Open source health_acquia_final_v2_20130415
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This document provides an overview of a presentation about harnessing open source and Drupal to drive outcomes in healthcare. The agenda includes discussing Achieve, the current state of US healthcare, trends in healthcare technology, the value of open source, how Drupal can help, and a Dexcom case study. It discusses challenges in the healthcare industry and how technology like patient portals, electronic health records, and open source platforms can help address issues like interoperability, workflow automation, and patient engagement.
Open source health_acquia_final_v2_20130415
- 1. Launch with Confidence! Harnessing the Power of Open Source & Drupal to Drive Outcomes in Healthcare 4/16/13
- 2. Agenda • About Achieve • Current State of U.S. Healthcare • Where is Healthcare Headed? • The Value of Open Source • How Can Drupal Help? • Case Study Quick Look: Dexcom, Inc. • How to Harness Open Source for Healthcare Outcomes • Summary • Q&A 4/16/13
- 3. About Achieve legal name Achieve Internet" founded 1998" headquarters 1767 Grand Avenue, Suite #2 | San Diego, CA 92109 | U.S.A." leadership Ron Huber, Chief Executive Officer" Achieve leverages best in class open source web application and development experience and tools to create mission optimized platforms for enterprise clients. " core values Meticulous Coding | Transparent Work Flow | Robust Performance" Achieve specializes in the architecture and planning phases of large-scale enterprise projects for Fortune 500 services Companies. Services include: Application Development, Integrated Communications, Globalization, Infrastructure and Deployment, and Mobility and End-User Services. " clients Achieve has worked with some of the most recognizable names in the Media and Entertainment Industry: Sony, NBC Universal, MTV, and Fast Company. Achieve has also worked with numerous enterprise corporations such as: U.S. Chamber of Commerce, Dexcom, Inc., Experian, Hunter Industries, and Amerigroup. " partnerships Acquia (Enterprise Partner), Drupal Association, Neue Creative Group, Kluge Interactive " 4/16/13
- 4. Key Clients: Media & Entertainment clients! 4/16/13
- 5. Key Clients clients! 4/16/13
- 6. About Me • Marc Hermsmeyer • VP, Operations at Achieve Internet • 14+ years experience in Internet software and online media • Enjoys surfing, backpacking & fishing LinkedIn: www.linkedin.com/in/marchermsmeyer/" Twitter: @MHermsmeyer" 4/16/13
- 7. Three Key Focuses 1. Current state of Healthcare 2. Developing Trends in Technology 3. Future Drupal Considerations 4/16/13
- 8. Healthcare – An Individual Perspective 4/16/13
- 9. Healthcare – An Individual Perspective • When was the last time you went to the Doctor’s office or the Emergency Room? § How did you schedule the appointment? § How much paperwork did you have to fill out? § How did you pay for the service? § How would you rate your experience? • You are not alone. • Most people are just as frustrated. 4/16/13
- 10. Changing Landscape for Healthcare Frost and Sullivan • Increasing population size Research" Demographics • Ageing population that are living longer Disease • Increase in life style induced diseases Patterns • Increase in chronic diseases • Health is valued more today Consumer • Patients are acting more like consumers Behavior when deciding on care • Incentives for Electronic Healthcare Platforms Government • Mandate for patient engagement and Pressure interaction § h"p://www.slideshare.net/FrostandSullivan/health-‐informa9on-‐technologies-‐market-‐trends 4/16/13
- 11. Current State of Healthcare Industry • $2 Trillion spent a year in the U.S. § Most expensive system in the world • Ranks poorly in leading indicators including, life expectancy and infant mortality rate § Americans are spending 17% of GDP on Healthcare costs § 21 – 40% of Healthcare spend is wasted due to inefficiencies in workflow » Dr. James LaBelle, CMO Scripps Health § Dr. James LaBelle, Chief Medical Officer and Senior Vice President at Scripps Health 4/16/13
