iHealth education sessions are practical and to the point. Designed with decision-makers in mind, sessions cover case studies where results are real and measurable. The content is grounded in science, but goes far beyond theory to incorporate the real-world experiences and expectations of clinicians. Keynotes, plenary sessions and special events give attendees time to really network and connect with the people tackling the tough questions and finding the right answers.
8:00 a.m. – 9:30 a.m.
Opening Keynote Presentation
Advancing Research, Development, Care and Economic Impact through Global Partnerships
Therese Murray, Founder, MassIgnite; Former Senate President Massachusetts, Senator, Plymouth and Barnstable District (D)
Technology is critical in advancing the way we deliver health care and manage chronic disease. As global citizens, we are focused on innovation that impacts our economy as well as health and wellbeing. With that in mind, it is critical that we build both national and international partnerships that inspire innovation, expand opportunities for research and development, and help to bring innovative technology to market.
10:30 a.m. – 11:30 a.m.
S01: Lessons Learned from a Vendor EHR Implementation
Ellen Pollack, RN, Chief Nursing Informatics Officer, UCLA Health System
UCLA Health implemented an EHR solution in 3 hospitals, 150 clinics for 16,000 users - both clinical & financial applications on one day! This presentation will share critical success factors such as governance, branding & communications, our readiness program, training strategies, and more. It will also cover challenges and lessons learned for others who are considering a similar journey.
S02: Tools to Facilitate Proactive Risk Assessment of Electronic Health Records
Carl Vartian, MD, MS, Chief Medical Information Officer, HCA Gulf Coast Division
David C. Classen, MD, MS, Chief Medical Information Officer, Pascal Metrics; Associate Professor of Medicine, University of Utah
Gianna Zuccotti, MD, MPH, Clinical Content Director, Partners eCare
Adam Wright, PhD, Scientist, Brigham and Women's Hospital Division of Infectious Disease, Brigham and Women's Hospital
Implementing and maintaining state-of-the-art electronic health records (EHRs) within complex, adaptive healthcare systems is difficult. When one adds in all the new, and ever-changing, externally-mandated rules, regulations, and billing requirements the number of system configuration changes and software upgrades increases considerably. Experienced EHR implementation specialists know that all these system changes and upgrades can lead to unintended consequences and potential patient harm. The goal of this panel is to showcase three, recently developed, tools that healthcare organizations can use to proactively assess the various risks associated with using EHRs with advanced clinical decision support and communication capabilities. Dr. Vartian will lead off and briefly describe the development and evaluation of the SAFER (Safety Assessment for EHR Resilience) guide that focuses on computer-based provider order entry with clinical decision support. Next, Dr. Classen will describe how the AHRQ EHR Flight Simulator (available through Leapfrog) can be used by organizations to assess the compliance of an organization’s clinical decision support system with current best practices for safe and effective care delivery. Drs. Wright and Zuccotti will then describe a tool they have developed to assess a healthcare organization’s ability to mitigate malpractice risk through clinical decision support (CDS), which draws from a large malpractice insurer’s claims database. The panelists will then open the floor for discussion with the audience.
1:00 p.m. – 2:00 p.m.
S03: Leveraging HIT to Improve Patient Safety
Loran Hauck, MD, Senior Vice President, Chief Medical Officer, Office of Clinical Effectiveness, Adventist Health System
This presentation will describe one large national health system's journey to full implementation of a HIMSS Level 7 electronic medical record and how they are learning to leverage their EMR to detect patient adverse events (harm) in a near real time manner and moving toward predicting adverse events before they occur. Data from two published papers describing this work will presented. A vision for the future of patient harm mitigation and prevention will be discussed.
S04: Healthcare Payment Models, Technology and Care Coordination
Todd Rothenhaus, MD, Chief Medical Officer, SVP of Network Knowledge, athenahealth
Kelly Cronin, Director, Office of Care Transformation, Office of the National Coordinator for Health Information Technology
As health care faces a major overhaul, Kelly Cronin and Todd Rothenhaus will discuss the how regulatory change and innovation in health IT have shaped and will continue to shape the overall healthcare system and specifically payment models. Kelly will speak to the transformation happening on the policy level, including innovation happening in and around Centers of Medicare/Medicaid, and existing and potential implications for health IT vendors and medical providers. Todd will speak to the challenges, setbacks and successes the health IT industry and medical providers are facing, drawing on the experience of athenahealth and its clients.
3:00 p.m. – 4:00 p.m.
