Scottsdale Institute

Erica Drazen Managing Partner, Emerging Practices, and Jason Fortin, Senior Research Analyst, CSC, discuss what has changed since the Final Rule was published in July 2010, with an emphasis on the most frequent points of confusion and what clarifications have been issued by ONC and CMS.  

Gordon Rohweder, Ricki Levitan, and Shelli Williamson, Scottsdale Institute, conduct a review of the 2010 SI IT Benchmarking project, including a brief overview and Q&A on the normalization process. During the open discussion, participants can comment on results they found, how they are/will use the data, and any insights they may have received by contacting […]

Adem Arslani, BSN, MS, Director of Information Systems & Clinical Informatics, Advocate Illinois Masonic Medical Center, and Joel Shoolin, DO, VP Clinical Informatics, Advocate Health Care. Advocate Illinois Masonic Medical Center is migrating from handwriting and transcription to adoption of speech recognition and physician structured documentation. Dr. Shoolin and Adem discuss the complexities and flexibility […]

John Norenberg, Vice President of Physician Services, Information Systems, for Advocate Health Care, is responsible for the coordination and delivery of information technology tools to Advocate’s diverse physician population. A key component to any HIE strategy will be the connection to EMR systems in physician’s offices. Two years ago, Advocate began developing the capabilities to […]

Jason Hess, General Manager of Clinical Research for KLAS discusses what providers are currently doing in terms of electronic clinical decision support (CDS), the vendors they are using (including CPMRC, DynaMed, FirstDataBank, Lexi-Comp, Micromedex, MD Consult, Multum, ProVation, UpToDate, Zynx Health, etc.), and where they feel this vital and quickly developing market is headed. This […]

Paul H. Keckley, Ph.D., Executive Director, Deloitte Center for Health Solutions, John Bigalke, Vice Chairman and US National Industry Leader, Health Sciences & Government, and Steve Burrill, also of Deloitte LLP. The Patient Protection and Affordable Care Act, passed March 23, 2010, is the law of the land; its repeal is unlikely though amendments, technical […]

Dave Lundal, V.P. & Regional CIO, SSM Integrated Health Technologies, SSM Health Care of Wisconsin, and Annette Fox, Director of Clinical Systems, Dean Health System and SSM of Wisconsin, describe a pilot project among area hospital emergency services and urgent cares. Dean Clinic, Group Health Cooperative, Meriter Hospital, St. Mary’s Hospital, and UW Health now […]

Ken Jarvis, Manager Health & Life Science Industries, Randy Hickel, ECMP CHP, Healthcare Market Development Consultant, and Avi Greenfield, Product Manager, HP, discuss how the right patient communications technology can help providers be successful in a post-reform environment. They demonstrate how to significantly reduce hospital readmissions, improve patient outcomes, and promote quality transition care with […]

Erica Drazen, Managing Partner, Emerging Practices, and Jason Fortin, Senior Research Analyst, CSC, discuss what has changed since the Final Rule was published in July 2010, with an emphasis on the most frequent points of confusion, what clarifications have been issued by ONC and CMS, the rule for permanent certification organizations, and the proposed requirements […]

David Classen, MD, Vice President, CSC, and Associate Professor of Medicine Infectious Diseases, University of Utah, and Robert Reese, Global Health Solutions Group, CSC, discuss how to integrate specific meaningful use and health reform requirements into the overall journey to achieve the long-term goals of safe, high quality and affordable care.

Roy Foster, Practice Manager, Regulatory Compliance, Cerner. During this discussion, Cerner’s Regulatory Compliance group provides an update on the very dynamic regulatory landscape. The latest attestation strategy considerations, meaningful use beyond stage 1, healthcare reform programs with a deeper dive on Value Based Purchasing are among the topics covered in this presentation and open discussion.

