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, (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. By Jessica Davis going to drive healthcare.’ By Susan Morse ORLANDO — IF YOU HANDLEABREACHTHEWRONGWAY ITWILLCOSTYOURORGANIZATION(OWEVER IFYOUDO ORLANDO — EVERYONE WANTS DATA,BUTTHEMOREELUSIVEGOAL SECURITYRIGHT THOSEFUNDSINSTEADWILLGOTOWARD ISGETTINGVALUEOUTOFTHATDATA ACCORDINGTO*OHN7ALSH IMPROVINGYOURORGANIZATIONANDPATIENTCARE CHIEFTECHNOLOGYOFFICERFOR(ORIZON"#"3OF.EW*ERSEY !DAM'REENE APARTNERATLAWFIRM$AVIS7RIGHT h2EALIZINGTHEVALUEOFHEALTH)4 WERESEEINGPROMISING JOHN WALSH 4REMAINE ISAFORMERREGULATORATTHE53$E TRENDSANDACTUALRESULTSHERE 7ALSHSAID PARTMENTOF(EALTHAND(UMAN3ERVICES(EWAS $AVE"ENNETT EXECUTIVEVICEPRESIDENT PRODUCTAND RESPONSIBLEFORDETERMININGHOW()0!!RULESAPPLY STRATEGY FOR/RION(EALTH SAIDHESNOTTHEFIRSTPERSONTO h$ATAPLAYSAHUGEPARTINTRYINGTOUNDERSTANDWHATS TOBOTHNEWANDEMERGINGHEALTHCARETECHNOLOGIES SAYSOFTWAREISADRUG GOINGON vHESAID "UT'REENESNOTCONVINCEDTHEINDUSTRYISANYCLOSER h7ETHINKDATAISGOINGTODRIVEHEALTHCARE v"ENNETT !NOTHERQUESTION POSSIBLYFORFUTUREATTORNEYS ISWHO TOUNDERSTANDINGWHATCONSTITUTESA()0!!VIOLATION SAIDh(EALTHCAREISGOINGTOBEAMATHPROBLEMv OWNSTHATDATA THESPEAKERSSAID WHENTHOSEDEVICESAREBREACHEDANDE0()ISEXPOSED 4OGETTOALONGITUDINALPATIENTRECORD ONEWHICHLOOKS (ORIZONCOVERSABOUTPERCENTOFTHE.EW*ERSEY h4HECHALLENGEISTHATTOTHISDAY THERESNOONEWAYTO ATTHEENTIREPATIENTANDRECORD SYSTEMSNEEDTECHNOLOGY MARKET ANAREAWITHTHEHIGHESTPREMIUMSINTHECOUNTRY DESCRIBEACOMPROMISEANDDETERMINEWHATTHATMEANS TOHANDLEANDSTOREDATA WHERETHECOSTOFCAREISSKYROCKETING ANDTHERESANOUT INPRACTICE v'REENESAIDh4HERESNOONECONSENSUSv 4HISISGETTINGMOREIMPORTANTASHEALTHCAREMOVESTO OF NETWORKCHALLENGEBEINGNEXTDOORTO-ANHATTAN h&OREXAMPLE IFSOMEONELOOKSATINFORMATIONBUT AWORLDOFCONSUMERIZATION$IGITALTHERAPIESNOWCAN 7ALSHSEESALOTOFWASTEINTHEMARKET(EBELIEVES DOESNTDOANYTHINGWITHIT ISITACOMPROMISE v PREDICTWHOISATRISKFORAHEARTATTACKBYTHESOUNDOFA PERCENTOFSPENDISAWASTE PATIENTSVOICE ACCORDINGTO"ENNETT (ORIZONBEGANMOVINGINTOVALUE BASEDCAREIN 4HEREAREFIVEELEMENTSOFABREACH (ORIZONHASBEENPARTNERINGWITHPROVIDERSTOAGGREGATE ANDCURRENTLYHASABOUTBUNDLESACROSSNINESPECIALTIES 0ROTECTEDHEALTHINFORMATION DATAANDANALYZEIT 7ALSHSAID )THASSEENSIGNIFICANTIMPROVEMENTTHROUGHTHE!#/S 5NSECURED0() 4HERESAFOCUSONWELLNESSMETRICSFORTHEIRPATIENT CEN 7ALSHSAID )MPERMISSIBLEUSEORDISCLOSUREOF0() TEREDPEDIATRICPROGRAM4HEREARENOSPECIFICPROGRAMS 4HERESULTIS%2VISITSAREDOWNPERCENT THETOTALCOST 4HREESTATUTORYEXCEPTIONS AROUNDCHILDHOODOBESITY BUTMEASURINGWEIGHTLEADSTO OFCAREISDOWNPERCENT HOSPITALADMISSIONSPERCENT 7HATSTHEPROBABILITYOFCOMPROMISEDETER CONVERSATIONS 7ALSHSAID ANDTHEREAREBETTERCONTROLSFORDIABETESANDSCREENINGS MINEDTHROUGHABREACHRISKASSESSMENT )TBOILSDOWNTOTHIS)SSOMEONEVIEWING0() WITHINANORGANIZATION ANDDOESTHATPERSONHAVE THERIGHTSTODOSO 'REENEEXPLAINED 7HATBECOMESACHALLENGEISTHENEWRANSOMWARE GUIDANCERELEASEDBY((3/FFICEFOR#IVIL2IGHTSIN *ULYTHATDETERMINEDRANSOMWARETOBEAhDISCLOSUREOF INFORMATIONv'REENESAIDTHATALTHOUGHHACKERSMAY HAVETAKENOVERTHESYSTEMBUTHAVENTVIEWEDTHEDATA EVENWITHOUTEXFILTRATION RANSOMWAREREPRESENTSDIS CLOSURE5NDER()0!! DISCLOSURECONSTITUTESABREACH h4HISREALLYDOESREPRESENTACHANGEINBREACH REPORTINGANDHOWORGANIZATIONSVIEWWHATCONSTITUTESA BREACH v'REENESAIDh%VENTHOUGHTHEREAREEXCEPTIONS TOTHEDISCLOSUREANDALOWPROBABILITYOFCOMPROMISE THEREGULATIONSDONTMAKETHATDISTINGUISHABLEv ((3BLURREDTHELINESWITHTHISGUIDANCE 'REENE EXPLAINEDh%VERYTIMEYOUHAVERANSOMWARE YOU HAVEABREACH UNLESSYOUCANDEMONSTRATEOTHERWISEv 4OREDUCECONFUSION ORGANIZATIONSSHOULDFOCUS ONSHOWINGTHEWORKTODEMONSTRATEACTIONSONHOW ITREACTEDTOABREACH HECONTINUED HIMSS Women in Health IT convened its second roundtable on Tuesday at HIMSS17. This year featured the h)TSLESSIMPORTANTTOGETTHERIGHTANSWERTHANTO winners of the inaugural HIMSS Most Influential Women in Health IT Awards. Also participating were the judg- SHOWYOURWORK3HOWINGYOURWORKISCRUCIAL vSAID es, tapped by HIMSS Executive Vice President Carla Smith (top right). The discussion centered around topics 'REENE!NDJUSTBECAUSEANOTHERORGANIZATIONWITHA such as what advice would you give to young women coming up in the path behind you? Why are the awards SIMILARINCIDENTCOMESUPWITHSOMETHINGDIFFERENT IT important, and what does receiving one mean to you? DOESNTNECESSARILYMAKEANORGANIZATIONSDECISIONWRONG ,ASTLY OFTENINCIDENTSDONTNECESSARILYINVOLVE JUSTONEDISCLOSURE ITCANINVOLVEMANY'REENESAID THOROUGHLYINVESTIGATINGANINCIDENTISIMPERATIVE ON THE HIMSS EXHIBIT FLOOR VISIT SPECTRUM MEDICAL, INC. BOOTH 3088

4 Wednesday, February 22, 2017

Don’t just connect. Let connectivity drive innovation.

To keep pace with the connected world, you need an agile infrastructure, the right collaboration tools and the ability to leverage the information you’re collecting.

Organizations that harness that data are making smarter, faster decisions—improving business and their patients’ lives.

Transforming healthcare through connected technology at booth 761.

© 2017 Verizon. All rights reserved. SPONSORED ADVERTORIAL The adaptive healthcare enterprise

Shawn Hakl, vice president, product and new business innovation, Verizon Enterprise Solutions, is responsible for the security, IP networking and managed services products that Verizon delivers to enterprise, small/medium business, wholesale and partner customers. He discusses the concept of the adaptive healthcare enterprise.

What is driving digital transformation in operations, expertise to operate at scale and the ecosystem healthcare? needed to take maximum advantage of the benefi ts of the While security and privacy continue to dominate enterprise technology. Managing SD WAN environments requires advanced priorities, adoption of high-bandwidth applications such as analytics in application policy performance. Verizon’s services telemedicine and EMR/EHR infrastructure are driving the need for deliver on the technology, expertise and governance for our an effi cient delivery of business critical applications. We have seen global enterprise customers for an end-to-end solution in the rise of healthcare exchanges and mobile clinics, which managing SD WAN environments. promote collaboration among institutions and sharing of information. Further, the IoT (Internet of Things) phenomenon has How is the adoption of the technology? stormed healthcare with new medical devices generating high Customer response has been very positive. Since the launch of demands for real-time data. Verizon’s SD WAN service in 2015, we have seen enterprises globally making SD WAN the foundation of their network How does SD WAN deliver on the digital transformations strategy. Not only have we already deployed transformation for Healthcare? SD WAN solutions spanning multiple vendors, we have Shawn Hakl When people think about IoT and healthcare, they might fi rst operationalized the deployments at scale and are continuing to Verizon Enterprise Solutions think SD WAN drives agility to help meet business outcomes for evolve the maturity of SD WAN solutions. Verizon has M&A deals, business partnerships and cloud/IoT adoption by successfully deployed SD WAN solutions to thousands of “We have seen leveraging key technology benefi ts of network segmentation locations globally for enterprises, and we expect this trend to and the effi cient delivery of applications. M&A deals can be increase in 2017. Interestingly, it’s the larger, more conservative integrated much more quickly as a result of the overlay institutions that are adopting fi rst, unlike what we see with other the rise of networks created by SD WAN instead of the traditional approach technologies. In this specifi c sector, we have deployed at scale of requiring network engineering teams to integrate the for one of the largest health and safety organizations globally, healthcare infrastructure. As medical applications are virtualized and as well as a few other Fortune-50 healthcare and global Pharma migrated to the cloud, SD WAN enables building overlay companies. exchanges and networks and extending security functions to cloud centers quickly while managing performance to these applications. How does enterprise transformation at the network mobile clinics, Rapidly deploying secure network segmentation also benefi ts level connect to healthcare’s primary goals of smaller radiology groups and business partners who don’t have addressing cost, quality, and access to care? EMR/EHR to connect and access larger hospital networks. While payers and pharma have always operated with an which promote enterprise mindset, provider organizations, hospitals and Adoption of IoT in medical equipment generally suff ers from integrated delivery networks have made that transition more collaboration huge bursts in bandwidth consumption that’s critical for real-time slowly – learning how to navigate the balance beam between care. SD WAN not only manages bandwidth utilization but is healthcare as a service and healthcare as a business. A great among further enhanced by Verizon’s integration to bandwidth deal of organizational focus for those businesses has on-demand services off ered via Dynamic Bandwidth. understandably been directed at transformation in care delivery institutions and models and compliance requirements. Innovation has been Why is SD-WAN foundational to enterprise focused on interoperability, disease management, sharing of transformation and how is Verizon well positioned telemedicine, remote patient monitoring, wellness and other to lead this for enterprises? solutions aimed purposefully at improving care outcomes. But Network, compute and storage are three pillars of enterprise innovation at the edge starts with innovation at the core. All of information” infrastructure. Many of the innovations that have transformed the that care-centric and compliance-centric innovation is compute environment are being adopted to make networking predicated on the assumption of fast, reliable connectivity, more agile and secure. SD WAN has propelled this innovation seamless interoperability, end-to-end security, real-time and transformed the network infrastructure. SD WAN delivers on collaboration and mobility. The backbone of all of this is a the agility required to provide clear business value by allowing responsive, agile network that can adapt to the evolving needs for an intelligent trade-off between performance, cost and of your organization. security for each individual application. Verizon’s service off ering for SD WAN delivers the advisory services to implement the

Visit us at booth #761 About Verizon Enterprise Solutions Verizon Enterprise Solutions helps clients improve customer experience, drive growth and business performance and manage risk. With industry-specifi c solutions provided over the company’s secure mobility, cloud, strategic networking, Internet of Things and advanced communications platforms, Verizon Enterprise Solutions helps open new opportunities around the world for innovation, investment and business transformation. Visit www.verizonenterprise.com to learn more. 17 / TODAY AT HIMSS Mike Leavitt: ACA repeal likely to defer change for two to four years The former HHS secretary says value-based care is likely to remain as a core principle of new legislation. By Tom Sullivan

ORLANDO — MIKE LEAVITT,THEFORMER5TAHGOVERNORAND(EALTH AND(UMAN3ERVICESSECRETARY SAIDTHENEWADMINISTRATIONWILL REPEAL0RESIDENT/BAMAS!FFORDABLE#ARE!CTBY!PRIL"UTTHAT LEGISLATIONWILLLIKELYDEFERCHANGESFORTOYEARS h4HEREISASCLOSETOAPOLITICALIMPERATIVEASCANBEESTABLISHED FOR#ONGRESSTODOSOMETHING v,EAVITTSAIDHEREATTHE()-33 (8EXECUTIVEBREAKFASTON4UESDAYh4HERESNOWAYTHEYCAN PRETENDTHE;!#!=DIDNTEXISTv ,EAVITTSAIDTHAT#ONGRESSANDTHE4RUMPADMINISTRATIONWILL NEEDTOFIGUREOUTTHEINDIVIDUALMANDATE SORTOUT-EDICAIDEXPAN SIONANDKEEPINMINDTHEIRCOMMITMENTTONOTTAKEINSURANCEAWAY FROMTHEMILLION!MERICANWHOENROLLEDUNDER/BAMACARE h4HEYRELIKELY GOINGTOBUILDON MIKE SOMETHINGSTHAT LEAVITT ARENOTNECESSAR ILYANATHEMATO Epic CEO Judy Faulkner THE2EPUBLICAN IDEOLOGY v,EAVITT reveals two new EHR versions SAIDh4HERESA LOT2EPUBLICANS WILLBUILDON are in development CHANGEANDHELP The new versions will provide pathways for providers who don’t need FULLYIMPROVEv "OTHPARTIES By Bernie Monegain the full version of Epic. FORINSTANCE AGREE ONCORETENETSn ORLANDO — WHAT A DIFFERENCEONEYEARCANMAKE)N HOUSEh#ABOOBLEvAND&AULKNERISNOWWORKINGON VALUE BASEDCARE THEWORLDOF%PICFOUNDERAND#%/*UDY&AULKNER +ITnASIN+IT#ABOODLEh+ITISMAKINGEVERY NEEDSTOREPLACE WHERECREATINGNEWTECHNOLOGYMEETSWITHADELIGHT THINGVERYOPEN v&AULKNERSAID FEE FOR SERVICE FORWORDS WASAPRODUCTIVEANDREWARDINGYEAR &AULKNERSEEMSTORELISHHERWORKANDISBUOYEDBY COORDINATEDCAREIS (OWSO IT)STHEREANYTIMEWHENITBECOMESAGRIND BETTERTHANUNCOOR h7EREDEVELOPINGSOMEREALLYNIFTYNEWSOFTWARE v h3OMEPARTSDO vSHEREPLIEDh3OMETIMESWHAT DINATEDCARE AND SHETOLD(EALTHCARE)4.EWSON3UNDAYAFTERAT BECOMESAGRINDISNOTTHEWORKITSELF BUTHOWLONG COSTSHAVETOBE TENDINGTHEDAYLONG#()-% ()-33#)/&ORUM ITTAKESANDHOWMUCHOFMYLIFEITTAKESANDHOW BROUGHTDOWN AT()-33 LITTLE)HAVEFOROTHERTHINGSv 2EPEALISONE h4HERESGOINGTOBETHREEVERSIONSOF%PIC v (OWEVER THEREAREREWARDSnFOREXAMPLE KNOWING PARTOFTHEPROCESS &AULKNERSAIDh4HATSWHATWEREWORKINGONNOW THATTHEREARESOMANYDRUG TO DRUGINTERACTIONSnA AND,EAVITTSAID 4HERES%PIC3ONNETv3HEPAUSESTONOTETHATAN QUARTERMILLIONnAVERTEDTHROUGH%PICSYSTEMALERTS THATREPLACINGTHE hEPICvISALONGPOEMnASIN(OMERS@/DYSSEY!S 3HESALSOPLEASEDTHAT%PICCUSTOMERSHAVEDONE LAWWITHANOTHERISAFIVE PHASEPROCESSBEGINNINGWITHTHEBUDGETRES SHEPUTIT hEVENTHOUGHWERECOMPUTERSCIENTISTS WE WELLFINANCIALLY SHESAID9ES %PIC%(2INSTALLATIONS OLUTION MOVINGONTOEXECUTIVEORDERSANDRULES THENTHEBILLTOACTUALLY CANSTILLBELITERATEv AREKNOWNTOCOSTMILLIONSOFDOLLARS"UT &AULKNER REPEALTHE!#!/NCETHATHAPPENS #ONGRESSWILLCREATEWHAT,EAVITT 3ONNET SHESAID ISTHESMALLERPOEM3HEDE HASDONETHEMATHANDCREATEDCHARTS/VERTHEYEARS CALLED2EPLACE FOLLOWEDBY2EPLACE SCRIBES3ONNET WHICHISNOWINDEVELOPMENT AS%PIC TO ANDACROSSALLHEALTHCAREORGANIZATIONS 7HEREAS,EAVITTSAIDTHEBUDGETRESOLUTIONHASALREADYHAP TECHNOLOGYWITHSOMEOFTHEFEATURESREMOVED)THASA SHEBELIEVESTHAT-OODYSAND3TANDARD0OORS PENEDANDTHATHEEXPECTSTHEREPEALBILLBY!PRILSEND HEDOESNT LOWERPRICEPOINT ANDITCANBEJUSTTHERIGHTTECHNOLO STATISTICSDEMONSTRATETHAT%PICCUSTOMERSREAPED THINKTHATPARTOFTHEPROCESSWILLHAVEANIMMEDIATEIMPACT GYFORORGANIZATIONSTHATDONTNEEDTHEFEATURESOFTHE PROFITABILITYUNSURPASSEDBYCLIENTSWHOIMPLEMENTED h4HEREALITYISTHATITSNOTGOINGTOUNFOLDRAPIDLY vHESAID CITING FOR FULL%PIC%(24HEN THERESYETANOTHERVERSION ONE HERCOMPETITORS%(2S EXAMPLE THEPOTENTIALAPPROACHTOUSETAXCREDITSTOREPLACETHE!#!AS BETWEENTHEFULL%PIC%(2ANDTHE3ONNET"OTHWILL &OR&AULKNER WASAVERYGOODYEAR INDEED&ROM SOMETHINGTHATWOULDTAKETHE)23ACOUPLEYEARSTOPREPAREFOR PROVIDEAPATHTOWARDUPGRADINGTOTHEFULLPRODUCT *UNETHROUGH$ECEMBER FAMILYMEMBERSFROMAROUND 7HICHISWHYWHEN#ONGRESSREPEALSTHE!#! ,EAVITTEXPECTS h7EREFINDINGTHATPEOPLENEEDDIFFERENTTHINGS v THEWORLDVISITEDHERANDHERHUSBANDIN-ADISON SHE ITTODEFERTHEIMPLEMENTATIONDATEFORTWOTOFOURYEARS SHESAIDh3O IFYOUAREACRITICALACCESSHOSPITAL ENGAGEDINWORKSHELOVED ANDSHEWASOFTENINSPIRED h)FYOUAREDEFERRINGIMPLEMENTATIONDATESFORAWHILE SOMETIMES YOUDONTNEEDTHEFULL%PIC4HETWONEWVERSIONS 7HOINSPIREDHERTHEMOSTINTHEPASTYEAR )TWAS THOSECANSLIDE v,EAVITTSAIDh4HISISGOINGTOGOONFORAWHILEv OF%PICINDEVELOPMENTCANPROVIDEAPATHWAYTO -ONA(ANNA !TTISHA -$ THEDOCTORWHOˆWITHTHE (EALTHCAREISNOTUNIQUEINTHATSENSEAND INFACT ,EAVITTSAID ADDINGALLTHEFEATURESATALATERTIMEv HELPTHE%PIC%(2AT(URLEY-EDICAL#ENTERIN&LINT THEINDUSTRYISYEARSINTOA YEARTRANSITIONTOVALUE BASED !NDTHENTHERESh#ABOODLEvnTHENAMEOF%PICSDATA -ICHIGANˆDISCOVEREDTHEEXTENTOFTHE&LINTWATERCRISIS PAYMENTSTHATBEGANWITH$2'SINTHES WAREHOUSEh)DONTLIKEBORINGWORDS v&AULKNERSAID h)FWEDIDNOTHAVE%PIC IFWEDIDNOTHAVE h7EOUGHTTOTHINKOFTHISNOTAS/BAMACAREVS4RUMPCARE v,EAVITT 4HETRADENAMEFORTHESETOOLSUSEDTOBE#OGITO %-2S IFWEWERESTILLONPAPER ITWOULDHAVETAKEN SAIDh)TSITERATIVE AND)HAVESOMEOPTIMISMWEREMOVINGINTHERIGHT FROMTHE,ATINPHRASEhERGOSUMvnh)THINK THEREFORE FOREVERTOGETTHESERESULTS v(ANNA !TTISHAWAS DIRECTION!MERICANHEALTHCARESYSTEMWILLBEABETTERPLACEv )AMv)NMID  %PICRENAMEDTHEDATAWARE QUOTEDASSAYING

8 Wednesday, February 22, 2017 communications workflow CONNECTING People and Information

r On Call Schedules (Mobile and Web) r Middleware: HL7 Notifications/EMR Updates Alarm Notifications Nurse Call Notifications RESTful API r Attendant Consoles and Call Center Agents r Secure Text Messaging r Scripted Code Calls r Reporting Dashboard

Stop by Booth #6453 and 888 – Enter to Win a Toolbox! Booth 6453 Presentation Schedule Monday 11:30 1:00 3:00 4:30 Tuesday 11:00 1:00 3:00 4:30 Wednesday 11:00 1:00 2:30 Celebrating 22 years at HIMSS Win this or a similar model Visit 1call.com/himss17 up to a $500 value. Advancing healthcare every day.

Today, delivering the best possible health outcomes requires tapping into an increasingly complicated and diverse range of partners and technologies. All while maintaining current with both changing regulations and evolving health consumer expectations.

At Conduent, we specialize in advancing innovation and new ideas to help providers, payers and other healthcare professionals modernize healthcare delivery by enabling meaningful connections across the ecosystem. That’s why almost 40% of US hospitals turn to us every day for help with Health Technology Adoption, Clinical Analytics & Strategy and Consumer Engagement.

In a world where modern, digital and personalized interactions are expected every day, the healthcare industry relies on Conduent.

HIMSS Booth 951 conduent.com/HIMSS Technology. Operations. Process.

©2017 Conduent Business Services, LLC. All Rights Reserved. Conduent™ is a trademark of Conduent Business Services, LLC in the United States and/or other countries. SPONSORED ADVERTORIAL

Getting the most out of your EHR implementation and adoption

Healthcare organizations invest a lot of time and money in their electronic health records (EHRs). Heather Haugen, PhD, vice president of Healthcare Provider Solutions at Conduent and the creator of the Breakaway learning methodology, discusses how organizations can reap the benefi ts of their technology.

Healthcare organizations invest a lot of money The fi rst is that the people who are communicating the change – in technology. Do you believe those investments those who are helping others through the change – really have are paying off for them? to understand what they’re trying to accomplish with the EHR The investments are starting to pay off . We have implementation – and be very committed to doing the work required for change and it’s really impressive how far we’ve come along here – which management. is the fi rst step. The place where I think we very much struggle is the adoption of those systems. Without adoption, we don’t get The second is providing continuous education. Beyond the the full benefi t of our investments. There is hard work that has to initial training, successful organizations gain profi ciency by happen to make sure physicians and nurses can actually use the learning workfl ows and being trained on upgrades. They don’t EHR system well to treat patients. Around the country right now, learn all the functions of a system, but become masters of we’re probably 70 percent to 80 percent implemented but only 30 their specifi c roles. percent to 50 percent adopted. The commitment of organizations to really get the outcomes they expect from their EHRs is what The third is the ability to measure outcomes. An organization’s we’re trying to achieve now. It’s our focus today in healthcare. ability to say, ‘This is what we were trying to accomplish when Heather Haugen we implemented the EHR, and here is where we are along the Conduent What are the most commonly made pitfalls after continuum,’ makes a huge diff erence for adoption because you implementing a new EHR or health IT system? can keep focused on taking steps toward improvement. The fi rst pitfall is keeping the leaders and clinicians engaged around continuous improvement of the use of the EHR. The fourth, and this was the most surprising part of our research, “What We oftentimes are very project-based: once we go live, was organizations not providing suffi cient resources to maintain healthcare we go back to all of our other priorities. It’s very important their EHRs long term. Many organizations looked at the initial cost that leaders and clinicians continue to prioritize optimizing of implementation but failed to consider the long-term resources organizations workfl ows, improving overall processes and ensuring the needed to sustain an EHR. get from change that’s needed happens. Can you tell us how that methodology applying the The second pitfall is to believe you’re done with training at go has improved adoption for your Conduent live when you’re not. These are big, complex applications that Healthcare clients? methodology is take a long time to learn. Providing continuous education results I think overall what healthcare organizations get from applying less stress for in more profi cient clinicians, which means they’ll be more the methodology is less stress for clinicians going through a productive in using these applications and the quality and dramatic change and time back for patient care, which is really clinicians going accuracy of their work within the EHR will be better. important – there’s nothing more valuable today in healthcare than time, especially for clinicians. I also think they have the through a The third pitfall is to believe that technology is the driver opportunity to achieve the expected quality outcomes they dramatic for quality and safety outcomes. The technology allows wanted from their EHR because they’re actually using it well organizations to identify places that need process improvement and they may be experiencing less turnover of people who change and or areas that need to be changed in order to get better quality fi nd the change to be diffi cult. time back for and safety, but it doesn’t create in and of itself better quality and safety. We’ve seen clients experience a reduction in training time of 50 patient care, percent while achieving a higher level of profi ciency, reductions What is the Breakaway learning methodology, in the productivity gap after EHR implementation, fewer support there’s nothing in a nutshell? and help desk calls, and smoother and quicker new employee more valuable A few years ago, we asked the question: ‘How do organizations on-boarding. diff er who do well at adoption versus those who struggle?’ today in We compared their activities and processes to identify what healthcare makes an organization successful at adoption. We found four areas where healthcare leaders should focus to ensure than time.” successful adoption.

