Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
DELIVERING VALUE THROUGH NON-TRADITIONAL RESPONSIBILITIES CHRISTOPHER NOWAK, CBET, CHP, CSCS UNIVERSAL HEALTH SERVICES, INC. MD EXPO – DALLAS, TX - APRIL 2016 DISCLOSURES/CONFLICTS OF INTEREST Universal Health Services, Inc. • 25 acute care hospitals across the US • FED’s, IPM’s, Surgery Centers, Imaging Centers • Largest facility-based behavioral health provider in the US – nearly • Prominence Health Plan – Reno, NV 300 facilities in 37 states, DC, Puerto Rico, US Virgin Islands and the UK PRESENTATION GOAL • To provide the attendee of this presentation with a nugget of information that enables their healthcare technology management team to develop, enhance and/or exploit skill-sets that will provide the patients served with a better experience while in their facilities and to enhance the value and satisfaction to the HTM employer, the caregivers and the HTM technical staff. WHY THIS TALK, WHY NOW • Value-Based Reimbursement • • • • • • • Fee-for-service (volume-based reimbursement) Commercial reimbursement shift to government reimbursement (50% by 2018) Hospitals must understand and have the ability to absorb risk, do you? Patient-centered medical homes Automation of population health BIG data Tighter hospital margins • HTM value proposition: Talk-the-Talk BIOMEDICAL DEVICE INTEGRATION (BMDI) The Scenario: • Technology Rich Environment • Devices “touching” the network • Uniquely Positioned • HTM professionals – the “linguists” for technology • Organizations Starved – Purchased Services • Organizations purchasing skills to fill the void - $$$$$ BMDI • Medical Device Integration – BIG data • • • • • • • Patient monitoring, OB Monitoring, Surveillance Systems Infusion Pumps Anesthesia Systems Ventilators Imaging Gear Lab Devices Ancillary Devices – CCO, Telemetry, surgical video distribution • HTM – easily manage changes and adding integration $avings! ALARM MANAGEMENT • “To Err is Human” – Institute of Medicine (1999) • The Joint Commission National Patient Safety Goals (NPSG) – driving change • September 2015 – HHS announces $110MM to 17 healthcare organizations • Reward for safety initiatives • NPSG.06.01.01 – Improve the safety of clinical alarm systems • Technology to the rescue ALARM MANAGEMENT • AAMI and ECRI also change agents for this initiative - website • Alarm Management and Event Notification • Middleware • • Connexall, Extension Healthcare, spôk, and others EMR Manufacturers • Cerner CareAware Alarm Management • HTM must play a role • EXPENSIVE solutions – curb expense through management, config changes, adds/deletes BORING TECHNOLOGY BECOMES HIGH TECH • Beds and Nurse Call • Beds now with scales and integration into the EMR – Plant Ops • Nurse Call – Multiple Integration Points: NO service contracts • Real-time Location – RTLS • OWNERSHIP • Integration – Tag patients and staff (nurse call/hand hygiene), no ROI tagging devices • HTM instrumental in driving success and $avings! DATA SECURITY • It’s IT’s responsibility – WRONG! • How many HTM devices touch the IT infrastructure in your facility? • Board of Directors Visibility • • • • HIPAA Violation Potential damage to reputation Cost to remedy – RansomWare, Infrastructure/Software, Free Credit Monitoring Jail and/or Financial penalties/fines DATA SECURITY • Regulatory Information • HIPAA – Confidentiality, Integrity, and Accessibility (CIA) • PCI DSS – Payment Card Industry Data Security Standard • 21CFR Part 11, FISMA, ISO/IEC 27000, NIST, FIPS 199/200, State Requirements • HTM Responsibility • CMMS data • • • • Devices on the network – IP addresses, MAC addresses, etc… What devices store/acquire protected data? Identified? Virus/Malware Protection – deployed or can it be? who owns it? Encryption – devices that have it and devices that don’t • Strategy – OEM/IT ownership DATA SECURITY • Multidisciplinary approach to mitigation of risks • HTM plays a prominent role • • Low cost to manage the information to identify medical devices with risk Limited understanding by IT team for clinical devices at risk • FDA clearance ramifications, aversion to patient care areas • • Technology Supplier relationships to understand and drive better solutions to data security Education to IT, caregivers, administration = successful and comprehensive mitigation strategies = excellent patient experience CONTACT INFORMATION Christopher Nowak, CBET, CHP, CSCS Universal Health Services, Inc. 367 South Gulph Road King of Prussia, PA 19406 [email protected] (610) 382-3341 QUESTIONS AND ANSWERS