Scottsdale Institute

Bioelectronics Manager Phillip Gill, Hennepin County Medical Center (HCMC), Minneapolis, explains how the most difficult thing during a crisis is “communication and transportation.” HCMC is the regional medical disaster center and was put to the test in the aftermath of the August ’07 I-35 bridge collapse. When the cell system was deluged, they relied on […]

Ashini Surati, Program Manager, Quality and Risk, CHRISTUS Health, and Pat Moylan, Senior Systems Analyst, Compliance, Parkview Health, lead an open discussion of issues plaguing healthcare IT leaders, including remote access and vendor access, audit logs, mobile device security, disaster recovery, email encryption, identity management, and E-Discovery. The discussion continues from the December 10, 2007, […]

Rick Skinner, Director, Stuart Friedman, Director, and other subject matter experts from Navigant Consulting, Inc. describe the shift in the provision of US healthcare from a wholesale to a retail model and the potential impact on healthcare organizations. They demonstrate how other industries have shifted focus from wholesale to retail and the ultimate changes to […]

Julie Creamer, SVP Quality and Planning, and Bob Costello, Director Process Improvement, Northwestern Memorial Hospital, Chicago, provide an overview of quality improvement efforts in FY 2007. NMH’s quality strategy calls for top-level performance, implementing evidence-based practices, employing leading process improvement techniques and developing groundbreaking systems of care that deliver positive patient outcomes. Key initiatives, such […]

Susan Heichert, Vice President, Health Information and Systems, Allina Hospitals & Clinics, Minneapolis, and Patricia Johnston, FHIMSS, Vice President, Information Services, Texas Health Resources, Arlington, TX. Susan and Patricia continue the dialog which began on December 6, 2007, centering on challenges and lessons learned when measuring benefits from clinical systems implementations. Review the questions and […]

Gilad Kuperman, MD, PhD, Chairman of the NYCLIX Board, and Director of Quality Informatics at NewYork-Presbyterian Hospital provides a status report of the last three years of planning and implementation, lessons learned, and plans for the next 24 months.

Jared Peterson, KLAS Enterprises, Orem, UT. The Ambulatory EMR Digest covers all practice sizes from single doctor practices to >100 doctors for both practice management and EMR software.

Joe DeVenuto, CIO, and Steven Hester, MD, CMO

Jean Chenoweth, Sr. VP, Performance Improvement and 100 Top Hospitals Programs, Thomson Healthcare, provides a new understanding of how management impact can be gained by comparing and analyzing performance using a hospital-wide scorecard. She includes how national comparisons of long-term rates of improvement combined with comparison of current performance against national benchmarks, can provide illuminating […]

Tom Foley, Partner, Ayako Utsumi, Manager, Strategy & Operations, and Brian Doty, Senior Manager, Deloitte Consulting, LLP. Leading providers continue to ask questions such as: Am I getting the value from my current IT investments? How can I use technology to bring better service to my patients and employees? Where should I invest in technology […]

Joanne Sunquist, RN, CIO, Hennepin County Medical Center, Minneapolis, and John McInally, CIO, Lucile Packard Children’s Hospital, Palo Alto.

Kent Gale, KLAS Enterprises, Orem, UT, discusses Clinical Information System investment and software performance for doctors and nurses in acute care hospitals. This session is an opportunity to understand the dynamics behind the changes in Clinical Market Share (CMS) leadership the past 18 months and includes a comparative look at market share versus adoption rates […]

Jim Philbin, Senior Director of Medical Imaging, Johns Hopkins Medicine, Chris Balbi, Corporate Medical Imaging Program Director, North Shore-Long Island Jewish Health System, David Dimond, Senior Vice President, Exogen, and Gary Nicolas, Vice President, Exogen. As leading providers plan for technology upgrades and updates, data consistency across information systems has become a top concern for […]

Kent Gale, President, KLAS Enterprises, Orem, UT, and Helen V. Thompson, CIO, Heartland Health, St. Joseph, MO, invite you to attend a discussion about benchmarking approaches, including both the value that can be gained and the pitfalls that have been inherent in many benchmarking efforts. The SI benchmarking process, developed by Spectrum Health and maintained […]

