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CHIME08

Track Sessions

Friday, October 24, 2008

4 Educational Topics * 3 Sessions Each

Strategy and Leadership Organizational Performance Improvement Business and Care Transformation Most Wired Showcase
Sessions in this track focus on a range of non-technical strategy and leadership issues for CIOs. Presentations center on strengthening key skills and relationships that will reinforce the CIO’s role as a key partner and advisor to the executive team. Presentations in this track share best practices that form the foundation for well-aligned, resourced, and managed IT departments that enable their organizations to operate more efficiently, compete more effectively, and provide higher levels of care in today's dynamic environments. This track examines the dynamics of IT and clinical quality improvement efforts, highlighting the care innovations and best practice processes that will help organizations make significant business and care transformation improvements. Sessions in this track feature case studies that demonstrate how information technology practices are solving real strategic problems in the nation’s Most Wired hospitals and health systems.
A1 - “Where Are We Going?” B1 - An Integrated Approach to Performance Improvement C1 - Electronically Connecting the Acute, Ambulatory and Extended Care Community D1 - Consumerism and IT
A2 - Delivering Hospital-Sponsored EMRs  B2 - Success Measures C2 - Achieving Stage 6 EMR adoption - Opening the Door to the Future D2 - Most Wired 2.0
A3 - Development of an IT Governance Model for a Multi-Hospital Integrated Delivery System B3 - Data Repository and Five Generations of Scorecard Development: One Hospital's Journey to the Thompson Top 100  C3 - Service Oriented Architecture - Speeding the Deployment of Solutions D3 - State of the Union: Hospital and Ambulatory EMRs


Strategy and Leadership Track
8:50 – 9:40 a.m.

A1
“Where Are We Going?”

We are constantly hearing about the evolution of technology in healthcare. But how will the CIO position and healthcare IT evolve? This session will provide an overview of a comprehensive survey of approximately 20 of the top healthcare CIOs in the country. These results will provide a visionary roadmap of where industry leaders feel both healthcare IT and the CIO position are headed. What are the anticipated key issues? What are the anticipated key problems? What trends and advancements should all healthcare CIOs have their fingers on the pulse of?

In this session, John Glaser and Judy Kirby will guide participants through the issues and trends of the future. Attendees will be provided with a compilation of the results of the extensive research conducted for this presentation.

Speakers: John Glaser, Vice President/ CIO Partners HealthCare System; Judy Kirby, President, Snelling Executive Search

9:55 – 10:45 a.m.

A2
Delivering Hospital-Sponsored EMRs 

While ambulatory EMR adoption continues to increase rapidly, there are still many physician practices without an EMR. Cost and physician resistance are real barriers that have to be overcome. With the political pressures/incentives, changes in Stark Laws and benefits of EMRs at the forefront, healthcare organizations are exploring options on how to help physicians adopt EMR solutions and integrate them into the hospital network. In this track session, Spectrum Health and Capital Health focus on strategic planning and the measures they are taking to overcome EMR adoption barriers, as well as the rewards obtained after the initial time and money investment.

KLAS will join Spectrum Health and Capital Health in discussing the challenges and impact of successful EMR adoption in physician practices, and provide an overview of its 2008 Ambulatory EMR perception study.

Speakers: Adam Gale, Chief Operating Officer, KLAS; Patrick O’Hare, Sr. Vice President and Corporate Chief Information Office, Spectrum Health; Edward Koller , Director, Physician Affiliation Services Spectrum Health; Donna Strating, Vice President, Information Systems & Equipment Planning, Capital Health

11:00 – 11:50 a.m.

A3
Development of an IT Governance Model for a Multi-Hospital Integrated Delivery System

Eastern Maine Healthcare Systems (EMHS) is a 7-hospital system that consists of a 400-bed referral hospital (Eastern Maine Medical Center) in Bangor, Maine; a 100-bed behavioral health hospital in Bangor; and 5 rural hospitals in central and northern Maine. In November 2004, the CEOs of the seven hospitals initiated the Together Project with the vision of a single, unified patient record no matter where the patient seeks care within our system.

