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2017 Teleconferences

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February 28, 1-2pm CT
Electronic Clinical Quality Measures (eCQMs) at RWJBarnabas Health

speaker speaker Deborah Larkin-Carney, Corporate VP for Quality, RWJBarnabas Health, and Catherine Gorman-Klug, Director Quality Service Line, Nuance Communications, Inc. Beginning in February 2017, hospitals will be required to submit quality measures electronically to the Centers for Medicare & Medicaid Services (CMS). While all electronic health records (EHRs) are required to be certified to submit the proper data files, problems may arise with the clinical quality measures data. Inaccurate or incomplete eCQM submissions can have a monumental effect on quality score-related reimbursement when margins are already paper-thin. And for hospitals with multiple EHRs, the problem compounds exponentially. In some cases it may be impossible to predict whether the transmission will be successful or accurate. Join us to find out the latest eCQM changes and requirements by the CMS for 2017 and The Joint Commission for 2018, potential pitfalls that can have a significant impact on quality scores and reimbursement, strategies for hospitals to use to mitigate the risk of a failed submission, and steps you can take today to ready your organization for compliant eCQM submissions. This teleconference is part of the Value-Based Care Collaborative. This teleconference is part of the Value-Based Care Collaborative.

February 16, 1-2pm CT
Controlling Chaos: Preparing for Success in Value-based Care

Tonya Edwards, MD/MMM, Senior Physician Executive, and Joan Campbell, RN, Clinical Informaticist, Impact Advisors. Dr. Edwards and Joan discuss management of the tidal wave of changes necessary to be successful as health systems transition to value-based payment environments. They also cover developing true systems out of federated states to reduce clinical variation and cost, integration of IT into every operational area, development of robust governance for care delivery decision-making and IT enablement of care and development of request prioritization methods owned by operations. Additionally, they discuss proven techniques for leaders to manage change, making order out of chaos. This teleconference is part of the Value-Based Care Collaborative.

February 15, 1-2pm CT
Repurposing Your Staff: A Major Transfer of Skillsets from Infrastructure to Applications at VCU

speaker Rich Pollack, VP & CIO, VCU Health. Rich discusses how a detailed review and benchmarking of IT revealed an excessive staffing in infrastructure roles to the detriment of adequate resources for applications support. Working with HR, a plan was developed to transition 40 positions to new roles and provide the training and mentoring needed to train network administrators into application analysts, etc. A concurrent move to new ways of sourcing infrastructure, such as Network as a Service (NaaS), helped to facilitate this major transition.

February 14, 1-2pm CT
IS Support for Value-based Care and DSRIP at NYP

speaker Gil Kuperman, MD, PhD, Director for Interoperability Informatics, NewYork-Presbyterian Healthcare System. NewYork-Presbyterian (NYP) is an integrated delivery system in the New York City metropolitan area. Like all health care providers, NYP is responding to dynamics that are advancing value-based care and the need for efficiency in health care delivery. The value-based care landscape - and the information systems requirements to support it - still are emerging. In the near term, NYP is responding with information systems solutions that are specific to each value-based care program. NYP also is developing a long-term IS strategy to support these activities. This presentation gives an overview of value-based activities currently in place at NYP and will present in detail one program - the NY State Medicaid Delivery System Reform Incentive Payment (DSRIP) program - and the way information systems are being used to support it. This teleconference is part of the Value-Based Care Collaborative.

February 13, 1-2pm CT
Leveraging Dynamic Documentation and Specialty Driven Quick Order Pages (Mpages) to Improve Clinician Workflow at Emory

speaker Julie Hollberg, MD, CMIO, Emory Healthcare & Assistant Professor, Hospital Medicine, Emory University School of Medicine. While EMR's offer robust potential to improve healthcare delivery, the initial versions have caused significant frustration. Originally Emory had just four different views of the EMR, yet what a urologist wants to see is different than a dermatologist or a CT surgeon. Dr. Hollberg describes Emory's journey from these four views to 37 different specialty views of the EMR, each of which include a specialty-based Mpage for quick orders and charges and Cerner's new documentation tool (dynamic documentation). She also reviews lessons learned on their rapid five-month implementation timeline, a comparison of Cerner's previous documentation tool and dynamic documentation, and the ten metrics Emory is using to monitor success. This teleconference is part of the Cerner Collaborative.

February 9, 1-2pm CT
Intelligent Decision Support at Adventist Health System

speaker speaker 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.

February 7, 1-2pm CT
Cybersecurity of the Medical Internet of Things: FDA Postmarket Cybersecurity Guidance Update

speaker speaker speaker Russell L. Jones, Partner, Raj Mehta, Partner, Deloitte Consulting, LLP, and Phillip M. Englert, National Director Technology Operations - Physical Asset Services, Catholic Health Initiatives. There has been a lot of interest and discussion on BioMed device security over the last couple of years. As part of cybersecurity concerns, Boards are asking questions on this issue. While there has been guidance from the FDA, the increasing level of potential risks from more connectivity and automation has challenged healthcare providers to identify the most pragmatic and reasonable approaches for addressing BioMed device security. Russell, Raj and Phillip provide practical approaches for tackling this issue in a provider environment. This teleconference is part of the Security Collaborative.

