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<title><![CDATA[Patient-Centered Transplant Care Platform – a Guiding Light for Accountable Care]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2012/January/Patient-Centered_Transplant_Care_Platform_x_a_Guiding_Light_for_Accountable_Care.html</link>
<pubDate>January 24, 2012</pubDate>
<description><![CDATA[The identification, surgical intervention, management and lifetime clinical maintenance of
transplant recipients are a case study of the needs around chronic disease management and
collaborative care. This uniquely patient-centered national collaborative care solution helps
reduce the potential for errors in an area of medicine where hundreds of pieces of data, such as
blood type, medications, lab reports, test results and other information is needed to provide
quality patient care.&nbsp; 
<br /> 
<br />Computerized chronic disease solutions for transplant care eliminate the vast amount of paper
charting necessary with transplant patients, who are tracked and monitored for life. The
collaborative care of transplant patients includes multidisciplinary teams of specially trained
physicians, coordinators, nurses, social workers, pharmacists, physical therapists, and
psychologists who are experts in transplant care.&nbsp; 
<br /> 
<br />Collaborative care solutions provide a patient-centered hub, connecting in-hospital and
ambulatory electronic health records (EHRs) in conjunction with health information exchange (HIE)
systems both locally and across the nation. The patient-centered care platform integrates inpatient
care and outpatient clinic visits, supports physician order entry, physician documentation, nursing
notes, etc., and connects with multiple other laboratory systems in conjunction with the solution
specific to the organ transplant. The system should be designed to capture back-office
documentation and workflow management, manage patients and populations, drive workflow follow-up on
patients independent of scheduled clinic visits, and capture patient data. This data can then
report on the multiple, strict regulatory requirements for transplant patients.&nbsp; 
<br /> 
<br />Typical integration points include bidirectional interfaces from the hospital's EHR or
regional HIE, including clinical data, medication reconciliation, problem lists, and clinical
context object workgroup (CCOW) visual integration.&nbsp; Population analytics and reporting are
one of the crucial components of collaborative organ transplant care. This data is used daily, for
example, to determine appropriate patients that are eligible to receive organ transplants based on
clinical guidelines, as well as location of patients. Beyond research queries, population data
informs and improves clinical outcomes.&nbsp; 
<br /> 
<br />One example of a collaborative care platform for organ transplant is The Shands Transplant
Center at the University of Florida. The Shands Transplant Center is ranked nationally for overall
transplants performed. The center features multidisciplinary teams of specially trained physicians,
coordinators, nurses, social workers, pharmacists, physical therapists and psychologists who are
experts in transplant care. The program draws transplant patients from throughout the United
States, and has been performing transplants since 1966. 
<br /> 
<br />Over the years, Shands has expanded its transplant program to a total of six
specialties:&nbsp; liver, kidney, pancreas, heart, lung, and heart-lung.&nbsp; However, among the
programs, there were six databases for tracking patient information - everything from height and
weight to blood type and lab results. It was becoming very difficult to manage and maintain six
disparate applications running on different operating systems and utilizing different software.
Although the data was available, it was proving difficult to manage.&nbsp; 
<br /> 
<br />With more than 300 transplants being performed every year, the need for a single
collaborative care solution became increasingly apparent. The center's priority for a solution was
data integrity, strong demographics, transplant phases, patient management and diagnostic testing.
It implemented a collaborative care organ transplant platform with modules for its six. Shands now
has converted 36 years worth of data in six transplant programs to a collaborative care organ
transplant platform solution. 
<br /> 
<br />"After the data is entered by a transplant assistant, it is reviewed by a transplant
coordinator, then reviewed by an information specialist, then reviewed by a senior information
specialist, and ultimately reviewed by the physician," said Ian Jamieson, transplant manager at
Shands. "We feel we have a strong system of checks and balances in place to satisfy the data needs
of Dr. Richard Howard, medical director, Shands Transplant Center at UF, and our transplant staff."<br /> 
<br />The complexity of clinical, financial and administrative care needs of a transplant patient
are staggering and therefore best served by a coordinated effort from all caregivers across the
care continuum. 
<br /> 
<br /> 
<hr />
<img width="129" height="58" border="0" align="right"
src="../Resource_Center/Blog_News/Blog/2012/images/HKSlogo.gif" alt="HKSlogo" />Paul
Markham is the COO of 
<a href="http://www.hksys.com">HKS Medical Information Systems</a>, a developer of software
products that improve the quality of patient care and workflow management, and provide operational
efficiencies for the healthcare industry. 
