|Dr. J. Michael Kramer, MD, MBA
SVP and Chief Quality Officer
|Dr. Alan Weiss
Memorial Hermann Health System
|Dr. Nnaemeka Okafor, MD, MS
Memorial Hermann Health System
|Dr. Luis Saldana, MD, MBA, FACEP
CMIO, Texas Health Resources
2016 SI CMIO/CHIO SUMMIT REPORT
Managing CDS and Improving Workflows
SHARE INFORMATION with other SI members about your Informatics and CDS structure, governance, processes, tools, and priorities by filling out this 15- TO 20-MINUTE SURVEY. An anonymous summary will be provided to all who participate.
April 26, 1-2 pm CT
IQ Dashboards at Methodist Le Bonheur
Paula Jacobs, VP Process Improvement & Innovation, and David Deas, Director, Innovation and Knowledge Analytics, Methodist Le Bonheur. As the healthcare market continues to evolve, organizations get less value from the old "snapshot in time," paper-based reports we have used for years. See how Methodist Le Bonheur Healthcare has leveraged the data in their EMR to provide real-time, robust and actionable information for administrators, managers and clinical staff in an intuitive, graphical format. The Interactive Quality Dashboard (IQ Dashboard), a tool built by the internal Process Improvement and Innovation team, presents data within minutes of documentation in a format that paints a comprehensive clinical picture of the patient story and provides valuable information that the clinician or manager can effectively and efficiently use to achieve better outcomes.
May 2, 1-2 pm CT
The Rise of Cognitive Analytics in Healthcare and How to Adapt
Dan Kinsella, Managing Director, and Bill Fera, Principal, Deloitte Consulting LLP. Informed by humans, enabled by science, Cognitive Analytics holds the promise of helping organizations address seemingly intractable problems. From the application of natural language processing to automate knowledge-intensive processes to the application of advanced analytics and machine learning to making customer interactions more personalized and meaningful, Cognitive is coming of age in the healthcare industry. But how do you simultaneously consider such advanced capabilities while working on the fundamentals of analytics including reporting, data governance, and data quality? Bill and Dan provide practical insights into this conundrum.
May 9, 1-2 pm CT
How Clinical Documentation Helped Baptist Health Realize Improved Financial Performance
Lorena Chicoye, MD, Corporate Medical Director Managed Care, Baptist Health, and Melinda Tully, MSN, CCDS, CDIP, VP Clinical Services and Education, Nuance Communications, Inc. While quality improvement programs are underway at healthcare organizations across the country, none have generated the measurable financial and clinical results quite like the CDI initiative at Baptist Health South Florida. Since 2011 when the program launched, CDI has reduced costs, improved quality and enabled Baptist Health to realize $45 million in appropriate reimbursement. This session focuses on how the CFO and physician champions worked together to staff and implement a successful clinically-focused CDI program tailored to the culture and workflow of a unique six hospital system.
May 17, 1-2 pm CT
Leveraging the EHR with CDS to Prepare for Value-based Care at Cedars-Sinai
Scott Weingarten, MD, SVP, Chief Clinical Transformation Officer, Cedars-Sinai Health System. Dr. Weingarten describes Cedars-Sinai's four-year journey to "hard wire" CDS related to value-based payments into the EHR in the inpatient and ambulatory settings and evaluate the impact on quality and cost of care. He also discusses the performance of commercial accountable care organizations during the time period, as well as how CDS can enable organizations to prepare for MACRA, bundled payments, and initiatives to reduce hospital Medicare losses.
May 18, 1-2 pm CT
Utilizing Technology to Support Sepsis Initiatives
Kody Hansen, Research Manager of Clinical Decision Support, KLAS. Utilizing technology to support sepsis initiatives in the inpatient healthcare environment is not a new concept, but widespread adoption of these solutions is relatively nascent across the country. Join us as Kody outlines key findings on vendor sepsis technologies in use today. Gleaned from interviews with over 150 healthcare organizations across the US, findings from the Sepsis 2017 report focus on the functionalities, deployments, and applications of numerous types of solutions. Reported outcomes, which illustrate the breadth and depth of successes experienced by pioneering healthcare organizations, will also be addressed.
June 13, 1-2 pm CT
Next Generation of Patient Safety; Using Predictive Analytics to Predict Harm Before It Occurs
David Classen, MD, MS, Professor of Medicine University of Utah, and CMIO Pascal Metrics. Dr. Classen provides an update on industry trends in patient safety standards and informatics, and describes a new approach, developed by this federally certified patient safety organization, that uses predictive analytics to rapidly identify patient safety problems in real-time and identify patients at risk of safety issues before they occur.
June 27, 1-2 pm CT
Engaging Patients in Care with OpenNotes at Sutter Health
Michael Conroy, MD, FACP, Chief Medical Officer, Sutter Medical Group. Improved communication and collaboration with patients are necessary to improve health outcomes, lower cost, and enhance experience for health providers and the people they serve. As an example, studies show that 80% of what is discussed or recommended in a clinical visit is not recalled by patients. Better access to medical records is one relatively simple step to enable patients to engage in their own care. Sutter Medical Group, in collaboration with the OpenNotes Collaborative, went live with publishing clinician notes through our secure patient portal in February 2016. Dr. Conroy describes Sutter's preparation and clinician engagement prior to go-live, and the experience since, including "lessons learned," cultural change management factors, and future plans regarding effectiveness measurement.
