Last week I had the esteemed privilege of attending the EHR Interoperability Meeting at the White House with Seema Verma, CMS Administrator, and Don Rucker MD, National Coordinator at ONC. The attendees represented payer organizations, and the discussion was focused on the barriers of interoperability and how we can band together to overcome them. Below are my responses to the major questions asked of each payer. As you read through this information, I hope it further clarifies our position on these topics.
February 27, 2018
For close to ten years now, the healthcare industry has largely traded paper silos of medical records for digital ones called EHRs. Similarly, initial attempts at interoperability, designed to offer baseline standards for exchanging healthcare data, have traded floods of faxes for floods of HL7 transactions and CCDs. How do we move forward toward a new generation of interoperability, where better patient outcomes, improved clinician workflows, and overall cost reductions can actually be realized?
February 15, 2018
Walt Disney once said, “You may not realize it when it happens, but a kick in the teeth may be the best thing in the world for you.”
November 13, 2017
Data exchange is a marathon, not a sprint. As organizations work to meet value-based care goals and ready themselves for better population health management, data exchange – and especially clinical data – becomes ever more critical. While 91 percent of organizations are collecting data from their electronic health record (EHR), most data is not organized in a meaningful way.
June 8, 2017
Brian Ahier is an award-winning digital evangelist and nationally known expert on health information technology. He received the 2017 Digital Health Evangelist award by Rock Health, Goldman Sachs, Square 1 Bank, and Fenwick & West. He has written numerous articles for a wide variety of industry leading publications including Healthcare IT News, Health Data Management, Executive Insights, and O’Reilly media. Brian is currently the Director of Government Standards and Regulations at Medicity.
January 18, 2017
Ideas are born from the power of collaboration. Each year Medicity provides a forum for its clients to come together and explore the questions, challenges and opportunities on their minds.
September 26, 2016
Terms like “value-based care” and “population health” are still fairly new in the health care industry. While they promise transformation, provider organizations want to know more. They want to know what kind of impact they can expect on their own populations. They want to see how population health has been used most effectively and what type of results other organizations have experienced so far.
June 6, 2016
Just weeks after being awarded “Best in KLAS: Most Improved Vendor for 2015/2016,” we were once again recognized for our continued commitment to improved customer service, strategic planning and interoperability. In the KLAS “HIE 2016: Shifts in Vendor Performance and Provider Outlook” report, Medicity is one of two vendors named for having the brightest outlook in health information exchange (HIE).
KLAS spoke with 332 organizations to understand vendors’ past performance and providers’ outlook for the future. Key excerpts from the report include:
March 31, 2016
What do Star Wars, Jurassic World and the Avengers all have in common? Besides being action-packed, sit-on-the-edge-of-your-seat movies, they are among the most popular films to be shown in theatres in 3D. Wearing 3D glasses during these films gave viewers better insight into the galaxy far, far away and better visibility when searching for new dinosaur breeds in the jungles of Hawaii.
By now, I know what you may be thinking, and no, we won’t be handing out 3D glasses or showing movies at our booth during HIMSS. But, we will be exploring a new dimension.
February 24, 2016
What an exciting year we had at Medicity in 2015! As we continue to see the phenomenal acceleration in the adoption of population health initiatives across the country, I am delighted that we’ve been able to remain at the forefront, helping to guide our customers through these unchartered waters. We’ve marked sustainable progress this year through our solution expansion, client successes and industry recognition, all of which supports our vision of creating clinically connected communities powered by smart data.
January 26, 2016
What does population health mean to you? Is it targeting high-cost, high-utilizers with care management programs? Or deploying technologies to improve care transitions for patients at risk for readmission?
October 23, 2015
Forward-thinking health plans are proving that a combination of population health analytics and comprehensive care management can deliver terrific financial returns. Using this approach, one large, self-funded plan has realized an ROI of more than 5 to 1 — with average yearly savings of $138 million in total paid claims over the past three years. Other organizations have realized similar savings through data-driven care management programs.
September 10, 2015
Data breaches have become all too common in national news. Health care is no exception. According to data tracked by the U.S. Department of Health and Human Services (HHS), breaches of unsecured protected health information (PHI) have compromised the records of nearly 135 million individuals in the U.S. since 2009.
August 27, 2015
Nearly 30% of the nation’s healthcare expenditures go toward “unnecessary healthcare services, inefficiencies, and excessive administrative costs.” 1 When you consider that those expenditures reach into the billions of dollars, it’s easy to see why controlling cost is so important, not just to our industry but for our nation’s economy as well. Of course, the ultimate beneficiary is the patient. Less money spent on waste means more resources that can be focused on improving patient care, which results in better outcomes and a healthier population overall.
