© Copyright 2009 VCPI. All Rights Reserved.

HIMSS12: What LTPAC Providers

Need to Know

© VCPI, Inc. 2011

2 © 2011 VCPI

About HIMSS (Health Information and Management Systems Society)

• Cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare

• “Transforming Healthcare Through IT”

• 44,000+ individual members, 570+ corporate members and 170+ not-for-profit organizations

• Frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care

• www.himss.org

3 © 2011 VCPI

About HIMSS12

• HIMSS hosts the world’s largest and most respected HIT

annual conference

• “Linking People, Potential and Progress”

• Education – Exhibition - Networking

• 5 days, February 20-24, 2012

• Las Vegas, Nevada – Venetian Sands Conference Center

• Over 37,000 attendees

• Over 250 workshops, education sessions and e-sessions

• Over 1.8 million square feet of exhibition and meeting

space

• Opportunities for networking with diverse professionals

4 © 2011 VCPI

HIMSS12 Keynote Speakers

• Biz Stone Co–founder, Twitter

• Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology, US Department of Health and Human Services

• Terry Moran NIGHTLINE anchor

• Donna Brazile Vice Chair of Voter Registration and Participation, DNC

• Dana Perino Political Commentator, former White House Press Secretary

• Dan Buettner Founder of Blue Zones, world-renowned explorer

5 © 2011 VCPI

Expectations of LTPAC

Providers

6 © 2011 VCPI

EMR Adoption and HIE

• Other healthcare providers and payers have the

expectation that LTPAC providers will adopt EMR and

participate in standards-based health information

exchange (HIE)

• LTPAC providers can help eligible providers/eligible

professionals demonstrate meaningful use in stage 2

• Meaningful use stage 2 proposed rule: “exchange of key

clinical information” core objective from Stage 1 to be

replaced by more robust “transitions of care” core

objective

• 47 HIMSS12 education sessions on meaningful use

7 © 2011 VCPI

Technology

Clinical

Practice

EMR

EMR is the tool – NOT the entire solution!

EMR makes data transformation possible

The implications are strategic in an

outcomes-driven world EMR changes clinical work flow!

Standards make health information exchange

(HIE) possible

8 © 2011 VCPI

Source: Savage-Gutkind EMR Adoption Model for LTC

Stage 0: Manual/paper-based processes

EMR Adoption Model for LTC

Stage 1: ADT (census) and MDS

Stage 2: CNA documentation

Stage 3: Order management

Stage 4: eMAR and eTAR

Stage 5: Assessments

Stage 6: Care planning

Stage 7: Clinical documentation

Stage 8: EDM and ancillary integration

Stage 9: Decision support

Stage 10: Interoperable EHR

9 © 2011 VCPI

Change Management

People

Technology

Processes

SUCCESS

10 © 2011 VCPI

Change Management

People

Technology

Processes

SUCCESS

11 © 2011 VCPI

Key Issues for LTPAC

Providers

12 © 2011 VCPI

mHealth - Mobile Health Technology

• Key to access and usability for end users

• Make smart mobile device choices to be user-focused

and patient-centered

• Manage security and privacy concerns

• Apps A to Z – 50% of physicians use mobile health apps

http://www.mhimss.org/resource-topics/apps

• Emerging, common and best practices

• www.mhimss.org - website dedicated to mHealth

“mHIMSS”

“There really IS an app for that.” Linda Travis Macomber, RN,BSN,MBA

HIMSS12 2/22/2012

13 © 2011 VCPI

FOR PROFESSIONALS

• Medscape

• Human Atlas (Brausen)

• MedCalc

• Epocrates

• WebMD

• MediBabble Translator

• EMR apps

• FaceTime

FOR PATIENTS

• Livestrong

• My Fitness Tracker

• Lose It

• iTriage

• Diabetes Buddy

• WiScale

• iHealthBPM

• My Plate SuperTracker

(USDA)

Health Apps to Check Out

www.imedicalapps.com – reviewed by medical professionals

14 © 2011 VCPI

Interoperability and HIE

• Key to improving quality and decreasing overall healthcare costs

• Manage transitions of care

• Medication reconciliation

• Decrease unnecessary and duplicative procedures

• Interoperability Showcase spotlighting 100 vendors and projects

“To a patient, our healthcare system is like a hockey game where everyone has his own puck.”

