Scottsdale Institute

Dick Thompson, President, Quality Health Network, Colorado, describes how hospitals, labs, physician groups and Rocky Mountain Health Plans have come together to deploy an Electronic Medical Record for physicians, a secure community-wide data repository, electronic lab ordering and prescribing, and the creation and maintenance of disease registries. The discussion will include environmental factors for success, […]

Rebecca Craig, Administrator, Harmony Surgery Center, Poudre Valley Health System, Ft. Collins, CO. This multispecialty Ambulatory Surgery Center is part of a comprehensive medical campus that combines physician offices, a cardiac cath lab, imaging services, urgent care, laboratory services, a breast diagnostic center and a cancer center. Rebecca speaks to the use of physician documentation […]

Davis Bu, MD, MA and Eric Pan, MD., The Center for Information Technology Leadership, Partners Healthcare, Boston. CITL is completing a study of the value of IT-enabled diabetes management (ITDM). This study uses results from a comprehensive literature review, market research and input from a panel of experts to project the costs and benefits of […]

Robert Dolin, M.D., Kaiser Permanente, HL7 Board Member and Co-chair of the HL7 Structured Documents Technical Committee, and Liora Alschuler, HL7 Board Member; Co-chair, HL7 Structured Documents TC; Co-Editor, CDA; and Principal, Alschuler Associates, LLC. The presentation will provide an overview of CDA, which standardizes the representation of clinical documents. Included will be a discussion […]

Joann Kern, RN, VP Clinical Solutions and Chief Nursing Officer, HealthVision. Hot buzzword or something you can actually see and touch? New agreement on standards and new technologies are opening doors to secure and relevant clinical information sharing. By allowing practice-based providers to share information previously accessible only on paper or within their own office-based […]

Steve Pelton, Chief Information Officer, Central Region, Ministry Healthcare, Weston, WI, describes successes and lessons learned when opening an all digital hospital. He includes the initial digital vision and strategy, systems and campus integration approach, cost avoidance stats, patient centeredness aspects, and the opportunities afforded Ministry Healthcare by the new all digital hospital. Mr. Pelton […]

Tony Keller, Director, Enterprise Data Management, and Faye Sheppard, Director of Risk Management, Texas Health Resources, review an internal application that automates error reporting and won both the CHIME Innovator of the Year and Most Wired Innovator of the Year awards. SALT has helped drive a culture shift from one of blame when submitting safety […]

Keith J. Kaplan, MD, Attending Pathologist at Evanston Northwestern Healthcare and Assistant Professor of Pathology at Northwestern University Feinberg School of Medicine, Chicago. The technology and the rationale for utilizing telepathology are rapidly evolving, including the development of national and international networks improving patient care and increasing cost-effectiveness. As telecommunications and imaging technology concurrently advance, […]

Chris Young, CIO, St. Thomas, Nashville reviews his pilot smart card implementation with a controlled population in Nashville, He covers drivers, projected benefits, lessons learned and opportunities for the future. Damien Miller, President of Comet Way, the systems developer, also covers development aspects.

Adam Gale, COO, KLAS, Orem, UT. KLAS completed their 4th annual report on major CPOE vendor/products, which included speaking with nearly every live hospital in the country doing CPOE. This report contains a detailed look at the real usage of CPOE in live inpatient and major ambulatory facilities, along with commentary by providers on various […]

Joe Casper, Senior Vice President, FCG, describes the evolution of a clinical portal solution at University Hospitals in Cleveland, now in use by over 2,100 users, with plans to support over 7,500 users and four additional hospitals in 2006. UHHS will anchor the metropolitan Cleveland RHIO as one of the key sites in the National […]

Joseph C. Kvedar, MD, Director, Partners Telemedicine, Khinlei Myint-U and Douglas McClure, Corporate Directors, Partners Healthcare, Boston. Dr. Kvedar explains the concept of “connected health” and why there is an imperative for adopting connected health strategies today.  Dr. Kvedar will discuss some best practices in this nascent industry, including some at Partners, and how this […]

Learn how Provena Saint Joseph Medical Center, a 517-bed medical center, conducted a comprehensive process redesign to improve total patient throughput. In this teleconference, presenters Jeffrey Brickman, Chief Executive Officer, Kathy Mikos, Vice President for Patient Services, Lon McPherson, M.D., Vice President of Medical Affairs and Michael Ugwueke, Vice President of Operations discuss how they […]