<br /> 
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<title><![CDATA[Herding Cats: Controlling the Privacy Breach Epidemic in Healthcare]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2012/January/Herding_Catsx_Controlling_the_Privacy_Breach_Epidemic_in_Healthcare.html</link>
<pubDate>January 5, 2012</pubDate>
<description><![CDATA[Like herding cats, adhering to HIPAA and preventing privacy breaches is a full-time effort
requiring concentration and diligence. Over 90 percent of breaches are caused by human error. The
remaining are more nefarious, potentially involving medical identity theft, medical fraud or
organized crime. &nbsp;&nbsp;&nbsp; 
<br /> 
<br />Historically, HIPAA has been based on "voluntary" compliance. This era is ending as HHS and
OCR have stepped up their enforcement. The costs and other downsides of breaches are more onerous (<em>see Massachusetts eHealth Collaborative President and CEO Micky Tripathi's compelling " 
<a
href="http://www.histalkpractice.com/2011/12/03/first-hand-experience-with-a-patient-data-security-breach-12311/">First-Hand
Experience with a Patient Data Security Breach</a> at HISTalkPractice.com</em>), and HIPAA security
audits will soon begin. In other words, HIPAA now has teeth - a bite to back up its bark.
&nbsp;&nbsp;&nbsp; 
<br /> 
<br />It has gotten to the point that the costs of prevention are far less than the costs of a
breach, especially a massive one. And healthcare executives are paying attention. More
organizations now have security officers and a security budget. Allocating already-scarce financial
resources and human capital to the breach problem shows a change in thinking in the industry. 
<br /> 
<strong>
<br />Steps to Take Now&nbsp;&nbsp;&nbsp;</strong> 
<br />However, like most things in healthcare, the change is fairly glacial and will take time to
spread. Until privacy and security become second nature to healthcare executives and providers, a
few important and practical steps should be taken. 
<br /> 
<br />The human error aspect of breaches is solvable only through 
<strong>education and then more education</strong>. The time of cursory HIPAA training, and policy
and procedure manuals sitting on a shelf collecting dust is over. Continuing education, access to
legal counsel, encryption and risk assessments are practical steps that every healthcare provider
should be taking ... now!&nbsp;&nbsp;&nbsp; 
<br /> 
<br /> 
<strong>Training</strong> is a living process that requires updates and constant attention. It
should involve a curriculum of courses building on each other, which provide continual
reinforcement of the HIPAA principles and workflow requirements needed to minimize risk. Using or
employing legal counsel and purchasing cyber liability insurance are becoming commonplace.
&nbsp;&nbsp;&nbsp; 
<br /> 
<br /> 
<strong>Encryption</strong> is best practice and is likely to become mandated in the near future.
If encrypted data is lost, it is not considered a breach and is not reportable to the government or
media. But beware, breaches that are deliberate may be inside jobs resulting in breached decryption
codes and accessible information. Technologies are emerging that can even help with this issue by
wiping clean information on a laptop if it is seen to be at risk.&nbsp;&nbsp;&nbsp; 
<br /> 
<br />Perhaps the most important practice a provider can undertake is 
<strong>regular risk assessments</strong>, as mandated by HIPAA. Not only must regular risk
assessments be done, but recommendations stemming from the assessment must be followed up on. Risk
assessments are best if they combine internal assessments with external assessments. External
auditors bring a wider knowledge base and are likely to see things that providers may inadvertently
overlook.&nbsp;&nbsp;&nbsp; 
<br /> 
<br />Unfortunately, breaches are inevitable. There is simply too much patient information moving
about to eliminate all the risk. Not only must providers have a strong commitment to prevention,
but they must also establish a detailed program that determines who does what and when after the
inevitable breach occurs. 
<br /> 
<br /> 
<hr />
<br /> 
<a href="javascript:void(0);/*1325795776619*/">
<img width="150" height="23" border="0" align="right"
src="../Resource_Center/Blog_News/Blog/2012/images/HealthPort.JPG"
alt="HealthPort" />
</a> Rita Bowen, MA RHIA, CHPS, SSGB, is Senior Vice President and Privacy Officer at 
<a href="javascript:void(0);/*1325795818702*/">HealthPort</a>, <span class="st">a provider of release of information services and technology, audit management
technology and health information technology.</span> 
<br /> 
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<title><![CDATA[ACO Administration: the Devil is in the Details]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/December/ACO_Administrationx_the_Devil_is_in_the_Details.html</link>
<pubDate>December 12, 2011</pubDate>
<description><![CDATA[The healthcare industry has heard and seen a plethora of articles and seminars on how to go about
the care redesign process regarding accountable care organizations (ACOs). What seems to be missing
in these resources are any mention of the administrative elements - those boring things that, if
gotten wrong, will preclude an ACO from assured success, whether that be economically or
qualitatively. At the highest level, there has been a dearth of discussion on the corporate risk
structures and the administrative, financial and other management elements needed for an ACO to
truly be successful. 
