Will I See Any Hospital CIO’s at CES?

For those not familiar with the International CES conference, it’s held in Las Vegas every year at the beginning of January. CES stands for consumer electronic show and it is a show that literally takes over the city of Las Vegas. It’s so full of tech and geek that they use the entire Las Vegas Convention Center, the entire Sands Convention Center, and all of the conference area of the Westgate (Previously LVH and the Hilton), and all of the conference area in the Aria, and at least a couple days at Mandalay Bay. Long story short, the event is massive! I bet some of the larger vendors spend upwards of a million dollars or more on their booths.

As part of the growth of the show, there’s been a larger and larger digital health section of the show. Plus, that doesn’t really include the massive companies like Samsung that have gotten into health as well but have an enormous booth in another area of the show.

The largest portion of health at CES carries the banner of the Digital Health Summit and mostly includes wearables (check out my previous post on Hospitals and Wearables) and robotics (often tied to Telemedicine). However, I know many technology people come to see where the tech is headed so they can prepare. That’s why I attend the event every year.

To be honest, I’ll be surprised if I see any hospital CIOs at CES. Possibly a few hospital CTOs who are looking at some technology, but that might even be a stretch. What it makes me wonder is where hospital IT executives search to see what’s happening next for technology. Where do you look for innovation and where technology that can benefit your hospital is heading?

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EHR Alerts, Top 10 Health IT Topics, Gesture Based EHR, and Adverse Events

I thought it might be valuable to highlight a few interesting tweets I’ve seen recently. Some of them come from the other Healthcare Scene blogs, but I think you’ll find interesting.

Have alerts helped your organization? Alert fatigue is a very real thing, but when calibrated effectively, I’ve seen them really benefit an organization.

This is a fun list of healthcare topics. Do you see any topics that should be added to the list?

We’ve heard about gesture based EHR many times before. Mostly in the surgery room and mostly as demonstration projects. I don’t think this will really go huge and mainstream in healthcare, but could likely get some pickup for very targeted use cases.

Carl does a really great job in this article talking about Adverse Events and the legislation that’s proposed around EHR adverse events. This is a really important topic that doesn’t get nearly enough attention.

Posted in clinical decision support, Hospital EHR, Hospital Electronic Health Record, Hospital EMR, Hospital Healthcare IT | Tagged , , , , | Comments Off

The Value of Goals in Hospital IT

When someone sends me a press release that says that a hospital has attested to meaningful use or has achieved HIMSS stage 7, I kind of roll my eyes and move on. As a blogger, it really doesn’t tell me much about that organization. It’s one small data point in what I try to look at in the broader health IT ecosystem. Now, if I don’t see these things happening, I’ll start to wonder what’s going on. However, one individual announcement to me isn’t that interesting.

That’s not to say that healthcare organizations shouldn’t participate in programs like meaningful use and the various HIMSS stages. Sure, the incentive money is great and the adoration of your colleagues at HIMSS when you achieve HIMSS stage 7 is great as well, but that’s not why you should do either of these (ok, maybe the money in MU is worth doing it for).

The best reason your organization should look at going after something like HIMSS stage 7 is because there’s a lot of value in an organization working towards a goal. Of course you should look at the goals you’re trying to achieve to make sure your pointed in the right direction, but nothing unifies an organization like trying to achieve a special recognition. It’s hard to underestimate the value that’s created working towards a common goal.

Having an ambitious goal for your organization helps everyone in your organization to perform better and takes your organization to a higher level than you could have ever dreamed. We could argue over the value or lack thereof of meaningful use. What can’t be argued is the way organizations have come together to be meaningful use compliant.

Also, don’t underestimate the power of celebrating these achievements. While it’s one thing to celebrate your achievements internally (and you should), it’s also really valuable for those in your organization to receive accolades and recognition from their peers in other organizations.

Next time you look at some of these recognition, definitely consider if they espouse the values your organization wants to achieve. However, also take into account the powerful force a high goal and recognition for achieving that goal can provide your organization.