Scott Holbrook, KLAS, Orem, UT. KLAS’ first-ever Clinical Portals Study looks at the web portals offered by HIS, CIS, Specialty and Healthcare Industry integrator vendors as solutions for giving physicians and clinicians access to inpatient and outpatient information. It looks at the difference between HIS companies and system integrators. This study also addresses the percentage […]

Patrick Harding, Brigham and Women’s Hospital eMAR IS Project Manager, Lead Analyst, Cindy Spurr MBA, RN, BC, FHIMSS, Corporate Director, Clinical Systems Management, Partners Healthcare, Anne Bane RN, MSN, eMAR Project Manager, Clinical Business Owner, Brigham and Women’s, and Debra Thomas, Corporate Manager, Partners Healthcare System, Boston. Anne and Patrick are responsible for development, implementation […]

Louis J. Capponi, MD, Chief Medical Information Officer, NYCHHC reviews NYCHHC’s strategic initiative to address chronic illness including the chronic care model and the role of registries. He describes the registry development process and design, data normalization & integration, implementation and spread, and concepts in managing change. The heavy burden of chronic illness in the […]

Legacy Health System, Northwestern Memorial Hospital, and Nebraska Methodist Health System form an expert panel to share recommendations and lessons learned in process redesign for Medication Reconciliation. Melinda Muller, MD, FACP, Medical Director, Legacy Clinics, Portland OR, Kristine Gleason, RPh, Research Pharmacist Coordinator, Gary A. Noskin, MD, Asso. Professor of Medicine at Northwestern University Feinberg […]

Robert H. Dolin, M.D., Kaiser Permanente, HL7 Board Member and Co-chair of the HL7 Structured Documents Technical Committee presents the Kaiser rollout of SNOMED within their EHR. Dr. Dolin provides a brief overview of SNOMED CT, focusing on how it supports clinical interoperability, and describes how SNOMED CT is used as the basis for Kaiser […]

Keith MacDonald, Research Director, FCG Emerging Practices, details the options that IDNs, Hospitals, IPAs, MSOs and RHIOs have for offering and/or hosting EHRs and related IT solutions for a physician community.  Potential scenarios are reviewed, including the challenges and benefits of each.

Douglas McNair MD PhD, Sr. Vice President and Research Director, Cerner Corporation, Kansas City, reviews proven methodologies that you can use now to evaluate your own ADE reduction relative to the application of clinical IT. Quality and Safety analysts, researchers, and biostatisticians will benefit from this discussion about methods for measuring rates and “safety-improvement intervention-related” […]

Douglas Thompson, Senior Manager, FCG, reviews data from a recent research project on three technologies that have been proven to support the reduction of ADE’s, when and why they do so, and the respective cost effectiveness of each.

Karen Ondo, Executive Vice President, KLAS Enterprises, Orem, UT. As legacy solutions are replaced there is considerable investment in sophisticated application portfolios with the expectation is that these solutions will provide the capability to route accurate data to the right person at the right time: improving the quality of processes and their outcomes. A review […]

Douglas I. Thompson, FCG Director and Chair of HIMSS Task Force on CIS Benefits Measurement, reports on the data collected thus far in the pilot. Data has been entered by 17 SI member organizations and contains both planned and achieved benefits. Doug provides conclusions from this early data, implications for the larger roll-out, and next […]

Jonathan Manis, CIO, and William F. Morgan, System Director of Support Services, Provena Health, Frankfort IL, describes the benefits and results from aligning IT incentives with organizational performance improvement. The presentation addresses clinical operations and information services stakeholder goals, IT budget considerations, and benefits realization.

Bert S. Reese, MBA, VP and CIO, Sentara Health Systems, Norfolk VA, describes what CEO’s demand of today’s CIO and what constitutes a high performing CIO and IT organization.  Conclusions and predictions are based on vertical market research.

