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2018 Teleconferences

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February 21, 1-2 pm CT
Benefits and Risks of Sharing Notes in Mental/Behavioral Health


Steve O'Neill, LICSW, BCD, JD, Social Work Manager for Psychiatry and Primary Care, Beth Israel Deaconess Medical Center, and OpenNotes Behavioral Health Specialist. OpenNotes is a movement aimed at making healthcare provider's notes directly available online to patients through a secure portal. Four years ago, nearly all of the outpatient clinical social workers and psychiatry staff at Beth Israel Deaconess Medical Center opened up their therapy notes to our behavioral/mental health patients. Many viewed that OpenNotes might ruin psychotherapy, increase workload burden and have a chilling effect upon patient care. What have we learned since, both at BIDMC as well as the 17+ other healthcare systems across the country who have opened up therapy notes? What are the benefits as well as the drawbacks? What are we learning from our patients? And how do mental health clinicians now feel about OpenNotes within patient care? This session focuses on addressing these issues, including our research findings, and the implications going forward for practice. This teleconference is part of the Clinical Decision Support Collaborative.

February 19, 1-2 pm CT
EMR Optimization Across All Sites of Care at IU Health

Seung Park, MD, CHIO and Jason Schaffer, MD, Chief Medical Information Officer, Adult AHC, IU Health. Indiana University Health is a large statewide organization with 15 hospitals and more than 100 clinics, including the most comprehensive academic health center in the state, and is one of the busiest hospital systems in the U.S. While a single EMR is implemented throughout the organization, it was implemented over a time of intense growth for the organization. As a result, the adoption of the most recent capabilities of the EHR has remained variable and in need of optimization. Optimization is contained in the Uplift program at IU Health. The program has 3 phases: Core, More and Continuous Improvement that are deployed in a rolling fashion across specialties. This session describes the business, clinical, and operational need for this program and the strategy to deploy it. This teleconference is part of the Clinical Decision Support Collaborative.

February 15, 1-2 pm CT
Change Management at Houston Methodist

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Nicholas Desai, MD, CMIO, Eileen McGrath, Director, Marketing and Communications / Change Management / Training, and Autumn Kirsch, IT Communications/Change Management Lead, Houston Methodist. Sustainable physician engagement requires more than just cutting-edge technology. To be successful, embed a robust change management strategy into your change. This session chronicles the development and deployment of an executive-sponsored IT change management program at Houston Methodist, focused on driving EHR adoption, proficiency and utilization. Critical parts of this program include obtaining executive support to enforce organizational decisions impacting physicians, personalized outreach and training strategies, targeted communications, involvement of physician champions and the importance of developing a lasting partnership between CMIO and IT change management team beyond implementation. This teleconference is part of the Clinical Decision Support Collaborative.

February 13, 1-2 pm CT
Structure and Function of a High Performance Clinical Informatics Department at Eastern Maine

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April Giard, NP-BC, NEA-BC, VP & CNIO, Eastern Maine Healthcare System, and Angela R. Tiberio, MD, Physician Executive, Impact Advisors, LLC. If you've seen one Informatics Department you've seen one Informatics Department! Several years ago, Eastern Maine Healthcare Systems (EMHS) committed to establishing a dedicated, fully-staffed and system-wide Clinical Informatics Department. As healthcare informatics/technology now enters an exciting new phase beyond "just" implementation, April and Angela will share their knowledge, experiences and advice for how to create, mature and evolve a Clinical Informatics Department for now and the future. Specific topics include departmental scope of responsibilities, "right-sizing" and staffing with the right talent and skills. This teleconference is part of the Clinical Decision Support Collaborative.

February 6, 1-2 pm CT
2018 and Beyond - Technology Trends Transforming the Journey of Healthcare

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Chris Shudes, Principal, and Michael Kleinmann, Senior Manager, Deloitte Consulting, LLP. In 2018 and beyond, health systems will continue to embrace emerging and exponential technologies as they respond to economic forces shaping the industry such as the affordability crisis, shifting demographics, government influence, and the growing impact of consumerism. While technologies such as mobile, APIs, native cloud solutions, and microservices will remain some of the most actively embraced emerging technologies by health systems, exponentials from blockchain to artificial intelligence to quantum computing represent new and unforeseen opportunities over the longer term. Join us for a discussion on the healthcare technology trends in 2018 and beyond that are poised to help shape and transform health care.

January 31, 1-2 pm CT
Optimizing the EHR to Prevent Burnout and Obtain Better Outcomes

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Bret Shillingstad, MD, Executive Director/CMIO - EHR Optimization Services, Rizwan Pasha, MD, CMIO - EHR Services, Nuance Healthcare, and Michael J. Healey, MD, CMIO - Outpatient Services, Brigham Health. As healthcare transitions to value-based care, it becomes even more critical to effectively harness the full functionality available in an EHR in ways that support enhanced clinical decision-making while alleviating physician burnout. Drs. Shillingstad, Pasha and Healey detail the ways they are working to optimize EHR functionality to reach its full potential and drive better clinical, operational and financial outcomes. This teleconference is part of the Clinical Decision Support Collaborative.

