First Posted at Institute for Health Technology Transformation on 5/21/2013

John Santangelo, Director, Information Technology, Cleveland Clinic
John Santangelo, Director, Information Technology, Cleveland Clinic

In advance of the iHT² Health IT Summit in Fort Lauderdale, John Santangelo, Director, Information Technology, Cleveland Clinic joined the iHT² Education Department to discuss meaningful use, health IT security, and more.

As the IT Director for the Cleveland Clinic Florida, what are some of your top priorities over the next few years?
Continuing to build continuity of care within our EMR to ensure the effective and efficient flow of data goes to the right person at the right time to the right place. We are also very focused on follow up education through arm to arm physician liaison support. Working with the physicians side by side as opposed to in a  classroom is turning out to be the best way to both reeducate staff on efficient use of our EMR as well as identify gaps that need to be addressed on the back end.

Security is an obvious concern for many healthcare organizations adopting and using electronic health records. In your experience, what are the top 3 security concerns that healthcare professionals should be aware of and how do they minimize the risk?
1. Never share your security credentials with anyone. It is your license at risk. 2. PHI data needs to be managed securely when being used or transmitted to any external, non-secure source. 3. Password and access policies are put in place for your benefit and must be followed without deviation including writing down access info on sticky notes.

What communication strategies do you use when explaining a new technology or process to end-users? Are there effective ways to communicate these health IT changes to gain buy-in and acceptance?
Make sure you understand the workflow and needs of the end user gaining access to the technology prior to developing the technical plan around delivery of that technology. Partnering with the non-technical users and making them a part of the delivery of the technology helps ensure an effective deployment and engaged participants.

What are 2-3 innovations on the horizon that you foresee changing the way healthcare organizations deliver and monitor care?
Smart devices from inpatient beds to wireless monitoring systems allowing mobile access to critical patient data. I also believe changes in Telemedicine and home monitoring technology will change the way medicine is practiced and greatly help with post care recovery and monitoring reducing costs as well as the length of stay. I also believe PHR’s will play a major role in better engaging the patient to play an active role in their care plan.

You are participating in the panel “Meaningful Use: It Takes a Team to Get There” during  iHT² Health IT Summit in Fort Lauderdale, taking place June 12-13, 2013. What would you say are the biggest challenges for implementing meaningful use stage 2 and how do you recommend organizations mitigate those challenges?
Physician compliance is number 1 and can only be solved by strong administrative support on use of the EMR. I believe effective deployment of analytics will be critical to achieving stage 2 certification since it focuses on the use of the EMR as opposed to the initial deployment of the technology.

Interested in learning more about meaningful use? Join CentraState Healthcare System, Cleveland Clinic Florida, and the University of Mississippi as they discuss the very same topics on their, “Utilizing EHRs for Patient Engagement and Improved Outcomes” taking place at the  iHT² Health IT Summit in Fort Lauderdale, Jun. 12-13.

Patricia Salber MD, MBA (@docweighsin)
Patricia Salber, MD, MBA is the Founder and Editor-in-Chief of The Doctor Weighs In. She is also the CEO of Health Tech Hatch, the sister site of TDWI that helps innovators tell their stories to the world. She is also a physician executive who has worked in all aspects of healthcare including practicing emergency physician, health plan executive, consultant to employers, CMS, and other organizations. She is a Board Certified Internist and Emergency Physician who loves to write about just about anything that has to do with healthcare.


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