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Meetings & Education
2008 AMIA Spring Congress
Electronic Health Records (EHRs)
The goal of the electronic health record track is to go beyond implementation do’s and don’ts and discuss the heart of the matter - their impact on health care delivery and quality. Electronic prescribing will also be discussed as it is a national “hot topic” in terms of the role e-prescribing has with electronic health records. Another topic linked to EHRs is clinical decision support (CDS). CDS methods will be described that allow health care providers to make high quality, cost-effective health care decisions. We will also discuss the reporting capabilities of EHRs that can be used to produce performance measure reports, and discuss the challenges in determining patient inclusion/exclusion and capturing the data needed to ascertain if the recommended care has been delivered. Learning Objectives:
(S03) Track Keynote Presentation: "Electronic Health Records" Thursday, May 29, 2008, 1:30 pm - 3:00 pm The Role of Health Information Technology in Healthcare Quality Helen Burstin National Quality Forum, Washington, DC Dr. Burstin will provide a global perspective on the dialogue between the electronic health record community and the performancemeasurement community. She will discuss the reporting capabilities and EHR data elements needed to produce quality measures. Prior to joining NQF, Dr. Burstin was the Director of the Center for Primary Care, Prevention, and Clinical Partnerships at the Agency for Healthcare Research and Quality (AHRQ). In her role, she oversaw the development of the Health Information Technology (IT) portfolio which invested over $166 million on research at the intersection of health IT and quality of care. She will discuss recommendations and implications for EHR developers, such as quality measures needed to follow standardized vocabulary and conventions (e.g., use standardized lists for denominator exclusions) and the need for consistent development and specifi cation of quality measures which would help facilitate their incorporation into EHRs. Physician’s Usage of Key Functions in Electronic Health Records Steven R. Simon Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA While much attention has focused on increasing the number of physicians who have adopted EHRs, few studies have examined how physicians are using EHRs. Previous studies have not consistently shown improved quality of care in practices with EHRs; these analyses suggest that just having EHRs is insuffi cient and that physicians must use key EHR functions, such as alerts and reminders, to reap the benefi ts of improved quality and safety. The extent to which physicians are increasing their use of EHR functions once they have implemented an EHR remains unknown. This presentation will discuss key functions in EHRs based upon research conducted in 2005 and 2007 in the state of Massachusetts regarding availability and use of EHR functions, predictors of use, and the relationship between EHR use and physicians’ perceptions of medical practice. (S07) Panel: Open Source and Electronic Health Records Thursday, May 29, 2008, 3:30 pm - 5:00 pm Panel to include: Jacob Reider Misys Healthcare Systems, Singersland, NY Ignacio H. Valdes Houston, TX Tim W. Cook Stockholm, Sweden Paul Biondich Regenstrief Institute, Indianapolis, IN As the widespread adoption of health information technology has increased, for-profi t companies large and small have competed for the attention and business of health care clients to provide proprietary applications, content, infrastructure and the like. In the broader IT world, Free Open Source Software (FOSS) has proven to be a viable and productive approach, and in recent years has “gone mainstream” with offerings like the Ubuntu distribution of the Linux OS. Panelists will discuss how this paradigm can change health IT, and in the process, our health care system. (S11) Panel: Ambulatory Clinical Decision Support Friday, May 30, 2008, 8:30 am - 10:00 am Panel to include: Charles P. Friedman Office of the National Coordinator, Health & Human Services, Washington, DC Richard N. Shiffman Yale University, New Haven, CT Robert A. Greenes Arizona State University, Phoenix, AZ Additional panelists to be announced Clinical Decision Support (CDS) has long been an area of interest in biomedical and health informatics. There are many national activities that point toward CDS gaining more momentum in healthcare. In 2006, AMIA published “The CDS Roadmap” to national acclaim and AMIA will soon release a core content designed to serve as the basis for the subspecialty of clinical informatics where clinical decision support is a central piece of the knowledge to be required of certifi ed clinical informaticians. This panel will discuss selected activities which fulfi ll parts of the vision of the Roadmap. (S15) Panel: Reality in Community Hospitals with CPOE Friday, May 30, 2008, 10:30 am - 12:00 pm Panel to include: Jane Metzger CSC, formerly First Consulting Group, Lexington, MA Dean F. Sittig Kaiser Permanente, Portland, OR Michael Blackman Berkshire Health System and University of Massachusetts School of Medicine, Amherst, MA Implementing computerized physician order entry is challenging and brings change to interdisciplinary clinical processes. Panelists will discuss the keys to success of CPOE in the community hospital and what, if anything, should we be doing differently. Clinical decision support with the community hospitals’ CPOE system will also be discussed. This panel will explore: CPOE and CDS in the Community Hospital: Results of Three Studies, Development and Preliminary Testing of a CDS & Knowledge Management Assessment Tool, and CPOE and CDS - Implementation in a Community Hospital (S19) Panel: “Is the Juice Worth the Squeeze?” Implementing Quality Measures in Primary Care EHRs Friday, May 30, 2008, 1:30 pm - 3:00 pm Panel to include: Sheila Teasdale (Moderator) American Medical Association, Chicago, IL David W. Bates Brigham and Women’s Hospital, Boston, MA David Dorr Oregon Health & Science University, Portland, OR Andrew Hamilton Alliance of Chicago Community Health Services, LLC, Chicago, IL Ruth Jenkins Medical University of South Carolina, Charleston, SC This panel will examine issues of implementation and effi cacy of quality measures in EHRs: how much work does it take, how reliable are the clinical data within the EHR, can the data be compared across physicians and practices, and what evidence is there that quality improvement results from these efforts? The panelists will discuss how quality measures have been introduced in four different scenarios and also describe the impact of the measures on the quality of care. (S23) Panel: Electronic Health Record Track Analysis and Outcomes Saturday, May 31, 2008, 8:30 am - 10:00 am Panel to include: Emily Welebob Indiana Health Information Exchange, Indianapolis, IN Jon White Agency for Healthcare Research and Quality, Rockville, MD What are the key issues in improving the delivery of healthcare that can be impacted through effective use of electronic health records? What are the areas where we are poised to make an impact and what work still needs to be done? Scientifi c Program Committee Track Chairs Emily Welebob and Jonathan White will present a synthesis of the lessons from the EHR track and engage the audience in a discussion pertaining to the next steps and recommendations to AMIA. Posters A complete list of posters by track is available here. 2008 AMIA Spring Congress posters will provide an ideal opportunity for conference attendees to learn about preliminary research results or results of small scale studies, illustrating and discussing innovative systems and services, describing experimental and in-practice projects and programs, reporting experiences with educational programs, and other dimensions of medical informatics. |
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Last Modified:
April 10, 2008
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