Sunday, February 26, 2012

CentraState chooses Cognizant to develop ICD-10 transition strategy

Cognizant (NASDAQ: CTSH), a leading provider of information technology, consulting, and business process outsourcing services, today announced that it has been selected by CentraState Healthcare System, a leading not-for-profit community health organization, to develop a strategy for transitioning to ICD-10. As part of the engagement, Cognizant will perform a comprehensive ICD-10 assessment to determine the clinical, administrative, and financial impact on business and IT processes, staff, and partners, and recommend an implementation strategy to enable a smooth transition to ICD-10 and meet the 2013 compliance deadline.

"This engagement will allow CentraState to leverage Cognizant's extensive domain, consulting, technology, and regulatory expertise to prepare for the transition to ICD-10," said Indranil Ganguly, Vice President and Chief Information Officer of CentraState. "Cognizant's end-to-end regulatory compliance capabilities and experience with multiple payer and provider organizations will help us plan our journey to ICD-10."

"We are pleased to have been selected by CentraState as a partner in this important strategic initiative," said Krish Venkat, Executive Vice President and Global Leader of Cognizant's Healthcare practice. "We look forward to working with CentraState to develop a compliance blueprint that will enable CentraState to improve care quality, optimize reimbursements, and increase physician and patient satisfaction by addressing the technical and operational implications of transition to ICD-10."

CentraState chooses Cognizant to develop ICD-10 transition strategy:

Tuesday, January 03, 2012

A 2011 healthcare IT year-in-review mashup - FierceHealthIT

This time of year there are at least 1 million (or so) year-in-review stories--and it would probably take the better part of 2012 to get through them all. So here's a mash-up of the best of the "looking back at the year in Health IT" lists. Think of it as our New Year's present to you: we did the reading so you don't have to.


Integration

The most obvious trend in 2011 was the push for better integration of health IT systems to improve patient care and safety, according to the Healthcare Information and Management Systems Society (HIMSS).


The professional organization listed 12 trends--one for each month in 2011. The list is heavy on electronic medical records and Meaningful Use, of course, such as the hidden costs of EHRs, for example. But there also are links to stories on other hot topics of 2011, including the role of accountable care organizations (ACO) and emerging technologies in fostering integration.


Telehealth

Five years from now we'll look back at 2011 as "a pivotal time in the evolution of telehealth," according to this telehealth year in review published by Government Health IT.

"We saw a continued trend of federal funding that provides direct incentives for the use of telehealth technology, and promising results from major pilots in the field. But most importantly, there were significant developments in the regulation of telehealth technology and coverage of telehealth-enabled care. These game-changers will lower the barriers to entry and accelerate the adoption of telehealth," the article notes.

The article touches on a number of 2011's telehealth milestones, from updated reimbursement policies and rates for doctors who deliver remote healthcare to improved guidance from the U.S. Food & Drug Administration (FDA) for mobile medical applications to the efforts underway to use technology to improve quality and access to care in rural areas.


Government

Dr. John D. Halamka, chief information officer at Beth Israel Deaconess Medical Center, touches on federal and state HIT initiatives in his well-informed 2011 roundup. He notes that the drive toward Meaningful Use stressed many organizations and chides EHR vendors for poor communication as they scurried to add the features necessary for certification, "resulting in 'haste makes waste' lack of usability and workflow integration.

On the other hand, he notes, IT departments worked "productivity miracles" with limited staff and budgets. And since many organizations will deposit their Meaningful Use payments into general operations and not IT department accounts, the sacrifice of IT staff will in many cased go unrecognized.

On the state side, Halamka touches on healthcare information exchanges, Beacon Communities, research programs and HIT grants.


Health and medical apps

Surprisingly, there weren't a lot of 2011 healthcare apps roundups this year--perhaps because there are so many of them now that to sort through them all to come up with a top 10 list would be nearly impossible.More at ..'via Blog this'

Tuesday, October 25, 2011

New IBM Software Helps Analyze the World's Data for Healthcare Transformation - PR Newswire - sacbee.com

New IBM Software Helps Analyze the World's Data for Healthcare Transformation - PR Newswire - sacbee.com

LAS VEGAS, Oct. 25, 2011 -- /PRNewswire/ -- IBM (NYSE: IBM) today introduced new software for the healthcare industry to help health care providers and payers improve patient care and reduce costs. The new software offering uses content analytics similar to what is found in IBM's Watson technology.


