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By and large, population health measurement efforts are poorly developed and uncoordinated – and without effective measurement success will remain elusive, says Georgetown's Michael A. Stoto.

Geisinger Health System has enlisted 100,000 people for its genomic study and did so more quickly than expected. Attracting so many volunteers over two years has prompted program executives to raise the bar to 250,000 or more participants.

CloudMedx, a big data health analytics company, has acquired Gyrus Labs to extend its CloudMedx Analytics Platform, which is designed to help improve patient care through data insights.

Digital document kingpin Adobe has unveiled the first integration between Adobe Sign and Adobe Marketing Cloud. The integration is designed to eliminate costs and inefficiencies surrounding manual, paper-based processes for enrolling and services, including healthcare enrollment, registration and services. Adobe Sign, formerly known as Document Cloud eSign, now features an upgraded and modernized mobile app experience and works in a seamless fashion with Adobe Experience Manager Forms, a key component of Adobe Marketing Cloud. Adobe said this can help an organization go completely digital with anything from credit card applications to government benefit forms to medical forms. Adobe also has announced new Document Cloud storage integrations with Box and Microsoft OneDrive. These integrations are designed to make it easier to access and work on PDF files from anywhere. "Adobe has led the global standard in secure digital documents with the PDF format, and we are working toward the same thing with secure and reliable signatures," said Lisa Croft, group product marketing manager for Document Cloud at Adobe. "And related to Adobe Sign, we are announcing the first integration across the Adobe Marketing Cloud, because we are focused on helping customers deliver good experiences for their customers." Croft cited healthcare as an example, where organizations need, for instance, to digitally obtain information from a patient. "That journey can be a big challenge, to serve the patient appropriately and set everything up," she added. "This new integration is meant to make all of that easier." Tools within Adobe Marketing Cloud can ease the creation of forms with many multiple data fields, and make completing such forms an easier task, Croft said. "In a lot of cases today, healthcare organizations still have to print forms to gather signatures," she said. "With our new integration, we have been able to make that process 100 percent digital. Take all the data and flow it into a final version of a form and then Sign can electronically capture a signature – nothing has to be printed. A healthcare organization can do the whole patient onboarding process without having to print a document."

Truven Health Analytics prides itself on, well, analyzing data. So when it came to picking this year’s top 15 hospitals, Truven analysts turned to crunching numbers. The winning health systems are those who showed higher survival rates and fewer errors at a lower overall treatment cost than any of the other health systems across the country. Overall mortality rates were 14.7 percent lower than non-winning peer group hospitals Complication rates were 15.1 percent lower ED wait times were 12.3 percent lower. The 15 health systems also lowered cost per episode by 5 percent, discharged patients from the hospital a half-day sooner than non-winners. Moreover, they showed y percent higher Patient Satisfaction Scores compared with the non-winning hospitals. The 2016 edition of 15 Top Health Systems evaluated 338 health systems and 2,912 member hospitals to identify the systems with the highest overall achievement on a balanced scorecard. Here are the winners: Large Health Systems (operating expense of more than $1.75 billion) Mayo Foundation – Rochester, Minn. Mercy – Chesterfield, Missouri Spectrum Health – Grand Rapids, Michigan Sutter Health – Sacramento, California Sutter Health Valley Division – Sacramento, California Medium Health Systems (operating expense between $750 million and $1.75 billion) Kettering Health Network – Dayton, Ohio Scripps Health – San Diego, California St. Luke's Health System – Boise, Idaho St. Vincent Health – Indianapolis TriHealth – Cincinnati, Ohio Small Health Systems (operating expense of less than $750 million) Asante – Medford, Oregon Lovelace Health System – Albuquerque, New Mexico MidMichigan Health – Midland, Michigan