Christine Armstrong, Principal, Tom Foley, Principal, and Chris Davis, Deloitte Consulting, LLP. ICD-10 will impact healthcare providers across many departments including finance, operations and Information Technology (IT). The IT organization will be specifically impacted in multiple ways from system updates and replacements to vendor tracking. IT leadership will need to inventory all the systems, databases, […]

Fran Turisco, Research Principal, Emerging Practices, CSC. Our health system is strained by a growing aging population, a shortage of care providers, more people suffering from chronic conditions, fragmented care management and rising costs – and needs disruptive changes to address these major problems. “The Future of Healthcare: It’s Health, then Care” presentation is based […]

Scott C. Woller, MD, FACP, Medical Director, Anticoagulation Management Services, Intermountain Healthcare Urban Central Region, Co-Director Venous Thromboembolism Program, Intermountain Medical Center. Dr Woller discusses research occurring within Intermountain Healthcare to promote the use of EMR interrogation techniques identifying hospitalized patients at risk for venous thromboembolism (VTE) and shares preliminary data identifying risk factors most […]

Steve Heilman, MD, Chief Medical Information Officer, Norton Healthcare. In 2009, Norton Healthcare and Humana, Inc. began working together to develop the first commercial Accountable Care Organization in the region.This joint effort represents one of four national pilot sites for the Brookings-Dartmouth ACO Pilot Project. The ACO model establishes incentives for health systems to increase […]

Philip A. Smith, MD, VP, Chief Medical Information Officer, and Matthew Lord, Pharm.D., PharmNet Application Manager, Adventist Health System and AHS Information Services. Adventist Health System started its rapid deployment of CPOE starting in mid 2009 and leveraged Multum and Discern alerts to obtain “fully implemented” Leapfrog status six weeks after first CPOE go live. […]

Jeremy Goff, Research Director, KLAS, Orem, UT. Many healthcare executives are adopting VoIP and Wi-Fi technology cautiously, while questioning the best way to incorporate wireless solutions at their facility. Jeremy shares recent findings collected from more than 110 provider organizations about the strengths and weaknesses of the wireless systems used in their facilities. In this […]

Dr. Karen Bell, Chair, Alisa Ray, Executive Director, and Pat Becker, EACH Program Director, CCHIT. As healthcare providers anticipate the benefits of federal incentive payments for meaningful use of certified EHR technology, some face an unexpected hurdle. Many will be able to meet the EHR certification requirement through use of certified EHR technology purchased from […]

Jerry Osheroff, MD, AHRQ eRecommendation Project Director, Thomson Reuters; Robert E. Murphy, MD, Chief Medical Information Officer, Memorial Hermann Healthcare System; and Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane Community Health Centers, discuss how an HIT project funded by the Agency for Healthcare Research and Quality (AHRQ) and supported by ONC staff can contribute to […]

David W. Bates, MD, M.Sc., Chief, Division of General Medicine, Brigham and Women’s Hospital and Medical Director, Clinical and Quality Analysis, Partners Healthcare System, and Shobha Phansalkar, also of Partners Healthcare System, David C. Classen, MD, MS, Vice President, CSC, and Associate Professor of Medicine and Consultant in Infectious Diseases, School of Medicine, University of […]

Erica Drazen, Managing Director for Emerging Practices, and Jane Metzger, Principal Researcher, Emerging Practices, CSC. The devil is truly in the details when it comes to the quality reporting requirements of HITECH meaningful use. In order to gain some insight into one challenging aspect of the requirement – data capture – CSC has deconstructed both […]

Jeffrey Rose, MD, VP Clinical Excellence, Informatics, Ascension Health, Philip A. Smith, MD, VP, Chief Medical Information Officer, and Loran D. Hauck, MD, Senior VP, Chief Medical Officer, Adventist Health System. With a shared goal of successfully implementing Cerner CPOE with evidence-based content, three health systems: Ascension Health, Adventist Health System and Catholic Healthcare West, […]

Paul Kreder, Principal, and Carolyn Howard, Specialist Leader, Deloitte Consulting, LLP. The cost of supplies and services are going to continue to increase; industry resources even predict cost increases due to reform. The “ask” of Supply Chain has not changed however – reduce costs while getting us what we need to treat patients and run […]

Rick Turner, MD, MBA, Chief Medical Informatics Officer, Saint Alphonsus Regional Medical Center, Trinity Health. Saint Alphonsus went live in 2010 with a big bang installation of nearly all modules with a great deal of success; initial CPOE adoption was 79% on day one, and nearly 90% CPOE saturation since.

