NetDirector now offers real-time integration with the Tennessee Controlled Substance Reporting System

NetDirector, a cloud-based data exchange and integration platform, continues to solidify their presence as a leading provider of integration services. NetDirector has partnered with The Recovery Platform (TRP) to aid in the delivery of treatment for the growing opioid crisis around the country. NetDirector now offers direct integration with North Carolina and Tennessee Controlled Substance Reporting Databases.

TRP is a cloud-based software platform that assists doctors in performing Medication-Assisted Treatment (MAT) for people with prescription opioid and heroin use disorders. Medications (such as Suboxone) are used to prevent the patient from experiencing opioid withdrawal while they receive the necessary treatment, provided via telemedicine by their network of doctors and therapists to assist their recovery.

NetDirector’s cutting-edge integration technology allows healthcare providers to more accurately monitor their patients’ compliance. By providing an automated integration to Controlled Substance Databases, NetDirector helps prevent “doctor shopping” – a major contributor to the abuse of opioid recovery drugs that has hindered the opioid rehabilitation efforts in the past.

Interested in finding out more? Contact Harry Beisswenger at harry@netdirector.biz or by phone at 813-774-4797, or click here to request a demo.

Want to learn more about how NetDirector works? Take a look at our case study about American Health Imaging, who saved almost $500k per year by automating with NetDirector!

Organize and Automate your DDF Process with our New Toolkit

Looking for an easier way to implement Events and Dynamic Data Forms (DDFs) in Black Knight v2/v3?

NetDirector recently created an Event and DDF Helper Toolkit – the toolkit items are available to all NetDirector customers, including new implementations! Combined with the powerful automation options available through NetDirector, the DDF Helper can truly refine the Black Knight V2/V3 integration suite currently available.

This toolkit will help to identify various DDF’s and the critical information required for implementation. We’ll show you how to create and fill out our EventDDF spreadsheet with the help of the Black Knight DS1012 report, and how to use our Event DDF helper utility to streamline DDF implementation in your firm.

Interested in finding out more? Contact our National Account Manager Gretchen Borer at Gretchen@NetDirector.biz, or click here to contact us.

VA Can Learn from DoD in EHR Overhaul

As the U.S. Department of Veterans Affairs (VA) moves toward replacement of its decades-old VistA electronic health record (EHR) system, a tumultuous first half of 2018 seems to have settled into a period of practicality.

President Trump fired VA Secretary David Shulkin from his post on March 28 after an inspector general report asserted violations of federal ethics rules and procedures related to an overseas trip by Shulkin. The agency’s acting CIO, Scott Blackburn, then resigned on April 17, leaving in limbo a $10 billion contract for VA to adopt the same Cerner EHR platform being pilot-tested by the Department of Defense (DoD).

The proposed VA-Cerner deal had already triggered concern in Congress that the project’s price tag wouldn’t cover an additional 50 to 60 percent in costs to upgrade supporting infrastructure as well as ongoing maintenance for the new EHR.

Nonetheless, VA announced on May 17 that a contract with Cerner had indeed been signed, capping out at $10 billion over 10 years, and stipulating that VA would adopt the same EHR platform as DoD. Acting VA Secretary Robert Wilkie, Shulkin’s successor, said the new system, when fully deployed, would represent “a monumental advance in veterans’ healthcare” and build on DoD’s experiences in rolling out its EHR.

Operating the VA’s and DoD’s EHR systems on the same platform would improve interoperability and health data exchange, which in turn would simplify and facilitate care coordination for VA providers, Wilkie explained.

System Shortcomings

While striving to meet high expectations for its new EHR, the VA will undoubtedly learn from DoD’s Cerner-based MHS Genesis EHR implementations at Fairchild Air Force Base, Naval Health Clinic Oak Harbor and Naval Hospital Bremerton — all located in Washington state — from September through December 2017. A DoD memo dated April 30, 2018, concluded that system rollouts at those three sites “[did] not demonstrate enough workable functionality to manage and document patient care.” The report said MHS Genesis “is not operationally suitable because of poor system usability, insufficient training and inadequate help desk support.”

Other specifics cited in the DoD memo included “poorly defined user roles and workflows, [which] resulted in an increase in the time required for healthcare providers to complete daily tasks.” Some providers complained that they needed to work overtime and saw fewer patients per day due to delays caused by defects in the EHR system.

