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5 Questions with Michelle Collie, PT CEO, Performance Physical Therapy

December 8, 2015 News Comments Off on 5 Questions with Michelle Collie, PT CEO, Performance Physical Therapy

Michelle Collie, PT is CEO of Performance Physical Therapy, a chain of PT practices in Rhode Island and Massachusetts. The company, which recently implemented a new PM solution, employs 55 clinicians and 55 ancillary staff across its eight facilities to care for 350 patients on a daily basis.

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What was the impetus for implementing a new PM solution?
We moved to a new PM solution to provide real-time oversight and analytics to better manage a growing practice. Financial margins continue to decrease; therefore, we need the tools to improve efficiencies. The past system – Intergy – did not have the physical therapy specific tools we needed, whereas Clinicient provides the PM tools specifically needed for PT.

How do you hope the new PM system will benefit the practice and its patients?
In a number of ways, including:

  • Ensuring compliance with documentation and billing guidelines set by different payers – limited manual audits, and delays in payments due to errors.
  • Improving scheduling efficiencies to help patient compliance and outcomes.
  • Improving timely collection of money such as copayments and coinsurance.
  • Improving ease of managing accounts receivables.
  • Better management of staff with regard to tasks, productivity.

What sort of healthcare technology adoption/implementation challenges are unique to PT?
Many physical therapists are utilizing a national outcomes database to collect outcomes data as we move to performance-based reimbursement. We are using FOTO (Focus On Therapeutic Outcomes). Such tools are unique to physical medicine. These outcome measures are only just beginning to be integrated with PM solutions, which creates a challenge when truly assessing outcomes and cost.

Plus, PT-specific EHRs are very different than physician-based EHRs. Interfacing between hospital-based EHRs is challenging, making communication an issue.

Is the practice using digital health tools to engage with patients, or to enable physicians to securely communicate with each other?
We use digital health tools in several different ways:

  • Clinicient allows clinicians to securely communicate with each other.
  • Email and text to confirm appointments.
  • Secure emails can be sent to patients.
  • Home exercise routines can be emailed to patients.
  • Ipads are used to collect PMHx and complete FOTO assessments.

What tips do you have for PT practices looking to implement new healthcare technologies?

  • Look for a system that fully integrates EHR, billing, and practice management – as well as outcomes. If all are on the same platform, its even better!
  • Consider if you want to purchase a system – or partner. There are various payment models and a percent-based payment will create more of a partnership with the PM vendor.
  • Find other practices utilizing the system and ask about support, training, and all aspects of the system.
  • Carefully compare pricing to determine if billing should be done in-house or outsourced.
  • Chose a PT-specific software.

Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

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JennHIStalk

News 12/7/15

December 7, 2015 News Comments Off on News 12/7/15

Top News

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Hattiesburg Clinic, the largest privately-owned multispecialty outpatient facility in Mississippi, receives the HIMSS Analytics Stage 7 Ambulatory Award. The clinic began its facility wide Epic roll out in 2011. In related news, HealthNet (IN) receives the HIMSS Ambulatory Davies Award. The center, Indiana’s largest FQHC, moved from an “aging PM, billing, and scheduling system” to EClinicalWorks in 2009. It took two years to roll out the new technology across its 122 sites, including 97 school-based clinics.


HIStalk Practice Announcements and Requests

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I’ve been unsubscribing from emails left and right over the last several days (landing on some humorous “don’t go” pages in the process) as part of an overall effort to transition my personal email account away from Yahoo Mail, which seems to have spent the last several years focusing on annoying ads rather than user interface. It’s gotten way too glitchy, freezing up for minutes at a time in some cases; in others, mysteriously deleting an entire day’s worth of emails from my inbox. I’ll eventually delete it, though I’ll be somewhat sad to see it go, given that I set it up in an Brussels Internet café way back in 2001. I don’t know that Yahoo Mail has anything to do with rumblings that CEO Melissa Mayer might soon be looking for another job, but surely it’s indicative of misconstrued priorities delivered from on high. 