<br /> 
<br />Let's not get into ethereal change management discussions, but rather stay with the concrete
details - those that are separate from the clinical uses of data. There are key administrative
tasks that arise from this expanded data flow and "accountability." For example, there are several
basic reconciliations, such as assigned patients against paid claims. What happens with those
patients whose activities trigger assignment only in the last few months of the year, but whose
contracts are for a full year? How does an organization measure revenue, risk and the quality
numerators and denominators? 
<br /> 
<br />Everyone is presumably familiar with IBNR (Incurred But Not Reported). What about the
equivalent for patient assignment, or "Future Retroactively Assigned Patient Transactions?" One
could certainly have fun playing with that acronym. 
<br /> 
<br />In the commercial world, where everything is negotiable, what level of risk/financial
participation is appropriate for catastrophic events - in-area versus out-of-area, in-network
versus out-of-network, or regarding such things as subcapitation, bulk payments, national contracts
... The list goes on. And all of these flex on size and sophistication of the organization. 
<br /> 
<br />Regarding Medicare ACOs, most commercial carriers brag about a 98-percent accuracy of their
claims payment systems. CMS, in its 2011 performance budget, indicates that the error rate for CMS
Fiscal Intermediaries is as high as 12.4 percent. Establishing a second, independent adjudication
process at 98-percent accuracy could save roughly 10 percent. Even if CMS is fully successful, then
an ACO could count on a savings approaching 6 percent just from the second adjudication. As these
files are completely electronic by the time they get to an ACO, the cost of this adjudication
should be minimal - perhaps 1 percent? 
<br /> 
<br />Lastly and extremely importantly, current reinsurance models simply do not fit the risk and
financing structures of ACOs and savings/gain-sharing programs. Depending on the size and
sophistication of the effort, this ranks right up there as a top five make or break decision. 
<br /> 
<br />Mike Barrett is CEO of 
<a href="http://www.ascendentcare.com">Ascendent Care</a>, a consulting firm that specializes in <span style="font-family: Verdana;">recognizing how existing, emerging and proven technololy,
processes and knowledge can be adapted, adopted and deployed in various healthcare markets and
settings.</span> 
<br /> 
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<title><![CDATA[ICD-10: The Evil Twin of the Metric System?]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/December/ICD-10x_The_Evil_Twin_of_the_Metric_Systemx.html</link>
<pubDate>December 9, 2011</pubDate>
<description><![CDATA[Since 1866, the US has been the only industrialized country in the world to not use the metric
system. Fast forward to the present, and it is becoming the only industrialized country loathe to
use the updated ICD-10 system. Why? According to recent AMA reports of possible postponement,
physicians do not understand the intended benefits and future value to them or to their patients. 
<br /> 
<br />The perceived benefits of ICD-10 are in fact difficult for physicians and patients to glean
in the short term. The sidebar of benefits below emphasizes that the value comes further down the
road, in a long-term manner. When the 'whys and why nots' of ICD-10 implementation are analyzed,
it's important to consider the bigger picture. ICD-10 goes beyond physician usage and looks to
trending and reporting for the CDC. 
<br /> 
<br /> 
<hr />
<div align="left">
<strong><span style="font-size:10.0pt">
<em>Benefits of ICD-10</em>
</span>
</strong> 
<strong><span style="font-size: 10pt;">
<em>*
<br /></em>
</span>
</strong> 
<ol>
<li><span style="font-size: 10pt;">
<em>Measuring the quality, safety and efficacy of care</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Designing payment systems and processing claims for reimbursement</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Conducting research, epidemiological studies, and clinical trials</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Setting health policy</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Operational and strategic planning and designing healthcare delivery systems</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Monitoring resource utilization</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Improving clinical, financial, and administrative performance</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Preventing and detecting healthcare fraud and abuse</em>
</span>
</li>
<li><span style="font-size: 10pt;">
<em>Tracking public concerns and assessing risks of adverse public health events</em>
</span>
</li>
<li style="list-style: none">
<em>* As reported by the Centers for Medicare and Medicaid Services (CMS)
<br /></em>
</li>
</ol></div>
<hr />
<br />Providing the top reason for hospitalization to a state newspaper was done first by grouping
discharges by MDC, which were not specific enough; the next step was DRG codes, which were also not
telling of diagnoses. Finally, the data had to be grouped by ICD-9 diagnosis codes. It was
surprising to see how many "unspecified" codes were being reported. It became weren't providing the
data and statistics necessary to paint the entire patient picture were not being provided. 
