tag:blogger.com,1999:blog-6357411757329720742024-03-14T13:36:52.813-04:00PERSEID Software LimitedEnterprise Insurance, Healthcare, Disability and Clinical Information Systems
<br><b>The Life Sciences Universe™</b> from
<a href="http://www.perseidsoftware.com">perseid software limited</a>Bernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-635741175732972074.post-46188656055169907652011-03-24T19:30:00.025-04:002011-06-17T11:50:27.541-04:00A Foundation for eHealthcare: The Center of ExcellenceMarch 27, 2011 8:45PM<br />
Needham Heights, MA, USA<br />
Bernard P. Wess, Jr. <a href="mailto:bwess@perseidsoftware.com">mail<br />
<br />
<i></i></a><i><a href="http://www.perseidsoftware.com/Blog/2011-03-27_Center_of_Excellence.html">link</a>: http://www.perseidsoftware.com/Blog/2011-03-27_Center_of_Excelllence.html</i><br />
<br />
<i><a href="http://www.perseidsoftware.com/Documents/Solutions/eHealthcare%20Center%20of%20Excellence%20Final.pdf">Document</a>: http://www.perseidsoftware.com/Documents/Solutions/eHealthcare_Center_of_Excellence_Final.html</i><br />
<br />
<b>Like all new technologies, eHealthcare needs a raison d'être. The Center of Excellence provides a reason to implement eHealthcare solutions and a method of payment for eHealthcare. We also discuss both a model IT architecture and building an organization for success. </b><br />
<br />
<i>Note: This blog is a very brief executive summary of a new white paper by Perseid Software on justifying, funding and operating advanced eHealthcare applications supporting mobile healthcare and the Medical Home. <sup>1</sup><br />
</i><br />
<br />
<b>Executive Summary </b><br />
<br />
As electronic information systems begin to become more widely adopted into a broad spectrum of healthcare uses in group, personal, occupational and disability lines of business, it's time to take a look at the methods to justify, finance and operate the organizations that are essential to design, create and operate complex eHealthcare solutions, particularly those that support Medical Home and mobile health solutions.<br />
<br />
Organizations designed to implement Continuous Quality Improvement solutions developed in manufacturing have begun to appear in healthcare. These organizations are modeled on the high performance organization built around small teams of focused and trained professionals driven by the rigors of a scientific approach to service delivery and manufacturing pioneered by NASA in the 1960s and the Japanese in automotive manufacturing.<br />
<br />
They build on incremental improvements in processes and fund themselves and their growth through continuous improvements in financial results and clinical outcomes using a statistical approach to organizational development and care delivery. These organizations, the High Performance Organization and its associated Centers of Excellence, are self-sustaining and can be highly successful financial models of healthcare delivery. <br />
<br />
<b>The Center of Excellence</b><br />
<br />
The high performance organization implements a culture of quality and its organization applies that culture to the Center of Excellence model of eHealthcare delivery.<br />
<span style="font-family: 'Times New Roman'; font-size: 11pt;"><img alt="HPO" height="359" src="http://www.perseidsoftware.com/images/HPO.gif" width="500" /></span><br />
<div style="text-align: center;"><b>Figure 1 The High Performance Organization </b></div><br />
<br />
The Center of Excellence is a diagnostic or treatment focused (as opposed to general) healthcare delivery process that implement healthcare solutions that depend on continuous incremental quality improvement of clinical and financial results using a formal methodology and fully integrated information systems to improve:<br />
<ul><li>Healthcare diagnostic and treatment outcomes for one condition at a time </li>
<li>Costs of Care (productivity and financial) </li>
<li>The rate of <i>reduction</i> in the absolute number of healthcare procedures </li>
<li>Quality of Care of a cohort of patients </li>
<li>Patient/employee/family satisfaction </li>
<li>The Center of Excellence processes themselves </li>
</ul>in a cycle of quality improvement over time. <br />
This approach—total total quality management and with data integration—is the foundation of integrated care and case management for watch groups of patients in a Center of Excellence and it is an important step forward in creating true patient- and family-centered care; regardless of the person's role as an employee, patient or family-member in society.<br />
<br />
<img alt="COE" height="350" src="http://www.perseidsoftware.com/images/COE.gif" width="500" /><br />
<br />
<div align="center"><b>Figure 2 The Center of Excellence Continuous Quality Improvement Process</b><br />
<b><br />
</b></div><div style="font-family: Verdana,sans-serif;"><b>A Systems Solution</b></div>The continuous quality improvement cycle in Figure 2 above and its supporting data architecture (in the pyramid) result in a uniform and clearly defined cycle of service delivery and measurement that allows for non-stop 7x24 operation if required and ease of rapid (sometimes real-time) reporting for both clinical, financial results and other center of excellence metrics.<br />