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Techstars++ Joins Forces with Mayo Clinic

For those not familiar with Techstars, they are one of the best startup accelerators out there today. You can literally look at the statistics for the startups they’ve invested in on the TechStars stats page. For those not familiar with the startup accelerator model, companies get a small sum of money (usually enough to live for 3 months) and spend 3 months in a city with other startup companies building out your startup company. It’s turned out to be a great model with Ycombinator and Techstars leading the pack and plenty of healthcare startup accelerators following after.

Many of the Techstars companies have been healthcare startups (especially the Techstars Boston classes) and Techstars has just created a new partnership with the Mayo Clinic to help these startup companies even more. It’s called Techstars++ and is launching with the Mayo Clinic. Here’s a description from the announcement:

Techstars++ offers companies from across the Techstars network the opportunity to extend their Techstars experience by spending time on site and engaging deeply with a relevant corporate partner. For example, after completing Techstars, healthcare-oriented companies can spend two weeks at the Mayo Clinic exploring business development opportunities and other synergies. A full time Techstars Program Director will reside on-site and work closely with the startups and the corporation to help maximize the opportunity. There is no charge to Techstars companies to participate in Techstars++.

In the past, I’ve wondered if general tech accelerators like Techstars were the right approach for healthcare startup companies. There’s so much that’s different in healthcare that you need to make sure you have someone who understand the healthcare culture. I still think this is a major challenge for a healthcare startup in Techstars, but this 2 week residency at Mayo Clinic is a good step towards opening customer doors for healthcare startups in these programs. They should then expand the program to include a medium and small size hospital as well. Having those three categories of hospitals on board is incredibly important when launching a health IT company to the hospital world.

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Healthcare Interoperability – Learning From Proprietary PC History

Interoperability; Some vendors have the unmitigated gall to try and keep their systems proprietary. When they refuse to make code or training available to others, competition will have difficulty achieving interoperability and customers will not be able to move too far from the vendor and their own profitability is secured. Competition is greatly reduced.  Capitalism at its finest.

A long, long time ago in a land far away, 4 vendors in the minicomputer and PC markets attempted to do just about the same thing. Wang, Data General and Digital Equipment were almost totally proprietary. Interoperability was little more than a dream. Proprietary would secure success.  The fourth company was the leader in the PC world. They also were not able to communicate with competitors and vice versa. For years, IBM compatible meant the difference between success and failure. Why? Try profit. If you control a market and can keep others away, profits remain high.   After a time, as with IBM there will come a time that giving up the proprietary nature of the product will cause an increase in sales and profits.

Throughout the 80’s and 90’s IBM’s competitors and some large users complained bitterly about all four company’s proprietary nature. The 3 minicomputer companies “bet the farm” that they could succeed by being proprietary. IBM did the same. The rest is history. One won and three lost.

Epic is in the same boat as those four. Being proprietary is increasing their profitability currently.  As time progresses will Epic decide that the time is right to allow the competition access to their product and code and, like IBM, will they do it at the right time to remain the market leader.  Any bets?

Posted in Hospital EHR, Hospital EHR Company, Hospital EHR Vendor, Hospital Electronic Health Record, Hospital Electronic Medical Record, Hospital EMR, Hospital EMR Company, Hospital Healthcare IT | Tagged , , , | Comments Off

Orion Health™ Completes $125 Million IPO in New Zealand

Trading Began on NZX Main Board and ASX in November

Boston, MA – December 16, 2014Orion Health, a leading population health management company, announced that shares of Orion Health Group Limited (Orion Health, the Company) began trading on the NZX Main Board and ASX following a successful IPO that raised $125 million (NZD) which included $120 million in new capital. Strong demand for the shares from eligible institutions and the clients of NZX firms saw the shares priced at $5.70, at the top of the indicative price range of $4.30-$5.70.

“Both our new shareholders and those who have supported the company over the last 21 years clearly understand the dynamics of the health data expansion and Orion Health’s ability to deliver world class solutions that will provide better outcomes for patients, providers and those who fund healthcare services,” said Andrew Ferrier, Orion Health Chairman. “Orion Health is now equipped with the resources necessary to invest in additional research and development to capture these once in a generation opportunities for innovation.”

“Health industries in many countries are aware of the impending funding crisis they will experience in the next few years. This will be driven by aging populations – the huge increase in health data likely to flow from new devices and the demands of patients for greater control over their own healthcare,” said Orion Health Founder and Chief Executive Officer, Ian McCrae. “Orion Health is already at the forefront with solutions that are delivering benefits to 450 customers across 25 countries. We are now funded to significantly increase our research and development efforts to expand our capability and solutions for customers.”