June 22, 2015
While many providers now use electronic health records (EHRs) as a part of health care reform, communication is still largely paper-based. Many still rely on paper-based orders, test results, referrals and care transitions. As a result, staff members spend much of their day on time-consuming faxes, paperwork and calls. These tasks reduce productivity. They also often lead to delays, miscommunication and low patient and doctor satisfaction.
June 4, 2015
Medicity is pleased to announce that it has now successfully passed all testing for the Healtheway Vendor Validation for Medicity Network 5.6x. In June, 2014, Medicity Network v7 became the first product ever to be deemed eHealth Exchange validated.
April 21, 2015
Medicity is proud of its many accomplishments in 2014. We are even more proud of the positive impact we were able to have on our clients’ growth and success, and we appreciate their ongoing trust in Medicity and our solutions. The info-graphic below highlights just a few of the great examples of growth.
Here is just a snapshot of Medicity’s 2014 accomplishments:
February 12, 2015
As the sponsor of the recent webinar, “The 10-Year Interoperability Roadmap in a Post Meaningful Use Era,” Medicity was pleased to bring together five of the industry’s brightest minds to talk about the future of health information exchange. In the kickoff of the panel we learned, “There are significant challenges to interoperability that are hamstringing our efforts at health reform,” said Brian Ahier, director of standards and government affairs at Medicity.
January 21, 2015
The Office of the National Coordinator (ONC) has released a 10-year vision report for leveraging health IT to enable quality improvement in healthcare. The 10-year quality improvement report is meant to complement the 10-year roadmap for achieving an interoperable health IT infrastructure. We are currently working on the HIT Policy Committee's Interoperability and HIE Workgroup.
December 17, 2014
We were very pleased to sponsor an exciting webinar titled “Is the Future of Health Data Exchange on ‘FHIR’?” (pronounced “Fire”) on Friday, November 14, 2014. Moderated by Brian Ahier, Director of Standards and Government Affairs for Medicity, the webinar was extremely well attended with more than 1,100 people registering. The webinar featured an all-star lineup of health care industry experts including Dr.
November 19, 2014
This month we were proud to sponsor a webinar with the eHealth Initiative, where five experts from the health IT world sat down to discuss the outcomes of the 2014 Survey on Health Data Exchange. Three of the panelists from Intermountain Healthcare, Delaware Health Information Network and BayCare Health System are Medicity clients and they reacted to data from 125 health care organizations, including 74 community-based HIOs and 25 statewide efforts.
October 15, 2014
In this pivotal time of industry changes, health care organizations need to keep their culture front and center while focusing on patient satisfaction, teamwork, quality, and efficiency. Crafting and maintaining the right corporate culture makes a healthcare organization more attractive to the people it needs to grow business.
September 9, 2014
CMS and ONC issued a final rule under which providers in the Medicare and Medicaid EHR Incentive Program can meet Meaningful Use (MU) in 2014 using 2011 or 2014 Edition certified EHR technology (CEHRT), or a combination, with flexibility to attest to either Stage 1 or 2 objectives and measures if they faced delays in 2014 Edition CEHRs’ availability.
September 2, 2014
While other systems in the health care ecosystem are coming together to exchange data, long-term and post-acute care (LTPAC) organizations have generally been absent in HIE adoption/participation. Many LTPAC facilities rely on rudimentary systems and little EHR use – partly due to no financial incentives (for example, Medicaid and Medicare EHR incentive programs). There are growing demands that may switch the stage for LTPACs and technology, including the Meaningful Use Stage 2 requirement to transmit care summaries during transitions.
August 14, 2014
A recent study by the Agency for Healthcare Research and Quality show real-time event-based notifications deliver. And the need for timely follow-up, improved care transitions and coordination, and reduced readmissions is just as real – it’s mandated. Your reimbursement and care delivery depend on it. The need for notifications is huge.
July 22, 2014
Providers are still often in the dark when patients get admitted or discharged. MU Stage 3 proposes requiring providers receive alerts upon significant care events. But it’s not happening in any meaningful way.
The fact is – it needs to. In the age of data overload, more data is not a priority in and of itself. Rather, targeted data, actionable data is what your staff want. Notifications upon care events are the type of data that should flow for effective change to be made.
June 26, 2014
To make waves in the ACO/population health realm, the traditional HIE structure of bricks and mortar must transform to realize the value-based world. In a recent report, Chilmark Research details the HIE model for today.
