how to protect patient data in an increasingly social healthcare industry
TRANSCRIPT
Connected Care & the e-Patient: How to Protect Patient Data in an
Increasingly Social Healthcare Industry
About Perficient
Perficient is a leading information technology consulting firm serving
clients throughout North America.
We help clients implement business-driven technology solutions that
integrate business processes, improve worker productivity, increase
customer loyalty and create a more agile enterprise to better
respond to new business opportunities.
PRFT Profile
Founded in 1997
Public, NASDAQ: PRFT
2010 Revenue of $215 million
20 major market locations throughout North America— Atlanta, Austin, Charlotte, Chicago, Cincinnati, Cleveland,
Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Minneapolis, New Orleans, Philadelphia, San Francisco, San Jose, St. Louis and Toronto
1,500+ colleagues
Dedicated solution practices
500+ enterprise clients (2010) and 85% repeat business rate
Alliance partnerships with major technology vendors
Multiple vendor/industry technology and growth awards
Perficient brings deep solutions expertise and offers a complete set of flexible services to help clients implement business-driven IT solutions
Our Solutions Expertise & Services
Business-Driven Solutions• Enterprise Portals• SOA and Business Process
Management• Business Intelligence• User-Centered Custom Applications• CRM Solutions• Enterprise Performance
Management• Customer Self-Service• eCommerce & Product Information
Management• Enterprise Content Management• Industry-Specific Solutions• Mobile Technology• Security Assessments
Perficient Services End-to-End Solution Delivery IT Strategic Consulting IT Architecture Planning Business Process & Workflow
Consulting Usability and UI Consulting Custom Application Development Offshore Development Package Selection, Implementation
and Integration Architecture & Application Migrations Education
Our Speakers
Steve Nitenson, RN, BSN, MS(CIS), MBA, PhD, is a Sr. Solutions Architect with Perficient. Steve has 25 years of experience and expert knowledge in the area of current and emerging EMR/EHR technologies, including HIPAA 5010 and ICD-10.
Michael Porter is Principal for Portal, Social, and Collaboration solutions at Perficient. Michael has 13 years of experience with portal and content management projects helping clients understand and take advantage of the value provided by web technologies.
Anand Sangtani is a Solution Architect with the Oracle Technology National Practice at Perficient. Anand has 15 years of experience in the delivery of complex portal and web application solutions in diverse industries including healthcare.
• Rapidly shifting role of the patient within the traditional Ambulatory and In-Patient delivery of care model
• There is increased patient demand for:
― Easier access by patients to healthcare professionals
― Easier access to Online Healthcare information by the patient
― Online access by patients to “Alternative” care modalities
― Online “chat” communication with healthcare professionals
― Contain costs and improve the quality of patient care experience
― Bridging the “information gap” between the healthcare provider and patient
Introduction
• Innovations in social media, collaborative technologies, tele-medicine, tele-monitoring, and mobile technologies provide healthcare, professionals/organizations and patients with the ability to reach out to each other seeking cost effective healthcare services.
• Employment based coverage is on the decline
• Government issued healthcare coverage is increasing
• Numbers of uninsured and self-insured are on the rise
Bottom Line: Provider based delivery of care is embracing the concept of bidirectional healthcare communications and real time consumerism.
Current State
• e-Patients are:– Equipped with iPhone, iPad, Internet, WiFi, laptop, etc.– Enabled with instant access to information 24x7x365– Empowered to be actively involved in care régimes– Engaged, with all the above, to effect change
• 33% of US population uses social media to collect health related information.
• 58% of individuals surveyed “self diagnose” based on the information they have collected.
• As a result, healthcare social media is becoming one of the most important topics with both the ambulatory and in-patient healthcare sectors of our day.
The e-Patient & Social Media
Social Media vs Social Networking
Social Media:
• Uses the same foundations as social networks
• Strives for a one to many approach to communication
• Tries to add an interactive dialog to the communication
• Think: hospital tweeting about national recognition
• Think: Surgery center blogging about a new system or service that differentiate them from the competition
• Interactivity comes from re-tweeting, commenting, providing a linkback, etc.
Be aware of the difference between Social Media and Social Networking. Both use the same technologies but for slightly different ends.
Examples of share buttons common to many social web pages. Image from wikipedia.org
Social Media vs Social Networking
Social Networking:
• Uses the same foundations as social media
• Creates a community of users who can share information about a specific topic
• Allows you to find the experts with the knowledge to answer your questions
• Lets you follow interesting people or colleagues to gain more knowledge real time
• Think: Caringbridge.org provides a blog where you can share you health challenges
• Think: Doctor finding a specialist with the knowledge to help treat a specific condition
Be aware of the difference between Social Media and Social Networking. Both use the same technologies but for slightly different ends.