<br /> 
<br />The pushback from physicians is understandable because ICD-10 undoubtedly creates more time
and more documentation. However, ICD-10 will finally allow for an overall of the National Coverage
Determination and Local Coverage Determination. This may result in the refinement and expansion of
allowable codes to justify medical necessity. For example, many physicians still use an ICD-9
"cheat sheet," but many of the codes are non-specific and may not even warrant medical necessity.
Under ICD-10, more defined codes will allow for more descript reporting of the patient's condition,
and should assist in decreasing denials due to lack of medical necessity. 
<br /> 
<br />Beyond the documentation argument and rebuttal, there is the issue of cost to physicians.
There is no denying the money that must be invested in new systems, people and processes. But then
again, investment in time and money is always required to change a severely outdated system or
process. 
<br /> 
<br />To hold off on the rollout of ICD-10 would be a potential catastrophe and a huge mistake. On
the subject of investment, there are currently countless budgets across the nation devoted to
ICD-10 implementation programs. To set the date back further would strip the urgency of the matter
and in the long run (no pun intended), no one would take the initiative seriously. 
<br /> 
<br />Almost every major country except the United States has made the move to ICD-10. It's time to
push forward, look ahead and focus on the future of patient care and reporting. After all, the
point has already been proven with resisting the metric system, so perhaps let's enable the US to
join other industrialized nations and adopt ICD-10 on time and in good fashion. Agreed? 
<strong>
<br />
<br />
</strong> 
<hr />
<strong>
<img width="185" height="46" border="0" align="right"
src="../Resource_Center/Blog_News/Blog/2011/Images/himlogo.jpg" alt="himlogo" />
</strong> Joseph J. Gurrieri, RHIA, CHP, is Vice President and COO 
<br />of 
<a href="http://www.himoncall.com">H.I.M. On Call</a>, which provides technology-enabled coding,
audit, revenue and documentation services for hospitals. 
<br /> 
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<title><![CDATA[The Future of Physician Workflow: How Mobile Technology Improves Physician Productivity]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/November/The_Future_of_Physician_Workflowx_How_Mobile_Technology_is_Improving_Physician_Productivity.html</link>
<pubDate>November 21, 2011</pubDate>
<description><![CDATA[In an age of increasing regulation, shrinking reimbursements and a higher demand for services,
healthcare providers, and more specifically their employed physicians, are being asked to do more
with less. Many providers are beginning to realize the financial incentives developed for adopting
healthcare IT systems whose purpose is to improve care coordination and physician alignment often
come with the unintended consequence of reduced productivity. In many cases, doctors and staff are
required to replace their traditional daily workflows with a set of new, unfamiliar and often
burdensome changes for delivering and documenting patient care. 
<br /> 
<br />In healthcare today, rapid change is not merely an industry desire, but rather a mandated
inevitability. Although many resist such change as an unwelcome burden for their practice or
hospital, others see the advances in mobile technology as a solution to many of the disruptions in
physician workflow, one that could ensure a subsequently painless transition to electronic health
records (EHRs) while maintaining or even improving current productivity levels. 
<br /> 
<br />As physicians now provide patient care across multiple facilities and settings, they have
begun to desire a higher degree of mobility and flexibility in their workflows and processes. While
successes in cloud computing have steadily improved care coordination - albeit at a snail's pace -
nothing since the advent of the computer has transformed the way physicians access and edit patient
information, document clinical notes, and interact with their patient population like the
introduction of smartphone and tablet devices. 
<br /> 
<br />Whereas practice management tools and EHRs are currently built for the PC environment,
software built for smartphones and tablets has enabled doctors to be truly mobile, giving
physicians the freedom to escape the workstation and complete many of their daily workflow tasks on
the go. Although healthcare adoption of mobile technology is still in its infancy, it was recently
reported that 75 percent of U.S. physicians own some form of Apple device, a trend that most
experts agree will persist as the now fertile mobile app industry continues to grow and mature.
Even though such devices have only been on the market for a handful of years, physicians can now
dictate clinical notes with their iPhone, review MRIs from their iPad, and approve and sign
documentation from anywhere in the world with an array of cloud-based software. 
<br /> 
<br />Furthermore, compared to many of the legacy systems that require healthcare providers to
purchase and maintain a large and often expensive hardware infrastructure, deploying mobile
solutions - many of which can run on the same smartphones and tablets physicians already carry -
can reduce the financial burden of regular hardware upgrades, and substantial maintenance and IT
support costs. 