Webinars

December 9 (Wednesday) 12 noon ET. “Population Health in 2016: Know How to Move Forward.” Sponsored by Athenahealth. Presenter: Michael Maus, VP of enterprise solutions, Athenahealth. ACOs need a population health solution that helps them manage costs, improve outcomes, and elevate the care experience. Athenahealth’s in-house expert will explain why relying on software along isn’t enough, how to tap into data from multiple vendors, and how providers can manage patient populations.

December 9 (Wednesday) 1:00 ET. “The Health Care Payment Evolution: Maximizing Value Through Technology.” Sponsored by Medicity. Presenter: Charles D. Kennedy, MD, chief population health officer, Healthagen. This presentation will provide a brief history of the ACO Pioneer and MSSP programs and will discuss current market trends and drivers and the federal government’s response to them. Learn what’s coming in the next generation of programs such as the Merit-Based Incentive Payment System (MIPS) and the role technology plays in driving the evolution of a new healthcare marketplace.

December 15 (Tuesday) 1:00 ET. “CPSI’s Takeover of Healthland.” Sponsored by HIStalk. Presenters: Frank Poggio, CEO, The Kelzon Group; Vince Ciotti, principal, H.I.S. Professionals. Frank and Vince are back with their brutally honest (and often humorous) opinions about the acquisition. They will review industry precedents (such as Cerner-Siemens), the possible fate of each Healthland product, the available alternatives, and steps Healthland customers should take now. Their previous webinar that covered Cerner’s takeover of Siemens has drawn nearly 7,000 views and this one promises to be equally informative and entertaining.

December 16 (Wednesday) 1:00 ET. “A Sepsis Solution: Reducing Mortality by 50 Percent Using Advanced Decision Support.” Sponsored by Wolters Kluwer Health. Presenters: Rick Corn, VP/CIO, Huntsville Hospital; Stephen Claypool, MD, medical director of innovation lab and VP of clinical development and informatics for clinical software solutions, Wolters Kluwer Health. Sepsis claims 258,000 lives and costs $20 billion annually in the US, but early identification and treatment remains elusive, emphasizing the need for intelligent, prompt, and patient-specific clinical decision support. Huntsville Hospital reduced sepsis mortality by 53 percent and related readmissions by 30 percent using real-time surveillance of EHR data and evidence-based decision support to generate highly sensitive and specific alerts.

December 16 (Wednesday) 1:00 ET. “Need for Integrated Data Enhancement and Analytics – Unifying Management of Healthcare Business Processes.” Sponsored by CitiusTech. Presenters: Jeffrey Springer, VP of product management, CitiusTech; John Gonsalves, VP of healthcare provider market, CitiusTech. Providers are driving consumer-centric care with guided analytic solutions that answer specific questions, but each new tool adds complexity. It’s also important to tap real-time data from sources such as social platforms, mobile apps, and wearables to support delivery of personalized and proactive care. This webinar will discuss key use cases that drive patient outcomes, the need for consolidated analytics to realize value-based care, scenarios to maximize efficiency, and an overview of CitiusTech’s integrated healthcare data enhancement and analytics platform.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Announcements and Implementations

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Intelligent Medical Objects releases the IMO 2.0 Enhanced Terminology Platform.

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Modernizing Medicine launches a PM solution for specialists at its second users conference. Looks like several attendees were wowed by the chance to share their EHR state of minds with speaker Zubin Damania, MD, aka ZDoggMD.

The Houston Health Dept. selects case management technology from ClientTrack for most of its Texas 1115 Medicaid Waiver programs.

Ridgewood Pathology Group taps Healthcare Administrative Partners to implement billing, coding, and credentialing services.


Acquisitions, Funding, Business, and Stock

Seamless Medical Systems, which offers a mobile device check-in app for medical practices, closes a $2.5 million investment.