S05: Evaluating the Outcomes of Health IT
Trenor Williams, MD, CEO & Co-Founder, Clinovations
Deriving clinical, financial, and operational value from healthcare technology investments has emerged as a top organizational priority. Even if an organization has just begun implementation, it’s critical to plan for technology optimization throughout the health IT lifecycle to achieve long-term, measurable results.
During this session, we will discuss how to begin planning for health IT optimization, where to look to identify areas of opportunity to build accountability within your existing infrastructure, and why specific reporting components are important when measuring success. We will review case studies of organizations who have established strategic objectives to move toward realizing value from their health IT investments, while also improving the efficiency and quality of care for their patients.
S06: Innovations Designed to Increase Patient Safety and Dignity and Respect
Patricia Dykes, PhD, RN, FAAN, FACMI, Senior Nurse Scientist, Director Center of Patient Safety Research and Practice, Brigham and Women's Hospital
Adam Sapirstein, MD, Director, Division of Adult Critical Care Medicine for Anesthesiology Department and Co-Director, Surgical Intensive Care Unit, Johns Hopkins Hospital
Priyanka Agarwal, MD, MBA, Assistant Clinical Professor of Medicine, University of California at San Francisco
Kenneth F. Sands, MD, MPH, Chief Quality Officer, Beth Israel Deaconess Medical Center
Four academic medical centers share experiences in rapidly developing innovations designed to provide safer, more compassionate care and how these are integrated within the culture and workflow. Each center takes a systems approach, leveraging technology, people and processes to eliminate preventable harms, including how patients and families are treated in the care they receive. Innovations range from technology designed to alert providers to potential harms before they occur to those that better enable communication and collaboration among patients, families and clinical care teams, such as iPads to inpatients. Work is currently conducted in ICUs yet applicable to any care setting.
4:15 p.m. – 5:15 p.m.
S07: OpenNotes - Getting Patients and Clinicians on the Same Page
Bradley Crotty, MD, MPH, Director of Patient Portals, Associate Program Director for Informatics Training in the Division of Clinical Informatics, Beth Israel Deaconess Medical Center
Jay D. Eisenberg, MD MMI, CMIO, PeaceHealth
OpenNotes is a national initiative working to give patients access to the visit notes written by their doctors, nurses, or other clinicians.
In 2010, more than 100 primary care doctors from three diverse medical institutions across the United States began sharing notes online with their patients. Each site was part of a 12-month study to explore how sharing doctors’ notes may affect health care. The evidence from this study suggests that opening up visit notes to patients may make care more efficient, improve communication, and most importantly may help patients become more actively involved with their health and health care. Now, this evidence has started a movement to enable patients to easily read notes written about their care, and to bring more transparency to medical records.
In this session, we will explore ways in which sharing notes can help patients and clinicians, discuss implementation strategies, and discuss future directions.
S08: Practical Approaches to EHR Governance for Interprofessional Documentation and Communication
Ann O’Brien, RN MSN CPHIMS, Senior Director of Clinical Informatics, Kaiser Permanente
Richard Schreiber, MD, FACP, Chief Medical Informatics Officer, Holy Spirit Hospital
Just as the purchase, implementation, and adoption of electronic records requires a solid governance plan and structure, continued success and optimization of an EHR for documentation, knowledge representation, interoperability, and transitions of care between professionals entails rigorous and effective oversight. Inter-professional governance is critical for learning organizations blending knowledge at the point of care into clinicians' workflow. The panelists in this session will review the development of their governance structure—including successes and failures, and compare and contrast the differing approaches followed by a multi-site enterprise-wide system and at a community hospital. What are the governance features that are successful at a large institution that may or may not be effective in a small single site institution, and vice versa? What are the key drivers for clinician engagement? What structures are needed to build evidence-based best practice protocols to enable highly reliable care and improved outcomes? Is there divergent governance for these types of organizations, or can one formulate a cohesive strategy that works in both settings? The panelists plan for a lively discussion and interaction with the audience to foster new ideas and approaches.
8:00 a.m. – 9:30 a.m.
Jonathan Perlin, MD, PhD, MSHA, FACP, FACMI, President, Clinical Services & Chief Medical Officer, Nashville, Tennessee-based HCA (Hospital Corporation of America)
10:30 a.m. – 11:30 a.m.