<br /> 
<br />Even many of the traditional PC-Based EHR vendors are turning to mobile apps to increase
physician adoption. By capitalizing on the intuitive and easy-to-use tap-and-go interfaces that are
becoming a prerequisite for mobile devices, these vendors seek to streamline the core functionality
of their software for physicians and other end users. As deeper integration with legacy systems
occur, and concerns over data security and HIPAA compliance are alleviated, many predict the mobile
device could take over the primary place in a physician's daily toolkit. 
<br /> 
<br /> 
<hr />
<img width="125" height="55" border="0" align="right"
src="../Resource_Center/Blog_News/Blog/2011/Images/entradalogo.jpg"
alt="entradalogo" /> 
<br />Chase Pattison is Marketing Director at Entrada Health, which provides clinical documentation
and information sharing technology. 
<br /> 
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<title><![CDATA[Slowly But Surely, CPOE Gets Its Legs]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/November/Slowly_But_Surelyx_CPOE_Gets_Its_Legs.html</link>
<pubDate>November 4, 2011</pubDate>
<description><![CDATA[It's amazing to think how long the healthcare industry has put up with handwritten notes scribbled
on pieces of paper to drive such critical clinical activities as ordering lab tests, requesting
radiology screenings or even prescribing medications. Information vital to a patient's treatment
and recovery is put at risk of being misinterpreted, misused or misplaced. Besides potentially
negative effects on patient care, paper-dependent processes also can have financial ramifications -
if orders are incorrectly coded, for example. 
<br /> 
<br /> Understandably, physicians are concerned that automating this process-commonly known as
Computerized Physician Order Entry (CPOE)-will add time to what can be an already harried patient
encounter. However, there are efficiencies and cost savings that can be gained downstream-such as
preventing handwriting and transcription errors, decreased time for staff follow up and integration
with the patient record. 
<br /> 
<br /> CPOE was thrust into the spotlight by the Obama administration's economic recovery efforts,
which promised incentives to healthcare providers who implemented healthcare IT, provided they used
the technology in a meaningful way. This "Meaningful Use" clause outlined specific technical
objectives that a provider organization must incorporate, including CPOE for medication ordering.
Unfortunately, adoption and use of this technology has been slower than expected. Despite that,
Meaningful Use is driving significant discussion about how CPOE will impact future care delivery. 
<br /> 
<br /> To foster greater acceptance, physicians likely need to witness CPOE's additional workflow
advantages first-hand, including its ability to reduce or eliminate transcription errors that have
both monetary and care-quality implications. Providers may also be encouraged by the technology's
many inherent business and clinical rules being developed by leading software vendors. If a
physician were to write an electronic prescription, for example, an application should have the
ability to warn the provider when information appears to be inaccurate, or prompt them when more
data is needed to complete the order. And, in many cases, these features can be modified to fit
provider preference. Many vendors are also designing CPOE technologies to be more flexible within
clinical and administrative workflows. Developers understand that if a solution cannot to a certain
degree be formulated to fit a hospital's existing processes, clinicians will be less likely to use
it. 
<br /> 
<br /> Especially in light of stage two Meaningful Use requirements, physicians are realizing that
discrete data-information with finite, comparable values-is vital to the integrity of an
electronically driven healthcare system. Providers will not be able to share these data elements
across complex care teams if they are not directly entered in the electronic health record (EHR) at
the point of care. 
<br /> 
<br /> Digital healthcare is here to stay. Meaningful Use and other government incentives have
helped the healthcare IT movement gain momentum. However, many believe that long-term benefits
beyond incentive payments and penalties are showing their promise to providers. There are holdouts,
of course, but physicians are steadily jumping onto the technology bandwagon with the understanding
that, while it may alter clinical workflow to a degree, healthcare IT can facilitate and streamline
the entire care process. From the moment a patient calls to schedule an appointment until payment
is made on a claim, healthcare IT can enhance both clinical and revenue cycle performance.
Visionaries see a future in which every facet of EHRs, including CPOE, is so tightly integrated
into a physician's workflow they won't hesitate to use it to their advantage. 
<br /> 
<br /> Think of CPOE, along with other enabling applications, as a vital link in a chain of
care-giving events that will assist providers in delivering the highest quality, most coordinated
care possible. 
<br /> 
<br /> 
<hr />
<img width="205" height="74" border="0" align="right" alt="emdeonlogo"
src="../Resource_Center/Blog_News/Blog/2011/Images/emdeonlogo.jpg" /> 
<br /> Eric Reynolds is Vice President of Clinical Services at Emdeon, a a leading provider of
revenue and payment cycle management and clinical information exchange solutions, connecting
payers, providers and patients in the U.S. healthcare system. 