Jeffrey Firlik, BSPharm, MSA, R.Ph., Pharmacist, Principal, CSC, and Vice-Chair of the Vermont Board of Pharmacy. Electronic Prescribing has been proven to reduce medication errors and improve medical office efficiency. It has strong government support, as evidenced by the CMS e-Rx initiative, as well as ARRA Meaningful Use (MU) requirements. Recently adopted state and Federal […]

Ray R. Bonnabeau, Attorney at Law, Hellmuth & Johnson, PLLC. Experts predict PHI security/privacy breaches will increase with the growth in the number of eHealth records nationwide. The risk of such breaches only increases with the portability of one’s work environment and reliance on third-party service providers. This discussion focuses on steps healthcare organizations can […]

Kirk Ising, Research Operations Imaging Director, KLAS, Orem, UT, examines recent developments in the PACS and RIS markets. Although PACS has been mostly a replacement market due to saturation and hospitals focusing on Stage 1 Meaningful Use, many providers are now looking at PACS and RIS solutions as part of their long-term strategy. Functionality, integration, […]

James L. Holly, MD, CEO of Southeast Texas Medical Associates, LLP (SETMA), a HIMSS Davies Award winner. A major, national health goal is to reduce preventable readmissions to the hospital, addressing patient safety, public cost, patient satisfaction and healthcare quality. Coupled with financial penalties to hospitals for readmissions, the urgency of dealing with this issue […]

Anne McCune, Senior VP and Leader, Ingenix Strategy and Governance, and Michael Goran, MD, Senior VP, Ingenix Consulting. The long overdue draft of Centers for Medicare & Medicaid Services (CMS) ACO proposed rules were released on March 31, accompanied by a companion set of regulations from the FTC about antitrust implications of ACOs. Recognizing organizations […]

Rick Hampton, Co-Chair, Wireless Technical Report for the IEC 80001-1 Medical Device/IT Network Risk Management Committee. Business drivers are pushing healthcare providers to connect their medical devices to the HIS network. Not only is there growing concern for the safety of patients and efficacy of the medical devices with integrated systems, new FDA regulations could […]

Jason Fortin, Director, and Erica Drazen, Managing Director, Global Institute for Emerging Healthcare Practices, CSC. While nothing is final, we do have initial recommendation for Stage 2 and hints about Stage 3. Jason and Erica discuss the current recommendations, reactions from the industry, and their take on what to expect in Stage 2.

Chris Vanuga, Principal, Healthcare BI and DS Practice, and Randy Gordon, MD, Director, Deloitte Consulting, LLP. One of the leading assumptions of health care reform is that providing better information to providers will enable both clinical outcome improvement and reduce costs. However, just purchasing and implementing clinical information systems does not necessarily result in improved […]

Mark Allphin, Research Director, KLAS, Orem, UT. With healthcare systems and government initiatives focusing more tightly on improved patient care at lower cost through increased technology utilization and complex data sharing, many providers wonder how real the dream of healthcare information exchange (HIE) truly is. For this discussion Mark examines recent KLAS findings from discussions […]

Laurie Wyatt, Partner and National Practice Leader, Revenue Cycle Solutions, CSC. Healthcare reform and ICD-10 will profoundly impact provider revenue and change reimbursement from a volume-based model to a performance-based model, which may ultimately result in reduced volumes and net revenues. Laurie discusses 10 “best practices” that providers can begin implementing now to achieve compliance, […]