- 12. Industry Wide Challenges These challenges have plagued many other industries in the past, from Media, Publishing and Manufacturing, beyond…. § Interoperability § Integration § Workflow automation § User experience § Billing § Performance § Scalability § Communication § Patient engagement § Mobile solutions 4/16/13
- 13. Hasty Decisions Physician satisfaction with their current technology solution Black Book Rankings on Top Ranking EMRs " Satisfied Undecided Dissatisfied § h"p://www.blackbookrankings.com/healthcare/ 4/16/13
- 14. Where is Healthcare Headed? 4/16/13
- 15. Where is Healthcare Headed? Government Mandate to Leverage Technology Financial Incentives Will Cause Healthcare Affordable Care Act Adoption Rates to Soar HITECH Act § Electronic Health Records (EHR) § Practice Management Tools Meaningful Use § Patient Portals § Personal Health Records 4/16/13
- 16. Affordable Care Act & Meaningful Use “To meet the requirements of Meaningful Use Stage 2, health care providers need to more actively engage patients by providing them with the capability to electronically view, download, and transmit relevant information from their provider’s electronic health records.” " HealthIT.gov and CMS.gov" $63,750! amount healthcare professionals will be able to receive per eligible professional within their practice that implements an EHR under Meaningful Use " § h"p://www.healthit.gov/buzz-‐blog/meaningful-‐use/pa9ent-‐engagement-‐objec9ves-‐meaningful-‐stage-‐2/ § h"p://www.cms.gov/Regula9ons-‐and-‐Guidance/Legisla9on/EHRIncen9vePrograms/index.html?redirect=/ehrincen9veprograms/ 4/16/13
- 17. Missing the Mark on Meaningful Use 160000 HealthIT.gov HIT Adoption Rates" 140000 120000 100000 80000 60000 40000 20000 0 Number of Primary Care Providers Enrolled Number of Primary Care Providers Live on EHR Number of Primary Care Providers Demonstrating Meaningful Use Enrollment Goal, PPCPs § h"p://dashboard.healthit.gov/HITAdop9on/?view=0 4/16/13
- 18. New Wave of Healthcare Technology Patient Portals: “It’s going to be a cost of doing business. You wouldn’t consider not having a phone system, and the generations that are coming up are going to think it’s ridiculous not to be able to communicate via computer.” --Elizabeth Boehm, Forester Research • Elizabeth Boehm, Forester Research and Experia Health. h"p://www.healthdatamanagement.com/issues/18_3/will-‐pa9ent-‐portals-‐ open-‐the-‐door-‐to-‐be"er-‐care-‐39853-‐1.html 4/16/13
- 19. Benefit of Patient Portals • $0.63 cents saved… Every time practice does not have to mail lab results • $17 saved… Every time practice can handle a billing query online rather then by phone • $7 saved… For every appointment scheduled online • 25% reduction in patients… Who need to come in for a follow up (keeps insurance costs down) due to e-consults and messaging capabilities of portal • 12,000 phone calls averted a month! • Allows certain practices to re-direct over 100 hours each month from paperwork and phone calls to providing better customer service and patient care • h"p://www.healthdatamanagement.com/issues/18_3/will-‐pa9ent-‐portals-‐open-‐the-‐door-‐to-‐be"er-‐care-‐39853-‐1.html 4/16/13
- 20. Patients Want Portals • 94% of patients in one survey rated easy access to their own medical records as either important or very important • 75% of patients want their physicians to provide online services to do the following: • Schedule appointments • Get test results • Access medical records • Exchange email • 81% would schedule their own appointment via a secure web site and fill out medical/registration forms online prior to visit • h"p://healthcare.intuit.com/portal/docs/pa9ent-‐portals-‐mu-‐whitepaper.pdf 4/16/13
- 21. How Can Technology Help? Leveraging the power of technology will help to lower costs and create engaging care solutions: § Connectivity/Interoperability § Accessible patient records and test results § Integration with multiple platforms § Role-based security § Customizable workflow management § Medical form submission § Referral capability § Rx refills requests § Internal and external messaging § Intuitive scheduling § Billing functionality § Mobile solutions 4/16/13
- 22. Patient Portals – Feature Ranking Feature Rank 1-‐5 (1= lowest; 5 = highest) Integra9on w/ EHR 5 RX Refills 5 Secure Messaging 5 Lab/Test Results 5 Referrals 4 Online Medical Forms 4 Access to Medical Info 3.5 Billing 3 Scheduling 3 Mobile (Responsive) 3 E-‐Visits 2 Community Building (Social/Forums) 2 Support 2 4/16/13