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Behavioral health analytics company Otsuka Digital Health opens for business in Princeton, NJ. President and CEO Michael Jarjour, who comes to the new business from Otsuka’s pharmaceutical business, says the company’s first offering will stem from a collaboration with IBM.

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Chronic-care management startup MD Revolution completes a $23 million financing round led by Jump Capital. Garrett Vygantas, MD (Jump Capital) and Jackie Kosecoff, who seems to have made a career out of being on boards, will join the company’s BoD.


People

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Bruce Cerullo, formerly chairman and CEO of Vitalize Consulting Solutions, which was sold to SAIC/Leidos in 2011, joins Nordic Consulting as chairman and CEO.


Telemedicine

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The local paper highlights the impact a fiber optic line and resulting high-speed broadband connection has had on digital sharing of medical records at the rural St. George Medical Clinic (WV), which had been using a DSL connection that only provided speeds of one to three megabits per second. “It has actually improved our whole outlook and efficiency for the company, and improved the service for our patients,” said Director Paul Wamsley. “With us being at one to three megabits in the past, we couldn’t even attempt that.” Telemedicine consults will likely be added in the near future.

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Medical marijuana grower and delivery service SpeedWeed partners with HelloMD to add telemedicine to its line of services. The startup, which started out supplying pot-infused gummy bears to local dispensaries, is hoping the new service will help it stand out among its 400-plus competitors in Los Angeles.

And speaking of competitors … San Francisco-based Eaze develops iOS and Android apps for its medical marijuana consultation and delivery service. The company launched in July 2014, and secured its first funding round of $1.5 million just over a year ago.


Government and Politics

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CMS issues a final rule permanently extending a 90-percent federal match rate for states to invest in overhauling their Medicaid eligibility and enrollment systems, a notion first proposed in April.

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Rep. Fred Upton (R-MI) and Senator Orrin Hatch send a letter to Acting CMS Administrator Andy Slavitt calling for tighter oversight of each state’s implementation of electronic asset verification systems for certain Medicaid populations, also pointing out the 2015 improper Medicaid payments rate of nearly 10 percent. All fifty states were supposed to have implemented such a system by the end of 2013; as of today, only two have been known to do so.


Research and Innovation

A study of EHR adoption rates reveals that practices that employ at least one advanced practice provider such as an NP or PA were 9 to 12 percent more likely to have an EHR with advanced functionalities than those practices that didn’t. The study’s authors concluded that practices with APPs are better prepared to implement team-based approaches to care that may be further enhanced through the use of health IT.

No surprise here: A JAMIA study finds that patient portal design – especially simplicity – impacts usage. I’ve no doubt the same might be said for EHRs. (Check out the latest EHR Design Talk with Dr. Rick for insight into user interfaces and horse-and-buggy inspiration.)


Other

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I couldn’t help but think of Dr. Jayne and her career-change musings when I came across this job posting for an EMR coordinator in Lesotho, which is literally surrounded by South Africa. It could be just the type of adventure she’s looking for.

The local paper spotlights the Yale Medical Symphony Orchestra, a group of nearly 50 physicians, researchers, residents, and students from the school that get together once a week to practice. “There’s a lot of conjecture on why these [medicine and music] go together,” says group founder and pulmonologist Lynn Tanoue. “I think many people who end up in science or medicine have the same kind of motivation it takes to excel at a musical instrument.” (On a side “note,” Mr. H is considering putting healthcare IT talent up on stage as a sort of opening act at HIStalkapalooza. If you’d like to share your musical chops with our audience, send Lorre a link to your video or audio and tell her what you would play on stage if chosen.)


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

Population Health Management Weekly Wrap Up 12/6/15

December 6, 2015 News Comments Off on Population Health Management Weekly Wrap Up 12/6/15

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Healthwise launches Behavior Change Navigator to help care managers and population health programs to better identify and support patients going through behavior changes.

