mjhs-managed-solutionMJHS celebrates nearly 110 years of care and innovation with modern Office 365 workplace

By Stuart Geller as written on blogs.office.com
Since “The Four Brooklyn Ladies” founded the MJHS Health System (MJHS) in 1907, we have grown into one of the largest not-for-profit health systems in greater New York. One of my challenges is to ensure that the values of a nearly 110-year-old healthcare provider are reflected in the 21st-century technology we use. With Microsoft Office 365 cloud-based business tools, our employees work productively in today’s digital world, while preserving the innovative, culturally sensitive healthcare services that are part of our history.
Before we settled on Exchange in the cloud, we used another product as our on-premises messaging and collaboration platform. This system had significant email reliability issues and storage limitations. We needed cloud-based business productivity tools that aligned themselves with the highly-regulated healthcare industry, where we are required to meet HIPAA standards. We evaluated G Suite (formerly Google Apps for Work) but chose Office 365. First, Microsoft signed a Business Associate Agreement, something that Google was unwilling to do at the time. And we were more than satisfied that Office 365 met our strict standards around security and compliance, in everything from email retention to archiving and eDiscovery. We also use Office 365 Advanced Threat Protection that bolsters our defense against malware and phishing emails. It’s great to see Microsoft offerings evolve to keep pace with swift changes in the threat landscape.
At the enterprise level, it’s important to use technology that works in the language of the industry. Our employees are familiar with Microsoft offerings, and the ease of transition to the new business tools was a great incentive for us. Not only does Office 365 ensure that we will always be on the latest version, but the interoperability of the different components of the suite is efficient and effortless, improving productivity.
We pride ourselves on delivering innovative, sensitive patient care in the home. Our mobile health workers carry Windows-based devices and now they can use Office 365 to access the information they need to do their work, without returning to the office. With Office 365, mobile access to all our technology resources is easier than ever, which means more time interacting face-to-face with our clients.
We are seeing increased interest in video conferencing across MJHS with Skype for Business Online, especially for board meetings and presentations. We are piloting the PSTN conferencing capabilities, and we are excited to make the most of the newest functionality, particularly Dynamic Conference Codes, which eliminates overlapping conference calls and protects the privacy of each meeting. By eliminating existing superfluous conferencing solutions, we expect to reduce our costs in this area by 80 percent.
And by consolidating other third-party providers, for mobile device connectivity, archiving and eDiscovery capabilities, we have further simplified our administration and significantly reduced our overall costs. With Office 365, these types of services come standard, and once again allow us to acquire great functionality with a reduction in costs.
The Four Brooklyn Ladies could never have imagined how much healthcare would change in the past century. However, it’s great to know that with IT tools like Office 365 we can ensure that their core values of cultural sensitivity, service and compassion are still at the forefront of our service to the community.

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NEW! Client Health Automation with Systems Center & Sharc

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Unify your IT management infrastructure & simplify client health with 0 touch deployments.

Streamline operations with a unified infrastructure that integrates device management and protection across mobile, physical, and virtual environments. With System Center Configuration Manager and our patented SHARC tool automating your client's computers health has never been easier. You can discover, diagnose and clean all your client devices with just a mouse click, even the ones you didn't know were on your network... Without human intervention.
The future of client health automation is here. Managed Solution provides businesses with complete, end-to-end solutions for their technology needs.

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Things You'll Love About System Center 2016

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Efficient operations

Realize value quickly with simple installations, in-place upgrades, automated workflows, one-click features and a straightforward console.

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Support for multiple systems

Manage and monitor heterogeneous and open systems, including Linux, Hyper-V, and VMware.

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Servers + desktops

Deploy and manage Windows Server 2016 and Windows 10—configuration, health, and compliance.

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Cloud integration

Get visibility and control of data and apps with full integration for Operations Management Suite.

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Industry Leading System Center Engineering Talent

Do you have the tools in place to empower the "always on" worker, the co-mingling of company and personal business, compliancy, access and data loss? It's time to think about your overall Identity & Access Management Strategy and we can help. Get started with System Center.