February 2, 1-2pm CT
Rethinking Medication Adherence at Advocate

speaker speaker speaker Tina Esposito, VP, Center for Health Information Services, Darcy Davis, Data Scientist, and Fran Wilk, Clinical Process Designer, Advocate Health Care. With annual cost estimates as large as $300 billion, non-adherence to medications is an enormous opportunity in the Accountable Care era. As a large ACO, Advocate Health Care is working to more effectively intervene in improving adherence. Leveraging both clinical and claims data, clinicians are now equipped with more meaningful patient-specific adherence information at the point of care. Further, data insights have yielded deeper understanding that supports refocused interventions to improve outcomes and cost. This teleconference is part of the Value-Based Care Collaborative.

January 25, 1-2pm CT
IU Health Pilot to Route IHIE Data into the EMR

Jason T. Schaffer, MD FAAEM, Assistant Clinical Professor of Emergency Medicine, Director of the Division of Informatics, IU Health Methodist Hospital, IU Department of Emergency Medicine, and Keith Kelley, VP Solution Delivery, Indiana Health Information Exchange. The Indiana Health Information Exchange (IHIE) has delivered community-wide clinical results into physician office EMR systems for years, and nearly 6,000 physicians across Indiana receive their results into their EMR. Recently, IU Health sought an enhanced integration between IHIE and Cerner to enable them to route results directly to the patient's chart and to the flowsheet in Cerner. For this project, IHIE added LOINC, NPI, and the IU Health MRN to the results. The community-wide data is integrated with the IU Health data to streamline workflow and improve clinical decisions. IU Health recently went live with a small group of physicians with plans to roll it out to over 6,500 physicians later this year. Dr. Schaffer and Keith discuss this program, how it's working and lessons learned along the way. This teleconference is part of the Cerner Collaborative.

January 24, 1-2pm CT
Database Links Engagement and Reduced Costs with the Use of Portals

Kristin M. Jenkins, JD, MBA, FACHE, President, Dallas-Fort Worth Hospital Council Foundation and Senior VP, Dallas-Fort Worth Hospital Council. The Foundation houses a voluntary health information exchange in which 98 acute care and post-acute care facilities share claims data. This data is analyzed to measure performance on AHRQ quality metrics, hospital acquired conditions and readmissions for all participating organizations and collectively for the North Texas region as a whole. The information can be accessed directly by data submitters via an analytics platform named MyIQ. Transparency of providers' performance on all metrics is utilized to identify best practice providers within the region. A collection of committees, publications and educational events are hosted by the Foundation to illuminate how these excellent performers achieve their superior results. This teleconference explains how this initiative was formed, how it is governed and outlines current and planned uses of the information. Kristin's goal is to provide enough information to participants that community organizations can duplicate this effort in your own communities and have a collective impact on the health of your region.

January 19, 1-2pm CT
High Reliability, Quality and Cybersecurity at Texas Health Resources

Ron Mehring, CISO, Texas Health Resources. Numerous industries that deal with life safety issues and critical infrastructure have adopted high reliability organizational principles and quality management to help manage risk and reduce negative outcomes. During this presentation, Ron covers high reliability based strategies and quality management techniques and how they can be used to drive improved cybersecurity program adoption and operations. This teleconference is part of the Security Collaborative.

January 18, 1-2pm CT
How Clinical Documentation Improvement Impacts Patient Safety, Quality and the Bottom Line

speaker speaker Tony Oliva, DO, Chief Medical Officer, Nuance, and Shane Wolverton, Senior Vice President, Corporate Development, CareChex. Evidence clearly shows the value of implementing Clinical Documentation Improvement (CDI) to improve Case Mix Index (CMI), but can it positively impact patient safety and care quality metrics - in a quantifiable, persistent way? An in-depth look at clinical quality outcomes data pre- and post-CDI implementation provides insight into the value of measuring your clinical documentation improvement efforts impact on overall quality ratings including expected mortality and inpatient quality indicators. Dr. Oliva and Shane discuss: How metrics - especially observed/expected mortality ratios - directly correlate to improved financial performance; how quality metrics, impacting mortality, patient safety, in-patient quality and even surgical complications can be more impactful than a change in CMI; why it's vitally important to financial improvement and predictability to look at the data and quality impact metrics, especially in light of industry changes towards value-based reimbursement; and, how employers will underwrite differences in benefits that will dwarf the penalties/incentives by CMS in impacting hospitals and physicians' offices. This teleconference is part of the Value-Based Care Collaborative.