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	Summary of Key Provisions in the Proposed Rule for Stage 2 of Meaningful Use: The requirements to achieve incentives for Stage 2 of meaningful use contain both major and minor changes to the Stage 1 criterion.			Moving Ahead with Stage 2 of Meaningful Use: The experience of Stage 1 of meaningful use indicates that capabilities to coordinate care and engage patients will remain challenges in Stage 2.

	Health Benefit Exchanges: Seamless enrollment and affordable coverage.			Should Healthcare Organizations Use Social Media? Social media is drastically changing the way we communicate.

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Healthcare Providers Insights

Transforming Healthcare Through Better Use of Data In order to improve care and optimize performance, hospitals and health systems need to become more data-driven.
Summary of Key Provisions in Proposed Rule for Stage 2 of Meaningful Use The requirements to achieve incentives for Stage 2 of meaningful use contain both major and minor changes to the Stage 1 criterion.
Moving Ahead with Stage 2 of Meaningful Use The experience of Stage 1 of meaningful use indicates that capabilities to coordinate care and engage patients will remain challenges in Stage 2.
Ten Principles for Hospitals to Align Meaningful Use with Healthcare Reform Healthcare reform is defining the performance expectations for the future at the same time that the HITECH EHR incentive program is available to help build the IT foundation for that future.
The Hospital Agenda for Accountability Regardless of the ultimate provisions for the ACO program, hospitals that treat Medicare patients are already involved with accountable care, thanks to three other CMS programs that tie Medicare reimbursement rates to measured performance.
Should Healthcare Organizations Use Social Media? Social media offers an important way for key healthcare stakeholders to connect with and engage consumers, to influence customers and accomplish numerous strategic healthcare goals by going to where people are. Your organization cannot afford to take a “wait-and-see” approach or you may soon find yourself trying to catch up with competitors.
Preparing for Accountable Care: The Role of Health IT in Building Capability Even if creating an ACO for the Medicare Shared Savings Program proves impossible, every healthcare delivery organization should be developing systems to ensure near-term and long-term clinical and financial success.
Achieving Comprehensive Health IT Privacy and Security Privacy and security are mission-critical issues now that the proposed changes to HIPAA are about to be finalized and now that a risk assessment is required to achieve meaningful use.
Harnessing the Value of mHealth for Your Organization The next generation of mHealth is the synergistic combination of smart device, value-add capabilities and innovative apps that are already supplementing or even replacing traditional healthcare tasks.
Preparing for Accountable Care: The Role of Health IT in Engaging Patients As healthcare organizations become more accountable for the care they provide, engaging patients in their health, wellness and medical decisions will be increasingly important.
Performance-Based Reimbursement Update This document summarizes what is proposed for four different IPPS pay-for-performance programs.
Hospital Value-Based Purchasing Update: Overview of the CMS Final Rule This white paper summarizes how the Value-Based Purchasing program will work and outlines what's at stake for hospitals going forward.
HIT Roadmap to Safety, Quality and Efficiency The CSC HIT Roadmap to Safety, Quality and Efficiency provides routes to meeting the hospital requirements for HITECH meaningful use in Stage 1.
A Roadmap for eHealth: The Route to Deliver 21st Century Healthcare A Roadmap for eHealth: The Route to Deliver 21st Century Healthcare
Using Tracking Tools to Improve Patient Flow in Hospitals New patient tracking technologies allow hospitals to increase their service capacity by enabling caregivers to work more efficiently. This report examines the technologies that are available, the best practices for implementation, and the benefits that these solutions yield. The report includes five brief case summaries.
Opinion Article: Has Telemedicine Reached Its Tipping Point? Opinion Article
Personal Health Records: A True "Personal Health Record"? Not Really ... Not Yet. A true personal health record (PHR) needs to be comprehensive, interactive, patient-controlled and secure. Without major changes in behavior and dramatic increases in adoption of technology though, a true PHR – and the benefits associated with it – will not be possible.
eHealth Entering Era of "Normality" eHealth Entering Era of "Normality"
Next Generation Quality Management Truly improving hospital performance requires accomplishing measurement of quality performance in real time – for real patients – and notifying the responsible clinicians with actionable information.
Cloud Computing in the Healthcare Environment Cloud computing is a new computing model that lets organizations treat their IT infrastructure as a service. In this paper, CSC describes the various types of cloud computing and examines five “promises” that are often heard in the marketplace today. The authors also outline what steps healthcare organizations should be taking now to prepare themselves to benefit from using the cloud.
Physician Quality Reporting: The Hidden Requirements of Meaningful Use A typical set of eligible professional quality measures for HITECH for a health system or large medical group were deconstructed into unique data elements in order to analyze the data capture required to meet the quality reporting requirement of meaningful use.
EHR Certification for Meaningful Use The purpose of this paper is to take a closer look at the relationship between certification and meaningful use under the temporary EHR certification program and to outline what products need to be certified – and how they need to be used.
Five Tips for a Successful EHR Implementation The following tips by Fletcher Allen Health Care and CSC will help ensure a smooth EHR implementation.
