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2011Teleconference Schedule

(v 2011-10-26)

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Find materials for these teleconferences at our website via "Members Only/Teleconferences"

January 11, 1-2 pm CT

Meaningful Use: What has Changed since the "Final" Rule?

Erica Drazen Managing Partner, Emerging Practices, and Jason Fortin, Senior Research Analyst, CSC, discuss what has changed since the Final Rule was published in July 2010, with an emphasis on the most frequent points of confusion and what clarifications have been issued by ONC and CMS.

January 13, 1-2 pm CT

Using the SI IT Benchmarking Database

Gordon Rohweder, Ricki Levitan, and Shelli Williamson, Scottsdale Institute, conduct a review of the 2010 SI IT Benchmarking project, including a brief overview and Q&A on the normalization process. During the open discussion, participants comment on results they found, how they are/will use the data, and any insights they may have received by contacting peer organizations regarding similarities or differences in IT structure or costs.Members from organizations that did not participate in the project are invited to attend this session to learn more about the benefits of the SI Benchmarking Program. And you can gain access to the results by contributing your data now; click here to request a password for data entry.

January 17, 1-2 pm CT

SI-Cerner Users Collaborative No. 28: Driving Change and Value with Dragon Medical

Adem Arslani, BSN, MS, Director of Information Systems & Clinical Informatics, AdvocateIllinoisMasonicMedicalCenter, and Joel Shoolin, DO, VP Clinical Informatics, Advocate Health Care. AdvocateIllinoisMasonicMedicalCenter is migrating from handwriting and transcription to adoption of speech recognition and physician structured documentation. Dr. Shoolin and Adem discuss the complexities and flexibility required for successful implementation of Dragon Medical.

January 18, 1-2 pm CT

Building Advocate’s Health Information Exchange with Community Physicians

John Norenberg, Vice President of Physician Services, Information Systems, for Advocate Health Care, is responsible for the coordination and delivery of information technology tools to Advocate’s diverse physician population.A key component to any HIE strategy will be the connection to EMR systems in physician’s offices. Two years ago, Advocate began developing the capabilities to connect their large independent physician population into a corporate HIE and are now successfully implementing it. This discussion focuses on how the technology was developed and the unique challenges Advocate faced and overcame.

January 20, 1-2 pm CT

Clinical Decision Support: Impact of Order Set Content for CPOE, Reference Content, and Real Time Alerting of at Risk Patients

Jason Hess, General Manager of Clinical Research for KLAS discusses what providers are currently doing in terms of electronic clinical decision support (CDS), the vendors they are using (including CPMRC, DynaMed, FirstDataBank, Lexi-Comp, Micromedex, MD Consult, Multum, ProVation, UpToDate, Zynx Health, etc.), and where they feel this vital and quickly developing market is headed. This presentation divides the many different forms of CDS into five key areas: evidence-based order sets, multi-parameter alerting, evidence based nursing care plans, evidence-based reference content, and drug information databases. Jason shares insight into how providers are utilizing CDS in terms of meaningful use, improved physician workflow and ultimately better patient care.

January 25, 1-2 pm CT

Patient Protection and Affordable Care Act: Impact of 2010 Midterm Elections

Paul H. Keckley, Ph.D., Executive Director, Deloitte Center for Health Solutions, John Bigalke, Vice Chairman and US National Industry Leader, Health Sciences & Government, and Steve Burrill, also of Deloitte LLP.The Patient Protection and Affordable Care Act, passed March 23, 2010, is the law of the land; its repeal is unlikely though amendments, technical corrections, and changes are certain. At the federal level, implementation is proceeding with more than 77 major provisions already completed and dozens of others underway. In parallel, state legislators are tackling new responsibilities - oversight of insurance premiums, delivery system consolidation, creation of health exchanges, improvements in public health programs and more. The results of the mid-term election impact efforts at both the Federal and State levels even as the industry’s stakeholders create strategies to adapt to the “new normal.” In this session, we share with participants up-to-date insight about the implementation of PPACA, and provide direction about possible changes relevant to decision-makers in the industry.