The Together Project required that EMHS develop an IT Governance process to set priorities for IT at the system level. The IT Governance design was created in the context of the IS Strategic Plan.

Cathy Bruno will describe the process they used to develop the IT Strategic Plan and Governance Design, and share their model and process maps.

Speaker: Catherine Bruno, VP CIO, Eastern Maine Healthcare Systems

Organizational Performance Improvement Track
8:50 – 9:40 a.m.

B1
An Integrated Approach to Performance Improvement

At Lee Memorial Health System, labor-intensive and outdated paper-based processes were making it difficult to keep up with increasing accountability for regulatory compliance, resource utilization, and financial outcomes. Applying technology to respond to these challenges was a complex undertaking, highlighted by the organization’s staff numbers—more than 100 case managers, medical social workers, disease management and decision support staffs are responsible for case management, utilization review, discharge planning, denials management, core measure compliance and chronic disease management.

In less than five years, process and workflow improvements have led to direct and indirect cumulative cost avoidance totaling almost $4 million dollars, including improved ED utilization, avoided admissions, and decreasing costs related to patient transport. This presentation will offer an in-depth analysis of Lee Memorial Health System’s experience in reengineering processes and systems across multiple departments.

Speakers: Michael W. Smith, FCHIME, Chief Information Officer, Lee Memorial Health System; J. Douglas Hires, Vice President/Director Client Services, 3M Health Information Systems

9:55 – 10:45 a.m.

B2
Success Measures

Heartland Health has created a unique methodology for identifying and measuring the impact of its EMR on the organization. Through discipline and thorough planning, it is realizing a greater than $40M impact to the bottom line.

During this session, participants will discuss with Heartland Health and Cerner Corporation the elements that define a successful partnership and the steps taken to transform the relationship and share the outcomes that this strategy has helped to deliver. Hear how Heartland has structured the organization to place project ownership and accountability for outcomes across the organization and instituted a metrics driven implementation process. Join Helen Thompson, chief information officer of Heartland Health, and Lary Ippolito, director at Cerner Corporation, for a discussion around the journey Heartland Health and Cerner have taken to success.

Speakers: Helen Thompson, Chief Information Officer, Heartland Health; Lary Ippolito, Director, Cerner Corporation

11:00 – 11:50 a.m.

B3
Data Repository and Five Generations of Scorecard Development: One Hospital's Journey to the Thompson Top 100 

In 2000, FHN, a multi-entity health care organization based in Freeport, Illinois, implemented an Organizational Balanced Scorecard (BSC) process to collect data for analysis. Through five generations of BSC development, FHN has not only achieved significant improvement in the capture and analysis of organizational performance information, but has also created an organizational model for developing appropriate action plans to improve the KPI measure.

This presentation will provide the audience with a case study in the overall development of automated scorecard methodology. The speakers will discuss the importance of generations of system and organizational development, which was critical in the successful use of technology to drive organizational improvement at FHN. The presentation will also explore the critical role vendors play in aligning organizational goals with technology and systems.

Speakers: Phil Wasson, Vice President & Chief Information Officer, TriRivers Health Partners; Melissa Swanfeldt, Director of Marketing, MEDITECH

Business and Care Transformation Track
8:50 – 9:40 a.m.

C1
Electronically Connecting the Acute, Ambulatory and Extended Care Community

Hospitals, ambulatory practices and extended care facilities share many of the same patients, yet the communication between these organizations is often paper, fax or phone-based. This leads to inefficiencies, time-delays, higher costs, and the kinds of errors and omissions that decrease the quality of healthcare and can cost lives. This interactive panel discussion will look at electronic solutions for connecting these entities for the betterment of community health, touching on such critical topics as managing emergencies, referrals, medication reconciliation and discharges/transfers on the backdrop of compliance, security/privacy and current and emerging interoperability standards.