<br />
Its overall clinical and financial success enables the high performance organization to rapidly develop additional integrated and continuously improving applications in more lines of business and care, creating additional opportunities in:<br />
<ul><li>Group Health<br />
<ul><li>Mobile health</li>
<li>The Medical Home</li>
<li>Disease Management</li>
<li>Care and Case Management </li>
</ul></li>
<li>Worker's Compensation & Disability</li>
<li>Occupational Health & Safety.</li>
</ul><div style="font-family: Verdana,sans-serif;"><b>Systems Architecture</b> </div><br />
The Life Sciences Universe product is enabled to design, build and operate simple or complex insurance, clinical and financial applications for many lines of business and risk and to create and monitor patient- and family-centered Centers of Excellence.<br />
<br />
The data architecture supports tiers of information, increasingly condensed and summarized to improve the ability of Center of Excellence managers and clinicians to rapidly evaluate the data flowing into a Center of Excellence with the intent to automate the processes as much as is technically feasible and to bring the Center of Excellence systems into the home and workplace of the patient, if not even into the patient's pocket (in the form of the PDA or cell phone).<br />
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<img alt="Information Model" height="375" src="http://www.perseidsoftware.com/images/Repository_1.gif" width="600" /><br />
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<div align="center"><b>Figure 3 The Data Architecture of the Center of Excellence</b><br />
<b><br />
</b></div>To enable enterprise-scale systems implementation, the entire product is written in Oracle and supports Oracle cluster processing, 64-bit architecture and full, secure Internet Web 2.0 cloud processing using Oracle Sun Web Services.<br />
<br />
Advanced transaction processing, audit and control is implemented using Oracle Advanced Queues for clinical, administrative and financial transaction processing that guarantees delivery of web transactions to secure queues for immediate or deferred processing.<br />
<br />
<b>Information Network Model</b><br />
<br />
The Center of Excellence, being a high performance organization, is in continuous operation and as such requires a network architecture that can support not only 7x24 use but also multiple Centers of Excellence that are secure, auditable and easy-to-use.<br />
<br />
<span style="font-family: 'Times New Roman'; font-size: 12pt;"><img alt="Model Architecture" height="600" src="http://www.perseidsoftware.com/images/COE%20Architecture.jpg" width="600" /></span><br />
<div style="text-align: center;"><b>Figure 4 A Model Architecture in Support of the Center of Excellence </b></div><br />
The information model in Figure 3 is matched with a flexible Internet 2.0 network architecture in Figure 4 that enables mobile healthcare and also large-scale commercial transaction processing with guaranteed delivery and auditing so no transactions are lost, even under excessive transactions loads and intense background analytical processing.<br />
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The Center of Excellence is established as a global resource, available to users, patients, clinicians and others anywhere in the world. Many large corporations operate in many countries and now some insurers do also.<br />
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Also, the Center of Excellence design and implementation encourages and enables the patient to participate regularly and safely in the monitoring and delivery of their own care as a full and equal participant in the process.<br />
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<b>References </b><br />
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<sup>1</sup>For more details on designing and using Centers of Excellence to pay for advanced eHealthcare applications, see the Center of Excellence <a href="http://www.perseidsoftware.com/Documents/Solutions/eHealthcare%20Center%20of%20Excellence%20Final.pdf">white paper</a> released with this blog article.<br />
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keywords: center of excellence, integrated care, medical home, life sciences universe, medicare, medicaid, group health, disability, medical home, mobile health<br />
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<b>perseid software limited</b><br />
<b>needham heights, massachusetts</b><br />
<br />
<b>USA</b><br />
at +1-617-517-6314 or <a href="mailto:sales@perseidsoftware.com">perseid software limited</a>Bernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comtag:blogger.com,1999:blog-635741175732972074.post-41766021519513244372011-02-25T21:10:00.001-05:002011-02-25T09:30:36.146-05:00Merging Group Health, Occupational Health & Safety, Disability and Clinical Repository DataFebruary 27, 2011 8:04PM <br />
