March 2009

Going with the Patient Flow Newsletter

The Next Generation of Health Care
Allison Shirreffs, Laurel-Ann Dooley and Drew Ermenc, Business to Business
As the rising cost of health care becomes a significant issue in 2009 - both politically and it's effects on already-suffering balance sheets - innovation will take hold once again. Tough times breed innovation. So here's a preview of the people, products and services that are committed to changing the way the health care game is played, saving money, saving lives and creating solutions for today's problems in health care. All are based in metro Atlanta, and all are poised to make a difference. What if hospital wait times could be reduced, more people could be seen and it would take less people to do so? That's what Rick Jackson, founder and CEO, Jackson Healthcare, believes his StatCom software will help accomplish.
http://www.btobmagazine.com/Articles/2009/March/The_Next_Generation_Of_Health_Care.html

IBM and Partners Help Healthcare Clients Adopt Electronic Health Records and Improve Operations with Cloud Software
MSNBC.com
IBM, American Occupational Network (AON) and HyGen Pharmaceuticals are improving patient care by digitizing health records and streamlining their business operations using cloud-based software from IBM Business Partners MedTrak Systems and The System House. By accessing technology that handles various tasks -- from electronic health records (EHRs) to on-line appointment scheduling -- as a service through the Internet instead of developing, purchasing and maintaining technology on-site, AON has been able to update its clinical processes and increase key efficiencies to improve patient care.
http://www.msnbc.msn.com/id/29735725/

The Emergency Department as the Front Door of the Hospital
Blackdiamondhealth blog
A significant portion of a hospital's admissions enter through its Emergency Department (ED). Unfortunately, many hospitals exhibit broken processes, long wait times and fundamentally poor coordination of care. As a result, most hospital organizations view their EDs as cost centers and a necessary, though frustrating, component to delivering quality care to its community.
http://blackdiamondhealth.wordpress.com/2009/03/19/the-emergency-department-as-the-front-door-of-the-hospital/

Health Providers Must Be Educated on Stimulus Package, Experts Say
Kathryn Foxhall, Government Health IT
Speakers at an Institute for e-Health Policy briefing said that more needs to be done to educate health providers on the health IT provisions included in the federal stimulus law, including timetables, incentives and penalties associated with health IT adoption.
http://govhealthit.com/articles/2009/03/17/stimulus-rewards.aspx

Poll: More Doctors Using Health IT, But Cost Concerns Remain
Andis Robeznieks, Modern Healthcare
The use of electronic medical records, computerized physician order entry systems and other forms of health IT among doctors has grown in the past five years, according to an American College of Physician Executives survey. The poll, which involved about 1,000 ACPE members, found that 64.5% have set up EMR platforms while 43.8% are using CPOE applications. The report also noted that 40.9% of respondents cited insufficient funds and resources as the main reason for not deploying IT. (May require registration)
http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20090313/REG/303139994/1153

Healthcare Overhaul Cost May Reach $1.5 Trillion
Yahoo.com news
Health policy experts say guaranteeing coverage for all Americans may cost about $1.5 trillion over the next decade, more than double the $634 billion "down payment" President Barack Obama set aside for health reform in his budget. The potential for runaway costs is raising concerns among Republicans and some Democrats as Congress prepares to draft next year's budget.
http://news.yahoo.com/s/ap/20090318/ap_on_go_pr_wh/health_overhaul_cost_14

Report: Canada's EMR efforts could help U.S. devise adoption strategy
Joseph Goedert, Health Data Management
Government initiatives to implement and maximize the benefits of electronic medical records across Canada could help U.S. authorities develop an effective strategy for adopting such technology, according to a report from consulting company Sierra Systems. Though the U.S. has a bigger population than Canada, both countries face "remarkably similar" health IT challenges, the report contended.
http://www.healthdatamanagement.com/news/EHR27837-1.html

