How can GIS be used to improve public health? | Ed Marx comments on using GIS in population health | BYOD policies still a challenge to health IT leaders
July 23, 2015
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How can GIS be used to improve public health?
Geographic information systems technology has the potential to improve the effectiveness of population health initiatives by health systems and public health agencies. In Charlotte, N.C., Carolinas HealthCare System's Dr. Michael Dulin used GIS technology and data on demographics and emergency department usage to identify communities that lacked access to primary care. "Within the walls of the hospital system, we really influence a very small proportion of health. How can we become a proactive hospital to influence that social context to improve health and outcomes?" Dulin said. Health Data Management (7/21)
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Ed Marx comments on using GIS in population health
Ed Marx
(Ed Marx, NYC HHC IT leadership team)
It is becoming increasingly clear that population health success requires new thinking and new tools. To transform health care, we need to view things from a social context. We tend to try to direct and bring change to health care in silos. These silos are found in technology, process improvements, pharma, research, etc. What we need is a more holistic approach that looks at all of these important areas, plus the social context. Listen, it does not matter how potent our pills are if our patients don't have access to clean water or an environment that fosters well-being.

Leveraging geographic information systems (GIS) is a key enabler we can mash-up with traditional approaches to bring about effective change. If we do not understand the social context of the cities we serve, our best efforts will continue to fall short. Reliance on years-old census data has proven ineffective. GIS gives us real-time tools to look at demographic and other patterns that are taking place so we can customize our approach in delivering health care to our communities. Health care-specific GIS pioneers such as Charlotte, N.C.- based Carolinas HealthCare System are a great example of what can be done when we think outside the box and harness the capabilities of GIS in our communities.
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The New Initiative for Risk Professionals: Brand Resilience
Sixty percent of a person's willingness to buy, recommend, work for, and invest in your company is driven by their perception of your brand. So why are your risk professionals ignoring opportunities to protect corporate reputation? Download the new Forrester Research report to understand why and how risk pros neglect corporate reputation and what your business can do to prevent a reputational catastrophe. Download the report.
Strategy & Leadership
BYOD policies still a challenge to health IT leaders
A Vocera Communications survey found that health IT leaders are still struggling to develop strategies that effectively address security and infrastructural concerns related to "bring your own device" policies. Only 26% of participants already have systems or plans to support secure communications within EHR systems. Developing BYOD policies for affiliated providers is not a priority for 63% of respondents this year. (7/22)
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Crafting Your Company's Story
Call it an elevator pitch or your company's story. However you describe it, being able to quickly summarize your business can help you engage with customers, partners and investors. Click here to read Boomtown: Think Like a Startup

Technology Spotlight
Stakeholders discuss ways to make genetic data available on EHRs
The Institute of Medicine created a group of stakeholders to determine how genomic data could best be integrated into EHRs, and some of those stakeholders were on a panel at HL7's Genomics Policy Conference this week discussing their goals. Dr. David McCallie Jr., Cerner's senior vice president of medical informatics, said he favors using apps to store some data in the EHR, with the huge amount of raw data to be kept in the lab. Epic Systems software developer Brad Strock said most genomic data are being given to providers in a paper format, and vendors need to figure out how to fit those reports into the EHR, as well as tackle issues pertaining to security, privacy, reimbursement and consent. Healthcare Informatics online (7/20)
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Online repository features HHS' emergency, disaster services
HHS has developed an online repository of the federal services available to public health agencies and health care providers during emergencies and disasters. The HHS Response and Recovery Resources Compendium includes information about disease surveillance, decontamination services and field hospitals. The National Disaster Medical System's 62 medical assistance teams can be deployed in 12 to 18 hours. Health Data Management (7/21)
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Management & Operation
EHR dissatisfaction aired in docs' meeting, webcast
Concerns related to patient data security, government EHR rules, reduced productivity and interoperability were raised by physicians at a meeting and webcast hosted by the American Medical Association and the Medical Association of Georgia, part of a campaign to delay the finalization of stage 3 meaningful use regulations. While a majority of attendees indicated that EHRs have made negative changes to their workflow, CHIME Executive Vice President of Medical Informatics and Patient Safety Dr. Bill Bria noted before the meeting that EHRs bring the advantage of instant access to complete patient records. And, he said, the era of electronic records is here to stay. HealthLeaders Media (7/21)
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Commentary: All businesses face 4 major types of cyber-risk
Cybercrime has evolved to focus on the theft of sensitive data and the disruption of critical business processes, and four types of cyberthreats are a danger for all types of businesses, writes Paul King of USI. Corporate-network breaches, hacking, social-engineering techniques and extortion are among the most common threats, he writes. PropertyCasualty360 (7/20)
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Regulatory & Legislative
21st Century Cures Act threatens FDA's efforts to ensure medical device security
The FDA is working to ensure that the connected devices being increasingly employed in the medical industry are not putting patients at risk. However, with the 21st Century Cures Act, Congress has moved to ease the regulatory process for some advanced medical devices, and the FDA has loosened regulation on many consumer devices and health apps. Experts with device testing company Underwriters Laboratories say finding the right balance between safety and innovation is challenging. (7/2015)
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Market Focus
Survey examines consumer awareness, willingness to use telemedicine
A HealthMine survey found that 41% of 1,200 consumers queried said they have never heard of telehealth services. The study also revealed that a person's age might affect their willingness to use telemedicine, as 58% of respondents aged 25 to 34 were interested in using telemedicine compared to 37% of participants aged 55 to 64. Health Data Management (7/23)
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Registration for CHIME15 is open
Registration for the health care IT industry's most anticipated event of the year is open. The CHIME15 Fall CIO Forum will be held Oct. 14-17 in Orlando and feature bestselling author and happiness expert Shawn Achor as the opening keynote. Visit the CHIME website for registration information, agenda, list of speakers and other conference details.
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Is your hospital secure? Join us in Seattle for our Cybersecurity LEAD Forum
Data breaches in health care show no signs of slowing down in 2015. The upcoming CHIME LEAD Forum, in collaboration with iHT2, is designed to help CIOs and information security executives ensure their organization’s data assets and technology are protected. The Health Information Executives Guide to Cybersecurity will be held on Aug. 17 in Seattle and will cover emerging trends, key challenges, cybersecurity strategies and solutions, and real-case examples. Register today.
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