Meaningful Use for Hospitals: The Top Ten Challenges This paper first reviews meaningful use as defined for the hospital and then the top ten challenges that hospitals need to focus on and master to achieve truly meaningful use.
Hospital Quality Reporting: The Hidden Requirements in Meaningful Use Even hospitals with core systems and laboratory that have met the explicit data capture requirements for HITECH Stage 1 will only have 35 percent of the data needed for the hospital measures.
Health Reform: Priorities and Challenges for Hospital Executives CSC surveyed executives responsible for 250 hospitals to determine their priorities in preparing for the next wave of changes in health delivery.
U.S. Healthcare Workforce Shortages: HIT A challenge facing the health care industry today and in the near future is growing workforce shortages.
U.S. Healthcare Workforce Shortages: Caregivers A challenge facing the healthcare industry today and in the near future is growing workforce shortages.
Meaningful Use for Eligible Professionals: The Top Ten Challenges Eligible professionals who expect to share ARRA stimulus incentives for using EHRs must meet EHR meaningful use criteria to qualify.
Integrating EHRs: Hospital Trends and Strategies for Initiating Integrated EHRs Within Their Communities A growing trend at U.S. hospitals and health care systems preparing for health reform and other industry change anticipated during the next 5 years is initiating use of integrated electronic health records (EHRs) within their hospital and physician practice communities. These communities need integrated EHRs to meet HITECH Act meaningful use criteria, coordinate care of patients who cross care venues, streamline hospital-practice workflows, and address health reform initiatives.
Ministries of Health - How to Make Their IT Agenda Work Ministries of Health - How to Make Their IT Agenda Work
Technology Cornerstones Supporting Tomorrow's Healthcare Critical health information can now be delivered to authorized end users regardless of time, place or device. The technologies discussed in this paper improve data access and data interoperability, enable personalized interactions, and provide ubiquitous computing.
Survey Report: Are Hospitals Ready for Meaningful Use of EHRs? We asked executives at 58 hospitals across the U.S. a series of 50 questions to evaluate their readiness to meet the criteria for receiving incentives.
Creating a Financially Sustainable Health Information Exchange Statewide Health Information Exchanges take more than public funding to be financially sustainable in the long-term.
Tomorrow's Healthcare System Using Today's Technology Technology is no longer the barrier to quality patient-centric care; it is here and available today.
U.S. Health Care in the Year 2015 The U.S. health care industry is at a crossroads in 2009 and the next five years promise to be a time of upheaval and transformation as the entire industry redefines itself to deliver health care that is safe, effective, and high quality to enough people at a sustainable cost. The magnitude of these changes will affect every sector of the U.S. health care economy and providers, hospitals, and payer organizations that anticipate, prepare for and embrace these changes are the ones that will survive and succeed.
Towards Coordinated Care: Healthcare Payment Reform Proposals for healthcare payment reform represent a transition to a system that ties reimbursement to high-quality, tightly coordinated care. In this paper, we outline the four underlying concepts behind payment reform proposals and discuss how provider organizations can prepare for these new models.
Virtual Desktop Infrastructure Virtual desktop infrastructure (VDI) offers data and access security, HIPAA compliance and end-user flexibility that are increasingly important to hospitals. Successful implementations can be done within a few months yielding a quantifiable ROI in less than one year.
HITECH's Impact on Health Information Exchanges: Key Decision Points for Privacy and Security HIEs enable authorized caregivers, patients, public health authorities, and other providers to share electronic patient health information across different settings and geographical areas.
Accomplishing EHR/HIE (eHealth): Lessons from Europe Our experiences in helping Denmark, The Netherlands, and three regions in the UK implement their eHealth solutions provide guidance and shared experiences for U.S. efforts.
Large-Scale eHealth Initiatives: Decision Points and Best Practices Large-Scale eHealth initiatives are needed to support healthcare reform programs to lower costs and improve care and access. Our experiences in Europe and the U.S. have identified the top decision points, best practices, and lessons learned.
CPOE: Getting Order Management Right To achieve meaningful use and qualify for HITECH stimulus incentives, hospitals today must get CPOE right the first time in a smooth, timely transition. Achieving this requires getting order management right.
The Leapfrog Group's CPOE Evaluation Tool This paper provides a look at a CPOE Evaluation Tool pilot program at Northwestern Memorial Hospital in Chicago.
Evaluating CT Capacity Using Space Productivity™ Instead of expanding capacity through the purchase of additional equipment or an extension of operating hours, what if your current CT scanners could be used more efficiently to increase throughput and capacity?
Getting Value from IT This paper identifies the characteristics of effective IT governance structures and processes and provides steps for starting the journey to a more agile and results-oriented IT governance program.
Value-Based Purchasing: Non-Payment for Hospital-Acquired Conditions The CMS HAC (hospital-acquired condition) payment adjustment provision requires hospitals to report POA (present on admission) conditions with Medicare claims, potentially reduces Medicare claims payments, and is forcing hospitals to modify care delivery and documentation practices. It is also being considered for adoption by other payers and is contributing to overall VBP (value-based purchasing) initiatives in healthcare.