November 16, 1-2 pm CT
OpenNotes at UCL
John Mafi, MD, Assistant Professor of Medicine, UCLA Health.
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March 16, 2017
New Imaging Tools from IBM Watson Health
Steven Tolle, VP and Chief Strategist - Imaging, IBM Watson Health. Machine learning and artificial intelligence can be leveraged in imaging technology to streamline workflow, accelerate turnaround time, and offer personalized approaches to diagnosing and treating patients. Steven shares the work in progress around this new technology as a physician support tool that integrates imaging data with other types of patient data to help empower physicians and improve patient outcomes. This teleconference is part of the Clinical Decision Support Collaborative.
February 9, 2017
Intelligent Decision Support at Adventist Health System
Qammer Bokhari, MD, VP/CMIO, and Loren Hauck, MD, CMO, Adventist Health System. Drs. Bokhari and Hauck share how Adventist Health System (AHS) established its vision on leveraging Intelligent Decision Support Systems (IDSS) to provide real-time clinical and financial surveillance across the care continuum. Participants will hear about the evolution of IDSS at AHS and how this has fueled their vision for machine learning to become the pivotal point in attaining care standardization across the continuum. They also share tangible examples of clinical and financial IDSS projects that are being planned and implemented to support the vision and mission of AHS. This teleconference is part of the Clinical Decision Support Collaborative.
November 10, 2016
Advanced Technology Improves Quality of Care at Hackensack UMC and Mt. Sinai
Nilesh Desai, BS, RPh, MBA, Administrator, Pharmacy and Clinical Operations, Hackensack University Medical Center, and Mukesh Shah, RPh, MBA (HCM), Director of Pharmacy, Mt. Sinai Medical Center. Driving quality, patient-centered care has become a central aim for healthcare providers, and pharmacy is a critical part of this quest. This discussion covers insights and best practices related to how two health systems use interoperable EMR and device messaging data to identify and drive efficiency and satisfaction improvements in their clinical operations. Nilesh and Mukesh describe their technology "decision making framework," including the cost/benefit analysis. The conscientious buildout of clinical nursing components that rely on system interoperability will also be reviewed, along with highlighting stakeholder engagement and their approach to unified decision-making related to deploying technology in care areas.
September 28, 1-2 pm CT
Clinical Decision Support Governance and Analysis at Texas Health
Luis Saldaña, MD, MBA, FACEP, Chief Medical Informatics Officer, Maxine Ketcham, MBA, RN-BC, CPHIMS, CPHQ, Analyst Clinical Decision Support, and Kanan Garg, MA, MPH, CPHIMS, SSBB, Analyst, Clinical Decision Support, Texas Health. Dr. Saldaña, Maxine and Kanan share their journey with developing and growing a robust Clinical Decision Support program. They discuss their framework, which includes a 5 CDS Rights approach, and its evolution in leveraging analytics for Clinical Decision Support. In addition they also talk about how they organize to manage the lifecycle of CDS interventions. These learnings should have relevance for organizations seeking to grow and optimize their CDS programs. This teleconference is part of the Clinical Decision Support Collaborative.
August 31, 2016
We Have a Long Way to Go Yet on Patient Safety Says Gandhi, National Patient Safety Foundation
Tejal Gandhi, President and CEO, National Patient Safety Foundation. In 1999 the Institute of Medicine published their seminal report "To Err is Human," but more than fifteen years later, patient safety concerns remain a serious public health issue. In February 2015 the National Patient Safety Foundation convened an expert panel to assess the state of the patient safety field and set the stage for the next 15 years of work, leading to the publication in December 2015 of the well-received report "Free From Harm." This engaging and informative session considers the eight recommendations of the "Free From Harm" report and how they can help accelerate the creation of total systems safety in all healthcare settings. This teleconference is part of the Clinical Decision Support Collaborative.
August 17, 2016
CDS Malfunctions: Causes, Detection and Prevention
Adam Wright, PhD, Associate Professor of Medicine, Harvard Medical School, Senior Scientist, Brigham and Women's Hospital. Clinical decision support (CDS) systems, when effectively designed and used, are powerful tools for improving the quality and safety of healthcare but can be complex to develop and maintain. Dr. Wright presents research, funded by the National Library of Medicine, on CDS malfunctions - cases where CDS doesn't work as expected. The presentation will cover common causes of CDS malfunctions and strategies for prevention, including integrated knowledge management, monitoring and anomaly detection. This teleconference is part of the Clinical Decision Support Collaborative.
August 10, 2016
Mercy Health Saves $50M by Standardizing Clinical and Medication Content
Wayne Bohenek, Vice President Clinical Support Services, and Susan Mashni, Chief Pharmacy Officer, Mercy Health. Mercy Health has 23 acute care facilities and over 2000 ambulatory providers live on a single instance of Epic. Standardization of both clinical content and medication formulary within the electronic healthcare record has resulted in over $50 million in cost savings and significant downstream efficiency savings. The governance structure and process necessary for success will be discussed and shared. This teleconference is part of the Clinical Decision Support Collaborative.
May 31, 2016
From CMIO to CHIO: Information, Integration and Innovation
Luke Webster, MD, VP and Chief Medical Information Officer, CHRISTUS Health, and Pam Arlotto, President and CEO, Maestro Strategies. This teleconference explores the evolving role of the CMIO. Dr. Webster shares his personal story and role as a CMIO. Initially focused on meaningful use and EHR adoption, he describes the pivot his team has made in the leadership of Health Informatics and Clinical Intelligence. And based on research conducted at over 60 progressive IDNs, Pam describes new leadership structures and operating models for IT, Informatics, Analytics and Quality. The concept of the Chief Health Information Officer will be discussed and the role defined.