Jeremy Bikman, Director, Medical Equipment, KLAS Enterprises, Orem UT Presentation and audio recording links available upon request. Contact the Scottsdale Institute at scottsdale@scottsdaleinstitute.org

John W. Frein, MBA, PMP, Senior Process Engineer, Spectrum Health, Grand Rapids MI, describes planning, organizing and executing IT process improvement using the tools and techniques of Lean Healthcare and the Toyota Production System. John will share his experiences in assisting teams over the past 11 years with improving operational performance and strengthening customer relationships […]

John D. Halamka, MD, CIO, and Charles Parisot, CareGroup/Harvard Medical School, Boston. To match patient records interoperably in a distributed and complex healthcare system, the proposed Common Framework has mapped a record locator service for distributed patient records to the IHE Patient Identifier Cross Reference (PIX) and Patient Demographic Query (PDQ) integration profiles.  Dr. Halamka […]

Steven S. Eisenberg, MD, Chief Science Officer, UnitedHealthcare, Edina, MN.  Fueled by business coalitions and large employers, Managed Care Organizations have been tasked to provide physician and hospital quality and efficiency information to consumers. As a leading proponent of simplified reporting using national standards, Dr. Eisenberg discusses the various methodologies that UnitedHealthcare uses nationally to […]

Chris Lane, ITS Business Services, Catholic Healthcare West, leads a presentation and discussion comparing web investments relative to organizational size and complexity. Comparisons include web portal vendor, hardware, staffing and software costs. In order to participate in the call, please submit data elements using the brief survey form (see this teleconference listing on the SI […]

Kent Gale, CEO, KLAS Enterprises, Orem, UT. Healthcare executives question the adoption rate of electronic tools, depth of use, and cost to achieve a paperless environment. KLAS combines two different studies to explain the vendors of choice according to market preference and why. Included are market share, four year trends and overall adoption rates by […]

Denise M. Abshire, Supervisor Central Supply/Materials Management, Christus St John Hospital, TX, describes RASMAS; an innovative, web based solution for dramatically improving the ability to respond to product and drug alerts and recalls. The results of streamlined operations and the impact on patient safety are included. We’re sorry, but there is not audio recording for […]

Scott Young, MD, Director, Health IT Portfolio, Agency for Healthcare Research and Quality, Rockville, MD. Dr. Young describes select aspects of the Health IT Portfolio, which consists of over 100 projects to plan, implement and demonstrate the value of health IT in improving patient safety and quality. AHRQ provides expert assistance and facilitates knowledge sharing […]

William McClatchey, MD, CMIO, Piedmont Health System, Atlanta, describes unanticipated experiences and compares the big bang approach with a gradual rollout in terms of impact on safety and adoption. Data on ADE impact demonstrates the danger of running CPOE and paper systems concurrently. Paper competencies are maintained by incorporating them in extensive downtime process and […]

Jonathan Manis, CIO, and William F. Morgan, System Director of Support Services, Provena Health, Frankfort IL, describe the benefits and results from aligning IT incentives with organizational performance improvement. The presentation addresses clinical operations and information services stakeholder goals, IT budget considerations, and benefits realization. We’re sorry, there is no audio recording for this call.

Mark Leavitt, MD, PhD, Chair, Certification Commission for Healthcare Information Technology (CCHIT). CCHIT is an independent, HHS funded organization established to accelerate the adoption of HIT by creating a sustainable product certification program. The goal of increasing EHR use has reached a significant milestone – the availability of the first certified ambulatory EHR products. CCHIT […]

Neil A. Martin, MD, Professor and Chief of Neurosurgery, UCLA Medical Center, Los Angeles, describes UCLA’s solution for ubiquitous access to real-time patient data in a highly mobile environment. The solution includes 3G broadband wireless networks, advanced PDA’s and smartphones that access comprehensive reports, lab results, vital signs, monitoring waveforms and radiographic images.

Ed Marx, CIO, University Hospitals Health System, Cleveland, describes the critical role of governance in developing and supporting business strategy.  Working governance principles and a framework which you can adopt or adapt are presented.  Highlights include critical success factors and sustaining principles as well as benefits to UHHS and the IT function

Jeremy Bikman, Director, Medical Equipment, KLAS Enterprises, Orem, UT, reviews research from the 2006 KLAS CPACS Report.  Included are issues impacting the CV Department and the greater IT enterprise. The discussion also covers such areas as 1) Impacts of going digital and electronic, 2) Struggles and Successes, 3) Best practices, 4) Benefits, 5) Missing functionality, […]

David C. Kibbe, MD MBA, Director, Center for Health information Technology, American Academy of Family Physicians, Chapel Hill, NC. Dr. Kibbe explains that, around the country the idea of the “cheap RHIO” is beginning to catch on, particularly among physicians and communities that don’t need a high-cost, high complexity solution inherent in some centralized RHIO […]

Roberta E. Testor, MA, MSS, Director, IT Knowledge Systems, Children’s Hospitals and Clinics of Minnesota, demonstrates how a data warehouse can support analysis of patient flow throughout the organization. She describes how IT and organizational leaders have teamed at Children’s to build an analytical framework that supports this critical organizational initiative.