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How web search data might help diagnose serious illness earlier

By Mike Brunker as written on blogs.microsoft.com
Early diagnosis is key to gaining the upper hand against a wide range of diseases. Now Microsoft researchers are suggesting that records of the topics that people search for on the Internet could one day prove as useful as an X-ray or MRI in detecting some illnesses before it’s too late.
The potential of using engagement with search engines to predict an eventual diagnosis – and possibly buy critical time for a medical response — is demonstrated in a new study by Microsoft researchers Eric Horvitz and Ryen White, along with former Microsoft intern and Columbia University doctoral candidate John Paparrizos.
In a paper published Tuesday in the Journal of Oncology Practice, the trio detailed how they used anonymized Bing search logs to identify people whose queries provided strong evidence that they had recently been diagnosed with pancreatic cancer – a particularly deadly and fast-spreading cancer that is frequently caught too late to cure. Then they retroactively analyzed searches for symptoms of the disease over many months prior to identify patterns of queries most likely to signal an eventual diagnosis.
“We find that signals about patterns of queries in search logs can predict the future appearance of queries that are highly suggestive of a diagnosis of pancreatic adenocarcinoma,” – the medical term for pancreatic cancer, the authors wrote. “We show specifically that we can identify 5 to 15 percent of cases while preserving extremely low false positive rates” of as low as 1 in 100,000.
The researchers used large-scale anonymized data and complied with best practices in ethics and privacy for the study.

image: https://mscorpmedia.azureedge.net/mscorpmedia/2016/06/eric-horvitz_350.jpg

Eric Horvitz

Eric Horvitz, a technical fellow and managing director of Microsoft’s Redmond, Washington, research lab (Photography by Scott Eklund/Red Box Pictures)

Horvitz, a technical fellow and managing director of Microsoft’s research lab in Redmond, Washington, said the method shows the feasibility of a new form of screening that could ultimately allow patients and their physicans to diagnose pancreatic cancer and begin treatment weeks or months earlier than they otherwise would have. That’s an important advantage in fighting a disease with a very low survival rate if it isn’t caught early.
Pancreatic cancer — the fourth leading cause of cancer death in the United States – was in many ways the ideal subject for the study because it typically produces a series of subtle symptoms, like itchy skin, weight loss, light-colored stools, patterns of back pain and a slight yellowing of the eyes and skin that often don’t prompt a patient to seek medical attention.
Horvitz, an artificial intelligence expert who holds both a Ph.D. and an MD from Stanford University, said the researchers found that queries entered to seek answers about that set of symptoms can serve as an early warning for the onset of illness.
But Horvitz said that he and White, chief technology officer for Microsoft Health and an information retrieval expert, believe that analysis of search queries could have broad applications.
“We are excited about applying this analytical pipeline to other devastating and hard-to-detect diseases,” Horvitz said.
Horvitz and White emphasize that the research was done as a proof of concept that such a “different kind of sensor network or monitoring system” is possible. The researchers said Microsoft has no plans to develop any products linked to the discovery.
Instead, the authors said, they hope the positive results from the feasibility study will excite the broader medical community and generate discussion about how such a screening methodology might be used.  They suggest that it would likely involve analyzing anonymized data and having a method for people who opt in to receive some sort of notification about health risks, either directly or through their doctors, in the event algorithms detected a pattern of search queries that could signal a health concern.
But White said the search analysis would not be a medical opinion.
“The goal is not to perform the diagnosis,” he said. “The goal is to help those at highest risk to engage with medical professionals who can actually make the true diagnosis.”
White and Horvitz said they wanted to take the results of the pancreatic cancer study directly to those in a position to do something with the results, which is why they chose to first publish in a medical journal.
“I guess I’m at a point now in my career where I’m not interested in the potential for impact,” White said of the decision. “I actually want to have impact. I would like to see the medical community pick this up and take it as a technology, and work with us to enable this type of screening.”
And Horvitz, who said he lost his best childhood friend and, soon after, a close colleague in computer science to pancreatic cancer, said the stakes are too high to delay getting the word out.
“People are being diagnosed too late,” he said. “We believe that these results frame a new approach to pre-screening or screening, but there’s work to do to go from the feasibility study to real-world fielding.”
Horvitz and White have previously teamed up on other search-related medical studies – notably a 2008 analysis of “cyberchondria” – or “medical anxiety that is stimulated by symptom searches on the web,” as Horvitz puts it – and analyses of search logs that identify adverse effects of medications.

