Orion Health July 2015 OH Newsletter Orion Health · PDF fileOrion Health Expands its Presence...

Orion Health Expands its Presence in Southeast Asia

July 2015 Orion Health

Orion Health has secured two new strategic deals in Vietnam, which will build our momentum and market presence in the rapidly developing Southeast Asia region.

We have been selected to provide our Enterprise software solution to Vietnam’s Vinmec International Hospital, a premium healthcare provider headquartered in Hanoi. Vinmec will utilise Orion Health software to improve the delivery and quality of care by implementing a single, integrated multi-site interface that will enable a single view of the patient record across all of their sites. Initially this technology will be deployed in Vinmec Hanoi, Vinmec Phu Quoc, Vinmec Central Park and in two clinics; Vinmec Royal City, Vinmec Saigon. This deployment will be closely followed by a further six sites – supporting the group’s bid for accreditation by the Joint Commission International (JCI) recognising their commitment to safety and quality.

“Vinmec receives a large number of patients annually who are medical tourists drawn by the premium healthcare and world-class services we provide. The quality of the care that they receive is our measure of success, and our partnership with Orion Health will enable us to offer an integrated system for storing and retrieving the medical records of our patients. We look forward to more opportunities to improve the delivery and quality of healthcare services through this collaboration with Orion Health,” said Nguyen Thanh Liem, Chief Executive Officer of Vinmec International Hospital.

This continues a trend for Orion Health in signing prestigious private hospital organisations throughout Southeast Asia, by providing integrated software solutions that help support their efforts at improving efficiency and effectiveness of care delivery.

“Orion Health is committed to making a difference in the delivery of healthcare for patients across the Southeast Asian region by making it easier for records to be accessed and shared across multi-site organisations. As the first international general hospital in Hanoi to receive these solutions, we are honoured to partner with Vinmec to streamline processes and to bring advanced healthcare solutions to patients from Vietnam and the region,” said Ian McCrae, Chief Executive Officer of Orion Health.

Complementing this significant new customer win, we also signed a strategic partnership with VIT Corporation to improve hospital efficiency and enhance the quality of healthcare across several Vietnamese provinces.

VIT Corporation enjoys a stellar local reputation combined with a long and successful history of IT outsourcing, which complements the innovative and world leading solutions that Orion Health offers.

OH Newsletter

Copyright © 2015 Orion Health™ group of companies | All rights reserved | www.orionhealth.com

• July 2015 Index

o Orion Health Expands its Presence

in Southeast Asia

o Orion Health wins Technology Provider

of the Year at 2015 HealthInvestor

Awards

o Raphsody Powers Award Winning

OntarioMD Solution in Canada

o A Pan-Canadian Electronic Health

Record (EHR) Built on Orion Health’s

Technology

o Orion Health Medicines v1.0

Launched 29th May

o Roll Out of NSW HealtheNet

o Gary Folker Appointed Chair of ITAC

Health Board

o What is Happening in the Health

Insurance Space in the United States?

o Hot Trend: Care Coordination

o Orion Health at HIT Paris

o Graduate Career Fairs 2015

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Orion Health Wins Technology Provider of the Year at 2015 HealthInvestor Awards

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Orion Health July 2015

Prestigious award recognises Orion Health’s expertise in scalable, integrated solutionsOrion Health has been awarded the 2015 HealthInvestor award for Technology Provider of the year in the United Kingdom in recognition of its outstanding contribution to healthcare information technology. Announced at the HealthInvestor award gala on June 10, 2015, Orion Health stood above other submissions due to its innovation and deep impact on integrated health.

HealthInvestor judges praised the way in which Orion Health has been able to utilise and develop integration technology to meet the differing and changing needs of populations and healthcare providers. Recognised as a small-to-medium enterprise making a big impact, Orion Health has enabled providers from a variety of facilities to clearly and effectively communicate and share patient data, leading to remarkable results for a multitude of projects across the UK.

