Payers & Providers California Edition – February 24, 2011

8/7/2019 Payers & Providers California Edition February 24, 2011

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Palomar Pomerado Health System islaunching an e-health initiative that will allowits medical staff to access virtually all patientmedical records and telemetry via Android-

powered smartphones and tablets.The two-hospital system in northeast San

Diego County introduced its in-houseapplication, Medical Information, Anytime,Anywhere (MIAA), at the HealthcareInformation and Management SystemsSociety annual conference in Orlando earlierthis week.

"Physicians who are on the go, at home oron call, will have the ability to access realtime information in context, said Ben Kanter,M.D., a Palomar Pomerado radiologist andchief medical informatics ofcer. This willlead to more accurate medical judgments,

ultimately improving patient care."Palomar Pomerado developed MIAA at a

cost of about $250,000, and will test it inpilots with about a dozen physicians over thenext year. Ofcials claim it is the rst Android-powered patient records system developed bya healthcare system in the U.S.

Physicians will be able to use MIAA toaccess patient records and graphically-oriented tests such as x-rays. They may alsocheck patient vital signs in real time and willbe warned of potential drug interactions. Theapplication will work on smartphones and onCius, a new tablet manufactured by Cisco.

Partnerships are also being developedwith Rady Childrens Hospital, KaiserPermanente and other providers in the SanDiego area to share patient medical records,

according to Palomar Pomerado spokespersonAndy Hoang.

The more sharing of information, themore effective this will be for treatment,Hoang said.

Hoang added that Palomar Pomeradoofcials rejected the iPhone and iPad as viableplatforms because Apple could not providethe support needed to ensure full functionality

MIAA stands in contrast with the leaningsof most of the provider community, which hasbeen favoring applications for Apples iPhoneand iPad.

The Food and Drug Administration

approved the use of the iPad to performradiological diagnoses earlier this month,while iPads are quickly becoming a staple ofmedical schools.

To date, most medical-oriented Androidapplications are reference rather thandiagnostic tools. However, sales of Android-powered smartphones have recently elipsedthose of the iPhone. Korean electronics giantSamsung also recently announced it wouldenter the EHR market via the Androidplatform, although such products are at leastmany months from introduction.

Hoang indicated Palomar Pomerado will

eventually market the system elsewhere.

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Page 3Payers & Providers

Longer ALOS!*

Advertise Here

(877) 248-2360, ext. 2

*For our ads, not your hospital

NEWS

In Brief

Kaisers pharmacy unit won aCustomer Service Championaward from J.D. Power &Associates for price and service. Itwas one of 40 recipientsnationwide out of 800organizations surveyed.

Kaiser was also ranked as thenumber one health insurernationwide for customer loyaltyfrom the consumer polling firmSatmetrix. Kaiser scored 28%; theaverage for the industry is -5%.

Customers mentionedpersonalized service, convenienceand high-quality end-to-end healthcare as key reasons they wouldrecommend the company," saidJohn Abraham, general manager ofNet Promoter, the Satmetrixdivision that performs the polling.

Finucane Joins Payers& Providers Editorial

Board

Mark Finucane, managing directorwith Alvarez & Marsals healthcareindustry group in Los Angeles, hasjoined the Payers & Providerseditorial board.

Marks extraordinarily deepknowledge of public healthcaresystems makes him a tremendousasset to our growing stable ofpublications, said Payers &Providers publisher Ron Shinkman.

From 1996 to 2001, Finucaneserved as director of the LosAngeles County Department ofHealth Services. He led an effortwhich resulted in a majorreduction of inpatient capacity, areduction of emergency roomutilization and a major expansionof ambulatory care through apublic/private partnership withlocal clinics and hospitals. Prior tothat, he was the Director of Healthfor Contra Costa County, and heldvarious positions in the SanFrancisco Department of Health.

Prior to his tenure at Alvarez& Marsal, Finucane served as co-director ofErnst & Youngsacademic medical center practice.

HEALTHCARES BEST ADVERTISING VALU]

PAYERS & PROVIDERS reaches 5,000 hospital, health plan and noprot executives statewide. There is no better venue for marketi

your organization or conference, or recruiting new staff.