S09: First public presentation of the AMIA EHR-2020 Task Force Report
Thomas Payne, MD, FACP, FACMI, Medical Director, IT Services, UW Medicine
Charlene Weir, PhD, Associate Professor, University of Utah Department of Biomedical Informatics
S10: Evidence-based Approaches and Practical Tools for the Never Ending Implementation Journey
Dean F. Sittig, PhD, Professor of Biomedical Informatics, UTHealth Science Center at Houston
Marcy Stoots, DNP, RN-BC, Principal, xG Health Solutions, Inc.
Lydon Neumann, Vice President, Impact Advisors
Implementing and maintaining a state-of-the-art electronic health record (EHR) system is a complex, never-ending journey that requires constant attention. Panel participants will describe their experiences in working with different EHR vendors and various organizations to help them optimize their EHRs to ensure they are working as safely and effectively as possible. Dr. Sittig will lead off and briefly describe an 8-dimension socio-technical framework that has been helpful in learning how to managing the ever changing EHR environment. He will use this model to highlight key aspects of the recently developed SAFER guides. Next, Dr. Neumann will address the never-ending leadership and organizational challenges in this complex environment focusing on the importance of leadership both at the executive level as well as the clinical levels. Dr. Stoots will bring everything together as she discusses best practices and lessons learned as related to workflow optimization and care redesign. She will discuss workflow standardization at the local level and present some tools and tips, leveraging various aspects of the 8-dimensional model and especially, the governance processes Dr. Neumann identified. The panelists will then open the floor for discussion with the audience.
1:00 p.m. – 2:00 p.m.
S11: Geisinger’s Journey to Inter-APP-ability: Using SMArt on FHIR Standards to Connect Clinical Data in Real-Time across Disparate EHR Platforms
Alistair Erskine, Chief Clinical Informatics Officer, Practicing Hospitalist, Geisinger Health System
A Geisinger invented EHR application was initially designed to interact with Epic for chronic disease management. This unique patient centric application, with embedded advanced clinical decision support and workflows, aggregates, stores, and displays clinical data in a meaningful and actionable manner. Geisinger’s use of this application has demonstrated more cost effective decision making and improved quality of care, while at the same time significantly reducing documentation time and improving provider efficiency. This presentation will describe how, by using new SMArt on FHIR standards, Geisinger Health System and xG Health Solutions were able to successfully exchange clinical data previously embedded within Geisinger Epic EHR to the Cerner EHR in real-time. By leveraging these new public APIs (SMArt) and standards (FHIR), new and innovative ways of moving population health management functionality across disparate system becomes possible.
S12: Pi² Award Presentation
The AMIA Provider Innovation in Informatics (Pi²) Award (“the pie award” for short) recognizes physician/nurse leaders and their teams for improving the quality of healthcare delivery—in their institutions and beyond—through the innovative application and dissemination of informatics-related solutions. The innovations they demonstrate may be in the form of internally developed solutions that have broader application or novel and extraordinarily effective applications of existing (commercial) solutions. The Pi² Award recognizes significant achievement in a field that is tasked with materially improving the nation’s delivery of healthcare, a very serious undertaking. This is an opportunity to celebrate the teams and individuals who innovate—and have fun doing it. The Winning Team eats pie for a year! AMIA will have a gourmet pie delivered to the winning team every month for a year. In lieu of a pie award, the winning team may opt to receive a cash award of $500.
2:45 p.m. – 3:45 p.m.
Closing Keynote Panel: "Roguenauts Revelry"
John Halamka, MD, MS, Professor of Medicine, Harvard Medical School; Chief Information Officer, Beth Israel Deaconess Medical Center
Kenneth Mandl, MD, MPH, Professor, Harvard Medical School; Chair in Biomedical Informatics and Population Health, Boston Children’s Hospital
Isaac Kohane, MD, PhD, Co-Director of the Center for Biomedical Informatics, Harvard Medical School; Henderson Professor of Pediatrics and Health Sciences and Technology; Director, Francis A. Countway Library of Medicine
In the spirit of navigating the future of medicine and celebrating empowered patients: the expert team of Drs. Zak Kohane, Ken Mandl, and John Halamka will give you a glimpse of “SMART”(er) platforms, Faster Health Interoperability Resources (FHIR) simplifying eHealth Exchange, and patient mobile app tools like Health Kit’s that foster healthy living. You can be REST(fully) assured and “secure” in knowing, under good “O’AUTH”(ority), that this Bostonian band of brothers is on the leading edge of driving healthcare transformation as SMART Argonauts. All are welcome to view these navigational beacons.