Needham Heights, MA, USA<br />
Bernard P. Wess, Jr. mail<br />
link: http://www.iom.edu/Activities/Environment/OccupationalHealthRecords.aspx<br />
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<b>A person's health and safety cannot be divorced from the their experiences, whether at home, work or play. Creating a wholeistic approach to person- and family-centered care requires combining and normalizing personal healthcare data, occupational healthcare data, clinical and personal attributes and methods of analysis that result in the creation of complete picture of a person and their state of care and health. </b><br />
<br />
The National Academies Institute of Medicine has recently created a panel to study to examine the rationale and feasibility of incorporating work history information into patient electronic health records<sup>1</sup>. NIOSH seeks to ensure meaningful use of occupational information in electronic health records by 2015. <br />
<br />
In the 1990s, Jim Palmer from The Procter and Gamble Company (P&G) put together a team of engineers, nurses, physicians, group health and occupational health and safety (OH&S) experts. The charge was to level-off and then control healthcare costs for approximately 1 million P&G employees in 100 countries. The program called CareNet was very successful, having reduced healthcare costs, total procedures and increased the quality of care and employee satisfaction for more than seven years. How was this done? <br />
<br />
The program was successful because Jim combined all the lines of business at P&G, from group health and worker's compensation to OH&S into one integrated care and research information system built around two fundamental engineering concepts at P&G — total quality management and the center of excellence. <br />
<br />
<b>The Center of Excellence </b><br />
The approach to integrating data was the same as the approach to total care management — combine everything we could determine about the employee and their family and use the information to manage care and drive insurance research to bring down healthcare, worker's compensation and self-insurance costs. <br />
<br />
Since then, we have expanded the sources and uses of integrated social, clinical, health, disability and safety information to include: <br />
<br />
<ul><li>Occupational Health </li>
<li>Safety </li>
<li>Risk Management </li>
<li>Events, Cases, Protocols, Studies, Notes etc </li>
<li>Provider information </li>
<li>Case/Person/Event management </li>
<li>Enrolled and non-enrolled services </li>
<li>PHR/CDR/LAB etc information (self-reported and attested) </li>
<li>Group and personal health information (clinical, administrative and financial) </li>
<li>Disability </li>
<li>Worker's compensation (clinical, administrative and financial) </li>
<li>Benefit and Policy information </li>
<li>Social networking, mobile health data, medical home data </li>
<li>Electronic collaboration </li>
<li>Security, audit and control data</li>
<li>Requirements and design information </li>
<li>Real-time device management</li>
</ul>The integrated databases allowed P&G to develop more than a dozen centers of excellence around particular administrative, financial and clinical objectives, for example, reducing admissions and re-admissions or deaths from asthma.<br />
<br />
This approach—total data integration—is the foundation of integrated care and case management and an important step forward in creating true patient- and family-centered care, regardless of the person's role as an employee, patient, and family-member in society.<br />
<br />
<b>A Systems Solution</b><br />
Since the P&G experience, we have looked beyond claims data to merge additional critical data sources into an architecture that creates a uniform health & care information system that is vocabulary driven for global flexibility, is rule-based and makes no distinction between sources of data and lines of risk in insurance. <br />
<br />
These concepts are very important for integrated occupational and health information systems. No code set includes the complex set of clinical, administrative, occupational, safety and financial terms and conditions that a complex corporation or organization will require, particularly in a global health and safety environment. As a result, the clinical and occupational team of experts must be able to define local codes and terminology, often on a country basis and make the clinical, administrative and financial information applications immediately aware of the new term and its associated rules. <br />
<br />
This integration results in a uniform conceptual and information "space" that allows immediate expansion and ease of reporting for clinical and financial metrics. Moreover, it allows the rapid development of global applications in: <br />
<br />
<ul><li>Group health</li>
<li>Worker's Compensation</li>
<li>Disability</li>
<li>Occupational health</li>
<li>Safety</li>
<li>Center of Excellence </li>
<li>Care and Case Management </li>
</ul><br />