<br /> 
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<title><![CDATA[Customer Retention Key to Continued Success]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/October/The_Art_of_Customer_Retention.html</link>
<pubDate>October 21, 2011</pubDate>
<description><![CDATA[In today's frenzied era of change - whether that be constantly shifting healthcare reform
regulations, daily announcements of mergers and acquisitions, or a steady stream of new healthcare
IT product solutions, current customers can occasionally get lost in the shuffle. Businesses can
often become so busy building buzz around new innovations in order to attract new business that
their number-one lead source - current customers - gets put on the back burner. 
<br /> 
<br />Some have said recently that public companies may feel more beholden to shareholders than
their client base, while private companies feel no such burden. No matter how companies - public or
private - define their success, all successful companies should realize that nearly just as much
attention should be paid to fostering the relationship with their current customers as that placed
on seeking new ones. 
<br /> 
<br />"We believe that if our customers are successful, then we're going to be successful," says
Eric Grunden, Vice President of Client Services at Greenway Medical Technologies, an EHR vendor
based in Carrollton, Georgia. 
<br /> 
<br />Greenway has for a number of years stuck with the tagline "What's Your Experience?," a
reflection of the company's number-one core value - service. Greenway conducts up to 80 'What's
Your Experience?' customer site visits each year to ensure that the entire process - from sales to
post-implementation - has gone smoothly and all questions and concerns have been attended to. "Our
executive team is required to do at least four apiece throughout the year - on site, face to face,"
Grunden adds. 
<br /> 
<br />The company's annual PrimeLeader customer conference is a greater extension of these visits,
offering users from across the country the opportunity to come together and give their candid
feedback. 
<br /> 
<br />"As with any national conference, we roll out new services and software, and have a lot of
events to where our customers can be a part of focus panels and advisory committees around not just
the product, but with regard our presence in Washington as well," he says. "We really want to hear
what our customers are concerned about, and whether or not we're on the right track. Are we
representing them the right way? Because they don't have a presence in Washington, so we need to.
More than that is finding out what are the services that we need to offer today that we didn't five
years ago." 
<br /> 
<br />The balancing act at Greenway of devoting time and resources to attracting new customers and
maintaining current ones is delicate. "At the end of the day, if we take care of our current
customers, the new customers automatically come," Grunden says. "I think if you look at how we're
regarded within this industry, what our customers are saying and the fact that our best reference
is our existing customer base - that's our best marketing. That goes farther than anything a
magazine ad can do or any booth at MGMA. 
<br /> 
<br />"We know our number-one referral source is our customers. It's something we pride ourselves
on. I think it's a culture here. I guess it's a Southern thing - you dance with the one that brung
ya." 
<br /> 
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<title><![CDATA[Seven Goals for Business Intelligence Implementation in Healthcare]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/October/Seven_Goals_for_Business_Intelligence_Implementation_in_Healthcare.html</link>
<pubDate>October 10, 2011</pubDate>
<description><![CDATA[The healthcare industry has begun paying (and publicizing) serious attention to business
intelligence solutions and the value this type of healthcare IT can bring to providers. As
healthcare systems and private physicians look into new business models related to coordinated care
programs like accountable care (ACOs), they are realizing the benefits business intelligence tools
can bring to the process of significant investment decisions. 
<br /> 
<br />Porter Research profiled this industry trend in the recent article " 
<a
href="http://www.porterresearch.com/Resource_Center/Blog_News/Industry_News/2011/August/Business_Intelligencex_Key_to_a_Hospitalxs_Continued_Success.html">Business
Intelligence: Key to a Hospital's Sustained Success</a>," which looked at how providers like
Alegent Health&nbsp; - a faith-based health ministry that operates 11 facilities in Nebraska and
southwestern Iowa - are using business intelligence to gain a "critical understanding of their
performance in both cost and quality at both the individual encounter and episodes of care levels."
<br /> 
<br />Providers are paying attention, that's certain. Kirk Mahlen, a healthcare IT executive from
the greater Minneapolis-St. Paul area, commented on the ideas above in a recent LinkedIn discussion
based on the aforementioned article. "BI potentially unlocks the true value associated with
significant investments in clinical and financial systems across the continuum," he wrote. He
suggested that providers use available information to: 
<br /> 
<br />1. Improve clinical, financial and operational performance 
<br />2. Target investments in business and clinical intelligence solutions 
<br />3. Improve data availability and completeness 
<br />4. Transform data into useable information 
<br />5. Gain actionable insights by grouping populations and entities 
<br />6. Improve access to and utilization of existing tools and technologies 
<br />7. Apply insights through feedback loops to business and clinical processes. 
