Health Care Information Technology (HIT)

Transforming Healthcare

The increasing adoption and integration of health information technology (HIT) is transforming the delivery of healthcare by:

  • Increasing patient access to health care, especially the underserved
  • Empowering both clinicians and patients through the diffusion and adoption of the latest information and electronic applications
  • Improving the quality of care through coordination, assessment tools and real-time results
  • Enabling avings by eliminating duplication of services while providing early intervention to at risk populations

All by being time and place independent.

Clinical Systems

Initiatives

  • Knowledge Management System - internally developed to improve access to the knowledge and information that advances clinical care, research and teaching; it provides a multi-disciplined approach to achieving health care delivery by making the best use of knowledge.
  • Clinical Decision Support System – our clinical decision support (CDS) provides our clinicians and staff, with knowledge and person-specific information, intelligently filtered or presented at the appropriate points of care, to <strong>enhance health care delivery through a variety of tools to enhance decision-making in the clinical workflow process.

Mass General Brigham Centers of Excellence

BWH - Center for Patient Safety, Research, and Practice
Focuses on patient safety, utilizing information technology to improve clinical decision-making, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. Health Information Technology Center for Education and Research on Therapeutics (CERT) focuses on therapeutic issues related to appropriateness, safety, and efficacy in ambulatory, inpatient, and transitional care settings within the context of health information technology.

MGH - Lab for Computer Science (LCS)
Focuses on transforming health care delivery through biomedical informatics research and rapid development of innovative health information systems that connect provider to provider, provider to patient, and patient to resources. LCS lead EHR development and clinical support through the development of On Call - a web-based clinical systems platform that provides portability, shareability, and aggregation of clinical data and DxPLain– a medical reference system for 2400 different diseases.

Mass General Brigham - The Clinical and Quality Analysis (CQA)
Focuses on research to evaluate the impact of clinical information systems on patient safety, quality, and care delivery in addition to promoting the value health care information technology (HIT) and informs the design, development, and implementation of effective tools to support quality patient care.

Connected Health

Mass General Brigham Connected Health creates innovative, technology-enabled solutions focused on patient engagement to improve quality outcomes, efficiently.

Initiatives

The team works with external (industry, foundations, etc.) and Mass General Brigham internal collaborators to develop delivery programs including remote monitoring, care coordination, mobile health, patient self-management and virtual consultations.

Connected Health Programs include: Diabetes, Congestive Heart Failure, Pediatric Asthma, Weight and Activity Management, Pre-Natal Care, Smoking Cessation, Medication Adherence, Hypertension.

Mass General Brigham Assets and Capabilities

The Mass General Brigham team can take a pain point identified within the health care space, develop a connected health product and rigorously test the product via a clinical trial.

Mass General Brigham’s product development team is driven by user-center and is composed of behavior change practitioners, seasoned UX designers, and scrum-trained coders and project managers. Since Mass General Brigham is housed within one of largest integrated health care systems in the country, it gives their team unique access to patients, providers, and other stakeholders.

Key decision makers within health care systems see clinical validation as a powerful differentiator. Mass General Brigham research scientists and project managers have been running clinical trials for connected health products (both for their in-house products and for industry-products) for over 10 years. Their work has been published within JAMA, NEJM, Journal of Medical Internet Research, and many others. Additionally, the Connected Health Symposium, which sees over a 1000 attendees, features the clinical trials that are run at Mass General Brigham.

Ideation – Concept – Development (design) – Pilot (evaluate/product testing) – Iteration – Clinical Trial

  • Staff includes: clinicians, behavioral scientists, project managers, UX designers, data architects, mobile and web developers, research scientists, security and regulatory experts, value-based model experts
  • PCH and industry: development, testing, clinical studies, advisory

Data and Analytics

Mass General Brigham has the foundational data assets and infrastructure to conduct Big Data Science. Big Data science involves generation of insights and real-time clinical evidence that are critical to evaluate care delivery and treatment options at population level. Mass General Brigham has made strategic investments in “information” infrastructure to advance its research and clinical goals.

Mass General Brigham Assets and Capabilities

Big Data requires a robust platform to link the various and diverse data assets across Mass General Brigham to allow for more effective research, discovery and generation of clinical insights to be conducted at scale.

  • Research Patient Data Registry
    • Centralized clinical data warehouse that brings clinical information to the researcher’s fingertips
  • Informatics for integrating biology to the bedside (i2b2)
    • Scalable informatics platform that enables clinical researchers to use existing clinical data for discovery research
  • Mass General Brigham Biobank

Personalized Medicine

Personalized medicine involves the tailoring of prevention and treatment modalities to an individual’s unique (genetic) make-up or to how a particular disease or syndrome is expressed. Over the last decade, Mass General Brigham institutions have invested significantly in building capabilities to realize the promise of delivering personalized or precision medicine strategies to our patient populations. Achieving this goal requires a commitment to building:

  • Advanced diagnostic capabilities (i.e. molecular diagnostics, genetic testing, imaging, etc.)
  • Clinical IT infrastructure capable of:
    • Capturing and inter-relating laboratory / diagnostic information from various sources
    • Linking this laboratory data with patient information
    • Providing clinicians with the necessary tools to leverage the collective information to make better informed care / treatment decisions
  • Research infrastructure that enables continued discovery and translation of basic research

Mass General Brigham Assets and Capabilities

Diagnostic Testing

Clinical IT Infrastructure
Partners has a long history of innovation in this space, including:

  • Development of the Partners Longitudinal Medical Record (being replace by Epic through our eCare initiative)
  • Development of various Laboratory Information Management Systems (largely being replaced by Sunquest enterprise solutions)
  • Development of numerous specialty programs required to support specific technologies / diagnostic services (e.g. GeneInsight and Personalized Medicine)

Translational and Research Infrastructure

  • Translational Genomics Core provides technical expertise, leading genomics technologies, and high-quality service to support genomic research programs across the Partners institutions
  • Mass General Brigham Biobank advances discovery by providing investigators with inexpensive, high-quality specimens linked to clinical data

Types of Innovation

  • Clinical Service Lines
  • Diagnostic Services / Capabilities (e.g. assay development)
  • Software Development

Popular Health Management

Health care industry is putting greater emphasis on value, or improving quality and outcomes while lowering costs, driven in part by provider participation in risk based contracts. Mass General Brigham has invested considerably in our population health management (PHM) strategy and infrastructure as we deploy new care models to effectively manage our patient population. Population Health describes a set of activities that focus on improving the health of patients, lowering the costs of care, and ensuring that the overall care delivered is more efficient and satisfying.

Initiatives

  • Algorithms and related validation data sets
  • Resources, tools and technology for hospitals/ clinics to implement PHM across all phases of care
  • Methods
    • Care paths
    • Change management know-how

Primary Care
Supporting primary care practices in practice redesign (patient-centered medical home) and coordination of care for patients with complex care needs (integrated Care Management Program)

Specialty Care
Improving care coordination between Primary Care and Specialty practices and enhancing access to specialty services.

Non-Hospital Care
Providing home-based care for patients with acute illness and developing services to better manage transitions of care (among nursing facilities, hospital, and home).

Patient Engagement
Offering providers and patients tools to improve communication, education, and patient self-care.

Analytics and Technology
Creating a single, centralized electronic health record with decision-support tools and a data warehouse for analytics and performance reporting.