Nancy Pratt, RN, MSN, Sr. VP, Clinical Effectiveness, and Bill Spooner, CIO, Sharp Healthcare, San Diego, CA, describe how they apply technology tools in real time at the point of care to measure, detect and avoid harm leading to failure to rescue.

Eric Pifer, MD, CMIO, University of Pennsylvania School of Medicine, Philadelphia, and David C. Classen, MD, MS, VP, FCG, Long Beach, CA, and Associate Professor of Medicine, University of Utah.  Drs. Pifer and Classen review the University of Pennsylvania’s use of the Leapfrog evaluation tool to test its Computerized Physician Order Entry capabilities and demonstrate […]

Adam Gale, EVP and COO, KLAS Enterprises, Orem, UT, describes the tremendous growth in the ambulatory EMR market, with hundreds of EMR vendors offering products to physician practices. He discusses continued growth in this sector with increased competition, vendor solutions that support a wide range of physician office practice sizes, and anticipated mergers and acquisitions.  […]

Bennett Davis, Hewlett Packard, reviews the issues involved with developing realistic storage architectures for the expanding requirements of medical image and record management. He explores the demands of long term file archival on limited IT budgets, and how to balance the demands for rapid access with constraints in IT spending. Davis outlines a multi-tier storage […]

Dave Garets, CEO, HIMSS Analytics, reviews data comparing SI member organizations to each other and to general industry utilizing their EMR Adoption Model. Data will be anonymous, but you will be informed about the identification number/s for your own organization. If you responded to the HIMSS Analytics Database survey in 2006, you are automatically enrolled […]

Mimi Hassett, MS, RN, FHIMSS, Director of Clinical Informatics, Berkshire Health Systems, Pittsfield, MA, describes how nursing can optimally lead and support the successful integration of information systems, including development, implementation and enhancing the user experience. The issues, impacts and influences on the definition of such roles are discussed, as are tools such as job […]

Walter Sujansky, Sujansky & Associates, LLC, San Carlos, CA oversees the development of this new standard.  He presents The EHR-Lab Interoperability and Connectivity Standards (ELINCS) project, which is developing the national standard for the delivery of real-time laboratory results from a lab’s information system to an electronic health record, including ambulatory systems.  Benefits include eliminating […]

Ross C. D’Emanuele, Partner, Dorsey & Whitney LLP, Minneapolis, MN. This session explains the new anti-kickback and Stark regulations allowing the donation of certain electronic technology items and services to physicians. Mr. D’Emanuelle highlights opportunities and pitfalls in using the new regulations to connect EHR products with physician offices and others. He offers practical guidance […]

Ken Kleinberg, Senior Director, Healthcare Solutions, Symbol Technologies, Holtsville, NY, presents an industry update and case examples of mobility in healthcare including Medication Administration, Specimen Collection, Remote Patient Monitoring, Hospital/Nurse Communications, Blood Transfusion Verification, Mobile Physician Rounding and Location-enabled Asset Management, and relating each to the relevant enterprise mobility technologies/infrastructure, including Wireless Networks (WAN, LAN […]

Deb Pappas, Vice President, Courion Corporation, will review findings from “Information Security Executives on the Front Lines”, an independent market research study published by Executive Alliance and Courion. Survey results reveal healthcare information security executives are split on whether they believe information security is perceived as a strategic asset or a necessary evil, yet they […]

Jeremy Bikman, Director, Medical Equipment, KLAS Enterprises, Orem, UT, reviews six years of on-going research on Radiology PACS. He covers PACS from the perspective of three main environments: Large Acute, Small Acute and Ambulatory. Trends in integration with RIS and PACS are included. He also covers: 1) PACS expanding beyond traditional radiology, 2) Struggles and Successes, […]

Jeff Blair, VP, The Medical Records Institute (MRI), provides his fourth annual review for SI Members of MRIs Seventh Annual Research Study. The Survey reveals insights into motivations, applications being implemented, IT platforms, configurations for different environments, data capture methods, barriers, and mobile/Wireless applications and issues. A review of the data, Jeff’s expert observations, and […]