Sarah Robertson, MSN, RNC-OB, C-EFM, Clinical Information Systems Specialist, University of Alabama Medical Center, discusses UAB’s use of Fetalink in the OB setting. She describes the processes of plan, build, and design changes for Cerner Ambulatory Project for OB/GYN patients when PowerChart Maternity content is currently in use for the inpatient OB/GYN patient. Included is […]

Lorin Bird, Research Manager in Operations, KLAS, Orem, UT. Providers have spent the last few years selecting and implementing Electronic Medical Records (EMRs). They find themselves with silos of reporting, with data found in Clinical Data Repositories (CDRs), ERPs, Patient Accounting systems, and other myriad applications. Healthcare regulations particularly, as well as new payment and […]

Len Bowes, MD, MS, Senior Medical Informaticist, Intermountain Healthcare, leads an open discussion for organizations to share how they plan to collect all of the data for the 15 ARRA Clinical Quality Measures on all Stroke, VTE, and ED patients in 2011, 2012, and 2013 since much of this data may reside in text form […]

Jane Metzger, Principal Researcher, Emerging Practices, CSC. While there has been a lot of discussion on the quality requirements for Meaningful Use and the rules for ACOs, there are several other programs (with significant financial implications) that have received less attention. This presentation covers all the CMS requirements for being accountable for quality – up […]

Lara Sibley, Director, CDW Healthcare, delivers the results of a nationwide, 200-office study on the full cost breakout of implementing an electronic health record (EHR) for a physician practice. The study found that, inclusive of equipment, software, services, training time and potential lost revenue, physician practices may face total EHR adoption costs of $120,000 per […]

Jerome A. Osheroff, MD, FACP, FACMI, TMIT Consulting, LLC. Scottsdale Institute members and others have recently launched a collaboration to better leverage CDS in addressing recent imperatives for better healthcare outcomes. The collaborative work focuses on using a template (based on the ‘CDS Five Rights’) to document what information the organization is providing to whom, […]

Colin Buckley, Strategic Operations Manager, KLAS, Orem, UT. Monitoring CPOE adoption since 2002, KLAS has observed a steady, if not slow, rise in the number of hospitals using this key clinical best practice. With the passage of ARRA in 2009, what was an eventual goal became a mandatory requirement for nearly every hospital in America. […]

Mark Ford, Principal, Deloitte & Touche LLP, and Robert Biskup, Director, Deloitte Financial Advisory Services LLP. Even with widespread coverage of the theft of personal information and intellectual data, many private companies and organizations still underestimate their vulnerability to fraud both from external parties and employees they work with every day. What actions can company […]

Erica Drazen, Managing Director for Emerging Practices, and Tracey Mayberry, Partner, Healthcare Group, CSC. There is a flurry of interest in ACOs – but the draft regulations quickly put many efforts on hold. However, the broader concept of being accountable for care will not go away and is currently being reinforced by reimbursement changes at […]

Mitchell Morris, MD, Principal, and Robert B. Williams, MD, MIS, Director, Healthcare Practice, Deloitte Consulting LLP. The changing economics of healthcare are stimulating the emergence of innovative approaches to clinical integration (physician alignment and the improved coordination of care). Providing care that is accountable and population focused requires not only a financial imperative, but also […]

Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare. Accountable Care Organizations are all the rage and the expected outcomes are improved and more coordinated care. Advocate HealthCare has entered into a relationship with Blue Cross to develop a like organization we call AdvocateCare. We have a clinical infrastructure, as well as IT resources as […]

Mark Morsch, Vice President of Technology, OptumInsight. Mark discusses operational and financial impacts of ICD-10; how computer-assisted coding and Natural Language Processing technology is helping hospitals prepare today and their results achieved in terms of productivity gains and financial savings.