<br /> 
<br />Mahlen ends his comment with a thought-provoking question: Where do organizations start on
this journey - particularly those that have not already developed these capabilities, including a
strategy supporting a build versus buy decision? Perhaps another question to add would be: How
should providers determine whether they strive for an enterprise (single solution) business
intelligence strategy or one that incorporates multiple programs and is decentralized? 
<br /> 
<br />Providers are facing some especially tough decisions with regard to adopting enterprise-wide
business intelligence solutions, a big focus for many as the availability of clinical data has
become more prevalent with the push to adopt electronic medical records. Many currently have
different business intelligence tools for different departments such as clinical and financial, so
the question becomes not only, 'do we build or buy,' but once it's implemented, 'how is this new
tool managed? Who defines the standards around the data, and who then owns the data?' Internal
technological and organizational changes will have to be made to accommodate these types of tools. 
<br /> 
<br />Porter Research will expand upon this topic at next month's 
<a href="http://www.everythingchannelevents.com/hcits_11">Healthcare IT Summit</a> in Palm Springs,
Calif., when the team presents sessions on "Breaking Down the Buzz of Business Intelligence" and
"Moving Forward with Coordinated Care" to provider attendees. 
<br /> 
<br />How is the provider community currently handling these challenges? Weigh in with your
observations via 
<a
href="https://www.hitr.com/index.php?request=discussion_thread&amp;id=8b554cb0adb41a23bfa5410d2376f651">the
discussion</a> going on right now at HITR.com - the healthcare IT benchmarking and social
networking site for healthcare providers and vendors. 
<br /> 
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<title><![CDATA[HIE Pathways to Success]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/September/HIE_Pathways_to_Success.html</link>
<pubDate>September 21, 2011</pubDate>
<description><![CDATA[Health information exchange (HIE) is a market that continues to develop. As the market matures, the
healthcare industry has come to recognize two basic types of HIE - the public and the private. A
public HIE is led by a third-party organization founded for the purpose of establishing and
delivering the technology and services that enable exchange in a community. A private HIE is one
sponsored by a hospital or health system to improve collaboration and care quality in its
community. 
<br /> 
<br /> 
<strong>Lead or Be Led</strong> 
<br /> A recent report, " 
<a href="https://www.klasresearch.com/Store/ReportDetail.aspx?ProductID=642">Health Information
Exchanges: Rapid Growth in an Evolving Market</a>," looks at the state of the HIE market, and
highlights the challenges public HIEs face. These include how to engage competing healthcare
organizations, ease physician adoption, ensure data integrity, cost-effectively handle
interoperability and develop a sustainable model. 
<br /> 
<br /> The most successful public HIEs are figuring out how to overcome these barriers and deliver
value to participating providers through flexible connectivity services. For their part, provider
organizations can do much to ensure the success of public HIE endeavors. In fact, healthcare
enterprises that have already plotted their own HIE course can proactively contribute to the
direction of a public HIE rather than following a prescribed direction - thus addressing their
unique business needs while simultaneously helping the public HIE serve the needs of the extended
community. 
<br /> 
<br /> In a time of incredible and rapid change, a provider's ability to forge his or her own
destiny at their own pace is increasingly important. Perhaps that is why the number of live,
private HIEs has catapulted to 161 from just 52 last year, according to figures cited in the report
mentioned above. These private HIEs - led by hospital enterprises - succeed by addressing issues of
sustainability, adoption and clinical integration specific to the needs of their organization. 
<br /> 
<br /> 
<strong>Business Drivers for Private HIE</strong> 
<br /> Utah-based Intermountain Healthcare, a nonprofit integrated healthcare delivery system,
acted swiftly when a national reference laboratory competitor began to offer electronic delivery of
lab results to physician practices, creating vocal dissatisfaction among some practices.
Intermountain set out to address this and the interoperability challenges associated with diverse
provider environments. The plug-and-play, data-driven, private HIE solution it came up with
leveraged existing technologies and enabled Intermountain to bring on practices and add new
functionality as needed, to meet the diverse needs of its community. The HIE has improved care
coordination, increased physician satisfaction and strengthened its competitive position. 
<br /> 
<br /> Private HIEs have also proven successful for competing healthcare systems. Michigan Health
Connect (MHC), a multi-region private HIE, was formed through the collaboration of three competing
health systems that had independently and unknowingly selected the same technology to automate
distribution of clinical data and lab results to affiliated physicians. With shared business
drivers, the HIE continues to grow and attract more health systems. Today, MHC is comprised of
eight independent health systems. 
