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Service Teamwork Leadership Improving Health through Technology

Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

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Page 1: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Improving Health through Technology

Page 2: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 3: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 4: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 5: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 6: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Continuous Threatshttps://threatmap.fortiguard.com

Page 7: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Cybersecurity Framework

Page 8: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

HealthCare Data Breaches

Page 9: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

OCR Penalties

Page 10: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• Technical Safeguards• Access control; Encryption; Activity logging; etc.

• Physical Safeguards• Physical access; Workstation use/positioning; Inventory; etc.

• Administrative Safeguards• Risk Assessments; Workforce training; Contingency planning; etc.

HIPAA Security Requirements

Page 11: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Investments in Cybersecurity

Page 12: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 13: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• Repository based HIE

• Federated HIE networks

• “Direct” secure email

• Notification Systems

• Image Exchanges

• State Exchanges

• National Exchanges

• EMR Vendor-based Exchanges

Health Information Exchanges

Page 14: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

HASA – Patient Centered Data Home

RGV

Page 15: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership 16

DoD & VA connections

Page 16: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Cerner client

CommonWell and Carequality

Page 17: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Patient matching based on Carequality participants that are within 50 miles

of the patient’s home zip code

Note: Three historical patient addresses also considered

Cerner Client

Confirmed CommonWell Source

Confirmed CommonWell Source

Confirmed CommonWell Source

Patient matching based on Carequality

participants that are within 50 miles of

the organization’s zip code

Patient matching based on Carequality

participants that are within 50 miles of the

CommonWell linked sources

Patient Home

Zip code/Radius Heuristics based queries – Patient MatchingCommonWell + Carequality

Page 18: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Carequality Network

Page 19: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

CommonWell Network

Page 20: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• CCDA – Data Exchange Architecture to support interoperability between disparate EHRs.• Required for all Government Programs requiring CEHRT 2014+

• Promoting Interoperability Program (Meaningful Use)

• MSSP ACOs

• MACRA/MIPS

• Etc.

• Allergies, Problems, Procedures, Histories, Medications, Results, etc.

• FHIR – Fast Healthcare Interoperability Resources• Interoperable “widgets” embedded in compatible EHRs (CEHRT 2015+)

EHR Interoperability

Page 21: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Wearable Technology

Page 22: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Health Registry Technology

Page 23: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Page 24: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Digital Patient Experience – Patient Portal

Portal Functionality

• Access to Results

• Access to Records

• Secure Messaging with Provider

• Tailored Education

• Bill Payment / Status

• Prescription refills

• Appointment Self-Scheduling

• Update Demographics / Insurance

Page 25: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Cerner EHR -Portal Consumer Framework

• Provides a single user experience for

signup, login, access and transactions

• Enables contextual awareness and

personalization based on the user

• Acts as the point of integration for

disparate system applications• One solution across desktop (website) and mobile

(app)• Cerner, third party, and client-developed

applications

Page 26: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Extensible Ecosystem

Third-party

vendor

developed

and hosted

Cerner

developed

and

hosted

Client

developed

and

hosted

Monday, Jun 4, 2018

Page 27: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Digital Patient Experience – Engagement Tech

Pt Engagement Technologies

• Personal health record

• Text based appt reminders

• Personal health tracker

• Virtual / eVisits

• Facility wayfinding

• Price lookup / transparency

• ED wait times

• Electronic insurance cards

Page 28: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• Hospital Smart-Room capabilities• Email, browsing, entertainment

• Satisfaction surveys online

• Staff-performance surveys

• Meal selection capabilities

• Participation in discharge process

• Environmental controls

• Smart-board technology

• Automatic Staff Identification

Digital Patient Experience - Inpatient

Page 29: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• Direct to Consumer:• Video Visits (synchronous)• eVisit (asynchronous)• Chatbots

• Originating Site – Provider:• ED Support• Post Acute Care• Specialist Support• Radiology• Etc.

Virtual Care - Telemedicine

Cleveland Clinic Video

Page 30: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

• Myteamcare NOW

• Lauching to UMC employees • Oct 2019

• Public Urgent Care offering • Jan 2020

• Public Primary Care offering • Jun 2020

UMC Telemedicine Initiatives

Page 31: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

The Future … is now• Human Genome

• Precision Medicine

• Artificial Intelligence

• 3-D printing

• Artificial Organs

• CRISPR – Gene editing technology

Page 32: Improving Health through Technology Eubanks.pdf · Improving Health through Technology. Service • Teamwork • Leadership. Service • Teamwork • Leadership. Service • Teamwork

Service • Teamwork • Leadership

Questions

This Photo by Unknown Author is licensed under CC BY-NC-ND