LEARN MORE HERE

OR CALL (877) 248-2360, ext. 2

Two Hospitals On Healthgrades ListGlendale Memorial, Saint Johns Named Top 50

MPTF Strikes Deal With ProvidencePact Is Expected To Avoid Nursing Facility Closure

Glendale Memorial Hospital and Saint JohnsHealth Center in Santa Monica were the twoCalifornia facilities named to HealthGrades2011 list of the best 50 hospitals in the UnitedStates.

Hospitals that made the HealthGrades listhad risk-adjusted mortality and complicationrates that were in the top 5% in the countryfor the past 11 years. On average, eachhospital had a nearly 30% lower risk of deathand a 3% lower risk of complications.

Altogether, the hospitals were surveyed intheir delivery of 26 categories of care,including treatment for heart attacks, hip

fracture repair, strokes, sepsis and coronarybypass surgery.

According to HealthGrades, if all U.S.hospitals performed at that level, the deaths 500,000 Medicare patients between 1999 an2009 could have been prevented.

These hospitals are setting the standarddemonstrating that consistent, sustainableclinical excellence is achievable, Rick May,M.D., HealthGrades vice president of clinicaquality and co-author of the ratings report

It was the ninth consecutive year thatGlendale Memorial made the Healthgradeslist. This recognition is due to the dedicatioof our physicians, nurses and staff, whowork diligently...to provide our community

with quality healthcare, said GlendaleMemorial President Mark Meyers.

The Woodland Hills-based Motion Pictureand Television Fund has entered into atentative agreement with Providence Health &Services that would avoid the closure of itsacute and long-term care facilities.

Under the terms of a letter of intent,Providence would enter into a lease to operatethe storied facility, which has been the lasthome for hundreds of well-knownentertainment industry gures over thedecades. The licenses for the hospital andskilled nursing facility would be transferred tonearby Providence Tarzana Medical Center.

MPTF had announced the plannedclosure of the facilites in 2009, citingcontinued operating losses. Theannouncement drew a restorm of criticism,particularly from family members of patients .

Over the last year, I have been workiclosely with my fellow board members andmanagement to nd a positive resolution toour long-term care and acute care issue, sMPTF President Robert Beitcher. Theframework is now in place to accomplish tThe new afliation...will create a vibrantmedical campus with services never beforeavailable to our industry members.

The mission of Providence and theMotion Picture and Television Fund areperfectly aligned,, said Providence Califordivision CEO Michael Hunn. Providenceoperates ve hospitals in Southern Californ

The deal is subject to regulatory approvalthough both parties say they expect tonalize terms later this year.
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Payers & Providers Page

This is the business weve chosen.

!!!!!!We think often of the cautionarytale of the Godfathers Moe Greeneduring our many years in the medicalrecord business and most recently aspatient care and consumer privacyombudsmen for the U.S. Bankruptcy Court.When appointed as ombudsmen, it is ourjob to ensure that the continuum of care ispreserved and that patient privacy issafeguarded at healthcare provider at itsmost unpredictable.

When we walk through the doors to do

our job, we either witness the highlight reelof best practices, or catch patient privacybreaches as disturbing as that bullet Greenecaught in his eye.

!!!!!!When the Health InsurancePortability and Accountability Act wasenacted 15 years ago, few had any ideawhether it would serve as healthcaresversion of omerta (the Mafia Codeof Silence), or another ineffectualintrusion by the Feds. We alsoheard and still hear grumblingfrom doctors that all this medicalrecord preservation and protection

has brought innumerable newcosts to their practices while theirpatients grumble about the extra burden ofsigning multiple HIPAA and other consentforms.

!!!!!!Fortunately, HIPAA works much ofthe time. Most patients can rest safe atnight knowing their medical history is bothprotected from prying eyes and accessibleupon request. However, there have beenjust enough egregious violations to keepeveryone on their toes.! Among them:!!!!!!In April 2007, a formeradministrative assistant at Ronald Reagan

UCLA Medical Center was indicted by afederal grand jury for selling patientinformation to the National Enquirer. Sixty-eight current and former staff, includingnine doctors, had been sneaking peeks atthe records of famous patients. This is oneof the most commonplace breeches: thecelebrity admitted to the hospital and thestaff unable to resist their prying eyes.

!!!!!!There are also the occasionalreports of a health plan employees laptopthat containing the medical recordsthousands of enrollees stolen from a car or

storage medium with millions of records sfor destruction and lost in transit.

!!!!!!In virtually all of those cases, the has been caught and disciplined. Many halost their jobs. Those who have sold medicrecords such as the UCLA Healthcareemployee and another at New YorkPresbyterian/Weill Cornell Medical Centefaced criminal prosecution.