Visit us at booth #951 About Conduent Conduent is the largest pure-play business process leader and a major player across all aspects of the healthcare industry, handling everything from claims processing to patient records and workfl ow. The company employs more than 500 healthcare clinicians, manages the top 20 U.S. managed healthcare plans and supports 9 of the top 10 pharma and life sciences companies. 17 / INNOVATION CIO of the Year Pamela Arora: ‘We have a sacred responsibility’ The CIO of Children’s Health in Shark Tank’s Robert Herjavec: Dallas discusses leadership, gender inequity in health IT, Healthcare is ripe for innovation and what excites her the most career-wise. By Bernie Monegain He explains where hospital executives should be investing right now. By Tom Sullivan PAMELA ARORA WASJUSTNAMED#)/OFTHE9EARBY ROBERT HERJAVECISONEOFTHE3HARK4ANKSTARS9OUALREADYKNOW ANDPARTLYDUETOCONSTANTPRESSURETOKEEPNON CLINICALCOSTS #()-%AND()-33(EALTHCARE)4.EWSASKED THAT OFCOURSE BUTYOUMIGHTNOTKNOWHEISALSOTHEFOUNDER DOWN4HERESULTISAHIGHER THAN AVERAGELEGACYhDEBTvOF !RORAWHATSHEPERCEIVEDTOBEHERGREATESTSTRENGTH AND#%/OFTHE(ERJAVEC'ROUP AGLOBALINFORMATIONSECURITY OUTDATEDSYSTEMS UNPATCHEDOPERATINGSYSTEMSANDOLDER ASA#)/ WHETHERASAWOMANINTECHNOLOGYSHE SPECIALIST(EALTHCARE)4.EWSASKED(ERJAVEC WHOWILLBE BROWSERS)NSOMECASES )4SYSTEMSASSOCIATEDWITHMEDICAL ENCOUNTEREDINEQUITYANDABOUTHERPRIMARYPROFES SPEAKING4HURSDAY FORAREALITYCHECKONWHEREHEALTHCARESTANDS DEVICESMAYBEABUNDLEDANDAPPROVEDSYSTEMTHATCANNOTBE SIONALMISSION RELATIVETOOTHERINDUSTRIESWHENITCOMESTOCYBERSECURITY HOW ALTEREDWITHOUTAFFECTINGITSFUNCTIONORAUTHORIZEDUSE MUCHPOTENTIALTHEREREALLYISFORINNOVATIONINTHESECTOR ANDTHE 17HATDREWYOUTOACAREERINHEALTHCARE)4 TOPSEVERALTECHNOLOGYAREASHOSPITALSˆANDINVESTORSˆSHOULD 17HATABOUTINNOVATIONMOREBROADLY 4HEREISALOTOF !7HILEWEALLHAVEAPERSONALSTORYTHATINVOLVES BEFOCUSINGONRIGHTNOW VENTURECAPITALGOINGINTOHEALTHCARERIGHTNOW BUTARETHERE HEALTHCAREWEALLHAVEONETHINGINCOMMON BIGOPPORTUNITIESBEINGMISSED 7HETHERWEARETHEPATIENT ORONEOFOURLOVEDONES 17HATDOESTHESTATEOFSECURITYINHEALTHCARELOOKLIKETO !7HERETHEREISINNOVATIONTHEREISOPPORTUNITY#YBER ISTHEPATIENT WEWANTOURPHYSICIANSANDCLINICIANS SOMEONEWHORUNSAFIRMSERVINGSEVERALVERTICALINDUSTRIES SECURITYISANINDUSTRYTHATSEVOLVINGENTIRELYEVERYTWO TOHAVEEVERYRESOURCETOBEABLETODELIVERTHEBEST !(EALTHCAREORGANIZATIONSAREAPRIMETARGETFORCYBERAT TOTHREEYEARSˆNEWTECHNOLOGIES NEWVULNERABILITIES POSSIBLECARE4HISISWHATDREWMETOACAREERIN TACKS(EALTHCAREPROVIDERSARELASER FOCUSEDONWHATTHEY NEWTHREATVECTORS(EALTHCAREISSIMILARBECAUSETECHNOL HEALTHCARE)47HILETECHNOLOGYMAYNOTALWAYSBE DOBESTˆPROVIDINGPATIENTCARE4HISMEANSTHATINTHE OGYANDINNOVATIONCONTINUETOIMPROVEˆNEWDRUGS VISIBLE OURWORKMAKESADIFFERENCEINTHELIVESOF MAJORITYOFCASES BUDGETSARESPENTONRESEARCH ONADVANCING NEWPROVIDERS NEWWAYSTOCAREFORPATIENTS)MVERY PATIENTSnINOURCASE WEAREMAKINGLIFEBETTERFOR TREATMENT ANDRIGHTFULLYSOONPATIENTCARE-ANYSECURITY BULLISHONTHEHEALTHCAREMARKETASITSRIPEFORCONTINUED CHILDREN7HATCOULDBEBETTERTHANTHAT SYSTEMSAREENTIRELYANTIQUATED ANDEMERGINGTECHISDEEMED IMPROVEMENTANDINNOVATION TOOEXPENSIVEANDCUMBERSOMETOIMPLEMENTORADAPT"UT 17HATDOYOUTHINKISYOURBIGGESTSTRENGTH JUSTLIKEALARGEPUBLICENTERPRISEORGANIZATION HEALTHCARE 17HATSHOULDINVESTORSANDHOSPITALSSHOULDBEFOCUSINGON AS#)/ ANDWHATAREYOUWORKINGTOIMPROVE PROVIDERSHAVETOPRIORITIZEAPROACTIVEAPPROACHTOSECURITY !)MPROVEMENTSINAUDITINGANDMONITORINGHAVETAKEN !)BELIEVEMYBIGGESTSTRENGTHASA#)/ISMYUN ˆBALANCINGPEOPLE PROCESSANDTECHNOLOGYTOIMPROVETHE SECURITYINHEALTHCAREAVERYLONGWAY"YLEVERAGINGUSER DERSTANDINGOFBOTHTHETECHNOLOGYANDHEALTHCARE PROTECTIONOFTHEIRINFORMATIONALASSETSANDPATIENTINFOR BEHAVIORANALYTICSANDIMPROVEDIDENTITYMANAGEMENT FIELDS%ARLYINMYCAREER )HADTHEOPPORTUNITYTO MATION/NEOFTHEKEYAREASTHATMAKEHEALTHCAREPROVIDERS TOOLS HEALTHCAREPROVIDERSAREBETTERABLETODETERMINE GAINEXPOSURETOMULTIPLEINDUSTRIESnANDVALUABLE VULNERABLEISHOWDEPENDENTTHEYAREONINFORMATIONSYSTEMS WHOHASACCESSTOWHATDATA WHEN FORHOWLONG ANDWHY INSIGHTSFROMTHOSEEXPERIENCES)HAVEFOUNDTHATA 4HEREARESIGNIFICANTINFORMATIONPROCESSINGREQUIREMENTS #ONTINUEDADOPTIONOFTECHNOLOGIESBEINGADOPTEDBYTHE DEEPKNOWLEDGEOFHEALTHCAREISCRITICALBECAUSEOF ANDINVESTMENTSMADEEACHYEAR ANDITCANBEDIFFICULTTO GENERALMARKET INCLUDING3)%- )03 .EXT'EN&IREWALLS ITSREGULATORYIMPLICATIONSANDTHECOMPLICATEDNA KEEPTHEMALLUP TO DATE PATCHEDANDREFRESHED4HISIS ANDENDPOINTSECURITIES WILLONLYCONTINUETOBENEFITTHE TUREOFTHEWORKACROSSTHECONTINUUMOFCAREBOTH PARTLYDUETOTHETECHNOLOGYPUSHINTOMEDICALTREATMENTS HEALTHCAREINDUSTRY INSIDEANDOUTSIDETHEWALLSOFTHEORGANIZATION/NE OFTHEAREASWERECONTINUOUSLYWORKINGTOIMPROVE ISTHEUNDERSTANDINGANDADOPTIONOFACULTUREIN WHICHDATASECURITYREMAINSINTHEFOREFRONT

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17HATDOYOUSEEASYOURMISSIONAS#)/ !7EHAVEASACREDRESPONSIBILITYAT#HIL DRENS(EALTHWEAREENTRUSTEDTOCAREFOR SOMEOFTHEMOSTFRAGILEPATIENTSINTHE COMMUNITY-YPRIMARYMISSIONISTOMAKE SUREWEHAVETHETECHNOLOGY TOOLSANDPEOPLE TOFACILITATETHEHIGHESTLEVELSOFCAREFOROUR PATIENTSANDTHEIRFAMILIES

12 Wednesday, February 22, 2017 loud and clear

When it comes to helping communities live healthier lives, we hear you.

See how we’re amplifying healthcare at HIMSS booth #6461.

- Meet with consultants and see EHR product demonstrations across acute and post acute care - See the power of our market leading revenue cycle services and product solution - Power up your devices at one of our charging stations - Recharge your battery with a cup of coffee on us

Plus enter to win one of six Bose® SoundLink II bluetooth speakers

Visit us at HIMSS booth #6461

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17 / INNOVATION OptumInsight unwraps analytics-as- a-service CEO Bill Miller says the combination of data scientists, new technologies and consultants will help clients move into A 12-year project is delivering value-based care, population health and the most precious resource of all precision medicine. By Tom Sullivan

An exhibit hall water pump represents an initiative to solve an urgent health OPTUMINSIGHT ANNOUNCEDANEWANALYTICS AS A SER issue in Nigeria. By Gus Venditto VICEOFFERINGTHISYEARAT()-33WITHAFOCUS ONTHEPOST REFORMENVIRONMENTANDTHEQUICKEN IN THE DRIVE TO INGPACEOFVALUE BASEDCARE IMPROVEHEALTHCAREDELIVERY HEALTH 4HEGENERALAPPROACHWILLBEFAMILIARTOANYONE h7ERETAKINGOURANALYTICSANDWRAPPERINGTHAT )4PROFESSIONALSHAVETHELUXURYOFTAKINGALOTFOR WHOHASWORKEDONAN)4PROJECTBUTONANAWE IN WITHNEWCAPABILITIESANDSERVICES v/PTUM)NSIGHT GRANTED3OATTENDEESAT())-33WHOWANDERBY SPIRINGSCALE4HEGROUPCOMPLETESTO  #%/"ILL-ILLERSAIDh7ELLGIVECLIENTSAMODERN THE!CCESSBOOTHARELIKELYTOPAUSEWHENTHEYSEEA PROJECTSAYEAR%ACHPROJECTINSTALLSWELLSTHATSERVEUP PLATFORMFORMANAGINGVALUEAND DELIVERYSYSTEMFROMANOTHERERAAWATERPUMP TOPEOPLE ORAGRAVITY DRIVEFILTRATIONSYSTEMTHAT RISKANALYTICSv )TWILLNOTBETHERETOCREATEATHEMEPARK STYLE SUPPLIESFOURTOSIXPEOPLE /PTUM)NSIGHTSNEWAN ATMOSPHEREORTAKEATTENDEESBACKTOANEARLIERTIME 4ODD0HILLIPS EXECUTIVEDIRECTOROF4HE,AST7ELL ALYTICS AS A SERVICEOFFERING )TWILLBETHERETOSHARETHEWORKOFPEOPLEWHOARE SAIDTHATEIGHTYEARSINTOTHEPROJECT THEYARESTILL COMBINESARANGEOFTECHNOLO SOLVINGONEOFTHELEADINGHEALTHPROBLEMSOFAN hASSESSINGTHEENTIRENATION GOINGVILLAGETOVILLAGE GIESWITHCONSULTINGSUCHTHAT !FRICANNATION HUTTOHUT TOKNOWEXACTLYWHEREPUMPSANDFILTRATION CUSTOMERSARENOTJUSTBUYINGA 4HEPUMPBELONGSTO4HE,AST7ELL ANONPROFIT SYSTEMSARENEEDEDv PRODUCTBUT INSTEAD PURCHASING ORGANIZATIONTHATHASONEGOALPROVIDEACCESSTOCLEAN !CCORDINGTOTHE5NITED.ATIONS INDEVELOPING ARESULTORANOUTCOMEBYTAP WATERFOREVERYRESIDENTOF.IGERIA COUNTRIES ASMUCHASPERCENTOFILLNESSESARELINKED PINGANALYTICSTOSOLVEPROBLEMS h7EREHEALTHCARE)4 ANDWHILETHATSWHATWEDO TOPOORWATERCONDITIONS0HILLIPSSAIDTHATITSESTIMAT -ILLERSAID THATSNOTNECESSARILYWHOWEARE vEXPLAINED!CCESS EDTHAThPERCENTOFAPOPULATIONWILLDIEBECAUSEOFA h)TSACOMBINATIONOFNEW #%/4IM%LLIOTT(ISCOMPANYWASONEOFTHEFOUND LACKOFACCESSTOWATERv TECHNOLOGYANDIMPROVEMENTS INGSPONSORSOF4HE,AST7ELLANDISPROVIDINGBOOTH 4HEPROJECTHASRAISEDMONEYMAINLYFROMINDI ANDINNOVATIONSINOURPLATFORMS SPACETOHELPBUILDAWARENESSFORTHEPROJECT VIDUALSTHROUGHANETWORKOF#HRISTIANCHURCHES"UT BUTITWILLALSOMEANCOUPLING BILL MILLER 4HE,AST7ELLLAUNCHED IN INA7ASHINGTON MOREFUNDRAISINGWILLBENEEDEDTOFINISHTHEWORKON THOSEWITHCONSULTANTSANDDATA $# AREACHURCHWITHAGROUPOFYOUNGADULTSWHOSET TIME-ANAGEMENTOFTHEPRODUCTBY!MERICANSISALL SCIENTISTS v-ILLERADDED OUTTOFINDAPROJECTTHATWOULDACCOMPLISHSOMETHING PERFORMEDBYVOLUNTEERS 0HILLIPSSAID SOhALLDONA 4HENEWSERVICEWILLENABLE/PTUM)NSIGHTCUS MEANINGFULANDCHALLENGING)NSPIREDBYTHESTORYOF TIONSGOTOWORKINTHEFIELDv4HE YEARPROJECTIS TOMERSTOCONDUCTPOPULATIONHEALTHSTRATIFICATION 7ILLIAM7ILBERFORCE WHOHELPEDENDTHESLAVETRADE ONSCHEDULETOREACHITSGOAL WITH .IGERIANS MOVETOWARDPRECISIONMEDICINE ANDIMPLEMENT IN%NGLAND THEYDECIDEDTHEIRMISSIONWOULDBETO STILLINNEEDOFARELIABLEWATERSUPPLY VALUE BASEDANDEMERGINGPAYMENTMODELS PROVIDEANATIONWITHACCESSTOCLEANWATER !CCESSSCONTRIBUTIONTOHEALTHCAREISQUITEABITDIF h7EMAYACTUALLYGOINAT RISKMOREWITH 4HEYLEARNEDTHATIN.IGERIA ANASTOUNDINGFOUR FERENT)TFOCUSESONELIMINATIONOFPAPERINAHOSPITAL CLIENTSTHANWEHAVEINTHEPASTFORALONG MILLIONPEOPLEˆCOMPRISINGPERCENTOFTHEPOPU h/URJOBISTOFILLINTHEGAPS FINDOUTWHERETHEPAPER TERMSERVICEWHEREINWEBECOMETHEIRPRIMARY LATIONˆDIDNOTHAVEACCESSTOCLEANWATER4HEDAILY IS ANDIFTHEREAREFORMSTHATNEEDTOBESIGNED WETRY ANALYTICALFUNCTION BETHECOMPASSTOHELPTHEM ROUTINEFORMANYGIRLSINTHECOUNTRYISSTILLAFOUR TOA TOTURNTHEMINTOANELECTRONICSIGNATUREANDATABLET v UNDERSTANDPATIENTSATRISKANDTHEOPPORTUNI SEVEN HOURTRIPTOFETCHWATERFORTHEIRFAMILY %LLIOTTSAIDh)TSALLABOUTPROBLEM SOLVINGv TIES v-ILLERSAID 4HEPROJECTWASDAUNTINGACENSUSANDDETAILED 3EEINGTHEWATERPUMPIN!CCESSSEXHIBITSPACEWILL /PTUM)NSIGHTISALSOWORKINGTOPARTNERWITH MAPSWERENOTEVENAVAILABLE3TILL THEGROUPSET BEAPOWERFULREMINDERTHATSOMEPROBLEMSAREMORE OTHERCOMPANIESASAWAYTOFILLINTHEANALYT $ECEMBERASTHETARGETDATE"YTHEN EVERY PRESSINGTHANOTHERS ICS AS A SERVICEQUIVER .IGERIANWOULDHAVEACLEANWATERSOURCEWITHINA Access is in booth 1778.  MINUTEWALK Find OptumInsight in Booth 3703.

16 Wednesday, February 22, 2017 Join HL7 as we celebrate 30 years of standards development!

HL7 is people, almost all volunteers, from organizations around the world. HL7 is solutions, innovative ideas and resources for interoperability. HL7 is results with the power to enhance human health and wellness on a global scale.

PRESENTATIONS – WEDNESDAY, FEBRUARY 22 BOOTH #943 9:40 – 10:10 am Clinical Research Under FHIR 10:30 – 11:30 am Argonaut Project Panel Update: Where Now? 11:40 – 12:10 pm SMART on FHIR: Apps for Health 12:20 – 12:50 pm HL7 Fast Healthcare Interoperability Resources (FHIR®) 1:00 – 1:30 pm Retrieving Form Data from Epic Using IHE RFD Enter to win an Amazon Echo! Standard Enhancement Pick up your own Ball of FHIR! Don’t miss the chance to win raffle 1:40 – 2:10 pm Consolidated Clinical Document Architecture (C-CDA®) – prizes after every educational Alive and Growing! session, including Sparky the FHIR dog. 2:20 – 2:50 pm HL7 FHIR Implementation Projects 3:00 – 3:30 pm Mayo Clinic on FHIR: Interoperability and Innovation

Sessions in ® Health Level Seven, HL7, CDA, FHIR and the FHIR [FLAME DESIGN] are registered trademarks of Health Level Seven International, RED are part of registered with the United States Patent and Trademark Office.

STOP BY BOOTH #943 | FOR A COMPLETE SCHEDULE, PLEASE VISIT HL7.org/HIMSS From Transactions to Connections

When it comes to healthcare technology, it’s rarely a straight path from point A to point B. But you never have to go it alone. Over the years, we’ve been with you on your journey, helping you navigate from mainframe to cloud, custom interface to HL7 and HIE to FHIR™, just to name a few. While the transition from volume to value is vastly diff erent, our approach to your success is not. We’re focused on providing technology, resources and experience in connectivity and vendor-neutral platforms to help you continue to accelerate your pace from good to great. In the move to a value-based world, you won’t just rely on facilitating fi nancial and clinical transactions. We’ll help you go beyond connecting data to connecting people. Accelerate your progress Find out how to focus ahead for better connectivity at www.mckesson.com/himss17 SPONSORED ADVERTORIAL The role of interoperability in accelerating your progress to value-based care

The move to value-based care is speeding up for payers, providers and vendors. In fact, a 2016 national research study by ORC International and commissioned by McKesson found that the industry has arrived at a tipping point toward full value-based payment. McKesson experts Tomer Levy, general manager, workfl ow and infrastructure; Billie Whitehurst, vice president, capacity management and extended care solutions; and Andrei Gonzales, MD, associate vice president, value-based reimbursement initiatives; discuss this increasing pace to value-based care models. They stress the importance of interoperable technology to accelerate that progress in order to achieve better and more effi cient care delivery and improved health outcomes.

What progress is the industry making in the patient demand. We are working with other vendors and our transition to value-based care? customers to make sure our systems are interoperable, so we WHITEHURST: The good news is that we see movement on a can provide data that is able to be consumed and then used by number of fronts. There’s a focus on quality and measurement those clinicians and administrators who can actually act on it. of those quality systems and the tools to support a sustaining process. We’re also starting to see partnerships across care LEVY: McKesson is committed to interoperability and to the settings in the payer demonstration projects, and we’re seeing success of our customers. One way we demonstrate our new key roles to support the programs, like navigators, CNIOs commitment is that all our solutions and products are and individuals focused on data. We’re also seeing providers interoperable by design. That means, operationally, they bring patients/consumers into the process and off er them are not tied to just McKesson systems – they are designed transparency and choices. to interact with other systems as well.