Seton Healthcare Family is the first client to adopt and use the technology, called IBM Content and Predictive Analytics for Healthcare. The solution will allow healthcare organizations to extract relevant clinical information from vast amounts of patient data to better analyze the past, understand the present, and predict future outcomes.

By combining IBM's Watson technology with industry solutions offerings, Seton intends to focus the new content and predictive analytics solution on the root causes of hospital readmissions, and ways it can decrease preventable multiple hospital visits.

According to the New England Journal of Medicine, one in five patients suffer from preventable readmissions, which represents $17.4 billion of the current $102.6 billion Medicare budget.* Beginning in 2012, hospitals will be penalized for high readmission rates with reductions in Medicare discharge payments.** Read more: http://www.sacbee.com/2011/10/25/4005175/new-ibm-software-helps-analyze.html#ixzz1boe0WyNN

Thursday, September 29, 2011

Cloud, Big Data … and Healthcare - Chuck's Blog

Cloud, Big Data … and Healthcare - Chuck's Blog

Healthcare is a fascinating industry.

From the drug companies and the insurance companies to the hospitals and clinics -- it's an enormously complex and fast-moving value chain that has a single goal: to help each and every one of us live better and longer lives.If one were to ask the question "in what industry do you see the fastest adoption of cloud and big data", the answer -- at least for me -- would be healthcare.

A Unique American Perspective?

Unlike most parts of the world, healthcare in the United States is clearly a business.
Sure, the federal and state governments subsidize certain aspects, but every participant is competitively motivated to deliver ever-better services to more people at ever-lower costs.As I travel, I haven't seen the degree of competitiveness driving innovation and rapid technology adoption across healthcare as I do in the United States.

Not even close, if I'm being honest.Yes, our US healthcare system has its various and sundry challenges, but one redeeming quality appears to be the rapid pace of evolution and improvement. There's a heckuva lot of money on the table (not to mention lives at stake), and there's a deep roster of motivated players with plenty of resources to invest.So, let's start on our armchair tour of how cloud and big data are combining to revolutionize healthcare, especially in the United States ...

The Supply Side -- The Drug Companies

Clouds and big data are really nothing new to the companies that research and manufacture drugs, therapies and devices. Some of the earliest and most productive clouds can be found at drug companies doing all forms of research.

The underlying science is demanding ever-more elastic compute, served up in a convenient, self-service fashion. Drug effectiveness in the field is essentially a big data application, especially when correlated with other health and treatment information, demographics and more. The more data from more sources, the better the insight. And, as a result, the underlying data repositories now appear to be growing at hyper-speed. Perhaps the most extreme example of this are the newer genomics companies. Yes, an enormous amount of data is generated by sequencing genomes, but that specific data is of limited use unless it's correlated with actual life histories, therapeutic results and more. The underlying formula here appears to be (big data) * (big data) * (big data) -- or more.Indeed, within these organizations, you'll sometimes find two distinct IT functions -- one pointed at the more traditional back office, desktop, collaboration sorts of things, and a second one that's directly aligned with the researchers.More and more of these research functions are already pursuing a hybrid cloud strategy: invest in on-premises infrastructure for the more predictable infrastructure needs, and use external cloud providers when the big stuff comes along. (insert link here)The prognosis? More cloud, more big data -- a lot more. Why? It's core to their business model -- finding new drugs, therapies and treatments that do more and cost less.

The Payers -- Insurance Companies

By comparison, the healthcare insurance companies appear to be on the precipice of being completely transformed by both cloud and big data. There's a lot going on in their world. Old IT thinking is quickly giving way to new IT thinking, and it's rather cool to watch -- from a safe distance, that is. For starters, many of then are moving from a B2B model (selling healthcare coverage through employers) to a B2C model where they have more of a direct relationship with their ultimate customers. Web portals, mobile apps, self-service tools -- it's a new world for IT.Insurance companies want to know as much as possible about their customers -- not only their health histories, but their demographics, lifestyle choices and more. Not only does this help them coach their clients to make healthy choices, it helps them price coverage accurately.They also care a lot about the costs and outcomes about the delivery sides -- what treatments work best in which circumstances, which hospitals and doctors are most efficient (or not) and more. It's no mistake they should be highly motivated to collect as many sources of information as possible, and invest heavily to glean continual nuggets of insight and understanding.Although there are a few promising efforts, I think insurance companies will need to either continually invest in improving their big data analytics capabilities, or perhaps be acquired by those that do. Better understanding of massive and diverse data will be a key lever in all of their business models.Not only are many healthcare insurance companies actively building internal private cloud models to gain efficiency and agility (I know, I meet with them regularly), but there's a specialized service provider market emerging as well -- our good partner CareCore comes to mind. It's not hard to imagine a complex ecosystem of service providers forming to support different aspects of healthcare insurer's needs.The prediction? A very different industry and very different IT landscape within a few short years. Why? Both cloud and big data appear absolutely core to healthcare insurers' business model, and those that make the investment sooner should gain a not-inconsiderable competitive advantage.