<br /> 
<br /> MHC has also successfully engaged physicians in its HIE, targeting a prime physician pain
point - the workflow bottleneck associated with coordinating referrals. Delivering operational
value to practices paid off for MHC, spurring rapid, word-of-mouth adoption of its electronic
referrals solution that continues to expand at an unprecedented pace. 
<br /> 
<br /> Providers interested in the care collaboration and other workflow efficiencies gained
through health information exchange have a number of paths to choose from. Those with the long-term
vision, clearly defined goals and commitment to collaborating with their communities will control
their own destiny and their ability to achieve successful outcomes. 
<br /> 
<br /> 
<hr />
<img width="175" height="61" border="0" align="right"
src="../Resource_Center/Blog_News/Blog/2011/Images/medicitycms.jpg"
alt="medicitycms" /> 
<br />Brent Dover is President of Medicity, a developer of health information exchange solutions
for physician practices, hospitals and health systems, and health information organizations. 
<br /> 
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<title><![CDATA[Emotionally Connecting to Healthcare IT]]></title>
<link>http://www.porterresearch.com/Resource_Center/Blog_News/Blog/2011/September/Emotionally_Connecting_to_Healthcare_IT.html</link>
<pubDate>September 8, 2011</pubDate>
<description><![CDATA[Amidst planning for the AHIMA 2011 Convention &amp; Exhibit in Salt Lake City next month, sending
out surveys to providers in preparation for presentations at the Healthcare IT Summit in Palm
Springs later this fall, and helping to launch affiliate website HITR.com, the Porter Research team
continues to work with healthcare IT clients both old and new to bring new innovations to market. 
<br /> 
<br />No matter the age of the company, the establishment of its most successful brands, or the
extensive experience of its management, the most successful clients are those that take Porter
Research's market findings and use them to establish a true connection between their products or
brands and the people or healthcare organizations that buy them. Sure, a healthcare IT vendor can
label its product one version greater than its competitor's, but leapfrogging will only take a
brand so far. That doesn't convey to the hospital CIO just how beneficial a new healthcare IT
implementation or upgrade will be to that facility's patients. 
<br /> 
<br />Every buyer, at some level, makes this sort of "emotional buy." They may use logic to
evaluate, but emotion is what prompts the final sale. Daniel Klein, Vice President, Practice Leader
- Technology Marketing Professional at Forrester Research, summed up nicely the necessity for the
establishment of an emotional connection between product value and customer benefit in his blog
earlier this year. He boiled it down to three bullet points: 
<br />&nbsp;&nbsp;&nbsp; 
<br /> 
<strong>* It's about the experience.</strong> 
<br />It's no longer about what the new IT system does, but about the experience it creates for the
user and, ultimately, the positive outcome it helps to create for the patient.&nbsp;&nbsp;&nbsp; 
<br /> 
<br /> 
<strong>* Moving from a rational brand to an emotional brand.</strong> 
<br />Klein points out that "...the emotional side of performance has to do with not disrupting a
user's work with an unexpected application crash, freeze, etc. Thus, technology marketers should
instead think about the emotional connection to performance - such as no more annoying hourglasses
when completing your expense report." 
<br /> 
<br />This school of thought seems especially applicable to healthcare IT right now, as there are
still many providers out there who don't want the hassle of implementing and learning a new system
just for the sake of Meaningful Use incentive dollars. They are afraid of workflow interruptions,
which may potentially affect their ability to care for patients.&nbsp;&nbsp;&nbsp; 
<br /> 
<br /> 
<strong>* The "consumerization" of IT.</strong> 
<br />Electronic medical records, e-prescribing systems, business intelligence tools and the like
are not used just by the individual that writes the check to purchase them. Healthcare IT marketers
must keep in mind the need to connect with the numerous end users that will also interact with the
product or brand on a daily basis. As Klein relates, "Technology marketers must find and engage
these non-IT influencers if they are going to be relevant in this new world." 
<br /> 
<br />As Porter Research tells its clients, competitive and market analysis, and customer
experience research can only take a brand so far. Vendors must also take the "emotional buy" into
consideration, and tap into that part of the buying process by creating a "picture" of the results
of the purchase decision. That image can range from increased patient quality outcomes to
visualizing work done faster and with more accuracy. The buyer must also see a personal win, such
as a positive career step or enhanced professional reputation. 
<br /> 
<br /> 
<em>How have you seen healthcare IT vendors use these techniques to create an added level of
benefit for their customers? Join 
<a href="http://www.linkedin.com/groups/How-have-you-seen-healthcare-2776147.S.69848165">the
discussion and share examples</a> at the Healthcare Intelligence Hub group on LinkedIn.</em> 
<br /> 
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