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in a patient encounter, will give way to a dynamic, electronic collaboration system that focuses on enabling the care team to improve quality of care while lowering costs.


Janet Dillione, executive VP and GM, Healthcare Division, Nuance


EMRs to see advances in security, billing, voice recognition and data mining With Health and Human Services listing health IT – specifically ensuring the “integrity and security of health information systems and data” – on their top-10 list of greatest challenges in 2012, we’ll undoubtedly see EMR vendors placing increased emphasis on maintaining the quality, privacy and security of patient information contained within these digital records. Building off of this, we also expect to see additional efforts being made by EMR vendors, potentially in the form of advanced clinical documentation tools and training for physicians, to help healthcare provider organizations ensure accurate billing that can stand up to CMS scrutiny. From a mobile standpoint, we expect to see major advances in the latest EMR applications from vendors such as Cerner and Epic. A recent KLAS study, “Mobile Healthcare Applications: Can Enterprise Vendors Keep Up?” found that physicians are having difficulties with clinical documentation on mobile devices. In an eff ort to address this particular issue, both Cerner and Epic have voice-enabled their latest mobile applications. We also expect voice-enabled mobile EMR applications to quickly transition to intelligent applications that act as digital assistants to streamline workfl ow and support clinicians with tasks, such as scheduling appointments. Lastly, we predict less focus will be placed on the EMR as a


healthcare transaction and reporting system, and more so as an untapped source of information that can more directly impact the quality and effi ciency of patient care. As we continue the move toward a pay-for-performance model from a pay-for reporting model, interest surrounding embedded data-mining capabilities within EMRs will continue to expand.


Scott Thie, director, healthcare, Panasonic Combating growing EMR security risks According to IDC Health Insights, EMR adoption is expected to hit 80 percent by 2016. Concurrently, the use of mobile devices to access digital records is also on the rise. While EMRs simply replace paper with a digital record, the advent of mobile technology puts digital information at greater risk for being stolen or lost. Lost records are resulting in increasingly large fi nes. Last year, U.S. Department of Health and Human Services fi ned Massachusetts General Hospital $1 million for losing the medical records of 192 patients. Besides


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fi nes, there are also public disclosure requirements, potential lawsuits and negative publicity that healthcare providers must consider. Because of these factors, healthcare institutions must ensure proper device security measures are in place to protect patient information. In a perfect world, healthcare staff would all be using hospital-


owned, professional-grade mobile devices. Unfortunately, there is a growing risk of consumer-grade devices being utilized that are not designed for enterprise use. If staff is using personal mobility devices to access confi dential records, the healthcare IT team should consider storing the records in a cloud environment. T is way, if the device is lost or stolen, data will not be at risk. Additionally, IT teams should consider partitioning a portion of these personal mobility devices so they can remotely manage data if a device goes missing. For hospital-deployed hardware, it makes good business sense to ensure that all mobile devices are equipped with an array of security features, including hardware and software encryption; biometric security features such as fi ngerprint scanners, smartcard readers and device tracking options (i.e. RFID); and “kill switch” features to remotely disable the hard drive.


As the use of EMRs and mobile devices in healthcare continue


to grow, security issues will only become more prevalent. T e more secure your mobile devices are, the less your potential liability if (or when) a device is lost or stolen.


David Rhew, M.D., senior VP and CMO, Zynx Health Clinical decision support critical to EMR success As we enter 2013, new models of care


delivery – such as ACOs and value-based purchasing (VBP) – are front and center. As a result, adoption of EMR systems has soared. Although EMRs are defi nitely a crucial part of the move toward improved care, many hospitals still need to infuse technology with clinical decision support (CDS) that will help them unleash the power of their EMRs and realize the full poten tial of their goals to improve care and reduce costs. T e value of leveraging CDS at the point of care is undeniable in driving cost and quality outcomes such as reduced mortality, readmissions, length of stay, hospital-acquired conditions and never events. Many healthcare organizations, however, do not yet have this type of CDS intelligence hard-wired into their EMRs. T ey may lack the resources needed to update and optimize their customized CDS throughout its lifecycle, a necessity as they seek to continuously improve key clinical processes and drive positive clinical and fi nancial outcomes. Within the next year, healthcare leaders must place an


increased focus on optimized CDS as a critical fi nancial and clinical strategy for hospital and health system sustainability. Doing so can help them comply with rapidly changing payment models that place a greater importance on value and less emphasis on volume.


HMT HEALTH MANAGEMENT TECHNOLOGY January 2013 11


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