Core Measures: All About the Data Having the patient-specific information required for core measures in electronic form not only benefits quality reporting, but also enables real-time quality management.
Next Generation Patient Self-Care This paper describes the broad categories of technologies that support patient self-care including examples of successful implementations.
Saving Lives, Saving Money In Practice: Strategies for Computerized Physician Order Entry in Massachusetts Hospitals The Massachusetts Technology Collaborative contracted with researchers at CSC to compile hospital experiences with supporting the users and the application following the initial rollout of CPOE throughout the hospital. The topics addressed in the report include: ongoing user support, optimizing CPOE, ongoing management of order sets and clinical decision support, CPOE and medication reconciliation, and downtime procedures.
Adoption of Advanced Clinical Systems in Massachusetts Hospitals Analysis of a 2008 survey looking at adoption of advanced clinical systems in Massachusetts hospitals.
Touchscreen Check-In: Kiosks Speed Hospital Registration Self-service kiosks increase patient satisfaction and improve operational efficiency by giving patients a convenient way to check in, register for services, pay co-payments and update their personal information. In this report, commissioned by the California HealthCare Foundation, CSC describes how hospital ambulatory and emergency departments are using kiosks and provides a list of best practices for implementation.
Moving Medication Safety to the Next Plateau Ensuring that the organization has the capacity to achieving safer medication practices will require building the commitment, culture, executive leadership and management processes that are up to the task.
E-Prescribing and Its Expanding Role in Healthcare Electronic prescribing is about to become a significant preoccupation of healthcare providers, payers and pharmacies for the next several years.
Next Generation Inpatient Care Hospitals need to prepare for the growing gap between the need for care and the people and facilities available to respond to that increasing demand.
Equipped for Efficiency: Improving Nursing Care Through Technology Nursing staff are the backbone of healthcare delivery and are at the center of communications between patients, care giving staff and auxiliary services.
Treatment Plan: Hospitals Respond to the Economic Crisis We interviewed 54 hospital and health system executives to understand what plans they have to respond to the crisis, and where they stand in implementing those plans.
Next Generation Ambulatory Care Serious challenges, including primary care and specialist physician shortages, rising costs, and the misalignment of reimbursement, resources and quality of care, are forcing healthcare providers, payers and industry regulators to transition to a next generation of ambulatory care.
Health Information Exchanges: Future Prospects, Current Realities Interest in HIE remains high. Sustainable solutions solve an existing business problem and provide benefits to multiple stakeholders in the community.
Patient-Centeredness Patient centeredness is the commitment to provide care that respects patients' needs, wants, and preferences, while engaging them to participate in their own care.
Effective Use of Medication-Related Decision Support in CPOE The Leapfrog CPOE standard expects that the CDS tools in CPOE are aggressively applied to avoid potential adverse events that can be detected at ordering.
Bridging the Care Gap: Using Web Technology for Patient Referrals (California HealthCare Foundation) To address a major care gap, safety net organizations and commercial vendors are using new Web-based applications to support arranging referral or follow-up care for their patients.
Responding to Recovery Audit Contractors To prepare for RACs, organizations need to take immediate corrective actions to identify and fix overpayment claims and to prevent future errors from occurring.
Accountability and Transparency: Building the Information Foundation for Demonstrating Performance Excellence Regulatory agencies, payers, and consumers are demanding more information about outcomes and costs as a means to make providers more accountable for their performance.
The Multi-Generational Healthcare IT Workforce Four distinct generations make up the healthcare IT workforce. Healthcare IT management needs to understand the generations and preapre for unique challenges from each.
The Leapfrog Group’s CPOE Standard and Evaluation Tool The Leapfrog Group’s CPOE Standard and Evaluation Tool Patient Safety & Quality Healthcare - July/August 2008
Next Generation Safety Net The current focus of clinical Information Technology in the hospital is advanced clinical applications, including nursing and physician documentation, electronic medication administration record (eMAR), and computerized physician order entry (CPOE). These applications provide the foundation for more reliable, efficient, and effective care.
Next Generation Efficiency Increasing demand for health services coupled with shortages of skilled care providers are leading organizations to focus on significantly improving operations.
Evolution Framework: Assessing Progress on the Journey to Organizational Excellence Care needs to continually evolve to be safer, more efficient and patient centered and more accountable.
Connecting Community Physicans IT options hospitals and IDNs can employ to connect affiliated physician practices include portals, integration, hosted EHRs, and HIE. No one strategy is correct for every hospital and/or practice.
Telemedicine in the Ambulatory Setting Early adopters of telemedicine have demonstrated that technologies such as remote monitoring and tele-consultations improve access to care, increase efficiency, and effectively manage patients with chronic diseases.
Health Intelligence for Performance-Driven Hospitals New health intelligence applications satisfy the growing need by providing the ability to analyze data from multiple systems and across clinical, financial and operational dimensions.