June 12, 2014
Amidst the obstacles health care organizations face, there are vital success stories. Long-time client CHRISTUS Health has hit the mark with Medicity technology, connecting to both enterprise and regional organizations for data health exchange to bridge information gaps that compromise care.
May 29, 2014
Industry research demonstrates the impact of HIE technologies on emergency department utilization and optimization of care.
May 19, 2014
Although some are lamenting the death of HIE, there are more indications now than ever before that it is alive and well. Flourishing it seems. Recent movements dedicated to integrated networks including Carequality – a collaborative aimed at creating a standardized framework for interoperability – and the surge in recognition of the importance of Direct secure messaging emphasize the future of interoperable networks is intact and will grow despite receding federal funding.
April 24, 2014
Last week we discussed the benefits of using ADT alerts, particularly around cost savings, network retention and improved care. But is your organization ready to implement notifications? In its learning guide, the Beacon Community Program offered some valuable checklists to gauge readiness.
April 2, 2014
If you’re in health IT, your work is never done. Continuous innovation is critical. Medicity was issued two patents on Feb. 25, furthering not only our intellectual property holdings but our standing as a leader in enabling population health management with state-of-the-art technology.
March 24, 2014
Medicity is pleased to announce the addition of Brian Ahier as Director of Standards and Government Affairs. Ahier will articulate strategy and direction for the company’s data exchange and workflow solutions, advise Medicity clients on compliance with upcoming regulations and provide leadership in the standards and health policy communities.
March 12, 2014 | 1 comment(s)
Medicity is pleased to have many of our respected client organization representatives presenting educational sessions at this year’s HIMSS14 Annual Conference & Exhibition. With over two-dozen Medicity personnel scheduled to attend the event in Orlando, we look forward to attending many of these fantastic educational opportunities.
Sunday, February 23, 2014
February 10, 2014
Emergency physicians face a daunting task of having to improve the quality of patient care and reduce their health care costs in parallel. Key to the success of accomplishing both these tasks is to have health data readily available to these physicians so they can make the appropriate referrals and health care decisions.
October 17, 2013
Thank you, again, for your continued support and enthusiasm for our business.
At Medicity, we’ve accomplished exciting things over the past 12 months – things that will help our clients thrive in today’s healthcare environment.
Here are some highlights of what we’ve achieved over the last 12 months:
February 27, 2013
Over the past four years I’ve (Scott Holbrook) had the opportunity to serve on the HIMSS National Board with many marvelously committed and talented people. It has been an amazing experience to see all the volunteers’ commitment to making the healthcare industry better. HIMSS today has more than 52,000 individual members and over 3,000 volunteers. Each volunteer sacrifices personal and professional time to make our industry better.
January 24, 2013
Last week we continued our three-part blog series by reviewing how data can be organized once it’s consumed within the healthcare data platform, so as to add value and be more useful to stakeholders. To conclude the series, let’s consider “interoperability 2.0” concepts in terms of how data can ultimately be shared from a healthcare data platform.
Part 3: Interoperability 2.0 relative to how data is shared by a healthcare data platform
March 1, 2018
Last week we kicked off our three-part blog series with a look at how a new generation of interoperability may be applied to the ingest of data into a healthcare data platform. Next let’s consider “interoperability 2.0” concepts in terms of how data can be organized to add value once it’s within the platform.
February 21, 2018
I have been talking and writing a lot about the concept of Interoperability 2.0 as I see a strong need for an upgrade to our interoperability capabilities in the healthcare industry. 2018 is going to see interoperability come even more to the forefront as regulatory action, pressure from value based payment and delivery models, and deeper partnerships between physicians and payers bring the needs for sharing health data into sharp focus.
February 12, 2018
The lack of interoperability between competing EHR and related health IT systems has become a huge challenge – especially now that industry transformation from volume-based to value-based care delivery is accelerating.
The essential problem: inaccessible patient data on incompatible digital silos across care communities results in incomplete data aggregation. And without access to comprehensive patient data, clinicians cannot provide optimal value-based care.
August 21, 2017
If you ever played the telephone game as a kid, then you understand that even though we speak the same language it’s easy for words to get lost in translation. Just one garbled word can lead to a whole lot of misunderstanding. Of course, everyone laughs in the game when they hear the original statement versus the often hilariously different phrase at the end.
February 7, 2017
Medicity is proud to announce Patrice Wolfe will be the keynote speaker at the 40th New Jersey & Metro Philly Healthcare Financial Management Association Annual Institute held Wednesday, October 5 through Friday, October 7 at the Borgata Hotel and Casino Spa in Atlantic City, New Jersey.