Tami Merryman, Vice President, Center for Quality Improvement and Innovation, University of Pittsburgh Medical Center. UPMC is known for its stellar financial and medical outcomes. Ms. Merryman describes how UPMC utilizes daily performance dashboards to drive its business and quality goals. The development, deployment and outcomes from dashboard implementation are covered in this session as […]

Jack Corley, Senior Vice President, Chief Technology and Quality Officer, Advanced Technology Institute, Charleston SC, and Deputy Program Manager for the Health Information Technology Standards Program (HITSP) funded by the Office of the National Coordinator specifies how to integrate diverse standards to meet key healthcare business needs. Jack provides a status report of key standards […]

Mike Hibbard, Vice President Informatics for Mercy Health Partners, Cincinnati, and Tom Gocke, Solution Executive at Thomson Healthcare, Denver, share the approach used by Mercy Health Partners to give physicians a secure way to access clinical patient data wherever they are – at the patient bedside, at home, or at the office. Mercy Health Partners […]

Randy Wilder, Director of Imaging, Ardent Health Services, Nashville, Jay Backstrom, Vice President and Gary Nicolas, Vice President, Exogen, Chicago. As digital imaging systems have gained momentum over the last decade, healthcare organizations continue to grapple with optimization and adoption of these systems at the department and the enterprise level. In this roundtable discussion, prominent […]

Steve Van Wagenen, KLAS Research Director, Orem, UT, reports on the 2008 KLAS Labor and Delivery study. One hundred and forty participating organizations and individual hospitals address such questions as: How well are L&D vendors meeting provider expectations? What are the surprising benefits and challenges of current L&D surveillance, charting and archiving systems? What is […]

Jerome K. Wang, MD, FAAP, FACP, Associate Medical Director, Enterprise Information Services, and Medical Director, Information Systems – Cedars-Sinai Medical Care Foundation, Cedars-Sinai Health System, Los Angeles, describes the benefits of the ambulatory EMR in the context of Pay for Performance in California.

Michael Busch, Vice President and Chief Strategic Officer from Butler Health System, Butler, Pennsylvania, and Kenneth Kleinberg, Vice President and Hospital Strategist from Allscripts, discuss the opportunities now available as a result of the Stark Law relaxations for hospitals to provide electronic health records and related technologies to community physicians. Mr. Busch shares the business […]

David Liebovitz, MD, CMIO, Northwestern Medical Faculty Foundation and Medical Director of Clinical Information Systems, Northwestern Memorial Hospital. This presentation illustrates selected design approaches and benefits from the new enterprise data warehouse at Northwestern. Specifically, a high level overview of the process of accepting clinical and administrative content is reviewed, followed by selected examples of […]

Ira M. Kalina, Partner, Drinker Biddle Gardner Carton. Mr. Kalina describes how the EMR/eRx Safe Harbor and Exception are currently being interpreted and applied, providing a regulatory, business and technology perspective gleaned from working with hospitals across the country. He discusses what is being subsidized, how much is being subsidized, and the hurdles to internal […]

Jake Nunn, Director, Metro Region Imaging Services, Aurora Health Care, Jay Backstrom, Vice President, and Gary Nicolas, Vice President, Exogen Healthcare. To gain operational efficiencies in Digital Imaging (DI), departments need to establish a set of KPIs that continuously measure process outcomes.  The core challenge then becomes WHAT to measure and HOW to drive change, […]

Adam Gale, COO, KLAS Enterprises, Orem, UT. KLAS reviews their 6th annual report on major CPOE vendor/products, which included speaking personally with 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. It also includes commentary by providers […]

Jonathan S. Einbinder, MD, MPH – Corporate Manager, Partners Health Care Information Systems, presents a case study on the reporting system that was developed to support pay for performance and other quality initiates at Partners. Specifically: How can EMR data be leveraged into a clinical data warehouse that supports reporting? What are the key issues […]

Eric Pan, MD, MS, Center for IT Leadership, Partners Healthcare. Adoption of telehealth technologies could save $4.28 billion annually, according to the Center for Information Technology Leadership, even if implemented only in Emergency departments, Correctional facilities, Nursing homes and Physician offices

Joel S. Shoolin, DO, MBA, VP, Advocate Health Care, Oakbrook, IL. Advocate started its EMR journey in medication reconciliation several years ago and now can share its successes and the challenges of full electronic medication reconciliation using Cerner Millennium 2007.

