Interoperability Captures Spotlight at HIMSS19
HIMSS19, health IT’s most expansive conference, kicked off on Feb. 11 with the release of a new Centers for Medicare and Medicaid Services (CMS) proposed policy rule detailing the agency’s vision for advancing industry-wide interoperability and patient access to health information.
“We believe patients should have the ability to move from health plan to health plan, provider to provider, and have both their clinical and administrative information travel with them throughout their journey,” according to the rule’s statement of purpose.
CMS Administrator Seema Verma’s public comments during the meeting added depth and clarity: “We are promoting scalable data sharing, not just an individual patient record from hospital-to-hospital, but a model that supports the flow of information across the entire healthcare system. We encourage industry to align in this direction because this is the future.”
The CMS proposed rule would give patients access to their health information electronically through an application programming interface (API). At the same time, providers could obtain their patients’ health information, regardless of previous sites of care. On the flip side, providers would not be able to restrict information flow to other providers and payers. Additionally, CMS expects payers and third parties to develop software that would ensure seamless data availability when patients change providers, health plans or issuers.
The rule’s timeline is aggressive. CMS stipulated that Medicaid, the Children’s Health Insurance Program, Medicare Advantage plans and Qualified Health Plans in federally facilitated insurance exchanges must be equipped to give enrollees immediate electronic access to claims and other health information by 2020.
Concurrent with the CMS rulemaking, the Office of the National Coordinator for Health Information Technology (ONC), which guides national efforts on health IT implementation/ usage and electronic information exchange, unveiled its own rule on data blocking. The ONC rule implements provisions spelled out by law in the 21st Century Cures Act, which Congress passed in 2016. The rule also provides exceptions to the law’s definition of information blocking. Aside from potential fines (up to $1 million per instance) applicable to health information exchanges, providers or hospitals that block information would be publicly named by CMS.
ONC National Coordinator Donald Rucker, MD, a closing speaker at HIMSS19, told attendees that, in the final analysis, patients should be empowered to access their health data “through a [smartphone] app of their choice, at no additional cost.” Rucker added, “Patients should be able to attach their smartphone to the provider’s endpoint and get their medical data … That’s what modern technology allows.”
Open APIs required for deployment of data sharing under the proposed rules would be based on HL7’s FHIR standard.
While early reaction to the CMS/ONC rulemaking has been mostly positive, the American Hospital Association (AHA) opposes a requirement that providers electronically notify other providers when a patient is discharged or moved to another hospital. “We cannot support including electronic event notification as a condition for participation for Medicare and Medicaid,” according to a prepared AHA statement. “We believe that CMS already has better levers to ensure the exchange of appropriate health information for patients. We recommend the agency focus on building this exchange infrastructure rather than layering additional requirements on hospitals,” the statement concluded.
Privacy and security considerations should also be factored into the mix during the 60-day public-comment period for the CMS and ONC rules. Cybersecurity executive Mac McMillan noted, “[The agencies] said, ‘We want you to be more open, but you still have to protect the data.’ Typically, those two things don’t go hand-in-hand … Folks are going to be very concerned they are on the hook for any downstream incidents that occur as a result of openness they have with third-party developers.”
Ahead of the Curve
NetDirector’s HealthData Exchange platform aligns well with the regulatory landscape inherent in the CMS and ONC rulemaking. In short, interoperability’s focus should be on the patient.
HealthData Exchange allows providers and vendors to electronically move clinical and financial data among disparate information systems while adhering to HIPAA and HL7 compliance standards. Less time spent on technology and inputting data frees up providers to deliver an improved patient experience by integrating information flow throughout the continuum of care.
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.
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.
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.
TAMPA, Fla., Oct. 5, 2017 /PRNewswire/ — NetDirector, a cloud-based data exchange and integration platform, provides several data/document automation options for default servicing firms to promote increased compliance throughout the industry. Additionally, NetDirector has maintained and standardized the SOC 2 Type II security procedures in-house to ensure compliance at all points in the flow of data.
With the ever-changing atmosphere of the default servicing industry, it is important for firms to maintain the quality and compliance of the work they do while focusing on efficiency and their bottom line. Among the services available to improve compliance through automation are:
SCRA Military Search
The Service members Civil Relief Act (SCRA) requires foreclosure attorneys/trustees check whether borrowers are active duty military members. NetDirector’s Military Search interface streamlines this process and allows subscribers to check active duty status without leaving their case management systems (CMS), alleviating data keying errors and improving timelines.