<b>Product Architecture </b><br />
The Life Sciences Universe product is enabled to design, build and operate simple or complex insurance, clinical and financial applications for all lines of business and risk and to create and monitor patient "watch" or "surveillance" groups by diagnose or treatment category. Patients can use cell phones, smartphones, home computers and receive PDF documents created by personalized follow-up rules. These are not time consuming to create and they can be quickly designed and attached to a patient by a care or case manager.<br />
<br />
<a href="http://www.perseidsoftware.com/images/Repository_1.gif">Information Model Architecture</a><br />
<br />
To enable enterprise-scale systems implementation, the entire product is written in Oracle and supports Oracle cluster processing, 64-bit architecture and full, secure Internet processing using Oracle Sun Web Services. Advanced transaction processing, audit and control is implemented using Oracle Advanced Queues for clinical, administrative and financial transaction processing that guarantees delivery of web transactions to secure queues for immediate processing. <br />
<br />
Numerous tools are provided to balance real-time, clinical and analytical processing of patient rules. Full audit trails are created for all patient communications both sent and received. <br />
<br />
<b>References</b> <br />
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<sup>1</sup> Occupational Information and Electronic Health Records, National Academies Institute of Medicine, http://www.iom.edu/Activities/Environment/OccupationalHealthRecords.aspx <br />
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keywords: clinical rule engine, integrated care, medical home, no shows, clinical rule engines, life sciences universe, medicare, medicaid, patient complianceBernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comtag:blogger.com,1999:blog-635741175732972074.post-64976105822967489622011-02-23T10:07:00.007-05:002011-02-23T20:34:19.898-05:00Can Taking Blood Pressure at Home Improve the Quality of Care and Save Millions of Dollars?February 21, 2011 8:15PM <br />
Needham Heights, MA, USA<br />
Bernard P. Wess, Jr. <br />
link: http://www.telegraph.co.uk/health/healthnews/8339545/Millions-of-high-blood-pressure-patients-are-wrongly-diagnosed.html <br />
<br />
<b>Remote testing of patient vital signs and conditions of clinical variables is not just high technology. It is a means to gather both more accurate clinical data and also save millions of dollars from borderline cases subject to the "white coat effect". Expect greater use of the "medical home" to reduce costs and risk.</b> <br />
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Everyone is familiar with the "white coat effect," your author included. It is the tendency for the condition being observed to worsen or exaggerate in the presence of (or waiting for) a clinician. Blood pressure is a good example of a vital sign that can rise on entry to a physician's office. <br />
<br />
In an article in the Telegraph website in Medical News, Stephen Adams reports on a new study from the British clinical quality control organization, NICE.<sup>1</sup> The National Institute for Health and Clinical Excellence (NICE) reports as many as one in four people experiences a surging pulse rate on entering a GP’s surgery in the UK.<sup>2</sup><br />
<br />
Since, the NHS in England spent £83 million on beta-blockers alone in 2011 and side-effects are a reality with most pharmaceuticals, more accurate classification of patient conditions should save providers and insurers many billions of dollars related to blood pressure treatment in the U.S. <br />
<br />
NICE recommends in a clinical guideline update that patients be followed outside the medical office, at home and work, for a 24-hour period to determine if the "white coat effect" is present in a patient. <br />
<br />
Following a patient over time outside the clinic can result in more accurate diagnostic information and a major reduction in costs and care and unwanted side-effects. <br />
<br />
<b>A Systems Solution</b><br />
<br />
If a patient is added to a "surveillance" group for remote follow-up, they can be tracked and monitored by an integrated care system. The physician asks a nurse to enroll a patient and the software "follows" the patient through a set of pre-defined rules for a diagnostic or treatment episode. Using an inexpensive device for remote patient data capture, the patient becomes engaged in managing their own care as a full partner in the healthcare delivery process. Blood pressure readings can be taken at home and entered into the clinical information system — a useful and meaningful adjunct to the office visit, particularly for patients who do have accurately diagnosed hypertension. <br />
<br />
Using personal clinical rules, integrated care information systems can communicate through inexpensive telecommunications: text messages, calls, email and letters to intervene in the patient's life effectively and as often as necessary to achieve accurate diagnostic information. <br />