In response, Cerner President Zane Burke told shareholders in May that the company was aware of certain issues upfront at the three test sites, but DoD’s delivery on the project had gone “incredibly well overall.” Cerner plans to evaluate and remediate as necessary at the pilot MHS Genesis sites, Burke added.

In doing so, Cerner will need to address the workflow issue in particular, according to Navy Vice Admiral Raquel Bono, director of DoD’s Defense Health Agency. “Workflow adoption is the crux of the change management that’s needed to successfully deploy an EHR system, Bono said during a panel discussion at the HIMSS18 healthcare IT conference in March. Bono noted that DoD would be working in concert with VA to ensure proper identification and “unanimity of workflows.”

Meeting Challenges Through Integration

Although the DoD and VA EHR implementations may be unprecedented in size and scope, the inherent obstacles translate to smaller but similar-in-concept projects underway at healthcare stakeholder facilities across the country. In many cases, cloud-based integration and strong data management are critical factors for success.

A single cloud-based platform, such as NetDirector’s HealthData Exchange, enables hospitals and physician practices to reduce the time, cost and effort associated with EHR integration. By streamlining clinical workflow and communications with trading partners, facilities can support automated processes in place of paper-based workarounds, thereby reducing administrative costs and complementing existing IT investments. And, in the end, that frees up providers for their primary task — taking care of patients.

To find out more about HealthData Exchange, please contact us or request a free demo.

eRecording: Simplifile Transactions Now Available

Increase efficiency and reduce spending in your organization with eRecording integration and automation through NetDirector!

NetDirector now offers automation and integration options for eRecording with Simplifile in addition to the previously offered transactions with CSC.

Take a look at our eRecording Data Sheet to learn more about what this new data transaction could do for you. Reduce or eliminate travel, mail, check writing, and labor expenses with NetDirector’s eRecording automation.

Interested in finding out more? Contact our National Account Manager Gretchen Borer at gretchen@netdirector.biz or by phone at 813-343-0971, or click here to request a demo.

Disruptive Technologies Make Their Mark for Healthcare Providers

Despite uncertainty about national healthcare policy, investors continue to fuel the red-hot health technology sector, which leverages innovation in the quest to improve outcomes, streamline care and cut costs.

Digital health startup firms banked $23 billion in venture funding over the past seven years, according to analysis from Rock Health. In 2017 alone, digital health investments hit an all-time high approaching $6 billion, with a record number of “mega-deals” (each exceeding $100 million) coming to fruition. Repeat investments also reached a peak last year, indicating confidence in future growth.

Rock Health’s research reveals the top value propositions funded during 2017:

  • Consumer health information (investments of $1.6 billion) — Empowering individuals to better understand their own health and the overall healthcare system.
  • Clinical decision support and precision medicine ($811 million) — Delivering timely information to providers to help inform care decisions and/or tailor the prevention, management or treatment of disease.
  • Fitness and wellness ($752 million) — General health maintenance and promotion, where illness prevention does not associate with a diagnostic billing code.
  • Disease monitoring ($517 million) — Using biometric devices to track specific clinical conditions.
  • Disease diagnosis ($493 million) — Identifying specific clinical indications.
  • Non-clinical workflow ($482 million) — Managing administrative operations such as scheduling and billing in a provider setting.

In short, digital health has aggressively moved past the fledgling stage. From here, innovators will need to demonstrate much more than a unique idea. They’ll be asked to show verifiable advancement in building, sustaining and scaling a profitable business model.

Imminent Innovations

Venture capitalists aside, doctors and researchers agree that technology-backed breakthroughs will figure prominently among major medical developments expected in 2018.

Cleveland Clinic, which annually publishes a top-ten list of innovations vetted by an internal panel of physicians and scientists, predicts disruption in areas such as diabetes management, telehealth and centralized monitoring of hospital patients.

For example, a closed-loop insulin delivery system, essentially an artificial pancreas, will improve outcomes for Type 1 diabetes patients and increasingly be reimbursable by insurers this year, according to the report. The system will continuously link a monitoring device to an insulin pump to stabilize blood glucose at an unprecedented level, rather than requiring the patient to determine how much insulin to inject.