• Improved quality and accuracy of information shared
• Include patients within the design of their care model with increased collaboration
• Reduce cost of information delivery while increasing efficiency of delivery process
Providers Using “Push” Technology
• Leverage a reduced number of specialists (e.g. regional lab pathologist expertise)
• Potential of “virtual visit” to reduce MOB utilization.
• Increased “touch point” capability with managed care
• Increased panel size of Home Health Staff (Dr., RN, MSW)
• Improved monitoring of targeted “at risk” patient populations
• Accurate and timely distribution of medical information to patients
TeleHealth & Remote Patient Monitoring
• Study the security regulations to determine adequate levels of security for each organization.
• Establish a security committee and appoint an information security officer.
• Identify existing security measures within the organization, including administrative, physical, and technical safeguards.
• Conduct a thorough risk analysis.
• Develop and implement remediation plans.
• Adequately train the workforce.
• Periodically review these compliance activities.
HIPAA as it Relates to the Provider
• The healthcare organizations the patient interfaces with (hospital and Physician Practice alike) recognize the importance of the HIPAA security rulings, the patient should be aware of:
– Contractual obligations with business associates of the treating organizations
– Current practices are infallible, what should you know about them– Documentation is a secondary priority, be diligent, it is your PHI– Impermissible use or disclosure of protected health information– Lack of adequate safeguards to protect PHI– Awareness of Refusal or failure to provide access to or a copy of records to
individuals– Disclosure of more data than are minimally necessary to satisfy requests for
information– Failure to have the individual’s valid authorization for a disclosure that
requires one
HIPAA as it Relates to the Provider
The Busy Mom
• Up at 3:00 a.m. caring for a sick infant who needs to be checked and treated
• Mom needs to make an appointment with the Pediatrician ASAP
• Her daughter’s doctor has a web presence with the availability to offer “open” schedule appointment slots
• Mom is able to schedule an 8:00 a.m. appt with the doctor
“Real World” Scenarios
Recently Discharged
• John underwent Open Heart Surgery
• He is resting at home when he develops a strange feeling chest pain
• John’s wife texts his doctor who reviews John’s “in-patient” chart via the HIE
• The doctor calls John and requests that he hook up his remote Heart Monitor (with Wi-Fi) to his iPad so his Dr. can see how his heart is doing
• John’s symptoms ended up being surgical pain, not related to his heart
• All done within 10 min. from the initial call
“Real World” Scenarios
Dr. Smith
• Has a geriatric patient (age 82), who still lives independently
• He sends his patient an email requesting a virtual visit to “take a look” at a “sore” on the patients right foot that is a result of the patients diabetes
• Dr. Smith is able to view the wound via a WebCam set up at the patient’s home
• Dr. Smith was able to make a clinical decision and have his Home Health RN make a site visit
• The patient did not have tocome into his office
“Real World” Scenarios
Traveling Consultant
• While traveling this patient loses his antibiotic medication
• He sends his doctor a quick IM requesting that a reorder of the medication be sent to a pharmacy close to the hotel the consultant is staying at while on site with the customer
• The doctor has his RN send an IM requesting a Skype video chat via the doctor Practice Portal with the consultant to make sure the patient is okay
• Doctor learns that he does not need a change in the antibiotic strength or type
“Real World” Scenarios
Community Medical Center
• Recently received national recognition for being one of the top 10 medical centers treating fractured hips
• As part of a comprehensive social media plan, they create blog posts and informative videos to continue to leverage thought leadership, gain more interest from prospective patients, and maintain their national recognition
• To engage the public, they send a community tweet with a link to the hospital story on the homepage of the medical center
“Real World” Scenarios
Young Healthcare Savvy Woman
• Is looking for an alternative care modality for her treatment of a skin rash
• She “surfs” the web and social media and finds an herbal cream she thinks will work for her
• She sends the web link to her allergist asking him if she could use this cream as her mode of care
• Her allergist reviews the cream, and its use for the treatment of the rash, and is fine with it
• He sends his patient an email confirming he is OK with the new TX modality
“Real World” Scenarios
• Perficient’s Healthcare group is software agnostic
• Because customers often own multiple technologies, Perficient’s healthcare practice is especially well prepared to help customers leverage and extend their investment with existing IT systems.
• Today’s demonstration brought to you by:
Social Collaboration Demo
Q & A
Join us at HIMSS 12 in Vegas!
Stop at Booth No. 1274 for demonstrations and discussions on:
•Meaningful Use Stage 2 and Beyond•Preparing for Accountable Care•ePatients & Connected Health •ICD-10 Transition•Business Intelligence & Data Strategy•Mobile Health & Telehealth•PHI & Data Security
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Thank You!
Steve Nitenson
Sr Solutions Architect - Healthcare, Perficient
http://blogs.perficient.com/healthcare/blog/author/snitenson/