LB01: Late Breaking Session - The Future of Clinical Data Capture and Documentation: Highlights from the 6th Annual AMIA Invitational Health Policy Meeting
Sunday, November 4 3:30 p.m. – 5:00 p.m. Room: Continental A
D. K. Vawdrey, Columbia University Medical Center; C. M. Cusack, Insight Informatics; G. Hripcsak, Columbia University Medical Center; J. M. Walker, Geisinger Health System; C.Weaver, Gentiva Health Services
In December 2011, AMIA convened its annual Invitational Health Policy Meeting. The meeting focused on the future state of technology-enabled clinical data capture and documentation. This panel discussion will summarize highlights of the meeting, including the current state and ideal future state of clinical data capture and documentation, along with seven proposed Guiding Principles for achieving the future state. The panelists will address the financial, technological, workflow, operational, and clinical challenges that impede progress in this area.
Among the challenges identified by meeting participants were concerns that documentation and data capture processes, practices, and requirements are heavily and inappropriately influenced by payment and liability concerns instead of being focused on direct care delivery, health promotion and prevention. Meeting participants also noted that clinical data capture and documentation is essential to promote communication and coordination within and across clinical teams. The panelists will describe proposed public policy recommendations (as ratified by the AMIA Board of Directors) that resulted from the meeting discussions, as well as a proposed agenda for future research in this area. Ample time will be provided for panel discussion and audience questions.
LB02: Late Breaking Session - Update on the Subspecialty Certification in Clinical Informatics: Panel Presentation with AMIA and the ABPM
Sunday, November 4 3:30 p.m. – 5:00 p.m. Room: Continental B
W. Hersh, OHSU; C. Safran, Beth Israel Deaconess Medical Center/Harvard Medical School; J. Starren, Northwestern University Biomedical Informatics Center; J. Lipsman, W. Greaves, American Board of Preventive Medicine
AMIA and the ABPM are working together to build the subspecialty of Clinical Informatics which has received American Board of Medical Specialties approval under the administration of ABPM and with the American Board of Pathology. Program requirements for fellowship are being developed by the ACGME. Eligibility to sit for the examination will be through a Practice Pathway for the first 5 years of the examination, to begin in 2013.
This session will discuss specifics regarding the rules for acceptance as a candidate to sit for the initial certification examination, as well as for the four parts required for recertification under Maintenance of Certification: professionalism, lifelong learning, cognitive examination, and practice performance.
The ABPM is a member Board of the American Board of Medical Specialties. The ABPM currently offers certification in the specialty areas of Aerospace Medicine, Occupational Medicine, and Public Health/General Preventive Medicine and in the subspecialty areas of Medical Toxicology and of Undersea and Hyperbaric Medicine.
LB03: Realizing a National Learning Health System
Monday, November 5 10:30 a.m. – 12:00 p.m. Room: Continental A
Charles P. Friedman, University of Michigan, Jeff Brown, Harvard Pilgrim Research Institute, Robert Kolodner, Open HealthTools, Jonathan Silverstein, NorthShore University Health Center
On May 17 and 18, 2012, in Washington, D.C., the Joseph H. Kanter Family Foundation (KFF) convened a two-day Learning Health System (LHS) Summit with over 80 prominent individuals representing organizations and stakeholders across the health care and health IT communities. Participants worked together to begin laying key foundational elements that promise to harmonize and coalesce cutting-edge work presently underway into a national-scale LHS. Utilizing a definition developed by the Institute of Medicine (IOM), a “Learning Health System” is defined as “one in which progress in science, informatics, and care culture align to generate new knowledge as an ongoing, natural by-product of the care experience, and seamlessly refine and deliver best practices for continuous improvement in health and health care.”
Achievement of a national-scale LHS will improve health care quality by streamlining research, by supporting public health, by advancing patient safety, and by empowering clinicians and patients alike to make better-informed health decisions through enabling investigators to study what works best for every disease for every patient. Through a learning system, new biomedical knowledge will find its way very quickly into health care.
Participants in the two-day Summit began working toward achieving multi-stakeholder consensus on a set of principles that would underlie the development of a national-scale LHS benefiting stakeholders across the health care spectrum. Summit participants represented organizations and stakeholder groups including: patient advocacy and consumer organizations, provider organizations, research organizations, government agencies, payers, clinicians, the pharmaceutical industry, health IT vendors, philanthropic organizations, professional associations, research initiatives and organizations, and thought leaders.
This late breaking session will describe this historic activity, articulate the outcomes of the summit, and provide information about areas of consensus which led to the endorsement of “Core Values” by several stakeholder organizations. AMIA has formally endorsed the Core Values of the LHS.
LB04: PCORI – Advancing the Use of Data in Patient-centered Outcomes Research
Tuesday, November 6 10:30 a.m. – 12:00 p.m. Room: Continental A
Susanne Bakken, Columbia University, Lucila Ohno-Machado, University of California San Diego, David Meltzer, University of Chicago, Regina Greer-Smith
The Patient-Centered Outcomes Research Institute (PCORI) was created to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed health care decisions. PCORI is developing research methods that support the engagement and meaningful inclusion of patients at every step of the research process. Our legacy will include standards for research that anyone can use to address the health outcomes that matter to patients.
Patient-Centered Outcomes Research helps people and their caregivers communicate and make informed health care decisions, allowing their voices to be heard in assessing the value of health care options. This research answers patient-centered questions such as how can clinicians and the care delivery systems they work in help me make the best decisions about my health and healthcare?
This late breaking will discuss the PCORI movement and the role of informatics in enabling a focus on research with a true focus on the patient experience.
LB05: Interoperability: Why is it Taking so Darn Long?
Tuesday, November 6 3:30 p.m. – 5:00 p.m. Room: Continental A
Gil Kuperman, New York Presbyterian Hospital; Harry Solomon, GE Healthcare; Ross Koppel, University of Pennsylvania; Charles Jaffe, HL7, Joshua Mandel, Children’s Hospital Boston, Douglas B. Fridsma, Office of the National Coordinator for HIT
Questions abound around why it’s taking so long to achieve practical interoperability in the US health system? Patients and their advocates wonder why can’t the records of care at one institution easily be merged with the records of care somewhere else? Or why can’t health information interoperate on the Internet the way that so many other types of industries do? Those in the industry debate the level of difficulty around technical problems and standards.
AMIA 2012 SPC Chair Bill Hersh, MD, asked recently “is it something inherent in the nature of clinical data, such as concern for privacy or the economic aspects of healthcare that lead to organizations not wanting to share data?”
This panel will examine the potential for interoperability to improve care, the role of standards organizations in advancing interoperability and what is needed beyond standards per se to support interoperability-based use cases. Whoever or whatever is at fault, the problem is that in the eyes of many, including AMIA members, interoperability is not happening fast enough. In other words “why is it taking so darn long?”