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Denver-based population health startup Welltok closes a $45 million funding round and acquires patient engagement technology vendor Silverlink for an undisclosed price. Lt. Dan provides the full story at HIStalk Connect.

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Family Health Center (MI) selects the i2iTracks population health management tool from i2iSystems for implementation across its seven locations in Kalamazoo County. The FQHC will initially use the technology to  improve perinatal patient monitoring, and multiple HEDIS measures including appropriate medications for asthmatics and adolescents on multiple anti-psychotic meds.

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University of Chicago Medicine (IL) chooses Valence Health to support its clinically integrated network, with a particular focus on identifying patient populations based on conditions, gaps in care per clinical performance guidelines, and lab results.

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Harbin Clinic, Georgia’s largest privately owned, multispecialty physician group, implements population health management solutions from Lightbeam Health Solutions, including data warehousing, risk stratification, analytics, care management, and quality measurement optimization.

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Broward Health (FL) expands its relationship with Cerner by selecting its HealtheIntent population health management and patient engagement tool. The health system, already a Cerner Millenium client, has also selected the company’s Readmission Prevention tool.

Radiology Associates of Canton and its RadHelp consulting and population health management company (OH) merge with Radiology Partners, the largest on-site radiology group in the US. The groups plan to work together to develop radiology’s role in leading population health management initiatives.

India-based healthcare software vendor Indegene Lifesystems expects to hit $250 million in annual revenue by 2020 and plans to go public within 2-4 years. The company says it will announce an acquisition in the next few days and is also in acquisition talks with an unnamed population health management analytics company.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 12/3/15

December 3, 2015 News Comments Off on News 12/3/15

Top News

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A HealthITJobs.com survey of 700 healthcare IT professionals finds the median industry salary to be $80,000 and salary bonuses to be $5,000. There seems to an $18,000 gap between what employees think they’re worth and what they’re actually getting paid, a statistic that corresponds with the half of respondents who are planning to change jobs within the year. Project managers receive the biggest salaries, and jobs in New England pay the most. Consulting companies offer the biggest paychecks, while physicians groups and clinics pay the least – just one more reason to thank your family physician for doing what they do the next time you see them.


Webinars

I really enjoyed tuning in to yesterday’s webinar with VMware, which featured the entertaining and informative Metro Health VP of IT Joshua Wilda. He kept coming back to the value virtual desktop interfaces bring to physicians in terms of mobile care coordination and even work/life balance. Kudos to his wife, a clinician and new mom, for providing Wilda with one of the best work/life balance anecdotes I’ve heard in awhile. Check out the recorded presentation here, and the Twitter-friendly recap here.

December 9 (Wednesday) 12 noon ET. “Population Health in 2016: Know How to Move Forward.” Sponsored by Athenahealth. Presenter: Michael Maus, VP of enterprise solutions, Athenahealth. ACOs need a population health solution that helps them manage costs, improve outcomes, and elevate the care experience. Athenahealth’s in-house expert will explain why relying on software along isn’t enough, how to tap into data from multiple vendors, and how providers can manage patient populations.

December 9 (Wednesday) 1:00 ET. “The Health Care Payment Evolution: Maximizing Value Through Technology.” Sponsored by Medicity. Presenter: Charles D. Kennedy, MD, chief population health officer, Healthagen. This presentation will provide a brief history of the ACO Pioneer and MSSP programs and will discuss current market trends and drivers and the federal government’s response to them. Learn what’s coming in the next generation of programs such as the Merit-Based Incentive Payment System (MIPS) and the role technology plays in driving the evolution of a new healthcare marketplace.

December 16 (Wednesday) 1:00 ET. “A Sepsis Solution: Reducing Mortality by 50 Percent Using Advanced Decision Support.” Sponsored by Wolters Kluwer Health. Presenter: Stephen Claypool, MD, medical director of innovation lab and VP of clinical development and informatics for clinical software solutions, Wolters Kluwer Health. Sepsis claims 258,000 lives and costs $20 billion annually in the US, but early identification and treatment remains elusive, emphasizing the need for intelligent, prompt, and patient-specific clinical decision support. Huntsville Hospital reduced sepsis mortality by 53 percent and related readmissions by 30 percent using real-time surveillance of EHR data and evidence-based decision support to generate highly sensitive and specific alerts.

