Transforming Healthcare Business Models

The use of EMRs and other healthcare information technology, partly driven by provisions of the HITECH act, requires clinicians to abandon their former workflow. This disruption makes accessing the right patient information at the right time from the right location to drive critical care decisions difficult and inefficient. In addition, this modified workflow presents significant patient safety, security, and privacy challenges. In this session, attendees explore how to improve the clinical experience by bridging the gap between effective clinician workflow and clinical computing.

The emergence of medical homes and accountable care organizations, along with changes in risk-based insurance, is causing payers and providers to re-think their business models, sources of revenue, and competitive differentiation. Many companies are aggressively converging into new forms of integrated healthcare companies which create new opportunities but also challenges to services, systems, and data.

This discussion will:
• Reveal the pragmatic side – what companies are dealing with today
• Discuss changing physician, provider, payer relationships
• Explore changing business structures and the underlying competencies
• Address financial aspects and implications

The digital age is the age of Big Data where every piece of technology captures “bits” available for later use. Analyzing all this data will have a profound impact on the “Business of Healthcare,” whether delivering operational efficiencies or personalized medical care. The growth in such data is expanding exponentially due to the explosion in the use of healthcare IT. All of these data sources will play a critical role for the formation of Accountable Care Organizations and other new care models.

Join the discussion with healthcare industry luminaries and:
• Learn about the sources of big data in healthcare
• Explore the potential value of big data in changing healthcare delivery
• Review the technologies necessary to tap into big data’s value
• Examine the obstacles to effectively leveraging big data in a healthcare setting

While much of the provider world focused on implementing EMRs and tuning up their HIT applications to quality for meaningful use funding over the last several years, payors focused on using information technology to streamline and modernize their own business processes. In this session, attendees will hear from a respected and experienced payor executive who will present his view of a future molded by healthcare information technology.

Topics covered include:
• Provider and patient access of information across multiple platforms (e.g., payors, EMRs, insurance exchanges)
• Use of multiple types of devices for data access
• Delivery of telemedicine with self-service options
• Role of predictive analytics in healthcare delivery and population management

Healthcare information technology has evolved from simple data entry and storage to data retrieval and distribution for point-of-care clinical use. This new application of healthcare data requires organizations to address security and privacy while making available the data on a variety of form factors delivered in a multitude of user-defined ways. Adoption of healthcare IT requires the new tool to support clinical workflow rather than impede it.

In this session attendees will:
• Learn about the impact of clinical workflow on adoption
• Review the different workflow requirements of different clinicians
• Understand the impact different workflow has on clinical IT systems
• Explore the potential impact of workflow on patient safety and quality care

Hospitals are again attempting to align with physicians largely through two approaches: employment and also through clinical integration. Only this time it is to better coordinate high-quality care across the continuum, not just to strengthen referral patterns, as in the 1990s. Join the discussion with Jim Adams on how Clinical integration Networks (CINs) along with affiliated (i.e., non-employed) physicians bring a host of issues, both non-technical and technical.

In this session attendees will:
• The relationship of CINs to accountable care
• Some of the key technologies needed for the IT infrastructure for CINs.
• The IT architectural alternatives for CINs

Market and legislative forces are driving more organizations to recognize the individual at the center of the healthcare system and to weave consumerism throughout their business processes and services. Concurrently, individuals are accelerating their use of technologies to become more knowledgeable and empowered consumers and influencers of healthcare. To redefine value and success in healthcare, we need to establish consumer-centricity at the core of healthcare.

In the session, attendees will:
• Identify key characteristics necessary for organizations to develop a customer-centric, performance-based, outcomes-driven approach to health care;
• Describe how to leverage new data sources to support decisions that improve value and care; and
• Share lessons learned from other industries that have already made the transition to smarter commerce and social business.

Patient portals, implemented by many healthcare providers, support on-line patient communication. In addition, social media sites, already regularly used by patients and their families and friends, present an opportunity to expand patient access to their physicians.

In the session, attendees will:
• Understand the benefits of leveraging social media sites for patient-clinician communication
• Review how YouTube can be leveraged for patient education and interactive discussion
• Explore administrative functions, such as patient scheduling and billing that can be facilitated using social network functionality

As healthcare begins its migration from fee for service to fee for value, EMRs are now a means rather than an end. In this session, we will discuss what the fee for value, and clinical and business drivers for information are, and what are information approaches to the new core competencies.

Topics covered include:
• Clinical integration and just in time registry information
• Integrating heterogeneous emrs in the community and private HIEs
• Clinical and Financial analytics
• Digital strategies for patient engagement