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Transforming Care Delivery Models with IT Innovation
World 2015
Conference
Medical
Informatics
Third Annual
FINAL AGENDA
MedicalInformaticsWorld.com
Provider-Payer-Pharma Cross-Industry Data Collaboration
Coordinated Patient Care Engagement and Empowerment
Population Health Management and Quality Improvement
Security and Access of Healthcare Data
Leveraging mHealth, Telehealth and the Cloud NEW!
Building Enterprise Architecture and Hospital Information Systems NEW!
2015 CONCURRENT TRACKS
May 4-5, 2015
Renaissance Waterfront Hotel
Boston, MA
The Confluence of Consumer Care
andTwo-Way Data: Apple HealthKit,
Care Management, Patient/Family
Engagement, Privacy
John Halamka, M.D., MS, CIO, Beth Israel
Deaconess Medical Center
Health IT, Health Reform, and the
Path Forward
Steven Stack, M.D., President-elect,
American Medical Association
Doing Care Differently:The Journey
to a Healthier Nation
Phil Polakoff, M.D., National Health Advisor;
US Surgeon General nominee, former
advisor to US Senate leadership and
California Legislature
The Coming Era of High
Performance Medicine
Jason Burke, Senior Advisor for Innovation
and Advanced Analytics, UNC Health Care
and School of Medicine
Forecasting the Impact of HIT and
e-Health on the Future Demand
for Physicians
Jonathan Weiner, Dr.P.H., Professor,
Health Policy & Management and Health
Informatics; Director, Center for Population
Health Information Technology (CPHIT),
Johns Hopkins Bloomberg School of
Public Health
DINNER WORKSHOPS
Actionable Predictive Intelligence in Healthcare
Visual Analytics in Healthcare
2015 PLENARY KEYNOTES
Organized by:
Cambridge Healthtech Institute #MIW15
Register Early for Maximum Savings!
PREMIER SPONSOR
2 | Medical Informatics World MedicalInformaticsWorld.com
Monday AM
Monday AM-PM
Monday PM
Tuesday AM
Medical Informatics World Opening Keynotes and Panel
May 4, 2015
Medical Informatics World Welcome Reception in the Exhibit Hall
Interactive Breakout Discussion Groups
Dinner Workshops*
Tuesday PM Medical Informatics World Closing Keynotes and Panel
May 5, 2015
Provider-
Payer-Pharma
Cross-Industry
Data Collaboration
Coordinated
Patient Care,
Engagement
and Empowerment
Population Health
Management
and Quality
Improvement
Security and
Access of
Healthcare Data
TRACK #1 TRACK #2 TRACK #3 TRACK #4
Leveraging
mHealth,
Telehealth and
the Cloud
TRACK #5
Building Enterprise
Architecture and
Hospital Information
Systems
TRACK #6
NEW!
NEW!
Provider-
Payer-Pharma
Cross-Industry
Data Collaboration
Coordinated
Patient Care,
Engagement
and Empowerment
Population Health
Management
and Quality
Improvement
Security and
Access of
Healthcare Data
TRACK #1 TRACK #2 TRACK #3 TRACK #4
Leveraging
mHealth,
Telehealth and
the Cloud
TRACK #5 TRACK #6
NEW!
NEW!
Building Enterprise
Architecture and
Hospital Information
Systems
CONFERENCE-AT-A-GLANCE
About the Event
Held each year in Boston, Medical Informatics World connects more than 400
healthcare, biomedical science, health informatics, and IT leaders to navigate
emerging trends and opportunities in the evolving industry. The event responds to
the challenges in collaborating and maximizing the benefit of enabling technologies
with inspiring plenary keynotes combined with focused expert-led presentations and
discussions. Coverage includes population health management, predictive analytics,
payer-provider-pharma data collaborations, patient care and engagement, mobile
and wearable technologies, care delivery models, enterprise hospital information
systems, clinical decision support, error and readmission reduction, and healthcare
data security.
The 2015 program features six conference tracks, two interactive dinner workshops
and six plenary keynote presentations, providing attendees with the connections,
tools and strategies for taking their research and care delivery to the next level.