John R. (Skip) Valusek, PhD, CPHQ, Director Clinical Analytics, HealthEast Care System. A root cause of patient safety accidents and near misses is the distraction, inattention, and cognitive strain resulting from change fatigue. More specifically, healthcare organizations need to look at the impact of “uncontrolled change” on direct and indirect caregivers and ask the question: […]

Adam Kates, Director, and Jim LeBuhn, Senior Director and Head of Public Finance Healthcare, Fitch Ratings. Fitch Ratings conducted a review of 291 hospitals in its rated portfolio to determine whether there is a link between quality of care reporting and advanced IT systems with improved financial performance. Fitch found a positive correlation between hospitals […]

Karl West, Associate VP, Marc Probst, CIO, and Stan Huff, MD, CMIO, Intermountain Healthcare, provide an update on the progress of the Care Connectivity Consortium, formed by HIT pioneers Geisinger Health System (PA), Kaiser Permanente (CA), Mayo Clinic (MN), Intermountain Healthcare (UT), and Group Health Cooperative (WA). The goals are to share patient information as […]

Carla Robelli, Vice President PMO, Karen Xie, PhD, Director, Enterprise Architecture and Program Management, and Jeff Poiner, Senior Manager, Enterprise Architecture, Trinity Health. The purpose of Enterprise Architecture (EA) is to improve the alignment of organizational strategy, business processes and information technology. An effective EA discipline can lead an enterprise on the road to greater […]

Benchmarking Shared Services for Hospitals“, Tom Foley, Principal, Jeff Christoff, Principal, and George Nunney, Senior Manager, Benchmarking Center, Deloitte Consulting LLP. Consolidating operations into a shared services model has been popular in many industries for many years. Healthcare providers are becoming more interested in shared services and many have already incorporated aspects of their operations […]

Ferdinand Velasco, MD, Chief Medical Information Officer, Luis Saldana, MD, Associate CMIO, and Marcie Williams RN, MS, FASHRM, CPHRM, CPHS, CLNC, Vice President, Safety & Risk Management, Texas Health Resources. The Department of Health and Human Services has recently launched a new public-private program, the “Partnership for Patients: Better Care, Lower Costs”. Leaders from major […]

Margaret A. Reynolds, RN, PhD, FAAN, Director, Evidence Based Practice, Trinity Health. Along with colleagues from Trinity IS, Ms. Reynolds presents Trinity’s approach using Lighthouse to address sepsis, and shares the results including outcomes.

Michael Larson, Senior Manager, and David Pittman, Senior Consultant, Deloitte Consulting LLP. Many organizations have or are in process of implementing electronic clinical documentation technology. With today’s technology, it is possible to connect medical devices and monitors directly to the electronic medical record. Many electronic medical records are becoming vendor agnostic when connecting to devices, […]

Dan Varnum, VP Performance Improvement, Mercy Medical Center, Doug Wickerham, VP Corporate Finance, and Evon Holladay, VP Business Intelligence, Catholic Health Initiatives. With the implementation of electronic health information our healthcare world is on track to receive a virtual tsunami of information. With this incredible volume of data comes the demand for responsive and reasonable […]

Graham Triggs, Research Director, and Mike Smith, General Manager, Financial/Services Research, KLAS, Orem, UT. With the ICD-10 deadline two years away and more immediate Meaningful Use and HIPAA 5010 deadlines approaching, many healthcare providers are still in the early preparation stages for the pending coding changes. Graham shares recent research from providers about their plans […]

Mary Beth Mikols, Director, and Nick Wong, Senior Manager, Health Information Technology Solutions (HITS), Deloitte Consulting LLP. With the passing of new Healthcare legislation in 2010, the provider industry has seen a notable increase in mergers and acquisitions of hospitals. The successful integration of Information Technology is one of the most crucial and complex factors […]

Scott Whyte, Vice President, IT Connectivity, Catholic Healthcare West. The ARRA and health care reform caused tremendous interest in Health Information Exchange (HIE) and Accountable Care Organizations (ACOs). Conventional wisdom suggests that HIEs will support ACOs. But which HIE functions are most important to the HIE? Do the HIE functions specified by meaningful use have […]

