This book includes a plain text version that is designed for high accessibility. To use this version please follow this link.
● Viewpoint


Health IT key to ensuring payment under new quality- based model


By Phil Colpas | Managing Editor O


ne of the largest components of healthcare reform – and one of the most diffi cult for practices to manage – is the transition from a fee-for-service model to one that rewards for value. Transformation is part of the growing process; as industry changes, so must the businesses connected with it. And it’d be diffi cult – if not impossible – to fi nd an industry that has undergone more changes over the past several years than healthcare IT. Embracing that spirit of change, then, the goal of healthcare IT shouldn’t be to reinvent the wheel, but rather implement the best tools to maximize quality of care while reducing cost. Under an umbrella of a variety of systems, practices and providers are going


to be more dependent than ever upon IT solutions to keep track of patient data, while simultaneously ensuring that data is secure. But it’s not enough to simply have and hold; the data must be utilized in a meaningful way. As the U.S. healthcare model changes from rewarding for quantity to


rewarding for quality, disease management is projected to be one of the fastest-growing segments in the industry, with healthcare IT vendors scram- bling for a piece of the proverbial pie. Connecting big data to population health through analytics will be imperative if we are to reduce the number of patients readmitted for the same condition. Additionally, with a major focus on electronic medical records (EMRs),


electronic health records (EHRs), ICD-10 and meaningful use, it’s tempting to put health information exchanges (HIEs) on the back burner. But that’s not an option. Communicating in a digital healthcare environment without HIEs is like trying to navigate a highway system without freeways. Ideally, HIEs would facilitate the sharing of data between doctors’ offi ces, practices, hospitals and laboratories; everyone with a viable need would share records, and security levels would be determined by the type of information and who was asking for it. T ese free-fl owing, robust systems would allow proprietary laboratory information systems (LIS), picture-archiving com- munications systems (PACS), EHRs and more from diff erent vendors and hospitals to communicate seamlessly with each other. Eff ectively and successfully managing a practice in today’s world means balancing day-to-day operations with long-term goals. T ese include making the move to value-based care, determining the best ways to engage patients, managing chronic diseases and conditions, implementing solutions, maximiz- ing security and keeping a watchful eye on fi nances and the revenue cycle. Motivated by a governmental push, reform is happening; it’s up to the


vendors and end-users to fi gure out how to best facilitate the process – from development to selection to implementation of solutions and, fi nally, the logistics of day-to-day operations. T e end-goal is demonstrating quality of care; the tools are healthcare IT solutions; the rewards are payments in the form of reimbursements and incentives – but the big payoff is improved patient care.


4 October 2013 HEALTH MANAGEMENT TECHNOLOGY


T


Healthcare Information Systems Solutions since 1980 Publisher/ Executive Editor


ECHNOLOGY Health Management www.healthmgttech.com Kristine Russell krussell@healthmgttech.com


EDITORIAL Managing Editor Phil Colpas


(941) 388-7050 ext. 124 pcolpas@healthmgttech.com


Associate Editor Mike Foley


(941) 388-7050 ext. 114 mfoley@npcomm.com


CREATIVE DIRECTOR Geoffrey Smith


GRAPHIC ARTIST Glenn Huston


ADVERTISING SALES West Michael Hughes (805) 529-6790


mhughes@healthmgttech.com


East Gregg Willinger (914) 293-0429


gwillinger@healthmgttech.com SERVICES


Single Back Issues/ Subscriptions subscriptions@npcomm.com Reprints Deborah Beebe


(941) 388-7050 ext. 127 dbeebe@npcomm.com


List Rentals/ Laura Moulton


Ad Contracts Manager lmoulton@npcomm.com Ad Traffic Manager Kathleen Shook


kshook@npcomm.com


eProduct Coordinator Mary Haberstroh mhaberstroh@npcomm.com


EDITORIAL ADVISORY BOARD CareGroup John D. Halamka, M.D., CIO


Healthcare System,


Harvard Medical School, Chair of HITSP Cleveland Clinic C. Martin Harris, M.D., CIO Elsevier Jonathan Teich, M.D., CMIO


Senior VP Finance, Chrissy Yamada, CFO


Evergreen Healthcare Clinical Systems Manager, Pamela Shedd, RN Springhill Medical Center New Mexico Bob Mayer, CIO


James Russell - Managing Director NP Communications, LLC. 2477 Stickney Point Rd., Suite 221B Sarasota, FL 34231 Phone: (941) 388-7050 Fax: (941) 388-7490


nP Communications, LLC Printed in the USA.


HEALTH MANAGEMENT TECHNOLOGY (ISSN: 1074- 4770). Published monthly by NP Communications, LLC., 2477 Stickney Point Rd., Suite 221B Sarasota, FL 34231, (941) 388-7050. Subscription rates: $105.60 per year in the United States; $129.80 Canada/ Mexico; International subscriptions are $190.30 per year. Current single copies (if available) are $15.40 each (U.S), and $19.80 each (international). Back issues (if available) are $17.60 each (U.S.) and $22 each (International). Payment must be made in U.S. funds on a branch of a U.S. bank within the continental United States and accompany request. Subscription inquiries: subscriptions@npcomm.com. Title® registered U.S. Patent Office. Copyright© 2013 by NP Communications, LLC., All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage-and-retrieval system, without permission in writing from the publisher.


Office of publication: Periodicals Postage Paid at Sarasota, FL 34231, and at additional mailing offices. Postmaster: Send address changes to Health


Management Technology, 2477 Stickney Point Rd., Suite 221B Sarasota, FL 34231.


www.healthmgttech.com


www.healthmgttech.com Health Management Technology content is also available from PROQUEST Information and Learning, 300 N. Zeeb Road, Ann Arbor, MI 48106 USA, (313) 761-4700. Copyright Clearance Center, Inc. (978) 750-8400.


Publishers of this magazine assume no responsibility for statements made by their advertisers in business competition, nor do they assume responsibility for statements/opinions expressed or implied in the columns of this magazine.


Department of Health Covisint David Miller, CSO


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28