Also on the immediate horizon, distance health technologies will be widely adopted, with 90 percent of healthcare executives reporting active or emerging telehealth programs. Telehealth is now integrated with more than 19 million patients using attachable devices to record and report medical information. The technology will remove geographic barriers to care, enabling timely treatment to vulnerable populations at significantly reduced cost.

We’ll also see provider organizations implementing “mission control”-type operations, through which off-site personnel use sensors and high-definition cameras to monitor patients’ blood pressure, heart rate, respiration, oxygen level and other essential readings. This type of system can double the number of monitored patients per technician while initiating advance warnings of trouble in areas such as cardiology wards.

The Agility Factor

Disruptive healthcare technologies typically incorporate some aspect of data integration geared toward actionable intervention or prevention that justifies initial and ongoing investment. The takeaway for healthcare decision-makers is that traditional spending on day-to-day IT activities will give way to hand-picked services available through the cloud.

“The role of the chief information officer won’t be so much operations and keeping disks spinning and data centers powered as much as it will be integration and figuring out how procured cloud services fit together,” observes John Halamka, MD, CIO at Boston’s Beth Israel Deaconess Medical Center.

“So you might even imagine that IT departments will start to shrink because so much of what we have done in the past with internal staff will be done with cloud-hosted services,” Halamka continues. “And the great joy of this is that if you don’t like one cloud-hosted service, you can change it. So it’s going to give you some agility.”

NetDirector’s cloud-based HealthData Exchange precisely fits today’s model for disruption with low-cost, high-speed data and document sharing capabilities. For more information on the HealthData Exchange platform, please contact us or request a free demo.

Workflow-Aware Outreach Contributes to Healthcare Cybersecurity

Cybersecurity presents a huge, ongoing challenge for healthcare organizations across the board. Information systems, medical devices, and patient data must be protected at all times, but many hospitals and practices cannot afford to retain in-house personnel solely dedicated to security. At the same time, they often lack the technology infrastructure needed to identify and track security threats and subsequently translate threat data into action.

What’s more, healthcare workers regularly and mistakenly assume their IT network and supported devices function with a low level of cybersecurity vulnerability.

An industry task force, established by the Cybersecurity Act of 2015, reported to Congress last June with recommendations for shaping an urgent response. The group set forth expectations for healthcare cybersecurity and called for increased protections for and resilience of IT systems and supported devices. The task force also addressed human factors by emphasizing workforce readiness enabled by improved cybersecurity awareness and education.

An Effective Action Plan

Forward-thinking facilities recognize that disparate IT systems and devices must interoperate within a unified scheme. For example, when Marin General Hospital, located north of San Francisco, updated system-wide security in 2016, the executive who led the project went beyond filling in technology gaps.

Jason Johnson, Marin’s chief information security officer, told Healthcare IT News: “We took a different approach to focus on the person and people [involved] because we knew that would be the hardest needle to move and the most difficult to change.”

Johnson’s team instituted mandatory security awareness training, going so far as to integrate it within new employee orientation. Additionally, the project team interviewed clinical staff to gain an understanding of their daily workflows. That effort identified caregivers’ top channels of email communication, which paved the way for the build-out of encryption “tunnels” that could seamlessly lock down emails containing patients’ protected health information.

The results? One year after the project started, Marin reported a 50 percent drop in system vulnerabilities, along with 100 percent staff participation in security awareness efforts. Click rates on malicious emails fell from 63 percent to a practically non-existent 0.5 percent.

Departmental outreach was key, concluded Johnson. “Once people were convinced it was a good idea and everyone was onboard, security became a requirement,” he explained. Every new project or contract now requires a standardized security review.

Integration and the Human Factor

As the Marin case shows, technology integration can flourish through an approach that takes into account human responsibilities on the front lines of care. Healthcare is notorious for dependence on “tribal knowledge” — individualized bits of information residing in staff members’ heads or scribbled on post-it notes — and such vulnerabilities often aren’t readily apparent. However, workflow-based analysis takes into account human factors prior to revamping core processes.

Further, technology such as NetDirector’s HealthData Exchange platform, which automates the sharing of clinical and billing data, frees up labor resources by simplifying the integration process. As a result, care providers can spend more time focusing on patient needs while technologists keep a watchful eye on ever-present compliance and cybersecurity issues.