December 16 (Wednesday) 1:00 ET. “Need for Integrated Data Enhancement and Analytics – Unifying Management of Healthcare Business Processes.” Sponsored by CitiusTech. Presenters: Jeffrey Springer, VP of product management, CitiusTech; John Gonsalves, VP of healthcare provider market, CitiusTech. Providers are driving consumer-centric care with guided analytic solutions that answer specific questions, but each new tool adds complexity. It’s also important to tap real-time data from sources such as social platforms, mobile apps, and wearables to support delivery of personalized and proactive care. This webinar will discuss key use cases that drive patient outcomes, the need for consolidated analytics to realize value-based care, scenarios to maximize efficiency, and an overview of CitiusTech’s integrated healthcare data enhancement and analytics platform.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Announcements and Implementations

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Therap Services offers developmental disability software bundles designed for agencies applying for the $10 million NY Dept. of Health and NY Office for People with Developmental Disabilities health information investment program. Approved recipients can use the funds for projects related to technology purchases, including EHRs, and PM and electronic billing software; as well as upgrades and services.

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Healthcare pricing transparency app developer FairCare makes its search engine available to consumers on the Web, offering prices in every zip code for 10,000 medical and dental procedures performed by 4 million US physicians.

Salesforce and Persistent Systems develop a set of physician and patient relationship management tools including campaign management, marketing KPI dashboards, referral management, and CRM functionality.

Atlanta-based Clinical Practice Solutions develops four new Dragon Medical Certified Training and Support Plans for physicians struggling to use the technology to its fullest capabilities.


Acquisitions, Funding, Business, and Stock

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ICDLogic joins the Allscripts Developer Program to build an integration between its CypherLink ICD-10 code-generation tool and Allscripts EHR.

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The local business paper covers the aggressive efforts of UNC Health Care to recruit independent physicians for its new UNC Health Alliance, a clinically integrated network that already includes 2,000 UNC physicians. The health system wants to add an additional 1,000 physicians to better compete with similar networks developed by Duke Health and WakeMed Health and Hospitals. UNC will provide Alliance physicians with “additional support” including IT integration support, care management, population health analytics, and reporting. All three area health systems are on Epic.


Government and Politics

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Bill Frist, MD meets with National Coordinator Karen DeSalvo, MD to discuss public health initiatives, likely tying the discussion in to his new Nashville Health nonprofit. Frist hopes to initially focus Nashville Health’s efforts on improving hypertension, smoking cessation, and child health among the city’s 800,000 residents with help from Vanderbilt University’s School of Medicine.


Telemedicine

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The Washington Post provides an in-depth look at the value telemedicine is bringing to mental health practices in North Carolina. The primary care offices of Carolinas Healthcare System, in particular, have seen great success incorporating telemental health consults into regular office visits. Scores on depression and anxiety screenings have fallen by nearly half since virtual visits were introduced last year.


Other

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Mashable looks at the inroads mobile house call startup Pager is making with businesses like Spotify and Birchbox, which offer employees Pager’s services at deep discounts. Employees at Birchbox, a newly self-insured employer, have also used the service to schedule flu shots, health and wellness seminars, sexual health checks, and treatments for common infections. It’s even considering investing in a private room for female health screenings, should its employees feel comfortable enough to undergo gynecological exams just down the hall from the break room.  


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

HIStalk Practice Interviews Andrew Sussman, MD EVP and Associate CMO, CVS Health

December 3, 2015 News Comments Off on HIStalk Practice Interviews Andrew Sussman, MD EVP and Associate CMO, CVS Health

Andrew Sussman, MD, is executive vice president and associate chief medical officer of CVS Health, and president of MinuteClinic.