Firms are required to perform this search on a regular basis to maintain compliance – the most common solution is simply to dedicate employee hours to performing the searches and logging the information. This is an expensive and inefficient solution, that only mitigates the compliance risks to a certain degree – the human element of this solution leaves room for compliance errors that foreclosure firms simply cannot afford.
“NetDirector has allowed us to focus on our core competencies by managing our data & document integration needs. Our firms are seeing the benefits of eliminating data entry and manual business processes for military search, document uploads, and milestone events,” said Ron Llewellyn, Associate Director of Application Services at Barrett Daffin Frappier Turner & Engel L.L.P.
Additionally, the NetDirector automated military search is fully compatible with the recent DoD website enhancements – many firms are already utilizing NetDirector to solve the challenges of integrating with the new website without increasing dedicated labor and resources to an ongoing concern. For more detailed information on PACER automation, click here to visit our website.
PACER Bankruptcy Search
The Federal court has several bankruptcy court district and divisions upon which bankruptcy dockets are available for verifying bankruptcy filings. NetDirector’s Bankruptcy PACER integration suite alleviates the manual need to log in to multiple court sites (both National and Regional) and/or manually search for the bankruptcy filing -thereby reducing timelines.
The round-trip data interface allows NetDirector subscribers to send requests to the PACER Case Locator site to search for current and prior bankruptcy filings. The automated response can include information on cases filed in other districts/divisions and links to current and prior case dockets and documents. More importantly, returned searches and dockets have live hyperlinks within the PDF documents – saving time by eliminating the need to re-key search information and providing a direct link to cases and docket information for future retrievals. This directly increases a firm’s compliance while automating and simplifying the amount of work required for this mandatory step in the foreclosure process. For more detailed information on PACER automation, click here to visit our website.
“NetDirector has played a key role in increasing system and workflow efficiency across multiple departments,” said a representative of Rubin Lublin, LLC. “With the processes and checks they have in place we can feel assured that the integration is working and accurate. I have worked in the foreclosure industry over 17 years, and NetDirector is by far the best thing to come along for firms in the past decade.”
Industry Leading Security Standards for Compliance
The SOC 2, or Service Organization Controls 2, is an examination under AICPA standards designed for technology service companies to demonstrate controls around data security and processing integrity. The SOC 2 reports are intended to meet the needs of a broad range of users that need to understand internal controls at a service organization as it relates to security, availability, process integrity, confidentiality and privacy. The Type II report is a report on management’s description of a service organization’s system and the suitability of the design and operating effectiveness of controls.
“NetDirector displayed the necessary controls in their SOC 2 Type II attestation report,” said Scott Price of A-LIGN, the company that performed the SOC 2 analysis. “Their security and management teams were great to work with throughout the process. There is a strong attention to detail in the organization.”
In addition to the in-house attestations, the data centers utilized by NetDirector through Peak10 maintain the same security standards or higher in all aspects of their company. Many technology companies have recently been brought to light as claiming true “compliance” in their organization, when they really mean that their data center has gone through the rigorous examination. At NetDirector, the belief is in transparency and clear communication regarding security so that the boost in compliance and efficiency is ultimately passed along to the firms and servicers participating in the integration network.
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 SOC 2 Type II and HIPAA Compliant company, a 6-year member of the prominent Inc. 5000, and currently, processes more than 9 million transactions per month.
Back in March, at the conclusion of the HIMSS17 annual conference, we pointed to blockchain as one of the most noteworthy recent developments in the healthcare IT space. We emphasized that blockchain technology, which uses a distributed database and cryptography to securely manage records and create a permanent record of online transactions, deserves recognition for its potential to increase IT and organizational efficiencies — highly valued attributes in light of Healthcare’s perpetually constrained resources.
An IBM Institute for Business Value study explains that data captured on blockchains can be shared in real time across a scalable group of individuals and institutions. “Every event or transaction is time-stamped and becomes part of a long chain, or permanent record, that can’t be tampered with after the fact,” according to the study report, which finds 16 percent of healthcare organizations ready to commercialize blockchain at scale in 2017.
Where will things go from here?
Room to grow
In practical terms, blockchain could be used in areas such as population health to aggregate patient and financial data that formerly would have been available only from separate sources such as health information exchanges and claims databases.
Further, blockchain’s ability to enable secure and irrevocable data exchange systems would provide “seamless access to historic and real-time data, while eliminating the burden and cost of data reconciliation,” explains Reenita Das, senior vice president of transformational healthcare at research firm Frost & Sullivan.