For more information on HealthData Exchange, please contact us or request a free demo.

On the Horizon: What Healthcare Technology Needs in 2018

The year ahead will usher in an imposing financial squeeze for hospitals across the country. Moody’s Investor Service expects the healthcare sector’s operating cash flow to contract by 2 to 4 percent through 2018 as facilities grapple with lower insurance reimbursements and higher expense growth. Accordingly, hospitals and health systems must leverage information technology (IT) to optimize operations, sustain strategic initiatives and drive disruptive innovations.

Leading organizations will move beyond using IT to automate formerly manual processes. Instead, they’ll build IT-powered business models to align with predictive/ proactive care delivery while empowering patients to take charge of their own health.

As in recent years, healthcare executives remain rightfully concerned about enhancing cybersecurity, countering potential attacks and preparing for response by moving more of their IT infrastructure to the cloud.

They also see competitive opportunities to scale up IT in areas such as consumer-facing technology, data analytics, and virtual care. As such, integration will be key to merging patient-generated data with health records, exploring genomic testing as part of a move toward personalized medicine, and providing reimbursable care or monitoring for remote patients.

Paths Forward

Many industry observers point to cloud-based systems when explaining attempts to “future-proof” technology investments. “[Cloud computing] can offer a dramatically lower total cost of ownership than traditional on-premises solutions by eliminating maintenance fees and upgrade costs, and by requiring much less effort to install and operate,” says Mark LaRow, CEO of patient-matching technology vendor Verato.

At the same time, healthcare organizations stand to benefit from enhancing existing IT platforms, especially where revenue-driving processes and workflows overlap. In particular, providers are looking for ways to facilitate operations through automated insurance eligibility processes, mobile/ online payment applications, and cost estimation tools.

Additionally, advanced hospitals and health systems recognize that increasingly accepted value-based payment models require ongoing patient engagement measures. Advisory firm PricewaterhouseCoopers (PwC) notes that providers need to obtain a comprehensive view of patient interactions. “An ability to derive meaningful information from linking disparate data about patients becomes a differentiator for an organization in a competitive market,” comments Winjie Miao, chief experience officer at Texas Health Resources.

Meanwhile, 88 percent of insurers plan investments in technology to improve the healthcare experience for their members. With providers and payers moving toward shared goals in data aggregation and analysis, “2018 could be the year [that] health sectors rally around the patient experience,” according to PwC.

A Platform Built for Integration

NetDirector’s subscription-model integration services fall squarely in line with healthcare organizations’ IT needs in the coming year. From a broad perspective, NetDirector’s HealthData Exchange normalizes data to standard HL7 or other formats, enabling systems to seamlessly share clinical and billing data. While complementing existing IT investments, the platform streamlines clinical workflow and communications while reducing administrative costs.

NetDirector also remains adaptive to changes in the healthcare ecosystem, such as those anticipated for 2018. New integrations can be configured based on evolving customer needs — and on standards and protocols defined by healthcare’s governing bodies.

For more information, please contact us or request a free demo.

NetDirector and myCatalyst Partnership Relieves Data Troubles and Eases Integration Process for Improved Healthcare Outcomes

TAMPA, Fla.Jan. 3, 2018 /PRNewswire/ — NetDirector, a cloud-based data exchange and integration platform, has further solidified its presence in the healthcare data environment through a partnership with data-centric, actionable analytics and reporting company myCatalyst, Inc. This collaboration will allow both companies to grow their already strong data integration capabilities, and ultimately improve patient care coordination for all their clients.

With a focus on care coordination and P4O reimbursement models through the support of clinically integrated networks, myCatalyst compiles data from all areas and providers involved in member/population health management. myCatalyst surpasses the limits of data warehousing and, with the collaboration of NetDirector, provides seamless integration with other vendor systems. This includes synchronizing member data and providing physicians and employers with the opportunity to develop a proactive, strategic approach.

The partnership focuses on providing a cloud-based, zero-footprint data integration solution that will allow myCatalyst to connect to even more Electronic Health Records (EHR) systems and Hospital Imaging Systems (HIS).