CORPORATE SPONSORS
See videos and photos from
last year’s conference at
MedicalInformaticsWorld.com
* Separate registration required
PREMIER SPONSOR
MedicalInformaticsWorld.com Medical Informatics World | 3
Keynotes
»»KEYNOTE SESSION #1: CURRENT AND FUTURE
STATE OF HEALTHCARE REFORM, POLICY AND
TECHNOLOGY
MONDAY, MAY 4
8:00 Organizer’s Welcome and Chairperson’s Remarks
Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute
(CHI) and Medical Informatics World
Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim
Health Care
8:10 Doing Care Differently:The Journey to a Healthier Nation
Phil Polakoff, M.D., National Health Advisor; US Surgeon General
Nominee; former Advisor to US Senate Leadership and California
Legislature
How can we deliver healthcare differently and lead all stakeholders
to a healthier nation? An in-depth assessment of our current and
future healthcare landscape and the impact health reform is having. A keener
understanding as to the nature of the emerging innovative health delivery models
and how best to navigate and implement them to achieve meaningful success.
8:40 Health IT, Health Reform, and the Path Forward
Steven Stack, M.D., President-Elect, American Medical Association
The current healthcare environment brings seismic changes for
physicians, from EHRs to telemedicine to implementation of the
Affordable Care Act. The opportunity to improve patient care and safety
through these and other changes is great, but so too are the challenges.
This session will explore how recent legislative and regulatory requirements are
impacting physicians and how technology can be leveraged to overcome existing
challenges, increase efficiencies, and ultimately improve patient care.
9:10The Confluence of Consumer Care andTwo-Way Data: Apple
HealthKit, Care Management, Patient/Family Engagement, Privacy
John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center
With the launch of the Apple HealthKit we are seeing the consumerization
of healthcare becoming a reality. What are the implications of this
transformation for care management, patient/family engagement, and
for privacy? With the confluence of consumer care and data where are
the opportunities to better identify risk in populations and to improve quality? With the
growth and availability of two-way data (to-from patients) what is the hope vs the hype of
mobile tech?
9:40 PANEL DISCUSSION:The Future of HealthcareTechnology:
Separating WishfulThinking from Realistic Expectations
Moderator: Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard
Pilgrim Health Care
John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center
Steven Stack, M.D., President-Elect, American Medical Association
Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care
and School of Medicine
Phil Polakoff, M.D., National Health Advisor; US Surgeon General Nominee; former
Advisor to US Senate Leadership; Consultant to California Legislature
We all hear about potentially marvelous advances in healthcare technologies that will
enable coordinated, efficient, high-quality care. But many organizations are struggling
with incremental improvements to systems that woefully and evidently fail to fulfill
well-acknowledged business requirements. Our expert panelists are working at
the frontiers of what is possible and what is actual in healthcare IT and will offer
their insights and prognostications as to what we can reasonably expect from
technological advances in the coming years.
•	 Looking at our interoperability challenges, and the un-integrated reality we are
working in now, what are the biggest challenges we are facing in health IT today?
•	 Looking beyond an individual hospital system or a State HIE, what do you
believe to be the long-range technology developments that will enable needed
transformations in the US healthcare system? What is a realistic timeline for these
technologies not only to become generally available, but also generally deployed?
•	 What are you working on now in your world to get us to this possible future state?
What are your priority challenges to overcome in the immediate term (in the next
year), medium term (3-5 years) and longer term? Where are we wasting too much
time and money, or investing in solutions that we will just have to replace as
obsolete as soon as they are deployed? What is your advice for policy and health
IT leaders in the field?
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE
INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE
DELIVERY, AND ECONOMICS
TUESDAY, MAY 5
1:40 pm Organizer’s and Chairperson’s Remarks
Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute
(CHI) and Medical Informatics World
Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information Systems
1:50The Coming Era of High Performance Medicine
Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of
North Carolina Health Care and School of Medicine
Can medicine truly become a performance-driven industry?The complexity
residing at the intersection between the science of medicine, the
delivery of health care services, and natural patient variation has made it
difficult to scale organizational performance beyond the effectiveness of
individual contributors.Yet other fields such as space exploration, battlefield
operations, meteorology, financial services, and automotive racing have demonstrated
that comparably complex systems can be characterized and even managed to very high
levels of performance. By adopting similar capabilities in the context of population health,
accountable care, and personalized medicine, health and life sciences organizations can
unlock a new era of clinical, financial, and operational high performance.