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Tell me about yourself and your job.
My role at CVS Health is executive vice president and associate chief medical officer, as well as president of MinuteClinic, which is the largest and fastest growing retail medical clinic provider in the United States, with over 1,050 retail healthcare centers in 33 states. Over the past few years, we’ve expanded MinuteClinic’s range of clinical services and formed strategic affiliations with over 60 leading healthcare systems – including the Cleveland Clinic, as well as providers like the Henry Ford Health System, Emory Healthcare and MedStar Health Washington, DC. – to improve patient access to high-quality medical treatment.

How did the relationship with Health is Primary come about?
Retail clinics like MinuteClinic are an important part of supporting access and convenience in the medical neighborhood. Our MinuteClinics are open seven days a week – including evenings and weekends and are conveniently located inside CVS/pharmacy stores. Patients can see one of our family nurse practitioners or physician assistants without an appointment and most insurance is accepted.

MinuteClinic is working with Health is Primary because it’s important to recognize that a connected, accessible healthcare system is the best way to support patients. By partnering with primary care and family medicine, we will continue to improve provider collaboration and help ensure all patients have access to primary care within a coordinated medical neighborhood. MinuteClinic can help fill the gaps in access; for example, half of our patients are seen on evenings and weekends, and many of our patients do not have a PCP. We provide lists of PCPs taking new patients for follow up.

How will CVS and HIP use technology to move this initiative forward?
Technology like EHRs facilitates critical coordination between MinuteClinic and patient-centered medical homes. We place a very high priority on ensuring our clinics and patients are well coordinated with their primary care provider. MinuteClinic uses the Epic Health Record system, one of the most widely used, effective ways to ensure real-time communication with a patient’s medical home. With a patient’s permission, we communicate with their primary care provider about critical health issues, preventive care, and medication adherence. Epic connects with thousands of physician practices around the country, including providers using other EHRs. We also have connections with other EHRs through Epic and Surescripts.

It’s a busy/explosive time for retail clinics. What does CVS have planned in terms of expansion in the next year? And in terms of business partnerships with other organizations like Target?
We are working to transform primary care by expanding our national footprint, offering new clinical services and collaborating with health systems. Based on our current footprint, half of all Americans have a MinuteClinic within 10 miles of their home. In 2016, we will be focusing on integrating our newly acquired clinics in Target stores, assuming regulatory approval. We will also be exploring the delivery of care through telehealth that opens up new opportunities for access to care.

Does CVS anticipate making in the near future any big transitions to new healthcare technologies for its customers (aside from those pharmacy-centric solutions announced on 11/18)?
In 2015, we completed our implementation of the Epic EHR nationwide. We also announced pilots with telehealth providers American Well, Doctor on Demand, and Teladoc. We’re continually looking at new ways to utilize technology that supports our digital innovation model and empowers our customers with a highly personalized experience across all channels.

How will telemedicine factor into the company/clinic’s growth, and will these types of consults be a part of your partnership with HIP?
We are currently piloting ways we can use telehealth to improve and expand patient care in order to add value for patients, clients, and health plans and improve access to low-cost, quality care. During our initial phase of exploration of telehealth, we learned that we could deliver excellent quality care and that patients were extremely satisfied with the care provided. MinuteClinic data recently published in the Journal of General Internal Medicine demonstrated that overall, 95 percent of patients were highly satisfied with the quality of care they received, the ease with which telehealth technology was integrated into the visit, and the timeliness and convenience of their care.

How is CVS working to facilitate interoperability between its clinics, pharmacies, and outside providers? How has the company’s membership in CommonWell facilitated these efforts?
As mentioned, MinuteClinic uses the Epic, which connects with thousands of physician practices around the country and is interoperable with other electronic health record systems. Being involved with CommonWell will also allow us to deliver real-time, pharmacy-based information into physician practices, and helps the pharmacist deliver care-based messages back to patients.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

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