Speakers: Kenneth Kleinberg, VP Hospital Strategist, Clinical Solutions Group, Allscripts; Bill Spooner, Senior Vice President & CIO, Sharp HealthCare; Bruce Smith, Sr. Vice President - IS & CIO, Advocate Health Care

9:55 – 10:45 a.m.

C2
Achieving Stage 6 EMR adoption - Opening the Door to the Future

Carle Foundation Hospital is one of only 11 hospitals in the country to have achieved Stage 6 of the HIMSS Analytics EMR Adoption Model. In this presentation, the speakers will walk through the processes that were successful and those that were not, and will address the organizational, technological and other significant challenges that were faced and how they were overcome. They will also discuss the plans to optimize the system to address the strategic and operational initiatives of our organization in regards to clinical outcome and patient safety improvements.

Critical success factors in the implementation of all of the necessary components to achieve Stage 6 will be shared, including some of the additional technologies that were utilized as a part of the process.

Speakers: David Miller, Director, Information Technology, Carle Foundation Hospital; Fritz Schmidt, Implementation Services, Epic Systems

11:00 – 11:50 a.m.

C3
Service Oriented Architecture - Speeding the Deployment of Solutions

Service Oriented Architecture (SOA) offers the potential for significant gains in application interoperability and standardization and increases in the speed of application development.

Partners HealthCare has embarked on a multi-year program to create and implement a series of services across a range of internally developed and vendor-supplied systems.

MD Anderson Cancer Center has a fully deployed SOA implementation currently running close to 50 services. They are now working on a formal SOA governance process.

The University of Chicago Medical Center is deploying SOA within both the medical center and the university’s Biological Sciences Division for research support. Use cases are being prototyped and deployed. These use cases and the results of the deployment will be presented.

This session will describe best practices and lessons learned when implementing SOA in a variety of environments.

Speakers: Eric Yablonka, VP/CIO, University of Chicago Medical Center; Lynn Vogel, Vice President and Chief Information Officer, Associate Professor Bioinformatics and Computational Biology, University of Texas M.D. Anderson Cancer Center; John Glaser, Vice President/ CIO, Partners HealthCare System

Most Wired Showcase Track
8:50 – 9:40 a.m.

D1
Consumerism and IT

Retail health. Zagat healthcare ratings. Google health. As healthcare consumerism grows, the demands on hospitals appear to be growing as well. But will the hospital be the go-to source for healthcare information? This session will explore how healthcare consumerism will affect what doctors and consumers will want from their hospitals, in particular the new demands on information technology.

Speakers: Christopher Ross, CIO, MinuteClinic; Dan Morreale, CIO & President Infoshare, Atlanticare Health System; Alden Solovy, Executive Editor at Most Wired Magazine.

9:55 – 10:45 a.m.

D2
Most Wired 2.0

Is technology moving faster than your hospital’s ability to keep up with the latest and greatest? Is rapidly changing technology affecting what you can accomplish within your hospital? In this session, we will focus on the challenges of advancing technology, new technologies on the horizon, the evolving role of the CIO and CMIO, and the challenge of a national healthcare information structure.

Speakers: Michael Brozino, VP, Marketing, McKesson; John Glaser, PhD FCHIME, VP & CIO, Partners Health Care System, Inc.; Ed Marx, CIO, Texas Health Resources; Joe Poats, Partner, Provider Systems Service Line Leader – North America, Accenture; Alden Solovy, Executive Editor at Most Wired Magazine; Accenture Representative, TBD

11:00 – 11:50 a.m.

D3
State of the Union: Hospital and Ambulatory EMRs

In this session, the panelists will discuss how hospitals are providing physicians and physician offices with an EMR system. Data from the 2008 Most Wired Survey on EMR availability will be presented. Key points include challenges and strategies for implementing and achieving adoption.

Speakers: Harry Lukens, SVP & CIO, Lehigh Valley Hospital & Health Network; Marc Probst, VP & CIO, Intermountain Healthcare; Jim Veline, SVP & CIO, Avera Health; Alden Solovy, Executive Editor at Most Wired Magazine.



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