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Summits In the Press

SI 2017 POP HEALTH
SPRING SUMMIT

From Healthcare Informatics, Scottsdale Institute 2017 Population Health Fall Summit: Getting Pop Health Right

SI 2017 CIO
SPRING SUMMIT

From Healthcare Informatics, EHR Value Realization - Rx for Success

SI 2017 CMIO
SPRING SUMMIT

From Healthcare Informatics, Leadership, Influence and the Ever-Evolving Role of CMIOs

SI 2016 CIO/CISO
FALL SUMMIT

From Healthcare Informatics, Cybersecurity as a 'Team Sport': Governance, Organization, Strategy and Tactics

SI 2016 CIO
FALL SUMMIT

From Healthcare Informatics, Achieving Value-Based Payment Success: Implications for IT and the CIO

SI 2016 CHIEF DATA AND ANALYTICS OFFICERS
FALL SUMMIT

From Healthcare Informatics, Population Health: Organizational and Data Governance, and Analytics Strategies

SI 2016 CMIO/CHIO
FALL SUMMIT

From Healthcare Informatics, CMIO/CHIO Summit: Managing Clinical Decision Support and Improving Workflow

SI 2016 CIO
SPRING SUMMIT

From Healthcare Informatics, a two-part article covering the summit, "From the Lens of a CIO: Moving Forward on Value-Based Care Efforts Without a Roadmap"
PART 1  |  PART 2

SI 2015 CIO
FALL SUMMIT

From Healthcare Informatics, a two-part article covering the summit, "CIOs Convene: Healthcare Leaders Discuss the Biggest IT Challenges Facing their Organizations in the Year Ahead"
PART 1  |  PART 2

SI 2015 CIO
SPRING SUMMIT

From Health Data Management, a slideshow with seven takeaways: CIOs Offer 7 Tips to Optimize EHRs and HIT

From Modern Healthcare: Blog: CIOs agree that IT optimization is a team sport

SI 2014 CIO SUMMIT

Also see the report at Healthcare Informatics: Information Requirements for the Competitive Healthcare Marketplace

SI 2013 CIO SUMMIT

From Becker's Health IT and CIO Review: CIOs From Adventist Health and Spectrum Health Share IT Cost Management Strategies





Avera eCARE/eHELM Site Visit

At Avera eCARE, telemedicine professionals work together 24/7 in the eHELM, the virtual hospital hub. By staffing the central facility around the clock, partners and patients benefit from multidisciplinary collaboration of medical specialists any time, anywhere.

Health system executives in IT, operations and clinical care from six SI Member organizations across the country gathered in Sioux Falls, S.D. September 13-14, 2017, to visit Avera Health's eCARE telehealth operations and share lessons learned in implementing telehealth for population health. Onsite discussions enabled a "deep dive" into how Avera's nationally recognized telehealth program expanded from telemedicine consults in 1993 to encompass the most robust telemedicine capabilities in the nation, including: ICU, Pharmacy, Emergency, Senior Care (Long Term Care), Correctional Facilities, School Health and AveraNow "direct to consumer," Behavioral Health and Hospitalists. Avera isn't done, planning to expand services in the near and long term.

Avera eCare Sites
View Avera eCARE Basics PDF

The Avera Site Visit included a tour of the Avera eCARE facility where participants could view command-center operations for Avera eCARE's ICU, Emergency and Specialty Clinic consults and discuss lessons learned from Avera's expansion of its scope of services and geographic footprint. Attendees heard about IT-infrastructure requirements and planning tips and still had plenty of time for Q&A and to share their own experiences with telehealth tools. The result was a better understanding of alternative business-use cases and the measured impact from such advanced telehealth applications.

John Porter, President and CEO of Avera Health, welcomed the group and emphasized that Avera's eCARE initiative was driven by the need to increase quality of care in remote locations, particularly where specialty physician services were difficult to recruit or where sites were too remote for rapid access to the specialty care required. "Avera eCARE grew out of our rural geography," he said, "and a need to provide support to rural areas with limited access to workforce - and it has become integral to the way we work across Avera. This is a clear-cut example of technology advancing the care we can provide to our communities."

Deanna Larson, CEO of Avera eCARE, and Jay Weems, VP, Operations of Avera eCARE, shared management strategies and the results to date of each telehealth operation. For example, the eCARE Specialty Clinic has provided 60,000 total visits that saved 6.34 million miles in patient or physician travel, 52,000 patient hours and $2.56 million in costs. In covering 72,000 patients, eCARE ICU resulted in 1,743 lives saved, reduced length of stay by 3.38 hospital days and reduced average time on a ventilator by 13 fewer hours. Similar dramatic results occurred with other telehealth applications.