May 19, 2016
Lessons Learned in Data Migration at Memorial Hermann
Alan Weiss, MD, Director of Medical Informatics, Memorial Hermann. Memorial Hermann recently converted their medical group to Cerner ambulatory and migrated the data themselves from the legacy EHR. While this aspect of the project was key to implementation, it was challenging, time consuming, error prone and revealed significant quality issues within the data. Sharing the lessons learned should assist other institutions going through any EHR vendor conversions. Moreover, some of the novel approaches and analyses performed may give insight into better EHR design and use. This teleconference is part of the Clinical Decision Support Collaborative.
May 12, 2016
How IT can Support Improved Diagnosis for Improved Safety and Quality
Michael Cohen, MD, University of Utah Health Care. This teleconference highlights findings from the recent IOM report on diagnostic errors. The report, Improving Diagnosis in Health Care, introduced a new definition of diagnostic error and outlined eight goals (recommendations) that are discussed. This teleconference is part of the Clinical Decision Support Collaborative.
March 29, 2016
OpenNotes at VCU
Susan Wolver, MD, Associate Professor Internal Medicine, Deborah Burgett, RN, MSHA, Director of Office of Clinical Transformation, Colin Banas, MD, MSHA, CMIO and Associate Professor Internal Medicine, and Rich Pollack, CPHIMS, CIO, VCU Health. Dr. Wolver and team discuss the VCU Health journey to improving patient engagement through the use of a patient portal and their recent implementation of OpenNotes within the portal. They walk through obtaining clinician buy-in and outlining the steps of the implementation process, as well as dicuss trends and future directions after one year of being live with this new level of patient transparency.
March 17, 2016
Tools for the Connected Medical Home at Partners HealthCare - Part II
Joseph Kvedar, MD, Vice President, Partners HealthCare, Connected Health. The benefits of remote patient monitoring in better managing chronic disease, improving clinical outcomes and quality of care, increasing potential cost savings, and allocating resources are being achieved through a range of connected health devices and programs. Dr. Kvedar describes initiatives under way at Partners HealthCare, including a program to reduce hospital readmissions in heart failure patients, virtual visits and remote consultations to improve access to care in rural settings and deliver care to patients with mental health challenges, and the use of mobile technologies to improve patient engagement by capturing personal health data, providing in-the-moment messaging and taking advantage of the addictive nature of 'always on' mobile devices. Part I was presented September 24, 2014, and can be accessed here.
February 24, 2016
Bringing OpenNotes to Inpatient and ICU Units at University of Minnesota
Craig Weinert, MD, MPH, Associate Professor of Medicine, Pulmonary, Allergy, Critical Care and Sleep Medicine and Medical Director for Adult In-Patient Services, and Lee-Ann Kastman Breuch, PhD, Associate Professor and Director of Undergraduate Studies, Department of Writing Studies, University of Minnesota. Drs. Weinert and Breuch share findings of a pilot study involving surveys and interviews of patients and/or family members in six inpatient services regarding the sharing of physicians' notes during hospital stays. Patients were asked questions about the progress notes as well as perspectives of themselves as the subject of the notes. Survey results showed 74% to 86% responded positively and highly valued the progress notes. The rise of the patient-as-informed consumer and patient experience scores for hospitals and typed clinician notes stored in EMRs means that patients will increasingly expect to read their doctor notes in near-real time. What do patients say after reading their doctor notes while hospitalized? What do providers say? How does a teaching hospital provide doctor notes to hospitalized patients or their families? They also discuss issues and trends that emerged.
February 18, 2016
Problem Management: An Innovative System to Improve Problem List Workflow at Intermountain
Kathryn Kuttler, PhD, Director of Clinical, Quality and Research Medical Informatics, and Chad Hodge, MS, PhD candidate, Software Engineer, Intermountain Healthcare. Electronic problem lists are an integral component of the EMR, and serve as the patient's current health issues repository. Coded problems can be used to drive downstream activities such as decision support, evidence-based medicine, billing, and research cohort generation. Meaningful Use also requires use of a coded problem list. Over the course of three years, Intermountain Healthcare developed a problem management module (PMM) that provides innovative functionality to improve clinical workflow and problem list adoption, e.g. smart search, user customizable views, problem evolution, and problem timelines.
December 10, 2015
Enterprise Data Governance and Data Lake at Ascension Health
John Pirolo, MD, SVP, CMIO, Ascension Health, and Gerry Lewis, VP IT Strategy and Business Development, Ascension Information Services. This presentation describes the early development of the enterprise data lake approach across Ascension Health leveraging data driven enterprise analytics and its importance to new care models which support the quadruple aim (increasing quality outcomes, lowering cost of care, enhancing the patient experience and enhancing the provider experience). Dr. Pirolo and Gerry also describe the construction of Ascension's emerging electronic "data lake," and the importance of data governance principles applied to this work which spans clinical and administrative data.