October 4, 2016
Health information exchanges (HIEs) have consistently played an important role in health care by connecting providers, enabling data sharing and communication, reducing duplication of care, enhancing care coordination and ultimately, improving care quality and reducing costs. In addition, HIEs support both value-based care and population health management—two major health care industry initiatives.
September 23, 2016
With all of the accolades Medicity has garnered over the past two months, it’s no surprise that Nancy Ham was recently named to the Health Data Management list of “Most powerful women in healthcare IT.”
April 13, 2016
The annual HIMSS conference in Las Vegas was once again packed with news, keynotes and educational sessions bringing us all up to speed on important advances in health care. The major themes for HIMSS16 included interoperability and data exchange, population health, mobile health (mHealth) including telemedicine and the ever-shifting world of regulatory changes.
March 17, 2016
2016 is off to a great start! We’re excited to announce we were named most improved in the recently issued “2015/2016 Best in KLAS: Software & Services” report. We saw a 20 percent score increase from 2014 to 2015.
This past year, we made substantial investments into improving strategic alignment, engagement and communications through a four-pronged approach:
February 3, 2016
January 5th, 2016 | Published Under HIE Participants by Jennifer Mensch, CORHIO
January 12, 2016
What do data and analytics have in common with astrophysics? Sometimes it takes a new approach to make getting from here to there even conceivable.
December 9, 2015
How do you drive meaningful change in an industry like that of health care? You start with the most passionate, mission-driven problem solvers from top-performing state and regional HIE’s, hospitals and health systems. Then, you put everyone in a room and see where the conversation leads.
October 1, 2015
On September 1, Medicity hosted a webinar titled “Banner Health: A Success Story for Igniting the Power of Analytics to Drive Population Health.” The webinar was a co-presentation by Cheryl Cruver, vice president and general manager, population health, Medicity, and Natalya Faynboym, MD, medical director, Banner Health. If you missed it, a recording of the webinar is available here.
September 8, 2015
At their core, data-driven care management systems for high-risk populations include three key factors:
July 28, 2015
Thank you to everyone who joined us yesterday for the HISTalk and CliniSync webinar, Successful HIEs DO Exist: Best Practices for Care Coordination. If you weren’t able to join, we invite you to watch the recording.
June 10, 2015
According to a February 2015 ICD-10 readiness survey by the Workgroup for Electronic Data Interchange (WEDI), there is still a lot of work to be done to meet the October 1, 2015 ICD-10 compliance deadline. The organization reported its findings in a letter to the Department of Health and Human Services dated March 31, 2015.1
May 26, 2015
What's all the buzz likely to be about at HIMSS15? Why it's population health, of course! Even as it's being yelled from every booth top, it can be hard to cut through the noise to find the information you need for your specific organization. The question is where to begin.
April 2, 2015
February 25, 2015
Medicity is pleased to have participated in the recent HL7 workgroup in San Antonio. The focus of the meeting was FHIR, which some tout as being the “next big thing” in healthcare. In what seems to have been an overnight paradigm shift in Healthcare interoperability, HL7 FHIR has created a name for itself among the clinical and payor markets. It basically takes a fresh look at what healthcare IT interoperability would look like today if we started from scratch, leveraging “lessons learned” from HL7 v2, v3, and REST technologies.
February 5, 2015
It’s probably no surprise to any healthcare CFO that building high-quality relationships with clinical leaders improves care coordination and efficiency. All effective management teams are built on solid relationships and a unified culture. In healthcare, finance leaders need to be in step with clinical leaders, just as finance leaders are with key operational leaders in other industries. In manufacturing, for example, business operations are inexorably fused with the financials of the business.
January 6, 2015
Accessing the right clinical information at the point of care truly changes everything. Here’s a real-world example: An elderly patient came in for glaucoma surgery. During the pre-op exam, the care team detected a cardiac issue. Normally, the surgeon would have cancelled the surgery and written a referral to have the cardiac problem checked. The elderly patient, now worried about a heart problem, would have been shipped off to see the specialist.
December 8, 2014
When you’re implementing a new data analytics or population health platform it can be tempting to move quickly, get the technology in place and unveil it to your organization once it’s already up and running. This approach is efficient – but is it effective? New technology brings major clinical, operational and financial changes to your organization’s people and processes, and it’s not uncommon for adoption rates to suffer when a rushed implementation overlooks functionality gaps, or a rollout plan doesn’t take into account clinician needs.