“Being acknowledged by HealthInvestor gives us great confidence in our solutions and highlights that Orion Health is headed down the right path in providing essential technology for healthcare”, commented Colin Henderson,

Managing Director, UK & Ireland at Orion Health. “This win underscores the difference that our effective integrated solutions can make in UK healthcare, no matter the scale or demand of the project.”

Market Presence


o Sales Director James Ormonde with the award.

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Raphsody Powers Award Winning OntarioMD Solution in Canada

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We are thrilled to announce that the Hospital Report Manager (HRM) solution developed by OntarioMD and powered by our Rhapsody Integration Engine has resulted in a Canadian Health Informatics Award (CHIA) in the category of Innovation in the Adoption of Health Informatics.

Announced Tuesday night at the e-Health Conference 2015 CHIA Gala, Orion Health stood alongside partner OntarioMD as they were recognised for their work in developing a scalable hospital report manager system. At initial launch, HRM allowed for thousands of Electronic Medical Records (EMRs) to be sent quickly and easily. The positive response and satisfaction has been so high that it has already expanded exponentially across the province

– rapid adoption since 2012 has led to over one million records being sent to date. eNotifications is the next game changing feature to be released through HRM. Rhapsody has helped power a system that will increase efficiency and care coordination, and improve overall value-based care within the entire province of Ontario.

This CHIA award marks the third consecutive year that Orion Health has been recognised for its contributions to the advancement of the Canadian healthcare industry.

Awards

o OntarioMD CEO Sarah Hutchison and SVP Orion Health Gary Folker.


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Technology

A Pan-Canadian Electronic Health Record (EHR) Built on Orion Health’s TechnologyThe Newfoundland and Labrador Centre for Health Information (NLCHI) is a provincial crown agency that supports the development of data and technical standards, maintains key health databases, prepares and distributes health reports, and supports and carries out applied health research and benefits evaluations.

In collaboration with the Provincial Government, the province’s four regional health authorities and Canada Health Infoway, NLCHI is also responsible for the development, implementation, adoption and ongoing governance of initiatives to support the transformation of healthcare province-wide. To date, these have included the Pharmacy Network, the provincial Client and Provider Registries, the first provincial Picture Archiving & Communications System (PACS) and most recently an Electronic Health Record (EHR).

A Pan-Canadian EHRThrough the efforts of Canada Health Infoway, it has become widely accepted that the Holy Grail in Canadian healthcare is a pan-Canadian EHR – a single, secure and comprehensive health record for each citizen that is accessible by any authorised care provider across the country who is part of a patient’s circle of care.

NLCHI is now well on its way to meeting that goal within Newfoundland and Labrador, through the implementation of HEALTHe Newfoundland and Labrador (HEALTHe NL). HEALTHe NL is a provincial electronic health record based on the pan-Canadian EHR vision described in the Infoway EHRS Blueprint.

When fully implemented, the EHR will provide a single, consolidated repository for a broad spectrum of patient information, including:

• Drug prescription and medication records

• Lab test results, such as from blood tests

• Medical images and radiology reports

• Care plans and discharge summaries

• Clinical and mental health reports

• And much more

Through this multi-year initiative, HEALTHe NL will improve information access and decision-making by authorised clinicians, thereby enhancing patient care and safety.

Orion Health Best Fit for EHR BlueprintFundamental to the HEALTHe NL strategy and the implementation of a province-wide EHR was the need for a networked infrastructure that would allow patient data to be pulled from multiple, disparate systems, stored in a secure, central database and be easily accessed by care providers such as physicians, nurses, allied health professionals and other care coordinators.

As the result of an RFP exercise and due diligence based on the Province’s public procurement process, NLCHI chose Orion Health to provide that infrastructure.


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Orion Health Medicines v1.0 Launched 29th May

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Software

On the 29th of May, the Smarter Hospitals team launched an exciting new solution, Orion Health Medicines.

So what is Orion Health Medicines? Orion Health Medicines is an integrated community-wide record that provides a complete, patient-centric view of medications, which can be trusted and shared across an entire health ecosystem.