2:20 Forecasting the Impact of HIT and e-Health on the Future
Demand for Physicians
Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health
Informatics; Director, Center for Population Health Information Technology (CPHIT),
Johns Hopkins Bloomberg School of Public Health
Few factors will change the face of the American health care
workforce as widely and dramatically as will health IT and e-health.
This presentation explores how such applications will affect the future
demand for physicians, and other clinicians. Professor Weiner will
discuss the premise that HIT systems, when fully implemented, will
allow care to be delivered by fewer physicians and more nurse practitioners and
physician assistants. Furthermore, HIT-supported generalists could provide some
care now delivered by specialists. Health IT could also help address rural clinician
shortages patients by enabling care to be delivered remotely or asynchronously. Dr.
Weiner will discuss the implications of these and other health informatics trends on
what some believe to be a looming shortage of physicians.
2:50 Health Delivery Reform and Health IT-Enabled Quality
Improvement
ONC Speaker, Office of the National Coordinator for Health InformationTechnology (ONC)
How can we use health IT to provide the best possible care for all Americans? Health
InformationTechnology is critical to the success of delivery reforms that aspire to
transform the nation’s health care system to focus increasingly on the quality of care
provided, rather than the quantity. Only health IT can provide the kind of smart data and
analytics that organizations such as Accountable Care Organizations need to succeed.
3:20 CAPSTONE PANEL DISCUSSION:What Can We Really do to
Accelerate Value in Healthcare?
Moderator: Eric Glazer, Vice President, Physician Engagement & Social Media, Best Doctors
Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of
North Carolina Health Care and School of Medicine
J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health
Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield
of South Carolina
Speaker, Office of the National Coordinator for Health Information Technology (ONC)
Our esteemed panel will summarize the key theme of the conference, how
technology and analytics enable providers to better engage and manage patient
populations, and ultimately achieve a higher quality at lower cost. Specifically, we will
address strategies to transforming care models to shared risk using technologies.
Areas of discussion will include:
•	 Should we fire the CMO? Who are the ideal clinical leaders to drive this
successful change?
•	 How can provider organizations invest in the future without going broke today?
•	 How does an ACO navigate the conflicting financial incentives?
•	 What is the technology that can support ACOs?
•	 How will we get to system wide Accountable Care in less than 10 years!?
4 | Medical Informatics World MedicalInformaticsWorld.com
“
“The healthcare technology and policy landscape changes so rapidly that IT leaders are challenged to deploy
solutions fast enough to meet user and regulatory needs. Medical InformaticsWorld convenes experts from
across the country to share best practices,proving the guidance we all need to be successful.
- CIO, Beth Israel Deaconess Medical Center
Dinner Workshops*
MONDAY, MAY 4 | 6:20 – 9:00 PM
W1: Actionable Predictive Intelligence in Healthcare
Dipti Patel-Misra, Ph.D., MBA, PCC, Founding Principal, Actionable Healthcare
Insights (AHI); Executive-in-Residence, Health Informatics, University of North
Carolina, Charlotte
Predictive analytics/intelligence provides a framework for narrowing the focus - on
customers, resources, opportunities, and innovations. Understanding how and
when to utilize predictive analytics, it can be used to customize marketing campaign
optimization to patient engagement. In this dinner workshop attendees will learn:
•	 Key data-driven information to seek to make an immediate impact for
your organization
•	 What questions to ask?
•	 How to gather information from incomplete or “imperfect” data
•	 How to balance need for information with the time it might take to
get the data
AboutYour Instructor:
Dr. Patel-Misra has two decades experience with a unique background
in healthcare finance, insurance, health economics, outcomes,
informatics, and healthcare analytics, including senior leadership roles
at Blue Cross Blue Shield of North Carolina, SAS, and Best Doctors. She
specializes in strategically using analytical insights to drive enterprise objectives. Her
key projects include episode analytics, personalized healthcare models, risk-based
clinical models, and predictive models. Dr. Patel-Misra is also adjunct faculty and
executive-in-residence at University of North Carolina, Charlotte, where she teaches
and advises graduate students in the Health Informatics Program. She is also a
leadership coach, advising rising stars in healthcare analytics on how to effectively
transition from contributor to manager to executive. Dr. Patel-Misra earned her Ph.D.
in chemistry at Johns Hopkins University and a Master of Business Administration
from the University of North Carolina. She has her coaching certification from
Healthcare Coaching Institute.