Kim Pederson, EVP, Project Excellian, Dr. Andrew Mellin, Excellian Medical Director, and Susan Heichert, Excellian Implementation Director, Allina Hospitals and Clinics, Minneapolis. As Clinical Documentation moved into the final mandate phase on May 1, and CPOE on August 1, Allina shares their journey and lessons learned as they have moved through adoption and optimization phases, […]

William Hersh, MD, Professor and Chair, Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, and Paul Tang, MD, CMIO, Palo Alto Medical Foundation, Sutter Health, and Clinical Associate Professor, UCSF. A goal of the American Medical Informatics Association (AMIA) is to train 10,000 healthcare and related professionals in medical informatics by […]

Ian Temple, RN, MBA, Manger, Integrated Digital Enterprise and Solutions (IDEAS), First Consulting Group, defines the differences and linkages between CIS, CVIS and Cardiology PACS. The components and value of a CVIS are enumerated and explained, and how the Radiology analogy can and can’t be useful in understanding Cardiology imaging. Vendor product strategies are described, including […]

Michael Shrift, MD, MBA, CMIO, Centura Health, and Michael Mignoli, MD, Denver. Dr. Shrift describes how Centura Health decided upon and implemented a practical connectivity strategy for their private practice physician community in this 12 hospital health system. Dr. Shrift discusses the challenges, decision points and lessons learned on the health system side. Dr. Mignoli, […]

Guilherme Del Fiol, MD, MS, medical informaticist, Intermountain Health Care, and Biomedical Informatics Department, University of Utah, Salt Lake City, Utah, and Saverio Maviglia, MD, hospitalist and informaticist, Brigham and Women’s Hospital, Partners HealthCare, Boston, present two case studies entailing the positive results of integrating infobutton tools with HIS systems to encourage enterprise-wide use of […]

Lou Ciraldo, Division Information Officer, University Hospitals of Cleveland, and Vincent Norlock, Consulting Manager, First Consulting Group, present a case study on the creation of an architectural framework for enterprise-wide digital image management systems in a multi-site, multi-modality clinical setting. Participants will benefit from this discussion of the work required to create the shared acceptance […]

Joel S. Shoolin, DO, MBA, VP Clinical Informatics, Margie Hunssinger, RN, BC, Mgr. Clinical Analysts, CareConnection, Steven Sundberg, RPh, Pharmacy Director, Advocate Lutheran General Hospital, and Paul Cook, Riverpoint Consulting, describe their multi-pronged approach to medication reconciliation design and implementation. Part of the approach involves an electronic process to advise the physicians of home, current, […]

Eric Alper, MD former Patient Safety Officer at UMass Memorial Medical Center, describes their story of how the process for medication reconciliation was designed and implemented across the medical center. He includes the initial vision, strategies employed, major barriers and what was done to work through them, and presents their data on the improvement associated […]

Ian Temple, RN, MBA, Manger, Integrated Digital Enterprise and Solutions (IDEAS), First Consulting Group, reviews key strategies for implementation with an emphasis on critical workflow issues. He describes impediments to physician acceptance of structured reporting and to overcome them. Pros and cons of organizing Cardiology services as one service line or several are described, including […]

Jason Hess.

Les Swanson, Director of Physician Support Services, Texas Health Resources, Arlington, TX, describes the development and implementation of the clinical portal and benefits realized to date, including: remote and real time access to patient information for physicians, reduced cost of paper handling, distribution and storage, less faxing to physician offices and reduction of those FTE’s, […]

Babette Apland, Senior Vice President, Health and Care Management and Provider Relations, HealthPartners Minnesota presents the implementation of the program that denies reimbursement to providers when Never Events are detected. Included are: program design, managing the impact on reporting, and targeted quality improvement initiatives to eliminate never events.

Timothy G. Ferris, MD, MPH, Senior Scientist at Mass General Hospital’s Institute for Health Policy and Director of Disease Management Programs, Partners Healthcare, Boston. This session includes a description of how Partners Healthcare is using technology to reduce admissions for chronically ill Medicaid patients. Timothy includes a review of evaluation data including results in physician […]

Kent Gale, President, KLAS, Orem UT, explores interoperability from an overall industry perspective with a drill down on how vendors are perceived. He discusses how close provider organizations are to achieving their goals and how well each vendor measures up in the actual accomplishment of these goals. Gale reviews several variables that affect the quality […]