Business Problem: Taking a medication is one of the most frequent interventions for a patient to improve their health and wellbeing. To be effective this requires the right medication, at the right dose and at the right time. All too often this objective is not fully met. Whether the patient is in their own home, in a community care setting or in hospital, care providers and the patient need access to up-to-date and accurate information to ensure medications are prescribed correctly, and are taken as prescribed.

Solution: Whether you are a patient or clinician, in hospital or in a community care setting, Orion Health Medicines enables you to curate, review, modify, order and administer medications to deliver, or receive, optimal care. Medication data from multiple sources, including physician prescriptions, community pharmacy dispensaries, and hospital event summaries, is aggregated in near real-time.

Orion Health Medicines allows caregivers across a range of organisations and care settings to view and modify a patient’s medication management plan. Changes and their justifications can be seen instantaneously, irrespective of the clinician’s location. Patients contribute to their health record by adding alternative or over-the-counter medications they are taking, and by challenging the accuracy of their record. The result is an accurate, comprehensive, up-to-date view of a patient’s medication history record to support effective and safe care delivery.


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NSWHealth has recently completed the state rollout of HealtheNet, which connects up the public health sector in New South Wales. Covering a population base of 7 million, this is the largest shared records infrastructure in Australia.

HealtheNet first went live several years ago as an upgrade’ of a pilot project known as HealtheLink which was one of Orion Health’s first shared EHR infrastructure projects set up over a decade ago.

The solution is based on Open Platform and connects to 7 instances of Cerner and 2 instances of Orion Health Consult. Earlier this week Rhapsody hit a processing milestone – one billion messages over the life of the project!


Customers

Roll Out of NSW HealtheNet

We are pleased to announce the appointment of Gary Folker, Senior Vice President of Orion Health Canada, as Chair of the Information Technology Association of Canada (ITAC) Health board. ITAC Health champions the development of a more efficient Canadian healthcare system.

“On behalf of the board, I’d like to congratulate Gary on his new role as Chair of ITAC Health,” said Elaine Huesing, Executive Director, ITAC Health. “As a long-time member of ITAC Health, Gary’s passion, energy and vision have helped drive significant changes to the healthcare policy. We are privileged to have him in this leadership role for the next three years.”

Gary Folker Appointed Chair of ITAC Health Board

o Gary Folker, Senior Vice President of Orion Health CanadaF

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Insurance

What is Happening in the Health Insurance Space in the United States?We recently announced that one of the opportunities we have been working on with a health insurance customer in the U.S. has been put on hold, due to that customer having other business priorities to focus on in the near term. Subsequently, news media has written about changes in the insurance landscape in the U.S. driven by the changing regulatory regime which has expanded the business of the insurers but put restrictions on their profitablity. It has become apparent that it is likely that a period of M&A activity in the insurance sector will come to pass. The U.S. Healthcare market is vast and complex and, at US$3 trillion, is the largest industry in the world. Within this market many significant opportunities for Orion Health have and will continue to emerge. One of these is the Health Insurance market.

Orion Health is early to this evolving market opportunity, signing up three insurers in 2014 – Highmark, Blue Shield of California and Anthem Blue Cross in California. These last two joined together to form a new health information exchange, Cal INDEX, late last year, seeding it with US$80 million of funds to excute their vision to create a ubiquitous health data exchange for all of California.

News has just recently that Anthem (2nd largest insurer) has made a takeover bid for Cigna (5th largest insurer). This is amongst other media speculation about M&A activity between other insurance companies. Just this week news broke that Aetna has agreed to aquire Humana for US$34.1 billion. This comes after an interesting article in the Wall Street Journal on the 18th June highlighted that the big insurers in the US – UnitedHealth, Anthem, Aetna, Cigna and Humana – are looking to strike deals to reduce costs and competition (Insurers Playing a Game of Thrones, WSJ) and to optimise their ability to access the high-margin populations that receive Medicare Advantage (advanced health insurance for people aged 65 and over). As the Atena and Humana deal is illustrating, there will certainly be antitrust (competition law) issues for the U.S. federal government to consider.

