Better Care Management thru Population Control

We look at how new data analytics solutions can focus on better care across a large population

Innovaccer Inc., a Silicon Valley-based healthcare analytics company, announced that the Mercy Accountable Care Organization, one of the largest ACOs in the state of Iowa, has chosen Innovaccer’s proprietary platform ‘Datashop’ to drive end-to-end value-based care initiatives in their organisation.
Mercy ACO uses Datashop as an integrated data warehouse for all clinical, financial, lab, pharmacy, and immunization data and port data with help of Datashop pipelines from over 65 service locations including Hospitals, CAH, Ambulatory sites, payer data, and more.
Datashop on top of its Data Lake powers applications like Contract Performance Reporting and Analytics, Care Coordination, and Clinical Documentation Improvement. This will enable Mercy ACO to manage all of their shared savings contracts both on cost of care and quality of care. Risk stratification and predictive quality scoring modules will intelligently queue up patients for care coordinators to look after coupled with intuitive care plan management system to increase their efficiency in coordinating care.
“InnovAccer has demonstrated a unique ability to aggregate and normalize data from multiple billing and clinical sources into an accessible data warehouse. They worked with us to develop the user interfaces and analytics to fit our specific needs to report actionable information from the statewide level to the individual physician level. Mercy ACO now has the data we need to clinically integrate and manage over 300,000 patients in value based contracts.” Dr. David Swieskowski, President of Mercy ACO.
“We are excited to collaborate with Mercy ACO in providing them with a holistic value based care technology suite – Datashop. It will enable them to cover whole spectrum of value based care initiatives and reduce number of IT systems in their network to only two: the EMRs and Datashop” said Kanav Hasija, Co-Founder and President at Innovaccer.
Innovaccer’s population health management suite will help the ACO create impact at population scale by inculcating advanced analytics supporting contract performance tracking and quality reporting. Furthermore, through automated work queues and risk stratification, Innovaccer will be automating the care coordination process for the ACO staff to streamline the care management process and take care of a lot of the patient identification and stratification work that has to be done manually.
“Using its pre-built connectivity with the majority of the EMRs deployed, Datashop provides Hadoop-based data lake infrastructure for near real-time exchange of information. It’s a modular approach, with flexibility to scale at its core” said Abhinav Shashank, CEO at Innovaccer. “This is an exciting, strategic relationship that leverages our deep experience in innovating big data applications in Healthcare. An interoperable population health management suite at Mercy ACO paves the way for a future-proof infrastructure with most advanced technologies being used to help manage patients without the hassles of last decade technology.”
Mercy ACO with these new capabilities will focus on expanding quality measures, value-based services, and advanced analytics to track and capitalize on care opportunities to treating complex chronic care patients. Innovaccer is also performing advanced analytics to improve Clinical Documentation Improvement processes with Mercy. The automated and centralized collection of data and intuitive dashboards ACO staff would be able to spend their time on analyzing the data and meeting the needs of the members, leading to better care management, and developing multiple use cases to improve outcomes, and drive shared savings for the entire ecosystem.

New Ways to Share Sensitive Data

We look at the launch of the 360ofme Platform and the appointment of its new Key Execs

If you would take your clothes off,  – for less people  than the number of fingers you have on one hand – then your Doctor would certainly be one of them. It goes without saying that – you would not expect him to share that info, with the rest of world.

And you could say the same about Financial Data too. Sensitive info, is, well, sensitive info.  And that’s the problem. Because, in the modern world,  our personal data is digital, and insights into our digital data routinely need to be shared and accessible to  chosen people, for our own wellbeing. The question is – how do we do it?

The answer could be the new 360ofme platform.  360ofme is a new platform that provides consumers with portability, ubiquity and insights from their digital life. From healthcare to financial and insurance to automotive and home, 360ofme provides a simple means of securely sharing critical data with family members, doctors and others that consumers choose. Utilizing cognitive computing from IBM, new insights about people’s lives will be surfaced and consumers will gain control of their digital footprint.

The key point is that they attribute their future success to the appointment of seasoned industry experts, rather than the typical  “start-up”  routine of  inexperienced founders, which rarely work.   And they go on…

“360ofme, the world’s first personal data exchange platform, today announced that four new executives-in-residence will help to guide the further development of its groundbreaking solutions. Scott Dueweke, President of Zebryx Consulting; Becky Wanta, CEO & President of RSW1C; blockchain expert Evelyn DeSouza; and Steve Schlabs, VP of Sales Strategy at BMC Software, will serve as 360ofme’s Board of Technical Advisors. The new executives will serve alongside some of the brightest minds in consumer focused software development. Other members of the 360ofme Board of Advisors include Derek Collison, CEO, Apcera; Jan Plutzer, COO, Apcera; and Carole Bellis, Partner, Kilpatrick, Townsend, LLP.