January 26, 11 am-Noon CT

Madison WI Emergency and Urgent Care HIE Saves Time and Money

Dave Lundal, V.P. & Regional CIO, SSM Integrated Health Technologies, SSM Health Care of Wisconsin, and Annette Fox, Director of Clinical Systems, Dean Health System and SSM of Wisconsin, describe a pilot project among area hospital emergency services and urgent cares. Dean Clinic, Group Health Cooperative, MeriterHospital, St. Mary's Hospital, and UW Health now have electronic access to vital information from patients' electronic medical records - when it's needed most, no matter what hospital or urgent care they visit - provided patients consent. The clinical summary provides an overview of the patient including Allergies, Medications, Immunizations, Clinic and Hospital Visits, Medical, Surgical, Family and Social History, Lab results, Medical imaging and EKG results and Procedures. Dave and Annette describe the collaboration effort, implementation challenges, benefits to the patient and how this factors into SSM/Dean Clinic reform and Meaningful Use strategies.

February 1, 1-2 pm CT

ICD-10: Lessons Learned from the Field

Chris Armstrong, Principal, Deloitte Consulting, LLP, Vickie Monteith, RN, Director, Deloitte & Touche, and Chris Davis, Director Deloitte Consulting, provide insight into the implementation phase of the ICD-10 regulations based on experience through work with numerous ICD-10 clients. This team focuses the discussion on the following:What should providers be thinking about after the assessment phase?What are some of the strategic decisions that must be made by provider organizations post assessment and before implementation can begin?How can providers make the most of a Project Management Office and what should be included for a successful implementation?What should providers be thinking about in terms of training and staff resources?What are some of the lessons learned and benefits that providers can expect to see during and post implementation of ICD-10?

February 3, 1-2 pm CT

Improving Patient-Provider Communications to Reduce Re-Admissions

Ken Jarvis, Manager Health & Life Science Industries, Randy Hickel, ECMP CHP, Healthcare Market Development Consultant, and Avi Greenfield, Product Manager,HP, discuss how the right patient communications technology can help providers be successful in a post-reform environment. They demonstrate how to significantly reduce hospital readmissions, improve patient outcomes, and promote quality transition care with intelligent discharge plans and other dynamic communications while meeting health reform requirements and achieving the long-term goals of safe, high-quality care.

February 4, 1-2 pm CT

Meaningful Use: What has Changed since the "Final" Rule and the Proposed Requirements for Stage 2

Erica Drazen, Managing Partner, Emerging Practices, and Jason Fortin, Senior Research Analyst, CSC, discuss what has changed since the Final Rule was published in July 2010, with an emphasis on the most frequent points of confusion, what clarifications have been issued by ONC and CMS, the rule for permanent certification organizations, and the proposed requirements for Stage 2.

February 8, 1-2 pm CT

Meaningful Use: A Roadmap to Safe, Efficient and Effective Care

David Classen,MD, Vice President, CSC, and Associate Professor of Medicine Infectious Diseases, University of Utah, and Robert Reese, Global Health Solutions Group,CSC, discuss how to integrate specific meaningful use and health reform requirements into the overall journey to achieve the long-term goals of safe, high quality and affordable care.

February 10, 1-2 pm CT

Project Management Office: Strategy and Approach Discussion

Steve Sarros, VP Project Management and Logistics, Spectrum Health, facilitates a discussion about how SI member organizations are structuring the PMO, including: alignment of the PMO with the strategic plan, capital planning, and regular financial reporting. The session includes how the structures support both general operations and those functions with traditionally strong project management such as Facilities and IT functions. Other topics include assessing resource capacity and staffing, and centralization vs. decentralization of functions. Please attend to contribute your organization’s perspective as well as learn how others are approaching PMO.

February 28, 1-2 pm CT

SI-Cerner Users Collaborative No. 29: Regulatory Landscape Update - Meaningful Use and Healthcare Reform

Roy Foster, Practice Manager, Regulatory Compliance, Cerner.During this discussion, Cerner’s Regulatory Compliance group provides an update on the very dynamic regulatory landscape. The latest attestation strategy considerations, meaningful use beyond stage 1, healthcare reform programs with a deeper dive on Value Based Purchasing are among the topics covered in this presentation and open discussion.