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While vaccines save millions of lives each year and are among the most cost-effective health interventions ever developed, about 1.5 million children die each year from vaccine-preventable diseases, according to the World Health Organization. Some factors that contribute to the availability of vaccines globally include unreliable transportation systems and intermittent storage facilities, which make it difficult to preserve high-quality vaccines that require refrigeration.
But with the use of smart technologies, including the Internet of Things (IoT), healthcare and medical device companies are improving ways to keep vaccines stored and protected throughout the supply chain. One great example is the Weka Smart Fridge, which enables clinicians in the field to better manage vaccine distribution, helping them save lives.

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“Clinicians in areas of Africa and other regions where power is unstable or inaccessible can use our Smart Fridge to store and dispense vaccines. And the Fridge is small enough that you can put it in a van. So if you can’t bring the people to the vaccine, you can bring the vaccine to the people,” says Alan Lowenstein, COO of Weka Health Solutions.
The Fridge automates vaccine storage and dose dispensing to save time and enhance patient care. It includes remote monitoring services to ensure vaccines are stored at the right temperature, while automatic inventory tracing saves staff time and ensures a reliable vaccine supply. The refrigerator houses each vaccine in its own cartridge, in keeping with required storage protocol by the Centers for Disease Control and Prevention. In addition, access is limited through a small drawer on the front of the Smart Fridge to protect vaccines from temperature change.
The Vaccine Smart Fridge uses an IoT platform that collects real-time data from numerous sensors on every unit to enable 24×7 monitoring and analysis. BlueMetal, the 2016 Microsoft Internet of Things Worldwide Partner of the Year, worked with Weka to develop the IoT-enabled device that keeps vaccines fresh, secured and accounted for. The real-time visualization of vaccine inventory throughout the network enables Weka to understand the vaccination rates at every location. And by using business intelligence capabilities such as those in Azure Machine Learning, organizations can be alerted to upcoming vaccine shortages at specific clinics or in certain areas. For example, if a clinic unexpectedly runs out of a vaccine, the system can let a healthcare worker know there’s a physician’s office a few miles away that has a surplus of that type of vaccine in stock.
Controlled refrigeration and monitoring also helps reduce financial losses. “Physicians generally have $40,000 to $60,000 worth of vaccines in their refrigerators,” says Lowenstein. “If the clinic suffers a power outage or the traditional fridge fails, they risk losing the entire inventory of vaccines.” By using automated processes to manage inventory through IoT sensors, the Fridge can deliver proactive alerts on inventory shortages or changes in temperature.
In addition, Weka estimates that a medical practice that dispenses approximately 400 vaccines per month could reduce human-resource costs by more than $1,000 a month with the Fridge’s monitoring system. This system helps ensure that the first vaccines in the refrigerator are the first that come out, so patients never receive an expired or recalled vaccine, and it reduces the manual task of vaccine management by clinicians.
The Smart Fridge is a great example of how companies can accelerate digital transformation with smart solutions to increase staff efficiency and quality control and automate inventory management. Weka’s Smart Fridge is currently scheduled to go to market at the beginning of 2017.

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The Next Wave of Transformative Digital Health

By  Raj Ganguly, Eduardo Saverin as written on techcrunch.com

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Digital healthcare investing has gone through several waves: 2013 was the year of consumer wearables, 2014 of healthcare big data, 2015 of virtual care delivery and 2016, so far, has been about payer disruption. 2017 will be a return to the core practice of medicine: technology that enables providers and biopharma to extend their reach and take greater risk for outcomes.
In 2016, the VC market has rewarded digital health startups that are disrupting traditional carriers. In the last 12 months, we’ve seen startups, like Bright Health (new carrier, $80 million raise in April), Clover Health (new Medicare Advantage plan, $165 million raise in May), Collective Health (TPA/ASO replacement, $80 million raise in late 2015), Hixme (migrating covered lives from large group to the individual market) and Oscar (new carrier, $400 million raise in February) raise tens to hundreds of millions of dollars in venture financing at substantial Series B and C valuations.
Why? Because payers have been an easy target.
Carriers were born in an era where fee-for-service reimbursement rewarded coverage, so they built large networks of contracted providers, leveraged economies of scale in volume and rented access to these networks to self-insured employers. That compact is fraying.
Providers are taking risk and competing upstream (with the help of companies like Evolent Health), employers are building their own narrow networks to steer volume to high-quality/low-cost centers of excellence (with the help of companies like Imagine Health) and medical loss ratios (which dictate the percentage of carrier premium revenues that need to be spent on clinical services) are squeezing carrier margins.
Large carriers have responded by consolidating, seeking even more scale. However, survival through size has its limits. The DOJ has drawn the line at Anthem’s $54 million bid for Cigna and Aetna’s $37 billion bid for Humana on antitrust grounds.