November 4, 2015
How Technology Helps Improve Care Transitions and Drives Self-Management at UAB
Joann Clough, Transitional Care Coordinator, UAB Medicine, and Shara Cohen, Senior SVP of Client Experience, Emmi Solutions. Seventy-six percent of readmissions are preventable, yet patients often don't have the understanding, confidence or tools to take action, stay well and out of the hospital. Shara discusses the challenges of reaching and motivating patients outside of the clinical setting, and the science behind motivating behavior change. She also explores its application to technology-based care solutions. Joann then shares how UAB Medicine has utilized this technology to reach patients post-discharge and encourage positive behaviors. In addition, she explains the data-driven impact of the technology on behavior change, readmission rates and readmission length of stay.
October 13, 2015
OpenNotes: A View from 40 Health Systems and 5 Million Patients
Jan Walker, RN, MBA, Assistant Professor of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School and Co-Director, OpenNotes, and Melissa K. Anselmo, National Program Director, OpenNotes, Beth Israel Deaconess Medical Center. OpenNotes, is now in over 40 health systems and reaches more than 5 million patients across the US. Jan and Melissa discuss trends in implementing shared visit notes and provide a current overview of the national OpenNotes movement. They also share early insights on the impact of OpenNotes on topics such as mental health, medical education, and patient safety.
October 7, 2015
Journey to Level 7 at Sutter Health
Albert Chan, MD, MS, Vice President, Chief of Digital Patient Experience, Calvin Olson, MD, Regional Chief Medical Information Officer, Central Valley, and Stuart James, Chief Operating Officer, Sutter Health. As the largest geographically contiguous, non-profit system in the United States, Sutter Health aims to deliver a consistent, high-value patient experience in the geographically and socioeconomically diverse communities it serves. To achieve this, Sutter Health has invested in a health information technology implementation strategy that supports patient-centric, evidence-based care delivery, facilitates essential clinical collaboration between interdisciplinary teams, reduces unwarranted clinical variation, and engages patients to be co-partners in improving their health. Learn how Sutter Health engages patients, clinicians and staff to overcome the sociotechnical factors that can impair implementations and ultimately innovates how care is delivered. Sutter Health was awarded HIMSS Stage 7 recognition in 2015.
September 29, 2015
The Role of IT and Informatics in Transformation at Saint Vincent Health/Ascension
Randy Cox, MBA, SVP/CIO, St. Vincent Health Indiana. In cooperation between the Office of the Chief Medical Officer and the Chief Information Officer, St Vincent Health - a statewide Ascension ministry in Indiana - has been launching a collaboration of clinicians and clinical/technical IT staff known as the Office Of Clinical Transformation (OCT). The OCT complements our clinician-led clinical governance and assists it by focusing on workflow optimization efforts, staff training and end-user support of the EHR and related technologies, standardization of care processes through information technologies, ACO support and population health analytics, as well as assisting in the advancement of the four ministry IT strategic pillars: Connect the Enterprise, Connect with the Community, Connect with Clinicians, and One Patient, One Chart.
September 15, 2015
Problem Lists Use Across Institutions: Implications for EHR Use and Design at Memorial Hermann
Alan Weiss, MD, Director of Medical Informatics, Memorial Hermann. Problem lists (PL) are an essential clinical tool, but are often poorly maintained. Dr. Weiss has investigated PL use at the Cleveland Clinic, Cedars-Sinai and at Memorial Hermann, and shares analyses and insights. Due to a lack of consensus on problem lists use and territorial issues of problem ownership, there is an inevitable increase in the length of PLs and commensurate decrease in their usefulness. These issues are made worse by the fact that while most EMRs help providers add items to PL, they do not have automated tools to clean and maintain them. Dr. Weiss uses data across three institutions to illustrate these points and provide potential solutions as well to show the effect ICD-10 will have on this issue.
August 6, 2015
Real-time ID of at Risk Patients at Adventist Health System
Loran Hauck, MD, VP, CMO, Office of Clinical Effectiveness, Adventist Health System, and David Classen, MD, CMIO and David Stockwell, MD, VP Clinical Services, Pascal Metrics. It is often claimed at a high level that Health IT has the potential to improve quality and reduce cost. But how? Adventist Health System has leveraged a triad of data from its EMR, an automated approach to finding all-cause harm in real-time, and focused improvement efforts based on this concurrent and predictive data. Using this it has implemented a program of harm management that is already showing that it can spot millions of dollars' worth of preventable harm events across their initial hospitals. This operational approach, in the context of a Patient Safety Organization, is a powerful tool for moving toward high-reliability and reduced cost.
July 23, 2015
Increasing Scalability and Quality of Care Transitions with Technology
Heather Chung, RN, MSN, PHD, NE-BC - Director, Behavioral Health Transition of Care Program, Houston Methodist Hospital, and Shara Cohen, SVP of Client Experience, Emmi Solutions. Within the first three weeks of a care transition, 20% of patients experience an adverse event and, with increased pressure to improve quality and reduce readmissions, healthcare organizations need effective ways of identifying patient status, encouraging self-management and intervening when patients are at-risk. The Behavioral Health Transition of Care Program at Houston Methodist Hospital utilizes a wealth of technology, including risk assessment, electronic data capture and patient engagement tools, to not only reach its population, but better understand the status of their recovery. This presentation discusses the role and value of these technologies in improving the coordination and quality of care transitions.
June 24, 2015
Journey Towards Automated Data Abstraction of CMS Core Measures at NewYork-Presbyterian
Scott W. Possley, PA-C, MPAS, Director of Quality & Patient Safety, NewYork-Presbyterian Hospital. With the ever-increasing requirements for data submission to state and federal agencies, as well as voluntary registries and databases, NYP embarked on a successful and collaborative data automation project partnering with clinical and IT staff to automate manual data collection, starting with the CMS Perinatal Care Core Measures set (PCM). This session provides an overview of initial steps, how we overcame barriers within the EMR leading to standardization of provider documentation (MD, PA, NP) and nursing documentation, how we fostered buy-in from respective groups and the current state for our initial automation project. Scott also discusses NYP's automation team's next steps with automation beyond PCM data sets.
