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Healthcare and Life Sciences 1 Healthcare IT Buzzwords Genomics Quality Reporting Data Breach Virtualization Precision Based Medicine PHR Lean/ Six Sigma Interoperability Digital Pathology Meaningful Use Pay for Performance Patient Centered Medical Home HIE BYOD EMR/EHR PHI HIPAA CLOUD ICD-10 Attestation E- Prescribing ACO Healthcare Reform Risk Assessment

Dell healthcare-training-it-buzzwords-presentation

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Page 1: Dell healthcare-training-it-buzzwords-presentation

Healthcare and Life Sciences1

Healthcare IT Buzzwords

GenomicsQuality

ReportingData Breach Virtualization

Precision Based

Medicine

PHRLean/ Six

SigmaInteroperability

Digital Pathology

Meaningful Use

Pay for Performance

Patient Centered

Medical HomeHIE BYOD

EMR/EHR PHI HIPAA CLOUD ICD-10

AttestationE-

PrescribingACO

Healthcare Reform

Risk Assessment

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Healthcare and Life Sciences2

EMR/EHR – Electronic Medical Record/Electronic Health Records

EHR – collection of a range of data including patient demographics, medical

history, medication and allergies, immunization status, lab test results, radiology images, vital signs, personal statistics (age, weight), billing information

In-patient – occurs during an acute stay in the hospitalOut-patient – occurs during a clinic or ambulatory visit (no overnight stay)

EMR is patient record created in hospitals and ambulatory environments, and

which can serve as a data source for the EHR. It is important to note that an EHR is generated and maintained within an institution, such as a hospital, integrated delivery network, clinic, or physician office, to give patients, physicians and other health care providers, employers, and payers or insurers access to a patient's medical records across facilities. The EMR can be used as a legal record.

Acute EHR – Epic, MEDITECH, Cerner, McKesson, Siemens, Allscripts

Eclipsys

Ambulatory EHR – eCW, Allscripts Professional, Nextgen, Greenway,

PracticeFusion, Epic EpicCare

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PHI – Protected Health Information - PHI is any information held by a covered entity which concerns health status, provision of health care, or payment for health care that can be linked to an individual. ] This is interpreted rather broadly and includes any part of an individual's medical record or payment history.

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HIPAA -- Health Insurance Portability and Accountability Act -protects the privacy of individually identifiable health information (PHI) ; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety

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Cloud – use of computing resources (servers, storage, networking, middleware and application software) delivered as a service over either a public or private network

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ICD-10 is the medical classification list used by the World Health Organization that codes for diseases, signs, and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. It replaces version ICD-9 and becomes mandatory in October 2014.

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Genomics is a discipline in genetics that applies recombinant DNA, DNA sequencing methods, and bioinformatics to sequence, assemble, and analyze the function and structure of genomes (the complete set of DNA within a single cell of an organism). The field includes efforts to determine the entire DNA sequence of organisms and fine-scale genetic mapping.

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Quality Reporting – patient satisfaction and performance on national, state, county quality indicators and practices. Key metrics include re-admission rates. Reporting organizations include HEIS, JCAO

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Data Breach - The HIPAA Privacy Rule regulates the use and disclosure of Protected Health Information (PHI) held by "covered entities" --generally, health care clearinghouses, employer sponsored health plans, health insurers, and medical service providers that engage in certain transactions. By regulation, the Department of Health and Human Services extended the HIPAA privacy rule to independent contractors of covered entities who fit within the definition of "business associates". PHI is any information held by a covered entity which concerns health status, provision of health care, or payment for health care that can be linked to an individual. This is interpreted rather broadly and includes any part of an individual's medical record or payment history. Covered entities must disclose PHI to the individual within 30 days upon request.

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Virtualization – creation of virtual (rather than physical or actual) versions of servers, storage, networks or desktops.