Payers and providers alike continue to report they GONZALES: The industry talked about interoperability for a are struggling to scale. Why is this and what’s your long time, but change was slow. Now we are seeing a cultural Andrei Gonzales, MD advice for success? change – more openness in the industry as a whole. We’re all McKesson LEVY: Scaling is challenging for every organization because it getting very specifi c about product roadmaps and timelines, means change. Things don’t work the same when you scale up – and formulating the goals and objectives to get there. And diff erent tools, processes and organizational designs are needed. there’s more collaboration among payers, providers and Expectations and requirements from technology change as well. vendors. At McKesson, we’re helping to facilitate this Traditionally in imaging, organizations have tried to meet the collaboration with our technology platform for interoperability, challenge by moving all parts of the enterprise onto the same which makes it easy to share business intelligence between PACS system. But unfortunately this strategy proves to be very payers and providers and, as a result, makes automated diffi cult for health systems because it requires a heavy technology reimbursement as streamlined as it can be. lift and a major disruption to the clinical workfl ows. And, of course, it is a never-ending process because organizations are constantly What specifi c steps should payers and providers changing, acquiring other organizations and creating new take to make sure they are on track with the CMS business models. To ensure success, vendors need to step up. mandates and goals for payment tied to value? Instead of off ering system replacement as the only option, GONZALES: It comes down to two things: collaboration and they need to off er more fl exible, more adoptable – and more truly understanding the benefi ts. It’s important for payers and interoperable – technology that will help organizations achieve providers to collaborate in their local market and understand the goals of the value-based transition and how this focus on Billie Whitehurst their goals of performing better and delivering results at lower costs. McKesson outcomes will benefi t their patients, their businesses and What can organizations do to remove some others. That collaboration is necessary to fi gure out what types of the barriers to interoperability? of models they’ll implement and the details of how they’ll WHITEHURST: Providers should use their leverage to help move implement them so the benefi ts of cost and quality are there. the industry along. They should include interoperability in their By moving to these value-based models, measuring their RFPs and evaluation processes and be willing to adopt standards success and being able to communicate that success, rather than their own custom approach. organizations can start to see how they can diff erentiate themselves in competitive markets. They can show patients, LEVY: I agree with Billie. Providers need to demand other providers and health plans they’re achieving higher interoperability from technology vendors. If they won’t quality, in networks and getting the patient volumes from demand it, the industry won’t get to where it needs to be. those plans. Once organizations understand those benefi ts, they can start to make those models part of their overall What are vendors like McKesson doing to help? strategy and operational plan, and get behind the movement WHITEHURST: At McKesson, we are absolutely working with the rather than seeing it as being forced on them. industry and our customers to make interoperability a priority. We are working with our customers to leverage things like predictive Tomer Levy analytics and workfl ow management systems to meet shifting McKesson

Visit us at booth #3479 & 3878 About McKesson McKesson Technology Solutions is part of McKesson Corporation, a Fortune 5 company completely focused ahead on the business of better health. Our aim and passion is to help customers chart a clear, logical and achievable path as healthcare transforms toward value-based care and reimbursement. Our technology solutions and services span the continuum of care, enabling us to off er a 360o perspective as we work with providers, payers and pharmacies to achieve better outcomes. To learn more, visit our blog at www.focusaheadblog.com. 17 / CONNECTED HEALTH Commentary: Big data serves people in increasingly broad ways Genomics, fitness devices and other wearables can engage people in their own health, but the industry needs good interfaces. By Patty Mechael

BIG DATA IN HEALTHCAREHASBEENSEIZEDUPON Children’s Hospital of Wisconsin BYMAJORVENDORSANDLARGEHEALTHSYS TEMS PARTICULARLYWITHINCENTIVESRELATEDTO arms clinicians with analytics at POPULATIONHEALTH)NWHATWAYSDOESTHIS MOVEMENTSUPPORTPATIENTS 3OMETIMES "IG DATAANDANALYTICSSERVEPATIENTSANDPEOPLE the bedside to cut HAC rates MOREBROADLYINSEVERALWAYS &IRST THEREISTHEBASICDASHBOARDPROVIDED Since instituting a safety program two years ago, the hospital has saved $1.6 million, BYFITNESSTRACKERS WHICHPROVIDEDATAAND reduced overall hospital-acquired conditions by 30 percent, and cut some specific TRENDSONEVERYTHINGFROMSTEPSTOPULSERATETO SLEEP/VERAYEAR THISDATACOMPRISINGTHOU conditions by nearly 80 percent. By John Andrews SANDSOFPOINTSWITHTHESUPPORTOFUSER FRIEND LYANALYTICSISSTARTINGTOHELPPEOPLEINTERPRET HOSPITAL-ACQUIRED CONDITIONS AREAPRIMARYCONCERNFORHEALTH EMPLOYEESCOMPLETEDERRORPREVENTIONTRAINING THEDATAANDMAKEMEANINGFULLIFESTYLECHOICES CAREORGANIZATIONS AND)4PLAYSAMAJORROLEINPROTECTING 'IVENTHESUCCESSOFTHE(!#PROGRAM #HILDRENS(OS TOENABLEANENHANCEDSTATEOFHEALTHORTO PATIENTSFROMMEDICALERRORS NOSOCOMIAL BORNEPATHOGENS PITALOF7ISCONSINISLOOKINGTOEXPANDITANDADDNEWFOCUS SUPPORTINOVERCOMING CO MORBIDITIESANDOTHERACUTECARECOMPLICATIONS AREAS $EXTERSAID ORMANAGINGACHRONIC #HILDRENS(OSPITALOF7ISCONSINLAUNCHEDASAFETYPRO h7ITHOUTDATAANDINFORMATIONATTHEBEDSIDETOINFORM OREPISODICILLNESS)T GRAMTWOYEARSAGOTOADDRESSTHATVERYPROBLEM HOWCAREISPROVIDEDANDDATAISUTILIZED THOSEPIECESARENT CANALSOBEUSEDTOSET h&ORYEARS WELOOKEDATTHESECONDITIONSANDWONDERED POWERFULONTHEIROWN v$EXTERSAIDh"UTTHROUGHAPARTNER ABASELINEFORFUTURE WHYTHEYARENTPREVENTED vSAID!BBY$EXTER DIRECTOROF SHIP WECANPROVIDEMEANINGFULINFORMATIONFORTHECAREGIV COMPARISONWITHONES BUSINESSINTELLIGENCEANDDATAWAREHOUSINGAT#HILDRENS(OS ERSTOIMPACTHOWTHEYCANPROVIDETHECAREv FORMERSELFANDFOR PITALOF7ISCONSINh/URBOARDOFDIRECTORSANDLEADERSHIP $EXTERANDHERCOLLEAGUE(OLLY/"RIEN SAFETYPROGRAM MEASURINGINDIVIDUAL TEAMBELIEVEDINTHISINITIATIVE ANDWITHTHEHELPOFOTHER MANAGER WILLOUTLINEHOWTHEORGANIZATIONINSTITUTEDITSSAFETY ANDCOLLECTIVEHEALTH PEDIATRICORGANIZATIONS WEGOTTHEBALLROLLINGv PROGRAMTHATUSESANALYTICSANDDATAATTHEPATIENTBEDSIDE TRENDSOVERTIME 4HERESULT #HILDRENSINITIATIVECREATEDAPERCENTREDUC ANDWILLDISCUSSTHESUCCESSESANDCHALLENGES ASWELLASLESSONS 3OMESITESARENOW PATTY MECHAEL TIONINOVERALL(!#SANDSAVEDTHEHOSPITALMILLION LEARNEDDURINGTHETWOYEARSTHEPROGRAMHASBEENOPERATING PROVIDINGINDIVID 4HROUGHTHESAFETYPROGRAM #HILDRENSALSOREDUCEDCENTRAL LINE UALSWITHBIGDATASOTHATTHEYCANCOMPARE THEIRCONDITIONWITHOTHERS&ORINSTANCE ASSOCIATEDBLOODSTREAMINFECTIONSBYPERCENT CUTPRESSUREULCERS The session “How data-driven safety culture changes can PERCENT ANDREDUCEDVENOUSTHROMBOEMBOLISMSPERCENT lower HAC rates,” is slated for Thursday, Feb. 23, from 10:30- 0ATIENTS,IKE-EOFFERSDATAONSYMPTOMSAND !DDITIONALLY THEORGANIZATIONENSUREDTHATALLOFITS  11:30 a.m. in Room W311E. TREATMENTSFROMTHOUSANDSOFPATIENTS&OR #ROHNS$ISEASE FOREXAMPLE THEREAREMORE THAN MEMBERS ANDTHESITEPROVIDESA GRAPHICDISPLAYOFCOMMONSYMPTOMS HOWBAD ciation, wants to convey. seamless integration of the services and THESYMPTOMISANDWHATPEOPLEARETAKINGFOR TELEMEDICINE IS “The big theme for us at HIMSS17 will the data that support those services. So IT3OFORABDOMINALPAIN TREATMENTSINCLUDE be the transformation in healthcare de- that way, service delivery is not limited 4RAMADOL &ENTANYL4RANSDERMAL0ATCHAND ‘AN EXPLODING FIELD,’ livery, which is what we live and breathe,” to a hospital bed or an outpatient clinic 'ALLBLADDERREMOVALCHOLECYSTECTOMY AND Linkous said. “Our focus is really on the but through a growing array of settings -E THEDIRECT TO CONSUMERGENETICTESTING ATA CEO SAYS patient and service delivery, inserting throughout the community.” COMPANY PROVIDESDATATOCOMPAREONES$.! technology into patient care. Our theme Consumers are going to an increasing PROFILEWITHTHOUSANDSOFOTHERSANDINCLUDES But technology faces a at the 2017 event is growth and scaling variety of places to obtain healthcare CARRIERSTATUSREPORTSANDWELLNESSREPORTS up, the explosion in growth. Telemedicine services – clinics, online consultation challenge as consumers seek "IGDATAISNOTJUSTFORPROVIDERSORHEALTH is an exploding field both in terms of the sites, urgent care centers, primary care SYSTEMSANDINSURANCECOMPANIES)FDISPLAYED healthcare services from an number of services delivered and the physicians, hospitals, radiology centers INEASILYINTERPRETABLEWAYS ITALSODIRECTLY ever-expanding array of types of services being delivered using and other locations. All of these loca- BENEFITSTHEPEOPLE providers and locations, and technology. It’s almost overwhelming.” tions hold information about patients, 4HE0ERSONAL#ONNECTED(EALTH!LLIANCESEES healthcare organizations must ATA executives will discuss the state yet coordination among these locations of the art of telehealth and how the lat- still is absent, Linkous said. BIGDATAASATOOLOFEMPOWERMENTFORPEOPLE be prepared. By Bill Siwicki est telehealth technologies are trans- “When you get into specialty ser- TOBECOMEMOREACTIVELYENGAGEDINTHEIROWN forming the way many patients receive vices, some of these issues have been HEALTH"YMONITORINGTHEIRPHYSICALACTIVITY DIGITAL TECHNOLOGY has been chang- their care today. resolved,” he added. “The early progress APERSONCANHAVEAGREATERUNDERSTANDINGOF ing not only in the way healthcare infor- “This represents a change in the way was in radiology because in the early THEIRHEALTHSTATUSANDWORKTOIMPROVEHISOR mation is recorded and communicated services are delivered, and what that years the radiology clinics moved out of HERHEALTH7HENTHEDATAISRELIABLYVALIDATED but also in the way healthcare itself change means not just internally in a hospitals. There was a drain in revenue THROUGHTECHNICALSTANDARDS THEINFORMATIONIT actually is delivered. And that shift in hospital or clinic but externally, and away from hospitals, which was a chal- PRODUCESCANBETRUSTED7EBELIEVETHATCREATING healthcare delivery is having a growing what that change means in terms of new lenge. But you need to close the loop in GOODUSERINTERFACESMAKESITEASIERFORPEOPLETO impact on the industry as telemedicine players and new challenges for those in terms of the information flow, and still, MAKEMEANINGFULDECISIONSTOSTAYHEALTHYAND technology advances and telehealth charge of the technology,” Linkous said. even in radiology, way too often a patient BETTERMANAGEILLNESS programs expand. “One challenge for telemedicine is mov- is required to bring a disk into a primary That’s the message Jonathan Linkous, ing into an environment beyond the walls care provider. The information flow is not Patty Mechael is executive vice president of CEO of the American Telemedicine Asso- of a hospital and being able to provide a seamless yet.” the Personal Connected Health Alliance.

20 Wednesday, February 22, 2017 “It doesn’t get more mission-critical than healthcare. Our network partner got that in a heartbeat.”

Jim Lowder System VP, Technology OhioHealth Client since 2005

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Connecting with patients: the value of patient experience programs

TA core tenet of value-based care is improving the patient experience. Nancy Ragont, CDW’s senior manager, customer insights and leader of the company’s healthcare marketing group, discusses the role of technology and best practices for creating a successful patient experience program.

How do you assess the role of technology in enhancing A key best practice is having an innovation patient engagement/experiences? training program. In such a program, people Patient experience programs are bigger initiatives than most people think. are taught what makes a good patient They’re more than just how do you greet patients. They’re really about redefi ning experience and how to identify the signs the care life cycle. As such, technology is being used to create better communication of a bad patient experience so they can from the point of initial contact to departure. jettison things that aren’t working. One of our clients feels so strongly about One tool that has the potential to greatly enhance the lives of patients is the patient providing a good patient experience that portal. Some practices and health systems are using these, but not everyone is. they train everyone about patient experience To get the most out of this technology and really empower patients, it’s important to – why it’s important and what it means to realize that sometimes patients need to be shown how to use the patient portal. the organization and to patients. Not all patients engage with technology frequently, so it behooves healthcare providers to make sure their patients know how to use this tool to access their records, What are some of the challenges make appointments and communicate with their caregivers. for improving patient engagement Nancy Ragont and patient experience? CDW How do you determine the priorities for clinicians and patients Costs and buy-in are two of the biggest when considering patient engagement initiatives? challenges. With the value-based care model From the clinician side these initiatives and their associated technologies have to put putting patient experience front and center, everyone recognizes they must invest the patient at ease and have to be easy to use. The training, too, has to be simple. in patient experience programs, but it costs money to put technology and security Any associated technologies need to be on all the time, be reliable and make in and it costs money to train people and to sustain and manage the program. clinicians more productive. Patients, too, want the overall experience and the technologies to be easy to use and reliable, but they also want to be able to be in Without buy-in, especially from the C-suite, you won’t be able to get the funding control. To make their own care decisions and to be able to communicate with their or other supports for patient experience initiatives. caregivers on their own terms. One aspect of being able to be in control is the ability to access their healthcare and providers anywhere, anytime. The whole What are some of the greatest motivators for improving patient patient experience transformation is centered around personalizing the experience engagement and patient experience? for patients. This is where technology like a patient portal works well. Ninety-fi ve One of the biggest motivators is the transition to value-based care models that percent of patients responding to one of our patient experience surveys said that put patient experience in the forefront. To get paid, to reduce costs, to avoid they experienced benefi ts by engaging through a patient portal. penalties from things like readmissions and to provide the highest quality of care, health organizations see the value of investing in patient experience programs. How do you identify outcomes, best practices and lessons learned Successful patient engagement programs create better connections and around patient experience initiatives? partnerships between patients and their caregivers. Patients who are comfortable There are so many best practices and lessons learned, but a couple stand out. and satisfi ed with their care and their care experience will keep coming back and will trust their care to their caregivers. If they don’t get good care or have a good It sounds corny to say this but successful patient experience initiatives really do take care experience, they know – and their caregivers know – they can and will go a village. Organizations shouldn’t just expect that hiring a chief experience offi cer is somewhere else. going to be enough to improve their patient experience. Buy-in from everyone in the organization is needed. And while technology is necessary to enhance the patient experience, it’s important to recognize that a great patient experience is far more than technology. It’s also about the staff and the facility – how the facility looks and how it and the staff make the patient feel when they’re in the facility.

Visit us at booth #2761 About CDW: CDW is a leading multi-brand technology solutions provider to business, government, education and healthcare organizations in the United States, Canada and the United Kingdom. A Fortune 500 company with multinational capabilities, CDW was founded in 1984 and employs approximately 8,600 coworkers. For the twelve months ended September 30, 2016, the company generated net sales of nearly $14 billion. For more information about CDW, visit www.CDW.com. 17 / CONNECTED HEALTH

Meditech unveils video features in EHR and patient portal New functionality will enable UCLA Health caregivers to conduct virtual visits while accessing patients’ reduced transfusions by 20 percent electronic health records. with clinical decision support and By Ephraim Schwartz MEDITECH DEBUTED VIDEO CAPABILITIESWITHINITS all-electronic bar code scanning WEB BASED%(2ANDPATIENTPORTALSERVICES The system moved away from a hybrid approach and now views the move as a boon HEREAT()-336IDEOVISITSWILLBEFULLY INTEGRATEDINTOTHEPATIENTWORKFLOWVIA to patient safety. By John Andrews THEPORTALANDM(EALTHAPP0ATIENTSWILL BEABLETOSCHEDULETIMEWITHACLINICIAN RESPONDTOQUESTIONNAIRESANDLAUNCHTHE TRANSITIONING FROM A HYBRIDELECTRONIC PAPERFORMATTO PROJECT WHICHALSOTOOKEIGHTMONTHSTOFINISH VISITS ALLFROMWITHINTHEIRPORTAL ALL ELECTRONICBARCODESCANNINGHASCREATEDTREMENDOUS $ESPITETHELENGTHOFTIMETHETRANSITIONTOOK THERESULTSHAVE h0ATIENTSWANTACCESSTOTHEIRPROVIDERSAND EFFICIENCIESANDGREATERPATIENTSAFETYFORTHEBLOODADMIN BEENWORTHIT &URUKAWASAID BECAUSETHEEMBEDDEDCLINICAL INFORMATIONFROMWHEREVERTHEYARE"YFEELING ISTRATIONPROCESSAT5#,!(EALTH ACCORDINGTONURSING DECISIONSUPPORTHASLEDTOANPERCENTDECREASEINORDERING MORECONNECTEDTOCARETEAMS PATIENTSREPORT INFORMATICIST-EG&URUKAWA REDBLOODCELLTRANSFUSIONS WHICHALSODECREASESRISKFORPATIENTS HIGHERSATISFACTIONLEVELSANDMAYBEMORE 4HEHYBRIDAPPROACH INFACT ISSTILLINCOMMONUSEAT h%MBEDDEDCLINICALSUPPORTHELPSCLINICIANSORDERRED ENGAGEDINSELF MANAGINGTHEIRCONDITIONS v HOSPITALSIMPLEMENTINGANINTEGRATEDELECTRONICHEALTHRECORD BLOODCELLSAPPROPRIATELYANDACCORDINGTONATIONALGUIDE SAID-EDITECH%XECUTIVE6ICE0RESIDENT(ELEN &URUKAWASAID BUTTHEFORMATHASFLAWSTHATINHIBITTHEOPTI LINESFORTRANSFUSION vSHESAIDh7HENORDERING THECLINI 7ATERSh6IDEOVISITSALSOOPENUPAPPOINTMENT MIZATIONOFTHEBLOODADMINISTRATIONPROCESS CIANISPRESENTEDWITHTHEPATIENTSHEMOGLOBINLEVELASWELL FLEXIBILITYFORHOMEBOUNDPATIENTSORTHOSE h4HEBIGGESTDRAWBACKISENSURINGTHATTHEVARIOUSSYSTEMS ASTHEINFORMATIONFORWHENBLOODSHOULDBEORDERED"LOOD LIVINGALONGDISTANCEFROMTHEIRPROVIDERS @TALKTOEACHOTHER vSHESAIDh!NALL ELECTRONICFORMATWITH ISGIVENEVERYWHEREINOURHOSPITALS SOWENEEDEDTOMAKE HELPINGTHEMSEEKTREATMENTFASTERv BARCODESCANNINGBRINGSELEMENTSTOINCREASEPATIENTSAFETY SUREWEINVOLVEDSTAFFFROMALLAREASANDENSURETHATTHENEW 4HEVIDEOVISITFUNCTIONALITYISINCORPORAT ANDDECREASEERRORSBECAUSETHEPATIENTANDTHEUNITOFBLOOD FUNCTIONALITYMETEVERYONESNEEDSv EDINTOFRONTANDBACKOFFICEUSERWORKFLOW AREPOSITIVELYIDENTIFIEDASWELLASMATCHEDAGAINSTTHEPROVID SOPATIENTSWHOSEINSURANCECOVERSVIDEO ERSTRANSFUSIONORDERv Furukawa will discuss UCLA’s success and lessons learned VISITSCANHAVETHEIRINSURANCEBILLEDDIRECTLY 4HE5#,!INITIATIVETOOKSHAPETHROUGHTWOSEPARATE during the session “Optimizing blood administration to en- ATTHETIMEOFBOOKING4HEYLLBEABLETO PROJECTSnTHEBARCODINGPROJECTTOOKEIGHTMONTHSTOCOM hance patient safety,” on Thursday, Feb. 23, from 10:30-11:30 VERIFYTHEIRDEMOGRAPHICANDINSURANCE PLETE FOLLOWEDBYTHEEMBEDDEDCLINICALDECISIONSUPPORT a.m. in Room W308A. INFORMATIONPRIORTOTHEVISIT(EALTHCARE ORGANIZATIONSWILLBEABLETOBILLTHEPATIENTS INSURANCE ASALLOWED WITHFULLELIGIBILITY CHECKINGANDREVENUECYCLETRACKING RICOH IS AMONG the tech giants charging patient presents, through treatment and all the h7ITHTHECURRENTSURGEININDUSTRYAC into healthcare as the industry moves away way to discharge and post-encounter follow-up.” CEPTANCEFORTELEHEALTHSERVICES SUCHASVIDEO from paper, and health information ex- The Ricoh EDE workflow technology will be VISITS WERESEEINGMOREANDMOREPAYERS change becomes more common. . demonstrated on the company’s Interactive OFFERTHISCOVERAGE7ELLALSOBEINTRODUCING RICOH BRINGS It is also transitioning away from its past Whiteboard to display how the software en- THEABILITYTOACCEPTPAYMENTATTHETIMEOF as a printer and copier vendor, ables care collaboration and in- THEVISITFORPATIENTSWHOARENOTCOVEREDBY ‘A DAY IN THE according to Ron Nielson, vice teroperability. And the company THEIRINSURANCEFORVIDEOVISITS v7ATERSSAID president of Ricoh Healthcare. will be showcasing its Asset Man- 6IDEOVISITFUNCTIONALITYISENGINEEREDSO LIFE OF Last year at HIMSS16, for in- agement for Healthcare solution. THATCLINICIANSCANCONDUCTTHEVISITWHILEALSO stance, the company announced The idea behind these tech- INTERACTINGWITHTHEPATIENTS%(2 ALLOWING PATIENT DATA’ Ricoh Electronic Data Exchange nologies is to help Ricoh cus- PROVIDERTOREVIEWTHELATESTRESULTSWITHTHE for capturing, storing and man- tomers tackle common pain PATIENTANDDOCUMENTTHEVISITINREAL TIME aging protected information. points hospitals have in the data "OTHPATIENTSANDPROVIDERSCANUSEBUILT IN TO HIMSS17 The cloud-based service enables flow, including getting patient CAMERASONTHEIRCONSUMERDEVICESNOSPECIAL healthcare facilities to transfer data from referrals and scanned The vendor’s healthcare HARDWAREISNECESSARY data, photography and other documents into the EHR, mov- h!SWEMOVETOMANAGINGPOPULATIONS VAL unit teams with images into an electronic health ing information around, secur- UE BASEDCONTRACTSANDACCOUNTABLECARE HEALTH InterSystems, LRS, record of the enterprise content ing it, and ultimately delivering Docuware and others in management system. RON NIELSON the right data to the right per- CAREORGANIZATIONSWILLNEEDTORETHINKHOWTHEY And this year at HIMSS17, the vendor will son at the right time, he added. DELIVERCARETOCHRONICDISEASEPATIENTS NOTJUSTIN bringing a cloud system be using Ricoh EDE as the basis of what Niel- “We’ve been handling output for years THEEXAMROOM BUTINTHEPATIENTSHOME INTHE to life. By Tom Sullivan son called “a day in the life of patient data” and years, so we know where the pain points CAR ATWORKORWHEREVERTHEYMAYBE TOENSURE demonstration that also includes Ricoh are,” Nielson said. “Our goal is to try to help THEIRWELLNESSANDCOMPLIANCE v7ATERSSAID partners Intersystems, LRS and Docuware. reduce that by going to those pain points h4HEUSEOFVIDEOVISITSCANPROPELTHECONNECTED “We believe information should be at the and addressing them.” RELATIONSHIPWITHTHEPATIENTv heart of patients and staff,” Nielson said. “So we’re focusing on how information moves as a Ricoh is in Booth 3822. Meditech is in Booth 3279.

24 Wednesday, February 22, 2017

EMPOWERING HEALTH This year at HIMSS, Microsoft will bring healthcare partners from around the world to demonstrate innovative solutions currently empowering the digital transformation of health. Visit Booth #2509 to experience the digital transformation of Health.

WEDNESDAY February 22, 2017

Cybersecurity Session: Digital Transformation Begins with Cybersecurity Booth 376 | Hall A 1000am - 10:30am

Microsoft at HIMSS Lunch and Learns: AI is Healthcare’s the Next “Big Thing” 11:15 am – 12:15 pm Room 203A

Microsoft at HIMSS Lunch and Learns: Assume “zero trust” and mount a proactive cybersecurity posture to reduce your cyber vulnerability 1:00 pm – 2:00 pm Room 203A

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Achieving the Triple Aim through digital transformation

Healthcare organizations across the United States are working hard to better the patient experience, improve the health of the populations they serve and reduce the per capita costs of care. Laura Wallace, Microsoft’s vice president of U.S. Health & Life Sciences, discusses how the digital transformation is helping healthcare organizations achieve the Triple Aim.

In what ways do you see care teams empowered by The reality is that a large portion of patients technology today? that stand to benefi t the most from digital Care teams today must know more, do more and manage more patients, more cases transformation solutions live in underserved and more complexity than ever before. And they have to work together while they’re areas and unhealthy counties, where access on the move in a fast-paced, often chaotic environment. This means that, to perform to care providers, limited broadband, as a team at the top of their licenses, they have to be in continuous communication inconvenience and cost are massive with each other and have to be able to quickly and easily consult or summon the barriers to better care and population health. expertise in the moment it’s needed. They can’t do that without digitally transforming As a result, it’s our goal to work collaboratively teamwork by digitizing it with a conversational collaboration platform. with the industry and our partners to design and deliver digital transformation solutions One example is Adventist Health System based in Orlando, Florida. Their clinical in ways that remove these barriers. and non-clinical staff are using presence and instant messaging within their 45 hospital campuses across 10 states so that ad hoc digital conversations can happen Everyone is talking about the throughout the day wherever the care team members are, without interrupting the cloud. In the U.S., how is the health Laura Wallace fl ow of work. They’re also using Skype for Business to break down barriers between industry embracing this change? Microsoft outpatient care teams and behavioral health and neurology care teams. For instance, Historically, the healthcare industry has lagged using Skype for Business on their devices with front-facing cameras in the ER, they behind in digital transformation, but I’m can conduct remote neurology and neurosurgery consults for suspected strokes defi nitely seeing more of the industry embracing the cloud. Each healthcare and for stroke observations. organization is at a diff erent point in their journey to the cloud, though. For some who are just getting their feet wet, it might be revolutionary for them to put their Another example is Advocate Health Care in Chicago, which has created High email or instant messaging in the cloud. Others are taking bigger steps – using Reliability Leader SharePoint rounding dashboards throughout their facilities for the cloud to save lives and completely redesign clinical processes. the purpose of reducing errors in care and healthcare-associated infections. The dashboards are visible everywhere so everyone can see how they’re doing Finally let’s talk about cybersecurity and compliance. in comparison to each other. This allows for constant process improvement. What role does Microsoft have in delivering these? For us, security really is job one. We spend over $1 billion a year on security-related A third example is Dartmouth-Hitchcock’s ImagineCare program, which leverages research and development. We run a digital crimes unit. We have a cyber-defense Microsoft technologies to focus on patient wellness and chronic disease operation center on a worldwide scale. We don’t think of ourselves just as a cloud management. Using wearables, remote monitoring devices and cloud technology, and services company; we are a cybersecurity company. Security is the foundation daily vitals are captured and transferred in real time to the ImagineCare team 24/7. of everything we do. Nurses on the team are alerted if something in the data stands out and are prompted to contact the patient. They’re proactively reaching out to patients, often before In relation to the healthcare industry, we understand the concerns about security. the patient even realizes that they need to come in for care instead of waiting The healthcare industry is a prime target for cyberattacks. That’s largely because for patients to get sick and then come to them. medical identity theft is one of the easiest ways for hackers to make money by reselling patient data or holding electronic health records hostage through What are the biggest trends and areas of growth that ransomware attacks. Health organizations that have the most vulnerable systems you’re seeing in the U.S.? stand to gain the most benefi t from moving to a trusted cloud provider like Microsoft The biggest trend that’s been around for a while is achieving the Triple Aim – but because they can leverage Microsoft’s expertise, experience and research. now we’re seeing health systems leverage personal technologies in new ways to The secure environment we can provide in our trusted cloud surpasses what engage patients to play an active and accountable role in helping them achieve it healthcare providers could build for themselves. together. We’re seeing many providers focus on moving beyond patient portals toward texting, virtual care, remote health monitoring, mobile apps and wearables Microsoft also understands the importance of being compliant with privacy that enable clinicians to interact with their patients during the 5,000 hours or so regulations. Our customers tell us we’ve helped them overcome barriers to between offi ce visits. They’ve found that patients are not really using the portals so moving to the cloud because they can trust that when we say we meet or they’re focusing on new ways of engaging patients. Patient engagement solutions exceed the required HIPAA privacy and security safeguards, we are. we’re seeing include automated interactions, so, for example, a patient leaves the doctor’s offi ce and then gets a text message thanking him or her for going to the We’ve done that by certifying Microsoft’s Offi ce 365 and Azure hyper-scale cloud appointment and encouraging the patient to log into the patient portal or use an computing platform with HITRUST and achieving the highest HITRUST score app. It’s about creating automated follow-up solutions that work best for the patient, obtainable, a Level 5 rating for both Offi ce 365 and Azure. We continue to invest rather than a “one size portal fi ts all,” especially considering the fact that, for many, in all the relevant certifi cations because we know how critical this is to the their cell phone is the only connected device they have. healthcare industry – to both our healthcare customers and to healthcare consumers.