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The payer disruption story has played out

Our view is the business of insuring lives at scale is labor and capital-intensive. There is substantial operational complexity required to contract with 5,600 hospitals and 800,000 physicians in the U.S., issue membership cards, verify eligibility, process claims and engage consumers when they call. It’s hard to achieve venture level returns at Series B and C valuations approaching $1 billion.

Healthcare innovation is the solution to rising costs and limited access.

We’ve seen this story before: Investors putting tens of millions to work into Fitbit and Jawbone in 2013, chasing the consumer wearables story. Similarly, 2014 was the year of using healthcare big data in vertical applications like price transparency, which resulted in Castlight’s controversial IPO. 2015 was all about telehealth — Doctor on Demand raising $63 million, MDLive raising $50 million and Teladoc raising $157 million in their IPO, all announced during an eight-week window last summer. Later-stage investors in many of those instances have not been able to generate returns at exit.

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So what’s next? The funding market is returning to enabling the core practice of medicine

Our view is that in 2017, the market will reward innovative startups that are in the business of enabling providers and pharma companies to personalize care and participate in greater outcomes-based economics.
Several tailwinds are contributing to this. In the provider world, regulation with esoteric names like “Meaningful Use 1 and Meaningful Use 2” are largely behind us and providers will have more bandwidth to move on from EMR integration (plumbing) to the use of technology for expanding care (tools). Concurrently, advances in the fields of genomics and compound specialty pharmacy are enabling new ways for biopharma companies to personalize therapeutic delivery down to an individual patient, which is a building block for outcomes-based drug reimbursement.

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Prediction

VC investment into digital health will flow to startups in the business of provider and pharma enablement. It will start to happen in the back half of 2016.
Silicon Valley Bank predicts that $9-$9.5 billion will be invested in healthcare in 2016. MobiHealthNews recently reported that digital health companies raised $150 million in July 2016 alone. In the last month, Azalea Health raised a $10.5 million Series B to sell revenue cycle management software and mobile tools to providers. Akili Interactive raised a $11.9 million Series B to develop clinically validated video games for cognitive interventions. Caremerge, which markets a care coordination platform for assisted living facilities, raised a $14 million Series C. Docent Health raised a $17 million Series A to build patient engagement software for health systems.
Healthcare innovation is the solution to rising costs and limited access. We think of healthcare as a global economy, not just an industry — it is a $3 trillion market approaching 20 percent of GDP in the U.S. alone. Access to affordable, effective care is a universal challenge felt in both developed and developing markets. To the entrepreneurs out there — we look forward to funding the next wave of transformative digital health companies that enable greater access to quality, outcomes-based care.

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Skype for Business Extends the Healthcare Experience

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Improve population health with virtual care

Improve care team productivity and expertise, reduce medical errors, and increase real-time care team communications with Skype for Business. Promote provider education to stay current with advancements in medicine and meet continuing medical education requirements. Microsoft has developed solutions to eliminate communication silos to accelerate decision-making.