The Delivery Side -- Doctors, Nurses, Hospitals and Clinics

The IT you find in these environments appears to be moving quickly to a hybrid cloud model. Skilled healthcare workers are inevitably in short supply, and -- not surprisingly -- they're also very demanding of their IT environments. As a result, IT organizations in these settings tend to be incredibly agile and responsive to their users' needs. You don't have to lecture them on the whole aligned-with-the-business thing. They get it. Fortunately, many hospitals and clinics were early adopters of VMware, so it shouldn't be a surprise that they're now moving to fully-virtualized, pooled-resource models ahead of other industries.It's easy to understand why -- these organizations are under enormous cost pressures, and they want to spend every available dollar investing in delivering better healthcare vs. investing in IT resources.A few larger and more progressive hospitals are now moving to becoming specialized IT service providers for the smaller players in their region, using their IT capabilities to allow healthcare delivery organizations of all sizes access to world-class IT.The big data side is where there's the most potential. Not only do healthcare delivery organizations generate an enormous amount of potential raw input to analytical engines, they're also at the point where predictive analytics can do the most good -- when the patient is being treated. It's unlikely that most healthcare delivery organizations will be able to invest in large-scale analytics capabilities and their associated information bases -- even though they often do their own research -- but they can easily consume those provided by others, such as the insurance companies and drug research companies.Indeed, there's the glimmering potential of someday having large-scale healthcare analytics capabilities that ingest data from the point of capture and in turn provide real-time predictive capabilities on specific courses of treatment.Not to mention, perhaps generating some interesting revenue streams from the data they can sell to both drug companies and insurance companies :)

A Few Final Points

Yes, there are good arguments as to why healthcare shouldn't be driven by the profit motive, but - in doing so -- amazing and transformative forms of healthcare are now being created that will ultimately touch all of our lives. Capitalism does have its positives ...The more compute that's easily and dynamically accessible, the better. The more data that can be assembled, harnessed and correlated, the better. If it's linked and aggregated across organizational, industry and geographical boundaries, so much the better. More data, more insight, more value -- it's the fundamental equation of big data analytics.Luke Lonegan of Greenplum recently coined an interesting phrase to describe the key technology thinking here -- "computable storage" -- where analytics and data can be freely combined, integrated and scaled at maximum performance and minimum cost.No, technology itself doesn't appear to be a key inhibitor, nor in reality the costs associated -- especially in light of the rewards. And, yes, key talent is scarce, but that will come in time.No, it appears that the fundamental barrier to the bright new world is staring right at us in the mirror. It's ourselves -- and our natural need for privacy and confidentiality, as expressed in various regulations, customs and practices. Our innate desire for data privacy must ultimately be balanced against that exact same rich data being a key raw ingredient that -- when aggregated -- may lead to a greater good for all.

I believe that the era of big data and cloud transforming healthcare -- in all its aspects -- will ultimately be gated by this fundamental change in our collective perspectives.Would I be comfortable sharing some of my most personal and sensitive information if it someday leads to helping many other people? Years ago, people donated their bodies to science. Tomorrow, we may be asked to donate our data to science.That's something we're all going to have to think long and hard about ...

Tuesday, September 27, 2011

Swedish remedies system with Microsoft healthcare platform

Swedish remedies system with Microsoft healthcare platform

Seattle's Swedish Medical Center has selected Microsoft technology to help improve care coordination as patients cross hospital organizational lines, making the transition easier for patients and healthcare providers.

One of the big challenges facing large healthcare organizations is organizing and using patient data found in disparate systems.

Swedish alone manages five hospitals and a number of clinics and, as a patient moves from one facility to another, the clinical, administrative and financial information that follows them is located in several different systems.

Microsoft's Amalga platform helps organizations integrate that data so physicians, nurses, and administrators can quickly and efficiently get access and use it to help patients.