Health Plans Insights

Preparing for Accountable Care: Aligning Patient and Provider Incentives Healthcare cost inflation in the United States is out of control, and cost reduction efforts to transform traditional practices and incentives tend to focus exclusively either on the patient side or on the provider side of the cost equation.
Health Benefit Exchanges: Seamless Enrollment and Affordable Coverage The State Exchanges in the ACA will take a variety of forms that reflect local conditions and policy preferences, but the basic challenges of eligibility verification, integration, coordination and alignment between public and private sector participants and mandated requirements will be similar in every instance.
Health Insurance Cooperatives: A Real Reform Alternative? CO-OPs created under health care reform legislation will have the advantage of sponsorship under the Affordable Care Act.
Health Insurance Exchanges in Healthcare Reform: Five Things Builders Should Know Implementing HIEs will be a significant undertaking, and the builders of these new exchanges should build on the lessons learned in Massachusetts where the Commonwealth Connector was created to support state-wide health care reform.
Meaningful Use for Health Plans: Five Things to Consider Demonstrating the meaningful use of electronic health records (EHRs) is more than just a high priority for hospitals and physicians seeking to capture HITECH Act incentives. It iss a critical success factor for health plans and payers in the effort to succeed during an era of healthcare reform.
ICD-10 Implementation: Objects on the Horizon Are Closer Than You Think The deadlines for ICD-10 implementation may seem far in the future, but the business process and technology challenges are significant.
Integrated Health Management Health plans must transform their approach to medical cost management in order to make it effective.
Beyond Premium Billing: End-to-End Revenue Management for Health Plans Reducing overhead costs and improving the operation of the premium billing function as one component in an end-to-end revenue management process is a critical success factor as health plans face an almost perfect storm of difficult business conditions.
The Massachusetts Health Connector: Lessons Learned from the Builders of the Health Insurance Exchange In this paper, CSC details the lessons learned from designing and implementing a health insurance exchange for the state of Massachusetts.
Best Practices to Face Medicare Beneficiary Information Challenge Private Medicare plans that implement best practices in the three key process areas of enrollment, eligibility updates and reconciliation can enhance their financial performance by increasing premiums and reducing costs.
Medicare Part D: Get Ready for Changes Changes coming to Medicare Part D will bring fundamental changes to drug development and pricing. Life sciences companies who are lean, truly innovative, and build a compelling business case for each product will succeed.
Health Insurance Reform in Massachusetts In April 2006, Massachusetts enacted landmark healthcare legislation that was designed to ensure all residents in the state had health insurance.
Next Generation Health Plan The Four “C’s” of cost, capacity constraints, coverage expansion and changing roles are powerful forces transforming all of healthcare, creating conditions for the Next Generation Health Plan to maximize operational efficiency, systematically address the cost of healthcare, partner with providers and adopt a value-based retail orientation to healthcare.
Mandatory Medicare Secondary Payer Reporting New rules from the Centers for Medicare & Medicaid Services (CMS) make Medicare Secondary Payer (MSP) status reporting mandatory in 2009 – creating significant new data and administrative requirements backed by significant financial penalties for health plans and payers. Deadlines are imminent, and data quality initiatives will be critical to long term success.
Adoption of Electronic Health Record Capabilities in Massachusetts Physician Practices Analysis of a 2008 survey looking at adoption of electronic health record capabilities by Massachusetts physicians.
Medicare Advantage: Time to Brace for a Change This whitepaper provides an overview of the Medicare Advantage program and offers direction for Medicare Advantage plans in light of anticipated policy changes. Demands for reform have increased in recent months, particularly with respect to the costs associated with the Medicare Advantage program, and private sector plans that offer Medicare Advantage products need to prepare now in order to succeed in the future.
Responding to ICD-10: Healthcare Payer Strategy to Achieve Regulatory Compliance and ROI This whitepaper provides an overview of the upcoming regulatory requirement for healthcare payers to adopt ICD-10.