November 4, 2014
While many health care organizations may be anxious to rush a new system roll out, clinicians can quickly lose faith in a system that has not been properly tested or integrated with existing workflows. Quality assurance testing, realistic benchmarks and a thorough training plan can make a huge difference in the adoption and functionality of any new health care technology. Below are three keys I identified to help ensure a smooth roll out. For my entire article, visit the hfm blog.
October 2, 2014
Accountable Care Organizations (ACOs) have come a long way in recent years, and their growth is exploding – earlier this year, Oliver Wyman reported that a majority of Americans now have access to accountable care. ACOs are everywhere - but are they working?
September 4, 2014
Riton Khan, a HISP/iNexx deployment engineer for Medicity, A Healthagen Business, was the recent recipient of the HISTalk Beacon of Selfless Service (BOSS) Award. Riton embodies the Medicity culture – combining innovation and pragmatism to solve problems.
August 15, 2014
Questions still swirl around billing appropriately for transitional care management (TCM) codes 99495 and 99496. The first code covers communication with a patient or caregiver within 2 business days after discharge and involves medical decision-making of at least moderate complexity. Communication can be via phone, email, text or in person and a face-to-face visit must be completed within 14 days of discharge. The latter code involves a face-to-face visit within 7 days of discharge and requires highly complex medical decision-making.
July 31, 2014
Value-based care models and population health cannot be reached without the foundational component of creating a secure network with trusted parties and organizations throughout the health care ecosystem. Healtheway’s eHealth Exchange is a step forward in standardizing query-based exchange and creating a network for trusted secure interchange.
July 9, 2014
We know health data exchange is important to transforming care delivery but what does it mean to your patients? Medicity partner Vermont Information Technology Leaders (VITL) sought to find out. They did, and the results were overwhelmingly in favor of health care IT.
June 4, 2014
Here are five key trends from the eHealth Initiative’s 2014 National Forum — from critical considerations for the future of our industry to tips on turning data into actionable insight.
The health care industry needs to view technology as complementary rather than a driver. The goal: laser focus on patient care and how technology supports and advances it rather than technology on its own.
May 27, 2014
Health information services providers (HISPs) now serve more than 5,000 health care organizations with nearly 200,000 individual Direct accounts and addresses across the United States. DirectTrust has expanded to 26 HISPs, including Medicity’s HISP solution.
May 7, 2014
The cooperative agreement between DirectTrust and the ONC has been renewed for a second year. The renewal signals that DirectTrust exceeded the goals of the ONC’s Exemplar HIE Governance Program and will help facilitate coordination and alignment with ONC on the scalability of HISP to HISP connectivity.
DirectTrust sets policies and standards for secure health information exchange and operates a voluntary accreditation program for Health Information Services Providers (HISPs) in partnership with the Electronic Healthcare Network Accreditation Commission (EHNAC).
April 14, 2014
There’s not much literature yet on the effects of today’s healthcare models or technology. One area that’s getting some banter, and has recently shown real merit, is event notifications. We know admissions, discharges and transfers are critical periods to manage. We know readmissions cost facilities and patients alike, both monetarily and non-monetarily. Now evidence is showing that event-based notifications help cut costs, improve care and allow for proactive management when patients are at their most vulnerable.
March 26, 2014
Sometimes to create something new, you must destroy the old. This was the theme of Aetna CEO Mark Bertolini’s keynote speech at HIMSS14 – revamping the healthcare industry. The charge for the new system of healthcare, according to Bertolini: “a more productive individual, who is economically viable, and is satisfied or happy.”
March 11, 2014
The eHealth Initiative’s (eHI) 2013 Health Data Exchange & Interoperability Summit recently came to a close on October 31st in Washington, D.C. There were over 300 participants in attendance including key attendees from state HIEs, enterprise HIEs, federal policy makers, federal health entities, HIE and EHR vendors, healthcare bloggers and healthcare IT consultants.
November 15, 2013
SALT LAKE CITY, Feb. 14, 2013 – Aetna (NYSE: AET) today announced the appointment of Nancy Ham to chief executive officer of Medicity. Medicity, an Aetna subsidiary, is the nation’s leading provider of health information exchange technology solutions for hospitals, physicians and health information exchanges (HIEs).
February 14, 2013
“The pursuit of population health and value-based care is reviving the business case for organizations to join health information exchanges. Now more than ever providers need accurate and complete patient data to effectively manage chronic care populations and attain incentive payments; this means healthcare organizations must have the ability to capture their own data as well as that of their affiliates and competitors. Health information exchanges just became an essential for providers looking to succeed in the fee-for-value era.”
January 10, 2013