NewYork-Presbyterian exec details organization's virtual health investments | Liz Johnson comments on investing in telemedicine technology | Survey examines IT leaders' technology budgets, spending plans in 2018
NewYork-Presbyterian has developed more than 50 telehealth programs as part of its telemedicine service suite, resulting in 600% growth during the past year, and NYP now wants to expand remote patient monitoring services, said Dr. Peter Fleischut, senior vice president and chief transformation officer. Fleischut said virtualization such as artificial intelligence, machine learning and robotic process automation "are fundamental core tools that are needed in the future delivery of care."
Liz Johnson comments on investing in telemedicine technology
(Liz Johnson, CIO Acute Care Hospitals and Applied Informatics, Tenet Healthcare Corp.)
There is no doubt that the newly approved federal budget has provided a potential stimulus for the advancement of telemedicine services. Bolstered by the passage of legislation that focuses on reducing the burden that all CIOs have experienced with the Meaningful Use program, we now have the opportunity to pay more attention to technology solutions that support telemedicine.
Patient-centeredness, better access to care, improved care coordination and clinical outcomes continue to be the hallmarks of value-based care and health care reform. The new federal budget provisions expand the opportunity for the CMS to support reimbursement for telemedicine services. For CIOs, that means that technology to support virtual care solutions must now certainly be a consideration in every HIT strategic plan going forward.
But before you buy, make sure you know why you should buy it. Technology investments for telemedicine should fall in lockstep with the strategic plan of the organization. Determine the need for: 1. Solutions that focus on gaps in the acute care setting such as TeleStroke and Tele-ICU services; 2. Virtual support for chronic illness management with biometric monitoring; 3. Remote consultative support services for complex specialty cases; and 4. Alternative options for physician visits that are approved for virtual interaction. Also, as you build the case for planning and purchasing telemedicine technologies, stay informed on the progression toward reimbursement for these services, as that will certainly influence purchasing decisions.
The CMS is transforming access to virtual care services by paying for more services and making it easier for providers to bill for them. Good progress, but let's keep our pedal to the metal, driving an environment that supports and pays for telehealth.
Researchers from the International Data Group surveyed 186 IT leaders in multiple industries and found that half expect their budgets to increase this year and 47% intend to invest more in predictive analytics or business continuity and disaster recovery during the next 12 months. Forty-five percent said they plan to invest more in hybrid cloud and 43% in artificial intelligence or mobile devices, while only 33% plan to invest in the internet of things, the report showed.
A SecurityScorecard report found that, compared with 17 other major US industries, the health care sector ranks 15th in cybersecurity strength and is one of the lowest performing industries in endpoint security. Researchers evaluated data from over 1,200 health care firms and found that issues related to poor patching cadence, driven by a lack of engineering resources and knowledge of vulnerabilities and software patches, account for 60% of the most common cybersecurity issues in the health care sector.
Negotiations between the Department of Veterans Affairs and Cerner for an EHR contract are likely to be done by the end of this month, said VA Chief Technology Officer John Short. The Trump administration's proposed budget for the 2019 fiscal year contains $1.2 billion for the VA's EHR modernization efforts, including support for cooperation between the agency and the Defense Department.
The ONC and the HHS Office for Civil Rights would receive $38 million and $31 million, respectively, under President Donald Trump's proposed HHS budget for the 2019 fiscal year, which is $22 million less than the FY 2018 Continuing Resolution level for the ONC and $8 million less for the OCR. The proposed budget also allots $256 million to merge the Agency for Healthcare Research and Quality's activities into the NIH as the National Institute for Research on Safety and Quality.
Companies are using on-site telemedicine kiosks to make it easier for employees to see a physician for routine care. Marcus Bowling of Anthem Blue Cross Blue Shield of Indiana said a kiosk offers the convenience of an on-site clinic but is less expensive for employers.
The pace of change for clinicians in general, and for CMIOs in particular, is increasing at an incredible rate. The CHIME CMIO Leadership Academy, which will take place May 18-20 in Chicago, has been tailored to meet the needs of CMIOs and CNIOs who strive to be proactive, strategic leaders in their health systems. This dynamic program is designed to give clinicians the skills and knowledge they need to be effective leaders. Get more information or register.
Nicholas Webb, an innovator with more than 45 patents and author of the best-seller "What Customers Crave," will kick off the 2018 CHIME-HIMSS CIO Forum in Las Vegas on March 5 as the opening keynote speaker. Robert Wachter, M.D., an international expert on the impact of health IT and author of the "The Digital Doctor," will follow. This year's closing keynote is Liz Murray, author of "Breaking Night: A Memoir of Forgiveness, Survival and My Journey from Homeless to Harvard." Register now.
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