridge, Massachusetts (USA), with offi ces worldwide, and its software products are used daily by millions of people in more than 100 countries. For more information, visit InterSystems. com/himss17. 17 / TODAY AT HIMSS When it comes to HIPAA guidance on Payers seek breach reporting, confusion reigns ways to attach Improper breach reporting can be costly, so it’s crucial value to data organizations show their work to Orion Health’s Dave Bennett says, ‘Data is avoid fines. 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