<br />
<b>Product Architecture</b> <br />
<br />
The Life Sciences Universe product is enabled to design, build and operate simple or complex insurance, clinical and financial rules for all lines of business and risk and to create and monitor patients assigned to "watch" or "surveillance" groups within Centers of Excellence, defined by the insurer or the provider of care. <br />
<br />
Patients can create and send "clinical tweets" ™ which are brief clinical messages, such as <i><b>bp-systolic=120</b></i>, with clinical values taken from informal clinical home devices or more sophisticated real-time medical devices installed in the home, for example, a pulse oximeter. <br />
<br />
Patients can use cell phones, smartphones, home computers and send and receive clinical messages created by personalized follow-up rules. These are not time consuming to create and they can be quickly designed and attached to a patient by a care or case manager or received by a care manager by the mobile healthcare systems. <br />
<br />
To enable enterprise-scale systems implementation, the entire product is written in Oracle and supports Oracle cluster processing, 64-bit architecture and full, secure Internet processing using Oracle Sun Web Services. Advanced transaction processing, audit and control is implemented using Oracle Advanced Queues for clinical, administrative and financial transaction processing that guarantees delivery of web transactions to secure queues for immediate processing. <br />
<br />
Numerous tools are provided to balance real-time, clinical and analytical processing of patient rules. Full audit trails are created for all patient communications both sent and received. <br />
<br />
<b>References</b> <br />
<br />
<sup>1</sup> Steven Adams, "Millions of high blood pressure patients are wrongly diagnosed", Telegraph, 22 February 2011, http://www.telegraph.co.uk/health/healthnews/8339545/Millions-of-high-blood-pressure-patients-are-wrongly-diagnosed.html <br />
<br />
<sup>2</sup>National Health Service, National Institute for Health and Clinical Excellence, http://www.nice.org.uk/ <br />
<br />
<sup>3</sup>NICE, "Hypertension (update): guideline consultation", 22 February 2011 – 22 March 2011, http://www.nice.org.uk/guidance/index.jsp?action=folder&o=53224 <br />
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keywords: clinical rule engine, integrated care, medical home, blood pressure,, clinical rule engines, life sciences universe, medicare, medicaid, patient compliance, complianceBernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comtag:blogger.com,1999:blog-635741175732972074.post-81730255478269664782010-12-14T19:40:00.008-05:002010-12-14T20:10:35.665-05:00Should Physicians and Nurses Chase "No-Show" Patients?December 14, 2010 7:40PM <br />
Needham Heights, MA, USA<br />
Bernard P. Wess, Jr.<br />
<a href="http://www.bbc.co.uk/news/health-11641929">link</a>: http://www.bbc.co.uk/news/health-11641929<br />
<p><b> <br />
Physicians are beginning to take note of the new opportunities to encourage patients to comply with diagnostic and treatment processes, particularly for high-risk or expensive patients. Expect more technology for compliance and coordination to be developed as software and telecommunications improve in speed and telecommunications devices pervade society.<br />
</b><br />
</p>In an article in the BBC website on <a href="http://www.bbc.co.uk/news/health-11641929">patient compliance</a> Dr. Jacqui Philips, legal adviser to physicians in the British Medical Defence Union urged British physicians to "try to chase patients to improve patient care and reduce their professional liability risk."<sup>1</sup> <br />
<br />
Patient healthcare process compliance is more than a public service issue for many patients who need coercion to encourage them to apply: some may have serious conditions that require follow-up. <br />
<br />
No physician or case manager intentionally fails to follow-up with a patient, but physicians will tell you in private that they do not have the resources (time and money) to "chase patients" and to manage the organizational and scheduling needs of patients who are in need of personal help in managing there own care. Physicians almost universally depend on the patient to initiate contact for an office visit or follow-up, particularly if a visit is missed or re-scheduled. Recently, HarvardPilgrim in Massachusetts has started nurse care manager initiated home phone calls to facilitate compliance by patients at risk.<br />
<br />
On a grand scale in the U.S. or British health systems, missing appointments for care costs hundreds of millions in the British case and billions in the U.S. Moreover, the "failure to diagnose" and/or the "failure to treat" are much more serious since these failures subject the provider of care to legal action and these torts are leading causes of successful professional liability cases in both countries. <br />
<br />