June 23, 2015
Results from Embedding Choosing Wisely into the EMR at Cedars Sinai
Scott Weingarten, MD, SVP, Chief Clinical Transformation Officer, Cedar-Sinai Medical Center. Organizations are seeking clinical benefit and an ROI from their investment in an EHR. Cedars-Sinai "hard wired" Choosing Wisely and other clinical decision support into its EHR about 18 months ago. The impact has been numerous improvements in quality of care and an approximate reduction in costs of $4 million per year.
May 26, 2015
Cedars-Sinai on HIMSS EMR Stage 7
Tess Settergren, MHA, MA, RN-BC, Director of Nursing Informatics, Cedars-Sinai Health System. Less than 3.5% of US hospitals have achieved HIMSS EMRAM Stage 7 status since 2006, and the bar is raised a bit more every year. Clinician adoption of 'paperless' charts, order entry, and documentation is insufficient to meet Stage 7: Clinical decision support, continuum data integration, medical device integration, clinical analytics, and health information exchange represent additional critical success factors. Tess covers the strategies, challenges, and benefits of Cedars-Sinai's 'HIMSS Stage 7 Readiness Project.'
May 5, 12 2015
Creating the Enterprise Analytics Roadmap at the University of Michigan Health System
Andrew Rosenberg, MD, CMIO, University of Michigan Health System, and Mike Brooks, Specialist Leader, Deloitte Consulting, LLC. As information and data capabilities rapidly expand in healthcare, balancing enterprise and analytics projects through coordinated data management and architecture becomes increasingly important. Whether it is quality-based reporting, financial modeling, or Big-Data projects such as personalized health and basic science discoveries, information assets are becoming more voluminous, diverse and costly to generate, maintain, and exchange among competing needs. An enterprise analytics roadmap positions institutions to "do more with less" by creating efficient foundations upon which any analytic project can be built. The speakers discuss how one such plan was developed at the University of Michigan Health System and is now being implemented in support of its clinical, research, education and administrative missions.
April 1, 2015
From Business Intelligence to Enterprise Information Management at Cleveland Clinic
Mike Zuschin, MAE, Director of Decision Support and Business Intelligence, Cleveland Clinic. Follow Cleveland Clinic's initial progression from a collection of disparate performance management initiatives and teams to an Enterprise Business Intelligence Program, highlighting a few of the successes that came out of that program, but then getting right into the challenges and lessons learned which have demanded a new focus on Enterprise Information Management and Analytics. Hear how Cleveland Clinic is leveraging data, people, process, and technology to enhance its analytic capability.
March 11, 2015
Saint Agnes Trinity Health: Data Mining to Manage HAIs
Christi Paradise, RN, BSN, CIC, Infection Control & Prevention Coordinator, Saint Agnes Medical Center, Trinity Health. Reductions in healthcare-associated infections (HAI) do not just happen by chance, in fact prevention of HAIs is complex. Every hospital-based infection control program is required to implement an annual plan to reduce HAIs. Mandatory reporting of certain infections to the Centers for Disease Control (CDC) by all 50 states has brought national attention to HAI morbidity and mortality. This session discusses and details how Saint Agnes Medical Center (SAMC) in Fresno, CA, added an electronic infection surveillance system to achieve HAI reductions and streamline mandatory reporting capabilities.
February 5, 2015
Patient-Centered Perspective on Readmissions at UCLA Health
Nasim Afsar, MD, SFHM, Associate CMO and Assistant Clinical Professor, UCLA Hospitals. Two years ago, Dr. Afsar and her team embarked on a journey to understand readmissions from the patient perspective. This has led to a number of interesting findings about why patients return to the hospital. This presentation reviews these findings and discusses the next steps to address the multi-factorial solutions to reduce readmissions. This teleconference is part of the Readmissions Collaborative.
January 27, 2015
OpenNotes Update: Using the Community Approach to Increase Participation
Homer Chin, MD, OpenNotes Provider Champion, and Amy Fellows, Executive Director at We Can Do Better. The Northwest OpenNotes Consortium was convened by the non-profit, non-partisan civic engagement organization We Can Do Better in 2013. There are now more than 1 million patients in Oregon and Southwest Washington that have access to their chart notes due to this community effort. These patients are from seven different organizations that have opened their notes and there are many more at the table with plans to do so in 2015. Dr. Chin and Amy share what they've learned about how the community approach is working with CMIOs of Health Systems in hopes of spreading the OpenNotes movement even further.
January 20, 2015
Bidirectional Epic Integration with Smart Infusion Pumps at Cedars-Sinai
Jennifer Jackson, Director of Clinical Engineering and Device Integration, Cedars-Sinai Health System. Infusion pump integration, when implemented well, can support safe medication administration practices in the healthcare setting. Cedars-Sinai Medical Center put into effect the bi-directional interface between the IV pump and the EHR, improving clinical practice standardization and data integrity. This session reviews the implementation strategy and lessons learned when Cedars-Sinai went live with infusion pump integration in all inpatient settings in a single day.
