The 2nd Annual World Healthcare Innovation and Technology Congress

Track 3 - Electronic Medical Records (Part I of II)

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AHLTA: The U.S. Department of Defense Global EHR Experience From Combat to Tertiary Care and Back Again
The DoD EHR experience including successes, barriers, and lessons learned while also focusing in on some very specific capabilities such as disease management and bioterror surveillance.
	Dr. Bart J. Harmon, Colonel, Medical Corps, U.S. Army Chief Medical Information Officer Director of Information Management Information Management, Technology and Reengineering Directorate Office of the Assistant Secretary of Defense for Health Affairs View Biography

Expanding the Capabilities of EHRs
Intermountain Healthcare has over 35 years of experience in developing and implementing systems to support the delivery of clinical care. These systems have been based on the premise that advanced levels of decision support can greatly improve consistency and accuracy in clinical care delivery, that well organize discrete data assists in assuring the relevance of an application to the clinical care setting, and that content driven applications can more effectively support workflow and increase acceptance of technology by clinical care professionals. More recently, Intermountain Healthcare has begun working to define and develop the next generation of Electronic Medical Record. This multi-year, multi-hundred million dollar project is being done using state-of-the-market technologies and is being built with embedded clinical care providers on each team. This solution extends EMR functions beyond the automation of care delivery, and is based on the quality improvement/cost reduction philosophies of Dr. Brent James. The importance of architecture to achieve industry changing clinical information systems What is a content driven system and the benefits Achieving supportive (versus invasive) decision support How the EMR can support the quality improvement/cost reduction paradigm
	Marc Probst Vice President and Chief Information Officer Intermountain Healthcare View Biography

Clinical Research Data Management Around and Through EHRs: All For One, or Separate But Equal?
Healthcare information systems and technology have grown steadily for patient care in direct proportion to the hospital systems required to manage, test, treat and bill for services provided by care givers. Today’s EHRs are a natural extension of these systems to enable ready entry and access to volumes of data held in associated medical records. Conversely, data management needs for clinical research have been met via a different paradigm, with federally funded grants and sponsored trials requiring such things as validated systems or tight contractual controls around who can see and ultimately “own” study subject data. It is easy to conceive of using an EHR, with all of the resources invested in building these patient care systems, to also be used to manage clinical research data. But taking this step requires careful consideration and planning to overcome significant barriers around policy, process, technology, administration and legal issues. As the NIH continues its new initiative to transform General Clinical Research Centers (GCRCs) into Clinical and Translational Science Award (CTSA) centers, the question of where can and should hospital patient information systems be redesigned to meet requirements for research data repositories must be answered. Likewise, as the interest and momentum grows to create a national health information infrastructure in the U.S. with broader connections becoming available between RHIOs and States to share health information across interoperable systems, the questions of how tightly to integrate data mining for study eligibility, or use predictive informatics or pattern recognition in addition to conducting research in the standard of care systems become much more relevant. How some of these issues are being addressed at Cleveland Clinic will be discussed, as well as ideas for alternatives to consider moving forward in this area. The readiness of EHR vendors to take on this additional responsibility will also be discussed, as well as recent talks among the Clinical Research Forum IT Roundtable members concerning these challenges.
	Dr. Robert P. DiLaura Director of Research Informatics Cleveland Clinic

Creating a EMR Pre-Implementation Organizational Structure that Insures Participation and Buy-in Across an Institution
Jefferson University Physicians (JUP), part of Thomas Jefferson University (TJU), a distinguished academic medical center, recently announced that an EHR will be implemented over the next three years, connecting and providing clinical automation for 480 physicians and 700 residents in JUP. The system selection results from an extensive two-year evaluation and planning process conducted by TJU to insure a successful large-scale EHR implementation. The goal of this session is to help other health-care organizations and physician practices understand the following key steps and major intricacies involved in gearing up for an EHR implementation: Involving the CEO and other senior executives to obtain top-level sponsorship Developing a unified vision and needs assessment for the EHR to build support among all stakeholders Establishing the major project components, implementation timeline and preliminary budget Negotiating the EHR purchase and contract with the selected vendor Devising the complete business case, finalizing the budget and determining the ROI Obtaining the necessary final approvals from Boards, executives and committees Transitioning from the pre-implementation period to the implementation stage
	William M. Keane, MD Chief Medical Officer Jefferson University Physicians
	Bruce Metz, PhD CIO Thomas Jefferson University
	John Ogunkeye Executive Director & VP Jefferson University Physicians Chief Operating Officer Thomas Jefferson Medical College

Track 5 - Navigating the Information Age: eHealth and the Consumer Driven Movement (Part I of II)

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Making Technology Count
This presentation will assume that technology is a valuable asset in the battle to reduce healthcare costs, but will arm participants with key signposts and considerations in embarking on this revolution. Health information technology bursts with promise; however, there is an obligation not to over promise. This obligation can be realized by purposefully using effective management philosophies, implementation frameworks, methods and tools. This presentation will address: the three challenges facing technology innovation. a framework for technology adoption beyond early-adoption models. the six success factors in implementing technology.
	Mohan Nair Executive Vice President Chief Marketing Executive The Regence Group Chairman of the Board Regence Life and Health View Biography

Providing Consumer Choice Through Cost Transparency
Health care consumerism and inviting health care providers and stakeholders to work collaboratively toward providing consumers with the information they need to make intelligent health care decisions is fast becoming a top a top priority for health care payer and providers . For BCBS of Minnesota, this trend has led the development of Healthcare Facts®, which has attracted national attention for its consumer-friendly “nutrition label” approach to comparing hospitals and health care providers. Additional information tools and technologies are under development to engage consumers in “best fit” health care options, based on individual needs and preferences. Lessons learned and future plans will be discussed.
	MaryAnn Stump, RN President, Consumer Aware Senior Vice President and Chief Innovation Officer Blue Cross and Blue Shield of Minnesota View Biography