Visit us at booth #2509 About Microsoft Microsoft empowers health organizations to improve collaboration among caregivers and patients, speed access to actionable information, and gain insights to using technology that’s as powerful as it is familiar.

©2017 Microsoft. All rights reserved. This document is for informational purposes only. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS DOCUMENT. Case studies results based on use of specifi c systems customized for a particular organization; other company results may vary. The names of actual companies and products mentioned herein may be the trademarks of their respective owners.

For more information about Microsoft, please visit: www.microsoft.com. 17 / ANALYTICS Allscripts goes beyond APIs to foster an ecosystem of innovation Artificial intelligence: CEO Paul Black says the goal is to bring patient data into the Clear and present opportunities EHR and make it actionable. emerge for healthcare By Tom Sullivan

With the growth in health databases, AI can be applied right now. When will be the THE LEADING EHRVENDORSAREWORKINGTOESTAB best time for healthcare entities to implement? By Tom Sullivan LISHTHEIRARCHITECTUREASANOPENPLATFORM AND !LLSCRIPTSISNOEXCEPTION #%/0AUL"LACKSAIDTHAT!LLSCRIPTSTAKESAN LEADING ENTERPRISE)4COMPANIESˆ!MAZON !PPLE )"- MACHINELEARNINGWILLONLYGROWTOHELPCLINICIANSMAKE APPROACHDIFFERENTFROMSOMEOFITSCOMPETITORS 'OOGLE -ICROSOFTˆAREINVESTINGHEAVILYINARTIFICIAL MOREINFORMED COMPLEX ANDTIMELYDECISIONSv h7EPUBLISH!0)S v"LACKSAIDh!LOTOFCOM INTELLIGENCE COGNITIVECOMPUTINGANDMACHINELEARNING 4HATSAID THEREARELIMITATIONSTHATHOSPITALEXEC PANIESWILLDO##$!S BUTWEOPENOURSYSTEM !NDEVENTHOUGHMANYHEALTHCAREPROVIDERSARESTILLIN UTIVESAND)4PROFESSIONALSSHOULDKEEPINMIND!) UPATTHE!0)LEVEL ANDTHATSABIGDEALv WAIT AND SEEMODEWHENITCOMESTOTHESEEMERGINGTECH SYSTEMSAREONLYASGOODASTHEQUALITYOFDATATHEYARE "LACKSAIDTHATTHIRD PARTYDEVEL NOLOGIES THEREARETANGIBLEREASONSTOCONSIDERDEPLOYING FED!NDBECAUSETHEYREQUIRESTATISTICAL SYMBOLICAND OPERSCREATEAPPSFORFINANCIALSOR THEMSOONERRATHERTHANLATER BIO INSPIREDAPPROACHES +LEINBERGRECOMMENDEDTHAT CONSUMER FACINGTOOLS TOCITETWO !)CANBEAPPLIEDTODAYTOCLINICALDECISIONSUPPORT HUMANSSTILLACCOUNTFORTHEIROWNEXPERIENCEANDCOM EXAMPLES!LLSCRIPTSHASSOME  LENGTHOFSTAYPREDICTIONS /2SCHEDULING NATURALLANGUAGE MONSENSEINSTEADOFBLINDLYFOLLOWINGANY!)SYSTEMS PEOPLECERTIFIEDTOBUILDSOFTWARE PROCESSINGSUCHASVIRTUALASSISTANTS ROBOTICSFORMATERIALS RECOMMENDATIONS THATRUNSONITSPLATFORM ANDSINCE TRANSPORT RESEARCHDATAMININGANDANALYTICS ASWELLAS (OSPITALSYSTEMSHOLDINGOFFFORTHETIMEBEINGON!) HASHADBILLION!0)DATA PATTERNCLASSIFICATIONFORTASKSSUCHASTUMORDETECTION COGNITIVECOMPUTINGANDMACHINELEARNINGIMPLEMENTA EXCHANGES "LACKSAID ACCORDINGTO+ENNETH+LEINBERG MANAGINGDIRECTOROF TIONMIGHTBEMISSINGTHEOPPORTUNITYTOHELPSHAPETHE h)WANTPEOPLECREATINGAN RESEARCHATTHE!DVISORY"OARD TECHNOLOGICALADVANCEMENTSTHAT!PPLE )"- 'OOGLE ECOSYSTEMTHAT)MTHECENTEROF PAUL BLACK h-ACHINELEARNINGWORKSBESTWHENTHEREISLOTSOF -ICROSOFTANDOTHERSAREDEVELOPING OFCOURSE FROMWHICH)ENCOURAGE DATAHUMANSHAVETHEMOSTCHALLENGESWHENTHERE h9OULLKNOWYOUNEEDTOAPPLYTHESETECHNOLO PEOPLETOPULLINFORMATIONOUTSOTHEYCANTAKE ISTOOMUCHDATA v+LEINBERGEXPLAINEDh!S%(2S GIESWHENYOURCOLLEAGUESUSINGTHEMHAVEBETTER BETTERCAREOFTHEIRPATIENTS v"LACKSAID HEALTHINFORMATIONEXCHANGES REGISTRIES GENOMICS OUTCOMES vSAID+LEINBERG WHOSPOKEON3UNDAYIN 4OTHATEND !LLSCRIPTSHASWHAT"LACK INFORMATION PATIENTGENERATEDHEALTHDATA THE)NTERNET THESESSIONh!RTIFICIALINTELLIGENCEANDTHEFUTUREOF DESCRIBEDAShASIZABLEGROUPvOFEMPLOYEES OF4HINGSANDOTHERSOURCESARETAPPED THENEEDFOR HEALTHCAREv DEDICATEDTOHELPINGSTARTUPSASWELLASACHIEF INNOVATIONOFFICER 4HEUNDERLYINGNEEDANDOPPORTUNITY OF COURSE ISDATAINTEROPERABILITY!ND"LACKSAID THAT!LLSCRIPTSDB-OTIONISAN%(2 AGNOSTIC company’s Clinical Process Measure- reliable ways to measure clinical process. TECHNOLOGYFORPULLINGDATAOUTOFCOMPETITORSˆ ment solutions support standardization Clinical leaders often encounter dif- DRILLING DEEPER, ATHENAHEALTH #ERNER %PIC -EDITECH E#LINI of clinical processes, equipping organiza- ficulty obtaining the necessary clinical CAL7ORKS .EXT'ENˆ%(2SANDPUTTINGTHAT LOGICSTREAM CPM tions with clinical modules to address reg- process adoption and utilization mea- ulatory requirements, hospital acquired surements from their IT teams. Logic- INFORMATIONINTOASINGLECOMMUNITYRECORD&ROM PLATFORM PROVIDES conditions, advanced payment models Stream provides stakeholders through- THERE !LLSCRIPTSCANBRINGINDATAFROMAHEALTH and CMS Star ratings, the company said. out the system with such information. EXCHANGE INSURANCECOMPANIES OROTHERSOURCES MORE INSIGHT INTO “The problem today is that outcomes LogicStream’s Clinical Process Mea- 5SERSCANALSORUNANALYTICSAGAINSTTHATSINGLEVIEWOF are the only widespread mechanism to surement platform aims to help health THEPATIENTSTODETERMINEWHATTREATMENTOPTIONSHAVE CLINICAL OUTCOMES measure care delivery,” LogicStream CEO systems understand the impact clinical WORKEDONPATIENTSWITHSIMILARCONDITIONS FORINSTANCE Patrick Yoder said. “Without measurement processes on outcomes and allows lead- h&ORTHEWORKFLOWCOMPONENT THEWAYWEDOIT New version brings updated of clinician workflow adoption and the use ership to have targeted conversations ISDIFFERENT v"LACKEXPLAINEDh!LOTOFPEOPLEHAVE of clinical content, health systems cannot and make intelligent improvements to INTEROPERABILITYPLATFORMSTOPULLTHEDATAUPINTOA UI to improve speed and user determine how to improve outcomes.” their interventions and processes. ()%4HATSGOOD BUTONCETHEDATAARETHERE YOU experience. By Jack McCarthy The new release updates the user inter- This release opens the door to more WANTTOMAKEITACTIONABLE ANDTHE@AH HAMOMENTIS face to improve the speed of the system quickly solving difficult healthcare is- WHENYOUCANTHENSENDITBACKDOWNINTOTHEORIGINAL LOGICSTREAM HEALTH has released ver- and the user experience, the company said. sues,” Yoder said. “LogicStream bridg- SENDINGELECTRONICMEDICALRECORD ANDYOUHAVETODO sion 6.0 of its Clinical Process Measure- The new release allows for deeper drill- es the gap between clinical and techni- THATWORKFLOWINAWAYTHATISNON INVASIVE3OTHE ment platform, including an expanded downs into information stored in the elec- cal teams.” CLINICIANLOOKINGATTHERECORDONLYGETSTHENEWINFOR library of clinical modules. tronic health record that is often very difficult MATIONABOUTMEANDNOT@#LICKONTHIS()%ANDGET The Minneapolis, Minnesota-based to access, which can facilitate new and more LogicStream is in booth 875. EVERYTHINGABOUT0AUL"LACKSINCETHEDAY)WASBORNv 3OMEINTHEINDUSTRYWOULDSAYTHATRESEMBLES THEPOST %(2ERACATCHPHRASE h4HATBUZZWORDISTHEREALITYOFLIVINGINADIGITAL PLATFORM v"LACKSAIDh4HISISAFASCINATINGTIMETO BEALIVEBECAUSEITSTHEFIRSTTIMEINTHEHISTORYOFTHIS COUNTRYTHATALLTHESEDATAARENOWDIGITAL AVAILABLE ANDTHEPEOPLEWHOMAKETHEMOSTUSEOFTHATAND TURNITINTOSOMETHINGACTIONABLECLINICALLY FINANCIALLY ANDFROMARESEARCHSTANDPOINT AREGOINGTOWINv

PATRICK YODER Allscripts is in booth 6045.

28 Wednesday, February 22, 2017 Health IT has come a long way. We can tell you where it is going.

HIMSS Analytics® is a global healthcare IT market Health IT intelligence, market insight and standards organization Market assisting clientele in both healthcare delivery and Intelligence healthcare technology solutions business development to Market Insight and Research PDNHODVWLQJLPSURYHPHQWVLQHτFLHQF\DQGSHUIRUPDQFH Healthcare Provider

To learn how HIMSS Analytics can help you better Maturity Models Visit us at understand your market and improve patient care, visit our Booth #2133 website at www.himssanalytics.org

33 West Monroe Street, Suite 1700, Chicago, IL | (877) 364-2500 | www.himssanalytics.org Take patient relationships to new heights with the world’s #1 CRM reimagined for healthcare.

To learn how, attend the Salesforce session on healthcare consumerism.

Wednesday, February 22 | 11:30 a.m. Orange County Convention Center | Room 204-A Join Joshua Newman MD, MSHS, Chief Medical Officer healthcare consumerism and understanding the person swing by HIMSS booth #2679 located in Hall D to meet salesforce.com/himss17

at Salesforce, as he discusses behind the patient. And don’t forget to with our healthcare experts. 17 / ANALYTICS HIMSS Analytics launches LOGIC Google Chrome extension The software applies similar principles of safe and effective care to health IT procurement, HIMSS Analytics Executive Vice President Mercy wins 2016 Blain Newton says. By Tom Sullivan HIMSS Davies Enterprise Award HIMSS ANALYTICS ANNOUNCEDTHE,/')##HROME EHR optimization, clinical documentation improvement, perioperative EXTENSIONHEREON-ONDAY4HESOFTWAREGIVESAFREE analytics and more have all helped the health system improve quality and GLIMPSEUNDERTHEHOODOF()-33!NALYTICS,/')# BYENABLINGUSERSTOVISITAHOSPITALWEBSITEANDVIEW reduce costs. By Mike Miliard INFORMATIONINTHE,/')#DATABASE h)NHEALTHCARE WEKNOWTHATACRITICALPARTOFSAFE EFFECTIVE CAREISADHERENCETOTHEFIVERIGHTSOFMEDICATIONADMINISTRA MERCY, THE ST. LOUIS-BASED ERYOFANTIBIOTICSVIANEWPATHWAYORDERSETREDUCED #ATHOLICHEALTHSYSTEM TIONRIGHTPATIENT RIGHTDRUG RIGHTDOSE RIGHT WITHHOSPITALSAND PLUSPHYSICIANPRACTICES THETIMEITTOOKFORTHEDRUGSTOBEADMINISTEREDBY ROUTE ATTHERIGHTTIME vSAID()-33!NALYT ACROSS-ISSOURI !RKANSAS +ANSASAND/KLAHOMA APPROXIMATELYTHREEHOURS ICS%XECUTIVE6ICE0RESIDENT"LAIN.EWTON HASWONA()-33$AVIES%NTERPRISE!WARD -ERCYALSOENACTEDACLINICALDOCUMENTATION h7HILECERTAINLYNOTASCRITICALASTHEHEALTH ()-33RECOGNIZES-ERCYFORITS%(2OPTIMI IMPROVEMENTPROJECTTHATFOUND UPONCLOSERREVIEW ANDSAFETYOFAPATIENT WEALSOKNOWTHAT ZATION PROCESSIMPROVEMENTEFFORTS USEOFEVI OFPATIENTRECORDS MANYAREASTHATCOULDBEAD HEALTH)4ISMOREEFFECTIVEANDEFFICIENTWHEN DENCE BASEDPROTOCOLSANDANALYTICSGAINSnALLOF DRESSEDBYBETTERCHARTING)TROLLEDOUTATOOLTHAT THERIGHTSOLUTIONISIMPLEMENTEDBYTHERIGHT WHICHHAVEHELPEDTHEHEALTHSYSTEMLOWERCOSTS IM PROVIDESMOREACCURATEANDTIMELYDOCUMENTATION ORGANIZATIONATTHERIGHTTIMEv PROVECAREQUALITYANDPATIENTOUTCOMESANDINCREASE STANDARDIZESWORKFLOWSWITHBESTPRACTICES AND 5SINGTHE,/')##HROMEEXTENSION US REIMBURSEMENTS4HEYREDESCRIBEDINASERIESOFCASE GIVESACTIONABLEDATATOENHANCECOMMUNICATION ERSCANVIEWINFORMATIONSUCHASTHEHOSPITALS BLAIN NEWTON STUDIESONTHE()-33WEBSITE WITHPHYSICIANS4HE-$3/PERATIONAL!NALYTIC HEALTH)4FOOTPRINT FINANCIALS BEDSIZEAND 7ITHTHEAIMOFIMPROVINGCARECOORDINATIONAND 4OOLANDTHE3ECONDARY$IAGNOSIS2EPORTPROVIDES NUMBEROFCONTACTSIN,/')#ˆTHEIDEABEINGTOPROVIDE REDUCINGOVERTREATMENT -ERCYCONFIGUREDEVI -$3USERSASTANDARDIZEDWORKFLOWPROCESSACROSS INSIGHTSABOUTWHICHHEALTHINFORMATIONTECHNOLOGIESA DENCE BASEDPROTOCOLSWITHINITS%(2SYSTEMTHAT THEORGANIZATION PARTICULARHOSPITALISWELLPOSITIONEDTOIMPLEMENT ENABLEDITTOTACKLEANARRAYOFTRICKYCHALLENGES )NANOTHERINITIATIVE -ERCYSPERIOPERATIVELEAD h7EAREREDUCINGTHEFRICTIONOFTHEHEALTH)4PRO &ORONE RECOGNIZINGTHATITWASNTACHIEVINGOPTI ERSLOOKEDFORNEWWAYSTOMONITOR MEASUREAND CUREMENTPROCESSWITHTHEGOALOFMAKINGHEALTHCARE MALTREATMENTFOR-EDICAREAND-EDICAIDPATIENTS IMPROVETHEHOSPITALSSURGICALPROCEDURESWHILE )4MOREEFFICIENTANDEFFECTIVE v.EWTONSAID WITHHEARTFAILURE -ERCYSOUGHTTOIMPROVEQUALITY ALSOINCREASINGPATIENTSATISFACTION)TIMPLEMENTED 7HILEITISMAKINGTHE,/')##HROMEEXTENSION AVAILABLEHEREAT()-33 ()-33!NALYTICSSAID THROUGHSTANDARDIZATIONFORSELECTEDPATIENTPOPULA ADASHBOARDWHOSEANALYTICSDATAHAVEHELPEDSAVE THATITPLANSTOADDNEWFEATURESOVERTIME TIONS(EARTFAILUREMORTALITYRATESFORPATIENTSWASAT  MAN HOURSAMONTHFOREACHOFITSLOCA h7EWILLBELOOKINGTOCONTINUOUSLYUPDATETHEFEA THENATIONALAVERAGEOFPERCENTBEFOREIMPLEMENTA TIONSANDHELPEDTHEHEALTHSYSTEMACHIEVEATOTAL TURESOFTHISTOOLTOINCLUDE AMONGOTHERTHINGS NEWS SAVINGSOFMILLIONACROSSITSPERIOPERATIVE TIONOFTHENEWPATHWAY WHICHACHIEVEDREDUCTIONS ANDCURRENTEVENTSONEACHORGANIZATION v.EWTON DEPARTMENTS INTHATRATE SAIDh4HEOVERALLINTENTISTOGIVEHEALTH)4SOLUTIONS 0NEUMONIAMORTALITYWASALSOATTHENATIONALRATE -ERCYWASHONOREDDURINGTHE()-33AWARDS PROVIDERSTHETOPFIVETHINGSTHEYNEEDTOUNDERSTAND TOPERCENT BUTANINITIATIVETOEXPEDITETHEDELIV GALAON4UESDAYEVENING ABOUTANORGANIZATIONATAGLANCEv

Which type of EHR development projects are or will be in ther works within your enterprise?

Improving Interoperability 60% Improving Workflow55% Improving Usability 37% Adding Pop Health Tools To EHR 37% Migrate To The Cloud 28% Major EHR System Upgrade 24%

Source: Healthcare IT Replacing EHR 21% News Reader Survey 2017

32 Wednesday, February 22, 2017 Simplify the complexities of health IT marketing.

As marketers, you know what’s needed to break through the clutter and get your message delivered — it’s called disruption. The BrandHIT Marketing Summit, HIMSS’ first conference dedicated exclusively to health IT marketing, will help you: • Take charge of today’s ever-changing digital environment, including content creation, data analytics and customer experience. • Build your brand and fuel its growth with the experts who focus solely on health IT marketing. • Leverage the latest insights, strategies and tools from the most experienced professionals in the industry so you can make your brand stand out.

Don’t miss your chance to learn from the health IT marketing experts. REGISTER NOW!

WWWBRANDHEALTHITCOM

June 15–16, 2017 | Las Vegas, NV 17 / SECURITY Citrix building Workspace IoT for hospitals The company’s unified device pulls together new and emerging technologies to Healthcare organizations lag enable hospitals to replace desktop PCs with sub-$100 in digital marketing for apparatuses running Raspberry cybersecurity strategies Pi. By Tom Sullivan Study finds that many hospitals lack the infrastructure for deploying modern tools CITRIX SYSTEMSISCREATINGWHATITCALLS7ORKSPACE needed for crisis management, including data breaches. By John Andrews )O4 BASEDONVIRTUALIZATIONANDOPENHARDWARE TECHNOLOGIES TOENABLEHOSPITALSTOMOVEAWAYFROM TRADITIONALFAT0#STOVIRTUALDESKTOPSINEXPENSIVELY 4HEPRODUCTLINEUPINCLUDESAN)NTERNETOF HOSPITAL EXECUTIVESAREINVESTIGATINGNEWMARKETING RETURNONINVESTMENTANDKEYPERFORMANCEINDICATORS 4HINGSGATEWAY AN)O4MESSAGINGPLATFORMAND AUTOMATIONCHANNELS SUCHASREAL TIMECOMPUTERBUY h2/)ANDKEYPERFORMANCEINDICATORSAREABIGTOPIC v+LEIN ACASTINGTOOLALONGTHELINESOF#HROMECASTOF ING GEO FENCING TEXTMESSAGINGANDDARKPOSTSONSOCIAL SAIDh#%/SWANTTOKNOWTHE2/)ANDINDICATORS(OWEVER !PPLE46 MEDIA"UTANEWSURVEY h4HE3TATEOF$IGITAL-ARKETING 2/)ISHARDERTOGAUGEINHEALTHCAREBECAUSETHEREISALAGEFFECTv h7ELLPROVIDETHEUNIFIEDWORKSPACETO IN(EALTHCAREIN vALSOFOUNDTHATPARTICIPANTSARE #ONCEPTUALLY HEALTHCAREISPURSUINGSOMEADVANCED USERSREGARDLESSOFWHATDEVICETHEYREONnTHE NOTUPTOSPEEDONCRISISMANAGEMENT ACRITICALELEMENTIN IDEASFORMARKETING YETTHEINDUSTRYSINFRASTRUCTUREISNOT APPROPRIATEAPPSONAPPROPRIATEDEVICES vSAID HANDLINGDATABREACHESANDTHEREQUIREDNOTIFICATIONS READYFORMANYOFTHEM +LEINSAID #HRIS&LECK VICEPRESIDENT h&EWRESPONDENTSSAIDTHEIRORGANIZATIONISEFFECTIVE &ORINSTANCE ALOTOFINTERESTEXISTSAMONGMARKETING ANDTECHNICALFELLOWAT ATMANAGINGACRISIS vSAID2OB+LEIN FOUNDERAND#%/ EXECUTIVESTOUPGRADETHEIRORGANIZATIONSVIRTUALFRONTDOOR #ITRIXh4HENADD)O4TO OF/RLAND0ARK )LLINOIS BASED+LEIN0ARTNERS WHICH nTHEWEBSITEnYETONLYPERCENTOFRESPONDENTSSAID THEEQUATION ANDITGIVES CONDUCTEDTHESURVEYALONGWITH!TLANTA BASED'REYSTONE THEIRORGANIZATIONPROVIDESPROPERFUNDINGFORIT YOUTHEABILITYTODOMORE .ETh7ITHBREACHES THEREISALWAYSACRISISv !NDWHILETHEMAJORITYBELIEVESSOCIALMEDIAISAVALU THANACCESSAPPSnYOUCAN 7HATSMORE THENEWLANDSCAPEISRICHWITHDIGITALMAR ABLEFORUM SIXOUTOFORGANIZATIONSBLOCKEMPLOYEES IMPROVETHEWORKFLOWv KETINGCHANNELSFORHEALTHCARE ANDTHATBRINGSTHENEEDTO FROMUSINGIT HESAID 4HETHINCLIENT ($8 UNDERSTANDTHEDYNAMICSANDIMPACTOFUSINGTHESEMETHODS 4HEINFRASTRUCTUREANDTODAYSCROPOFMODERNDIGITAL 2EADY0I ESSENTIALLYTURNS .OLONGERAREHEALTHCAREMARKETERSJUSTSENDINGOUTAMES TOOLSONTOPOFITAREANINCREASINGLYIMPORTANTELEMENTOF THEOPENSOURCE2ASPBERRY SAGEANDCUSTOMERSRECEIVINGITh7EAREPARTOFAPROCESSWHERE NOTJUSTMARKETINGBUTALSOCYBERSECURITYSTRATEGIES 0IINTODEPLOYABLEENDPOINT WEDONTDICTATEWHERETHEMESSAGEGOES ANDTHATISAVERY h4HEREMUSTBEMOREATTENTIONPLACEDONCYBERSECURITY v DEVICESFORLESSTHAN UNCOMFORTABLEPOSITIONFORMARKETERSTOBEIN v+LEINADDED +LEINSAIDh)TSSCARYOUTTHERE ANDITHASONLYBEGUNv &LECKSAID4HATPRICECOM CHRIS FLECK 2ESPONDENTSINCLUDEDDIGITALHEADSOFMARKETING CHIEF PRISESALOCKEDDOWN,INUX MARKETINGOFFICERSANDMARKETINGDIRECTORS AND+LEIN Klein, along with Greystone.Net President and co-founder OPERATINGSYSTEM POWERSUPPLY MANAGEMENT NOTEDTHATNEARLYHALFWORKEDATAHEALTHSYSTEM Kathy Divis, will reveal the comprehensive results of their FEATURES #ITRIX2ECEIVEROPTIMIZATION 7I &IAND 4OPICSFOCUSEDONMARKETINGCHANNELS PHYSICIANRELA survey during “The state of digital marketing in healthcare in "LUETOOTH TIONSHIPS AUTOMATION SEARCHENGINEOPTIMIZATIONTOOLS 2017” on Thursday, Feb. 23, from 10:30-11:30 a.m. in Room W307A. &LECKSAIDTHATTHEINTENTIONISTOMAKERE PLACINGDESKTOP0#SAMANAGEABILITYORSECURITY DECISIONRATHERTHANANECONOMICONESINCETHE DEVICEISLOW COST become more interopera- Decker and Khan will discuss these challenges during h($82EADY0IISNOWHITTINGTHEMARKET v RISE OF ble, and as more digital pa- the session “Identity management: Challenges and &LECKSAID#ITRIXISALSODEVELOPINGTWOMORE opportunities” on Wednesday, Feb. 22, from 4-5 p.m., tient information is collect- in the Tangerine Ballroom, F4. PIECESTHATARECURRENTLYINBETATESTING THOSE DIGITAL HEALTH ed and stored, the number BEINGTHE)O4GATEWAYANDCASTINGTOOL of people and organiza- 4HE/CTOBLUMESSAGINGANDAUTOMATIONPLAT TECHNOLOGIES tions trying to access this FORMCANBEUSEDTOTIETOGETHERARANGEOFPERIPH cle management systems, connected data – provider employees, colleagues, ERALS SERVICESANDAPPS &LECKSAID4HOSECOULD health, , and mobile SPARKS URGENT business partners, payers, pharmaceutical INCLUDEABARCODESCANNER WEARABLEDEVICESWITH companies and other healthcare stakehold- devices and applications, necessitates HEARTRATEMONITORSORANON INVASIVE"LUETOOTH ers – has dramatically increased. a renewed focus on security, scalability NEED FOR IDENTITY MONITORˆANDPOTENTIALLYREDUCETHETIMEITTAKES That reality has created an urgent and improved experiences. NURSESTOCOLLECTDATAONVITALSIGNSANDINPUTTHOSE MANAGEMENT need among healthcare providers for “Healthcare has gotten very complex, strong identity management. with lots of regulations and lots of chang- INAN%-2ASWELLASCUTTINGDOWNONERRORS 4HE($8CASTINGTOOL WHICH#ITRIXGAVETHE Mayo Clinic IT managers “When we have users on our system, es,” said Munawwar Khan, senior principal do we know if they’re the good guys or healthcare consultant at Mayo Clinic. “As TEMPORARYDEVELOPMENTNAME(EALTHCARE(UB suggest identifying the bad guys?” asked Brian Decker, se- a result, not all vendor systems do every- WORKSLIKE#HROMECASTTOOPENVIRTUALCHANNELS practical solutions and then nior manager at the Mayo Clinic and thing, so health organizations have to pur- TOADISPLAY KEYBOARDANDMOUSE4HETOOLWOULD instituting governance and program manager for the clinic’s Identi- chase different apps or create their own.” ENABLE FORINSTANCE ACLINICIANTOWALKINTOA changing management ty Management Platform. “Who actually When that happens, Khan added, it can PATIENTSROOMANDHAVETHE%(2POPUPONTOA are users? Are they appropriate users? create a “black hole” within the organization SCREEN4HATCOULDELIMINATESIGN INANDAUTHEN policies. By Chris Nerney Who has access to what and why? Who’s that could lead to security vulnerabilities. TICATIONTIME &LECKSAID accountable for our users’ access?” To avoid that black hole, Decker and Khan h7ERESHOWINGTHELIFEBEYONDTHATFIRSTSTEP CONSUMERS ARE EXPRESSING increasing The bottom line, Decker says, is recommend identifying and implement- OFVIRTUALIZINGAPPSnFUTURE)O4 v&LECKSAIDh0UT concern that sharing of their personal and “you’ve got to be sure the right people ing practical solutions for establishing an ALLTHEPIECESTOGETHER ANDYOUCANCREATENEW medical data by providers and other health- have the right access to the right things identity management program, instituting AUTOMATEDWORKFLOWSFORHEALTHCAREv care stakeholders will lead to security and at the right time and nothing else.” appropriate governance, and creating orga- privacy breaches, according to a recent What’s more, the emergence of digi- nizational change management and com- study by Black Book Research. tal technologies in healthcare, including munications challenges within the identity Citrix is in Booth 2623. Indeed, as electronic healthcare systems electronic health records, revenue cy- management operational infrastructure.