Mark Bertolini, CEO of Aetna HIMSS12, 2/21/2012

Source: http://healthworkscollective.com/principle-healthcare/26353/hie-information-sharing-imperative

16 © 2011 VCPI

Business Intelligence

• Key to performance improvement

• Clinical and business intelligence workshop – driving

healthcare decisions through intelligence

• Transform data into meaningful and relevant information

• Measure, monitor and report outcomes

• Set targets, gauge progress and evaluate goal

achievement

• Informatics – the intersection of information science,

computer science and healthcare

“Information is not knowledge.” Einstein

DATA Facts

INFORMATION Data that is arranged,

presented, summarized, connected, calculated

KNOWLEDGE

Information with added perspective, experience, values that is relevant and

actionable

Data analysis Information synthesis

Data collection

Validity

Process Improvement

18 © 2011 VCPI

Social Media

• Key to leading-edge messaging and communication

• Social media can affect the changing healthcare landscape

• Identify and mitigate risks

• Leverage benefits

• Develop a sound social media policy

• www.socialmedia.org

• Healthcare Compliance Association (HCCA) model policy

• Cleveland Clinic is leading-edge example

“You have to give up control to get power.” Mark Bertolini, CEO of Aetna

HIMSS12, 2/21/2012

“The more connected we are, the smaller the world becomes.”

Biz Stone, co-founder of Twitter HIMSS12 opening keynote address, 2/21/2012

20 © 2011 VCPI

ICD-10

• Key to preparedness for a changing healthcare

landscape

• Implementation is delayed (maybe), but it’s NOT dead!

• Delay adds complexity and additional “unknowns”

• Delay is generally not being viewed as a positive in the

industry

• HIMSS ICD-10 Playbook

21 © 2011 VCPI

Plan ICD-10 strategy NOW – a provider cannot just rely on

vendors

Vendor readiness – don’t take their word for it (have

them complete checklist, demo, milestone survey)

Provider readiness – IT systems, education and training,

work flow, qualified coders

Payer readiness – will your payers be ready, or do you

need to plan for dual systems?

Expert advice: If you’re not ready on the go live date, plan

to have a six-month cash reserve

ICD-10 Steps

22 © 2011 VCPI

Clinical Transformation

• What has always happened in healthcare as people,

processes and technologies change, making

improvements possible

• New ideas and approaches to old problems

• Chronic disease management and evidence-based

practice (EBP)

• Preventing avoidable re-hospitalizations

• Clinical decision support

• Positive Outcomes = Quality = Value

• Organizational culture can be transformed using

technology, transparency and outcomes analytics

23 © 2011 VCPI

Driving forces behind clinical transformation

Health Information Technology Adoption

Healthcare Reform

Evidence-Based

Practice Consumerism

24 © 2011 VCPI

What’s a LTPAC provider to do?

• Educate yourself

– HIMSS: www.himss.org

– ONC website and list-serv: healthit.hhs.gov

– National eHealth Collaborative (NeHC): www.nationalehealth.org/

– LTPAC HIT Collaborative http://www.ahima.org/advocacy/ltpachit.aspx

• Plan your HIT strategy within the broader organizational strategy

• Implement (or re-implement) EMR

• Measure, monitor and report your outcomes to “tell your story”

• Consider enterprise-wide reporting and business intelligence

• Talk with actual and potential healthcare partners and payers –

identify opportunities

• Seek advice from subject matter experts

“Change takes

sustained will.” Farzad Mostashari

HIMSS12 keynote address, 2/23/2012

mH

eal

th

Inte

rop

erab

ility

/HIE

HIT STRATEGY

Change Management

Bu

sin

ess

Inte

llige

nce

Soci

al M

ed

ia

ICD

-10

Clin

ical

Tra

nsf

orm

atio

n

EMR Adoption

“It’s about the people -

it’s not about the

technology.”

Biz Stone, 2/21/2012

© Copyright 2009 VCPI. All Rights Reserved.

Contact us for more

information

Andrea Harman

Business Development Specialist

aharman@vcpi.com

412-273-1013

414-908-8590