Blog

Hayes is pleased to introduce our Healthcare Leaders blog series. In this series, we ask some of healthcare’s most prominent leaders to comment on the current state of healthcare as well as discuss what they think the future holds.

Driving Cultural Transformation: Bringing an Innovative Mindset to Healthcare

Posted on February 15, 2017 at 9:00 AM, Mark Long

By Mark Long, Group Vice President, Digital Innovation, Providence St Joseph’s Health

During my time at NASA, Zynx Health, several startups and Amazon I learned a thing or two about innovation. The key lesson is best summed as “Success is not delivering a project or product; success is learning how to make your customers great at what your customers care about.”  This has been written about by many other thought leaders including Steve Blank (Customer Development) [1], Kathy Sierra (Making Users Awesome) [2], and Eric Ries (The Lean Startup) [3].  It’s grounded in a learning culture.

The healthcare industry is going through a transformation driven by many forces including changes in regulations, risk and price structures, and consumer expectations set by other industries. Technology is playing an increasingly important role in healthcare, but the answer is not to focus on the development of more tools and apps for their own sake. Instead success will come from an iterative learning process that leverages technology to focus on new ways to improve the lives of our patients, members, and providers.  

When we committed to digital innovation at Providence St. Joseph Health, we vowed we were not going to be a passive player in the healthcare transition game. We were determined to lead this revolution and reinvent healthcare along the lines of our mission.  Many Pacific Northwest organizations have reinvented industries such as Boeing, Microsoft, Costco, Nordstrom, Starbucks, REI, and Amazon. Now it’s our turn. 

After several years on the front lines of the revolution, Providence has identified four key concepts that we feel are essential for traditional healthcare organizations to disrupt the way they deliver services and stay relevant.

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Topics: healthcare transformation, Hayes Thought Leadership Blog Series

Leveraging the EHR as a Building Block for 3 Key Healthcare Initiatives

Posted on January 25, 2017 at 9:00 AM, Brent Magers

By Brent D. Magers, FACHE, FHFMA, CMPE, Executive Associate Dean and CEO, Texas Tech Physicians

With the advent of Electronic Health Records (EHR) in the late 2000s came rampant resistance. Meaningful Use requirements forced healthcare organizations to begin implementing an EHR but many were unhappy about it. As we transition from fee-for-service to value-based care – from volume to value – and move from current state to MACRA, adoption of EHRs has become both necessary and nearly universal.

As of 2015, nine out of 10 office-based physicians had adopted an EHR.  As of March 2016, more than 90 percent of hospitals eligible for the Medicare and Medicaid EHR Incentive Program have achieved meaningful use of certified health IT.[1] Overall, 96 percent of hospitals have adopted CEHRT.[2]

However, near universal adoption doesn’t necessarily translate to 100 percent acceptance. When it comes to incorporating an EHR, many providers have undergone the five stages of grief - denial, anger, bargaining, depression and finally now, to grudging acceptance. Like death and taxes, EHRs are here to stay and will remain an integral component of the healthcare landscape of the future.

The reality is that EHRs are essential if we hope to meet the overriding goal of providing better healthcare outcomes at reduced costs. EHRs form the basic building block for much of what needs to be accomplished in healthcare. Here are three key initiatives that rely on EHRs for their ultimate success.

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Topics: EHR optimization, evidence based medicine, Hayes Thought Leadership Blog Series, population health, patient engagement

2017 Predictions from Healthcare Leaders Across the Country

Posted on December 28, 2016 at 9:00 AM, Thought Leaders

In this special edition of our Healthcare Leaders blog series, we have asked some of the country’s leading experts to give us their predictions for 2017. From analytics to consumer engagement to interoperability, we get a glimpse of best guesses on what is sure to be an interesting year.