December 4, 2014
Disruptive Innovation and Data-Driven Care: Open Notes at Geisinger Health System
Jonathan Darer, MD, MPH, Chief Innovation Officer, Geisinger Health System. Dr. Darer discusses the rationale for disruptive innovation and gives examples of how the Geisinger Health System uses clinical data assets to improve quality of care and support health care team efficiency. He also discusses Geisinger's approach to patient and family engagement, and how health information technology can be used effectively to build trust and enhance the productivity of patient-provider interactions.
November 18, 2014
Heartland Health Case Study on Open Notes: Co-Notes
Joe Boyce, MD, CIO and CMIO, Heartland Health. Heartland/Mosaic has been sharing patient notes, labs and secure messaging for over three years. Since Oct 2013 their clinics have taken the next logical step - working with patients via a secure web portal to provide the capability for patients to document their goals for a visit, update their medications, problems, allergies, procedure lists, add to their family history, or review and update missing quality measures. The benefits include improvements in documentation, costs, copy/paste abuse, quality of care, and many other side benefits. Intake histories are quicker, notes are better, and patients are happier. Validation, trust, and communications issues will be addressed.
November 12, 2014
Medication Management: Driving Quality Up and Costs Down
Chris Virgilio, PharmD, BCPS, Clinical Solutions Executive, Truven Health Analytics. Chris discusses and provides examples of using technology solutions to support medication-specific programs that drive quality up and cost down, including antimicrobial stewardship, managing drug shortages proactively, and scaling clinical pharmacist know-how. She also covers the importance of surveillance at a patient-specific department and population level, how current, relevant and comprehensive evidence-based clinical decision support on medications creates consistent, reliable results, along with mobile and EHR integrated solutions for clinician access across the continuum of care in every care setting.
September 24, 2014
Tools for the Connected Medical Home at Partners HealthCare
Joseph Kvedar, MD, Founder and Director, Center for Connected Health, Partners HealthCare. The Connected Medical Home can include mobile devices and apps, wearables, sensors and remote monitoring technologies. Dr. Kvedar describes how remote patient monitoring can help individuals better manage chronic disease, improve clinical outcomes and quality of care; as well as potential cost savings and better allocation of resources. Mobile technology can improve patient engagement by capturing personal health data, providing in-the-moment messaging and taking advantage of the addictive nature of 'always-on' mobile devices. Connected health can also be important tools for discharge planning and patient transitions. Join us as he presents programs and key findings to support the applications of technology for the Connected Medical Home.
September 19, 2014
Imaging Informatics: Transition from Radiology to the Enterprise at Scottsdale Healthcare
James Whitfill, MD, CMO, Scottsdale Health Partners: Imaging, once a radiology function for image capture, storage and display, is evolving to the Enterprise. With this brings opportunity to extend image management technologies to other departments, and to apply IT processes like SOA and IT Service Management to PACS, and image enable the EMR. Dr. Whitfill discusses how the visual and workflow components of imaging informatics requires special attention differing from the management of other enterprise systems.
August 26, 2014
Online Access to Doctor Notes at Columbia St. Mary's
Bruce McCarthy, MD, MPH, President Physician Division, Columbia St. Mary's, Ascension Health, discusses the CSMConnect patient portal that gives 300,000 patients secure online access to view summaries of their visits, send secure messages to their clinic providers, schedule appointments, pay bills, get lab results, view medication lists, and more. The functionality has been expanded beyond summaries and now includes the physician's actual clinical documentation. Being able to view the doctor's notes has been described as being able to hit the "replay button on your visit." Recent research has shown that patients feel more in control of their care and provided better communication and collaboration with their doctor. Open Notes users have said they take medications more reliably and share their notes with family, friends and other health professionals. Open Notes is a new way of interacting with patients and could profoundly change the way patients engage with their doctors and manage their care.
August 20, 2014
Cedars-Sinai Clinical Data Hub
Ray Duncan, MD, CTO, Cedars-Sinai Health System. Dr. Duncan describes Cedars-Sinai's Clinical Data Hub, a web-based, user-friendly self-service tool for cohort selection based on both patient demographics and clinical characteristics. It supports both research (delivering scrubbed data) and operational (PHI visible) roles. Unique features include similarity searching, integration with the enterprise MPI, and extraction of clinical terms from free-text reports and mapping to standard vocabularies (SnoMed, LOINC, RXNorm, ICD, etc.) using natural language processing.
July 31, 2014
Comprehensive Sedation Management at Banner Health: IT Solutions
Nancy Zismann, RN, BSN, MSOL, Sr RN Director Clinical Director Clinical Performance, and Mikaela Mackey, MBA, MSL, BSIE, SSBB, Senior Director Clinical Performance Assessment and Improvement, Banner Health. Delirium is an acute organ dysfunction of the brain. Banner Health designed technology to support delirium evidence-based clinical practices, such as the Spontaneous Awakening Trial and Spontaneous Breathing Trial, which transformed processes and culture. Comprehensive investment in delirium returned $20.3M cost avoidance and over 80% delirium and coma free days.
July 24, 2014
Assembling the Analytics Team for Population Health at Atrius Health
Joe Kimura, MD, Deputy Chief Medical Officer, Atrius Health. With renewed attention on optimizing healthcare value as defined by cost, quality, access, and patient experience, the roles of population management, case & case management, systems & operations management, and utilization management are front and center for organizations looking to assume clinical and financial accountability for a patient population. The efficiency and effectiveness of all of these management functions is highly dependent upon the ability to leverage healthcare data and analytics. The emergence of healthcare analytics as a core competency of healthcare delivery systems is driving many organizations to quickly assemble the necessary technology and staff. In this presentation, Dr. Kimura discusses a functional framework that executives can use to strategically mature their internal analytics team.
