• May 8 - 10, Scottsdale, AZ

    AMIA 2018 Clinical Informatics Conference

    Evidence | Analytics | Best Practice

AMIA 2018 Clinical Informatics Conference Workshops

12:00 p.m. – 5:00 p.m.

WS01: Workshop - Clinical Informatics Fellows' Retreat

B. Levy, Geisinger

It is recognized that successful training for physicians in the field of clinical informatics needs to go beyond informatics topics to include education in various aspects of leadership and management. However, these "soft" areas of informatics training are difficult to teach using traditional postgraduate educational methods such as rotations or passive didactic lectures. We have successfully introduced the concept of interactive case scenarios held during a focused retreat for informatics fellows associated with the AMIA meeting in Chicago in November 2016.

We will hold a one-day retreat for current clinical informatics fellows at the Clinical Informatics Conference in May 2018 where faculty from various training programs will prepare and lead discussions on a variety of leadership and management topics using case-based scenarios, ideally based on real-life situations. Fellows will work individually and in groups to discuss and "solve" the presented scenario.

(The Clinical Informatics Fellows Retreat will continue Tuesday, May 8, 8:00 a.m. – 12:30 p.m.)

8:00 a.m. – 10:00 a.m.

WS02: Workshop - Organizational Issues and Informatics: Translating Theory into Practice

K. Unertl, Vanderbilt University Medical Center; S. Haque, RTI International

Health information technology (HIT) implementation and adoption relies on successfully integrating technology into the context in which it is implemented. The purpose of this workshop is to identify evidence-based practices from organizational studies that can inform HIT implementation and use. Participants will gain an understanding of principles, concepts and frameworks in organizational studies, practice applying them with real-world case studies and identify pathways to application in their own organizations.

WS03: Workshop - How to Properly Onboard Doctors in the Age of Informatics and Digital Health

H. Abbaszadegan, S. Rehman, N. Nachiappan, Phoenix VA Health Care System

In the current climate of informatics and advancement of digital health, doctors/providers need to be properly onboarded to ensure smooth transitions into new health care systems. Proper onboarding can lead to higher levels of efficiency and job satisfaction for new providers. Over the last 2 years, the Phoenix VA Health Care System has overhauled its approach to new providers within our health care system. Onboarding is so much more than in-class training. It involves a 3-day course encompassing live demonstrations with hands-on approach to learning how to navigate the VA Health Care System. Specifically, training is conducted on using informatics data tools, online secure messaging, and proper EHR navigation to mention some of the topics. Beyond the classroom and hands-on training, we pair new providers with mentors to ensure smooth transitions and retention. Our workshop will help you set up a similar New Provider Orientation ("NPO").

10:30 a.m. – 12:30 p.m.

WS04: Workshop - Hands-On Full Life Cycle Data Science Workshop

View the video abstract

S. Johnson, University of Minnesota/Wolters Kluwer Health; T. Winden, Kansas University Medical Center; L. Pruinelli, University of Minnesota

The National Institutes of Health (NIH) supports multiple initiatives for data-driven discovery and for workforce development in data science. Many health care leaders lack a broad understanding of the concepts and resources available to conduct real-world analytic projects that would have the potential to inform health conditions and outcomes. The goal of this workshop is to give leaders a foundation for understanding data science principles and tools to inform decision-making. This is an intermediate level, hands-on workshop where participants will learn all phases of a data science project in order for them to have a better overall understanding and to improve collaboration with data science staff at their organization. Participants will be given access to materials prior to the workshop so that they can pre-load their laptops with the workshop toolset. The workshop will use the CRoss-Industry Standard Process for Data Mining (CRISP-DM) approach to big data science combined with the latest tools and machine learning to take participants through a complete big data science exercise. Participants are expected to have a basic understanding of analytics and informatics, but are not required to have any experience with data science tools since the instructors will guide them through the entire process. They will undertake a data science project with an emphasis on data preparation, exploratory data analysis and building a machine learning model using the Python, scikit-learn and Apache Spark toolset. The workshop will conclude with a discussion of the complete decision science life cycle including how the results of the model can be translated into decision support tools and then how patient outcome data is used to assess model performance.

WS05: Workshop - Operational and Practical Aspects of Clinical Knowledge Management

D. Aronsky, Vanderbilt University/Semedy; A. Ozdas-Weitkamp, Vanderbilt University; S. Maviglia, Brigham and Women’s Hospital/Harvard Medical School/Semedy; D. Wenke, Semedy; R. Rocha, Semedy/Brigham and Women’s Hospital/Harvard Medical School

Healthcare institutions build increasingly large amounts of clinical knowledge assets. They are responsible for the accuracy, transparency and updating of the content. Inconsistent, incomplete and outdated clinical knowledge assets represent unnecessary patient safety risks. Unfortunately, many organizations limit their knowledge management activities to a reactive and an ad-hoc approach, lacking a formal content review and maintenance process and a system that supports an institution-wide knowledge management strategy. This workshop will provide an introduction to clinical knowledge management topics that include the cataloguing of knowledge assets; authoring and modeling of metadata; managing relationship and dependencies among data; importing and exporting knowledge assets from and to other clinical applications; guaranteeing structural and semantic integrity when knowledge assets change; and comprehensive asset lifecycle process. The workshop includes practical experiences, challenges and lessons learned.

1:30 p.m. – 6:00 p.m.

