Hayes' Healthcare Blog

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

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

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

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

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

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:

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

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