Jan Oldenburg, Practice Leader, Health Content, Internet Services Group, Kaiser Permanente. The Kaiser PHR, called My Health Manager, offers access to the member’s electronic health record, lab test results, and immunization records. Other functionalities include online appointment scheduling, prescription refill requests, information about eligibility and benefits, and secure messaging with clinicians.

David C. Classen, M.D., M.S., Vice President, CSC (formerly First Consulting Group) and Associate Professor of Medicine and Consultant in Infectious Diseases, School of Medicine, University of Utah, Salt Lake City, reviews the 2008 Leapfrog and National Quality Forum CPOE standards, including the compliance requirements, testing details, and lessons learned to date from the testing […]

Mike Smith, KLAS Enterprises, Orem, UT. A huge surge is occurring in outsourcing the hosting of applications. What is working and who delivers?

Linda Talley, Director of Nursing Systems, and Roberta Alessi, Executive Director, Operations and Compliance, Children’s National Medical Center, Washington, DC. This leading Children’s Medical Center implemented a patient interactive system as part of new facility design in November 2007. The system offers customer service and entertainment functionalities including a variety of information links to area […]

Scott Whyte, VP, Information Technology, and Dan Ferguson, MD, MS, FACP, CPE, Vice President, Medical Operations, Catholic Healthcare West, San Francisco. CHW describes their approach to electronic results distribution to physicians, and its impact. A participating community physician also describes how this technology has increased both practice productivity and patient safety.

Erica Drazen, Ed D, VP, CSC, formerly First Consulting Group. CSC has recently completed a survey of healthcare organizations to assess industry progress towards national goals. Their “Evolution Framework” uses widely-accepted industry benchmarks for Safety, Accountability/Transparency, Patient Centeredness, and Efficiency and is a self-scoring instrument including 40 operational and 40 IT measures. A brief report […]

Emily Handwerk, System Executive Information Systems, Memorial Hermann Health System, Houston, demonstrates a key operations management tool and describes its use, IT’s role in supporting the process, and ongoing governance matters addressed by Memorial Hermann as the management process and tool evolves.

Ronald Bonig, VP and CIO, The George Washington University, and George Conklin, VP and CIO, CHRISTUS Health. With the recently updated regulations for E-Discovery, it is necessary for organizations to review the rules of the road for legal preservation and retention, create new maps for easy navigation, and update discovery procedures to eliminate the fines […]

Christopher Chute, MD, DrPH, Professor and Chair, Biomedical Informatics, Mayo Clinic, Rochester. Standard terminology and vocabulary are now widely recognized as crucial elements for interoperability and within enterprise data consistency. Dr. Chute outlines the present trends for enterprise terminology management, some ongoing developments, and Mayo’s approach. He also highlights activities at the National Center for […]

Bill Spooner, Chief Information Officer, and Nancy Pratt, SVP Clinical Effectiveness, Sharp HealthCare, San Diego. This session reviews how Sharp HealthCare answered the 2007 HealthCare Baldrige criteria across all seven categories. Areas the examiners highlighted as particular strengths are explored. Sample process diagrams and tools employed at Sharp are also discussed, as are results from […]

Ben Brown, Research Director, KLAS Enterprises, Orem, UT. Larger, acute care organizations are demanding more from their PACS system. What vendors are delivering? Imaging crosses traditional boundaries, creating new opportunities to improve care and leverage technology. Where are providers turning as they replace their legacy PACS?