WS06: CMIO Workshop - CMIO Workshop - Leading Clinical Informatics Initiatives: How to Successfully Tackle Challenges and Build Resilience

J. Hollberg, Emory University; P. Fu, Harbor-UCLA Medical Center

More than 1,400 physicians were board certified in clinical informatics by the American Board of Preventive Medicine during the first 4 years of subspecialty certification and are now required to participate in the ABPM Clinical Informatics Maintenance of Certification program.[i] There are 24 Clinical Informatics Fellowship Programs accredited by the Accreditation Council for Graduate Medical Education.[ii] In addition to state-of-the-art applied clinical informatics training, physicians also need to learn leadership skills that are essential to being a successful CMIO or informatics leader. The CMIO Workshop will focus on specific techniques to improve: your relationship with your boss, colleagues, and employees; meeting management; and conflict resolution. Because of frustration with EHRs and limited resources, clinical informatics leaders must also develop their resiliency and creative ability to secure resources. During the workshop, we will also discuss ways to address frustrated colleagues, increase your bandwidth, and improve your relationship with your organization's CNIO. Techniques to optimize and implement optimal clinical decision support will also be used as a case study for applying leadership skills in conjunction with informatics knowledge. Didactic presentations will be integrated with small group and broad structured group discussions. The CMIO workshop includes practical offerings that participants can integrate into their daily workflow and help their organizations realize the potential benefits of health IT.

WS07: Get Your Hands on FHIR

L. Heermann Langford, Intermountain Healthcare; R. Leftwich, Intersystems Corporation

HL7® Fast Healthcare Interoperability Resources (FHIR®) is the most talked about addition to healthcare interoperability since networked computers. This workshop is targeted toward clinicians wishing to move beyond the basics into an intermediate understanding of FHIR®. It is also intended to make the audience aware of the potential of FHIR® for innovation in their organizations. The intent of this Clinicians on FHIR® exercise is to help fellow clinicians understand more about FHIR and how to apply it to clinical care. In this 4 hour workshop we will review the basics of FHIR® in a brief high level overview. After this initial overview, the attendees will be guided through using an online tool, ClinFHIR, to examine HL7 FHIR Resources (the basic building blocks of FHIR) and build FHIR Profiles (implementation guides for specific use cases). Examples of applications developed using the SMART on FHIR platform will also be discussed. A basic understanding of FHIR is not required but will be helpful to get the most out of the workshop. Please bring a laptop to get the most out of the workshop. Tablets and phones are not sufficient for the tools being investigated.

1:30 p.m. – 3:30 p.m.

WS08: Workshop - How to Effectively Negotiate the Outcomes You Really Desire?

S. Rehman, Phoenix VA Healthcare Systems/University of Arizona College of Medicine- Phoenix; H. Abbaszadegan, University of Arizona College of Medicine- Phoenix/Phoenix VA Healthcare Systems

Research suggests that great leaders are great negotiators. They resolve seemingly intractable disputes and yet enhance working relationships. Their negotiation and communication skills determine their effectiveness. Physicians are expected to negotiate with a vast array of third parties, including government, health plans, EMR and pharmaceutical companies etc. Isn’t it time for all medical professionals to get trained in negotiation skills?

Law, business and public policy schools offer classes in negotiation. The ability to negotiate requires a collection of interpersonal and communication skills used together to bring a desired result. It’s about exploring underlying interests and positions to bring parties together in a constructive way. It’s about creative, innovative thinking to create lasting value and forge strong professional relationships. It’s about investigating what is behind positions that may seem irrational at first to understand the problem behind the problem.

This 2-hour highly interactive and entertaining session provides tools for identifying individual communication preferences, delivery methods, conflict resolution styles as well identifying best practices and “best alternative to a negotiated agreement” (BATNA).

The session is interactive and involves exercises and activities that will allow the participants to practice the new skills.

Program Deliverables:
Do you want to negotiate salary increase with your boss? Or do you want to win an argument with your spouse? Learn negotiation skills to help you get what you want while also building and preserving better relationships with family members, bosses, coworkers, stakeholders etc.

During this session participants will learn to identify, discuss and practice a variety of negotiation and conflict resolution skills necessary for leadership development. Participants will also discover their own conflict resolution style and best approaches when faced with a variety of challenging scenarios.

4:00 p.m. – 6:00 p.m.

WS09: Workshop - Designing Outpatient Clinical Decision Systems for High Use Rates, Provider Satisfaction, and Improved Care: Lessons from Meta-Analyses and Experience

P. O'Connor, HealthPartners Medical Group/HealthPartners Institute; J. Sperl-Hillen, HealthPartners Institute

The potential of outpatient electronic health records (EHRs) to improve chronic disease outcomes has long been recognized, but rarely realized. Although prompts and reminders have been shown to increase test ordering and immunization rates, recent meta-analyses confirm the low impact of outpatient CDS systems on key intermediate outcomes of care such as glucose, blood pressure, or lipid control in adults with high cardiovascular risk. We first review the literature to identify key design and implementation features associated with CDS success. In the context of this literature, we provide a detailed description of the development, implementation, and maintenance of a series of Web-based EHR-linked outpatient CDS systems that (a) are currently used by 4 large medical groups with > 2 million patients, (b) are used at 70-80% of targeted visits, (c) have 95% primary care provider satisfaction rates, and (d) have significantly improved BP, glucose control, and cardiovascular risk in a series of NIH-funded randomized trials. We will also discuss the relative effectiveness of various training, incentive, and feedback strategies designed to promote sustained high CDS use rates.

Workshop participants will be invited and encouraged to share their own experiences and insights as users and/or developers of clinical decision support systems in primary care. Of particular interest are insights on factors that either facilitate or impede design, implementation, and sustained use of successful primary care CDS systems.

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