Health IT reimagined: Threats and opportunities from Yale, BJC HealthCare execs

The pandemic has sped up making use of telehealth, remote work, information analytics and precision medication.

During an Oct. 9 panel for the Beckers Health IT + Revenue Cycle Virtual Event, Allen Hsiao, vice president and primary medical information officer at Yale New Haven (Conn.) Health and Matthew Modica, vice president and primary details security officer at St. Louis-based BJC HealthCare, talked about the big threats and chances for health IT.

Click on this link to see the session as needed. The discussion below is gently modified for length and clearness.

It needed IT teams to work together more with their companies and neighborhoods to establish innovative solutions to crucial issues dealing with health care systems. Now, healthcare companies are looking ahead to a more focused digital transformation, and how that is carried out will separate the great systems from the terrific ones.

Concern: How is Yale New Haven Health using scientific analytics today and what do you anticipate in the future?

We are doing that on a small scale with our teleICU, but truly require to do this for all of our clients in all of our beds. Its definitely a journey to get there, however I believe the future in analytics will actually help us take far better care of our clients and have computer systems are seeing 24/7 for the tiniest little changes that might be truly significant, but might not be chosen up by a human up until later.

Were utilizing predictive analytics to model our patient volume, our OR case load and the length of time a case might take and how long the anticipated admission rate for the length of the stay for that client might be based on their comorbidities. This all assists us task what our volumes may be and whether we will have any readily available beds down the road. I believe we require to get far better where things are prescriptive and that automated interventions can start automatically so that a fast response team or a nurse may be deployed to examine a client whos getting sicker.

We have an entire terrific system called scientific redesign, where utilizing data, we identify all these chances for improving patient care, decreasing length of stay, conserving money, honestly, which has actually been really crucial for us as we now want to navigate this entire COVID insaneness and the tough monetary times that is for all of us. Our groups have taken a great deal of steps to now produce real-time tracking tools and control panels for our quality and operational leaders so that they can keep an eye on the modifications and enhancements as they occur with time …

Dr. Allen Hsiao: We are a data-driven organization. Over the last five years, we have actually combined joint information analytics groups for both our health system and our school of medicine. Although theyre really two really separate entities, they are combined by our clients that we share and our typical EHR structure. We have a typical language, common truth, and theyve been very experienced with the type of the traditional retrospective reporting, utilizing data to recognize and drive lots of things.

Q: Matt, what is the next advancement of data security for health systems as they continue to generate more information about clients?

We will need to build [that security] in and a great deal of companies currently are building that into the solutions that are being developed for virtual care and other data analytics and insights. From an integrity perspective, the data needs to be there. It has to be consistent. It has to be precise at the end of the day. Security isnt constantly about people taking the data. Often its about them tampering with the data and controling the data for a financial benefit or for potentially worse health outcomes. The stability of that information, ensuring that we are taking a look at the systems of truth and the systems of record for as those essential data aspects modification and especially with the rate of modification thats going to accompany a lot of the IOT gadgets and the other things are entering into play around virtual care. Its wonderful to have all that instrumentation, but you need to make certain its all looped and really speaking about the exact same patient at the end of the day.

The 3rd context is truly around accessibility of that data. As soon as information becomes offered and as soon as those insights begin to make their method to the client and they can begin making some choices around their own health results and likewise the doctors helping them and guiding them through eventually getting to the outcome theyre preferring, it has to be readily available anytime, anywhere, any location. How do we allow for appropriate downtime and accessibility of the information while were covering systems and protecting systems and doing some of the things that are needed just to keep that information safe and eventually incorporated?

Matt Modica: Security experts think of things in kind of three contexts. From a confidentiality perspective, we require to make sure that information is secured at all times and in accordance with the dreams and the appropriate usage that our others and clients have specified as well as HIPAA.

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We have a whole excellent system called medical redesign, where using information, we recognize all these chances for enhancing client care, decreasing length of stay, conserving cash, frankly, which has actually been really crucial for us as we now look to browse this entire COVID insaneness and the tough financial times that is for all of us. Often its about them tampering with the data and manipulating the data for a monetary advantage or for possibly worse health results. The integrity of that data, making sure that we are looking at the systems of fact and the systems of record for as those essential data elements modification and especially with the rate of modification thats going to take place with a lot of the IOT devices and the other things are coming into play around virtual care. As soon as information becomes available and when those insights start to make their way to the patient and they can begin making some decisions around their own health outcomes and likewise the physicians helping them and assisting them through ultimately getting to the outcome theyre preferring, it has to be readily available anytime, anywhere, any place. How do we allow for proper downtime and accessibility of the information while were covering systems and protecting systems and doing some of the things that are required simply to keep that information safe and eventually integrated?