Cyndie Lundberg, Clinical Informatics Educator, College of American Pathologists, SNOMED Terminology Solutions and Robert H. Dolin, MD, FACP, FACMI, Kaiser Permanente, Department of Internal Medicine, Physician Lead, KP HealthConnect Convergent Medical Terminology Team. The use of standard terminology provides interoperable patient data and the ability to share data across acute care departments and other facilities. […]

Doug Thompson, Principal, Strategy Expert, CSC, and Patricia Johnston, FHIMSS, Vice President Information Systems, Texas Health Resources, explain how to manage a clinical system implementation “to the benefits”, instead of “to the technology”. Lessons learned from surveys and direct experience with more than 100 hospitals that have focused on benefits in their implementations are described […]

Jeremy Bikman, KLAS Enterprises, Orem, UT. Where does the industry sit relative to concurrent access to clinical and financial data that is required to run today’s acute care organizations? Presentation and audio recording links available upon request. Contact the Scottsdale Institute at scottsdale@scottsdaleinstitute.org

Jamie Welch, CIO of the Louisiana Rural Health Coalition (LRHC), presents how a decentralized data approach helped LRHC and the Louisiana State University Health Sciences Center overcome privacy concerns to create a network allowing 24 rural hospitals to access an integrated, patient-centric web portal system to support a statewide telemedicine program

Douglas Thompson, Director, Navigant Consulting, presents a detailed “technical” discussion laying out the principles of benefit metric selection, issues around data collection, principles of report design and use; and illustrating them with real-world examples. Participants are invited to contribute and discuss their own specific examples.

Robert C. Weeks, Director, Information Services Division, Memorial Hermann Healthcare System, Houston. Prior to implementing digital voice recognition technology for Radiology transcription, Memorial Hermann Healthcare System was spending over $1.5 million per year on transcription services and final report turn around times (TAT) were averaging 25 to 26 hours. After going to voice recognition, report […]

Kent Gale, President, KLAS Enterprises, Orem, UT. Have the new Revenue Cycle Management solutions come of age? Are 20-30 year old legacy AR/billing solutions being replaced? If so, who is making the change and why? What influence does the clinical information system have in replacing a legacy financial information system? Presentation and audio recording links […]

Narayanan Kulasekar, Manager EDW/Business Intelligence, and Tina Esposito, MBA, RHIA, Director, Center for Health Information Services, Advocate Health Care, Oakbrook, IL, describe the approach Advocate is taking in developing an integrated Enterprise Data Warehouse (EDW). They cover the design, approach and the benefits provided by the EDW to users ranging from the executive team to […]

Linda Sauser Moroney and Jennifer R. Breuer, Partners, Drinker Biddle Gardner Carton. Two years have passed since CMS/OIG regulations were issued allowing hospitals to subsidize ambulatory electronic health record arrangements for community physicians on their medical staffs. Since that time, the IRS has provided informal guidance to assist hospitals in ensuring that such arrangements won’t […]

Jeremy Bikman, VP of Research, KLAS Enterprises, Orem, UT. From community hospital to cancer center, what options do providers have? Do single source and/or integrated vendors like Cerner, Eclipsys, Siemens and Epic, compete well with the niche players?

Robert Petty, Dell Healthcare Practice Executive of Seton Family of Hospitals, and Jeff Falwell, Dell Project Manager, discuss the selection process used to determine their choice of ultrasound technology. They also discuss the planned and realized benefits of using Ultrasound for RTLS and RTLS benefits in general. They conclude with a discussion of lessons learned […]

Keith Marsolo, Director of Research Data Warehouse and Instructor of Pediatrics, Cincinnati Children’s Hospital Medical Center. Cincinnati Children’s Hospital Medical Center has implemented a research data warehouse using the i2b2 framework (https://www.i2b2.org). By merging disparate sources of clinical and research data and providing a set of web-based mining and analysis tools, this project will foster […]

Dick Hutsell, VP and CIO. The health system reestablished itself in 2002 with little capital to make up for many years of under-investing in clinical information technology. A clinical browser was the first investment; providing clinician access to the legacy ancillary applications while allowing the health system to incrementally build a comprehensive clinical system strategy. […]

Doug Thompson, Director, Navigant Consulting, describes and gives practical examples of how to identify and use detailed technical and process change requirements focused on realization of specific operational benefits, as distinguished from a focus on process changes or technical implementation goals

Bruce Johnson, Managing Director of Data Architecture Strategy and Governance, Recombinant Data Corporation, describes post-EMR implementation analytical needs and factors to consider when analyzing the business drivers and technology options for the solutions most appropriate for your needs. Navigating a large solution landscape and innumerable technology vendors can be time intensive, costly, and may result […]