McCrae retains 98% of his shareholding and still holds 50.3% of the company. Orion Health’s shares trade with the code OHE on both the NZX Main Board and ASX. Deustche Craigs and First NZ Capital were Joint Lead Managers for the IPO.

About Orion Health Inc.

Orion Health, a population health management company, makes healthcare information available anywhere by providing healthcare IT connectivity in nearly every U.S. state and in over 30 countries worldwide—facilitating care for tens of millions of patients every day. With an inherent ability to interconnect a wide variety of healthcare information systems, Orion Health facilitates data exchange within and among provider organizations, accountable care organizations, health plans, governments and health information exchanges, to improve care coordination, enable population health management, enhance quality of care and help reduce costs. For more information, visit www.orionhealth.com. Connect with us on Twitter, Facebook and LinkedIn.

Posted in Healthcare, Healthcare Interoperability, Healthcare IT, Healthcare IT Funding, Healthcare IT Investment, Healthcare IT Vendor, HIE, International Healthcare | Tagged , , , | Comments Off

Self Encrypting Drive Infographic

If you’re not encrypting your hard drives in healthcare, you’re just asking for a HIPAA penalty. If you want to learn more about the importance of encryption in general, check out this infographic:

Self Encrypting Drive Infographic

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The Ergonomics of EHR – Hospital Liability?

We often hear about the ways technology causes ergonomic problems for us and our health. Whether it’s wrist pain from all the typing or back pain from the way we sit or eye strain from looking at a screen all day. Technology has a number of really major challenges when it comes to ergonomics.

Unfortunately, I don’t think most hospitals have put much thought into the ergonomic impact of an EHR on their nurses and doctors. Since many of these health issues happen over time, I think we haven’t yet awoken to these problems. This is an issue that’s likely going to impact a lot of hospitals in the next 3-5 years.

Think about the potential liability a hospital could have because of a poorly done EHR implementation which causes back pain, wrist strain and kills people’s eyesight. That’s a really big deal and worth considering.

A while back I actually saw this infographic dedicated to some of the ergonomic challenges that nurses face in a hospital. We need to start talking about these topics a lot more or it’s going to grow into an enormous problem.

Hospital EHR Ergonomics

Posted in Healthcare Leadership, Hospital EHR, Hospital Electronic Health Record, Hospital Electronic Medical Record, Hospital EMR, Hospital Healthcare IT | Tagged , , , , | Comments Off

How Is Your Hospital Approaching ICD-10?

I’ve been writing quite a bit recently about ICD-10. You may enjoy this post I wrote about the real problem of ICD-10 being UNCERTAINTY. I’ve seen a lot of good reasons why we should go forward with ICD-10 and there’s no doubt that the move to ICD-10 does not come without a cost (training, implementation, system testing, etc). Although, not knowing if ICD-10 is coming or not is absolutely killer.

There are a lot of great ICD-10 resources out there to help you with your ICD-10 transition strategies. Although, I think most hospitals are wondering if they should prepare for ICD-10 or not. Those that were getting prepared last year got burned. Now they’re likely wondering if they’re going to get burned again. Those that weren’t prepared for ICD-10 last year were saved and they’re likely hoping to be saved again.

How is your hospital approaching ICD-10? Are you going forward with ICD-10 preparation using projects that are masked as Clinical Documentation Improvement (CDI) programs? Are you in wait and see mode? Are you going full bore in preparing, training, and testing for ICD-10?

I said that last one kind of ironically. I haven’t seen any organization that’s doing that right now which is really amazing. Last year at this time, I knew a bunch of organizations that were fully engage in preparations for ICD-10. This year, no such message. Last year at this time, many were calling for ICD-10 preparation. This year, people are afraid that they’re going to be “the boy who cried wolf.” There’s only so many times you can cry ICD-10 before people stop listening. We might be there already. It’s amazing the power of uncertainty.

