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May 2013

In This Issue
HIMSS Trends
IHS Goes Live
Coastal Consultants
Book Review

 

  

View our profile on LinkedIn

Events
MUSE 2013 Logo
May 28 - 31
Washington, DC

 Visit Coastal at Booth # 537
  
If you'd like to set up some time to chat about your current needs and upcoming projects, please contact Pat Oligmueller at 
(206) 324-6540 or
  


 

HIMSS 2013

Two Trends to Watch

By Don Darling and Pat Oligmueller

Health IT fans descended on New Orleans in mid-October to attend the 2013 HIMSS Conference.  

Coastal Healthcare Consulting was there, and we bring two trends you'll want to follow in the coming year - Mobile Health and ACOs.

  

Trend #1:  Mobile Health

What many of us may not realize is, depending on the functionality, mobile apps running on smartphones may be regulated by the FDA as medical devices. The mHealth Regulatory Coalition http://mhealthregulatorycoalition.org/  is a group of healthcare companies who have formed a coalition to work with the FDA and Federal agencies to shape the future of mobile health.

Three things need to happen.

  1. Clear Guidance
  1. FCC Regulations
  1. Finding a balance between patient risk and communication

You can learn stay abreast of the news and updates from the mHealth Coalition at: http://mhealthregulatorycoalition.org/news/

Trend #2:  Accountable Care Organizations (ACO)

Case Study: Banner Health and Aetna collaborated to align together to achieve the "triple aim". Before building an ACO model, the interaction between payers and providers was limited and largely related to price/cost. With ACO's and the new relationship the intent is to provide the "triple aim"; which is to provide value-based care delivery, improved efficiency and to provide a better patient experience.

Population health management related to ACOs is very concerned about people who aren't being seen at a healthcare facility but who are in need of being seen.   So, the technology is used with a care management process in place to find those people and focus on being proactive in order to see which patients are at risk. The technology helps to develop problem solving and ultimately may help to reduce cost. It's more than just having an electronic EMR, it's the ability to make sure the quality and the outcomes are being measured and the appropriate action for the patient is being performed.

HIEs help organizations to connect the dots and provide mobilization for the data; however it's challenging for physicians to sift through and still find the information. The key is to normalize the data, starting with the CCD standards, feed it into the care engine in order to create interventions and guide the physicians to provide evidence-based care. A big learning for Banner Network was to integrate the data inside the current physician workflow.

ACOs also want to make sure the patient is engaged in the population management process by using mobile appointment setting, news, alerts, ER wait times and their personal health record to keep them engaged.

 

Iowa Health Systems Goes Live With Help From Coastal

Coastal maintained IHS's legacy support services during the conversion to their new Electronic Health Records (EHR) system.  Talk to Coastal if:

 

  • You are considering or preparing to migrate your Electronic Health Records (EHR) to a new system.
  • You are concerned about having the resources to maintain your legacy system while planning and implementing your new EHR system.
  • You are thinking of outsourcing the legacy support or the customization and implementation and are concerned about consultant accountability.
  • You are worried about "brain drain" or a "knowledge vacuum" as consultants move-on after you go-live.

Stay tuned for a Case Study from this project.


Coastal Consultants
Alane Combs

Alane Combs, RHIA, MIS

Implementation/Support Analyst

Business Analyst and Project Manager

 

 

 

 

What is your area of consulting expertise?  What do you bring to the job?

My experience is health information management (HIM) with 15 years of consulting experience implementing electronic health records (EHR) in both clinics and hospitals.  My experience includes workflow analysis, process assessment, tailoring applications, writing report specifications, testing, training, and rollout. Project experience includes CPOE, HIM--coding, transcription, duplicate medical record clean-up, master patient index (MPI), registration, and scheduling.

  

Additional experiences include managing people in positions of HIM department director, utilization and quality management. Experience in EHR strategic planning for hospital and regional/national HIM professional associations. Direct work experience in project management capacity and experience in change management.

  

What is your philosophy regarding serving your client?

My priorities as a consultant are obtaining client's satisfaction in meeting their needs and providing top quality service and/or deliverables.  I like to elicit cooperation from a wide variety of sources, including upper management, clients, physicians, clinic staff, and other corporate departments.

Why did you join Coastal?  What does Coastal have to offer?

I joined Coastal because I get to experience working both independently and in a team-oriented, collaborative environment.

  

Coastal provides the ability for me to utilize my credentials and education: Registered Health Information Administrator (RHIA), active member of AHIIMA and Master's Information Systems (MIS).  Coastal also allows me to keep current with technology developments, such as health information exchange (HIE) and vendor EHR products including HIM computer-assisted coding (CAC). I'm able to stay knowledgeable on health care regulations, such as HIPAA, meaningful use, and quality reimbursement.

 

Book Review
Crucial Conversations Crucial Conversations

By Kerry Patterson, Joseph Grenny, Ron McMillan, and Al Switzler 

 A crucial conversation is a conversation that requires a challenging decision that has important results. The authors give three defining traits of a crucial conversation: 1) opinions vary, 2) the stakes are high, and 3) emotions run strong.

Crucial conversations are important to the well-being of organization. It is important for conversations to be had among all levels of the organization's hierarchy. And, accountability resulting from the conversation is a key factor in the health of the organization.

It is important to understand the difference between healthy and un-healthy dialogue. A common trap is the "silence or violence" response. Either people retreat from a situation/conversation (silence) or respond with irritation and/or aggravation (violence). A healthy conversation exists with mutual respect and open dialogue. Prosperous conversations can be had by using the guidelines identified in the book . Likewise, it is important to understand the difference between decision making and dialogue.

The book offers many examples of difficult situations and guidelines for how the methods in the book can be applied.

Learn more about the book, training opportunities, and get free tools at the authors' website: VitalSmarts http://www.vitalsmarts.com/

 


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We're excited to announce the official launch of our updated client-centric website -- check it out at www.CoastalHealthcare.com.  I look forward to your feedback.  Feel free to contact me at 206-324-6540. 
  
Sincerely,
 
Amy B. Noel
President
Coastal Healthcare Consulting, Inc