From a cost perspective, patient compliance is a severe issue for government programs, not just commercial insurance. Governments pay for failure of compliance and associated adverse events, bad outcomes or mis-diagnoses in disability programs, Medicare and particularly Medicaid insurance programs. "Chasing patients" in the British healthcare system could result in a £600 million savings and in the U.S., billions of dollars.<br />
<br />
<div style="font-family: Verdana,sans-serif;"><b>A Systems Solution</b></div>New integrated care information systems are redefining the standards of care for patient episodes, not just for office visits. If a patient is added to a "surveillance" group for follow-up, they can be tracked and monitored by an integrated care system. The physician asks a nurse to enroll a patient using the telecommunication information on the patient and the software "follows" the patient through a set of pre-defined rules for a diagnostic or treatment episode.<br />
<br />
The source of the claim liability, whether personal or group health, disability, Medicaid, Medicare or worker's compensation should not influence the follow-up and monitoring process. For worker's compensation and group health, this coordination may be complex, since the patient may not select the care providers, facility or physicians, in a worker's compensation case. This should not matter to the integrated care system. The system should follow and "nudge" the patient forward in the care management process. <br />
<br />
Using personal clinical rules, integrated care information systems can communicate through inexpensive telecommunications: text messages, calls, email and letters to intervene in the patient's life effectively and as often as necessary to achieve compliance. <br />
<br />
Bills collectors seem to have raised this process to an annoying and extremely high-art but surely the healthcare system can provide a process that is tolerable and effective. Moreover, the audit process protects the provider of care in the unfortunate condition where the patient does not comply and the outcome is untoward and litigation ensues. <br />
<br />
<div style="font-family: Verdana,sans-serif;"><b>Product Architecture</b> </div>The Life Sciences Universe product is enabled to design, build and operate simple or complex insurance, clinical and financial rules for all lines of business and risk and to create and monitor patient "watch" or "surveillance" groups by diagnose or treatment category.<br />
<br />
Patients can use cell phones, smartphones, home computers and receive PDF documents created by personalized follow-up rules. These are not time consuming to create and they can be quickly designed and attached to a patient by a care or case manager.<br />
<br />
To enable enterprise-scale systems implementation, the entire product is written in Oracle and supports Oracle cluster processing, 64-bit architecture and full, secure Internet processing using Oracle Sun Web Services. advanced transaction processing, audit and control is implemented using Oracle Advanced Queues for clinical, administrative and financial transaction processing that guarantees delivery of web transactions to secure queues for immediate processing. <br />
<br />
Numerous tools are provided to balance real-time, clinical and analytical processing of patient rules. Full audit trails are created for all patient communications both sent and received.<br />
<br />
<b style="font-family: Verdana,sans-serif;">References</b><br />
<sup>1</sup> Dr Jacqui Phillips, BBC, <i>Doctors warned to check no-shows</i>, 19 November 2010, http://www.bbc.co.uk/news/health-11641929<br />
<p>keywords: clinical rule engine, integrated care, medical home, no shows, clinical rule engines, life sciences universe, medicare, medicaid, patient compliance<br />
</p>Bernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comtag:blogger.com,1999:blog-635741175732972074.post-37081412399869781002010-12-13T19:32:00.009-05:002010-12-14T13:38:08.975-05:00Mobile Health and What Physician's WantDecember 13, 2010 7:45PM <br />
Needham Heights, MA, USA<br />
Bernard P. Wess, Jr.<br />
<a href="http://www.pwc.com/us/en/health-industries/publications/healthcare-unwired.jhtml">link</a>: http://www.pwc.com/us/en/health-industries/publications/healthcare-unwired.jhtml <br />
<p><b> <br />
Physicians want patient's to monitor themselves at home for more than a dozen conditions says PwC, from weight to heart conditions. Expect more conditions as technology and telecommunications improve and medical devices are able to communicate with clinical information systems from the "<i>medical home</i>".<br />
<p></b><br />
PERSEID Software is pleased to announce that Version 5.1 of the Life Sciences Universe™ enterprise software product implements all the mobile health requirements outlined by PricewaterhouseCoopers.<br />
</p>To reduce hospital admissions and adverse events, delay the onset of chronic illness and achieve maximum medical improvement, the patient and his or her family must be engaged in the healthcare delivery and insurance systems. <br />
<br />