Swedish also said it would use the technology for population management, helping caregivers provide individual or group care plans, track progress and report outcomes on dashboards. "Healthcare reform requires health systems to do more with less," said Swedish President and CEO Dr. Rod Hochman in a statement. "Amalga is a key technology enabler that will allow us to efficiently combine data stored in disparate IT systems across multiple facilities and use it to uncover opportunities to improve performance and the quality of patient care across the care continuum."

As the healthcare industry makes the gradual shift into the digital age, technology companies such as Microsoft are making a big push to develop useful, secure software for use by hospitals, physicians and patients.

Amalga is already used in the Johns Hopkins Health System, Norton Healthcare, Providence Health & Services, and others, said Microsoft.

Healthcare outsourcing sees $1B in revenue, doubling of workforce

Business Insight Business


Healthcare outsourcing sees $1B in revenue, doubling of workforce

The healthcare outsourcing industry expects to generate $1 billion in revenue in five years and double its workforce this year.

Myla Rose Reyes, president of the Healthcare Information Management Outsourcing Association of the Philippines (HIMOAP), said the association is targeting the capture of 25 percent of the $4 billion potential global market for healthcare information management outsourcing.

HIMOAP, formerly known as the Medical Transcription Industry Association of the Philippines, said that as of end-2010, it had $94 million in revenue and 14,000 full-time employees. Reyes added that the industry aims to tap the 375,000 to 400,000 nursing graduates yearly.

"The Philippines has an adequate and competent pool of medical workforce to maneuver this industry. The country’s capability in providing workers, particularly in medical transcription alone, is now getting a significant attention from the US market as the latter is currently undergoing a major healthcare reformation," Reyes said.

She said the industry is relatively small but growing rapidly with the current health reform and implementation of the electronic medical records system in the US and other markets such as Britain and other countries in Europe and the Asia Pacific.

It is creating more career opportunities for Filipino nurses and medical practitioners.
At present, 85 percent of healthcare outsourcing comes from North America, with the remaining accounted for by Britain, the rest of Europe, Asia Pacific and the domestic market.

Reyes said the industry has become the most realistic solution to the plight of unemployed and underemployed healthcare workers in the country.

Monchito Ibrahim, commissioner of the Information and Communications Technology Office under the Department of Science and Technology, said the HIMOAP initiative to tap the oversupply of nursing graduates is laudable.

Ibrahim said IT-BPO, of which the HIMOAP is a part, contributed 4.5 percent to the country’s gross domestic product last year. The contribution is expected to grow this year to 6 percent.
There are several service areas the healthcare information management outsourcing industry is looking, such as medical transcription, health information management 16 to 18, and IT development program.

Sunday, June 26, 2011

US healthcare reform offers opportunities for Indian cos

US healthcare reform offers opportunities for Indian cos

Chennai: The US healthcare reform announced by the president Barack Obama has thrown huge opportunities for Indian BPO, KPO, ITeS, revenue cycle management, electronic medical/health records (EMR/EHR) companies as healthcare providers in US are facing a tough time to meet the deadline.

Apart from huge demand for healthcare outsourcing professionals, particularly coding and billing professionals, requirement for professional in EMR implementation and RCM will be huge, said a research done by ValueNotes, a leading consultancy tracking the IT industry in India.

The Obama administration has been spearheading several changes to the US healthcare system. Cost pressures along with the after-effects of the recent economic meltdown have triggered major reforms intended to control healthcare costs and provide universal coverage. The reform, enacted in 2009-10, poses significant challenges for healthcare providers including a potential increase (estimated to be about 30 million) in the volume of records driven by rise in the number...

Infosys chiefs Kris Gopalakrishnan and Sarojini Shibulal on the 'C-Life' and why the future lies in cloud computing - Telegraph

Infosys chiefs Kris Gopalakrishnan and Sarojini Shibulal on the 'C-Life' and why the future lies in cloud computing - Telegraph

Kris Gopalakrishnan and Sarojini Shibulal, the new Infosys co-chairman and chief executive taking over from the legendary Narayana Murthy, talk of the rocky start at India's leading IT company, its stellar growth and why cloud computing is the future.

Walk around the Bangalore and Mysore campuses of Indian IT outsourcing giant Infosys and it’s easy to become despondent about Britain’s competitive future.

It’s not the grand replicas of the White House, the pyramids and Sydney Opera House so much as the numbers that tell the story.

Infosys adds 20,000 Indian IT and engineering graduates to its 150,000-strong workforce each year, paying salaries of just £5,000 and training them, 200 at a time, in huge auditoria.
It’s nearly all aimed at the West with Infosys, India’s fifth largest company, getting 90pc of its $6bn (£3.74bn) turnover from the US and Europe.