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Topics: interoperability, Healthcare Analytics, Hayes Thought Leadership Blog Series, consumer engagement, 2017 Predictions

Driving Audit Productivity and Efficiency: 5 Key Steps

Posted on November 30, 2016 at 9:00 AM, Susanna Partrick

By Susanna Partrick, Senior Privacy and Compliance Administrator, Weill Cornell Medicine

Nearly eight out of ten healthcare internal auditors in a recent survey by PwC believe risks are increasing. As a result, almost nine out of ten say they have gone through or will soon be involved in significant business transformation. The conclusion is that these increased risks and transformative changes in the healthcare industry will require internal auditing to change as well.[1]

Unfortunately, few healthcare organizations are able to add resources during a time of shrinking revenue and tightening margins. To meet this increased demand, therefore, those of us responsible for the internal compliance program functions must find ways to be more efficient with the resources we do have.  Doing more with less has become an inevitable mantra for compliance auditing groups in healthcare organizations striving to minimize overall risk.

The concepts of productivity and efficiency are often viewed negatively – as simply buzzwords to wring more output from overworked staff. That doesn’t have to be the case. A huge part of our responsibility as leaders is to work cooperatively with our teams to improve the amount of work being performed by optimizing their skills, our processes, and the technology under our control.

Here are five key steps you can take to improve the productivity and efficiency of your compliance audit team.

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Topics: healthcare compliance, Audits, Hayes Thought Leadership Blog Series

On the Road with John Halamka, Healthcare IT Observations

Posted on November 9, 2016 at 9:00 AM, John Halamka

By John Halamka, MD, CIO, Beth Israel Deaconess Medical Center and co-chair of the national Healthcare IT Standards Committee.

Over the past few months, I’ve been in England, China, Denmark, New Zealand, and Canada.

Each of them is rethinking their healthcare IT strategy and is not entirely satisfied with past progress.  

I’m often asked by senior government officials to help harmonize IT strategy at the country level. That I can do. I’m also asked to discuss the US Presidential campaign, but that defies rational explanation.

I frequently say that healthcare IT issues are the same all over the world.  Here’s a few common observations:

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Topics: healthcare IT, Hayes Thought Leadership Blog Series

DSRIP: A Major Step Toward Reinventing Medicaid

Posted on October 12, 2016 at 9:04 AM, Kelly Barland, CIO

By Kelly Barland, Chief Information Officer, St. John’s Episcopal Hospital, New York City

The pros and cons of the Affordable Care Act (ACA) continue to be debated, but one point appears to be beyond dispute: the ACA has significantly contributed to the explosive growth of the Medicaid program. In FY 2015 – the first full year of ACA coverage expansion – enrollment and spending in Medicaid across the 50 states and DC increased by an average of nearly 14%.[1] Combined federal and state spending for Medicaid was more than $500 billion in 2015 and is projected to reach $750 billion by 2020.[2]

Many initiatives are being implemented to help stem the rising costs and improve patient outcomes including increasing the value and quality in managed care contracts, instituting home health for individuals with chronic conditions, and testing innovative delivery and payment models.

One of the more promising efforts has been the Delivery System Reform Incentive Payment program (DSRIP). Rolled out in 2010-11 in California, Texas, and Massachusetts followed by New Jersey and Kansas, in 2012, DSRIP originally focused on funding for safety net hospitals and resulted from negotiations between HHS and the states on how to pay for hospital care. The program has evolved into a way to initiate payment and delivery system reforms and provide the states with funding to support hospitals and other providers in changing methods of providing care to Medicaid beneficiaries.

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Topics: Medicaid, Hayes Thought Leadership Blog Series, DSRIP, ACA

3 Ways Technology Must Show Up in the Consumerization of Healthcare

Posted on September 21, 2016 at 9:00 AM, Don Lewis, VP/CTO, Group Health Cooperative

In a recent survey, eight out of 10 consumers believe taking a greater, more active role in their healthcare is a positive. Nearly nine of 10 reported feeling a need to be more proactive in managing their own healthcare.[1] The sea change that has since washed over the healthcare industry over the past few years has only served to strengthen those opinions.