360ofme offers an online solution that enables consumers to regain control of their digital assets, allowing them to manage, share and act on their digital data. From healthcare to financial and insurance to automotive and home.

The current Board of Advisors guided 360ofme to its recent beta launch in just 10 months and will be instrumental in onboarding its first cohort of consumers. 360ofme recruits advisors in areas of critical strategic importance and relies on their guidance to ensure that significant company disciplines and processes develop and operate according to industry best practices.

“We feel so fortunate to have the advisement and counsel of these recognized senior executives. As we complete the beta release of our platform, these executives are ensuring that we can scale, delight our customers, and maintain the trust that is expected and required,” said Cindy L. Warner, CEO and Founder of 360ofme. “Becky, Evelyn and Steve will be invaluable in our journey to becoming the market leader in consumer data privacy, and Scott will be instrumental in our next phase of security architecture, as we create the most secure personal data exchange in the world.”

Time to take healthcare security seriously.

We look at the rapid rise of Sasa  Software, and ask; has their time come?

The image of Oren Dvoskin, Commercial Manager at Sasa Software, sitting in his nondescript office, black t-shirt and headphones, looks Californian, as he spells out the pessimism of his profession.

“There are two types of hospital” – he says; “those that have been hacked and know it; and those that have been hacked, but don’t know it.”

Oren’s office is nowhere near Orange County. It is on the border of Israel and Lebanon. If anyone knows about pessimism, it is he. As Sasa Software prepare to face its growing and exponential market at HIMSS 2017 – it surely does not get any more black than this.

Cyber hacking and ransomware, is growing to the point where it cannot be ignored and assumed it is for someone else. But its growth is not the most alarming feature. It is that, for hospitals, any cyber attack would have to be pre-meditated and unique and specifically tailored to find the weak spot, the easiest point of entry, into that particular hospital.

What is worse is – because health records (which are the prime target) are deeply personal and full of personal ID info – any attack is inevitably immediately visible. Unlike say a Bank etc, a Hospital cannot pretend it has not happened and just pay the money.

This is no simple phishing attack.

What that means is, and why Sasa Software believe that this 2017 will be our most “challenging”, i.e. most concerted and worrying – is that Hospitals are still not waking up to this important threat, despite the evidence that 75% have suffered some sort of breach – and that is just those that are publicly noted.

The answer, according to Oren – is to have a mix of baseline protection, the sort that all of us have on our PCs and office servers and Cloud access. This stops the initial and simplest access. But to combat the precise and targeted attack mentioned above, Sasa take the view that every incoming email, data request, every file transfer – is a threat of some sort. Their range of solutions is designed to neutralise any incoming malware or suspicious entry, at source.

But it is also a realisation that files we take for granted – the DICOM image, the voice recording – that we regularly append to our EHR records, are the new source of threat. Viewing images online across the globe, that holy grail of Clinical Consultant interoperability – may be the one area that is the chiles heel for the modern Hospital.

If there is a light at the end of the tunnel, it is not in the fingers crossed hope that that things can get better,. It is the realisation that you can do something about it. Oren is a philosopher with a positive view of human nature, despite the nature of his profession and the market he develops.

The cost of your sorting out a cyber attack ranges from $230.00 – $400.00 per patient record. Sasa Software will be addressing both the Pharma and Clinical markets at HIMSS. Worth having a serious chat.

Virtual Rehabilitation (VR); is this the answer for better Elderly healthcare?

We look at a recent announcement from Nadia Haidar at Reflexion Health:

According to Pew Research Center, 76% of baby boomers and 92% of Generation X population are internet savvy, illustrating seniors’ willingness to adopt and learn new technology at a growing rate. This percentage also reflects the potential for technology to assist the elderly. It’s now more important than ever that the healthcare industry prepares for a tech savvy baby boomer generation and does so in an affordable and simple way.

Reflexion Health is taking patients to another dimension of virtual rehabilitation; one that fuses immersive technology with assisting senior citizens. Through an easy, convenient and non-constricting platform, Reflexion is healing the elderly after joint, knee or hip surgery and cutting the recovery time in half from the comfort of their home.

We believe there is an opportunity to discuss the growing need for the different types of technology to facilitate baby boomer healthcare, focusing on technological advancements, simplicity and cost-effectiveness particularly as we witness a new healthcare reform. Topics to be discussed could include:

The latest trends in adaptable technology for the elderly; Preparing for the baby boomer future in healthcare; How at-home virtual rehabilitation technologies can significantly cut recovery time and cost; Why physicians are increasingly choosing technology to assist with patient recover;How the MedTech industry is ramping up to combat a possible onslaught of healthcare reform policies.
Reflexion Health is a digital healthcare company dedicated to transforming traditional medicine. Through its partnerships with Yale New Haven Hospital and many others, Reflexion offers in-home virtual exercise rehabilitation assistant to patients for faster recovery and increased convenience.