- 23. The Value of Open Source and Drupal • Patient Engagement… Best Solved with Drupal § Robust platform with numerous modules for customization § Extensible and designed to accommodate numerous changes § Out of the box functionality 4/16/13
- 24. Drupal Specific Solutions Workflow Automation +… § Configuration § Approval § Auditing 3rd Party Integration +… § Single Sign-on (SSO) § Consume 3rd Party Data § BI Integration Security … § Access § User Management § Password Policies = Enhanced Customer and Patient Interaction § Engage the patient and meet Meaningful Use goals 4/16/13
- 25. Workflow Automation • Content creator / editor workbench • Review, approval, publishing workflows • Change reviewing • Content versioning • Role-based interface & permissions 4/16/13
- 26. Integration with Best-of-Breed Tools Primary Mobile Social Email Community Video site application FB/Twitter campaign site portal Measurement and reporting Drupal Marketing Commerce Social Media CRM Analytics automation 4/16/13
- 27. Security Management – The DOD “Continuous and broad peer review, enabled by public available source code, supports software David M. Wennergren reliability and security Department of Defense CIO efforts” 4/16/13
- 28. Tom Hall, Dexcom, Inc. • Senior Marketing Manager for Dexcom, Inc. • Manages short and long term digital strategies including website development and agency partnerships • Focused on scaling Dexcom’s online presence through, SEO, and social networks, to increase inbound traffic, and to grow customer base 4/16/13
- 29. Dexcom, Inc. – Workflow Automation • Dexcom, Inc (NASDAQ: DXCM) § Issue • Needed to expand sales channels online • The solution had to access crucial client data stored behind Oracle Legacy system • Platform had to be an intuitive e-commerce solution § Result • Fully HIPAA compliant site that allowed patients access to their records and diabetes devices in an elegant mobile platform • Decreased administration work to expedite order process • Expanded sales channel online for customers to order 4/16/13
- 30. Dexcom, Inc. – An (Oracle) Integration Case Study • Achieve teamed up with Acquia to build, host and support an e-commerce site that gave patients a quick, easy, and secure method for re-ordering their glucose monitoring systems. • Critical client data was locked within Dexcom’s Oracle system. • Medical device company that distributes glucose monitoring • Achieve built a series of custom modules that systems integrated multiple sources of data into one seamless • Third Party Integration: Oracle platform, including a number of proprietary client Legacy System information: • Custom Built Modules to lock • Insurance verification secure client data behind firewall • Purchasing and frequency limits based on client insurance • HIPAA Compliant and co-pays • Mobile optimized: Responsive • Product specifications web design technology used 4/16/13
- 31. A Positive Outlook • Open Source Technology Has Already Alleviated These Same Pains in Other Industries § Fully integrated with all third party APIs § Engaging platform § Seamless billing solutions § Scheduling solution for front office automation § Secure websites exceeding industry standards 4/16/13
- 32. Drupal – Freedom and Flexibility No Lock-in Simplified Digital Experiences Open SaaS model offers Lowest solution TCO freedom to move your customers and the fastest learning curve digital experiences to any amongst developers and Digital Marketers. Mature Cloud Model Unmatched Innovation Leverage mature, optimized Accelerate innovation from idea cloud deployment models and to experience at web speed across offers operational models to map any channel or device. spending plans to successes. Unified Platform Best of Breed Create unforgettable customer Empower the business to mix and experiences by leveraging a match sales and marketing tools in unified platform for content, a string of pearls approach community, and commerce. for maximum business impact 4/16/13