Micah Winkelspecht, founder and CEO of blockchain start-up Gem, characterizes blockchain as a tool for interoperability — in essence, an open-source protocol layer incorporating rules to which software can be written. “It’s basically like a language that all [participating] companies agree to speak in order to be able to interoperate with each other,” he adds. Unlike the current EHR-centric healthcare system, blockchain would be the “underlying fabric” for the entire continuum of care, “a decentralized, distributed, global data repository that’s basically shared and controlled by everyone,” he envisions.
Related, in the mortgage industry, a similar foundational approach has experts believing in blockchain as an enabling technology empowering lenders to overcome current challenges in electronic processes.
Blockchain would be applied as a thin layer atop an existing document management system to effectively “freeze” a copy of the signed documentation, thereby proving it has never been altered and that the original document resides in its original location. Focus would shift from e-signature tools to blockchain as the core technology structure for compliance and document management — without requiring a completely reworked electronic process.
NetDirector recognizes ongoing and changing security needs in industries such as healthcare and mortgage banking. Companies on the front lines shouldn’t have to rewrite existing integrations or pay multiple vendors in their respective networks to operationalize individual system connections.
Within the healthcare ecosystem, NetDirector’s HealthData Exchange builds on a standard data model to map to HL7 or other data formats and achieve EHR interoperability while removing the bottlenecks of traditional interfacing. Such integrative technology holds the promise of making future security updates and landscape changes far more manageable.
There’s no turning back on the cloud computing revolution. By 2020, more than 90 percent of data center traffic will be cloud traffic, according to Cisco’s Global Cloud Index forecast.
Separate analysis from 451 Research finds enterprise spending on hosting and cloud services up by 26 percent in 2017 over 2016, outpacing a 12 percent increase in total IT budgets during the same span. “Hosting and cloud services are becoming a focus of IT investment, via both new projects and the migration of existing workloads,” observes Liam Eagle, research manager at the firm.
In healthcare, 76 percent of new or existing workloads are moving to the cloud, in areas such as data archiving, backups/disaster recovery, back-office applications and server virtualization.
Some might even say the transition to cloud is happening too quickly. In fact, the simplicity of initiating cloud projects has raised eyebrows among industry observers — especially since protected health information (PHI) is at stake. “The ease of spinning up a cloud application can create, in and of itself, a risk,” says Shane Whitlatch, enterprise vice president at data security firm FairWarning. “Because cloud projects are easy to start, it’s also easy to just leave them there and not monitor them.”
Does he have a point?
Setting the record straight
Without a doubt, companies across all industries have made some missteps in migrating data to the cloud. In certain cases, organizations have viewed data migration as a one-time event rather a process that will likely be repeated over the years. Therefore, it’s important to analyze whether an IT infrastructure can hold up to the demands of a full-scale migration, reports HealthITInfrastructure.
Closer to home in healthcare, organizations often fail to assess data-quality issues before embarking on a migration. This might come into play, for example, when moving data from a legacy electronic health record (EHR) system to a new EHR application.
And while it’s certainly possible for a healthcare provider to fall victim to the scenario Whitlatch envisions (e.g., gathering PHI for research purposes and later abandoning that data outside established controls on a cloud-based platform), most organizations would avoid that type of vulnerability through due diligence. They recognize that cybersecurity is a shared responsibility between cloud provider and customer. HIPAA’s Security Rule, for instance, applies in equal force to data protection whether the data resides in on-premise systems or in the cloud.
Additionally, above all other factors, healthcare organizations are concerned about adherence to regulatory requirements such as HIPAA when selecting a cloud services provider, according to a 2016 study conducted by HIMSS Analytics.
NetDirector’s HealthData Exchange, a cloud-based platform for exchanging data between healthcare entities, has been certified as HIPAA-compliant under audit by a third-party security and compliance solutions provider. This certification “strengthens the trust that our clients place in us to safely integrate their platforms and transform their data,” explains NetDirector CEO Harry Beisswenger.
Electronic health record (EHR) vendor eClinicalWorks (eCW) and several of its executives are on the hook for $155 million to resolve a False Claims Act lawsuit alleging that the company misrepresented the capabilities of its software. The U.S. Department of Justice announced the settlement on May 31.
Resolution of the case also required eCW to enter into a Corporate Integrity Agreement (CIA) with the Office of the Inspector General at the U.S. Department of Health and Human Services (HHS-OIG), which oversees “meaningful use” incentive payments to healthcare providers relating to their adoption and implementation of certified EHR technology.
