1. Technology in Health Care and Wellness: Rapidly Changing Landscape Prof. Lori Brooks Prof. Dave Lingerfelt Johnson County Community College

2. Meet your tour guides… Dave Lingerfelt, MBA Full-time faculty/Co-Dept Chair Health Care IT 10+ years experience in Health IT No point here, people learn better in sets of 3! This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

3. Meet your tour guides… Lori Brooks Full-time Professor, Health Care IT Industry Experience: Clinical Content Manager, Pulse Systems Inc EHR Specialist, College Park Family Care Center This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

4. The Problem This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. # of workers currently trained does not meet demand of industry Aging population “Sicker quicker” Growing population of “Worried Well”

5. The Villain(s)? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. We have to blame somebody right?

6. We’ve come a long way baby! This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. First U.S. Surgical Amphitheater

7. Technology Today This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

8. Technology Today This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Reported that 62% of physicians use an iPad at the point of care. Over 80% of physicians use smart phones and smart phone apps daily as a part of patient care activities Clinical Mobility Trends

9. What’s ahead? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. What Does the Health Care of Tomorrow Look Like? Patient Centered Care Outcomes Based Medicine/Payment Systems Greater Emphasis on Population Health Increased focus on Consumer Driven Medicine NBC News

10. More Data This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Current Trends in Information Technology Enable Storage of Exponentially More Data. Average Health System has an EMR Database of 2-3 Terabytes Rate of data storage is growing exponentially Successfully mapped human genome model 10 years ago **1TB = 1 trillion bytes = 1 thousand gigabytes OR Roughly 472 hours of HD quality video

11. IT jobs in healthcare are expected to grow by 20% annually through 2018. Lucas Mearian, ComputerWorld, September 26, 2012. Health IT Industry The healthcare industry is leading the market in IT job creation, according to the U.S. Bureau of Labor Statistics job placement services. Purpose: Improve quality of patient care! This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

12. National Survey Results The need for IT staff in the nation’s healthcare facilities is more critical now than two years ago. Two-thirds of healthcare operations in the U.S. are reporting a shortage, (67% of 163 hospitals or healthcare systems), survey of CIOs. July 2012, College of Healthcare Information Management Executives (CHIME) This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

13. Security This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. What comes to mind when you say “Security” as it pertains to Healthcare?

14. Security This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Shall we play a game? Security Challenge: http://www.healthit.gov/providers- professionals/privacy-security-training-games

15. Gadgets in Health IT Convergence of Wellness and Wireless This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Health Apps vs. Medical Apps 43,700 health or medical apps are available in Apple's iTunes app store. However, only 54% of them were “genuine” healthcare apps. Of those, 69% targeted consumers and patients while 31% were built for use by clinicians. Health apps help consumers to maintain a healthy lifestyle or offer health-related services. Health Apps are targeted at consumers rather than medical professionals. The most popular categories of downloaded health apps are exercise, stress, and diet. Categories: Fitness and Nutrition, Calculators and Chronic Disease Management.

16. Fitness and Nutrition Apps This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. MyFitnessPal Free online calorie counter and diet plan. Lose weight by tracking your caloric intake quickly and easily. Runtastic Automatically records elapsed time, distance, calories burned, speed, elevation and tracks exercises via the onboard GPS and through satellites

17. Fitness and Nutrition Apps This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Fooducate Grades your food, explains what's really inside each product, and offers healthier alternatives. Weight Watchers Track your food, weight and activity. Snap and Track tool makes tracking a snap. Search thousands of meal and recipe ideas.

18. Calculator Apps This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. BMI Calculator BMI is a reliable indicator of total body fat, which is related to the risk of disease and death. Instant Heart Rate Place the tip of your index finger on phone’s camera and in a couple of seconds your Heart Rate will be shown.

19. Chronic Disease Management Apps This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Glucose Buddy Data storage utility for people with diabetes. Users can log: - BG - Carbs (Food) - Medication (Insulin Dosages) - Activities - A1C - Blood Pressure - Weight T2 Mood Designed to help you track your emotional experience over time and to provide you with a tool to share this information with your health care provider.

20. Chronic Disease Management Apps This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Asthma MD Keep a journal of your asthma easily and quickly. Visualize your asthma activity on a color graph. Share asthma diary and graph with your physician. Heart Pal Log blood pressure readings, your weight, and medications you take on a daily basis to see a clear picture of your heart health. Set pill-taking reminders and schedules so you won’t forget a thing.

21. Personal Wellness Gadgets This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Fitbit Wireless wearable activity and sleep tracker Aria wireless smart scale Fitbit App: wireless sync to devices Jawbone Up Wireless wearable activity and sleep tracker UP App

22. Personal Wellness Gadgets This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Hapifork Measures how long it took to eat, amount per minute and intervals between for servings LUMOback Posture Belt Sensor that vibrates when you slouch Syncs to App

23. Personal Wellness Gadgets This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Withings Aura Smart Sleep System

24. Convergence of Wellness and Wireless This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Shift from REACTIVE to PREVENTIVE health care – Boomers (1/3 of population) will put huge stress on health care system as they reach retirement age Weakest link is ability to manage chronic disease

25. Convergence of Wellness and Wireless This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.  Consumers with a vested interest in their wellbeing Digital health is the fastest growing industry segment of consumer electronics Will hospitals, providers and insurance companies incorporate these new technologies? – Potential to help both patients and clinicians monitor vital signs and symptoms – By 2016, wearable wireless medical device sales will reach more than 100 million devices annually Personal and work life come together – Financial health incentives for participation – Use of consumer fitness gadgets in these programs

26. EHRs This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. 50% of physicians are satisfied with their EHR’s features and functionalities. 40% are satisfied for very satisfied with their EHR’s ability to improve patient care 82% want patients to actively participate in their own care by self-updating EHR’s 50% believe giving patients access to EHRs is crucial in providing effective care The 3 “A”s of Patient Engagement: Access, Action, Attitudes

27. Why the Increase in EHR Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

28. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

29. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

30. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

31. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

32. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

33. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

34. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

35. What is Meaningful Use? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC.

36. What Is the Incentive? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. The incentive payment is 75% of provider’s Medicare allowed charges up to a maximum annual cap. Medicare eligible providers who do not meet meaningful use by 2015 and each subsequent year are subject to payment adjustments to reimbursements starting at 1% per year up to 5% annually.

37. What are the Meaningful Features of an EHR? This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal use by an organization/individual is permissible, unless prior authorization is granted by JCCC. Structured data: patient demographics, problem lists, medication lists, patient histories, allergy lists, orders, etc. Clinical Decision Support (CDS) Tools Alerts and Reminders Patient Portals E-Prescribing Speech recognition Integration with other clinical systems Patient education Quality Dashboards and Reporting Mobile App Referral Tracking CPOE Patient Kiosks Customizable Certified Basic functions: scheduling, charting, and billing https://www.drchrono.com/accounts/login/

38. Future of Wearable Technology- Future of Wearable Technology- Philips Healthcare Philips Healthcare Medical Futurist Medical Futurist Where Are We Headed?