- 33. Drupal Will Redefine Patient Engagement • A Single-Sign on (SSO) web-based portal • Access to all medical records and test results • Convenient web-based scheduling • Medical web-forms • Integration with EHRs • Online billing and payment options • E-visit capabilities • Online requests: referrals and prescription refills • Mobile and responsive web solutions 4/16/13
- 34. Achieve’s Drupal Development Achieve has dedicated thousands of hours developing the most complex Drupal solutions specializing in: § Workflow • Elegant back-end solutions that have simplified the most complex editorial workflow • Track-able content editing and deployment process for HIPAA compliance § Integration • Platforms that access critical client data behind firewalls locked within secure legacy systems § Infrastructure Services • Achieve builds rock-solid HIPAA compliant server configurations § Security • Rigorous security audits 4/16/13
- 35. Why Drupal Rocks – A Snapshot! Drupal Rocks! § Cost! Drupal Rocks! § Scalability and Time to Market § Platform Integration § Community Capabilities § Drupal Talent…everywhere! 4/16/13
- 36. Key Takeaways • U.S. Healthcare system is not getting the job done § Overpriced § Under Performing • Healthcare landscape is changing § Patients are acting more like consumers • Government has mandated the use of technology § Technology adoption rates will begin to rapidly increase § Choice of technology solution needs to be calculated • Drupal is the choice solution for Patient Engagement 4/16/13
- 37. Thank You Marc Hermsmeyer! § VP, Operations § marc.hermsmeyer@achieveinternet.com § 800.618.8777 4/16/13
- 38. Connect with Achieve If you have any further questions or would like to get in touch with Achieve you can do so through the following channels: • Email: info@achieveinternet.com § Twitter.com/achieveinternet § http://www.facebook.com/pages/Achieve-Internet/7335128391 4/16/13
- 39. Q A 4/16/13
- 40. Backup Slides References 4/16/13
- 41. HITECH Act Summary The Health Information Technology for Economic and Clinical Health Act, abbreviated HITECH Act, was enacted under the American Recovery and Reinvestment Act of 2009. Under the HITECH Act, the United States Department of Health and Human Services is spending $25.9 billion to promote and expand the adoption of health information technology. The inclusion of as much as $36.5 billion in spending to create a nationwide network ofelectronic health records.” ! ! Electronic Health Records (EHR)! The HITECH Act set meaningful use of interoperable EHR adoption in the health care system as a critical national goal and incentivized EHR adoption. The goal is not adoption alone but 'meaningful use' of EHRs — that is, their use by providers to achieve significant improvements in care.”! Title IV of the act promises maximum incentive payments for Medicaid to those who adopt and use certified EHRs of $63,750 over 6 years beginning in 2011. Eligible professionals must begin receiving payments by 2016 to qualify for the program. For Medicare the maximum payments are $44,000 over 5 years. Doctors who do not adopt an EHR by 2015 will be penalized 1% of Medicare payments, increasing to 3% over 3 years. In order to receive the EHR stimulus money, the HITECH act (ARRA) requires doctors to show meaningful use of an EHR system. As of June 2010, there are no penalty provisions for Medicaid.! ! § hp://en.wikipedia.org/wiki/HITECH_ACT 4/16/13
- 42. References • Dr. James LaBelle, Chief Medical Officer and Senior Vice President at Scripps Health • http://www.blackbookrankings.com/healthcare/ • http://dashboard.healthit.gov/HITAdoption/?view=0 • http://www.healthit.gov/buzz-blog/meaningful-use/patient-engagement-objectives- meaningful-stage-2/ • http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ index.html?redirect=/ehrincentiveprograms/ • http://www.slideshare.net/FrostandSullivan/health-information-technologies-market- trends • http://dashboard.healthit.gov/HITAdoption/?view=0 • http://www.healthit.gov/providers-professionals/benefits-electronic-health-records- ehrs • http://healthcare.intuit.com/portal/docs/patient-portals-mu-whitepaper.pdf • http://www.healthdatamanagement.com/issues/18_3/will-patient-portals-open-the- door-to-better-care-39853-1.html • http://en.wikipedia.org/wiki/HITECH_ACT 4/16/13