Insuring the Future: Health Plans Respond to the Financial Crisis This paper provides an overview of findings from a November 2008 survey of 30 health plan executives about the impact of the current financial downturn on their business.
Medicare Part D: Time for a Checkup This white paper provides an overview of the Medicare Part D program as it enters its fourth year.
Pay-for-Performance Pay for Performance programs (where providers are paid to meet quality metrics) have reached the mainstream. To compete, Health Plans need to have a plan with meaningful incentives, accurate and timely feedback to providers, and incentives for IT adoption.

Life Sciences Industry Insights

Life Sciences Webinar: From EVMPD to Regulatory Information Management: A Logical Transition Implementation of the EVMPD mandate has been moving slowly, held back by corporate uncertainty as to the full requirements, hesitancy over how to proceed and a dearth of clear guidance from the regulators. By the end of 2011 - the halfway point between announcement of the EVMPD and the mandate's start date - the industry was still waiting for the European Medicines Agency to provide the testing environment, respond to questions and offer further guidance.
Life Sciences Whitepaper: Eyes on July 2, 2012: Forum Explores Path to EVMPD During an exclusive forum discussion, regulatory leaders at several of the top 10 pharma companies, along with subject-matter experts, discussed (1) how the mandate has affected their departments and their companies, (2) where the greatest challenges lie and (3) how they plan to proceed in the short, medium and long terms. Learn from those in the thick of the EVMPD requirement the how, why, where, what and where of one of the broadest-reaching regulatory changes in decades.
Global Forum: Regulatory Roundup, Ringing in Regulatory Changes As the New Year begins, the latest moves to harmonize regulatory requirements internationally point to new opportunities for life sciences companies – so long as they’ve updated their own processes and systems. The International Conference on Harmonization (ICH) has brought greater cohesion in the way regulatory submissions are managed across the US, the European Union and Japan. Yet differences in interpretation remain involving submission formats such as the electronic Common Technical Document (eCTD). The only sure way forward for companies in the meantime is to ensure submissions can conform to the evolving formats, standards, and regulations of the respective authorities.
Scrip Regulatory Affairs Publication: Getting Closer to Regulatory Harmony in a Shrinking Pharma World Gill King and Joel Finkle explore some of the key developments relating among other things to document submission that have taken place over the past year in major pharmaceutical markets and what those developments mean for the industry.
EVMPD Requirements - Pharma Market Europe (January 2012 edition) The new regulation has caught many in the industry off guard and the European Medicines Agency has given companies just months to respond to this mandate, one of the most expansive regulatory reforms in decades.
e-Clinical Avatars and Personalized Medicine Disease Networks Human Disease Network: The Rosetta Stone of Genomic Medicine: Artificial Life, Synthetic Genome, Semantic Maps of Medicine
Life Sciences: Entering the Cloud By embracing cloud computing, life sciences companies can increase speed to market, improve collaboration and make IT costs more predictable.
Master Data Management and Life Sciences A successful Life Sciences Master Data Management (MDM) strategy depends on governance, targeted investment, the use of mission specific MDM tools.
Networking R&D: Using Broad-Based Collaboration to Optimize Life Sciences Research New ways of connecting biomedical researchers will completely alter the landscape of Life Sciences R&D. Broad-Based research collaboration will speed effective new treatments to patients and improve Life Sciences development outcomes.
Controlled Collaboration: A More Productive and User-Centric Approach to Electronic Document Review New technologies have emerged enabling controlled document collaboration that help life science organizations improve productivity while driving compliance across functional areas and with external business partners.
The Next Generation of R&D: Patient-Centric and Semantically Connected The "Blockbuster" era of pharmaceutical R&D is ending. Next generation R&D will use completely new tools to bring targeted therapies and diagnostics to specific patient groups.
Future of Enterprise Content Management in Life Sciences New XML authoring and collaboration tools will combine with robust document management to bring the next generation of ECM to life sciences enterprises.
Managing Information as a Strategic Asset in Life Sciences Managing Information as a Strategic Asset in Life Sciences