According to the government, eCW concealed that its software was “hardcoded” to meet certification requirements for standardized drug codes instead of actually retrieving the proper drug codes from a complete database. Other cited faults in eCW’s software included:
- not having an audit log for accurate recording of user actions;
- not reliably recording diagnostic imaging orders;
- not reliably performing drug interaction checks; and
- failing to satisfy data portability requirements for transferring patient data from eCW’s system to other vendors’ software.
All told, because of the deficiencies, “eCW caused the submission of false claims for federal incentive payments based on the use of eCW’s software,” HHS-OIG charged. $125 million of the company’s fines will go to repay Medicare and Medicaid for incentive disbursements under their respective meaningful use programs. (eCW customers who successfully attested to meaningful use in good faith will not be linked in on the government repayments.)
Aside from the financial penalties, eCW’s CIA, which extends for five years, requires the company to retain an independent oversight organization to assess its software quality control systems, with semi-annual written reports to be filed with HHS-OIG. The CIA also mandates that eCW allow its customers to obtain free software updates; customers also have the option of transferring their data to another EHR vendor without penalties or service charges.
eCW agreed to the settlement without acknowledging any wrongdoing. The company said it did so to avoid lengthy and costly litigation. eCW’s EHR system remains certified under the meaningful use program. Nonetheless, the underlying facts of the case appear to have cast a broad shadow across the health IT landscape.
A report compiled by market research firm Reaction Data after announcement of the settlement found 71 percent of respondents saying they would be extremely unlikely to consider eCW in the future. What’s more, 27 percent indicated that the case had lowered confidence in their current EHR vendor, and 35 percent reported being “significantly more suspicious” of other EHR vendors.
Healthcare attorney Bob Ramsey told Healthcare Informatics that the eCW allegations may be an extreme case, but added, “Interoperability and data portability is viewed as necessary in the health world, but it’s easier said than done.”
Peter DeVault, vice president of interoperability at EHR vendor Epic, recently noted that healthcare providers would be well served to rely less on EHR certifications moving forward and to concentrate more heavily on demonstrated benefits.
NetDirector’s vendor-neutral approach to data exchange elevates providers’ ability to achieve EHR interoperability while working toward meaningful use incentives. In an environment currently clouded by skepticism, the HealthData Exchange platform automates integrations in a manner that exceeds industry standards.
NetDirector CEO Harry Beisswenger puts the technology in perspective: “It’s important for us to aid healthcare providers and vendors in reaching meaningful use benchmarks because we know that ultimately impacts the level of patient care.”
High availability, interoperability, and utility in population health management all figured prominently in an early 2017 forecast of areas where healthcare CIOs expect information technology (IT) to deliver significant impact for their organizations.
Here’s a look at how things are shaping up at the year’s midpoint.
While natural disasters or cyber-attacks can knock out — or lock out — critical IT systems without warning, healthcare entities still need to prepare for such events. In fact, the HIPAA Security Rule requires health care covered entities to have a contingency plan for responding to unavailability of electronic health information systems.
The Department of Health and Human Services’ Inspector General reported last year in a survey of 400 hospitals that about two-thirds have contingency plans addressing data backup, disaster recovery, emergency mode operations and testing/ revision procedures. Nonetheless, over half of the surveyed hospitals confirmed an unplanned disruption to their electronic health record (EHR) system, and about a quarter of those experienced delays in patient care as a result.
So far this year, EHR outages continue to make headlines:
- An April 2017 poll, conducted by online physician community Sermo, found that 55 percent of 1,678 responding U.S. doctors had experienced an EHR outage or malfunction that jeopardized the health or safety of a patient.
- Also in April, Erie County Medical Center and an associated long-term care facility experienced a system-wide shutdown attributed to a ransomware attack. The hospital’s backup process prevented loss of any patient records or financial data, but its EHR was taken offline for six weeks, during which time activities such as patient admissions and prescription writing had to be handled manually.
- In a separate incident at the end of February, an ophthalmology-specific EHR experienced “technical difficulties” due to outages of Amazon’s S3 cloud-based hosting service.
Data center and cloud services provider Peak 10 recommends that healthcare entities not only review their IT privacy and security policies and procedures but also insist that their service level agreements with technology providers specify agreed-upon security objectives and how compliance will be ensured.