July 17, 2014
MyAdvocate: Attracting and Engaging Patients Through Innovative, Vendor-Neutral Portal
Mike Delahanty, VP Application Products/Projects, and Ted Kliebhan, Director Project Advocate Connection, Advocate Health Care, discuss how Advocate is using state-of-the-art patient portal technology to attract, engage and activate patients in their own wellness. Among the many robust functions, the new portal emphasizes patient ease-of-access to medical records, secure two-way communication with the care team, real-time scheduling and a personal health journal. They also discuss how the new patient portal technology is helping Advocate demonstrate Meaningful Use 2 requirements.
July 16, 2014
Clinical Business Intelligence Across Ascension Health
John Pirolo, MD, EVP, CMIO, Saint Thomas Health, and Gail Zielinski, Director, BI/HIE, Ascension Information Services. This presentation describes a holistic approach to selection and validation of a system-wide clinical business intelligence platform. Dr. Pirolo and Gail also discuss early value opportunities, including the use of clinically driven analytics to influence behavioral change (and improve outcomes), and the delivery of analytics support to system-wide clinical quality initiatives. Many lessons learned and opportunities for improvement are also shared.
July 10, 2014
Is Epic to Non-Epic Clinical Data Sharing Real or a Myth?
Mark Allphin, Senior Research Director, Colin Buckley, Strategic Operations Director, and Graham Triggs, Senior Research Director, KLAS. Epic is seen by many competitors and providers as not playing well with others, but there is much more to the story. Data is being shared between Epic and different EMRs, but the effort required to get there can vary widely. Find out the truth behind the rumors from the providers actually doing the work.
June 19, 2014
Aligning CDS and Quality Measurement
Jane Metzger, Research Principal, and Marta Arthur, Principal Researcher, CSC. For most hospitals, the dust is settling on Stage 1 of meaningful use and efforts have turned to Stage 2. The time is right to start tying individual elements of meaningful use into a more comprehensive and unified strategy that sets the stage for using the EHR more deliberately as quality improvement infrastructure. Aligning quality measurement and related clinical decision support is an important element of this strategy. We review the rationale, the EHR data that matter the most in this quest, and some of the major challenges.
June 17, 2014
The SAFER (Safety Assurance Factors for EHR Resilience) Guides at healthIT.gov
Dean F. Sittig, PhD, Professor, Memorial Hermann Healthcare System. Electronic health records have the potential to improve quality and safety of healthcare. However, EHR users have experienced safety concerns from EHR design and usability features that are not optimally adapted for the complex workflow of real-world practice. Dr. Sittig and Hardeep describe the development of the Safety Assurance Factors for EHR Resilience (SAFER) guides, which can be used to self-assess safety and effectiveness of EHR implementations, identify specific areas of vulnerability, and create solutions and culture change to mitigate risks. Dr. Sittig helped develop the SAFER Guides for www.healthit.gov. The Guides can be downloaded at http://www.healthit.gov/safer/safer-guides.
June 12, 2014
The Healing Edge: Innovation Meets Information Technology
Lyle Berkowitz, MD, FACP, FHIMSS, Associate Chief Medical Officer of Innovation, Northwestern Medicine, Co-Founder and Chairman, healthfinch ("The Doctor Happiness Company"). Learn how different organizations across the nation have been innovative in their use of healthcare information technologies, from creating major quality and efficiency gains using Electronic Medical Records, to virtualizing healthcare via Telemedicine, to fascinating uses of analytics, mobile technologies, and gaming techniques in healthcare. Hear the real world stories of how they started, how they succeeded, and the lessons they learned along the way.
June 11, 2014
Physician Data Transparency: Through the CMS Looking-Glass
Michael R. Udwin, MD, FACOG, National Medical Director, Truven Health Analytics. With the April 9th release of Medicare provider specific encounter data, including type of venue, charge, reimbursement and number of patients treated, physicians wish to understand how they will be viewed. Like a prism, the image can look quite different depending on perspective. Join us for a journey through the looking-glass, as we review the many reflections of physician practice as mirrored by payers, consumers, government, and provider organizations.
June 3, 2014
Population Health Management: Technology and Analytics Effectiveness
Mark Golberg, SVP, HealthCare Strategy and Value Based Care, ConvergeHEALTH by Deloitte. Mark discusses client case studies and examples illustrating how organizations can effectively leverage their technology and its impact on overall analytical effectiveness. He also goes over key challenges, lessons learned, and future direction in the market.
May 28, 2014
Population Health Analytics: Market Update
Cora Sharma, Principal Analyst, Chilmark Research, discusses population health analytics. Cora describes current market barriers and what providers can do to address them, what is missing from out-of-the-box solutions, and what to expect from the market over the long-term. She also explains 1) how clinical and claims data are getting married; 2) what is "good enough" risk stratification; 3) why there is so much fuss over getting analytics insight into physician workflow; and 4) emerging datasets on the horizon.
May 27, 2014
Patient Activation: Measurement, Outcomes, and Implications for Models of Care
Val Overton, DNP, VP Quality and Innovation, Fairview Medical Group. Hear how Fairview has implemented the measurement of patient activation and their early findings related to cost, quality, and patient experience. Val shares how Fairview is utilizing activation measurement in care processes, risk stratification, training for staff, and the development of the patient portal initiative. Dr. Overton's initial research on Patient Activation was published in Health Affairs in February, 2013.