March 1, 1-2 pm CT

How ICD-10 will Impact Provider Information Technology Organizations

Christine Armstrong, Principal, Tom Foley, Principal, and Chris Davis, Deloitte Consulting LLP and Deloitte & Touche LLP.ICD-10 will impact healthcare providers across many departments including finance, operations and Information Technology (IT). The IT organization will be specifically impacted in multiple ways from system updates and replacements to vendor tracking. IT leadership will need to inventory all the systems, databases, interfaces, and reports to determine the impact of the ICD-10 code change. Additionally, collaborating with business owners, technology function leaders will need to contact software vendors to determine their ICD-10 remediation plans and develop testing plans and timelines to accommodate both vendor and custom developed systems. Solutions related to “cross-walk” options and/or dual processing will need to be considered as part of an overall plan for remediation. Furthermore, the implementation and testing of 5010 transaction updates to accommodate ICD-10 will be occurring concurrent to this planning process and will need to be completed to enable the ICD-10 transition. Providing input to decisions such as evaluating Computer Assisted Coding (CAC) vendors as a tool for providers who are interested in implementing this technology to assist with the ICD-10 remediation efforts will be essential. As part of this teleconference, Deloitte Consulting shares their experiences from client service work with healthcare provider organizations where they have assisted with technology focused ICD-10 assessment and remediation efforts.

March 8, 1-2 pm CT

The Future of Healthcare: Disruptive Innovation

Fran Turisco, Research Principal, Emerging Practices, CSC. Our health system is strained by a growing aging population, a shortage of care providers, more people suffering from chronic conditions, fragmented care management and rising costs - and needs disruptive changes to address these major problems. "The Future of Healthcare: It's Health, then Care" presentation is based on research recently published by CSC's Leading Edge Forum and will discuss five emerging trends and supporting technologies that are re-shaping and moving the industry from a care-first to a wellness-first perspective. The presentation takes a holistic view of healthcare - putting the patient at the center, and links future healthcare technologies to the foundational EHR work in progress at many healthcare organizations. The five trends and the technologies described in these trends include: E-Power to the Patient, Earlier Detection, High-Tech Healing, Resources: More, but Different, and a Global Healthcare Ecosystem.

March 15, 1-2 pm CT

Tools for Identifying Patients at High Risk for Venous Thrombo-Embolism

Scott C. Woller, MD, FACP, Medical Director, Anticoagulation Management Services, Intermountain Healthcare Urban Central Region, Co-Director Venous Thromboembolism Program, Intermountain Medical Center. Dr. Woller discusses research occurring within Intermountain Healthcare to promote the use of EMR interrogation techniques identifying hospitalized patients at risk for venous thromboembolism (VTE) and shares preliminary data identifying risk factors most predictive of VTE among hospitalized medical patients.

March 17, 1-2 pm CT

Norton Healthcare ACO Development and Informatics Implications

Steve Heilman, MD, Chief Medical Information Officer, Norton Healthcare.In 2009, Norton Healthcare and Humana, Inc. began working together to develop the first commercial Accountable Care Organization in the region.This joint effort represents one of four national pilot sites for the Brookings-Dartmouth ACO Pilot Project. The ACO model establishes incentives for health systems to increase quality and efficiency, better coordinate patient care, eliminate waste and reduce the overuse and misuse of care. Dr. Heilman discusses the development of the IT infrastructure necessary to support this effort and some early improvements in clinical outcomes achieved by making data more transparent to physicians.

March 21, 1-2 pm CT

SI-Cerner Users Collaborative No. 30: Leveraging Multum Alerts in CPOE to Achieve Leapfrog Certification

Philip A. Smith, MD, VP, Chief Medical Information Officer, and Matthew Lord, Pharm.D., PharmNet Application Manager, Adventist Health System and AHS Information Services. Adventist Health System started its rapid deployment of CPOE starting in mid 2009 and leveraged Multum and Discern alerts to obtain “fully implemented” Leapfrog status six weeks after first CPOE go live. AHS discusses its journey to enhance medication safety through Multum and Discern Alerts and their journey to refine and reduce nuisance alerts. They also discuss strategy and efforts to reduce false positive alerts as well as their CPOE dashboards which are updated daily, and make a case for why you should have these alerts turned on in your CPOE environment.

