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Clinicians Say They Need Specialized IT To Improve Patient Safety

Posted on July 24, 2018 I Written By

Anne Zieger is veteran healthcare branding and communications expert with more than 25 years of industry experience. and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also worked extensively healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

Hospitals are loaded down with the latest in health IT and have the bills to prove it. But according to a new survey, they need to invest in specialized technologies to meet patient safety goals, as well as providing more resources and greater organizational focus.

Health Catalyst recently conducted a national survey of physicians, nurses and health executives to gather their thoughts on patient safety issues. Among its main findings was that almost 90% of respondents said that their organizations were seeing success in improving patient safety. However, about the same percentage said there was room for improving patient safety in their organization.

The top obstacle they cited as holding them back from the patient safety goals was having effective information technology, as identified by 30% of respondents. The same number named a lack of technologies offering real-time warnings of possible patient harm.

These were followed by lack of staffing and budget resources (27%), organizational structure, culture priorities (19%), a lack of reimbursement for safety initiatives (10%) and changes in patient population practice setting (9%).

Part of the reason clinicians aren’t getting as much as they’d like from health IT is that many healthcare organizations rely largely on manual methods to track and report safety events.

The top sources of data for patient safety initiatives respondents used for safety initiatives voluntary reporting (82%). Hospital-acquired infection surveys (67%), manual audits (58%) and retrospective coding (29%). Such reporting is typically based on data sets which are at least 30 days old, and what’s more, collecting and analyzing the data can be time and resource-consuming.

Not surprisingly, Health Catalyst is launching new technology designed to address these problems. Its Patient Safety Monitor™ Suite: Surveillance Module uses protective and text analytics, along with concurrent critical reviews of data, to find and prevent patient safety threats before they result in harm.

The announcement also falls in line with the organization’s larger strategic plans, as Health Catalyst has applied to the AHRQ to be certified as a Patient Safety Organization.

The company said that he had spent more than $50 million to create the Surveillance module, whose technology includes the use of predictive analytics models and AI. It expects to add new AI and machine learning capabilities to its technology in the future which will be used to propose strategies to eliminate patient safety risks.

And more is on the way. Health Catalyst is working with its clients to add new features to the Suite including risk prediction, improvement tracking and decision support.

I’m not sure if it’s typical for PSOs to bringing their own specialized software to the job, but either way, it should give Health Catalyst a leg up. I have little doubt that doing better predictive analytics and offering process recommendations would be useful.

Industry Does Too Little, Too Late On HIT-Related Safety Issues

Posted on November 11, 2011 I Written By

Anne Zieger is veteran healthcare branding and communications expert with more than 25 years of industry experience. and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also worked extensively healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

This week, a pair of HIT organizations — including a HIMSS-backed group and an alliance focused on HIT safety — came together to help track HIT-related patient safety problems. The two groups have broad-based vendor support, and they seem to have the right goals. Unfortunately for them, though, the HIT safety ship may have already sailed.

Participants in the current linkup include the iHealth Alliance, part of the  EHR safety group EHRevent.com run by the publishers of the Physicians’ Desk Reference, and the HIMSS EHR Association, a collection of 44 EHR vendors working together to work on key industry issues.

The safety group, which offers a quick form allowing people to report EHR-related safety concerns, is an official, federally-certified Patient Safety Organization. That gives providers the chance to report such events in a privileged, confidential manner.

That being said, regulators seem to have gotten the jump on the software folks. As some of you may know, regulators are already preparing to begin, well, regulating HIT safety results. The FDA, which issued draft guidance on mobile medical apps this summer, may cast its eye on EHRs at some point.

Another possible angle comes from the Institute of Medicine, which recently issued a report recommending that HHS create a new watchdog agency investigating health IT safety issues.  National Coordinator for Health IT Farzad Mostashari recently told reporters that his agency, the ONC, has already begun developing an EHR safety and surveillance plan which should be out within the next 12 months.

(If you want this process to be as painless as possible, you’d better hope that the IOM gets its way; vendors, you don’t want to face the kind of FDA struggles pharmaceutical companies do, right?)

Honestly, someone who’s watched regulators do their thing for decades, I’m betting this latest industry effort will be too little, too late.

Folks, as I see it the only way you’ll get the agencies off your back is to start reporting on safety issues with EMRs/EHRs and other health IT tools aggressively. But given that many organizations aren’t even at the stage where their EMR installation is stable, good luck!