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Precision Based Medicine – tailoring an individual patients treatment based on their personal genome as opposed to simply applying best practices or population based medicine based on their demographic information

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Personal Health Record (PHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

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Lean/Six Sigma – applying process optimization strategies to streamline Healthcare workflows (both care delivery and billing)

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Interoperability – refers to the ability for two or more EHR systems to exchange information and use the information in caring for patients

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Digital Pathology is an image-based information environment enabled by computer technology that allows for the management of information generated from a digital slide. Digital pathology is enabled in part by virtual microscopy, which is the practice of converting glass slides into digital slides that can be viewed, managed, and analyzed

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Meaningful Use -- The Health Information Technology for Economic and Clinical Health Act (set meaningful use of interoperable EHR adoption in the health care system as a critical national goal and incentivized EHR adoption. The "goal is not adoption alone but 'meaningful use' of EHRs — that is, their use by providers to achieve significant improvements in care.

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Pay for Performance (P4P) –compensate providers (doctors), based on meeting pre-established targets for delivering Healthcare services (based on outcomes), instead of the traditional fee-for-service payment model (payments for services are unbundled and not tied to outcomes)

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Patient Centered Medical Home is a program

gives medical practices information about organizing care around patients, working in teams and coordinating and tracking care over time, whether the patient is at their home, at a clinic or in a hospital

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HIE – Healthcare Information Exchangefocuses on the mobilization of healthcare information electronically across organizations within a region or community. HIE provides the capability to electronically move clinical information between disparate health care information systems while maintaining the meaning of the information being exchanged. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safe, and efficient patient-centered care.

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BYOD – Bring Your Own Device --policy of permitting employees to bring personally owned mobile devices (laptops, tablets, and smart phones) to their workplace, and use those devices to access privileged company information and applications

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Attestation -- To receive federal incentive money, CMS requires participants in the Medicare EHR Incentive Program to "attest" that during a 90-day reporting period, they used a certified EHR and met Stage 1 criteria for meaningful use objectives and clinical quality measures. For the Medicaid EHR Incentive Program, providers follow a similar process using their state's attestation system

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Electronic prescribing or e-prescribing(e-Rx) is the computer-based electronic generation, transmission and filling of a medical prescription, taking the place of paper and faxed prescriptions. e-Rx occurs through an EHR and often uses the Surescripts e-prescribing network.

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ACO – Accountable Care Organization is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider’s reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers forms an ACO, which then provides care to a group of patients. The ACO may use a range of payment models (capitation, fee-for-service with asymmetric or symmetric shared savings, etc.)

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Healthcare Reform - Patient Protection and Affordable Care Act is enacted in 2010 providing for the purchased introduction over four years of a comprehensive system of mandated health insurance with reforms designed to eliminate "some of the worst practices of the insurance companies" — pre-condition screening and premium loadings, policy rescinds on technicalities when illness seems imminent, annual and lifetime coverage caps. It also sets a minimum ratio of direct health care spending to premium income, and creates price competition bolstered by the creation of three standard insurance coverage levels to enable like-for-like comparisons by consumers, and a web-based health insurance exchange where consumers can compare prices and purchase plans. The system preserves private insurance and private health care providers and provides more subsidies to enable the poor to buy insurance.

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Risk Assessment – determining risks to patients based on lifestyle behaviors, physical behaviors, nutritional choices, tobacco use, weight etc

Page 26: Dell healthcare-training-it-buzzwords-presentation

Healthcare and Life Sciences

Serving more than 50%of U.S. hospitals providing care to 90 million Americans

Leading provider of converged server, storage and networking infrastructure

13,000 employees worldwide.

300+ MDs, RNs and PhDs

Support for over 500 software, medical device and scientific instrument providers

#1 Worldwide Healthcare IT Services Vendor – Gartner, 2010, 2011

Serving 7of top 10pharmaceutical companies

Managing over 5.7 Billion Medical Images across in Cloud based Enterprise Archive

Serving 100 insurance organizations supporting 65 million policy holders

Manage 14 billion security events a day

Dell is Leading the Way in Healthcare and Life Sciences

Provide OEM services to 70+ Healthcare and Life Sciences software, medical device and scientific instrument providers

Sponsor of 1st FDA Approved Genomics-Medicine-Based Pediatric Cancer Clinical Trial