March 23, 1-2 pm CT

Internal Wireless Voice Communications Systems: Improving Patient Care and Satisfaction by Staying Connected

Jeremy Goff, Research Director, KLAS, Orem, UT.Many healthcare executives are adopting VoIP and Wi-Fi technology cautiously, while questioning the best way to incorporate wireless solutions at their facility. Jeremy shares recent findings collected from more than 110 provider organizations about the strengths and weaknesses of the wireless systems used in their facilities. In this presentation he explains the depth of their wireless configuration and how the technology is being used to improve patient care and better meet clinician expectations. This report is KLAS’ inaugural investigation into healthcare technology infrastructure.

March 24, 1-2 pm CT

CCHIT New Federally Authorized EHR Alternative Certification

Karen Bell, MD, Chair, Alisa Ray, Executive Director, and Pat Becker, EACH Program Director, CCHIT. As healthcare providers anticipate the benefits of federal incentive payments for meaningful use of certified EHR technology, some face an unexpected hurdle. Many will be able to meet the EHR certification requirement through use of certified EHR technology purchased from vendors, but many may need to achieve it on their own. The EHR Alternative Certification for Healthcare Providers, or EACH™ program, an ONC-ATCB 2011/2012 certification for already installed EHR technology, is designed to meet the needs of healthcare providers who have uncertified legacy software, customized commercial products, or have developed their own EHR systems to suit their individual needs. This educational presentation explores the requirements for certification and informs participants about the steps they need to take if they cannot wholly rely on vendor certified products to meet this need.

March 28, 1-2 pm CT

Implementing CDS Rules with Structured Care Recommendations (eRecommendations)

Jerry Osheroff, MD, AHRQ eRecommendation Project Director, Thomson Reuters; Robert E. Murphy, MD, Chief Medical Information Officer, Memorial Hermann Healthcare System; and Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane Community Health Centers, discuss how an HIT project funded by the Agency for Healthcare Research and Quality (AHRQ) and supported by ONC staff can contribute to the process of developing CDS rules for performance improvement generally, and Meaningful Use in particular. This presentation provides the latest information about what the project is producing for clinical information system suppliers and CDS implementers and how to engage with the initiative. Presenters also speak about the insights of care delivery organizations that have pilot tested the eRecommendations format and about how these tools have been received to date by a broad range of stakeholders in the CDS value chain.

April 4, 2-3 pm CT

Leapfrog RAND Update by David Bates, MD

David W. Bates, MD, M.Sc., Chief, Division of General Medicine, Brigham and Women's Hospital and Medical Director, Clinical and Quality Analysis, Partners Healthcare System, and Shobha Phansalkar, also of Partners Healthcare System, David C. Classen, MD, MS, Vice President, CSC, and Associate Professor of Medicine and Consultant in Infectious Diseases, School of Medicine, University of Utah, present the 2011 Leapfrog recommended DDI alerts and other updates to the Leapfrog testing process. They also review the early results from the RAND Advancing CDS project, and discuss the potential implications of this work on Leapfrog and other standards.

April 12, 1-2 pm CT

Quality Measures for Stage 1 of Meaningful Use: The Data Capture Challenge

Erica Drazen, Managing Director for Emerging Practices, and Jane Metzger, Principal Researcher, Emerging Practices,CSC. The devil is truly in the details when it comes to the quality reporting requirements of HITECH meaningful use. In order to gain some insight into one challenging aspect of the requirement - data capture -CSC has deconstructed both the hospital and eligible professional quality measures for Stage 1 into the unique data elements. Based on that analysis, they review the similarities and differences between the data capture challenges for these two sets of measures.

April 18, 1-2 pm CT

SI-Cerner Users Collaborative No. 31: Care Collaborative Results