34 Wednesday, February 22, 2017 Patient-Centered Population Health Management Enabling Connected Care for Population Health Success

Caring for patient populations is really about individual patient care. Healthcare organizations need to empower clinicians to be more effective in improving the overall health status of a population by optimizing care for individuals. Discover how a patient-centered approach can optimize the outcome and costs of care for individuals – and ultimately succeed in population and value-based care initiatives.

Visit www.InterSystems.com/PopulationHealth

Sponsored by: Produced in partnership with:

Thank you to the Sponsors of the HIMSS17 Welcome Kit

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Booth #2761 Booth#4187 Booth#2123 Pick up a copy of our HealthTech Magazine.

Booth #7772 Booth#8064 Entered to win a SONOS PLAY:3 ($299 value)

Visit our sponsors at HIMSS17 to learn about their products and services. 17 / SECURITY Social Media Ambassador Matt Fisher: Healthcare attorney who used to be a barista He discusses his pet peeves and what he’s hoping to see at HIMSS, and reveals his health IT hero. That last one might surprise you. By Tom Sullivan

MATT FISHERISLIKELYTOWINSOMEFANSAMONGTHE7OMENIN(EALTH )4AND()4CHICKSCROWDATTHISYEARS()-33WHENTHEYREAD WHOHISHEROIS &ISHERISANASSOCIATEWITH-IRICK/#ONNELLWHEREHESERVESAS CHAIROFTHEFIRMS(EALTH,AW'ROUP (EALTHCARE)4.EWSASKED&ISHERWHATHESANTICIPATINGAT ()-33 WHOHISHEALTH)4HEROISANDWHATARETHEISSUESTOP Yale researchers OF MINDFORHISSOCIALMEDIAFOLLOWERS 17HATAREYOUMOSTLOOKINGFORWARDTOAT()-33 are tapping into a secure !#ONTINUINGTODEVELOPEXISTINGFRIENDSHIPSANDMEETINGLOTSOFNEW PEOPLE4HESOCIALMEDIACONNECTEDTO()-33ANDTHECONFERENCE IN GENERAL AREAGREATMEANSOFCONNECTINGWITHAVARIETYOFPEOPLEAND cloud platform for the LEARNINGABOUTNEWIDEAS4HELEARNINGASPECTISANOTHERPIECETHAT) AMLOOKINGFORWARDTO"EINGANATTORNEY )DO ‘knowledge generation’ NOTALWAYSGETTOSEEDEVELOPMENTSANDCHANGES FIRSTHAND)APPRECIATETHEOPPORTUNITYTOFINDOUT Hugo will clear a path for patient data from the EMR to research WHATISHAPPENINGINTHEINDUSTRY WHICHHELPS databases. By Diana Manos MEUNDERSTANDTOOLSANDSOLUTIONSTHATMYCLIENTS AREEITHERLOOKINGATORFOR

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*Patient- Centered Secure Lynx *Mozaic *Nice Western Outcomes QLess *Banyan *Odoro Battelle Healthcare & Research Ideas Broadband Medical Systems Philippine Teguar MAP Institute (PCORI) Infinite Management XIFIN, Inc. Scrypt, Trade and Corp Payoda KORE 7277 7376 7377 7476 7677 7776 7877 7976 7977 8076 enovo Peripherals, 6677 6777 6876 Inc Investment Inc Telematics Healthcare *International Inc Reflexion Scholarship and Vertess Growth Tuition Srv Inc. Center Board United Partners Health, (ISTS) of Investments 6275 6374 6375 6675 6774 6875 6975 7275 7374 7375 7474 Inc 7774 7775 7874 7875 7974 7975 8074 tes), Inc Masimo Amrita Austco WinMagic Medical Zayo Communication Solutions Systems Group 6372 6673 7273 7372 7373 7472 7673 7772 7773 7872 7873 7972 7973 8072 8073 American *CareAllies VM Elect/The Advanced Singlewire designUfactory Heart Assoc (AHA) ICU Care Software 6271 6370 6671 6770 6871 6970 Amazon 7271 7370 7371 7470 7671 7770 7771 7870 7971 8070 0 Edifecs 6471 Qvera Web Srv Higi SH NewCrop LLC 11 7269 7368 7369 7468 7669 7768 7769 7868 7969 8068 6369 6969 RDX Decision Resources Group Intelligent Health Pavilion 6767 6867 6966 7267 7367 7466 7467 7667 7766 7767 7866 7867 7967 8066 8067 IAFax Doc I.T. SONIFI Services Solutions Intelligent Health Pavilion Intelligent 7265 7364 7365 7464 7665 7764 7765 7864 7965 8064 Touchpoint Milestone Bluerange Progressive *Brother Health Evident Surescripts Healthcare Healthcare Harmony Secure InSites, Inc Consulting Tech OmniJoin Webair Applied MuleSoft Business Verato Group MedicalMine Solutions Healthcare Windstream Care Avaya, Inc. Booth 8361 Medical Pilotfish Insights 7363 7463 *WHOA 7563 7663 IT 7763 7862 Products Healthcare Net Zerto Alpha II Sansoro Dell Martel Health Integration Health Boomi TeachPrivacy Inst Marconet Endeavors 6161 6361 6461 6660 6761 6861 6961 7261 7360 7361 7460 7461 7560 7561 7660 7661 7760 7761 7860 7861 7961 8060 8061 8361

Mobile Find-A- HID Pcliquidations LEAD Tech Workday Pundits IEEE 1Call, A Inc. Code First Signet Global SoftwareONE (LEADTOOLS) Dynosense Division of 6954 Healthcare Corp 8055 8154 8254 8255 8354 8355 8454 AMTELCO Capsa Novarad Prod Inc ContextMedia Physicians Accel, Catalyze Solutions Corp Practice Health *RespondWell 6453 6853 6952 6953 LLC 7653 7752 7753 7853 7953 8053 8152 8153 8252 8253 8352 8353 8452 American Telemedicine Associates 12 6551 6751 7251 7450 7551 7651 7750 8051 8150 8151 8250 8251 8350 8351 8450 8451 *Dunn Logic *deister Allscripts Two Secure- *HIMSS Solutions Healthcare Elect TelmedIQ Point Cradlepoint 24, LLC International Spectralink Extreme 7649 7748 7749 7848 Gmbh 8148 8149 8248 8249 8348 8349 8448 8549 Net Inc Collibra, Sunny Drexel *Omnimed Dynamic Corporation Inc Health IT Pavilion Castors Valence Best Healthcare Securenetmd University SnapMD Health Communications Online International Intrigma 7446 Get Real 7647 7746 7747 7846 7847 7946 7947 8047 8146 8147 8246 8247 8346 8347 8446 8447 8546 Inc 6646 6847 6947 Health Booth 6045 emids Redox Paessler ImageMoverMD 7045 Engine AG Pavilion 6445 6545 6644 6645 6744 6745 19 7245 7344 7345 7444 7445 7545 7645 7744 7745 7844 8345 8444 8445 8544 8545 8644 8645

UP ENTRANCE ENTRANCE ENTRANCE ENTRANCE ENTRANCEPASSAGEWAY UP W225B W231A W231B W231C W232A W232B W232C C W225A AED 13

MACHINE MACHINE SODA SODA HONEYBELL MACHINE BOARD ROOMS SODA Interoperability Showcase

MACHINE MACHINE Booth 9000 SODA SODA W236 W230D W233 W234 W235 Interoperability Showcase

W222B A B B C UP ENTRANCE ENTRANCE

W230C

MACHINE SODA W224 TANGERINE BALLROOM D W230A-D 15 W230B HALL F W224A-C/E-G

W223A 19TERRAZZO Living Room Tangerine Ballroom

Room W224 W224 SERVICE CORRIDOR 22 H W230A FREIGHT ELEVATORS Wellness W223B E E F FGG Pavilion

MACHINE SODA ATM

MACHINE SODA

AED

MACHINE MACHINE SODA SODA

MACHINE SODA

UP AED WFM

ELEVATOR

W240A W240B W240C W240D MAIN ENTRANCE

CLOSET A CLOSET B CLOSET C CLOSET D

ROSEN PLAZA ROUTE 13 - 16

LOCATED IN EXHIBIT HALL:

1 Clinical & Business Intelligence Knowledge Center 9 HIMSS Media – Booth 2123 17 Meeting Place – MP40 - MP88

Booth 6779 10 HX360 Innovation Zone – Booth 7785 18 Meeting Place – MP100 - MP111 (Lower Level 1)

2 CHIME – Lobby C 11 Intelligent Health Pavilion – Booth 8361 19 Networking Hubs

3 Connected Health Experience – Booth 7281 12 International Pavilion 20 Population Care Management Knowledge Center

4 Cybersecurity Command Center – Booth 376 13 Interoperability Showcase Booth 6179

5 Federal Health Solutions IT Pavilion – Booth 230 Booth 9000 21 University Row – Lobby B

6 HIMSS Analytics – Booth 2133 14 Launch Pad 22 Wellness Pavilion – Lobby E/F

7 HIMSS Bookstore – Lobby B 15 Living Room – Room W224 + First Aid Hot Spots Shuttle 8 HIMSS Spot – Lobby C Meeting Place – MP1 - MP39 16 Food Concessions Shared Ride Taxi MARK YOUR CALENDAR AND MAKE PLANS TO JOIN US IN LAS VEGAS!

The one thing we can be sure that the coming year will bring to healthcare and health IT is change – and lots of it. But you have a competitive edge with…

Expert insights High-performing best practices Real-world solutions Top-notch collaboration Innovative ideas World-class networking

BE PART OF SOMETHING BIGGER AT HIMSS18. 17 POP HEALTH Project Northstar provides a unified approach to managing continuum Cerner, of care GE Healthcare’s platform spending $700 million on R&D, is delivering machine learning tools in a is committed to open APIs cloud-based environment. Zane Burke: ‘We view it as a moral obligation.’ By Bernie Monegain By Bernie Monegain

CERNER PRESIDENT ZANE BURKE SAIDTHECOMPANYISCONTINU ERABILITY7EVIEWITASAMORALOBLIGATIONINOURINDUSTRYv INGTOPUSHTHEINDUSTRYFORWARDWITHAFOCUSONOVERARCH #ERNERISALSOINCREASINGITSFOCUSONPOPULATIONHEALTH INGTRENDSSUCHASINTEROPERABILITY PATIENTIDENTIFICATION 4HEGOALISTOKEEPTHEPERSONhATTHECENTEROFEVERYTHING POPULATIONHEALTHnANDALSOBUILDINGANOPENPLATFORM WEDOINHEALTHCARE v"URKESAID h)TSONETHINGTOSAYITITSANOTHERTHINGTODOIT v"URKESAID 4HEREAREALSOSIGNIFICANTINVESTMENTSGOINGTOUSABILITY h)TTAKESSIGNIFICANTFOCUSTOBEBOTHOPENANDINTEROPERABLEv REVENUECYCLEMANAGEMENTANDPOPULATIONHEALTH #ERNERISDEDICATINGACHUNKOFTHEMILLIONIT h5SABILITYISAREALLYKEYELEMENT vHESAID h7EREASKING SPENDSONRESEARCHANDDEVELOPMENTONADVANCINGTHE CLINICIANSTODOMOREANDMOREv OPENPLATFORM "URKESAID ANDTHEVENDORISSHOWINGAN #ERNERISINVESTINGINREVENUECYCLEACROSSTHEENTIRE EARLYVERSIONAT()-33 CONTINUUMOFCARE!ND"URKESEESALOTOFPROMISE GE HEALTHCARE WILLBESHOWING()-33AT 4OBUILDTHEOPENPLATFORM #ERNERISWORKINGWITH h7EHAVEBIGINVESTMENTSACROSSTHECONTINUUMOFCARE TENDEESAVISIONFORITSNEXTGENERATIONPLAT PARTNERSANDENABLINGTHEMTODEVELOPONTOPOF#ERNER INTHE%-2nSOTHINKBEHAVIORALHEALTH LONG TERMCARE FORMTHATINTEGRATESAFULLRANGEOFTECHNOL !0)S "URKESAID SKILLEDNURSING REHAB SURGERYCENTERS v"URKESAIDh!LLTHE OGIESFORMANAGINGCARE FROMANALYTICSAND h)THOUGHTWETOOKAMAJORSTEPWITHTHEANNOUNCEMENT CARESIDEISTOBEAUTOMATEDANDTIEDv CLOUD BASEDIMAGINGTOMACHINELEARNING OF#OMMONWELLAND#AREQUALITY v"URKEADDEDh7ERE "UILDINGONTHE'%(EALTH#LOUD THE GOINGTODOANYTHINGPOSSIBLETOMOVEFORWARDONINTEROP Cerner is at Booth 2161. COMPANYISENABLINGCARETEAMSTOSTORE VIEW ANALYZEANDSHAREIMAGESINWAYSTHEY COULDNOTDOBEFORESTORAGEANDCOMPUTE POWERWEREAVAILABLEINTHECLOUD A NEW MODEL of healthcare means provider sociated contracting entities such as physician h7EREWORKINGATBUILDINGANALYTICSINTO organizations need to mobilize and marshal organizations, accountable care organizations EVERYPARTOFOURBUSINESSANDAPPLYING their resources to develop a coordinated, and patient-centered medical homes. DIGITALFROMAHORIZONTALAPPROACHACROSSALL BIGGEST more efficient process of care, according to The next key resource required is robust OF'%(EALTHCARE v'%(EALTHCARESPOKES Tim Pletcher, executive director of the Mich- patient-provider attribution showing that WOMAN+ELLEY3OUSASAID igan Health Information Network. each individual provider is connected to a OBSTACLES TO 0ROJECT.ORTHSTAR '%SSOLUTIONFORHELPING Effective patient-centered care requires specific population of patients. PRACTICESTRANSITIONTOVALUE BASEDCARE COM a clear understanding of which doctors, or- “Because health plans and those who pay for PATIENT-CEN- BINESPOPULATIONHEALTH CAREDELIVERY PATIENT ganizations and other care providers are ac- and regulate care, use various kinds of attribu- TERED CARE? tively involved in a person’s care, he added, tions to make payments, the current process of ENGAGEMENTANDFINANCIALMANAGEMENTINAN and new approaches to care such as preci- care coordination and incentives linked to qual- INTEGRATED INTEROPERABLESOFTWARESOLUTION COORDINATION sion medicine further heighten the need for ity measurement aren’t well-aligned,” Pletcher 3OUSAALSOPOINTEDTOARECENTPARTNERSHIP an effective process to link, or attribute, pa- said. “That alignment is actually very challeng- WITH"OSTON#HILDRENS(OSPITALTODEVELOP tients to providers, Pletcher said. ing now. Patients can often be attributed to pro- NEWPEDIATRICBRAINSOFTWARETHETECHNOL AND QUALITY “The biggest challenge right now is that care viders they never see, and providers don’t feel OGYCOMPANYANDTHEHOSPITALPLANTOTAKE coordination, performance measurement and they should be accountable for those patients. TOMARKET!NOTHERPARTNERSHIPnTHISONE MEASUREMENT quality measurement are completely sepa- It’s a constant source of friction and confusion.” WITH5#3AN&RANCISCOS#ENTERFOR$IGITAL rate, siloed activities,” he said. “As the industry Developing a cohesive patient-centered (EALTH)NNOVATIONnWILLDEVELOPALIBRARYOF Michigan Health moves increasingly toward advanced pay- care process enables providers to recognize DEEPLEARNINGALGORITHMSTOEMPOWERCLINI Information Network ment models, care coordination and quality gaps and the best kind of attribution to use, CIANSTOMAKEFASTERANDMOREEFFECTIVEDECI executive director says measurement need to become a continuous Pletcher said. SIONSABOUTTHEDIAGNOSISANDMANAGEMENT that effectively linking and integrated process. This means that care “It also helps us understand the dynamics of OFPATIENTSWITHSOMEOFTHEMOSTCOMMON coordination, performance measurement and a relationship and make sure the right people ANDCOMPLEXMEDICALCONDITIONS patients to providers quality measurement have to be closely relat- get the information they need,” he said. “And it '%(EALTHCAREISLOOKINGTOFORGEMORE starts with a dynamic ed activities growing out of the same shared provides support to perform financial incentive PARTNERSHIPSLIKETHOSE 3OUSASAID WHEREIN health directory. infrastructure, same foundation of master calculations in a fair and consistent way.” '%PROVIDESSOFTWAREEXPERTISEANDCOM data, with the same 360-degree view of the By John Andrews PUTINGPOWEROFTHE'%(EALTH#LOUD AND patient and caregivers involved.” THEPARTNERSPROVIDETHECLINICALKNOWLEDGE It starts with an active, dynamic health direc- Pletcher will be explaining his patient-centered strategy in detail at his presentation, “The 4OGETHER THEYDEVELOPDIGITALSOLUTIONSTHAT tory, Pletcher said, because it captures which future of attribution: Who is treating your CANBEPUTONTHECLOUD provider is part of a given practice unit, and in patient?” on Thursday, Feb. 23, from 10:30- turn how that practice unit connects to any as- 11:30 a.m. in Room W304A. GE Healthcare is in Booth 2943.

38 Wednesday, February 22, 2017 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.

( 15,000+ Find out your value today: Standard value statements himss.org/valuesuitenow ( 1,775 Cases

( 1,500 International examples 17 / POP HEALTH UPMC CFO details the ‘ABCs’ of cost management in value-based care The journey toward activity-based costing represents a means to survival in the new world of CMS bundles and capitation. By John Andrews