In the first major overhaul of Medicaid managed care requirements in more than a decade, the Centers for Medicare and Medicaid Services published new rules on April 25 that affect how Medicaid works for the nearly two-thirds of beneficiaries who get their coverage through private managed care plans. It aligns key rules and practices with those of marketplace and Medicare Advantage, including the addition of reporting medical loss ratio to Medicaid to ensure managed care plans focus on delivering care, not profits, CMS said. The rule finalizes a medical loss ratio at 85 percent. Insurers must spend at least 85 percent of their Medicaid revenue on medical care to improve quality. The remaining 15 percent may be spent for administrative reasons such as salaries and marketing, CMS said. Health plans that don't meet the goal will face future penalties in having their state rates lowered. On the health information technology front, the rules encourage – but don't require – commitment to the principles of health information exchange "Health information technology and the electronic exchange of health information are important tools for achieving the care coordination objectives proposed," according to the final rule. HHS "supports the principle that all individuals, their families, their healthcare and social service providers, and payers should have consistent and timely access to health information in a standardized format that can be securely exchanged among the patient, providers, and others involved in the individual’s care," it states.   "Further, the Department is committed to accelerating health information exchange through the use of health IT across the broader care continuum and across payers. Health IT that facilitates the secure, efficient and effective sharing and use of health-related information when and where it is needed is an important contributor to improving health outcomes, improving health care quality and lowering health care costs." Specifically, the rule points to ONC's Nationwide Interoperability Roadmap and 2016 Interoperability Standards Advisory as containing the "best available standards and implementation specifications to enable priority HIE functions." Providers, payers, and vendors are encouraged to take them into account "as they implement interoperable HIE across the continuum of care, including care settings such as behavioral health, long-term and post-acute care, and community service providers." CMS also sets the conditions for broader applications of telehealth, specifically as a way to bolster network adequacy standards. "Several commenters recommended that CMS add elements (to the rule) to include triage lines or screening systems, as well as the use of telemedicine, e-visits, and/or other evolving and innovative technological solutions," officials write. "We agree with commenters that such services and technological solutions could impact the needs of enrollees in a particular area and could change the manner and extent to which other network providers are needed and utilized. We encourage states to consider how current and future technological solutions could impact their network adequacy standards." An estimated 72 million Americans currently rely on Medicaid as their source of health insurance coverage, 14 million more than in 2013, CMS said. This is largely due to the Affordable Care Act's coverage expansion. The improvements modernize the way managed care health plans operate so that Medicaid and CHIP continue to provide cost-effective, high quality care to consumers, according to Monday's announcement by Andy Slavitt, CMS acting administrator and Vikki Wachino, CMS deputy administrator and director for the Center for Medicaid and CHIP Services. The rule strengthens states' efforts to support delivery system reform and authorizes the first-ever Medicaid and CHIP quality rating system so that states can publicly report plan quality information, and people can use that information to select plans, CMS said. The rule also addresses quality of care standards, as well as focusing on improved communications, such as electronic notices to beneficiaries and creating online provider directories. "States are making gains in using population based payments, episodes of care and quality-based payments," write Slavitt and Wachino in a blog post. "In addition, states operate 30 health home programs that focus on coordinating care for people with chronic conditions like obesity, diabetes and mental health conditions. Over the last several years, sates have undertaken significant efforts through State Innovation Models, integrated care models, and delivery system reform incentive programs to create alignment with physicians and hospitals to provide the highest quality of care. And we have proven that when we and states dedicate ourselves to changing the delivery of care, we get results." Read the final rule here.

Here’s the rub: $50 billion might be hyperbole, but $5 billion is still a sizable enough market to drive innovations that health systems can harness to engage patients, better manage populations and ultimately improve care and the bottom line.    

Stolen credentials, privilege misuse and miscellaneous errors were the three biggest causes for health data breaches in 2015, according to the 9th annual Verizon Data Breach Investigations Report released Tuesday.

The results of a 2015 HIMSS survey of 20,000 women in health IT on workplace, job satisfaction, recognition and opportunities to move up – coupled with another on salaries for women in this field compared with compensation for men – spoke clearly to HIMSS Executive Vice President Carla Smith. Both surveys revealed pressing needs for resources and community for women in health IT. Men, on average, earned $126,262, compared with $100,762 for women in the HIMSS Compensation Survey of 1,900 healthcare professionals that included CEOs and CIOs. Moreover, women landing their first executive positions make just 63 percent of what men make in their first executive role. "I firmly believe sunlight is the great disinfectant: It's a great way to start conversations and help people be more informed," Smith said at a HIMSS16 session where she presented the findings of the compensation survey. She saw the disparity, but also recognized the opportunity to do something about it – to change the status quo. Not one to procrastinate, Smith gathered together a roundtable of some of the most powerful women in the industry. They met at HIMSS16 to better define the situation, build a community and create an awards program, all to provide women support, recognition, concrete solutions, share ideas, offer resources and content. Content is where Healthcare IT News comes in. Today we launch a dedicated section of the website – "a room of one's own," so to speak – exclusively focused on news, career advice, profiles, success stories and recognition of women in health IT and the issues that are most pressing to us. We are also launching a Women in Health IT newsletter, which will be emailed the fourth Tuesday of each month. Virginia Woolf's slender masterpiece "A Room of One's Own," which explores themes related to women writers and female fictional characters, was published in 1929, at a time when male authors dominated the literary world even more than they do today. It's much the same in the realm of healthcare IT. The disparities may not be as wide as they once were, but they persist. As we see it, closing those gaps and achieving parity – both in opportunity and compensation – will elevate the entire healthcare IT industry.     Watch more video from Women in Health IT  

HIMSS has launched an awards program to put the spotlight exclusively on influential women in health IT and their achievements. The awards recognize women both for their individual achievements on the job and also for their influence on other women in the health IT field. HIMSS initiated the program and the awards ceremony to come in response to a survey that revealed women were not recognized for their work and contributions. The survey elicited comments, such as: “We see very little about women in this field.” “Rare to hear success stories.” “Comments from experts tend to be from males only.” “Most recognition that I’ve seen has always gone to male management or clinical personnel.” “While I have extensive knowledge, I feel invisible.” “I don’t even know who the women leaders are in our industry.” The award nominations will open in the summer/fall of 2016. Award winners will be announced in the winter of 2017. A private VIP Awards Dinner will be held at HIMSS17, as well as a Women in Health IT reception to celebrate the winners. More at: http://www.himss.org/News/NewsDetail.aspx?ItemNumber=47294