Regardless of how this game of thrones plays out, a fact remains: insurers and healthcare providers in the U.S. will continue to work together to drive costs down and deliver optimal healthcare outcomes for patients and members. To do that, they need to share and access different types of clinical, claims and consumer data, through a robust, scalable, health platform. Orion Health is focussing on promoting its Open Platform in the U.S. market as the big data platform for health – for insurers, providers and other health organisations.


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Trends

The value proposition for healthcare coordination is often defined as follows: that better management and coordination of care plans for patients battling chronic disease will lead to fewer acute episodes and a reduction in expensive hospital visits.

Recently, USA Today featured an interesting story about the enormous cost to Medicare, which provides health insurance for the elderly in the US, of chronically ill patients: 10,000 seniors cost Medicare US$1 billion. You can read the article here. Like other organisations and government-funded agencies globally, Medicare is taking steps to address the burgeoning cost of healthcare (as outlined below). But tackling costs head-on requires keeping people well in the first place, which necessitates effective care coordination.

At the recent Orion Health Global Sales conference in Scottsdale, Arizona, Dr Tiffany Nelson from Orion Health customer Scottsdale Health Partners highlighted the importance of a robust interconnected IT platform that can deliver relevant information at the point of care, to effectively coordinate care and achieve optimal health outcomes. You can watch part of Dr Nelson’s address here.

A Hot Trend for Policy MakersPolicy makers in the U.S. and in Canada have launched several new programs, some with incentives focused on chronic care management and care coordination. For example, the Centers for Medicare and Medicaid Services (CMS) in the US launched a Chronic Care Management (CCM) incentive that will pay providers up to US$40 per-patient per-month to provide at least 20 minutes of chronic care management counselling and care coordination services over the phone or in person to eligible patients with two or more chronic conditions. This a highly significant program with committed funding in excess of US$75 billion over the next five years.

Care coordination is also a key aspect of the Affordable Care Act (known as “Obamacare”), which enables groups of primary care physicians, specialists and hopsitals to join together to establish Accountable Care Organisations (ACOs), which receive payments tied to healthcare quality goals and outcomes that improve efficiency. In the space

of 3 years, over 600 ACOs have been established and it is expected that this number will double in the next 18 months.

A Hot Trend for Technology VendorsAt this year’s HIMSS conference in Chicago, much of the hype focused on chronic care management technologies. A number of vendor solutions are focused on identifying qualified patients for CCM incentives from existing electronic medical records and providing patient engagement tools to help providers administer the program, achieve improved patient outcomes, and claim the incentives. But more broadly, care coordination is a key area receiving a lot of attention in healthcare IT because it necessitates a robust IT infrastructure to work. The only way a patient’s care can be coordinated is if all those involved in delivering (and funding) that care have access to the same information. Universally it is agreed that the most relevant place to store this information is in a rich longitudinal patient record that is accessable by authorised participants in a patient’s circle of care.

But who Coordinates the Coordinators?A recent New York Times article highlights the tangle of care coordination in the U.S. – how hospitals, Accountable Care Organisations (being those healthcare providers contracted to deliver specific medical services to a specific groups of patients, under provisions of Obamacare), Medicaid programs, home care agencies, retirement/aged care facilities and other community organisations have all established their own care coordinators. Multiple care coordinators from different care settings are making home visits and recommending activities already ordered by another care coordinator. Most coordinators are not aware that others have visited until they talk to the patient. What patients need is access to fewer coordinators that can work together across a diverse care setting to help them manage their care plans. The only way to deliver true care coordination is to have all interested parties accessing the same information.


Hot Trend: Care Coordination

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http://orionhealthnewsletter-external.createsend1.com/t/d-l-jluuiud-l-i/

https://vimeo.com/orionhealth/review/131168365/fd41910c69

http://www.nytimes.com/2015/04/14/health/the-tangle-of-coordinated-health-care.html?_r=3

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Trends

Four Key Continuity ImperativesCare coordination requires an IT solution that can meet the following key continuity imperatives:

Information Continuity - Secure access and full availability of all relevant, past and present patient information is needed to facilitate fully informed and appropriate decisions. This typically means that an enterprise data platform is available to acquire data from disparate sources including other providers and aggregate that information for viewing at the point of care delivery in a timely, intuitive and easy to use fashion.