HAVING A FIRM GRIP ONCOSTSMAYSEEMLIKEAFUN Expert makes a case for DAMENTALPRACTICE BUTAFTERWORKINGWITHINA REIMBURSEMENT BASEDBUSINESSMODELFORSOLONG ITHASNTBEENAHIGHPRIORITYFORMANYHEALTHCARE cloud-based mammography PROVIDERORGANIZATIONS .OW UNDERVALUE BASEDPAYMENT KNOWINGCOSTSIS as a population health play CRITICALTOSTRONGFINANCIALHEALTH ACCORDINGTO2OBERT $E-ICHIEI #&/ANDEXECUTIVEVICEPRESIDENTFORTHE The interoperability upside to storing breast cancer images in the cloud could 5NIVERSITYOF0ITTSBURGH-EDICAL#ENTER lead to earlier detection and reduced unnecessary imaging. By Chris Nerney h(EALTHCAREHASBEENAREIMBURSEMENT BASED INDUSTRYFORTOOMANYYEARS v$E-ICHIEISAIDh&EE FOR SERVICEISACOST PLUSMODELTHATDISCOURAGESREDUCING KATHRYN PEARSON PEYTON, MD,OFFERSABOLDVISIONFOR FORTHEIRFAMILIES THEYWILLSTARTTOWANTTOCONTROL COSTSBECAUSEMORECOSTSADDUPTOMOREREVENUE7ITH THEFUTUREOFMAMMOGRAPHYCONVINCINGSOME THEIRIMAGES!NDIFWECANSENDIMAGESBETWEEN #-3BUNDLESANDCAPITATION ITISNOWGOINGINTHEOP MILLIONWOMENOFTHEENORMOUSPOTENTIALOFIMAGE FACILITIESACROSSTHECOUNTRY THENWECANREALLYIM POSITEDIRECTIONANDCOST SHARINGANDINSPIRINGTECHNOLOGYCOMPANIESTOWORK PROVEPATIENTCAREv ISMUCHMOREIMPORTANT ONSTORINGBREASTCANCERIMAGESINTHECLOUD SOTHEY !MAJORBARRIERTOHEALTHCAREINTEROPERABILITY AC 4HEONLYWAYTOBESUC AREINTEROPERABLE CORDINGTO0EARSON0EYTON ISTHEINCREASINGWORKLOAD CESSFULINTHISNEWWORLD h)FWECANSTIMULATETHE)4WORLDTOPLAYWELL FACEDBY)4PROFESSIONALS ISTOUNDERSTANDCOSTSAND TOGETHER WECANMAKEAHUGEDIFFERENCEINPOPULA h)4STAFFERSATHOSPITALSAREOVERWHELMED MANAGETHEMnIFYOU TIONHEALTH vSAIDTHERADIOLOGISTANDWOMENSHEALTH WITHRESPONSIBILITIES vSHESAIDh)FWECANSHOW CANTMANAGEYOURCOSTS )4ADVOCATE3HERETIREDFROMHERPRACTICEINTO THEMHOWTHISSPECIFICALLYHELPSPATIENTSAND YOUWONTSURVIVEv FOUNDTHENONPROFITTECHNOLOGYCOMPANY -AMMO ISMORETHANJUSTINTEGRATINGSYSTEMS WECAN 4HEJOURNEYTOWARD SPHERE WHICHSTORESANDEXCHANGESMAMMOGRAMS MAKEREALPROGRESSv 50-#SADOPTIONOF ANDOTHERBREASTIMAGINGSTUDIESINTHECLOUD-AM 0EARSON0EYTONAND7YATT4ELLIS DIRECTOROFIMAG ACTIVITY BASEDCOSTING MOSPHEREWASACQUIREDINBYLIFE)-!'% ING)4SOLUTIONSINTHEDEPARTMENTOFRADIOLOGYAND OTHERWISEKNOWNAS !"# STARTEDIN WHERE0EARSON0EYTONNOWSERVESASCHAIROFTHE BIOMEDICALIMAGINGATTHE5NIVERSITYOF#ALIFORNIA ROBERT DEMICHIEI 7OMENS(EALTH!DVISORY"OARD 3AN&RANCISCO WILLCONDUCTANINTERACTIVEEDUCATION WHEN AS$E-ICHIEI 0EARSON0EYTONSINTERESTINWOMENSHEALTHISBOTH SESSIONTITLEDh)NTEROPERABILITYMATTERS)MPACTON DESCRIBEDIT THEHEALTH PROFESSIONALANDPERSONAL MAMMOGRAPHYOUTCOMESv SYSTEMWANTEDTODOMORETHANMERELYREDUCECOSTS h!LLOFMYFAMILYGOINGBACKTHREEGENERATIONSHAS 4HETWOSPEAKERSWILLIDENTIFYAREASOFNEEDFOR h7EWANTEDTOUNDERSTANDTHEVARIATIONBETWEEN HADBREASTCANCER vSHESAIDh)FELTITWASIMPORTANTTO MEDICALIMAGESHARINGINTHEHEALTHCAREENTERPRISE COSTANDQUALITY v$E-ICHIEISAIDh7HENYOUSEE IMPROVEBREASTCANCERDETECTIONANDREDUCEUNNECES DISCUSSREAL WORLDOUTCOMESDATAFROMMAMMOGRA THATLEVELOFVARIATION THECOSTSLOOKLIKEAPIECEOF SARYIMAGINGANDALLTHATGOESALONGWITHITv PHYSTUDYANDAPPRAISEHOWTOREPEATTHERESULTS FORENSICEVIDENCEv "UTHERLONG TERMGOALISTOINSPIREADOPTIONOF ANDEXPLAINHOWATTENDEESCANEVALUATEANDRECOGNIZE )NITSINFANCY 50-#S!"#CONCEPTFOCUSEDON THECLOUD BASEDMODELBYOTHERIMAGING INTENSIVE SPECIALTIESNEEDINGINTEROPERABILITYIMPROVEMENTAT QUANTIFYINGSPECIFICTASKS ASSIGNINGVALUESTOTHEM SPECIALTIESANDDEVELOPMENTOFENTERPRISE FRIENDLY THEIRFACILITIES BASEDONASETOFCRITERIA!ND$E-ICHIEIANDHISTEAM MEDICALIMAGE SHARINGIMPLEMENTATIONSTHATWILL h4HERESABIGGERMISSIONOUTTHEREINTAKINGCARE LOOKEDHOLISTICALLYATOPERATIONS STUDYINGTHEVARIATIONS IMPROVEPATIENTOUTCOMES OFPATIENTSTHATWENEEDTOADDRESSASAPOPULATION FORPROCEDURES LABWORK INPATIENTSTAYSANDOTHER h"REASTIMAGINGISHIGH VOLUME HASANEMO HEALTH BASEDSOCIETY vSHESAIDh!NDTHERESNOGOOD RELATEDACTIVITIES TIONALLYENGAGINGFOCUSANDARESEARCH PROVENNEED REASONNOTTODOITv h4HEIDEAISTOHAVEPRISTINEDATATHATALLOWSFOR FORTHEPRIOREXAM vSHESAIDh)FWECANENGAGE DISCUSSIONWITHCLINICIANSBASEDONFACTSANDNODEBATE MILLIONWOMENTOUNDERSTANDTHENEEDFORIMAGE OVERWHETHERTHEDATAISGOOD vHESAIDh)FWEHAVE “Interoperability matters: Impact on mammogra- CLEANDATAAROUNDCOSTANDQUALITY WECANSITDOWN SHARING ITWILLBETHEIMPETUSFORALLGENERALIMAGE phy outcomes” will be held on Thursday, Feb. 23, from SHARING!SWOMENMAKEMOREHEALTHCAREDECISIONS 10:30-11:30 a.m. in Room W303A. WITHPHYSICIANSANDEXPLOREHOWTHEIRCASESCOMPARE VERSUSTHEIRCOLLEAGUESv $E-ICHIEISAIDTHE!"#APPROACHISAMEASURINGPRO CESSTHETEAMCANUSEOVERTIMETOTRACKPRODUCTIVITYAND EFFICIENCYTHATHASPROVENVERYPOWERFULANDCONTINUESTO MANIFESTNEWBENEFITSASITBECOMESMOREACCEPTED $E-ICHIEIWILLOUTLINEHISEXPERIENCEDEVELOPINGA SERVICE LINEAPPROACHTOCAREDELIVERYANDDISCUSSHIS EXPERIENCEWITHACTIVITY BASEDCOSTINGnAPROVENMETH ODFORDETERMININGANORGANIZATIONSCOSTSnDURINGA SESSIONAT()-33 

“Service Lines and Activity-Based Costing Im- prove Outcomes” will be held on Thursday, Feb. 23, at 10:30 a.m. in Room 300.

40Wednesday, February 22, 2017 SAN FRANCISCO, CA MAY 11-12, 2017

Playing to Win in the Cyber Era

For the fi rst time ever, criminal attacks are the No. 1 leading cause of data breaches in healthcare. And they’re costing the industry a whopping $6 billion each year.

Healthcare organizations, now more than ever, need to do a better job of mitigating risk and safeguarding patient data. And HIMSS can help.

At our San Francisco Privacy & Security Forum, attendees will hear from the nation’s top InfoSec leaders on how to eff ectively eliminate 90% of their organization’s vulnerabilities,

Designed specifi cally for healthcare privacy and security, compliance, and IT decision-makers, our San Francisco forum brings together some of the nation’s most forward-thinking leaders to help attendees tackle the industry’s toughest challenges. And your brand can be a part of it.

Register Now: healthprivacyforum.com/sanfrancisco/2016 | #HITprivacy 17 / EXPERTS GETTING CREATIVE TO MANAGE RISK AND IMPROVE OUTCOMES Some situations call for innovation to treat patients that hospitals cannot code for but can still yield cost-savings. By Susan Morse St. Joseph Health ROWENA BERGMANS DEALSINRISKEVERYDAY !SVICEPRESIDENTOFCLINICALINTEGRATIONANDPOPULATION overhauls enterprise HEALTHFORTHE7ESTERN#ONNECTICUT(EALTH.ETWORK THATRISK SPANSMULTIPLEHOSPITALSINTHEHEALTHSYSTEM monitoring to improve uptime "UTWHEN"ERGMANSTALKSABOUTWHATSHEHOPESTOGAIN SHE TURNSTOTHEHUMANELEMENT Another benefit of the initiative? It enabled the health system’s IT shop to h7EHAVETOLOOKATAPATIENT connect the dots and create a better patient experience. By John Andrews HOLISTICALLY v"ERGMANSSAID 4HISINVOLVESPSYCHOSOCIALISSUES ANDTHEINTEGRATIONOFBEHAVIORAL HEALTH SYSTEMS HAVETHETOOLSANDINCLINATIONTO TOGETAHEADOFTHEMPROACTIVELYHASBENEFITTEDTHE HEALTHINTOPRIMARYCARESERVICES VIEWTHEIROPERATIONSFROMFRONTTOBACK BUTTHEY SYSTEMANDTHEPATIENTEXPERIENCEv 3OITSESSENTIALFORTHECODESTOBE NEEDTOAPPLYTHATTECHNIQUETOTHE)4DEPARTMENT #HRONOLOGICALLY THEPROCESSTOOKTHREEMONTHS CORRECT BOTHFORREIMBURSEMENT ASWELL ()-33SPEAKER2YAN+LEINSAID OFPLANNINGANDSIXMONTHSTOIMPLEMENT4HETIME ANDFORPOPULATIONHEALTH 4HEMOSTPROMINENTISSUEISVISIBILITYˆESPECIALLYAS FRAMEVARIESFOREACHORGANIZATION DEPENDINGON "UTSOMETIMESTHEBESTTREAT ITRELATESTOINFRASTRUCTUREMONITORINGANDAVAILABILITY ITSSIZE HESAID3T*OSEPHHASHOSPITALSANDA MENTMEANSACREATIVESOLUTION h7HATWERETALKINGABOUTISASITUATIONWHEREMOST MULTITUDEOFCLINICSINITSSYSTEM THATHASNOCODE HEALTHCARE)4DEPARTMENTSDONTHAVETHEVISIBILITY !SARESULTOFTHEINITIATIVE THEHEALTHSYSTEMHAS h7EHADAPATIENTWHOENDEDUP INTOTHEIRINFRASTRUCTURESOTHATITISMEANINGFULTOTHE SEENANOTEWORTHYREDUCTIONINDOWNTIMEANDAN THE%2BECAUSEOF#/0$ORCONGES PATIENTEXPERIENCE vSAID+LEIN VICEPRESIDENTAT3T INCREASEINUPTIMEANDAVAILABILITY OPTIMIZING)4 TIVEHEARTFAILURE vSHESAIDh7EWENT *OSEPH(EALTHIN!NAHEIM #ALIFORNIAh4HEYNEEDTO CAPABILITIES +LEINSAID OUTANDBOUGHTTHATPERSONANAIR CONNECTTHEDOTSTOAPATIENTEXPERIENCEv -OREHOSPITALSNEEDTOPAYATTENTIONTOTHE)4 CONDITIONERFORTHEIRHOME4HATPER 3T*OSEPH(EALTH INFACT RECENTLYCOMPLETEDA VISIBILITYISSUE HESAID ANDITSTARTSWITHTHEDECI SONSTOPPEDGOINGTOTHE%24HERES THOROUGHENTERPRISEMONITORINGOVERHAUL IMPLE SION MAKERSINTHE# SUITE NOCODEFORAN!#7EHAVETOFIND ROWENA BERGMANS MENTINGANhASASERVICEvMODELTHATENABLESTHEMTO h3ENIORMANAGERSHAVETYPICALLYOVERLOOKEDIT REVENUEINAWAYTHATWEDONTCODEv IDENTIFYPOTENTIALISSUESBEFORETHEYHAPPEN BECAUSETHEYDONTHAVEEXPERIENCEINIT v+LEINSAID !NOTHERSERVICEFORWHICHTHEREISNOREIMBURSEMENTISWHEN 4HEOVERSIGHTCOVERSMORETHAN APPLICA h4HETECHTEAMKNOWSWHATNEEDSTOBEDONE BUT APHYSICIANORPROVIDERMAKESAPHONECALLTOAPATIENTATNIGHT TIONSANDTENSOFTHOUSANDSOFUSERS THEYNEEDTOGETTOPLEADERSHIPINVOLVEDv 5NLESSTHISISDONEASTELEHEALTHINARURALAREA NOMECHANISM h4HEMOSTSIMPLISTICTECHNOLOGYACTIVITYINSIDE EXISTSFORAHOSPITALTOGETPAIDFORDOINGTHERIGHTTHING THEDATACENTERISTHEROOTOFSYSTEMAVAILABILITY APP Klein will share St. Joseph’s experience in detail during his h7EVEHADGREATSUCCESSIMPLEMENTINGPSYCHIATRIC UPTIME ANDUTILIZATIONOFDOCTORSANDNURSESTODE seminar, “A single pane of glass will never exist,” on TELEHEALTH v"ERGMANSSAIDh/URNORTHERNHOSPITALDOESNT LIVERPATIENTCARE v+LEINSAIDh(AVINGTHATVISIBILITY Thursday, Feb. 23, from Noon-1 p.m. in Room W206A. HAVEACRISISTEAM0ATIENTSMUSTGOTOASOUTHERNHOSPITAL SEEINGWHATTHEDETAILEDNUANCESMEANANDHOW 7EIMPLEMENTEDTELEHEALTHSOTHEYCOULDBESCREENEDUP NORTHTODETERMINETHEAPPROPRIATECARELEVELv 7ESTERN#ONNECTICUT(EALTH.ETWORKEMBEDDEDSOCIAL WORKERSINTOPRIMARYCAREPRACTICESTOALLOWFORCO OCCUR put from two very important sourc- But it took three years and 15 dis- RINGVISITS PATIENT es — the patient and caregiver. tinct diagnoses to determine she had “It’s interesting what perspective Lyme disease, which had triggered !CCURATEPOPULATIONHEALTHDATAISNEEDEDTODETERMINE ADVOCATE: we’ve gained — it is realizing that comorbidities and affected her im- WHATMEDICATIONSPATIENTSARETAKINGANDWHETHERTHEIR patients and caregivers are the true mune system to the point her body HOMEHEALTHANDCLINICALNEEDSAREBEINGMET CAREGIVER’S experts in managing chronic condi- was not responding to antibiotics. "ERGMANSSAIDTHEPAYER PROVIDERPARTNERSHIPISESSENTIAL tions,” said Kristina Sheridan, who left The issue, Sheridan said, was that TOGETTINGTHISDATA ANDTOGETTINGREIMBURSEDFORSERVICES VIEWPOINT AS her engineering job in the aeronautics the healthcare establishment ap- GEAREDTOTHENEEDSOFANINDIVIDUALPATIENT industry to become a healthcare ad- proached the situation from a clin- h(ISTORICALLYPROVIDERSANDPAYERSHAVEBEENADVERSARIAL v CRITICAL AS THE visor and today is a department head ical perspective and not from the SHESAIDh4HEJOKEISEVERYPROVIDERISTRYINGTOBECOMEA for McLean, Virginia-based MITRE patient and caregiver’s viewpoint. PAYERANDEVERYPAYERISTRYINGTOFIGUREOUTHOWTOBECOME DOCTOR’S Corp. “My 12-year-old daughter Kate “By pulling together all the data APROVIDER7ERETAKINGONRISKTHATSCOMPLICATED7HENWE (now 21) was the only one who could from her spreadsheet and taking a THINKABOUTOURABILITYTOMANAGEAPOPULATION ANDWETHINK Kristina Sheridan is explain what she was going through.” holistic view, we were able to ascertain ABOUTTHEABILITYTOCAPTUREANACCURATEREPRESENTATIONOFTHE among the growing When Kate was 12, in fact, the situ- the crux of the problem,” Sheridan said. HEALTHOFTHEPOPULATION ANDTRYINGTODELIVERTHECAREAPPRO legion of caregivers who ation became complicated such that Once a bona fide treatment regi- PRIATELY ITSACCURATELYASSESSINGTHERISKOFTHEPOPULATIONv even repeated visits to doctors did men was established, Kate regained 3OMEPAYERSAREPAIDAPER MEMBER PER MONTHMANAGE have come to believe that not get them any closer to finding the her health and is now planning to involving input from MENTFEE root cause of what was bothering her. study at Oxford University. h9OUHAVETOHAVETHERIGHTCLINICALPROGRAMSINPLACETO patients and their “Then on one occasion, the doc- MANAGETHEPOPULATIONYOUHAVETOHAVERIGHTPROGRAMSIN tor thought he knew what was going families can be a game- In “Lessons from an empowered PLACE v"ERGMANSSAIDh(OWAREYOUPARTNERINGWITHPAY on and asked her if she was having a patient and their caregiver” on Thurs- ERSINAWAYTOKEEPTHEMMOTIVATEDTOCAREFORPOPULATIONS changer for diagnosis and particular symptom. She was, but she day, Feb. 23, from 10:30-11:30 a.m. in ANDHELPTHEMTRANSITIONVOLUMETOVALUE v treatment. By John Andrews didn’t previously know that commu- Tangerine Ballroom F3, Sheridan will re- nicating it was important,” Sheridan late the difficulties in dealing with Kate’s Bergmans will speak on “Clinically enhanced risk: A pay- WHEN IT COMES to managing said. “That established a breakthrough suffering over a 10-year period and how er-provider partnership,” on Wednesday, Feb. 22, from 11:30- chronic conditions, healthcare pro- — she had the whole picture all along, her revelations can further health IT’s 12:30 p.m. in Room 304A. viders are often missing incisive in- and that was a game-changer for us.” role in disease management.

42 Wednesday, February 22, 2017 SAN FRANCISCO, CA MAY 15-16, 2017

From Big Data to Smarter Care

Healthcare is undergoing a massive transformation: Reimbursement is shrinking, providers are taking on more risk, and patients are more engaged than ever. The ability to use analytics to transform data into smarter business and clinical decisions will play a big role in who survives this transformation.

But cultivating a winning data strategy is no easy task. Providers and payers nationwide are struggling with maximizing their data’s value to make a real impact on care quality and costs. And that’s where we come in.

The HIMSS Big Data & Healthcare Analytics Forum is the largest face-to-face event for healthcare analytics pros in the country. We bring together the nation’s leading experts to help tackle some of the toughest data challenges. And your brand can be a part of it. Partner with us for unrivaled networking opportunities and direct access to hundreds of top decision-makers looking for data solutions.

Register Now: bit.ly/BigDataSF17-HITN | #PutData2Work 17 / EXPERTS

Health IT guru Brian Ahier: A big fan of data analytics, Donald Berwick – and Jerry Garcia Lahey Health The social media maven sees big things ahead for machine learning, blockchain and other pilots CMS Bundled envelope-pushing technologies. By Mike Miliard Payment Care Improve- BRIAN AHIER, DIGITAL HEALTHEVANGELISTAT-EDICITY THE()%SUBSIDIARYOF!ETNAS(EAL THAGENBUSINESS ANDALL AROUNDMAN ABOUT TOWNINTHEHEALTHCARE)4INDUSTRY IS ment Initiative to balance EXCITEDABOUTTHEVALUEOFDATAhTHECURRENCYOFTHENEXTCENTURY vHECALLSIT AND ENERGIZEDBYTHECHALLENGEOFCOMBININGSILOEDDATASOURCESnNOTJUSTCLINICALAND costs and outcomes CLAIMS BUTADMINISTRATIVE SUPPLYCHAINANDOTHERS (ESALSOPREDICTINGBIGTHINGSFORMACHINELEARNINGANDARTIFICIALINTELLIGENCE WHICH Cathy Ball spearheads the provider’s participation in the program HETHINKSCOULDSOONREACHAhTIPPINGPOINTvFORHEALTHCARE ASWELLASFAST EMERGINGTECH and says it’s a step in the right direction toward value-based care. SUCHAS"LOCKCHAINnSTILLLITTLE USEDBUTPOISEDFORMOREWIDESPREADDEPLOYMENTACROSS By John Andrews HEALTHCARETHISYEARASITSINTEROPERABILITYANDSECURITYVALUEBECOMESAPPARENT!HIER WHOSE4WITTERFOLLOWERS AHIER NUMBERMORETHAN  TOLDUSWHATHE HOPEDTOSEETHISWEEKAT()-33 FEE-FOR-SERVICE ISBEINGSWEPTASIDEBYTHE "0#)#-3HASALREADYIMPLEMENTEDTHEFIVE VALUE BASEDPAYMENTMODEL WITHBUNDLED YEARMANDATORYTOTALJOINTARTHROPLASTYBUNDLEIN 17HATAREYOUMOSTLOOKINGFORWARDTOAT()-33 -EDICAREPAYMENTPROGRAMSSERVINGASTHE MANYAREASOFTHECOUNTRY ANDMOREAREEXPECTED !)AMMOSTLOOKINGFORWARDTOSEEINGALLOFMYFRIENDSANDCOLLEAGUES4HE BROOM!NDITISALREADYKICKINGUPDUSTWITHIN ,AHEY(EALTHISONEOFTHEPILOTSITES WITH ()-33COMMUNITYISAWESOME ANDDESPITEOFTENBEINGINFRIENDLYCOMPETITION THEHEALTHCAREINDUSTRY "ALLHEADINGUPTHEINITIATIVEATTHEORGANIZA FORMARKETSHARETHROUGHOUTTHEYEAR THEREISAGREATSENSEOFCOLLABORATIONWOVEN h0EOPLEARECOMFORTABLEWITHFEE FOR SER TION4HEKEYTOSUCCESSWITHTHENEWPROGRAM ALLTHROUGHTHECONFERENCE!NDTHENTHEREARETHEVARIOUSSUBGROUPSWHERE)AM VICEnTHEYKNOWHOWTODOIT ANDBUNDLED SHESAID ISSIGNIFICANTCOLLABORATIONBETWEEN BLESSEDTOBEAPARTOF)CALLTHESEOURTRIBES4HESEARETHEFOLKSTHATAREMORE PAYMENTSAREATOTALLYDIFFERENTAPPROACH vSAID CLINICIANSTHE)4TEAM LIKEFAMILYTHANSIMPLYFRIENDSORCOWORKERS #ATHY"ALL DIRECTOROFTHE"UNDLED0AYMENTS #ONCERNAMONGHEALTHCAREPROVIDERSTOWARD )NITIATIVEAT,AHEY(EALTHIN"URLINGTON -ASS BUNDLEDPAYMENTSSTEMSFROMANATURALRESIS 17HATISSUESARETOP OF MINDFORYOURSOCIALMEDIAFOLLOWERS 4OHELPDRIVETHETRANSITION ,AHEY(EALTH TANCETOCHANGEAND PERHAPS SKEPTICISMABOUT !)THINKTHEOVERRIDINGCONCERNATAHIGHLEVELISMOVINGINTOAVALUE BASED KICKEDOFFAPILOTPROGRAMFOCUSEDONSTRIKING ADRAMATICALLYDIFFERENTREVENUEMATRIX TECHNOLOGY ENABLED ANDPATIENT CENTEREDHEALTHSYSTEMTHATCARESFORHUMANSNOT ABALANCEBETWEENCOSTSANDOUTCOMES WHILE "ALLUNDERSTANDSTHISRETICENCEBUTISCONFI JUSTWHENTHEYARESICKORINACRISISBUTRATHERTHROUGHOUT PROMOTINGEFFECTIVECOMMUNICATIONAMONG DENTTHATBUNDLEDPAYMENTSAREASTEPINTHE THEIRLIFE WITHAFOCUSONWELLNESSENCOMPASSINGALLTHE PROVIDERSACROSSTHEENTIREHEALTHCARECONTINU RIGHTDIRECTION SOCIALDETERMINANTSOFHEALTH4ECHNOLOGYGEEKSCANBEAN UM "ALLSAID h7ENEEDTOIMPROVETHEPROCESSOFHAND IMPATIENTLOTWITHTHESLOWPACEOFORDINARYHUMANS ANDWE 4HE#ENTERSFOR-EDICAREAND-EDICAID INGTHEPATIENTOVERTOTHENEXTCARESETTINGIN AREREADYTOMOVEMOUNTAINS3PECIFICALLY MACHINELEARNING 3ERVICES"UNDLED0AYMENT#ARE)MPROVEMENT ORDERTOENSURETHEPATIENTSCAREENDSUPWITH AND!) PLUSBLOCKCHAINTECHNOLOGIESFORTHENEARTERMFU )NITIATIVEISAKEYCOMPONENTOFTHEVALUE BASED THEAPPROPRIATEOUTCOMESALLTHEWAYDOWNTHE TUREANDSOLIDIFYTHEGREATWORKDONEINTHEREALMSOFSECURE LINE vSHESAID MESSAGINGAND&()2 PAYMENTPROGRAMSPROPOSEDINTHE!FFORDABLE BRIAN AHIER #ARE!CTOFANDISBEINGTOUTEDASAVIABLE METHODOLOGYFORPROVIDINGHIGH QUALITYPATIENT 17HOSYOURFAVORITEHEALTHCAREHERO 7HY Ball will discuss lessons learned from taking part CAREATAMOREAFFORDABLEPRICE !3OMECASTIGATEMEFORTHIS BUTITISABSOLUTELY$ON"ERWICK(ISVISIONAND in the CMMI pilot during the session “What’s all FORESIGHTFORHOWHEALTHCARECOULDBEANDHISSTANDINGUPTOTHENASTYPOLITICALWINDS 4OGAUGEITSEFFECTIVENESS THE#-3-EDICARE the fuss about bundled payments?” on Thurs- THATBLOWOVERANYONEWHOTAKESASTANDAREADMIRABLE)CERTAINLYDONTAGREEWITH AND-EDICAID)NNOVATIONUNITISMORETHANTWO day, Feb. 23, from Noon-1 p.m. in Room W204A. YEARSINTOPILOTINGFOURMODELSPROPOSEDWITHIN ALLOFHISVIEWS YETHISMAJESTICVIEWPOINTOFPAYINGFORQUALITYOFCAREANDNOTSIMPLY QUANTITYHASBEENAMANTRAOFMINE!NDHEDIDNTJUSTSPOUTPLATITUDESHEACTUALLY WORKEDHISDAMNEDESTTOSEEITCOMEINTOBEING,OVEHIMORHATEHIM YOUMUST GIVEHIMCREDITFORHISPRINCIPLEDSTAND Which emerging technologies are you planning to invest in during 2017? 17HATSYOURPETPEEVE %ITHERON OROFFLINE !/NLINE30!-1UITPITCHINGMEWITHYOURPRESSRELEASEANDBOLDLYASKING ME OREVENTELLINGME THAT)NEEDTOWRITEABOUTYOURLATESTCOOLTHING)LL Prescriptive Analytics 63% TAKETHEPRESSRELEASEANDESPECIALLYENJOYEMBARGOEDMATERIALSOTHAT)HAVE ACHANCETOREVIEWANDUNDERSTANDWHAT)MAYBEWRITINGABOUT BUTGETTING Artificial Intelligence34% REPEATEDEMAILSANDUNSOLICITEDPHONECALLSBECAUSE)DOWNLOADEDSOMEWHITE PAPERISNOWAYTOGARNERMYINFLUENCE)ALREADYKNOWWHATTHETRENDSARE AND Genomics Tools 21% IFYOURIDEAWERESOCOOL )WOULDHAVEFOUNDABOUTITBEFOREYOUEVENTHOUGHT Machine Learning 21% OFAPRESSRELEASE /FFLINE$ONOTEVER EVERASKMEWHY)KNOWWHAT)AMDOING BELIEVEME Cognitive Computing 19% 17HATISSOMETHINGYOURSOCIALMEDIAFOLLOWERSDONOTKNOWABOUTYOU Blockchain 6% !)WASONTOURWITHTHE'RATEFUL$EADFORTWELVEYEARS7HATALONGSTRANGETRIP ITSBEEN

Source: Healthcare IT News Reader Survey 2017

24 Wednesday, February 22, 2017 Tracking the Pulse of Health IT

Healthcare today is fl ooded with “smart” solutions for providers and payers alike. Yet, in an industry that’s constantly evolving, what to do – when and how – is rarely very clear.