Colin Buckley, Strategic Operations Manager, KLAS, Orem, UT. Like meaningful use (MU) and other critical U.S. healthcare initiatives, the accountable care organization (ACO) model is generating a lot of buzz. Accountable care changes have the potential of dramatically affecting healthcare – from patient care to administration to revenue cycle management to IT infrastructure. KLAS interviewed […]

Larry Yuhasz, Director of Strategy and Business Development, Thomson Reuters. Urgency for the secure and standardized exchange of patient health information by clinicians across the healthcare continuum is mounting. For providers, this need is further magnified where distress over increasing cost of care is now matched by legislative metrics put in place to drive higher […]

Laurie Wyatt, Partner and National Practice Leader, Revenue Cycle Solutions, CSC. ICD-10 Assessments expose organizational alignment requirements, technology upgrades and integration needs as well as clinical and business workflows that will be impacted by the implementation of ICD-10. Learn how to complete your ICD-10 assessment, develop a “gap” analysis and an implementation strategy and roadmap […]

Chris Brancato, Specialist Leader, and Ross Martin, MD, Specialist Leader, Deloitte Consulting LLP. Chris and Dr. Martin provide the latest information as you prepare for Meaningful Use Stage 2. The presentation explores lessons learned and how they apply to the development of the Stage 2 recommendations.

George Conklin, CIO, CHRISTUS Health. CHRISTUS Health is a Catholic hospital system with 35,000 employees spread over four states and Mexico. In some markets they are driving HIE development, and in other markets they are the passengers. Learn how they are laying the foundations for successful HIEs to support this variety of communities and strategies […]

Joe Boyce, MD, CIO and CMIO, Heartland Health. This presentation discusses ACO development to provide point of care information to providers in support of accountable care, including chronic disease management with Mpages, care manager integration, and enterprise data warehouses integrating claims, clinical and HIE data.

Tim Smith, Principal, and Sarah Danielson, Senior Manager, Deloitte Consulting LLP. Tim and Sarah discuss some common areas for benefits realization categories that have been targeted with EMR implementations, and where organizations often struggle to achieve planned benefits. With all of the recent EMR design and deployment priorities associated with Health Reform, including Meaningful Use, […]

Joanne Burns, RN, MPA, Vice President & Chief Information Officer, and Anita Larsen, Chief Nurse Executive, University of Missouri Health. Joanne and Anita articulate the strategies and techniques utilized at the University of Missouri Health Care to execute on a plan for rapid deployment and adoption of technology to support CPOE, Bedside Barcode Administration, ePrescribing, […]

Erica Drazen, Managing Director for Emerging Practices, CSC. Year 2011 of meaningful use is now over for hospitals and nearly over for eligible providers. This presentation discusses what happened in 2011: How many registered, attested, got money; where the states are in readiness to distribute Medicaid money; what menu items were met/skipped; and what important […]

Bob Kelley, SVP Healthcare Analytics, Thomson Reuters. This presentation describes an analytical approach to understanding and developing effective payment bundles. Bob highlights the challenges and importance of analytics and an objective, quantitative view in creating and pricing acute care bundles, and explores the additional complexity of chronic care bundles. Using specific examples, he walks through […]

Jason Hess, EVP of Sales & Strategy, and Mike Smith, General Manager of Professional Services and Financial Research, KLAS, Orem, UT. As meaningful use, health information exchange (HIE), ICD-10 and accountable care organization requirements continue to cloud the future of the healthcare IT industry, picking the right IT vendor partners is more important than ever. […]

David Liebovitz, MD, CMIO, Northwestern Medical Faculty Foundation and Medical Director of Clinical Information Systems, Northwestern Memorial Hospital. Many medical centers must learn to optimize workflow in a diverse EHR environment. This presentation highlights steps taken at Northwestern to improve the safety of care transitions and improve the efficiency of everyday practice using Cerner inpatient […]