Many participants said they were originally drawn to the Avera Site Visit to learn more about eCARE ICU but realized other applications - Emergency and Senior Care, for example - would offer better starting points for their telehealth service. As Jen McKay, MD, Medical Information Officer, Avera Health - who launched Avera's Hospitalist program - noted, "We started with the eICU application, and that was a great way to get started with the required infrastructure to support telehealth. However, once we started eCARE Emergency that suddenly became the game changer for us. The response by the local provider was immediate: the ability to have a colleague instantly available at the push of a button was astonishing!"

Other key takeaways:

  • Telehealth is all about augmentation, not replacement. The provider at the patient's side remains the decision-maker.
  • Telehealth is a partnership. Avera does not own all sites, which places a big emphasis on customer service.
  • Telehealth is focused on addressing clinical issues, so the starting point is always a clinical champion who drives the solution.

"You need to start with the end in mind," asserted Dr. McKay. "This is all about solving a clinical problem and leveraging technology to help create a new solution. This focus on innovation and the use of technology-enabled clinical decision-making is the future skill set for the next generation of physicians."

Participants learned that in telehealth, like so many health-system initiatives, quick wins and success stories are critical to sustaining change. Participants agreed the Avera Site Visit was a great opportunity to exchange ideas and insights across multiple markets and settings to better understand the best starting place for a broad telehealth strategy. It also helped them see up close the promise of telehealth in terms of immediate, documented clinical and productivity results ranging from reduction in length of stay, unnecessary admissions and ventilator hours to lower mortality rates and higher patient satisfaction.

Twenty-five participants from seven SI member organizations - Avera Health, Eastern Maine Healthcare Systems, Houston Methodist, Intermountain HealthCare, OSF, Spectrum Health, and UK Healthcare - were in attendance.

SITE VISIT DESIGN & OBJECTIVES

  • Avera's eHELM, the virtual hospital hub, offered a behind-the-scenes look at a robust regional/national telemedicine program, and a collegial opportunity among SI Member CEO, CIO, and CMIO executives to discuss various business use cases and operational considerations for telehealth technologies in their respective markets.
  • Tour was on Wednesday, September 13. This 1.5-hour small group tours was followed by a large group presentation of eCARE, which includes the capability for connecting diverse healthcare sites across the country.
  • Discussion of eCARE/eHELM continued over dinner at Ode to Food and Drinks, 300 Cherapa, on Wednesday, September 13.
  • Breakfast and Wrap-up session the morning of Thursday, September 14, CRAVE restaurant, Hilton Garden Inn.

SITE VISIT PARTICIPANTS
Barr   Matthew Barr
Domain Architect
Spectrum
Blackburn   Julia Blackburn, MD
Director of Neurosciences
UK HealthCare
Blauwet   Judy Blauwet
CCIO
Avera Health
Burchett   Dr. Andrew Burchett
MIO
Avera Health
Dennis   Darby Dennis
VP
Houston Methodist
Garcia   Michael Garcia, RN, JD
Sr. VP Operations
Houston Methodist
Giard   April Giard
System CNIO & VP
Eastern Maine Healthcare Systems
Hinderliter   Suzanne Hinderliter
VP TeleHealth Services
OSF
Johnson   Kyle Johnson
System VP & CIO
Eastern Maine Healthcare Systems
Jundt   Dr. Kim Jundt
CMIO
Avera Health
Kooistra   Josh Kooistra, MD
Department Chief
Spectrum
Larkin   Tara Larkin
Operations Director
Intermountain HealthCare
Larson   Deanna Larson
CEO eCare
Avera Health
Lauria   Michele Lauria, MD
CMIO
Eastern Maine Healthcare Systems
McKay   Dr. Jen McKay
MIO
Avera Health
McReynolds   Jason McReynolds
Enterprise Architecture Director
UK HealthCare
Patino   Tanya Patino
Director IS
Spectrum
Pilat   Courtney Pilat
TeleHealth Program Mgr.
OSF
Porter   John Porter
CEO and President
Avera Health
Schwallier   Nancy Schwallier
VP Acute Health
Spectrum
Veline   Jim Veline
Senior VP IT/CIO
Avera Health
Wayling   Brian Wayling
Assistant VP
Intermountain HealthCare
Weems   Jay Weems
VP, Operations eCare
Avera Health