As I said in my ICD-10 uncertainty post linked above:

My gut tells me that if ICD-10 isn’t delayed in the SGR Fix bill next year, then ICD-10 will probably go forward. You’ll notice that probably was the best I could say. Can anyone offer more certainty on the future of ICD-10? I don’t think they can and that’s the problem.

How Is Your Hospital Approaching ICD-10?

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Coalfire Predicts: In 2015 the Cost of Cybersecurity and Risk Management Will Remain on Track to Double

Fueled by cyber-crime, cyber-ware, and cyber-terrorism

DENVER–Coalfire, the leading independent information technology governance, risk and compliance (IT GRC) firm, today released its top ten cybersecurity predictions for 2015.

“It’s time for companies to start looking ahead at the next generation of threats and to step up their game to better protect consumer data. The threat landscape is continuously evolving. If you don’t already have threat intelligence and response plans ready for implementation in 2015, now is the time. As 2014 ends, it’s clear this was the year everything changed in the world of information security,” said Rick Dakin, Coalfire’s CEO and chief security strategist. “As high-profile data breaches were announced one after another, consumers stopped believing companies took protecting their information seriously.”

Coalfire conducts more than 1,000 audits and assessments of systems containing sensitive data each year. Based on the trends in those investigations, Dakin predicts the following for 2015:

  1. Motivated Threat Actors – The number and sophistication of cyber threats will continue to increase exponentially. Fueled by both geopolitics and economic incentives, international (and often state-sponsored) criminal organizations will escalate their development of offensive cyber capabilities.
  2. Redefining the Defense – The demands of cybersecurity are fundamentally changing IT. Cyber risk management and security compliance will take an equal weight to other design criteria like functionality, capacity and performance. Financial ROIs will be balanced by a new understanding of risk exposure for sub-par solutions.
  3. Three Heads vs. One – In large organizations, there are technical roles that require the knowledge and experience of CIOs, CTOs and CISOs. While some have predicted the death of the CIO role, we see instead a balancing of responsibility between three peers.
  4. Investments Will Increase – In the face of pernicious new threats, the cost of cybersecurity and risk management will remain on track to double over the next three years.
  5. New Fronts – The expansion of mobility, cloud computing, bring your own device (BYOD) policies, and the Internet of Things will provide new (and previously unforeseen) opportunities for cyber-crime, cyber-warfare, and cyber-terrorism.
  6. Universal Monitoring – As a result of cyber-incidents, every organization (or person) will be using some form of continuous monitoring service (threat, scanning, identity or credit). These will be legislated, mandated by financials institutions or insurers, or acquired on their own behalf.
  7. Business Leadership on Policy Development – Executive leadership will lead to further development and maturation of standards across private sector and governmental organizations. This approach to security and cyber risk management will reduce the potential for “unforeseen” damage from cyber-attacks, cyber warfare and cyberterrorism.
  8. New Threat Detection and Response Technologies – There will be an increased use of crowdsourcing, machine intelligence, and cognitive/advanced analytics to detect and stay ahead of threats. Bounties for catching bad actors and advanced algorithmics will help the “good guys” identify and stay ahead of the hordes of malicious players.
  9. Improved Security – New and better applications of authentication, EMV, encryption and tokenized solutions will increase the security of payments and other personal and confidential information. Apple Pay and other next-generation solutions will overcome anti-NFC inertia and lead to increasing adoption of mobile-based security technologies for both retail payment and other applications, such as healthcare, where critical and confidential information is exchanged.
  10. Back to Offense – We will see the beginnings of a shift from cyber-defense to cyber-offense. From attempting to build impenetrable systems, to building systems that make it possible to identify attackers and provide the means to prosecute, frustrate or delay them.

About Coalfire

Coalfire is the leading, independent cyber security and risk management firm that provides audit, assessment, advisory and compliance management solutions. Founded in 2001, Coalfire has offices in Atlanta, Boston, Dallas, Denver, Los Angeles, New York, San Francisco, Seattle, Orlando, Washington D.C. and England and completes thousands of projects annually in retail, financial services, healthcare, government and utilities. Coalfire’s solutions are adapted to requirements under emerging data privacy legislation, the PCI DSS, GLBA, FFIEC, HIPAA/HITECH, HITRUST, NERC CIP, Sarbanes-Oxley, FISMA and FedRAMP. For more information, visit www.coalfire.com

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