In late March, the Office of the National Coordinator for Health IT (ONC) shared several examples of what it described as “interoperability in action from coast to coast.” Among the programs ONC showcased:
- An app that imports patient data — including personal and medical device data, remote monitoring and reminders — into a comprehensive family health dashboard.
- A solution that allows clinicians to create customizable push notifications that can be tailored to individual patients or groups.
- A smartphone app that allows patients to grant or revoke permission for providers to access, send or receive health information electronically.
- A secure system for users to seamlessly store and share data with trusted care professionals.
Additional projects outside of ONC’s purview are taking aim at other aspects of interoperability. In April, Ascension Health, Cedars-Sinai Health System and Hospital Corporation of America opened the Center for Medical Interoperability. The lab will provide resources for researchers to test data-sharing connections for medical devices and EHRs. In February, the Personal Connected Health Alliance agreed to partner with the Integrating the Healthcare Enterprise initiative in efforts to improve health data exchange through conformity testing and certification with a focus on standards-based, open specifications.
No single type of data serves as a comprehensive source of information for population health management. For example, claims data includes patient demographics, diagnosis codes, and dates and costs of services; however, the information is retrospective and limited to just billable aspects of care, explains a recent HealthITAnalytics report. Likewise, EHR systems provide clinical details but often contain unstructured, free-text descriptions that are difficult to extract and analyze.
Still, healthcare organizations continue to press forward with population health initiatives. Vanderbilt University just released a report card — the first of its kind in the nation — intended to guide the planning, implementation, and evaluation of programs and policies to improve men’s health across the entire state of Tennessee. It identifies heart disease and cancer as the leading causes of death in the state and reveals a deficit in men having a personal health provider. Meanwhile, Stanford University’s Center for Population Health Sciences has awarded $275,000 in pilot grants to fund studies seeking to improve population and community health, including a mobile surveillance system that will map autism and gaps in treatment services.
Efforts such as these will help drive discovery of what works in real-world practice of population health management. “As an industry, we can increase the socialization of toolkits and case studies so that healthcare organizations can more clearly define all aspects of population health management model design,” observes Jennifer Rogers, an analyst at Chilmark Research. She adds that optimal IT deployment will speed up gains in value for current and future adopters of population health models.
Availability, interoperability, and population health projects face a balance of challenges and opportunities as we enter the second half of 2017. NetDirector continues to innovate with cloud-based, foundational integration solutions that will help healthcare organizations seamlessly handle the electronic exchange of information in each of these areas within their respective ecosystems. For more information, please contact us or request a free demo.
Tampa, FL – June 13, 2017 – NetDirector, a cloud-based data exchange and integration platform, continues to solidify their presence in the healthcare industry as a leading provider of integration services. Most recently, NetDirector has partnered with Addiction Care 101 to aid in the delivery of treatment for the growing opioid crisis around the country.
Addiction Care 101 (A101) 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.
The software is based on a proven, successful model delivered on a solid platform of risk management and compliance to physicians and patients. The A101 platform allows for users to anonymously go through treatment and recovery without requiring family or employers to know. Technology including telemedicine and e-prescribing allows members (assisted by the network of doctors, drug counselors, and the A101 team) to pursue sobriety without having to worry about being seen in an addiction care facility.
Laurie Peregoy JD, Director of Program Compliance, states that “NetDirector’s cutting edge integration technology allows A101 to more accurately monitor their member’s compliance. Specifically, the ease in which we are able to routinely access the Controlled Substance Database using their automated process gives A101 the critical assurance that members are not seeking drugs beyond their treatment program.”
By providing an automated integration to Controlled Substance Databases, NetDirector helps prevent “medication farming” – a major contributor to the abuse of opioid recovery drugs that has hindered the opioid rehabilitation efforts in the past.
William Beasley, one of A101’s network of Drug Counselors, further stated “NetDirector’s bidirectional integration with our lab testing partners makes my job of treating my patients more thorough due to immediate alerts to both myself and my patient if the results expose compliance or other potentially life-threatening outcomes.”
By integrating with labs via a cloud-based, one-to-many style integration, NetDirector allows the practitioners and counselors that are part of the A101 network to stay informed and to expand their ability to treat opioid addiction disorders in recovery patients with greater accuracy. The compliance gains noted by A101 are a key benefit to the integration, as well, so that the program can continue to function while maintaining the highest levels of transparency and discretion when needed.
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 company, a 6-year member of the prominent Inc. 5000, and currently processes more than 9 million transactions per month.