Wal-Mart, eClinicalWorks Deal Exposes Need for EMR Price Transparency
Kathryn Mackenzie, HealthLeaders Media IT
The big health information news is that Wal-Mart's Sam's Club is partnering up with electronic medical record vendor eClinicalWorks and Dell Inc. to sell electronic medical records to physicians. Sam's Club will offer the package this spring starting at under $25,000 for the first physician in a practice and $10,000 for each additional doctor. Ongoing costs will be $4,000 to $6,500 per year. The reaction to the news of an "EMR-in-a-box" has been remarkable.
http://www.healthleadersmedia.com/content/229907/topic/WS_HLM2_TEC/WalMart-eClinicalWorks-Deal-Exposes-Need-For-EMR-Price-Transparency.html

Study: IT Could Help Address Communication Problems in Hospitals
Joseph Goedert, Health Data Management
Inefficient communication among clinicians and other personnel costs U.S. hospitals $12 billion a year, according to a study from University of Maryland researchers. IT systems, including location-based applications that could improve the discharge process, could help improve communication among clinicians and save money, the study found.
http://www.healthdatamanagement.com/news/communications27855-1.html

Arizona-Based Organization Set to Begin Work on HIE System
John Moore, Government Health IT
The Southern Arizona Health Information Exchange unveiled plans to begin working on a statewide data-sharing system in the first half of 2009. The move comes after the group chose technology from Wellogic to power its network. Phase 3.1 of the project will focus on three areas, including the transfer of key medical information to emergency departments when patients are admitted.
http://govhealthit.com/articles/2009/03/13/arizona-exchange-ready-to-roll.aspx

Coordination Between CIOs, Clinicians Key To Reaping Health IT Benefits
Mark Hagland, Healthcare Informatics
Health care organizations are deploying IT solutions to address key concerns including accountability and transparency, and CIOs need to work with clinicians to ensure that investments in such systems result in tangible benefits, according to this article. Illinois-based Cancer Treatment Centers of America is using an EMR system and IT applications to manage doctor documentation, closed-loop medication and other processes. Heartland Health, a 400-bed facility in Missouri, reported a 50% drop in drug errors as well as $47.5 million in savings five years after implementing EMR technology.
http://www.healthcare-informatics.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=EC317F2597454797AF09413D7814774F

C-Side

Five Action Steps to Help You Lead in Times of Economic Crisis
Dan Sinnott, HealthLeaders Media
A former boss used to tell me that "every crisis is an opportunity." I've had a lot of opportunities since my entire career has been spent in healthcare, an industry that has been in crisis mode for the past 20 years. In that time, I've learned how to turn a crisis into an opportunity. Here are five actions that enable leaders to do the same.
http://www.healthleadersmedia.com/content/229981/topic/WS_HLM2_LED/Five-Action-Steps-to-Help-You-Lead-in-Times-of-Economic-Crisis.html

Collaborate, Don't Crush
Carrie Vaughan, HealthLeaders Magazine
Hospital CEOs are often schooled in the art of attack-grab market share, grow service lines, be the best healthcare provider in the region. But many executives are discovering that crushing the competition may not be the best way to achieve those goals. The challenge for CEOs is finding ways to build beneficial relationships with other healthcare institutions that, in many cases, also happen to be their biggest competitors. "It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change. "Sometimes you have to decide what you can do the best and truly do it in a way that provides excellent quality service, then partner with others to fill in where you can't be the best."
http://www.healthleadersmedia.com/content/229633/topic/WS_HLM2_MAG/Collaborate-Dont-Crush.html

Good Staff Ties, Honesty Could Help Senior Health Care Leaders Keep Jobs
Carrie Vaughan, HealthLeaders Media
Health care providers including hospitals are reporting net losses, putting off projects and implementing layoffs amid the recession, and CEOs could lose their posts even if they have successful track records. Leaders need to be honest in their dealings, maintain good relationships with employees and zero in on efficiency in order to keep their jobs, according to this article.
http://www.healthleadersmedia.com/content/229714/topic/WS_HLM2_LED/Is-Your-Job-Secure.html