Robin Foust, co-developer and co-owner of myCatalyst, shared that “joining the NetDirector ecosystem will help myCatalyst connect faster with even more EHRs and HIS systems, and provide for better coordination between components of healthcare. This will allow our customers to achieve optimal efficiency and healthcare outcomes through data integration and collaborative care.”

With the volume and quality of data in healthcare continuing to surge, it is important for companies to leverage that data towards population health and information-driven patient care. The combination of NetDirector and myCatalyst allows healthcare providers and organizations to quickly and accurately exchange data through a multitude of interfaces available to them, without doing the heavy lifting themselves and taking on the additional responsibility of managing data in the cloud.

Using results from encounters, assessments, biometric data, medical, pharmacy claims, and more, myCatalyst compiles data onto a dashboard, and provides the tools necessary to enable physician practices to track patient progress, identify gaps in care, and achieve optimal financial and healthcare outcomes, and to provide data analytics and reporting to support the same for the populations and patients being served (ACO, Employers, Clinically Integrated Networks, Direct-To-Primary Care [DPC], and more).

“Our partnership with myCatalyst is a major step towards providers leveraging the wealth of data available to them,” said Harry Beisswenger, CEO of NetDirector. “We’re excited to be able to assist in bringing a service like myCatalyst to more employer groups and healthcare providers efficiently and securely with our cloud-based HealthData Exchange.

More about NetDirector:

NetDirector provides a secure cloud-based data and document exchange solution for the healthcare and mortgage banking industries to deliver seamless data integration between parties. NetDirector bridges gaps created by disparate systems & technologies by allowing companies at any location to share data & documents securely over a single internet connection with any other member of the ecosystem. Our approach allows trading partners to collaborate and exchange data in a seamless, bi-directional, real-time manner. With security and longevity as a focus, NetDirector is a certified HIPAA Compliant and SOC II Type 2 certified company, a 6-year member of the prominent Inc. 5000, and currently processes more than 9 million transactions per month. Learn more at web.netdirector.biz.

More about myCatalyst:

myCatalyst (MCI), is a private Health Information Exchange (HIE) and system support for population health, providing data integration, actionable prescriptive analytics, meaningful reporting, care coordination support, service solutions & more – resulting in optimal financial and healthcare outcomes for populations served, and the organizations serving those populations.  MCI is known for collaborative problem solving to ensure client and program success.

Learn more by contacting: Help@myCatalyst.com

How 2017 Became the Year of Integration

When all’s said and done, 2017 may be best remembered as the year big business put an indelible stamp on healthcare. Sure, we’ve had similar maneuvers in the past from the likes of Apple, Google and Microsoft, but each of those initiatives struggled with consumer connection, especially when it came to individuals surrendering their personal health information.

What’s different this time? Drugstore chain CVS Health’s proposed (subject to regulatory approval) buyout of insurance giant Aetna — at $69 billion, the largest health insurance deal in history— could transform pharmacy storefronts into community health clinics, giving patients streamlined access to primary care, medications and insurance services in unified hubs.

Some industry experts acknowledge potential systemic efficiencies that would accompany this type of vertical integration. However, they also caution that consolidation could trigger insurance network restrictions and a move toward “transactional care,” in which patients see doctors for isolated consultation without any established history or context of treatment.

Other observers see the purchase more as a preemptive move by CVS to fend off retail kingpin Amazon’s interest in pharmaceutical distribution (particularly for expensive and difficult-to-obtain specialty drugs). Amazon has acquired pharmacy licenses in 12 states and has kicked off discussions with generic drugmakers, according to media reports.

Whatever the true motivation — and it very well could be a combination of all factors outlined above — healthcare models are undeniably trending toward large-scale integration as 2017 draws to a close. And that’s sure to bring opportunities and challenges to stakeholders, including IT companies, along the way.

Integration in Various Forms

As 2017 began, advisory firms counseled hospital executives to integrate clinical delivery with financial sustainability in preparation for almost certain payment cuts. One health system followed such a course, slashing annual operating costs by $12 million in just six months by focusing solely on reducing excess lengths of stay. That type of integration works around mutual biases: (1) clinicians worrying that cost-cutting would jeopardize care quality and (2) financial teams perceiving doctors’ resistance to data analysis that would measure costs.