HIMSS Events puts you in the room with experts from leading provider, payer, academic and government organizations to get your questions answered. From relevant, vendor-neutral case studies to up-to-the-minute best practices, learn how to eff ect positive change by taking intelligent action. Register Early and Save Big!

JUNE BRANDHIT MARKETING APRIL POP HEALTH FORUM 2017 SUMMIT Westin Copley Place 15-16 Encore Wynn Resort 3-4 Boston, MA Las Vegas, NV

MAY PRIVACY & SECURITY FORUM SEPT PRIVACY & SECURITY FORUM Grand Hyatt Union Square Sheraton Boston Hotel 11-12 San Francisco, CA 11-13 Boston, MA

BIG DATA & HEALTHCARE MAY ANALYTICS FORUM OCTOBER POP HEALTH FORUM 15-16 Grand Hyatt Union Square Renaissance Hotel Chicago San Francisco, CA 2-3 Chicago, IL

JUNE PRECISION MEDICINE BIG DATA & HEALTHCARE SUMMIT OCTOBER ANALYTICS FORUM 12-13 Westin Boston Waterfront Westin Copley Place Boston, MA 23-24 Boston, MA

Find out more or register now at www.himssmedia.com/events To sponsor, contact Michele Belanger at [email protected] or 703-517-6112 for details and pricing. Learning Made Easy

Connecting industry thought leaders with real life practices – 24/7 Find what you’re looking for: ¢ • Conference education sessions • 20+ Decision Focused Topics • CAHIMS and CPHIMS Credits • 65,000+ subscribers   ‡:HELQDUVDQG9LUWXDO%ULH´QJV  ‡([SHUW&RQWULEXWRUV   ‡2QOLQH&RXUVHV     ‡6XEMHFW0DWWHU([SHUWV

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Across the US healthcare marketplace, one of the major challenges of healthcare surrounds managing provider data. Discover how the Rhode Island Quality Institute (RIQI) is setting a new standard for the nation with its statewide provider director; providing accurate, complete information to its many stake-holders across the state.

Visit : www.InterSystems.com/RIQI

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Now included in the Value Suite: The HIMSS Value Score, healthcare’s first international measurement for the effective use of information and A robust library of real, evidence-based value management systems. Get your complimentary score at www.himss.org/valuescore. Get a structure and vocabulary to help your enterprise organize its value strategy through resources and case studies in these areas of focus: • ACO Navigator: Fill in the gaps of HIT capability in the pursuit of accountable care. PERCEIVED INNOVATIVE VALUE • Meaningful Use Fact Finder: Get information and reporting timelines VALUE

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48 Wednesday, February 22, 2017 17 / TODAY AT HIMSS HIT trends: Voice AI, FHIR and ‘quantified self’ progress will be strong Frost & Sullivan analysis shows that uncertainty in policy will make negotiations tougher as new technology advances. Argonaut Project building on success By Henry Powderly with FHIR implementation guide ORLANDO — THE YEARMAYHAVESTARTEDWITHUNCER TAINTYONTHEFUTUREOFTHE!FFORDABLE#ARE!CT At the HL7 booth, interoperability guru Micky Tripathi details the progress made on BUT&ROST3ULLIVANDOESNOTSEEASLOWDOWNIN public APIs. By Mike Miliard THEADVANCEOFTECHNOLOGYINHEALTHCARE !TTHE()-33#ONFERENCEIN/RLANDOON -ONDAY 'REG#ARESSI SENIORVICEPRESIDENTFOR ORLANDO — EARLIER THIS MONTH,THE(,!RGONAUT0ROJECT THATSAhCOMPLEXVEHICLEFOREXCHANGINGDATA ANDSOMEWHAT HEALTHCAREANDLIFESCIENCESAT&ROST3ULLIVAN PUBLISHEDITS&()2$ATAAND$OCUMENT1UERY)MPLEMEN UNWIELDY vSAID4RIPATHIh)TSGOTSTRUCTUREDDATAEMBEDDED LAIDOUTWHATHEEXPECTSINTHEREALMOFMOBILE TATION'UIDE WHICHITBILLSASAhMAJORSTEPFORWARDvFORTHE INIT BUTITSALLWRAPPEDUPINADOCUMENT HEALTHANDGENERALHEALTH)4THISYEAR AGILEINTEROPERABILITYSTANDARD h)FYOUJUSTWANTAPARTICULARDATAELEMENT LIKEANALLERGY YOU s)TSAWORLDOFUNCERTAINTYONTHEPOLICYSIDE !T()-33ON4UESDAY !RGONAUTLEADER-ICKY4RIPATHI GETA# #$! vHEADDEDh)MIGHTNOTWANTTHEWHOLE# #$! AND&ROST3ULLIVANISALREADYSEEINGHOSPITALS OFFEREDUPDATESONTHENEWGUIDE ANDPUTTHEPROJECTSAC BUTITSTHEONLYSHOWINTOWN# #$!SWORKFORAPARTICULAR DELAYINGPURCHASINGOFNON ESSENTIAL)4PRODUCTS COMPLISHMENTSTHESEPASTTHREEYEARSINTOPERSPECTIVE KINDOFUSECASE BUTSOMETIMESYOUJUSTWANTDATAELEMENTSFOR 3INCEEXECUTIVESDONTKNOWWHATTHEWORLDWILL 4HE!RGONAUT0ROJECT LAUNCHEDUNDERTHE(,UMBRELLA QUALITYMEASUREMENT ORCLINICALDECISIONSUPPORTnOR INCREAS LOOKLIKEINANOTHERYEAR THEYAREBEINGTHRIFTY IN COMPRISESHEAVYHITTERSFROMBOTHTHEVENDORAND INGLY THEKINDSOFLIGHTWEIGHTAPPSPEOPLEAREDEVELOPINGv s-ERGERANDACQUISITIONACTIVITYINTHETECH PROVIDERSIDES!CCENTURE ATHENAHEALTH #ERNER %PIC -C+ )NDEED BEYONDJUSTBEINGCUMBERSOME # #$!IShTOO SPACEWILLNOTSLOWDOWN ESSON -EDITECH 3URESCRIPTS 4HE!DVISORY"OARD#OMPANY MYOPIC ANDhTOOHEALTHCARE CENTRIC vHESAID hCREATINGBARRIERS s0RICENEGOTIATIONSBETWEENPROVIDERSANDVEN "ETH)SRAEL$EACONESS )NTERMOUNTAIN -AYO#LINIC 0ARTNERS FORINNOVATORSEVERYWHEREELSEINTHEECONOMYWHOAREDOING DORSWILLBETOUGH"OTHSIDESAREBEINGSQUEEZED (EALTH#AREAND"OSTON#HILDRENS(OSPITAL ALLSORTSOFGREATTHINGS4HOSEDEVELOPERSHAVENOINTERESTIN s6OICE!)INTERFACES LIKE!MAZONS!LEXA WILL h4HEIDEAWASTOGETAGROUPOFIMPLEMENTERSTOGETHER PEO COMINGINTOHEALTHCAREIFITSGOINGTOBEBASEDON# #$!Sv RAMPUPINHEALTHCARE2IGHTNOW THERESCONSUM PLEWHODOTHISFORALIVING PROVIDERSANDVENDORS TOACCELERATE &()2 ONTHEONTHEOTHERHAND ISFLEXIBLETOBOTHDOCUMENT ERHYPE BUTTHEYCOULDPLAYAREALROLEINPATIENT THEUSEOF&()2ANDMAKEITMOREPRACTICALANDREALFORPEOPLE v LEVELANDDATALEVELEXCHANGEANDISBASEDONMODERNINTERNET ENGAGEMENT0ROVIDERSWILLIMPLEMENTTHOSE SAID4RIPATHI #%/OFTHE-ASSACHUSETTSE(EALTH#OLLABORATIVE CONVENTIONS)TSA2%34FUL!0)THATDEVELOPERSFROMOUTSIDE SOLUTIONSMORETHISYEAR h)TSCOMPLETELYPRIVATESECTORINITIATEDANDFUNDED NOTAN HEALTHCARECANPICKTHATUPANDSAY h4HAT )UNDERSTANDv s4HEhQUANTIFIEDSELF vMOVEMENT WHICHISALL /.#EDICT vHESAIDh4HEPRIVATESECTORNEEDSTOBESTEP 4HE!RGONAUT0ROJECTPRIORITIZESSPEED TO MARKET GATH ABOUTCONSUMER DRIVENDATA WILLTURNINTOPOTEN PINGUPMORE TOTAKEOVERINTEROPERABILITY ERINGTHESTAKEHOLDERINPUTNEEDEDTOMAKE&()2hRELEVANT TIALDOLLARS5NITED(EALTHSPARTNERSHIPWITH4RIO 4HERELEASEOFTHENEWIMPLEMENTATIONGUIDEISSIGNIFICANT ANDUSABLE vSAID4RIPATHIh7ENEEDTOHAVEMOREOFAWAYTO (EALTHSSTEPCOUNTERTOREIMBURSEBENEFICIARIESFOR SAID4RIPATHI)FINTEROPERABILITYSTANDARDSAREhINGREDIENTS vHE GETMARKETINPUTINTOTHEDEVELOPMENTPROCESS GETCOLLABORA HEALTHYACTIVITYISAGOODEXAMPLE"OTTOMLINE EXPLAINED THENEW!RGONAUTGUIDESFORHIGH PRIORITYUSECASES TIONANDCONSENSUS ASEARLYASPOSSIBLEv 4HERESVALUEINTHEDATA ISLIKEAhCOOKBOOK vEXPLAININGHOWTOPUTITALLTOGETHER %PIC #ERNER -EDITECHANDOTHERSAREALREADYBASINGTHEIR s0LATFORMINTEROPERABILITYISIMPROVING AND 4HE!RGONAUT0ROJECTISSONAMEDBECAUSEITWASFORMED !0)SUSING!RGONAUTGUIDANCE4HENEW&()2IMPLE MAJORTECHCOMPANIESWILLRESOLVETHEIRISSUES INTHEWAKEOFTHELANDMARK*!3/.REPORT h!2OBUST MENTATIONGUIDEHOPESTOSPARKEVENFASTERADOPTIONOFTHE 4HEST#ENTURY#URES!CTANDGROUPSLIKE (EALTH$ATA)NFRASTRUCTURE vINWHICHAGOVERNMENTADVISORY STANDARDINANDBEYOND THE#OMMONWELL!LLIANCEAREDRIVINGCHANGE PANELOFSCIENTISTSWAShHIGHLYCRITICALOFWHEREWEWEREIN 4HISYEAR THE!RGONAUT0ROJECTPLANSTOBROADENITSFOCUSTO &()2SHOULDALSOHAVEALARGEIMPACTBYTHE HEALTHCAREvWITHREGARDTOINTEROPERABILITY SAID4RIPATHI4HE OTHERUSECASESFOR&()2AND/!UTHSTANDARDS SAID4RIPATHI ENDOFTHEYEAR RECOMMENDATIONWASTHATDATAEXCHANGEBEORCHESTRATEDVIA SUCHASASCHEDULING!0)TOENABLEBETTERAPPOINTMENTFUNC s"ETTERINTEROPERABILITYMEANSEXPANDED ANARCHITECTUREEMPLOYINGPUBLIC!0)S TIONALITYACROSS%(2STHUSENABLINGEASIERREFERRALMANAGEMENT HEALTHCAREECOSYSTEMS LINKINGPROVIDERS TECHAND #URRENTINTEROPERABILITYISLARGELYBASEDAROUND(,S FOR!#/STACKLINGPOPULATIONHEALTHMANAGEMENT ANDWORK PATIENTSMORETHANEVER #ONSOLIDATED#LINICAL$OCUMENT!RCHITECTURESTANDARD BUT TOENABLEBETTERINTEGRATIONOFEXTERNALAPPSINTO%(2S

Awards were presented Monday night at the Microsoft Global Health Forum. Among the winners were The Vision Center at Children’s Hospital Los Angeles and SADA Systems; they combined to develop a crowd-sourced training system to combat eye diseases. Accepting the award was Tony Safoian, CEO of SADA Systems.

Wednesday, February 22, 2017 49 17 / TODAY AT HIMSS Relieving the pain of prior authorization delays BCBS Louisiana rolling out a portal to provide immediate responses to authorization requests. By Susan Morse

ORLANDO — STAKEHOLDERS CROWDED INTOANEARLYMORNINGSESSIONAT ()-33TOLEARNHOWTOALLEVIATETHEPAINOFPRIORAUTHORIZATIONAPPROVAL FORPHYSICIANS PATIENTS PROVIDERSANDPAYERS !RECENT!MERICAN-EDICAL!SSOCIATIONSURVEYFOUNDTHATPERCENTOF PHYSICIANSREPORTEDFINDINGTHEPRIORAUTHORIZATIONBURDENHIGHOREXTREMELY HIGH-OSTWAITFORATLEASTONEBUSINESSDAYFORARESPONSEANDSOMEWAIT THREEBUSINESSDAYS ACCORDINGTO(EATHER-C#OMAS DIRECTOROFADMINISTRA TIVESIMPLIFICATIONINITIATIVESFORTHE!-! h7EHEARABOUTTHISISSUEALLOFTHETIMEFROMOURMEMBERS v-C#OMASSAID )NITSOWNSURVEY THE(EALTHCARE!DMINISTRATIVE4ECHNOLOGY!SSOCIATION WHICHREPRESENTSOVER PROVIDERS FOUNDTHATONLYPERCENTOFFER THETRANSACTIONTOPAYERS4HEISAPRACTICEMANAGEMENTSYSTEMFOR DALE NORDENBERG REFERRALANDAUTHO RIZATIONREQUESTS ACCORDINGTO3HERRI $UNFORDOF(!4! 4HEREASON Medical device security ACCORDINGTOTHE (!4!SURVEY IS reaches a tipping point ALACKOFPROVIDER INTERESTANDDEMAND Hospitals have recognized the need to fix flaws in FOLLOWEDBYALACKOF connected devices but solutions will require a sustained PAYERCOMMITMENT effort. By Jessica Davis $UNFORDSAID h7ORKFLOWALMOST ALWAYSDOESNOTFLOW v SHESAIDh)TREQUIRESA HEATHER ORLANDO — MEDICAL DEVICE SECURITY ICALDEVICESINTHESAMEWAYHOSPITALS MANUALINTERVENTIONv McCOMAS EVALUATEANDTRACKINFECTIOUSDISEASES ISFLAWED BUTTHEFIXISNTGOINGTO -OSTOFTHEIN .ORDENBERGSAID HAPPENOVERNIGHT!NDTHERESNOONE CREASEINCOSTSFROMPRIORAUTHORIZATIONAPPROVALSCOMEFROMPAPERANDFROM 4HE&$!ISALREADYTIGHTENINGGUID ENTITYTOBLAME ACCORDINGTO$ALE TIME SHESAID ANCEPOLICIESONPOST MARKETREQUIRE .ORDENBERG EXECUTIVEDIRECTOROFTHE h)TSARESOURCEWASTER ANDITCANBEDONEBETTER vSHESAID MENTS BUTITISASOFTENOUGHSTANCETHAT -EDICAL$EVICE)NNOVATION 3AFETYAND 3OMEPROVIDERSHIREAFULL TIMESTAFFERTOHANDLETHEPRIORAUTHORIZATION ITGIVESVENDORSTIMETOCATCHUPWITH 3ECURITY#ONSORTIUM BURDEN WHICHOFTENINCLUDESNOTONLYTHEELECTRONICHEALTHRECORDBUTALSO THESEISSUES HESAID "UTJUSTASTHERESNOONEPERSONAT SENDINGBOXESOFAPATIENTSRECORDTOTHEHEALTHINSURANCECOMPANY4HE h)TSNOTJUSTABOUTTHE&$!CRUSHING FAULTFORUNSECUREDMEDICALDEVICES INSURERREVIEWSTHEMEDICALHISTORYANDBENEFITSSUMMARYTODETERMINEIFTHE MANUFACTURERSTOFIXTHEDEVICES v.OR THERESNOONESOLUTIONTOTHEPROBLEM SPECIALTYCAREISREQUIREDORNECESSARY DENBERGSAIDh)TSQUICKLYBECOMINGA .ORDENBERGEXPLAINED 0AYERSFEELTHEPAINOFTHATBURDEN ACCORDINGTO%LIZABETH(ARTLEY 3OM .EW7ORLDORDER7ERETRYINGTOEVOLVE h4HERESNOVENDOROUTTHERETODAYWITH MERS CLINICALDATAEXCHANGEMANAGERFOR"#"3,OUISIANA THEMESSAGEANDDIALOGUE)FWEWORKTO THESOLUTION4HERESNOMAGICWAND v 4OADDRESSTHEPROBLEM THEINSURERISROLLINGOUTANAUTHORIZATIONSPORTAL GETHER WECANENGINEEROUTALOTOFTHAT .ORDENBERGSAIDh4HERESNOWAYTOFIX TOALLOWPROVIDERSTOENTERAREQUEST SHESAID)FALLTHEINFORMATIONISRE RISK ESPECIALLYIFWEKNOWITSTHERE THESEDEVICESTOMORROW ANDTHERESNO CEIVED THEPROVIDERGETSANIMMEDIATERESPONSE h!SWEMOVEFROMTECH CENTERED WAYHOSPITALSCANFIXSYSTEMSOVERNIGHTˆ h3OFAROURPROVIDERSLOVEIT v(ARTLEY 3OMMERSSAIDh4HEYLOVENOTHAVING SECURITYTOMEANINGFULSECURITY BUCKLEUP ANDWESHOULDNTEXPECTIT TOMAILUSHUGEBOXESOFMEDICALRECORDSv h"ECAUSEIFWEHAVEANYTHINGTODOWITH h"UTCOLLECTIVELYˆHEALTHSYSTEMS 4HEREAREALSOEFFORTSFORANAUTOMATEDELECTRONICMEDICALRECORDREQUEST IT WELLCREATEPATIENT CENTRICSECURITYv MANUFACTURERSANDTHEGOVERNMENT ANDLOOKINGATSTORAGEOFCLINICALDOCUMENTSINASINGLEPLACE )N .ORDENBERGBELIEVESTHEREWILL ˆWECANMAKEAHUGEDIFFERENCE $R'REGG!LLEN #-/FOREVI#ORE(EALTHCARE SAIDTHECOMPANYPRO BEAMAJORUPTICKINDEVICESECURITY -EDICALDEVICECYBERSECURITYISAPUBLIC CESSES TO CASESPERDAYINITSMEDICALBENEFITSMANAGEMENT h7EVEREACHEDATIPPINGPOINT v HEALTHCHALLENGEv BUSINESS/FTHOSE PERCENTARESUBMITTEDTHROUGHAWEBPORTAL .ORDENBERGSAIDh-OSTEVERYHOSPITAL -$)33HASPARTNEREDWITHMANU (OWEVER THE#OUNCILFOR!FFORDABLE1UALITY(EALTHCAREHASFOUNDTHAT ISAPPROACHINGMEDICALDEVICESECURITY FACTURERS HEALTHCAREORGANIZATIONSAND THEPROBLEMOFPRIORAUTHORIZATIONISNOTINAUTOMATION BUTINBUSINESSPRO FROMANINFORMED RATIONALPERSPECTIVE)T ITSASSOCIATIONSTOWORKONALEGISLATIVE CESSES SAID"OB"OWMAN #!1(#/2%ASSOCIATEDIRECTOR DOESNTMEANTHEYKNOWWHATTODO BUT POSITIONTHATMAKESSENSE h7ENEEDEDTOTACKLEBUSINESSPRACTICES v"OWMANSAIDTHEORGANIZATION THEYREASKINGTHERIGHTQUESTIONSAND #ROWDSOURCINGMEDICALDEVICERISK FOUNDh2EDUCETHENUMBEROFPROCEDURESTHATREQUIREPRIORAUTHORIZATIONv SEEKINGHELPv ASSESSMENTSTHATCANBEUSEDBYOTHER #!1(HASBEENWORKINGONTHISFORTHREEORFOURYEARS4HERESULTSOFA h4HEEMERGENCEOFDRUG RESISTANT PROVIDERSTOEVALUATEMEDICALDEVICESIS SURVEYSENTOUTTOPROVIDERS HEALTHPLANSANDOTHERSTAKEHOLDERSAREEXPECTED DISEASESAREEXPANDINGINAFEROCIOUS CRUCIAL .ORDENBERGEXPLAINED-$)33 TOBESHAREDLATERTHISYEAR WAY ALTHOUGHTHEINDUSTRYTHOUGHTIT ISBUILDINGANATIONALDATACOMMONS 4HE#%/OFTHE MEMBER7ORKGROUPFOR%LECTRONIC$ATA)NTERCHANGE HADTHEPROBLEMNAILEDDOWN v.ORDEN AROUNDTHISIDEA INADDITIONTOABEST SAIDTHEORGANIZATIONISLOOKINGTOBRINGTOGETHERALLOFTHESEPARATEEFFORTSTO BERGSAIDh%ITHERWEREOFFTRACKINDIS PRACTICEGUIDE TOHELPALLHEALTHCARE FACILITATEALARGERDISCUSSION CUSSINGMEDICALDEVICESECURITY ORTHE ORGANIZATIONSDETERMINETHEBESTWAYTO h4HERESOVERLAPINACTIVITIES vSAID7%$)#%/#HARLES3TELLAR ASSESSDEVICES PROBLEMISASBIGASTHELEADINGCAUSEOF (OSPITALSSHOULDBEABLETOTRACKMED DEATHBYINFECTIOUSDISEASESv

50 Wednesday, February 22, 2017 17 / TODAY AT HIMSS As EHRs frustrate and patient portals go unused, tips for creating ‘delightful’ technology At the HIMSS17 UX Forum, behavioral science is said to be key to good product design. By Mike Miliard