Britain accounts for 12pc – about $720m a year. No wonder the Bangalore campus was a key stop on David Cameron’s India tour last year.

Friday, June 24, 2011

Healthcare BPO has good future

Healthcare BPO has good future

If the once much hyped medical transcription is looking down, outsourcing in imaging, disease management and claim processing are the new areas to look up to, as experts say a great opportunity awaits Indian BPO industry in the healthcare sector.

While estimates show that the revenue of medical transcription industry in India is expected to drop from $38 million in 2002 to $26 million in 2006, a nine per cent loss per annum, according to the National Association of Software and Services Companies (Nasscom), by year 2005, Indian BPO companies will be able to grab business worth $800 million from US healthcare companies alone.
Industry analysts say a significant opportunity awaits Indian outsourcing service providers in this field thanks to growing competitive business environment and technological and legislative changes that are taking place worldwide.

"During the early days of the Indian ITeS-BPO revolution major moves were made towards providing transcription services to hospitals and healthcare centres especially in US. However, easy availability of high-end services through healthcare outsourcing is now eating into the share of medical transcription,” says Devashish Ghosh, chief operating officer, Wipro Spectramind.
Experts say while healthcare outsourcing by global organisations has witnessed a rise over the past few years, the segment has remained relatively insulated from the ITeS-BPO wave as compared to other segments.

"However, the recent customer demand for new products and services, increase in competition and a real-time business environment are making BPO an important toll for achieving success for healthcare majors", the Nasscom report says.

"With the global healthcare industry increasingly under pressure due to regulations and the need for cutting cost, there is a huge potential for Indian IT companies to tap this market, particularly in the more advanced areas of healthcare such as imaging, disease management and claims processing", says Ghosh.
While at present there are customers mainly from the United States and UK, industry players say, of late, demand for healthcare outsourcing has also been seen in European countries like Germany and France.
"Till date, USA is the biggest market for healthcare outsourcing but now even the UK based companies are trying to follow the suit, although in a cautious manner. However, it may take some more time for European players to take a big leap because of state-governed health regulatory system in most of these countries,” Ghosh says.

Explaining about the main reason behind India emerging as a favourable destination for medical outsourcing, Anurag Jain, CEO, Vision Healthsource, one of the largest healthcare BPO service provider in the country, says, "India's inherent strength is the quality of our human resource pool. We have the analytical thought process that is required to develop complex applications and manage complex process, which is of utmost importance for healthcare BPO particularly".

"Also, Indian companies have an edge as they can offer a large number of value added services like diagnostic analysis by highly qualified medical professionals at a much cheaper cost,” Ghosh adds.
About the main domains in which BPO companies are eyeing global healthcare companies, Jain says, "The healthcare outsourcing market can be primarily divided into four major blocks of providers (hospitals and physician groups), payers (healthcare insurance companies, third party administration, etc), drug manufacturers (clinical research and bulk drug outsourcing) and pharmacy chains.”
Several Indian companies are presently providing solutions such as customer management systems, maintenance of electronic medical record services, etc. to healthcare service providers, health insurance companies and life sciences and medical equipment firms.

Other areas which the Indian companies can tap relate to clinical research organisations that conduct various pathology test on patients of new drug development, experts say, adding now, companies are also getting their facilities accrediated by the College of American Pathology (CAP), the global standard for pathological governance.

"We use same quality of chemicals and processes for analysis as are used in developed nations and even the processing technology is same. This is certainly another segment in the medical BPO sector where India is poised to show much growth,” Ghosh says.

On the opportunity for Indian BPO companies in the healthcare sector, Jain says, "Most Indian companies have not yet matured in terms of developing a global outlook. Customers are today looking for service providers who can give them multiple options like a multi-shore model to deliver to any need from applications to consulting and from processes to managing the infrastructure.

"Unless you have the ability to service these multiple needs, a BPO provider would not be viewed as adding value and Indian BPO companies would come of age only when they build these capabilities,” Jain adds.

All said and done, while the healthcare segment, globally acknowledged as a significant IT spender, will continue to present a significant opportunity for Indian IT services and ITeS-BPO companies, going forward, there is still need to do much more.

As the Nasscom report puts it while the India was quick to plunge into ITeS solutions for the healthcare industry in the form of medical transcription, now Indian vendors have to work on improving their know how and domain knowledge to tap into the high potential offered by the global healthcare vertical.