!!!!!!The Health Information Technologfor Economic and Clinical Health (HITECHAct, the federal legislation that providesfunding for providers to switch to electron

health records, also gives HIPAA a shot inarm by expanding who is covered by HIPAwhile setting very high fines for acts ofomission. (Such as the lost laptops andresponsible parties who ignored their HIPAand omerta oaths) Many experts believe thwill add the crucial level of security andfinancial penalties to ensure such inciden

will become less common in the futur

!!!!!!Nevertheless, we fear that suchincidents contribute to reluctance on behalf of patients and caregivers to nofully participate in the process ofdialogue, recording, and analysis nee

to build and maintain the patient medrecord. Such reluctance could provepotentially harmful down the line if cruciaaspects of patient information were notconveyed by the patient or recorded by thcaregiver. Compounding this is the fact thcomplete patient record is already a logistchallenge to compile, given that multipleproviders must often contribute their recoto create a whole portrait of that patientsmedical history and overall health.

!!!!!!However, we do believe thatproviders and their colleagues who compand keep track of medical records do a

terrific job, even under the worst ofcircumstances. Well discuss that in detailnext week.!

OPINION

Take The Cannoli...Leave The RecordProviders Safeguard Privacy, But Concerns do Ling

By Jerry

Seelig

and Rick

Cussigh

Jerry Seelig and Rick Cussigh operate Seel

+Cussigh HCO LLC, a Culver City-based

patient ombudsman firm.

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+1%+B*/%)*+I@!^-++!]-20%)*56!(&)*+(40>*-./0)*+@B-:

Op-ed submissions of up to 600 words are

welcomed. Please e-mail proposals to

[email protected],


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MARKETPLACE/EMPLOYMENTPayers & Providers Page 5

SPECIAL PROJECTS MANAGER TO THE CMO - Works with the Chief Medical Ofcer to assist with monitoring operationaactivities, trends and timelines, communication, and coordination of special projects and obligations. Reviews materials and

requests, and helps the CMO determine actions. Helps prepare and review reports, memos, and correspondence for the Board ofGovernors meetings, internal and external committee meetings, L.A. Care leadership, external business associates, and othepurposes. Ensures the CMO is well prepared to attend meetings and other functions. In conjunction with the Communications &Marketing Department, helps prepare and review talking points for the CMOs presentations and related audio visual materials. Mastand-in for the CMO at committee meetings. ! Key to this role is project management experience, including strong qualitativeanalytical skills and excellent verbal & written communication skills.! Experience in a healthcare setting such as HMO/health plan oother managed care setting is strongly preferred.

For complete job description, qualications/requirements, visit our website: www.lacare.org

To apply, email resume with salary history and requirement to: [email protected] referencing Payers & Providers Ad

The Camden Group has been providing business advisory and management services to the healthcareindustry exclusively since 1970. We have served more than 1,000 clients nationwide. Due to our growththe following opportunities are presented:

INTERIM CFO, ACUTE CARE HOSPITAL

Seeking strong nancial leaders with ve or more years of experience as a hospital chiefnancial ofcer.The ideal candidate will have considerable knowledge of healthcare nancial operational policies/procedures, as well as proven experience with hospitals in transition or in turnaround situations. Mastersdegree or CPA preferred.

Current interim position available in California government hospital. Candidate must be willing to traveland live on-site during the week days for three to twelve months.

Our positions require prociency with Microsoft Ofce Software, the ability to work well with individualsat all levels of an organization, and excellent analytical, written, and oral communications skills.

Contact: Interested applicants may e-mail a resume and cover letter to: [email protected].

Visit us at www.TheCamdenGroup.com


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Payers & Providers MARKETPLACE/EMPLOYMENT Page 6

It costs up to $27,000 to fill a healthcare job*

will do it for a lot less.

Employment listings begin at just $1.65 a word

Call (877) 248-2360, ext. 2Or e-mail: [email protected]

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Page 7Payers & Providers MARKETPLACE/EMPLOYMENT

SEEKING A NEW POSITION?

CAN HELP.

We publish advertisements for those seekingnew career

opportunities for just $1.25 a word.

If you prefer discretion, well handle allresponses to your ad.

Call (877) 248-2360, ext. 2, or [email protected].

Payers & Providers California Edition – February 24, 2011

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