health plans with another y2k problem. providers with anoth

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Health Systems Technologies, Inc.
Challenges of the Year 2000 and Beyond
WEDi Annual Meeting November 18, 1998

• Bill Bysinger MBA,CSP
• Co-Founder Chief Technology Officer

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Low Orbit Satelittes
Virtual Reality
Speech Synthesis
Knowledge Navigator
Calm Computing
Intelligent Agents
Clear Type
High Density Chips
Moore's Law
LINUX
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Where are we?

• Phase 0 (1990s) Point to Point Data
• Phase 1 (1999-2000) Data Integration
• Phase 2 (Beyond 2000) Inter-Process
  Communication

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Millennium 2000
Re-Inventing the Healthcare Business Process A
Starter Kit
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Payers
Healthcare 1990s
Hospital
Lab X-ray
Pharmacy
Clinics
Network Administration
Outpatient Facilities
Patient Home
Physician Offices
Home Care
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Healthcare as a networked business

• Geographically dispersed
• Multiple business models exist
• Information needs to be shared
• Processes need to be linked
• Cross functional data needs to be generated

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Payers
Healthcare 2000
Hospital
Lab X-ray
Pharmacy
Clinics
Network Administration
Outpatient Facilities
Patient Home
Physician Offices
Home Care
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Millennium 2000 for Healthcare

• Business Issues
• Cost Controlled Business
• Networks the Norm
• Technology Issues
• Data Integration
• Inter-Process Automation

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Millennium 2000 will be a challenge

• Y2K fall-out
• Internet is the transmission medium
• HIPAA is a reality
• Applications are in components
• Mobile computing to the masses
• e Commerce

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Millennium 2000 healthcare stakeholders

• Health Plans Coverage Payment
• Government Regulation Compliance
• Hospitals Services Payment
• Ancillaries Services Payment
• Physicians Patients Payment
• Employers Value for Cost Employee Wellness
• Patients Customer Service Wellness

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Y2K Fallout

• Data Interchange
• Inter-process communication
• Leap year
• Integration Testing

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Internet is the transmission channel

• Control
• Global capacity
• Security
• Balance loading
• Bullet proofing

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(No Transcript)
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Health Insurance Portability Accountability

• Worst thing to happen to Healthcare in the last
  100 years.
• Health Plans with another Y2K problem
• Providers with another process problem
• Patients with healthcare information to be
  compromised
• Or the best thing to ever happen to healthcare
• Everyone wins

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Client Server gone--Components are In

• Objects and Architectures
• CORBA COM friends or enemies
• Messaging and format standards (HL7)
• Inter-application communication
• Applications are assembled
• Building blocks can be purchased
• Adaptable systems arrive

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The challenge of complex networks . . .
External Payers
Internal Plans
Integrated Health Network
Hospital
PHO
physicians, ancillaries, and other providers
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Systems must (components help)

• Adaptability Business Change
• Extensibility Data Process Connection
• Reliability Standards and Governance
• Scalability Business Growth
• Availability Non-Stop Networks
• Performance Process Integration
• Reusability Lowered costs
• Maintainability Self management

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Challenges of mobile information users

• Information anywhere, at anytime, to anyone
• Form factor
• Data compression
• Complex connected data
• Security and confidentiality
• Telecommuting to the Max
• Standards, standards, standards

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Healthcare business drivers the norm

• Business model fluidity
• Millennium transcendence
• Integrated processes
• Integrated data from multiple sources
• e Commerce
• Profit maximization
• Patient satisfaction

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Healthcare Electronic Commerce
Financial Institution
Health Plan
Physician

Clearinghouse
Clinic/Ancillary
Hospital
Provider Network
Homecare
Patient
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Millennium 2000 Axioms

• No one can go it alone
• Healthcare networks are the norm
• Be open to new models
• Technology will be commoditized
• Inter-process understanding is essential
• Technology must deliver tangible benefits or it
  is not worth it.

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Millennium 2000 How to prepare

• Lessons learned from Y2K apply to HIPAA
• Begin using the internet for more than Webpages
• Understand the stakeholders in the process
• Evangelize standards
• Assume all applications and data will be used by
  more than your organization
• Believe nothing is impossible

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Lessons learned from Y2K

• Do not wait
• Form teams to solve the problem
• Understand the process implication
• Develop a comprehensive implementation plan
• Good News with HIPAA
• There is a roadmap
• There is WEDi and other sources to call on
• All are dealing with the same guidelines

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Operationalize the Internet

• Use in a real business process
• Will require
• the ability to secure the server
• secure the use of the client browser application
• secure the data through SSL (secure sockets layer
  encryption)
• Doing this will add to knowledge of how to
  implement HIPAA security guidelines
• Create and measure value in the process

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Work with Stakeholders

• Who are your trading partners
• They are the stakeholders in your future
• Insurers
• Providers
• Vendors
• Clearinghouses
• Professional organizations
• Patients

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Integrated Healthcare
Repository
Encounters
HL 7
Clinical Content
Hospital Client
Hospital Information System
Clinical Repository
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Millennium 2000 Success

• Map a business deployment strategy
• Do not go it alone
• Use your business partners to help
• Be open to change
• Remember nothing is impossible
• Maybe in the next century MIS will be fun

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Health Systems Technologies, Inc.
Challenges of Millennium 2000 a journey. .
. . . .not a destination

• Bill Bysinger bbysinger_at_hst.com