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    Health Information

    Exchange (HIE) andAnalytics movingHealthcare Forward

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    Health care CIOs must

    be champions of

    information exchange

    Analytics: Moving

    health care forward

    Beyond just being something that is required forfederal initiatives, Health Information Exchange (HIE) and

    Analytics represents transformational elements that will

    propel the health care industry to a new level of care and

    patient engagement. Driving this transformation are key

    clinical and business factors: the desire to comply with

    federal mandates, create better clinical outcomes, improved

    efficiency and cost control.

    This E-Guide explores some of the more important issuessurrounding health information exchange (HIE) and

    analytics. Topics include:

    How to standardize data across disparate networks

    How to keep patient data private

    Drivers behind the use of analytics

    Various types of analytic functions

    Health care CIOs must be champions of informationexchangeBy Jean DerGurahian, Executive Editor Published

    LAS VEGAS -- Here, it's easy to think of "exchange" as the passing of money

    into the hands of the house coffers. But CIOs were treated to a few different

    other concepts of exchange during their forum at the Health Information and

    Management Systems Society's HIMSS 2012 conference.

    Beyond just being something that is required for federal initiatives,information exchange represents the transformational element that will propel

    the health care industry to a new level of care and patient engagement,

    according to presenters at the College of Healthcare Information

    Management Executive's CIO Spring Forum.

    http://searchhealthit.techtarget.com/guides/HIMSS-2012-conference-coveragehttp://searchhealthit.techtarget.com/guides/HIMSS-2012-conference-coverage
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    Data sitting in systems is only the first step of building an IT foundation inhealth care, according to Paul Grundy, M.D., president of the Patient-

    Centered Primary Care Collaborative. As the cheerleaders of information for

    organizations, CIOs have the responsibility of showing "there's some power

    under that data -- and you have to start using it."

    Health information exchange powers the medical home

    Grundy was talking about information exchange in the context of the patient-

    centered medical home, a model that's being trumpeted by the collaborative

    as a way to improve care and regulate costs while shifting from a fee-for-

    service reimbursement structure to one focused on outcomes andperformance.

    Showing data from several years of research, Grundy pointed to pilot

    projects across the country that have allowed providers to reduce hospital

    admissions, help patients manage chronic illnesses and decrease the use of

    emergency departments while maintaining their costs.

    As the research has come out, the industry has taken notice and is

    considering how to align payments with performance, he said. "Now, after

    four years of pilots, the insurers are moving in the same direction."

    Grundy said communication, as well as shifting the organizational culture, is

    how providers will be able to reengineer their practices. "It's thinking about

    having a population and managing it, and having the data to do it."

    Inside that communication factor is another type of exchange -- getting all the

    people in an organization to cooperate. CIOs are in the information business,

    and they must figure out how to empower people to be part of and work with

    the network, said Ken Blanchard, cofounder of the Ken Blanchard

    Companies and visiting lecturer. "One of the best ways to excite people is to

    share information with them."

    http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/interest-growing-in-the-medical-home-model-of-care-delivery/
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    Analytics: Moving health care forwardBy Jean DerGurahian, Executive Editor

    Hospital administrators are leading the use of health care analytics for a

    range of functions in provider settings. Driving their increased use are a few

    key clinical and business factors: the desire to meet meaningful use

    requirements, create quality reports, and better capture revenue, according

    to the results of SearchHealthIT.com's business intelligence survey.

    Results are based on 243 responses from CIOs and other senior IT

    executives at medical centers, health systems and physician practicesacross the country. The survey was conducted online in August. For the

    purpose of the questions, business intelligence was defined as analytics

    used for administrative, back-office functions while clinical data pertained to

    information found in clinical, patient-facing situations.

    Clinical data analytics and business intelligence applications are important to

    hospitals as they expect to increase some spending in the next two years on

    new tools for areas such as supply chain management, health information

    exchange (HIE) and predictive analysis of disease. Administrators are

    working in teams with their IT department and other hospital staff in

    determining what to spend, and where to spend it, as BI takes on a greater

    role in health care.

    It all comes back to HIE, either within an organization or among various care

    settings and providers. The country is moving toward greater exchange as

    providers demand more information to care for their patients, according to

    Daniel Porreca, executive director of HEALTHeLINK. The Western New York

    regional health information organization (RHIO) links about 2,000 physicians,

    16 hospitals, labs and radiology providers along with three major insurers in

    the region.

    Exchanging data builds the foundation for turning around and using that data

    in a variety of ways. But just putting technology in place isn't enough; health

    care practitioners have to feel comfortable using analytics and integrating

    those functions into workflow.

    http://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliancehttp://searchhealthit.techtarget.com/resources/Electronic-health-care-regulations-and-compliance
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    That's where information exchanges can play a significant role, Porrecasays. Collecting data, making it available in a useable way and providing

    tools for analysis are the three components of successful HIE. "We're not

    going to have quality improvement and cost efficiencies" without integration

    and a cultural shift.

