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2017 Teleconferences

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April 26, 1-2pm CT
IQ Dashboards at Methodist Le Bonheur

speaker 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. This teleconference is part of the Clinical Decision Support Collaborative.

April 13, 1-2pm CT
MIPS Math: An In-depth Look at the MIPS Scoring Methodology, Part II

Dan Golder, MD, Principal Advisor, Henry Stokman, Principal, Jason Fortin, Senior Advisor, and Larry Katzovitz, Senior Advisor, Impact Advisors. This session provides an in-depth review and analysis of the calculations used to score each of the four MIPS components (Quality, Advancing Care Information, Improvement Activities, and Cost). Learn how to understand some of the complexities used in the MIPS calculations and how to leverage this knowledge to improve your MIPS composite score. Highlights include: scoring with examples for each of the four MIPS components; base scores, performance scores and bonus points; performance thresholds and their impact on MIPS scoring; and budget neutrality and the scaling factor. Part I was presented December 8, 2016. This teleconference is part of the Value-Based Care Collaborative.

April 11, 1-2pm CT
Rewriting the Playbook on HIEs for Improved Patient, Clinical and Business Outcomes

speaker Brian Yeaman, MD, CEO, Yeaman & Associates and Coordinated Care Health Network, and Ray George, Director, Business Development, Nuance. Early in 2017, Coordinated Care of Oklahoma (CCO), a multi-state HIE, announced its dissolution and the launch of Coordinated Care Health Network (CCHN), a nationwide secure data exchange network with image sharing. Like many HIE organizations, CCO struggled with governance and organizational issues that challenged operations, sustainability and cost-containment. Today, the newly formed CCHN is a unique service network focused on empowering health care providers to improve care and outcomes via secure, HIPAA compliant, data access and exchange. Built on a cloud-based imaging sharing network, CCHN claims no third party rights to client data. Instead, like a cellular network, CCHN allows clients to subscribe to modular services in a way that scales to work within the healthcare organizations' referral region to better enhance patient care and improve the patient's experience. This teleconference is part of the Value-Based Care Collaborative.

April 6, 1-2pm CT
Bringing Your Doctor to You: Telemedicine at Sharp Rees-Stealy

speaker speaker Brent Steineckert, Director, EMR, Access and Health Information Management, Sharp Rees-Stealy, and Marcy Mishiwiec, Director, IT Ancillary Services, Sharp HealthCare. For more than two years, Sharp Rees-Stealy (SRS) medical centers have been connecting patients with their primary care physician or specialist through the use of telemedicine. Patients have the option to receive care for certain conditions through a telephonic or video visit. Using their own device (smartphone, tablet, computer), patients can access care while at home or at work, and can avoid the hassle of traffic, parking, and wait times. Unlike most telemedicine programs, patients conduct video or phone visits with their established primary care physician or specialist physician. This means the physician treating the patient knows their medical history, their family history, and their chronic conditions without the need for lengthy questionnaires or intake processes. Furthermore, since it's the patient's own doctor, medications can be refilled, labs/imaging can be ordered, and patients can complete their testing on a walk-in basis at one of the many Sharp locations throughout San Diego. Patients love the convenience and physicians enjoy the focused nature of the telemedicine visit. Brent and Marcy also discuss the challenges faced and benefits this program offers. This teleconference is part of the Value-Based Care Collaborative.

April 4, 1-2pm CT
Enabling Health and Wellness at Home: Emerging Technologies and Incentives

speaker speaker David Betts, Principal, and Sarah Thomas, Lead, Deloitte's Center for Health Solutions and Managing Director, Deloitte Services LLP. In the future, value in health care will likely be captured by those who can play a role in reducing costs and improving health outcomes. New MACRA regulations further compound these pressures to reduce costs and improve quality. Join David and Sarah to see how consumer preferences, technology, and policy will converge to incentivize better health and wellness at home. This teleconference focuses on research and industry readiness to enable virtual care and empower home health consumers. This teleconference is part of the Value-Based Care Collaborative.

March 23, 1-2pm CT
2017 Best in KLAS Awards

speaker speaker Jared Peterson, Senior VP of Operations, and Taylor Davis, VP of Stategy and Analysis, KLAS. The Best in KLAS report recognizes vendors who have made significant strides to improve healthcare while addressing changes like payment reform and the shift to population health. Vendors recognized in the Best in KLAS report have earned the title of 2017 Best in KLAS or Category Leader for their outstanding effort to help healthcare professionals deliver better patient care. Join us as Jared and Taylor discuss the details behind the 50+ Category Leader and Best in KLAS winners and segments and find out how the vendors you work with performed.

