AMIA 2014 Late Breaking Sessions

Monday, November, 17

8:30 a.m. – 10:00 a.m.

LB01: AMIA Task Force on Status and Future Direction of EHRs: Early Findings and Your Thoughts

Room: International Ballroom West, Concourse Level
Theme: Clinical Informatics

T. Payne, University of Washington; M. Zaroukian, Sparrow Health System; S. Corley, NextGen; D. McCallie, Cerner Corporation; T. Cullen, Veterans Health Administration

In the last five years, EHR adoption in the United States has risen dramatically, and with it the potential to enhance safety, quality and efficiency of care delivered to Americans. Reaction from clinician users of EHRs has been mixed; the professional and general literature include reports of changed patient-provider interaction, time requirements, and note quality. AMIA and its members have been leaders in the world of EHRs since the beginning.  For these reasons, this is an opportune time for AMIA and its members to reflect on current status of EHRs, needed future directions and what AMIA should be doing to shape that future.

AMIA’s Board charged the EHR 2020 Task Force to “create recommendations to assure EHRs fit well into evolving workflow of health care delivery, support team-based care, enhance productivity and safety, and are as easy as possible to adopt, and to advise the AMIA Board on how to advance these recommendations.” The EHR-2020 Task Force includes 12 members with diverse backgrounds (see AMIA website for detail) and has met 5 times by phone and in person to begin to craft AMIAs view of the current status of EHRs, vision for the future and recommendations to our Board to make it happen.  In this session we'll present our early findings and recommendations, and most importantly listen to your ideas on how we can achieve the potential for EHRs for which we have worked so hard for over several decades.

10:30 a.m. – 12:00 p.m.

LB02: IOM Recommends Social and Behavioral Domains and Measures for Electronic Health Records

Room: International Ballroom East, Concourse Level (not eligible for Dental CEs)

P. Flatley Brennan, University of Wisconsin – Madison; G. Hripcsak, Columbia University; D. Crews, Johns Hopkins University School of Medicine; other panelists TBA

Stage 3 Meaningful Use requirements call for including in all Electronic Health Records key indicators of the social and behavioral determinants of health. More importantly, attending to the social and behavioral determinants of health may reverse the trend of premature death arising more from these factors than from genetics or health care errors. This late-breaking session will present the just-released report from the IOM Committee on Recommended Social and Behavioral Domains and Measures for Electronic Health Records.  Patti Brennan, RN, PhD and George Hripcsak, MD, MS will be joined by fellow committee members to reveal the specific domains and recommended measures, explain the committee selection and recommendation process, and explore the informatics processes need to demonstrate attestation of this requirement.

1:45 p.m. – 3:15 p.m.

LB03: The Healthcare Services Platform Consortium – An Opportunity to Foster Truly Interoperable Health Care Applications

Room: International Ballroom East, Concourse Level (not eligible for Dental CEs)

R. Greenes, Arizona State University and Mayo Clinic; J.M. Overhage, Siemens Health Services; J.  Nebeker, US Veteran’s Health Administration; O. Diaz, Harris Corporation Healthcare Solutions; S. Huff, Intermountain Healthcare

After more than a year of planning, the Health Services Platform Consortium (HSPC) has been incorporated as a non-profit entity consisting of providers and vendors that are dedicated to fostering the development and use of interoperable applications in health care. The Consortium’s goal is to respond to needs of health care organizations in the era of health care transformation that are not met by existing systems, and to facilitate development and evolution of products and services for these needs.  The primary strategy is to establish a middle tier of standards-based services for data access, privacy and role-based authentication of users along with other capabilities to support business process management and decision support. The HSPC has adopted the HL7 FHIR model for data access. It enables the EHR integration of SMART apps and also applications with additional functionality enabled by the expanded range of middle-tier services to be available. FHIR profiles are based on standardized detailed clinical models that are tightly bound to LOINC®, SNOMED CT®, and RxNORM, The success of the venture will depend on persuading commercial EHR vendors to support the standards-based services as part of their infrastructure. This session will discuss founding principles and status of the organization, the potential marketplace, the technical approach, applicability to VA and other use cases, the role of sandboxes to support development, and a perspective from an EHR vendor.

Tuesday, November 18

8:30 a.m. – 10:00 a.m.

LB04: HIT Standards: A Year of Change, Innovation and Challenges

Room: Georgetown, Concourse Level

(not eligible for Dental CEs)

W. Hammond, Duke University School of Medicine; S. Huff, University of Utah School of Medicine/Intermountain Healthcare; D. Fridsma, AMIA; C. Chute, Mayo Clinic; S. Posnack, ONC; C. Jaffe, Health Level 7

Interoperability is hard. Data breaches, failed deadlines for Meaningful Use and ICD-10, and the demise of the joint VA-Military Medicine EHR have been but a few of the challenges for healthcare IT. Some of the needs of patients, providers, and payers went unmet. For many, the dramatic evolution of HIT standards remains a bright light. From CIMI to FHIR, from ICD-11 to SNOMED, and from the ONC Interoperability Roadmap to the report of the JASON Task Force, there is growing optimism about the future of health IT interoperability. 2015 may yet be the breakthrough year.

3:30 p.m. – 5:00 p.m.

LB05: Translational Bioinformatics (TBI) Highlights

Room: Lincoln East/Monroe

R. Altman, Stanford University; N. Sarkar, University of Vermont; other participants to be announced

As a new feature at this year’s Annual Symposium, the Translational Bioinformatics (TBI) Highlights is an abbreviated version of the popular TBI Year In Review that is presented annually at the Joint Summits on Translational Science. The TBI Highlights will feature key developments that have been reported in the last year, with an eye towards potential advancements in the next year. This session will also include a panel discussion reflecting the perspectives of TBI thought leaders, including past chairs of the TBI Summit.

Wednesday, November 19

8:30 a.m. – 10:00 a.m

LB06: Patient Engagement and Beyond:  Opportunities for Collaboration between AMIA and the Society of Behavioral Medicine (SBM)

Room: International Ballroom Center, Concourse Level (Not eligible for Dental CEs)

D. Ahern, Brigham and Women’s Hospital; E. Hekler, Arizona State University; E. Beckjord, University of Pittsburgh Cancer Institute; B. Hesse, National Cancer Institute

AMIA is the leading national organization that supports advancing the science and practice of informatics.  The Society of Behavioral Medicine (SBM) is the leading national organization concerned with the development and integration of behavioral, psychosocial, and biomedical science knowledge and techniques relevant to the understanding of health and illness, and the application of this knowledge and these techniques to prevention, diagnosis, treatment, and rehabilitation.  Within SBM, the Technology Special Interest Group (formerly named Behavioral Informatics) is focused on the intersection of informatics, technology, and the application of evidence-based approaches drawing from behavioral theories and models.  Recently, the governing Board of SBM approved the creation of the Digital Health Council to elevate the importance of behavioral informatics in advancing the mission and goals of SBM.  In turn, there are an increasing number of members of SBM who are also members of AMIA and who already recognize the synergy in the activities between the two organizations.  The time is right to stimulate more collaboration between the membership of AMIA and SBM.  This panel will include presentations that illustrate the type and nature of work undertaken by interdisciplinary teams of biomedical informaticians, behavioral scientists, computer scientists, and engineers that span AMIA and SBM domains of interest to address current and future challenges in the field of informatics.  Panel members will invite the audience to discuss practical ways to foster greater collaboration between the two organizations.