Anthony J. Senagore, MD, MS, MBA, VP Research and Education, Spectrum Health, and Professor of Surgery, Michigan State University/CHM, and Scott Bauman, Director, Enterprise Business Intelligence, Spectrum Health, describe Spectrum Health’s approach to creating business analytics from core vendor applications systems data. Since most healthcare applications are not built to provide analysis of operations for […]

Rebecca L. Williams RN, JD, and Brent R. Eller, Partner, Davis Wright Tremaine, Seattle. The Federal Trade Commission (FTC) has announced the Nov. 1, 2008, compliance deadline for implementing identity theft prevention programs pursuant to the identity theft red flag rules (“Red Flag Rules”). This presentation covers the Red Flag Rules and the applicability of […]

Donna Willeumier, Administrator Safety and Regulatory Compliance, and Kate Kovich, Director Patient Safety and Regulatory Compliance, Advocate HealthCare, Oakbrook, IL, describe how Advocate uses technology to facilitate patient safety lessons learned sharing. Root cause, apparent cause and common cause analyses are performed and reported in standardized reports. The lessons learned from the cause analyses are […]

Barry S. Herrin, FACHE, Smith Moore Leatherwood, LLP. As we continue to implement our grandchildren’s technology within our grandparents’ legal system, questions and problems continue to arise in the context of the electronic health record, and particularly in the definition of the “legal” electronic health record. This presentation discusses some of the practical problems and […]

Ben Brown, Research Director, KLAS Enterprises, Orem, UT. A growing number of healthcare provider organizations report dramatic workflow efficiency, faster report turnaround times and cost savings benefits by adopting speech recognition technology. The findings in this presentation have motivated a great many providers to consider speech recognition as the next step in automating workflow and […]

Aliza Koenigsberg, Administrative Director, Children’s Service Line, Morgan Stanley Children’s Hospital of NewYork-Presbyterian, Komansky Center for Children’s Health, and Joseph McTernan, Director of Operations at Morgan Stanley Children’s Hospital of NewYork Presbyterian/Columbia University Medical Center. Aliza and Joseph describe the NYP Children’s Hospital’s interactive bedside program, which allows patients and families to communicate concerns or […]

Jason Hess, Research Director, KLAS Enterprises, Orem, UT. How deeply are physicians engaged in their ED system? Which solutions cover the ED from A to Z? What vendors/products are replacing legacy systems? Presentation and audio recording links available upon request. Contact the Scottsdale Institute at scottsdale@scottsdaleinstitute.org

Kathy Pereira-Ogan, RN, Director of Service Excellence and Patient Satisfaction, and Kristen Lindsey Project Leader for the Department of Information Services, Christiana Care Health System, Wilmington, DE.

Bryan Croft, Vice President of Operations, The Methodist Hospital, Houston, discusses the innovative ways Methodist is leveraging interactive technology to improve the patient experience. He explains how The Methodist Hospital engages patients in their own care by bridging gaps in communication and understanding between patients and caregivers. Ultimately, engaged patients improve patient satisfaction, clinical outcomes, […]

Nadia Fahim-Koster, MBA, CHPS, CISSP, Information Security Director, Piedmont Healthcare, Atlanta, and Cliff Baker, PricewaterhouseCoopers, describe the OIG Security Audit of Piedmont, lessons learned, and the related CMS Security Audits. Since the HIPAA Security Rule is enforced by CMS, not OIG, this rule provides CMS with broad discretion over enforcement decisions based on provider cooperation […]

Tim Zoph, Vice President and Chief Information Officer, Northwestern Memorial Healthcare, and David C. Classen, MD, M.S., CMO, CSC. The session outlines the experience of Northwestern Memorial Hospital with the Leapfrog CPOE Testing Standard and reviews the basic aspects of the standard. Dr. Classen and Mr. Zoph also outline NMH’s experience as one of the […]

Jason Hess, Research Director, KLAS Enterprises, Orem, UT. Are advances in smart pump technology and barcode medication administration generating the anticipated benefits? Providers expect to see improved nurse workflow and patient safety. Are those benefits being realized? What are the options available to providers and which solutions are measuring up?