what we learned at himss15
TRANSCRIPT
WHAT WE LEARNED AT HIMSS15
AGENDA
• Hot topics at HIMSS15
• The surprises of HIMSS15
• Looking ahead to HIMSS16
• Questions
HOT TOPICS AT HIMSS15
KEY THEMES
• Unlike past HIMSS conferences, where one particular topic stood out above all others, HIMSS15 had several key themes of equal weight:
– Population Health Management
– Interoperability
–Mobility/mHealth
– Analytics
– Care Quality
POPULATION HEALTH MANAGEMENT
• Emerging initiative for many hospitals and health systems
• Many population health management (PHM) tools on the exhibit floor, mostly focused on risk analysis and predictive monitoring
• HIMSS15 Leadership Survey results on PHM:
51%of orgs believe they improved
their PHM programs with
help of health IT
of orgs see PHM programs leading
to decreased costs
53% 38%of orgs currently have dedicated
PHM technologies in place
POPULATION HEALTH MANAGEMENT CASE STUDY
• Providers must see population health management as a lifecycle• Technology tools can help improve the care process
• Predictive analytics help providers identify patients who might not otherwise present a risk of hypertension
• Marshfield now ties quality metrics on controlling patients’ hypertension into physician salaries
Marshfield (Wis.) Clinic
674 heart attacks
169 strokes
$88 M
Over the next decade, Marshfield estimates it will be able to prevent/save:
INTEROPERABILITY
• Several big announcements at HIMSS15: New ONC report on health
data blocking urges industry to come forward
with any info about stakeholders who are actively withholding
interoperability
Epic dropping data exchange fees until 2020
(was charging $2.35/external patient
record exchange)
HHS and ONC announce $1 million in grants for The
Community Interoperability Health Information Exchange;
providers can apply until June 15
Carequality project—a health data
interoperability effort to create a “network of
networks” to facilitate flow of data across the
nation
INTEROPERABILITY
• Impossible to ignore EHR usability issues anymore
• Meaningful Use Stage 3 places an emphasis on application programing interfaces
• Not just EHR to EHR, but EHR to ancillary and remote monitoring systems
• Historically focused on community and individual care providers; now also bringing non-eligible provider populationinto the equation
64%Of HIMSS15 Leadership
Survey respondents said “Achieving secure
interoperability of data” was a key
business objective
68%Of HIMSS15 Leadership
Survey respondents said “Achieving
meaningful use” was a key business objective
INTEROPERABILITY KEYNOTE HIGHLIGHTS
• Value-based reimbursement and interoperability are the keys to change—lack of both means we remain in a siloed healthcare system
• Interoperability is a great place to start: “Information should be a shared asset, not a proprietary asset.”
Items needed to achieve interoperability:
• Establishing standards, including APIs
• Achieving clarity on the trust environment with shared expectations around data security and privacy
• Understanding how incentives will apply to the use of EHRs
• Personal and organizational commitment—changes to workflow and culture
Bruce BroussardHumana President and CEO
Karen DeSalvo, MDNational Coordinator for HIT
MOBILITY
• Healthcare industry sees mobility as critical component of shift to patient-centered, value-based care
• 2015 HIMSS Mobile Technology Survey: 90% of American adults now own a mobile device
PROVIDERS LEVERAGE VARIETY OF MOBILE TOOLS
73%62%
57%
app-enabled patient portals
telehealth services
text communications
MOBILITY
• Mobility is key to care team coordination:
– Patient-Nurse-Physician-Tech Case Manager
– Multiple venues: ambulatory, acute care (hospital), home care
• On-call data is key to mobility—one of the factors that takes a secure messaging product to a workflow solution
• Spok unveiled new mobile integrations for care team communications
– Enterprise directory and on-call schedule integration
– Secure texting to support consult and collaboration
– Critical test results management (CTRM)
mHEALTH
• Major focus on mobile and wearable solutions this year, especially the Apple Watch™
• Wearables may not be quite there yet in terms of producing meaningful, actionable data, but that day is likely coming soon
ANALYTICS
• Analytics have potential to affect every aspect of care, especially impactful in an era of accountable care and value-based reimbursement (tie to population management)
• Recognition of need for combined clinical and claims data, but no solution yet
• Difference between big data and the right data
ANALYTICS CASE STUDY
• Largest ACO in the U.S., 13 hospitals and 2 medical groups• Outlined different approach at HIMSS15: Instead of focusing on using
data to identify patients most expensive to treat, Advocate used data to risk stratify the entire population and then used data-enabled resource allocation—“a targeted big data approach”
• Post-acute care data showed Advocate was over-using long-term facilities and under-using home care and health services
Advocate Health Care
$200 M
Made data-informed shift to:
Decrease length of stay for avg patient by
5 days
Save
CARE QUALITY
• Care quality a hot topic as it relates to the Affordable Care Act (shorter length of stay, reduce readmissions, outcome-based care)
• Two major subtopics at HIMSS15: Patient safety and staff effectiveness
CARE QUALITY
• Patient Safety
– The Joint Commission
• Issued Sentinel Event Alert prior to HIMSS examining the relationship between healthcare technology and patient safety
• After analyzing 3,375 sentinel events, found 120 had health IT contributing factors—issued several recommendations
– Fall prevention
• CDC: Falls leading cause of both fatal and nonfatal injuries among Americans over 65
• CDC, National Council on aging say effective medication management key
–Medication safety
72%of HIMSS15
Leadership Survey respondents said
“Patient engagement, satisfaction, and
quality of care” will have biggest effect on their organization over
the next two years
CARE QUALITY
• Staff Effectiveness
– Alarm fatigue mitigation: Johns Hopkins study: 350 alarms per bed per day
– Productivity tools: Secure messaging, note taking apps
– Decision support systems
HIMSS15 SURPRISES
HIMSS15 SURPRISES
• Very high energy level, sense of optimism, record crowd
– High traffic on exhibit floor, educational sessions less busy
SURPRISE # 1
HIMSS15 SURPRISES
• Many people are interested in wearables like the Apple Watch, but they still have yet to strategize and execute a BYOD policy for smartphones and tablets
– Also despite focus on and giveaways of Apple Watches, no one actually seems to have one!
SURPRISE # 2
HIMSS15 SURPRISES
• Increased pharmacy presence as retail pharmacy moves to role of provider
– Monday keynote: Alex Gourlay, EVP of Walgreens Boots Alliance/President of Walgreens, who spoke about Walgreens expanding beyond the pharmacy/focusing on overall wellness with technology:
• Mobile apps for patient engagement
• Telemedicine through partnership with MDLive
• Digital coaching on Walgreens website through partnership with WebMD
– Many education sessions on pharmacy—eliminating prescription errors, patient-centered pharmacy home, etc.—and exhibitor booths
SURPRISE # 3
LOOKING AHEAD TO HIMSS16
HIMSS16 IN LAS VEGAS
• 2016 Hot Topic Forecast
1. Communication across the healthcare continuum
2. Clinical workflows to support clinical stakeholders
3. Interoperability to add clinical context to communication
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