Meanwhile, along healthcare’s leading edge, IT initiatives pushed forward throughout the year. “I believe an urgent priority for our healthcare system is to move from the traditional one-to-one model to a more efficient, time- and place-independent care delivery system,” commented Joseph Kvedar, MD, vice president of connected health at Partners Healthcare.

Kvedar’s remarks accompanied the Personal Connected Health Alliance’s release of new design guidelines for sharing patient-generated health data with providers via HL7 Fast Healthcare Interoperability Resources (FHIR) specifications. The guidelines support data integration into electronic health records (EHRs) from 26 vital signs sensors and 40 health/ medical/ fitness devices for remote monitoring of chronic diseases, as well as health and fitness measures.

In related ways, we saw positive disruption in data exchange between payers and providers, setting the stage for real-time alerts that would help prescribing physicians prevent drug-drug interactions or other potentially harmful outcomes.

Additionally, EHR vendors did their part to integrate cloud-based versions of traditional systems, bringing cost-effective processes and simplified technology contracting to small hospitals and physician practices.

As we witnessed, a lot can happen over the course of a year. Continued progress in integration will depend on straightforward but flexible options for sharing data and documents across the healthcare ecosystem. NetDirector offers those exact capabilities in its HealthData Exchange platform so that care facilities don’t have to worry about managing — and staying ahead of — the ever-changing technology curve.

For more information, please contact us or request a free demo.

Cloud Services Advancing in Healthcare Technology

Nine hospitals across the country have filed for bankruptcy thus far in 2017. Small facilities, in particular, continue to feel the pinch from a combination of dwindling patient volume, rising capital requirements, escalating costs of care, bad debt accruals and lack of Medicaid funding.

Clearly, something needs to be done to stem the flow of red ink.

Fortunately, we’re seeing a healthy response from health IT vendors, who’ve identified an opportunity among the chaos. Electronic health record (EHR) firms Meditech, athenahealth and eClinicalWorks have rolled out cloud-based versions of their platforms aimed at bringing cost-effective processing and simplified technology contracting to the small-hospital domain.

Even EHR stalwart Epic is joining the movement. On Nov. 1, Tahoe Forest Health System, which serves two rural counties across 3,500 square miles in California and Nevada, went live with a new version of Epic’s EHR. The health system’s CFO, Crystal Betts, anticipates “significant savings without the maintenance of eight EHRs and [retirement of] a host of third-party ancillary systems no longer needed.” Betts added, “The cherry on top is time saved and a boost to quality and safety with a tightly integrated EHR that just works.”

Likewise, athenahealth’s cloud-based EHR has made a significant impact at Coastal Orthopedics (Conway, S.C.), which implemented the technology a little over a year ago to replace separate EHR and practice management systems. “We wanted to be in a position to jump in quickly and effectively as population health management becomes [our] new top-of-mind issue,” noted practice administrator Andrew Wade. With the EHR taking on redundant data-collection tasks, providers and staff have been able to spend more time on patient care.

Above and Beyond

Meanwhile, the healthcare research/ academic community is also leveraging the power of cloud computing. For example, at the Icahn School of Medicine at Mount Sinai in New York, scientists and physicians have access to more than 100 terabytes of data generated by DNA sequences as they study the molecular basis of breast and ovarian cancer. They use Amazon Web Services’ cloud to support a genomics platform that dynamically scales to analyze tens of thousands of genomes in a matter of minutes.

In short, cloud computing has enabled management to shift from worrying about data storage, performance, and security to helping researchers understand the sequenced output data.

There’s more to come, too. “The cloud is poised to play a prominent role when healthcare organizations deploy telemedicine, mobile health applications, and remote monitoring tools — trends that are inevitable as organizations implement value-based care programs,” according to a HIMSS Analytics cloud computing survey.

Pathway to Progress

As healthcare organizations continue to put their faith in the cloud, they’re looking for partners who can facilitate implementation and replace layers of internal systems management and integration. And, not coincidentally, they want to do so with predictable ongoing costs.

NetDirector’s cloud-based HealthData Exchange fits the desired profile by normalizing data and documents to achieve EHR interoperability with an expanding array of trading partners, including physician groups, labs, registries and imaging centers. Subscription pricing meshes with organizations’ emerging reliance on scalable services made possible by cloud technology.

For more information, please contact us or request a free demo.