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10 IT initiatives your hospital should undertake in 2012

September 28, 2011 | Michelle McNickle, Web Content Producer

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A new year means a fresh start, and as 2012 creeps closer, it's time to think about new IT approaches. Although the reform may mandate certain IT practices be implemented, other non-required initiatives will help to streamline workflows, save money and improve care in the new year.

Fred Pennic, senior advisor with Aspen Advisors and author of the blog Healthcare IT Consultant, suggested 10 initiatives hospitals should undertake in 2012. 

1. Meeting Stages 1 and 2 of meaningful use. According to Pennic, meaningful use compliance should be the top priority in health IT during the years to come. "More providers are currently attesting for Stage 1 meaningful use, although it is still unclear if Stage 2 will be delayed until 2014," he said. According to a study published online by Health Affairs, hospitals should be prepared for a higher standard associated with Stage 2 in order to produce improved patient outcomes; authors of the study believe Stages 2 and 3, which will require providers to use electronic orders for 60 to 80 percent of patients, will have a significant impact on both patient mortality rates and care. 

2. Health information exchange (HIE). Meaningful use and HIE go hand in hand, said Pennic. "Interoperability is key as it relates to meaningful use’s objectives of electronically exchanging clinical information and summaries of care, along with submitting lab results to public health agencies, et cetera," he said. Looking for resources or a way to network and learn what others are doing when it comes to HIE? The HIMSS HIE Toolkit and the HIMSS HIE Wiki offer insights and information regarding HIE, including important national and state level initiatives. 

[See also: Cloud computing myths vs. risks.]

3. Virtualization and cloud computing. “As healthcare organizations deal with competing priorities from HITECH/ARRA, Meaningful Use, HIPAA 5010, ICD-10, and ACA, hospitals are constantly trying to reduce costs while providing accessible health information,” said Pennic. In our round up of the 5 technologies every hospital should be using, Shahid Shah, an enterprise software analyst, agreed that virtualization and cloud computing can streamline workflows, save time, and reduce costs. “As soon as possible, make it so that no applications should be sitting in physical servers," he said. "Start to phase out those apps that cannot be virtualized. When apps are virtualized, they can easily be scaled and recovered." 

4. Disaster recovery/business continuity. Pennic said as healthcare providers begin to adopt and implement EMR systems, it's imperative to have a disaster recovery solution in place to handle potential downtime occurrences. With recent weather events impacting hospitals across the country, developing and uploading a disaster recovery plan to a web-based inventory tool is imperative and a smart way to access your plan offsite.   

5. ICD-10. According to Pennic, since providers must meet CMS regulations for the transition from ICD-9 to ICD-10, they should be performing ICD-10 assessments that provide a readiness assessment, impact assessment and implementation plan to prepare for the deadline. "Specifically, IT should focus on sending vendor surveys to all vendors that are impacted by ICD-10," he said. By doing this, hospitals are able to specifically state what their upgrade efforts are and what they aim to have in place to comply with ICD-10 regulations. “ICD-10 touches everything and impacts every point of delivery in healthcare,” Pennic added.

Continued on the next page. 

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Reader Comments (2)Login to Post a Comment

qdevery says: Disaster recovery vs. Business continuity
November 14, 2011 | 7:36PM GMT

Great article. I faced issues with disaster recovery and business continuity and what the differences between the two solutions. I put together a resource that people might find helpful when tacking your 4th point. http://www.paranet.com/disaster-recovery-business-continuity/disaster-re...

mmaluf says: Virtualization & cloud, DR/BC, and PACS VNA
October 14, 2011 | 12:40AM GMT

This is a definitely a great list, and also timely, as healthcare organizations look for the next wave of IT planning activities. Prioritization is always tricky, but more so in an age where budgets continue to shrink and IT agility & flexibility demands continue to grow.
I just wanted to offer a few comments on three of the topics covered.
First Virtualization and Cloud: the comment about starting as soon as possible is spot on, because there is a cost associated with "waiting", i.e. not changing how data center infrastructure is produced and consumed. There are production-grade solutions out there that can deliver direct, tangible benefits to IT organizations, from TCO improvements and cost reduction, to operational optimization and increased agility. Virtualization is a key component of an “IT as a Service” cloud strategy, whether the implementation is through private, public of hybrid models. Again, virtualization has been around for a while -with companies such as VMware pioneering performance, stability and scalability features-, so much so that currently more Virtual Machines (VMs) are being deployed compared to physical servers.
With a solid strategy to address the phased migration of application constructs to a virtualized / cloud platform, the benefits can be realized fairly quickly.
From a DR/BC perspective, once the applications are virtualized, new options become available to implement disaster recovery strategies. A mixed (hybrid) approach of on-premises and secure off-premises environments will have a significant impact on the ability to recover critical systems quickly and cost-effectively. Partnering with a provider that can offer geographic dispersion, flexible connectivity options and data replication features can eliminate risks and decrease costs. (i.e. no need to build & operate a secondary/alternate site). Furthermore, such an approach can provide another solution in the same "package", in the form of an archiving site.
This is actually a good connection to point to the next item, which is PACS storage.
There's no doubt that the data growth rate is unprecedented. (more relevant info on this recent article: http://healthcareitnews.com/news/6-keys-data-storage?page=0,0)
The combination of multiple PACS "silos" with the need to become more inter-operable, coupled with advancements in imaging devices and the higher density of new studies, is creating a significant challenge for HIT organizations in terms of being able to effectively manage storage. (operational & capital costs)
It is for this reason that Vendor Neutral Archive (VNA) solutions are getting so much traction. The centralization of PACS data in an architecture that leverages IHE frameworks and industry standards can greatly simplify the storage management equation, and decrease the costs associated with upgrading proprietary systems. A true VNA can deliver additional benefits such as ILM (Information Lifecycle Management), easier integration of images within an EMR, and the ability to share images across departments, making them available from multiple locations and viewers.
Finally, VNAs put data ownership back into the Hospital's hands, and that should translate into better clinical capabilities, and ultimately, improved patient care.

Mariano Maluf - CTO, GNAX Health
VMware vExpert & VTSP, ITIL & Six Sigma

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