A virtual healthcare assistant for a healthier lifestyle. Personalized Information Platform (PIPS) Consumer Health informatics initiative funded by the European Union with 15 collaborators in Europe and China PIPS enables:
Healthcare Professionals to deliver just-in-time personalized and prevention-focused healthcare services compliant with the Citizen's personal health state, preferences and ambient conditions Citizens to make informed decisions about therapies and nutrition at any time/place according to the real-time evaluation of their health state Healthcare Authorities to improve risk management of Healthcare systems Actors in the Healthcare delivery value chain to get access to and generate valuable information, assuring the global sustainability of the system
	Alberto Sanna, PhD e-services for life and health Scientific Institute H San Raffaele Milano, Italy

Day Two Seminar Options:

Pervasive, Remotely Monitored and Wireless Healthcare

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Opening Remarks
	Jay Srini Vice President of Emerging Technologies University of Pittsburgh Medical Center View Biography

Re-engineering the Delivery of Care
	Adam Darkins, MB, ChB. MPHM, MD, FRCS Chief Consultant for Care Coordination Department of Veterans Affairs View Biography

Ubiquitous Access to Clinical Technology: Setting the Wireless Stage
	Eric Yablonka Vice President and Chief Information Officer University of Chicago Hospitals and Health System View Biography

Reducing Emergency Department Diversion using RFID Technology
This session will focus on the challenges of healthcare organizations to expedite the care of Emergency patients and reducing the problems of ED diversion. Infrastructure considerations to support RFID Assessment of Patient Identification RFID requirements Communicating the importance of RFID use to patients Tracking patient care using RFID Outcome of RFID tracking in a hospital's ED
	John Wade Vice President; former CIO, St. Luke’s Health System View Biography

Innovative Strategy and Technology Implementation from Around the World

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Leaders around the world are recognizing health care for what it is –a leading sector of every nation’s economy. Advances in health and medical technology efficiency are crucial to the health of the global economy, as well as global health. This symposium will convene international leaders in health and technology to explore the efficient and cost effective application of existing and emerging technologies to promote health and more efficient and effective medical care.

Richard Granger
Director General of Information Technology
National Health Service
United Kingdom

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The Seven Principles of Highly Effective Clinical IT
In Hong Kong the Hospital Authority has developed and implemented a comprehensive clinical information system (the Clinical Management System, or CMS) across all the public hospitals and clinics of the territory. As part of the CMS each citizen in Hong Kong also has a longitudinal electronic medical record in the Electronic Patient Record (ePR) which contains all their clinical data from any encounter with the HA. The system is now an essential part of care provision for 30,000 clinical staff, and also provides the necessary information for quality improvement, research, management and planning. The ePR contains several terabytes of data for well over 7 million individuals, including 500 million laboratory results and 250 million drug prescriptions. This talk discusses the key lessons the HA has learnt in reaching the depth and breadth of clinical computing that is seen today, and highlights the seven main principles that have underpinned 15 years of successful clinical computing.
	NT Cheung, MD Executive Manager, Health Informatics Division Hospital Authority of Hong Kong View Biography

Additional thought-leadership to be added to this seminar. Please check this website often for updated information.

Clinical Decision Support and Usability

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Seminar Chairperson: Delivering Informed Care
	Jerome A. Osheroff, M.D. Chief Clinical Informatics Officer Thomson Micromedex View Biography

Managing Evidence Based Clinical Decision Support in the Evolving Pay for Performance Market
Healthcare organizations implementing EHRs are faced with the challenge of implementing and updating evidence-based clinical decision support that aligns with their pay-for-performance contracts and core business goals. This problem of acquiring and maintaining clinical decision support knowledge will grow exponentially with the advent of personalized medicine. This presentation will focus on approaches, utilizing illustrations from the Partners Healthcare System experience, to defining the business case, building governance models, and implementing knowledge management infrastructure for aligning clinical decision support with business drivers for superior quality, safety, service and value.
	Tonya Hongsermeier, MD, MBA Corporate Manager for Clinical Knowledge Management and Decision Support Partners HealthCare View Biography

The Semantic Web: What it means to Healthcare and the Life Sciences.
When Sir Tim Berners-Lee developed the Web, his vision was much more ambitious than a vast array of documents with Google in front of it. The Semantic Web vision is being proposed as the next generation web where every piece of information has a well defined meaning. Semantic Web tools and technologies offer the promise of easier knowledge creation and sharing, integration of data repositories without investing in massive data warehousing projects. This could potentially lead to improved efficiency of the overall scientific discovery lifecycle. This presentation will focus on providing an introduction to these technologies with many illustrations of how they might transform healthcare and lifesciences.
	Vipul Kashyap, PhD Knowledge Management Informatics Research & Development Group Partners HealthCare System View Biography

Integrating Clinical Decision Support into the Electronic Health Record: Opportunities and Challenges
The recent "Roadmap for National Action on Clinical Decision Support" recommends a series of activities to improve CDS capabilities and increase its use. Integration of CDS capabilities within the EHR is key to increasing clinician use which should improve patient outcomes. While the opportunities for CDS abound, there are significant challenges to overcome before we will receive the full suite of promised benefits. These challenges include, but are not limited to: physician acceptance developing, maintaining, and sharing encoded clinical knowledge increasing availability of coded clinical data Additional sessions are under development. Please check this website for continual updates
	Dean F. Sittig, PhD Director, Applied Research in Medical Informatics Northwest Permanente, PC Kaiser Permanente - Permanente Medical Groups Adjunct Associate Professor of Medical Informatics & Clinical Epidemiology Oregon Health & Science University View Biography