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Topics: healthcare IT, Hayes Thought Leadership Blog Series

The 21st Century Revenue Cycle Leader: 3 Key Factors for Success in the Evolving Healthcare Environment

Posted on August 17, 2016 at 9:00 AM, Steven M. Wagner, PH.D., M.P.A,

By Steven M. Wagner, PH.D., M.P.A, Executive Director Medical Practice Income Plan; Clinical Instructor in Health Policy, Finance and Administration, Department of Medical Education, Texas Tech Health Sciences Center El Paso at the Paul L. Foster School of Medicine, faculty instructor for Independence University, and Research Fellow at the Centers for Healthcare Research in the School of Advance Studies for the University of Phoenix.

Healthcare leaders need to look at the bigger picture of healthcare reform rather than narrowly focusing on its separate components. Fragmented legislation and grants led us to where the healthcare industry stands today, and only integrating networks of components in healthcare can lead us to successful reform. Success means that healthcare becomes accessible and affordable with or without insurance to all payors, quality outcomes take into account the functional and holistic health of the patient, and patients are satisfied and feeling well.

The hard reality is that in the end, everyone in the industry will be dealing with less revenue because the over-arching goal for the US government is cost containment. Only when leaders take all the changes into account will we, as an industry, be able to facilitate truly beneficial change. To make that happen, revenue cycle leaders need to be able to integrate cost, quality, and access into our routine processes of patient care, frequently analyze outcomes including the patients’ self-perceived health statuses, and develop actionable solutions.

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Topics: revenue cycle management, value-based care, Hayes Thought Leadership Blog Series

Looking to Embrace Population Health? Focus On Your People, Process, and Technology

Posted on July 20, 2016 at 9:00 AM, Don Livsey

By Don Livsey, former Vice President and CIO, UCSF Benioff Children’s Oakland, Founder DZL Solutions

Big data, informatics, business intelligence, and data mining have all been floated as “silver bullets” to solve the riddle of healthcare reform. One that will likely have the biggest impact, however, is population health. HealthcareIT News recently reported that population health and data analytics are the top two topics of interest for 2016. Everyone wants it, but few can clearly define what it is, and we don’t know what it will cost.

David Kindig of the Department of Population Health Sciences at the University of Wisconsin and Greg Stoddart from the Department of Clinical Epidemiology and Biostatistics at McMaster University in Ontario, are credited with this first attempt at a definition of population health in 2003:

“The health outcomes of a group of individuals, including the distribution of such outcomes within the group. These groups are often geographic populations such as nations or communities, but can also be other groups such as employees, ethnic groups, disabled persons, prisoners, or any other defined group.”[1]

A 2015 survey of 100 healthcare leaders conducted by Milken Institute School of Public Health noted that the definition was accurate but focused strictly on measurement and didn’t explain or acknowledge the “role that healthcare providers must take to impact those outcomes.”[2]

What isn’t in dispute is the fact that population health will be a significant focus of the healthcare industry going forward. A recent industry 2015 report identified three key trends involving population health:

Read More >>

Topics: value-based care, Hayes Thought Leadership Blog Series, population health

How Do We Level the HIT Playing Field?

Posted on June 8, 2016 at 9:00 AM, Roger Davis, President and CEO of T-System

“We are deadly serious about interoperability.”
-Andy Slavitt, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) at the J. P. Morgan Healthcare Conference in San Francisco in January 2016.

For those of us in the healthcare vendor community, that defining statement sets the tone for the future interaction between organizations. Slavitt was also clear that achieving interoperability means “leveling the technology playing field” and requiring vendors to interchange data. He discussed open Application Programming Interfaces (APIs) as a specific model for integrating and moving data seamlessly between technologies. These are now guiding principles as we collectively try to benefit more from interactions outside our specific verticals.

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Topics: interoperability, cms, HIT, Hayes Thought Leadership Blog Series

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