How to Manage Diabetes.

We look at the plethora of Diabetes “solutions” and focus on our best of breed.

The apparent growth in the market, so to say, of people suffering from Diabetes – has not been unnoticed by software and clinical solutions vendors – and yet it seems such a surprise, nonetheless. It is redolent of overnight pop-star successes, who have been quietly carving their career for the past decade, but without public recognition. Until now.

The question tho – is that, from among the vendors of solutions that are now visible – which ones will fly and which are merely good eggs?

The answer is not about clinical excellence. You can safely say that all diabetes solutions have their merits. The answer is about understanding their market, and having the gotomarket strategy and planning, to execute that strategy.

This is the forte of the RIMIDI company, whose CEO, Lucie Idea, talked to me a few evenings ago.

The RIMIDI solutions sits in the hospital itself, but can be accessed online.

Let’s start with the key points – there are two. RIMIDI is a clinical solution borne out of accidental observation. Lucie is a Doctor in her own right, but with a background in VC Finance. Having spotted the opportunity, it was a logical next step to create an App that focuses on the essential problem – how to get patients to monitor their own situation in an easy to do, way; and how to access and then use that info, in ways that can make a clinical difference – and therefore, a commercial difference for the hospital concerned. RIMIDI crosses the bridge from being a “clinical” data transfer solution – to one that empowers the Community. There is a strong and unique focus on “wellness”, joining up of the dots, for the clinician to see the Big Community Picture.

But more than that – RIMIDI focusses commercially on strategic alliances with the big EHR vendors (they have a white label agreement with Cerner) – as their means of getting bandwidth. This is astute – but also worrying. Whilst it avoids the need for the sales process – it also loses control. in many ways this recognition explains the presence at HIMSS. The Cerner collaboration gives implicit credibility in front of the myriad of individual hospitals that will pass by.

Ultimately RIMIDI success will come down to Lucie’s view as a pragmatist; her final words put it well” “RIMIDI is about saving time. Any solution can get information together. At RIMIDI, we make it possible to save time doing what every clinician needs to do, and what every Community needs to deliver.”.

The question will be, with Lucie’s VC background – will there be a buy-out in the next year or two? Or will RMIDI as a brand become a market leader, and saw a range of similar Apps? We hope it will be the latter.

Telehealth is Tumbling 30-Day Readmissions Penalties

In time for this year’s HIMSS – Lee Horner, President of Stratus’s Telehealth Division, explains how Telehealth can  reduce re-admisisons.
High readmission rates are a $17 billion problem across the U.S. for hospital administrators.
What’s even more alarming is that a portion of 30-day readmissions are preventable. According to a recent University of California, San Francisco (UCSF) study published in the New England Journal of Medicine, 27% of readmissions could be avoided. This study shows that hospitals must improve communications between patients, physicians, hospitals and primary care providers, while providing better post-discharge resources.
Upon discharge, if a patient is readmitted within 30 days, the Center for Medicare and Medicaid Services (CMS) requires payment from the hospital due to the guidelines of the Affordable Care Act (ACA) which penalizes preventable readmissions. However, the burden of keeping abreast of each patient’s unique recovery isn’t an easy task for both providers and hospitals.
Imagine that, as a patient, you are sent home from the hospital with a stack of discharge papers. Are you more likely to read every sheet carefully or to stack it in a corner, never to be looked at again?
Solutions to the readmissions problem are emerging in today’s market and are designed to support the management and monitoring of every patient’s unique recovery during their most critical time post-discharge from the hospital: the first 30 days. By offering a workflow that aligns with the patient’s recovery period, such solutions automate follow-up reminders, connecting patients and providers over a secure video call, and allows for patient Q&A.
Now, imagine the patient with the stack of post-discharge instructions. Instead, these emerging solutions have the ability to send a text or email at discharge with a link to join a video conference. The patient simply clicks the link and the automatic video call distribution will identify the next available provider for a telehealth follow-up via computer, tablet or smartphone. New telehealth developments can even send reminders to the patient until they participate in a follow-up call and through this continuous follow-up, ensuring reduced readmission rates which help both the patient and provider alike.
According to a 2016 Health Information and Management Systems Society (HIMSS) survey, connected health tools (mobile and wireless devices) are changing patient care delivery.

The survey also found:
67% of healthcare organizations utilized multiple connected health technology solutions
58% used mobile optimized patient portals as an important patient engagement tool in their connected health strategy
47% stated that they expect to add additional connected health technologies to their platform.
It is great news for patients and providers that telehealth and connected health tools, are growing and will continue to do so while supporting hospitals in meeting CMS guidelines and preventing 30-day readmissions.