ORLANDO — “HEALTHCARE IS LATETOTHEGAMEINTERMSOFUSEREXPERIENCE v MICHAEL HODGKINS, MD SAID,ORRAINE#HAPMAN SENIORDIRECTOROFHEALTHCAREAT-ACADAMIAN A 58DESIGNANDDEVELOPMENTFIRM AT()-33ON-ONDAY 0ATIENTSWHOHAVEBEENPUTOFFBYCLUMSYPORTALS ORPROVIDERSFRUSTRAT EDBYCOUNTERINTUITIVEWORKFLOWSWOULDNOTARGUEWITHTHATSENTIMENT AMA CMIO: EHRs are "UTATTHEHALF DAY()-3358&ORUM DESIGNERS DEVELOPERS CLINICIANS ANDPATIENTADVOCATESPUTTHEIRHEADSTOGETHERTOFINDWAYSTOCREATETECHNOLO falling short of meeting GYTHATSNOTJUSTUSABLEBUTALSOhDELIGHTFULvnFORCAREGIVERSANDPATIENTSALIKE )NTHEKICKOFFSESSION #HAPMANnALONGWITH+YRA"OBINET -$ #%/OF the needs of doctors ENGAGED). HERNEUROSCIENCEBEHAVIORDESIGNFIRM AND2ICK3TARBUCK SENIOR VICEPRESIDENTOFPRODUCTANDEXPERIENCEDESIGNAT#HANGE(EALTHCAREnCOM Michael Hodgkins warns that innovation needs to consider integration PAREDNOTESONHOWHEALTHCARECOULDLEARNFROM58LEADERSSUCHAS!PPLE with clinician’s workflow. By Henry Powderly AND$ISNEYTOCREATEIMPACTFULANDLASTINGDEMANDFORTHEIRPRODUCTS 0AST()-33SURVEYSHAVESHOWNSIGNIFICANTPROBLEMSWITH58FORCLINICAL DOCUMENTATIONANDNURSINGTOOMANYCLICKSREQUIREDBY%(2S POORTEM ORLANDO — HEALTH IT VENDORSARESTILLMISSING RECORDHASBEENSIGNIFICANT WHATDOWEEXPECT PLATESTHATAFFECTDATAQUALITY DIFFICULTYINCOMMUNICATINGCONTEXTANDREASON THEMARKWHENITCOMESTOANSWERINGTHENEEDS FROMTHEIMPACTOFTHEPROLIFERATIONOFMOBILE ING ANDDESIGN HAMPEREDCHALLENGESWITHWORKFLOWANDCARE COORDINATION OF!MERICASBURNT OUTPHYSICIANS APPS MANYWHICHAREUNPROVEN v 4HEREARETWOCOMPONENTSTOGOOD58 SAID"OBINET4HEMOSTBASIC h4HISISNOTABOUTPUTTINGOURHANDSUPAND (ODGKINSSAIDPHYSICIANINPUTISOFTENNOT IShJUSTTONOTPISSPEOPLEOFFv4HEOTHER MOREADVANCEDOPPORTUNITYISTO SAYINGSTOPINNOVATION vSAID-ICHAEL(OD BEINGSOUGHTBEFORETHESEPLATFORMSAREBUILT ELICIThDELIGHT vSHESAID GKINS -$ VICEPRESIDENTANDCHIEFMEDICAL ANDTHERESULTCANBEDANGEROUS )NANINDUSTRYSUCHASHEALTHCARE WHERETHECAREGIVERSAREOFTENHARRIED INFORMATIONOFFICERATTHE!MERICAN-EDICAL &OREXAMPLE ASMARTPHONEAPPCALLED)NSTANT ANDPATIENTSCANBEDISTRESSEDORFRIGHTENED THATSACHALLENGE"UTBEYOND !SSOCIATIONh)TISSIMPLYABOUTTHENEEDTO "LOOD0RESSUREHADTOBEPULLEDFROMTHEMARKET THEOBVIOUSBENEFITTOTHEENDUSERS ITHAS2/)FORVENDORS SAID#HAP FOCUSONEVIDENCE ACCURACY HOWITSINTEGRATED LASTYEARBECAUSEITWASWRONGEIGHTOUTOF MAN WHONOTEDTHATFOREVERYSPENTUPFRONTINPRODUCTDEVELOP WITHOUR%(2SANDHOWITSINTEGRATEDWITHIN TIMESINGAUGINGAUSERSBLOODPRESSURE MENT hTHECOSTOFFIXINGISSUESLATERDOUBLES IFNOTTRIPLESv OURPRACTICEv h)TEVENTOLDPEOPLEWITHHYPERTENSIONTHAT 3MART58STRATEGIEShSAVEYOUFROMWASTEDPRODUCTDEVELOPMENTCYCLES )TSNOTNECESSARILYNEWSTHATBROADDISSATIS THEYWERENORMAL vHESAID ANDENSURETHATWHATYOUPRODUCEISMEETINGANEED vSHESAID FACTIONISDARKENINGTHEMOODINTHEPHYSICIAN 4OBECLEAR (ODGKINSSAIDTHE!-!HAS 4HEREARETHREEMAINCOMPONENTSTOPRODUCTDEVELOPMENT SAID3TAR COMMUNITY!CCORDINGTO(ODGKINS WHO MADEFOSTERINGPHYSICIANEDUCATIONAROUNDNEW BUCKNEEDS SOLUTIONSANDVALIDATIONh!LOTOFCOMPANIESFOCUSINTHE DELIVEREDHISREMARKSAT()-33ON4UESDAY TECHNOLOGYAPRIORITY ANDITSTANDSBEHINDA MIDDLE vHESAID hANDMISSTHENEEDSANDVALIDATIONPARTSv PHYSICIANSARESPENDINGTWICETHEAMOUNTOF HOSTOFPROJECTSTHATAREDRIVINGINNOVATIONWITH 4HEKEYTODOINGBETTERISTOEMBRACEBEHAVIORALSCIENCE SAID"OBINET TIMEONDESKWORKAND%(2MAINTENANCE IN DOCTORINPUT h7HENYOUKNOWWHERETHEBRAINISGOINGTOGO YOUDONTHAVETOSPEND CLUDINGHOURSAMONTHSPENTON%(2SAFTER 4HOSEINCLUDESTART UPINCUBATOR-!44%2 SOMUCHTIMEGUESSINGORITERATINGv WORKHOURS THANTHEYARETREATINGPATIENTS AND3LING(EALTH WHICHAREBOTHRUNBYFORMER 4HE!-!PROBEDTHATDISSATISFACTIONIN MEDICALSTUDENTS(EALTHISANOTHERINNO ARECENTSURVEYANDFOUNDWITHISSUES THERE VATIONTHINK TANKTHATNOTONLYLINKSPHYSICIANS AREREALLYONLYAHANDFULTHATPLAGUESTHEM ANDPROGRAMMERSBUTISALSOINCLUDINGMEMBERS 0HYSICIANSWANTTOPROVIDEHIGH QUALITY FROMTHEGAMINGCOMMUNITYFORTHEIREXPERTISE CARE BUT%(2WORKSEEMSTOGETINTHEWAY INCONSUMERADOPTION gMed.com OFTHAT HESAID!TTHESAMETIME PRACTICE 4HE!-!HASALSOLAUNCHEDITSOWN0HYSI 888.577.8801 SUSTAINABILITYANDCHANGINGREIMBURSEMENT CIAN)NNOVATION.ETWORK APROGRAMCURRENTLYIN MODELSTHATFAVORSCALEANDSHIFTRISKTOTHE BETAFORMTHATTHEORGANIZATIONPLANSTORELEASE PROVIDERSISLEADINGMANYPRACTICESTOMERGE MOREBROADLYINTHENEARFUTURE4HEAIMISTO ORSELLOUTALTOGETHER LINKTHETECHCOMMUNITYDIRECTLYWITHCLINICIANS ® 4HROWINTHEMORETHAN HEALTHCARE SOTHEYMAYCONVERSEANDEVENCOLLABORATEON Chosen by Olympus PLATFORMSANDAPPSTHATARECOMPETINGFORNOT NEWTOOLS ONLYPHYSICIANBUY IN BUTCONSUMERUSEASWELL h4HEINNOVATORCOMMUNITYKNOWSALOT as theonly preferred ANDTHATCANFURTHEROVERWHELMPHYSICIANS ABOUTTECHNOLOGY7HATTHEYOFTENDONTKNOW h7HAT)TELLPHYSICIANSISJUSTWAIT vHESAID ALOTABOUTISHOWHEALTHCAREPROFESSIONALS replacement solution h)FYOUTHINKTHEIMPACTOFTHEELECTRONICHEALTH THINK vHESAID with a cloud-based option for the EndoWorks® transition!

Extra endoscopy rooms Visit Transcend Insights in just 2 weeks!* at Booth #5549 Stop by BOOTH #4545 to learn more.

*Subject to resource availability. Implementation times may vary.

Wednesday, February 22, 2017 51 17 / TODAY AT HIMSS 17 Biggest cybersecurity need? SHOWDAILY Not tech, but culture change PUBLISHED BY and boardroom support WWW.DESTINATIONHIMSS.COM At the Cybersecurity Forum, experts explained how a top-down approach can impact an 2 Monument Square, Suite 400 organization’s security issues. By Jessica Davis Portland, Maine 04101 T (207) 791-8700 F (207) 791-8794

John Whelan, Executive Vice President ORLANDO — SUNDAY’S CYBERSECURITY FORUM 4HEPROBLEMISTHATMANYORGANIZATIONS BETTERBECAUSETHEYVEHADBREACHEXPERIENC [email protected] AT()-3FOCUSEDONTHENEEDFOROR AREWORKINGFROMTHEBOTTOMUP ANDFIXING ESWITHINTHEIRORGANIZATIONv Dan Dinsmore, VP, Operations GANIZATIONALCHANGE BETTERUNDERSTANDING PROBLEMSTHATAREALREADYINTHESYSTEM HE 7HILESOMETIMESITSJUSTASMALLBREACH [email protected] OFTECHNOLOGYANDRECOGNIZINGTHEHUMAN SAID/NCEASECURITYMENTALITYISINGRAINED (OUSTONSAID hTHATSALLITTAKESTORAISEA Gus Venditto, VP, Content [email protected] ROLEINSECURITY FROMTHETOP THERIGHTCHOICESWILLBE TINYBITOFAWARENESSv #YBERSECURITYTAKESACULTUREOFORGANI MADETHROUGHOUTTHEORGANIZATION h"REACHESAREAGREATEXAMPLETOUSEWITH EDITORIAL Tom Sullivan, Editor-in-Chief ZATION ACCORDINGTO(EATHER2OSZKOWSKI "UTTHEREALISSUE BOARDMEMBERS ONISSUESTHATHAVEHAP [email protected] 4HEYhDONTWANTSECURITYTOGETINTHE PENEDTOYOU v2OSZKOWSKISAIDh4HERES NETWORK#)3/ THE5NIVERSITYOF6ERMONT Mike Miliard, Editor (EALTH.ETWORK WAYOFDOINGBUSINESS vSAID*OHN(OUSTON ONLYSOFARYOUCANGET USINGEXAMPLESFROM [email protected] h!LOTOFHEALTHCAREORGANIZATIONSARE VICEPRESIDENTOFPRIVACYANDINFORMATION WHATHAPPENSTOEVERYONEELSEv Henry Powderly, Editor INTERESTEDINDOINGTHINGSTHEWAYTHEYVE SECURITYAT50-# .OTONLYDOORGANIZATIONSNEEDTOSTART [email protected] ALWAYSBEENDONE BUTSECURITYISALWAYS 4OCOMBATTHIS SECURITYTEAMSNEEDTO ATTHEBOARD BUTOPERATIONSALSONEEDTO Bill Siwicki, Managing Editor CHANGING v2OSZKOWSKISAIDh(OWDOWE UNDERSTANDBOARDMEMBERSARECONCERNED UNDERSTANDITSROLEWHENITCOMESTOSECU [email protected] CHANGETHECULTURETOSUPPORTTHAT v WITHHOWSECURITYWILLINTERRUPTFUNCTIONS RITY 4ORRESEXPLAINED Jessica Davis, Associate Editor [email protected] &OR4IMOTHY4ORRES SENIORDEPUTY#)3/ 4ORRESEXPLAINED9OUHAVETOFIGUREOUT h4HEHUMANASPECTISMOSTIMPORTANT WHATSIMPORTANTTOTHEMANDPUTSECURITY WHENITCOMESTOWHATLEDTOANINCIDENT v Susan Morse, Associate Editor OF3UTTER(EALTH ITALLSTARTSATTHETOP IN [email protected] THEBOARDROOM ANDMOVESDOWN!hCULTURE INTERMSTHEYUNDERSTAND SAID4ORRES"REACHESSHOULDBEPUTINTO Bernie Monegain, Editor-at-Large OFAWARENESSvTHATBEGINSINTHEBOARDROOM h/NCEYOUDOHAVETHEIRSUPPORT ITSAMAZ TERMSORGANIZATIONSCANUNDERSTAND BY [email protected] ANDTRICKLESDOWNINTOEVERYOTHERDEPART INGTHEPOTENTIALFORSECURITY vSAID4ORRES EXPLAININGTHEEFFECTASECURITYINCIDENT ADVERTISING / LEAD GEN / MENTWILLALLOWANORGANIZATIONTOBEGIN (OUSTONAGREEDTHATSECURITYLEADERSNEED HASONPATIENTSAFETY CAREQUALITY BUSINESS MARKETING OPPORTUNITIES PUSHINGTHROUGHTHOSEBARRIERS TOSEEWHATTHEBOARDISMADEOF ANDALOT CONTACTSANDCLINICALOPERATIONS VICE PRESIDENT, SALES AND BUSINESS DEVELOPMENT h7ITHOUTSUPPORTFROMTHETOP YOULLCON OFhFINANCIALBOARDMEMBERSUNDERSTANDTHE )NDOINGSO hYOUHAVEMUCHMORECREDI Jane Bogue TINUALLYBEGOINGAGAINSTTHEGRAIN v4ORRESSAID MENTALITYOFSECURITY/FTENTHEYUNDERSTAND BILITYTOSOLVETHISPROPERLY vSAID4ORRES [email protected] (207) 337-4313

VICE PRESIDENT, MARKETING SOLUTIONS Betsy Kominsky [email protected] (312) 502-2773

EVENTS Michele Belanger [email protected] (703) 517-6112

SALES ADMINISTRATOR Eric Deerwester [email protected] (207) 791-8716

NEW ENGLAND Regina Dexter [email protected] (603) 204-0709

SOUTHEAST Sean Tyhurst [email protected] 312.505.7289

MIDWEST Randy Knotts [email protected] (630) 790-0737

MIDWEST/WEST Craig Richardville, Carolinas HealthCare System chief information and analytics officer (center), accepts a HIMSS Kelly Laidler Analytics Stage 7 Award. Carolinas was one of more than 30 hospitals to be honored during the cocktail reception [email protected] Monday evening. Also pictured: John Daniels (left), HIMSS Analytics global vice president; and Philip Bradley, (773) 368-3038 regional director, North America, Healthcare Advisory Services Group at HIMSS Analytics. WEST Jen LaFlam [email protected] WEDNESDAY SHOW DAILY AD INDEX (312 )515-6956 NORTHEAST/MIDATLANTIC TERRITORY Deborah Crimmings Amtelco ...... 9 GCX ...... 25 Modernizing Medicine ...... 51 [email protected] Brand HIT ...... 33 Health Catalyst ...... MAP Palo Alto Networks ...... 48 (207) 233-5242 Cath Tag ...... 46 HIMSS18 ...... 37 PeraHealth ...... 48 PRODUCTION / TRAFFIC CDW ...... 22, 23 HIMSS Analytics ...... 29, 48 PhishLabs ...... 46 Karen Diekmann, Senior Manager [email protected] Computer Services, Inc...... 48 HIMSS Learning Center ...... 46 Salesforce ...... 30, 31 Conduent ...... 10, 11 HIMSS Media Events ...... 41, 43, 45 Secure Care Products ...... 48 AUDIENCE DEVELOPMENT Elizabeth Clancy, Senior Manager CPSI ...... 13 HIMSS Value Suite ...... 39 Spectrum TWC ...... 21 [email protected] Cybernet Manufacturing ...... 48 HL7 ...... 17 Transcend Insights...... 51 READER CUSTOMER SERVICE Cybraics ...... 46 InterSystems ...... 2, 3, 35, 47 Value Suite ...... 47 (847) 763-9618 F (847) 763-9541 Dobler Consulting Services ...... 48 McKesson ...... 18, 19 Verizon ...... 6, 7 [email protected] Reprints: The YGS Group Elsevier ...... 56 Medicomp ...... 14, 15 Women in Health IT ...... 53, 55 (800) 290-5460 x100, [email protected] FujiFilm ...... 5 Microsoft ...... 26, 27 Zimmer Biomet ...... 48 List rentals: Information Refinery (800) 529-9020 x25, dfoster@inforefinery.com

52 Wednesday, February 22, 2017 MOLLY MACHARRIS 17/ TODAY AT HIMSS With performance measurement now underway, CMS officials unpack MIPS categories At HIMSS17, clinicians get a primer on details of two of the more IT-focused components. By Mike Miliard PAYMENTADJUSTMENTSnWHETHERBONUSESORPERCENTPENALTIESnWILLBEGININ 4HOSEELIGIBLEPROFESSIONALSWHOPARTICIPATEDINMEANINGFULUSEWILLBEFAMILIARWITH ORLANDO — THE RULE WASONLYFINALIZEDFOURMONTHSAGO BUTWEREALREADYINTHEINITIAL THEAPPROACHTO!#) SAID%LIZABETH3(OLLAND SENIORTECHNICALADVISORATTHE$IVISION PERFORMANCEYEARFORTHENEW-ERIT BASED)NCENTIVE0AYMENT3YSTEM WHICHUSHEREDIN OF(EALTH)NFORMATION4ECHNOLOGY 1UALITY-EASUREMENT6ALUE "ASED)NCENTIVE SWEEPINGCHANGESFORHOWCLINICIANSGETREIMBURSEDASPARTOF-!#2!/N4UESDAYAT 'ROUPAT#-3 ()-33 TWOOFFICIALSFROMTHE#ENTERSFOR-EDICAREAND-EDICAID3ERVICESOFFEREDA !DVANCING#ARE)NFORMATION SHESAID IShBASEDON BUTNOTIDENTICALTOTHE%(2 DETAILEDPRIMERONTWOOFTHEMORETECHNOLOGY INTENSIVECOMPONENTSOFTHEPROGRAM )NCENTIVE0ROGRAMv7HICHCONTINUESON INCIDENTALLY FORHOSPITALSAND-EDICAID ELI 7ITHTHENEWPAYMENTFRAMEWORK hCLINICIANSCANPICKTHEIRPACE vSAID-OLLY-AC(AR GIBLEPROFESSIONALSnALTHOUGHTHELATTERGROUPCANPARTICIPATEINBOTH-)03AND-5 RIS PROGRAMLEADATTHE1UALITY-EASUREMENT6ALUE "ASED)NCENTIVE'ROUPAT#-3 4HATCOMPONENTISCALCULATEDUSINGABASESCORE APERFORMANCESCOREANDABONUS 4HEAGENCYHEARDFROMSTAKEHOLDERSTHAThWEWEREMOVINGALITTLEBITTOOFAST vSHE SCORE4HEBASESCOREMEASURESCLINICIANSONSECURITYRISKANALYSIS E PRESCRIBING PATIENT SAIDh7EWANTEDTOTAKEASTEPBACKANDENSURETHATANYONEWHOWANTSTOPARTICIPATEIN ACCESSANDSENDINGOFSUMMARIESOFCARE0ERFORMANCESCOREASSESSESPATIENT SPECIFIC THEPROGRAMCANPARTICIPATEv EDUCATION VIEWDOWNLOADTRANSMIT SECUREMESSAGING PATIENT GENERATEDDATAANDMORE 4HATSAID SHEADDEDh4HEMOREACTIVEACLINICIANSPARTICIPATIONISINTHEPROGRAM "ONUSSCORESCANBEIMPROVEDBYMOREADVANCEDCAPABILITIES SUCHASCHRONICCAREMAN THEHIGHERTHEIRPOTENTIALSCOREv AGEMENTANDCAPTUREOFPATIENT REPORTEDOUTCOMES -EDICARECLINICIANSWHOPARTICIPATEIN-)03WILLBEREIMBURSEDBASEDONASCORE !SFOR)MPROVEMENT!CTIVITIES CLINICIANSCANCHOOSEFROMMORETHANINITIATIVES FROMZEROTO DETERMININGWHETHERTHEYRECEIVEABONUSORAPENALTY4HESCOREIS GROUPEDINNINESUBCATEGORIES%XPANDED0RACTICE!CCESS 0OPULATION-ANAGEMENT WEIGHTEDACCORDINGTOFOURCOMPONENTS1UALITYACCOUNTINGFORPERCENTINYEAR #ARE#OORDINATION "ENEFICIARY%NGAGEMENT 0ATIENT3AFETYAND0RACTICE!SSESSMENT ONE #OSTZEROPERCENTFORTHETRANSITIONYEAR !DVANCING#ARE)NFORMATION 0ARTICIPATIONINAN!LTERNATIVE0AYMENT-ODEL !CHIEVING(EALTH%QUITY )NTEGRATING PERCENT AND#LINICAL0RACTICE)MPROVEMENT!CTIVITIESPERCENT  "EHAVIORALAND-ENTAL(EALTHAND%MERGENCY0REPAREDNESSAND2ESPONSE 4HESESSIONON4UESDAYFOCUSEDONTHELATTERTWO !#)AND#0)! WHICHDEPEND ESPECIALLYONUSEOFCERTIFIED%(2TECHNOLOGY More detailed explanations of how the component scores are weighted and calculated can 4HEPERFORMANCEPERIODFORTHISFIRSTTRANSITIONYEARCANBEASLITTLEASDAYSORAS be found at CMS.gov. In the meantime, Holland and MacHarris pointed to two more MIPS sessions at HIMSS17 on Wednesday: “MIPS: Quality and Cost” from 8:30-9:30 a.m. and MUCHASAYEAR BUTDATAMUSTBESUBMITTEDTO#-3BYTHEENDOF1 SAID-AC( “Overview of MIPS for Small, Rural, and Underserved Practices” from 11:30 a.m.- ARRIS"YTHEMIDDLEOFTHATYEAR #-3WILLGIVEFEEDBACKONPERFORMANCE ANDTHEN 12:30 p.m., both in Room 230A.

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Meaningful Use ACO Navigator Pathways to Value Value STEPS Fact Finder Delivers easily accessible A starting point toward health IT A collection of plans focused A health IT value optimization information on Meaningful Use capabilities in an organization’s on key areas with high potential for framework for stakeholders measures and reporting timelines. pursuit of accountable care. value realization. formulating their value strategies ( 15,000+ Standard value statements Find out your value today: ( 1,775 himss.org/valuesuitenow Cases

( 1,500 International examples

Wednesday, February 23, 2017 53 17 / TODAY AT HIMSS

ORLANDO — TODAY’S PATIENTS,LIKEOURCURRENTPRESIDENT AREIMMERSEDINSOCIALMEDIA SOITONLYMAKESSENSETHATHEALTHCAREORGANIZATIONSSHOULDGETONBOARDTOO"UT Doctors should BEFOREYOUDO THEREAREUNIQUECOMPLIANCEHURDLESTHATSHOULDBEUNDERSTOOD 4HATWASTHEMESSAGESENTAT()-33BYCARDIOLOGISTAND&OX.EWSCONTRIBUTOR get social but know +EVIN#AMPBELL -$ AND-ICHAEL2UTTY ALEGALSUBJECTMATTEREXPERTFROMCOMMU NICATIONSARCHIVINGCOMPANY!CTIANCE the legal hurdles h0HYSICIANSHAVEBEENVERYSLOWTOADOPTSOCIALBECAUSETHEYRESCAREDOFATTORNEYS v SAID2UTTY!NDPERHAPSTHATSWITHGOODREASON New legal precedents mean physicians should be very !CCORDINGTO2UTTY THEREHASBEENAHOSTOFNEWLEGALPRECEDENTSSURROUNDING smart about leveraging platforms like Twitter and ()0!!THATHAVEHELDSOCIALMESSAGINGTOTHESAMESTANDARDSOFOTHERHEALTHCARE COMMUNICATIONS4HOSEINCLUDERULINGSTHATHELDSOCIALMEDIAPOSTSASADMISSIBLE Facebook. By Henry Powderly INCOURTANDFORBIDREMOVINGPOSTSANDPAGES JUSTLIKEOTHERCORRESPONDENCETHAT PROVIDERSAREREQUIREDTOARCHIVEUNDERTHELAW 3TILL THATSHOULDNOTDISCOURAGEADOPTION THEYSAID h9OUCANDOSOCIALMEDIAINASMART ENGAGINGANDSUCCESSFULWAYTHATHASAREAL IMPACT vSAID#AMPBELL4HEPRESENTERSSAIDTHEREAREAFEWKEYWAYSPHYSICIANSCAN USESOCIALMEDIASAFELYANDEFFECTIVELY &ORSTARTERS ITCANBEANEFFECTIVEWAYTOTREATPATIENTSWITHRECOMMENDATIONS ASLONGASITISNEVERUSEDTOENGAGEINACONVERSATIONLEVERAGINGTHEDOCTOR PATIENT RELATIONSHIP3PEAKTOTHEBROADERAUDIENCEINSTEAD&OREXAMPLE THEREAREOFTEN DISEASE SPECIFICSUPPORTGROUPSON4WITTERTHATYOUCANPARTICIPATEIN /NTHEOTHERHAND SOCIALMEDIAISAPERFECTPLATFORMFORTIMELYANDCREDIBLE INFORMATIONTOTHEPATIENTPOPULATION4HEPRESENTERSSAIDPERCENTOFPATIENTSHAVE DONESOMEKINDOFONLINERESEARCHBEFORETHEIRVISITS(EREISACHANCETOMAKESURE THEYARENTARMEDWITHhFAKENEWSv 3OCIALMEDIAISALSOAGREATWAYTOCLEARLYHIGHLIGHTAPHYSICIANSEXPERTISEAND EVENAVAILABILITY4HEDUOSAIDTOOLSLIKEBLOGSCANBEAGREATWAYTODEMONSTRATE YOURSKILLSET h3OCIALMEDIAISWHEREOURPATIENTS CUSTOMERSANDCOLLEAGUESARE SOITISWHEREWE NEEDTOBEINORDERTOBESTMEETTHEIRNEEDS vSAID#AMPBELL ON THE HIMSS EXHIBIT FLOOR

MICHAEL RUTTY (LEFT) VISIT TELLUS BOOTH 4790 AND KEVIN CAMPBELL, MD

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54 Wednesday, February 22, 2017 Congratulations to the Most Infl uential Women in Health IT

Thank you to those women who are transforming healthcare and inspiring their colleagues every day.

Shareefa Al Abulmonem, MSc CPHIMS Karen DeSalvo, M.D., MPH, MSc Head of eServices Acting Assistant Secretary of Health King Faisal Specialist Hospital US Department of Health and Human and Research Center, Saudi Arabia Services, USA

Marion J. Ball, Ed.D, FHIMSS, FACMI, Karen Guice, M.D., M.P.P. FAAN, FAHIMA, FCHIME, FMLA Acting Assistant Secretary of Defense Senior Advisor for Health Aff airs IBM-Center for Computational Health, USA US Department of Defense, USA professor emerita Johns Hopkins University

Lisa Stump, MS, RPh, FASHP Rachelle Blake, PA Chief Information Offi cer CEO and Managing Director Yale New Haven Health and Yale School Omni Med Solutions, Germany of Medicine, USA

Christina Caraballo, MBA Sponsored by: Senior Healthcare Strategist Get Real Health, USA

Learn more: healthcareitnews.com/womeninhit

#WomeninHIT Empowering Knowledge™. Enabling Action. Consistent, high-quality patient care requires evidence-based content incorporated into the care process. Elsevier integrates world-class clinical knowledge into provider workflows, making it accessible to providers and their patients where and when they need it. Encourage Quality. Enhance Efficiency. Improve Outcomes.

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