In a national <a href="http://www.pwc.com/us/en/health-industries/publications/healthcare-unwired.jhtml%20%20">survey</a> of physician requirements for mobile healthcare<sup>1</sup> PwC outlines twelve requirements for mobile healthcare and that 88% of physicians surveyed want patients to track or monitor health at home.<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxEz4TiFJp7-Vs-pgjRhCdCNs2hpT8H1VrDuVE0yTyB9XnBLupXUvLkHNxvN_Q3yWgLOVcIt8fAiw8E8QEaLwt6tO2I9yl2XpVPPagYtij1JnGHkuP0E6Q02U4cJiXPbKDL0eV2OMN_2gD/s1600/PwC+Mobile+Health+2010+Figure+4.jpg" style="margin-left: auto; margin-right: auto;"><img border="0" height="459" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxEz4TiFJp7-Vs-pgjRhCdCNs2hpT8H1VrDuVE0yTyB9XnBLupXUvLkHNxvN_Q3yWgLOVcIt8fAiw8E8QEaLwt6tO2I9yl2XpVPPagYtij1JnGHkuP0E6Q02U4cJiXPbKDL0eV2OMN_2gD/s640/PwC+Mobile+Health+2010+Figure+4.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Figure 4 from PwC Mobile Health 2010</td></tr>
</tbody></table><br />
The current release of the Life Sciences Universe product now implements the requirements of the PwC study across all lines of (re)insurance: group and personal healthcare, disability, worker’s compensation, Medicaid and self-insurance, including occupational health and safety and internal clinic development. The product now supports rapid design of cell phone, iPad, iPhone, Android mobile transaction processing for creating complete Clinical Repository and Personal Health transactions, including device support for clinic or home devices or those carried by the patient.<br />
<br />
Patients and their families can now fully participate with physicians, nurses and other clinicians and administrators in managing their own care in a fully integrated healthcare environment limited only by any inherent limitations of Oracle 11G rev 2.<br />
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<div style="font-family: Verdana,sans-serif;"><b>Systems Implementation </b></div>Integrating the patient and the family in an integrated care and disability management program places unusual systems demands on a client. A moderately sized self-insured care management program will create a 7x24 demand on systems and procedures for transaction processing, integrity, audit and control. For example, adverse drug events, patient state changes and support for remote devices such as a pulse oximeter for high risk patients demand that the underlying architecture supports high volume, complex transaction processing.<br />
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PERSEID ‘s product now supports industry-leading transaction processing borrowed from the financial services and banking industries; high speed clinical rule processing for healthcare analysts and care managers and secure, audited messaging among insurance, clinical and patient representatives, including of course, the patient and the patient’s family ─ using Sarbanes Oxley audit standards.<br />
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<div style="font-family: Verdana,sans-serif;"><b>A</b><b>rchitecture</b> </div>The Life Sciences Universe product is designed to build or operate complex insurance, clinical and healthcare information systems across all lines of business. To enable enterprise-scale systems development and implementation, the entire product is written in Oracle and supports Oracle cluster processing, 64-bit architecture and full, secure Internet processing using Oracle Sun Web Services. Advanced transaction processing, audit and control is implemented using Oracle Advanced Queues for clinical, administrative and financial transaction processing that guarantees delivery of web transactions to secure queues for immediate processing. Numerous tools are provided to balance real-time, clinical and analytical processing.<br />
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<b style="font-family: Verdana,sans-serif;">References</b><br />
<sup>1</sup> PriceWaterhouseCoopers, Health Research Institute, Healthcare Unwired, 2010, http://www.pwc.com/us/en/health-industries/publications/healthcare-unwired.jhtml<br />
<p>keywords: mobile health, integrated care, CDR, PHR, medical home, medical home port<br />
</p>Bernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.comtag:blogger.com,1999:blog-635741175732972074.post-19772577441771686382010-12-13T16:34:00.002-05:002010-12-14T20:05:37.227-05:00Welcome to Perseid's New Blog and WebsiteNeedham, MA, USA<br />
Bernard P. Wess, Jr.<br />
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Welcome to our new blog and website. We have been hard at work getting the new product release of the Life Sciences Universe&trade product ready for release and have also developed a brand new website and this blog.<br />
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We will be communicating with you on a regular basis from now on. We will post our comments and web blog entries to the website the same day we post our entries here, so you can catch up either at the formal website or here at Blogger.Bernie Wesshttp://www.blogger.com/profile/03828083950949763290noreply@blogger.com