January 30, 1-2 pm CT
CMIO and CNIO Partnering for Clinical Transformation at HonorHealth

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Mary Ann Turley, DO, CMIO, and Kristin Gillen, RN, DNP, CNML, CNIO, HonorHealth. The dyad relationship between the CMIO and CNIO at HonorHealth was specifically designed to help the organization achieve its strategic vision through Clinical Transformation. Dr. Mary Ann Turley, as CMIO and Kris Gillen, as CNIO are both operational by background and serve as content experts in clinical informatics as well as liaisons between IT and operations. Developing excellent communication pathways between the CNIO and CMIO was imperative during this large enterprise-wide EMR go-live, both for their mutual success as well as for their "customers" in both the IT departments and the hospital clinical areas. Dr. Turley and Kris discuss how they navigated through challenging cultural and standard of care differences among the system's hospitals - two of whom were already live on Epic and three of whom were not - to build an entirely new instance of Epic that went live on all five campuses the same day. They will also share their perspectives on the leadership, expertise, and relationship-building skills that were critical during this clinical transformation process. This teleconference is part of the Clinical Decision Support Collaborative.

January 24, 1-2 pm CT
Patient Centered Data Home - Connecting Data Across State Lines

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Kelly Hoover Thompson, CEO, and Joe Walker, Sr. VP of Technology Services for MyHealth Access Network. The Patient Centered Data HomeTM (PCDH) is a national initiative to deliver a cost-effective, scalable method of exchanging patient data among health information exchanges (HIEs) to access real-time information across state and regional lines and the care continuum. It puts into practice the vision that clinical data should be available whenever and wherever care occurs and "centered" around the patient to improve patient care. Kelly and Dr. Kendrick describe the successes and challenges of PCDH, lessons learned and best practices, and what's next for the Patient Centered Data HomeTM program. This teleconference is part of the Value-Based Care Collaborative.

January 23, 1-2 pm CT
Optimizing Health IT: From the Chambers of Congress to the Frontlines of Care


Julia Adler-Milstein, Director, Center for Clinical Informatics and Improvement Research, UCSF. Julie has spent the past decade studying the progress of electronic health information exchange (HIE) and EHR system interoperability in the U.S. She discusses the policy context and how federal policy efforts have sought to intervene to promote health information exchange. Despite substantial resources devoted to HIE, several recent evidence reviews reveal that we still lack a robust understanding of the extent to which HIE improves care, and, more importantly, the underlying mechanisms. To help address this gap, Julia presents results from a recent study that assesses whether an approach to HIE that involves data exchange directly within the EHR is associated with improved care in the Emergency Department, and whether this relationship is mediated by a key hypothesized mechanism: the timeliness of information return. This teleconference is part of the Value-Based Care Collaborative.

January 18, 1-2 pm CT
Achieving Clinical Effectiveness to Improve Healthcare Delivery and Outcomes

Denise Basow, MD, President and CEO of Clinical Effectiveness, Wolters Kluwer Health. Over the last several decades, clinical decision support solutions have demonstrated success in helping improve quality of care in the American healthcare system. But the need to "broaden that impact" has led professionals to consider a more holistic approach to decision support that takes into account patient engagement, consistency of care, and the ability to measure improvements in outcomes. Dr. Basow shares advances in technology and knowledge that facilitate clinician-patient communication, encourage ongoing education among professionals and consumers, analyze spend and purchasing decision options, support treatment adherence, reduce errors, and standardize care across the healthcare landscape. This teleconference is part of the Clinical Decision Support Collaborative.

January 17, 1-2 pm CT
Developing a Better Patient Portal: Evaluating Portals Based on the Likelihood of Patient Use

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Elizabeth Sprouse, Emory University's Rollins School of Public Health, Applied Public Health Informatics and Julie Hollberg MD, CMIO, Emory Healthcare. Elizabeth and Dr. Hollberg share the results of a research effort to develop a scorecard to arm healthcare leadership with the ability to strategically design and implement patient portals that patients will use (i.e., technology acceptance). This scoring approach, developed from analysis of academic literature review and interviews with healthcare leaders across the country, provides a clear process for organizations to use when evaluating their current portals on likelihood of patient use and allocating future work to drive patients to actively use their portals. Using this scoring approach can lead to improved portal design and implementation, leading to increased use and patient engagement, with positive patient care results.

January 15, 1-2 pm CT
Once More, With Feeling: Emotional Design


Paul Weaver, VP User Experience & Human Factors Research, Cerner. While all design elicits an emotion, how many people today can honestly say they design their solutions with the customer's feelings in mind? Paul discusses the principles of emotional design, both from his own experiences and learning at Nintendo, Ion Storm and Disney, as well as highlighting other best practices and principles that he has picked up along the way. Sharing both in-game and in-app examples of emotional design in play, Paul will share some new perspectives to apply to future design work in healthcare settings, and the role that user experience (UX) plays in product development.