HITECH: CSC's Point of View

Summary of Key Provisions in Proposed Rule for Stage 2 of Meaningful Use The requirements to achieve incentives for Stage 2 of meaningful use contain both major and minor changes to the Stage 1 criterion.
Moving Ahead with Stage 2 of Meaningful Use The experience of Stage 1 of meaningful use indicates that capabilities to coordinate care and engage patients will remain challenges in Stage 2.
Update on Stage 2: Current Direction and Timing of Meaningful Use Requirements This white paper looks at the recommendations made by the HIT Policy Committee on requirements for Stage 2 of meaningful use.
Summary of Preliminary Stage 2 Meaningful Use Requirements and Recommendations for Providers This white paper looks at the recommendations made by the HIT Policy Committee on requirements for Stage 2 of meaningful use.
Update on Certification: The Final Rule In order to receive Medicare and Medicaid incentive payments for Meaningful Use of an EHR, hospitals and physician practices must be using a "certified" EHR product.
Update on Privacy, Security and Enforcement Many new requirements have been adopted (or proposed) in the past year with regard to patient health information privacy and security regulatory requirements.
Update on Meaningful Use: The Final Rule Healthcare organizations need to start now to achieve meaningful use of EHRs and receive the maximum incentive payments.
Update on Incentives: The Final Rule A closer look at the incentives available to providers for achieving meaningful use, including details from final rule issued by CMS on July 13, 2010.
Update on Standards: The Final Rule The rule describes the standards to which an EHR must adhere in order to meet the criteria for Certified Electronic Health Record (EHR) Technology.
Update on Quality Measurement and Reporting: The Final Rule The final rule on meaningful use for the HITECH program issued on July 13, 2010 lowered the bar in terms of the number of quality measures for hospitals and eligible professionals, but reaffirmed many aspects of this part of meaningful use as laid out in the interim rule.
HITECH Advice to Clients The HITECH provisions of the stimulus bill provide up to $30 billion in incentive payments for "Meaningful Use" of EHRs.

Global Studies

Should Healthcare Organizations Use Social Media? Social media is drastically changing the way that we communicate. Healthcare organizations should take advantage of social media to accomplish strategic healthcare goals.
Telemedicine: An Essential Technology for Reformed Healthcare Health reform is creating the alignment of care practices with incentives, and breaking down traditional barriers to position telemedicine as an enabler for addressing current healthcare challenges.
Real-World Data Research: A Case for Action The increasing use of real-world data by decision makers across the healthcare continuum is driving the need for real-world data research competencies within life science companies.