May 21, 2014
Predictive Modeling Reduces Readmissions at Indiana Health Information Exchange
Curt Sellke, Vice President of Analytics, Indiana Health Information Exchange (IHIE). Curt discusses the Indiana Network for Patient Care (INPC), a statewide interoperable network maintained by IHIE that provides physicians with a "virtual" patient record to provide a better overall picture of a patient's health. He also covers how the IHIE uses predictive analytics to enable physicians to reduce hospital readmissions, choose optimal therapies, reduce redundant testing and avoid drug-drug interactions, among other life-saving and efficiency-generating efforts
May 8, 2014
Journey to Physician Gain-Sharing Success
Miles Snowden, MD, MPH, CEBS, CMO, Optum, discusses the four steps of population health management you should take to position it - and your patients - for success in value-based care. Learn how optimizing network management using claims data, clinical data and analytics will help guide physicians' referral choices; how using data and analytics to manage care transitions can prevent readmissions; how expanding chronic disease management to your full population can help you zero in on at-risk patients and better target interventions; and, how investing in in-home intervention in the high acuity, post-acute population can help avoid readmissions throughout the long-term recovery.
May 6, 2014
Value-Based Care: Requirements for EHRs
Sarah Danielson, Specialist Leader, and Tony Jurek, Director, Deloitte Consulting, LLC. Electronic Health Records will be a central component of the solutions required to achieve Value Based Care (VBC). This session reviews the value based care business models, their purpose, and associated risks. Tony and Sarah discuss an overall framework for technology solutions required to enable them, with a specific focus on value-based care requirements for EHRs.
April 8, 2014
Evolution of Tele-ICU
Michael Ries MD, MBA, FCCM, FCCP, FACP, Medical Director, Adult Critical Care and eICU, and Cindy Welsh, RN, MBA, VP, Adult Critical Care & Medical Prof. Affairs, Advocate Health Care. Advocate Health Care initially invested in tele-ICU medicine technology to provide additional monitoring and faster responses to acute medical problems with the intent of reducing mortality, adverse events, costs and length of stay. Advocate quickly realized that the tele-ICU technology could also provide population management of evidence-based guidelines, use gap analysis for clinical applications such as ventilator liberation and multidisciplinary rounds, oversee resident handover of patients, and mentor newly hired nurses. Dr. Ries and Cindy discuss the use of this technology in realizing clinical and financial goals in Critical Care.
February 26, 2014
Partners HealthCare: Redesigning Healthcare Delivery Through Strategic Interoperability
James Noga, VP and CIO, Partners HealthCare. Interoperability is a foundational investment for integrated delivery networks wanting to derive value from data. At a tactical level, interoperability enables the ability to exchange, normalize, and aggregate data across multiple systems and devices and across organizational boundaries. However, it is at the strategic level that interoperability can advance key initiatives to improve the quality of care and outcomes for individual patients, communities, and populations. Jim discusses the importance of strategic interoperability in addressing organizational business, technology, and clinical challenges and specifically how, for Partners HealthCare, interoperability addresses both its tactical needs and long-term strategic vision. The presentation includes how to elevate interoperability from a tactical capability to a strategic asset, how to use it to help fill informational and functional gaps, and how strategic interoperability can help your organization in a complex network of providers, systems, and technologies.
February 11, 2014
Open Notes: Toward a New Standard of Care
Tom Delbanco, MD, Professor of General Medicine and Primary Care, and Jan Walker, RN, MBA, Assistant Professor of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, describe a national movement that invites patients to review their visit notes written by their doctors, nurses, and other clinicians. Evidence suggests that opening up visit notes to patients may improve communication, make care more efficient, and help patients become more actively involved with their health and care. The presenters show highlights from a multi-site study, discuss considerations for providers adopting open notes, and share plans for future development.
January 29, 2014
A Pioneering Approach to Population Health at ProHealth Care
Christine Bessler, CIO, ProHealth Care, describes how ProHealth Care is the first healthcare system to produce reports and data out of Epic's Cogito data warehouse in a production environment. ProHealth Care delivered clinically integrated insights to 460 physicians in the system's hospitals and clinics, including those in its Accountable Care Organization. Physicians now have access to analytics that allows them to easily see which of their patients are in need of important health screenings or care interventions. This foundational capability sets the stage for enhancing preventive care and improving the management of chronic diseases. In this teleconference Christine shares the strategy ProHealth adopted to integrate data from Epic with information from other EMRs and data sources to deliver clinically integrated business intelligence, and describes how ProHealth Care is positioning itself to deliver against an advanced self-service BI capability in the future.
January 21, 2014
Predictive Analytics: It's the Intervention That Matters
Dale Sanders, SVP, and David Crockett, PhD, Senior Director of Research and Predictive Analytics, Health Catalyst. Get the detailed knowledge you need to make informed decisions about adopting predictive analytics so you can separate today's hype from reality. You'll hear key lessons including 1) our fixation on predictive analytics in readmissions, 2) the common trap of predictions without interventions, 3) the common misconceptions of correlations verses causation, 4) examples of predictions without algorithms, and 5) the importance of putting the basics first. Then, in a "graduate level" crash course, you'll learn key concepts such as machine learning, algorithms, feature selection, classification, tools and more.