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Breaking Down Data Silos to Innovate and Connect Care Joseph Frassica, M.D., Vice President and Chief Medical Information Officer/Chief Technology Officer Philips DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS. Participate in today’s presentation! • Today’s presentation includes a live polling component • To be prepared, PLEASE TEXT PHILIPS1 to 37607 once to join • After you have joined, you will be able to text your answers as we show the questions We can all agree…Adoption of health technology, digitization of data has grown Non-federal Acute Care Hospital Health IT Adoption* But incentives and penalties aren’t enough State rates of non-federal acute care hospital EHR adoption, health information exchange, and patient engagement *Office of the National Coordinator for Health Information Technology. 'Non-federal Acute Care Hospital Health IT Adoption,' Health IT Dashboard. http://dashboard.healthit.gov/dashboards/hospital-health-it-adoption.php. October 2014. Interoperability We’re still talking about it…and though much has been done…. • Silos of data still exist, with the core EHR often the primary data repository and often a unidirectional data flow • Complexity still abounds Which is most top of mind for you below? EHR deployment? New software functionality? OR What’s next? A. We are still trying to get interoperability right, working on EHR implementations and getting data into the EHR from my other hospital systems and devices. B. Our organization is in good shape with getting the EHR deployed, but waiting on new EHR software releases/modules for needed clinical functionality in the EHR. C. We’re thinking about what comes after the EHR and next generation systems. We’re thinking about how to use the data we are collecting in our systems, how to extract information from it and how to get that knowledge to the wide variety of people and systems that will need it. Relative to interoperability, are you… Select all that apply A. Waiting for standards like FHIR to make a difference. B. Looking to vendors to adopt more IHE profiles. C. Hoping that EHRs will become more open. D. We’re all set, we feel that our interoperability needs are met. Do you believe that healthcare IT innovation is happening at the maximal pace? Getting past the conversation of just interoperability alone… A. Yes, I believe the healthcare IT industry as a whole is innovating at the optimal pace. B. No, I do not believe the healthcare IT industry as a whole is innovating at the optimal pace. C. No, I do not believe the healthcare IT industry as a whole is innovating, however my organization is innovating and invests in innovation. D. No, I do not believe the healthcare IT industry as a whole is innovating nor do I believe that my organization has embarked on a path to investment in innovation. Are we innovating fast enough in healthcare IT? Some organizations are moving the innovation needle on their own… • In September, Seattle-based Providence Health & Services announced the launch of a venture capital fund designed to help early- and mid-stage health IT companies bring their products to market. • Organizations like Mayo Clinic, Dignity Health, Geisinger Health System and Cleveland Clinic all have venture capital funds • MemorialCare Health System in Fountain Valley, Calif. with six hospitals and more than 200 healthcare sites in Los Angeles and Orange counties was one of the first • Summation Health Ventures is backed by both MemorialCare and CedarsSinai Health System. • Partners Healthcare’s Innovation Fund has been around since 2007 and focuses on new products and ideas that originate within the Partners health system. Health IT Innovation, is there a hold up? A. I look to my EHR partner to innovate. Large software companies sometimes take longer to innovate than I’d like to meet our needs. B. I don’t think there is a hold up, we work with a number of companies that are showcasing innovations in the health informatics space. C. Ancillary systems that my EHR depends on are too slow to evolve and share their information, slowing the EHR’s ability to innovate. D. Complexity in our environment due to varying revisions across the enterprise. E. We are find it challenging to extract the information necessary to innovate from our EHR. F. Our Innovation partners find it difficult to extract necessary information from our EHR to deliver innovative solutions. Can you achieve your organization’s strategic goals with the informatics/EHR that you have today? A. Yes, we are well set with our technology investment. B. No, we need something more. What are your priority concerns? (Select all that apply) Adverse events A Readmission B Hospital Acquired Infections (HAIs) C Workflow D 5 March 25, 2015 Reimbursement E Length of stay F HealthTech: Convergence between Healthcare and Consumer markets Healthy Living Healthy Healthy Living Living Consumers increasingly engaged in their health journey Prevention Diagnosis Treatment Recovery Home Care Prevention Diagnosis Treatment Recovery Home Care Increased emphasis on population health Ongoing focus on total quality and cost of care Care shifting to lower cost settings and homes Opportunities from intersection of consumer and clinical spaces Hospitals expressing the need for integrated solutions Systems integration, connected devices, big data and analytics The health continuum Prevention Diagnosis Treatment Recovery Wellness Aging in place Personal health Transition from Hospital to home Chronic Disease Acute care Imaging diagnostics & intervention Healthcare operations Cloud based data repository with open API’s for innovation across consumer and professional ecosystems Built to be flexible, scalable and cost effective Applications Shared user experience (UX) Professional healthcare functionality (API) Consumer health functionality (API) (HL7, DICOM, image processing, HIPAA, healthcare data, etc…) (analytics, visualization, community) collaboration cloud • • • • • Message routing Collaboration and social integration Metering & billing MPI Workflow support secure data cloud connected device cloud • • • • • Discovery & registration Provisioning Diagnostics Firmware upgrades Security • • • • • Data interfaces Data, image & video services Image processing Machine learning & analytics Archiving Where do we go from here? • Consider thinking around and beyond the EHR….what comes next? • Continue to challenge vendors and all those in your ecosystem to support meaningful interoperability and openness. • If standards are important, invest in solutions that support them. • Engage with standards organizations to ensure they are designing for the future of the health continuum. QUESTIONS?