    HEALTHeLINK, which connects several different electronic health record

    products through its HIE platform, recently began to participate in the

    Veterans Affairs Department's virtual lifetime electronic record (VLER) pilot,

    which aims to ensure the records of vets who receive care in both military

    and civilian settings are streamlined and maintained seamlessly. That goal ofhaving records follow patients wherever they go is one ultimately officials and

    practitioners hope to see occur for all people, through a national information

    network.

    Meanwhile, regional exchange networks are filling the needs of providers and

    patients. That's going to continue to grow, Porreca says. "The strong

    commitment has been there, and I think the value is being realized."

    Explore the impact of business intelligence in provider settings, and the

    results of the SearchHealthIT.com reader survey, in this report.

    Making use of health care analytics

    Like many industries, health care seeks ways to improve efficiency and

    reduce costs. Hospitals are turning to analytical tools to help accomplish

    those goals, with 42% of survey respondents pointing to that desire as the

    driver for using such tools. On the other hand, more than half, 56.4%, say the

    desire to comply with federal mandates and create better clinical outcomes

    for patients are driving the use of analytics.

    While nearly half of respondents say they already make extensive use of

    analytics, hospitals equally are just getting started or are planning to

    implement data analytics.

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    Analytics tool increasingly important

    While mandates and economics are driving health care to use analytics, whatthey use those tools for also becomes more important. Administrative

    business intelligence -- using analytics for back-end office functions, billing,

    and improving efficiencies -- is more important this year than last, according

    to 65% percent of survey respondents.

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    Some 69% of respondents, however, said clinical analytics -- using patient

    data to improve clinical outcomes, report quality measures, and identify

    medical and patient trends -- is more important compared to last year.

    http://searchhealthit.techtarget.com/news/2240018752/For-e-prescribing-to-reduce-medical-errors-alerts-cannot-be-ignoredhttp://searchhealthit.techtarget.com/news/2240018752/For-e-prescribing-to-reduce-medical-errors-alerts-cannot-be-ignored
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    Hospitals apply analytics to range of clinical and operational functions

    Analytics are applied to a range of functions within health care organizations,

    from clinical quality reporting to supply chain management. The next three

    graphs describe the types of projects survey respondents most likely are

    using analytics for. Expect analytics tools to be applied increasingly to

    projects such as predictive analysis and health information exchange in the

    next two years as federal mandates continue to be rolled out.

    http://searchhealthit.techtarget.com/news/2240035355/Applying-data-analytics-software-to-the-hospital-supply-chainhttp://searchhealthit.techtarget.com/news/2240035355/Applying-data-analytics-software-to-the-hospital-supply-chain
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    Implementing analytics across departments and disciplines

    While survey respondents reported that administrators are the primary users

    and decision makers for analytics systems in hospitals, results indicate that --

    like an electronic health record implementation project -- increasingly, it is

    cross-department groups that influence which systems are used and how

    those systems will be applied to workflow. Not least important is a hospital's

    IT department, which plays a significant role in selecting systems and

    deploying them across the organization.

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    health care forwardAnalytics software purchasing considerations

    Hospitals in general believe they already have purchased the analytics toolsthey'll need to meet upcoming demands. Most survey respondents said they

    either purchased analytics directly from a vendor (39%) or that the tool was

    included in the electronic health record package (37%). Of those planning to

    buy analytics tools, 29% said they will buy directly from an analytics vendor,

    compared to 26% who will purchase a tool as an add-on from their EHR

    vendor.

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    Health care cloud functions catching on, slowly

    In general health care organizations are not using the cloud for analytics,

    with only 21% and 22% of respondents said they use cloud functions for

    business intelligence and clinical data analytics, respectively.

    But the cloud is still emerging as a useful application for other parts of healthcare. Some 24% of respondents reported they turn to the cloud for data

    storage. The need to store an expanding archive of medical images is

    increasingly driving some health care providers to turn to cloud services.

    Many hospitals' data centers are already crowded; advances in scanning

    technologies mean they will have an ever-mounting volume of data to

    http://searchhealthit.techtarget.com/news/2240016469/SaaS-based-clinical-data-analytics-seen-as-next-wave-of-automationhttp://searchhealthit.techtarget.com/news/2240016469/SaaS-based-clinical-data-analytics-seen-as-next-wave-of-automation
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    maintain. The cost of managing, cooling and expanding data centers in somecases is looking less favorable than putting the data into the cloud. In a

    similar fashion, as the health care industry moves to electronic health

    records, EHR technology is expected to encourage cloud storage.

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