 

Manage healthcare provider shortages

For more information call 858-429-3000

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Skype for Business from Managed Solution

Microsoft's Skype for Business can improve team communication and performance by extending access and reach of services to more patients across all demographics and geographies. With Skype for Business, Healthcare Facilities can improve population health by virtually caring for and engaging patients in the context of their digital lifestyles and work styles, reduce travel time and distance between affiliated organizations, manage aging population and complex case-mix patients plus much more.
Benefits of using Skype for Business
  • Enterprise-Class meeting recording. Scalable to meet your growing organization’s capacity needs while being highly redundant, secure and economical.
  • Scheduled or on demand. Recording can be initiated both as part of the meeting scheduling process or on demand with simple controls easily accessible within the Skype for Business, Lync or other virtual meeting vendors’ interfaces.
  • Managed content. Users have access to manage their recordings, allowing them to trim, edit thumbnails, and share them easily right from within the communications tool.
  • Integrated with your corporate security framework. This minimizes administration and provides the flexibility to meet your multi-level access control needs.
  • Automatic metadata capture. Highly customizable metadata capture for enhanced search/retrieval as well as audit/compliance of meeting recordings.
  • Automated workflows. Can be created for specific types of meeting recordings with automated disclaimers, mandatory approvals, and security.
  • Easily share meeting content. Can be shared via collaboration platforms, email, websites and social tools while maintaining security.

 

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HOT & NEW IN HEALTHCARE

Self-Serve Portal Offers Huge Microsoft Licensing Discounts

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Through our Cloud Solution Provider Portal you could sign up for a NEW Office 365 account and begin purchasing Microsoft Cloud Licensing solutions that fit your business (no minimum user counts).

Improve the quality of care

Mine disparate information systems to build more-accurate and richer patient profiles. With the ability to infuse data like electronic health records and handwritten case notes, you can uncover the actionable intelligence required to improve care and reduce costs.

Get things done efficiently

Discover how more advanced and diverse predictive analytics capabilities can deliver better performance for healthcare organizations.

Medical and clinical research

Apply predictive analytics to uncover unexpected patterns and associations and develop models to deliver optimal patient care and anticipate emerging health trends.

Deliver security-enhanced access from virtually anywhere

For more information call 858-429-3000

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New Self-Serve Portal Offers Huge Microsoft Licensing Discounts

Only offered by Tier 1 CSPs

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Healthcare providers using cloud computing are saving money on overhead, providing the latest technology advances for their staff, and increasing productivity.

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Healthcare compliance, security, and trusted health technology

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Integrate and simplify your healthcare compliance

Security and healthcare compliance offerings from Microsoft help protect your ICT infrastructure. Protection, access , and management features help you manage risk and achieve your strategic goals. The cloud is a far more powerful, far less expensive way to innovate than health solutions built the traditional way. But health organizations need to trust that sensitive information will stay secure and comply with regulations when they adopt cloud platforms. We are committed to ensuring that your data stays secure, private, and under your control, and that with the Microsoft Cloud, you will stay compliant, even as regulations and standards evolve.

Deliver security-enhanced access from virtually anywhere

For more information call 858-429-3000

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Healthcare Mobility Solutions from Managed Solution

The Microsoft family of devices, services, and solutions can help transform the way care teams communicate and access and use information throughout the course of their day. Windows-based, clinical-grade devices help to enable virtually anywhere access to actionable intelligence, resources, and personalized experiences that improve user productivity. With these enterprise-grade solutions that help keep patient information secure and compliant, users can leverage any single clinical-grade device to tap into comprehensive information systems while enjoying the ease of use associated with advanced technology. By providing efficient access to patient health information to both care teams and patients, all involved parties have the information they need to make informed decisions and to follow through on the prescribed care regimen.
  • Integrate and extend security features across your organization
  • Built-in security features work across multiple platforms and environments, and integration across the layers helps you get more value from your existing investments
  • Manage healthcare compliance, simplify the security experience
  • Help simplify the deployment and delivery of security features aligned to the needs of health professionals and patients so health professionals and patients can quickly and easily access security-enhanced applications and information
  • Accelerate the planning and delivery of health solutions
The Microsoft Connected Health Platform (CHP) provides a collection of best practices and guidelines to help build e-health solutions that are efficient, security-enhanced, flexible, and scalable. All of these features build a platform that helps improve patient engagement.
Based on the extensible and agile principles of the Connected Health Framework (CHF), Microsoft CHP provides offerings for optimizing health information and communication technology, including prescriptive architecture, design, and deployment guidance; tools; and solution accelerators. Microsoft CHP is built primarily on a foundation of application platform technologies and services, as well as generic Microsoft infrastructure optimization models and tools, tailored for the health environment, enabling the delivery and management of on-premises, cloud, or hybrid solutions.

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