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Article
· Oct 21, 2015 1m read

Key Competencies for Reducing Readmissions

The CIO Perspective

Executive Summary

Addressing the challenge of reducing hospital readmissions using manual processes is not a viable long-term solution. With other IT mandates demanding time and attention, your readmissions initiatives may suffer. However, with the right health information technology (HIT) platform, you can sustain efforts to reduce readmission rates and make processes more efficient and effective. Enabling interoperability and access to real-time data is key. Organizations that integrate real-time data from disparate sources for analysis can proactively reduce readmissions and build competencies for accountable care.

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Article
· Oct 21, 2015 1m read

Strategic Interoperability: The Clinical and Business Imperative for Healthcare Organizations

Featuring the results of the HIMSS Analytics Interoperability Study

Introduction

Interoperability - the ability of health information systems to exchange, transform and interpret shared data across multiple systems and devices, and across organizational boundaries, in order to advance the health status of, and the effective delivery of healthcare for, individuals and communities - gained widespread attention in the United States when President Bush called for interoperable electronic health records (EHRs) in his 2004 State of the Union Address. This vision began to be executed in 2011 when the Centers for Medicare and Medicaid (CMS) started the EHR Incentive Program, which transitioned from setting up the basic EHR functionalities in Stage 1 to focusing on patient engagement and health information exchange (HIE) in the program's Stage 2 meaningful use criteria. Since 2012, when Stage 2 criteria were released, hospitals and health systems have engaged in a big push to enable interoperability of health IT (HIT) systems and devices.

HIMSS Analytics conducted a survey in August 2013 to assess the progress of hospitals' and health systems' interoperability initiatives - the drivers for their efforts, benefits they are seeking, challenges they face and new opportunities interoperability provides.

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Article
· Oct 21, 2015 1m read

High Availability Strategies for InterSystems Caché, Ensemble, and HealthShare Foundation

Introduction

This document is intended to provide a survey of various High Availability (HA) strategies that can be used in conjunction with InterSystems Caché, Ensemble, and HealthShare Foundation. This document also provides an overview of the various types of system outages that can occur, as well as how each strategy would handle a given outage, with the goal of helping you choose the right strategy for your specific deployment.

The strategies surveyed in this document are based on three different HA technologies:

  • Operating System Failover Clusters
  • Virtualization-Based HA
  • Caché Database Mirroring
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Article
· Oct 21, 2015 2m read

Beyond the PCEHR: Best Practices to Derive Value in the Era of Connected Care

Introduction

Australia's recent launch of the Personally Controlled Electronic Health Record (PCEHR) - a significant step towards establishing a national e-Health infrastructure - has simultaneously provided a boost to shared Electronic Patient Record (EPR) projects and delivered a wake-up call to healthcare providers about their readiness for connected care initiatives. In countries around the world, the era of connected care is here.

The PCEHR has increased both the push and pull factors that will lead to widespread shared EPR adoption. Some organisations - such as state health departments - will be required to connect to the PCEHR to share patient information such as discharge summaries. Others will see the PCEHR as a resource that can add value to their own health information system investments.

The PCEHR is the largest of a number of health information exchange networks in Australia, some of which - such as the South West Alliance of Rural Health (SWARH) in Victoria - are more functionally advanced, although more limited in scope. And there are other emerging national healthcare information services such as the National Health Services Directory.

Regardless of whether healthcare organisations are pushing for or being pulled towards exchanging health information, connected care initiatives are an increasingly important driver for IT investments. While funds for new healthcare information infrastructure remain tight, a number of connected care successes are coming into focus, with proven value that provides strong justification for new investments.

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Article
· Oct 21, 2015 3m read

Analytics of Textual Big Data: Text Exploration of the Big Untapped Data Source

Introduction - Analyzing Textual Big Data

Big Data for Enriching Analytical Capabilities - Big data is revolutionizing the world of business intelligence and analytics. Gartner predicts that big data will drive $232 billion in spending through 2016, Wikibon claims that by 2017 big data revenue will have grown to $47.8 billion, and McKinsey Global Institute indicates that big data has the potential to increase the value of the US health care industry by $300 billion and to increase the industry value of Europe's public sector administration by Ä250 billion.

The big data breakthrough comes from innovative big data analytics. For some companies the primary challenge comes from analyzing massive amounts of structured data, primarily numerical, such as credit card companies with millions of cardholders and billions of transactions looking for fraud patterns. Analyzing massive amounts of structured data may require new software strategies and technologies but is generally straightforward and readily achievable.

Not all big data is structured. Big data comes in all shapes and sizes. The greatest big data challenge is that a large portion of it is not structured, often in the form of unstructured text. Think of all the data used or created in a typical business ? emails, documents, voice transcripts from customer calls, conferences with note taking, and more. Most of this data is unstructured text. Even in an industry dominated by numerical data, text abounds. For example, in commercial banking, financial statements and loan activity are well-structured data, but to understand the loan you have to read the file, which is full of correspondence, written assessments and notes from every phone call and meeting. To really understand the risk in a lending portfolio you need to read and understand every loan file.

In a medical environment, many structured data sources exist, such as test results over time and coded fields. However, some of the most valuable data is found within a clinician's textual notes: his impressions, what he learned from conversing with the patient, why he reached his diagnosis or ordered a test, what he concluded from various test results, and much more. In most large clinical settings these invaluable notes comprise very large data sets but, while they are increasingly digitized, they are rarely analyzed.

Analyzing Textual Data - Advanced analytical capabilities have always been available for analyzing non-textual data. Almost every organization knows how to turn their own structured data that has been collected over the years by business processes into valuable business insights. Countless reporting and analytical tools are available to assist them. Surely, these tools and algorithms may have to be adapted somewhat to be able to run fast on big data (for example, they may have to use in-memory techniques and dedicated hardware), but the algorithms stay the same and are well-known.

But what about all the textual data that has been gathered in emails, document management systems, call center log files, instant messaging transcripts and voice transcripts from customer calls? And what about all the external textual data, such as blogs, tweets, Facebook messages and informational Websites? A wealth of information is hidden in the vast amounts of textual data being created every day. The challenge for every organization is to extract valuable business insights from this mountain of data that allows it to, for example, optimize its business processes, improve the level of customer care it offers, personalize products, and improve product development.

This paper will outline the benefits and challenges of analyzing textual big data. It will also discuss InterSystems iKnow technology, which offers an easier, less time-consuming way to unlock the information contained in textual data.

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