March 21, 1-2pm CT
Technology Governance at Ascension

speaker Dave Baker, VP Strategic Planning and Innovation, Ascension Information Services (AIS), Ascension Health. Technology governance is more than IT governance. In fact, it is hard to think of any healthcare capabilities that don't require some form of technology or, at a minimum, integrate with technologies that support other capabilities. This makes navigating Ascension's technology landscape challenging, particularly when considering the appropriate application of technologies across Ascension's healthcare and solutions divisions. Join Dave as he describes the multi-stage journey they are leading at Ascension to engage healthcare and operations leadership in understanding business needs, and how those needs must align with technology investments. They discuss Ascension's governance structure, the decision rights allocated to those structures, and the establishment of key processes that are helping Ascension realize the benefits of technology governance.

March 20, 1-2pm CT
Attaining Behavioral Health Continuity of Care across Sharp HealthCare

Debbie Ochs, Director IT Applications, Sony Dhillon, Senior System Analyst, Mary Kay Shibley, MSN, RN, Clinical Informaticist, and Michael Dodson, Manager, Clinical Applications - Ambulatory EHR Support, Sharp HealthCare. Sharp Behavioral Health has been live on Cerner Millennium Powerchart in both the Inpatient and Outpatient settings since June 2010. The implementation of Cerner Powerchart Ambulatory for Sharp Behavioral Health Outpatient resulted in a consistent patient summary view, integrated provider messaging, and comprehensive medication management across all Behavioral Health sites, to ensure continuity of care for patients with behavioral health issues. Mary Kay, Sony, Debbie and Michael share their journey and describe the customization required for behavioral health care in modules such as Therapeutic Documentation, ePrescribing, Ambulatory Organizer, Dynamic Documentation and MPages. Sharp Behavioral Health also shares their positive outcomes in patient safety, documentation and workflow efficiency, medication management, and physician, patient and staff satisfaction across the continuum of care as a result of these changes. This teleconference is part of the Cerner.

March 16, 1-2pm CT
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.

March 8, 1-2pm CT
Conclusions and Recommendations on Provider Cybersecurity, Part II

speaker Mac McMillan, FHIMSS/CISM, Chairman & CEO, CynergisTek, Inc. Cyberattacks in 2016 targeted at provider organizations proved that they have the capability to disrupt operations for prolonged periods of time. These attacks are not only expensive for the institutions affected, but also disrupt their ability to treat and serve patients. Mac discusses the future of cybersecurity in healthcare and shares how providers can mitigate risk of business disruption. This is a follow-up to the June 18, 2015 teleconference. This teleconference is part of the Security Collaborative.

March 7, 1-2pm CT
The Technologies of Interoperability and Moving Towards a Unified Future

speaker speaker speaker speaker Kelly Patrick, Managing Director, Nick Wong, Senior Manager, Mitchell Bailey, Senior Manager, and Alan Vitale, Specialist Master, Deloitte Consulting, LLP. Seamless interoperability, both within an organization and externally-facing systems, is the "ideal state" healthcare enterprises are searching for. This capability paves the way for health systems to access all relevant information at the points of care throughout the health care continuum, regardless of geographical, organizational, and vendor boundaries. Because the starting and end points, as well as business models and goals are different for every organization, there is no "one-size-fits-all" solution. Interoperability requires a varying combination of strategies, architectures, standards, approaches, data types, security, and tools that unify information access. Kelly, Nick, Mitchell and Alan discuss how industry experience, government policy, standards, technologies, and organizations contribute to being a connected health system.

March 1, 1-2pm CT
Carequality Network at Sutter Health

speaker Steven R. Lane, MD, MPH, FAAFP, Clinical Informatics Director, Privacy & Interoperability, Sutter Health. Taking a clinical perspective, Dr. Steven Lane reviews the foundations and recent history of interoperability and health information exchange. He focuses on the emerging Carequality Framework and the increasing participation in and use of Carequality supported exchange since the first transactions in July, 2016. Dr. Lane also discusses Sutter Health's experience with exchange since 2010 and new use cases that will be supported by the Carequality Framework over the coming years

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.