Standardizing Vocabularies and Creating the Governance Structures to Manage and Maintain Them

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 […]

Sharp HealthCare Baldrige Award and IT Enablers

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 […]

2nd Generation PACS: Are the Market Leaders Changing?

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?

Implementing Standard Terminologies to Share Data: SNOMED Case Studies

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. […]

Texas Health Resources Clinical Decision Support Implementation

Luis Saldana, MD, MBA, Medical Director of Clinical Decision Support, and Ferdinand Velasco, MD, CMIO, Texas Health Resources. Lessons learned from the first year of implementing clinical decision support and CPOE in a community hospital setting. Our discussion focuses on order sets, clinical alerts and drug interaction checking.

Clinical System Benefits-Driven Implementation: Lessons Learned from Early Adopters

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 […]

Business Intelligence and Data Analytics: Combining Clinical and Financial Data

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

Clinical Decision Support at Robert Wood Johnson: A Case Study

John Chuo, MD, MS, Medical Director, Neonatal Intensive Care Unit, Director of Neonatal Informatics, Assistant Professor of Pediatrics, Robert Wood Johnson Medical School, Bristol Myers Squibb Children's Hospital. Dr. Chuo specifically discusses the orderset lifecycle process at the Bristol Myers Squib Children's Hospital at Robert Wood Johnson. The four-month process consisted of a two-track strategy […]

Advocate Clinical Decision Support Case Study

Joel S. Shoolin, DO, MBA, VP, Advocate Health Care, Oakbrook, IL. Chicagoland's Advocate Healthcare has developed a number of Clinical Decision Support (CDS) tools to improve patient care. This session enumerates the current CDS rules and alerts and discusses plans for future deployments.

Information Sharing within a Federated Data Model – Enabling Data Collaboration without Compromising Security

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

Clinical System Benefit Measurement Metrics: How to Select, Collect and Report

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.

Realizing Budgetable Benefits: RAD Voice Recognition

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 […]

Revenue Cycle Reformation: Will Software Solutions Keep Up?

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 […]

A Balanced Scorecard Approach to Developing an Integrated Enterprise Data Warehouse

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 […]

Hospitals Subsidizing Community Physician EHRs, Tax Implications for Both Parties

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 […]