1. Patient Care Plan Continuity - This includes the collaboration between caregivers to rationalise multiple plans into a single, compatible, coherent plan. Electronic forms, documentation, disease pathways, workflow and electronic communications are all solutions that allow caregivers to collaborate on a single patient care plan.

2. Care Delivery Continuity - An effective care plan includes the prioritisation, coordination, and execution of integrated services that respond to patients’ changing needs.

3. Patient Continuity - Patients seek active participation in their care plan. The ideal care coordination solution is able to support patient access to their care plan and health record through a patient portal and/or mobile device.

Care Coordination and Orion HealthJurisdictions that have already implemented an enterprise wide data platform such as a regional Electronic Health Record or Health Information Exchange have a strong foundation in place for implementing care management solutions across diverse care settings. Care coordination to improve population health is the motivating factor behind many of Orion Health’s recent contract wins, including Cal INDEX in California, bringing together claims and clinical

data; the province-wide care coordination solution being rolled out in Ontario; the distributed community care model being implemented in Newfoundland and Labrador in Canada; the South-Island wide patient administration system in New Zealand; and the shared care record implemented by NSW Health in Australia.


Hot Trend: Care Coordination

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Orion Health at HIT Paris 10


Expo

The annual Health IT expo (HIT Paris) was held on May 19th-21st at Paris Expo, Porte de Versailles and hosted professionals from the Healthcare IT industry from across France.

Organised by the Fédération Hospitalière de France (FHF) with more than 200 exhibitors and over 5,500 attendees, HIT Paris is the leading French event dedicated to health technology innovation and information systems for Healthcare. The conference kicked off with the highly anticipated speech by Ms. Marisol Touraine, Minister for Health, Social Affairs and Women’s Rights concerning the Health System Modernisation bill currently before the French parliament. This bill purports to incentivise digitisation of patient records, among other things. The expo continued over three days with a focus on Big Data, Digital Hospital and secure patient data.

This year Orion Health exhibited at the expo and had the opportunity to discuss directly Orion Health’s approach to population health management, interoperability and care coordination with the hospital directors and decision makers from the various ARS (Agences Regionales de santé/Regional Agencies for Health) and GHT (Groupements Hospitaliers de Territoire/Territorial Hospital Groups) who visited our stand. The products and solutions we demonstrated at our booth garnered great interest with over 75 leads being collected throughout the conference.

o Olivier Zmirou, Michel Detry and Stephen Dietz watching the demo

o Ms. Marisol Touraine, Minister for Health, Social Affairs and Women’s Rights


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Careers

April and May are keys months for the Recruitment team to publicise Orion Health to graduates across universities in New Zealand.

The Recruitment team attended four careers fairs over the last few weeks at University of Auckland - Engineering (28 April), University of Otago - IT (6 May), Victoria University - ICT (8 May) and University of Canterbury - Engineering & Science (13 May). There are 2 more fairs to go for this year at University of Auckland - Innovative, Science & Technology next week and another with the ICT faculty at University of Canterbury, Christchurch in mid-August.

Orion Health were amongst 30 to 80 other companies participating in this annual event at various booths. Many employers seem satisfied with one or two tables but their areas were transformed with eye-catching displays showcasing their employer brand. Attire varied with some students and recruiters in business formal and some in casual employer brand t-shirts. We also noticed a number of students dressed as if they came straight from bed! And we were just as likely to meet a first year student as we were to meet a graduate student. They entered in mobs and moved in surges throughout the venue. When the event was over, fatigue certainly set in among the staff and recruiters but some seem to be more resilient than others and have enough energy to socialize well into the wee hours.

A huge thank you to the Christchurch team who were a tremendous help especially: Joseph Sutton, Alex Warren, Burgundy Hale, Tristan Read & Colm Brady. Great team collaboration!

o Rathna speaking with graduates at the fair o Amrita and Rathna at University of Otago posing in front of our booth

o Engineering Career Fair at University of Canterbury with Tristan, Rathna, Burgandy, Alex, Joseph & Colm


Graduate Career Fairs 2015

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