Download Delivering Value Through Non-Traditional Responsibilities

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
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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
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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
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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
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Connexall, Extension Healthcare, spôk, and others
EMR Manufacturers
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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
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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
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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
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Strategy – OEM/IT ownership
DATA SECURITY
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Multidisciplinary approach to mitigation of risks
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HTM plays a prominent role
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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
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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