W2:Visual Analytics in Healthcare
Katherine Rowell, Co-Founder, Katherine S. Rowell & Associates and HealthDataViz
Too often, the tables and graphs used to communicate healthcare data are poorly
designed, at best failing to and at worst even incorrectly communicating the
critical information used to measure performance, educate and inform patients,
and identify the right opportunities for change and improvement to our healthcare
systems. Incorporating examples of actual healthcare data here’s a summary of
what you’ll learn:
•	 Historical contributions to the visual communication of healthcare data and
information
•	 Common mistakes in table and graph design, and how to avoid them
•	 Best practices of table and graph design
•	 The most common dashboard design mistakes
•	 How to use human visual perceptions to design effective dashboards
•	 The guiding principles of dashboard design
•	 The features of a well-designed dashboard
AboutYour Instructor:
Katherine S. Rowell, MS, MHA, is co-founder and principal of Katherine
S. Rowell & Associates and HealthDataViz, a Boston firm that specializes
in helping healthcare organizations organize, design, and present visual
displays of data to inform their decisions and stimulate effective action.
She advises providers, payers, policymakers and regulatory agencies how
to align systems, design reports, and develop staff to communicate healthcare data
clearly. She made crucial contributions to the establishment of the Massachusetts
General Hospital Codman Center for Clinical Effectiveness and the launching of
the National Surgical Quality Improvement Program (300+ participating hospitals
throughout the U.S. and Canada). Rowell has published numerous high-profile
articles, and UnleashYour Inner Healthcare Data, her twice-monthly newsletter, has
more than 1,500 passionate subscribers all over the world. Her clients, drawn from
leading national and international healthcare organizations, include the Cleveland
Clinic, Partners Healthcare, Baylor Healthcare, the World Health Organization,
and the Children’s Hospital Association.They and hundreds of other companies,
organizations, and individuals seek out her public and private workshops, in-house
training sessions, and private consulting services to learn the best practices of data
visualization for healthcare professionals and other stakeholders. Kathy holds a BS in
Business Management and a Master’s in Health Administration from the University
of New Hampshire, and an MS from Dartmouth Medical School. A former member
of the faculty of Brandeis University’s Medical Informatics Graduate Program, Kathy
continues to serve on its Advisory Committee. She is a recipient of the prestigious
Partners in Excellence Award for leadership and innovation.
MEDIA PARTNERS
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SPONSORING
ORGANIZATION
OFFICIAL MEDIA
PARTNERS
LEAD SPONSORING
PUBLICATIONS
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FierceEMRMAPPING THE FUTURE OF HEALTHCARE INFORMATION
MedicalInformaticsWorld.com Medical Informatics World | 5
Breakout Discussion Groups
MONDAY, MAY 4 | 4:10 -5:15 PM
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table of
interest and become an active part of the discussion at hand.To get the most
out of this interactive session and format please come prepared to share
examples from your work, vet some ideas with your peers, be a part of group
interrogation and problem solving, and, most importantly, participate in
active idea sharing.
TABLE 1 Near and Far Future WirelessTechnology Use and Deployment in
Health IT and Beyond
Moderator: Donald Witters, Biomedical Engineer, Center for Devices and
Radiological Health, Food and Drug Administration
•	 Are we headed toward implantable technology with wireless to track, to
provide therapy?
•	 What are the implications for areas like brain implants?
•	 What are the logistical and other issues? Who needs to be involved and how
can the stakeholders come together?
•	 What are the barriers (e.g., human communication) and how can these
be overcome?
TABLE 2 The New Paradigm for Health Care Privacy
Moderator: Kirk Nahra, Wiley Rein LLP
•	 How is Big Data changing the discussion on health care privacy?
•	 What is the impact of the wide variety of new health care data
(mobile apps, web sites, etc) on health care privacy?
•	 How is this new data and the legal gaps in protection for this data going
to change the privacy environment
TABLE 3 MaturingYour Analytics Program: Getting the Data, Metadata,
and User-Friendly Standard Reports in Place to Actually Deliver Value
Moderators: J.D. Whitlock, Vice President, Clinical & Business Intelligence,
Mercy Health
Evon Holladay, Vice President, Enterprise Intelligence, Catholic Health Initiatives
•	 What is the reality today, where should we be heading, and what is hype?
•	 When the old reports just don’t work anymore
•	 How to use technology to automate ‘the human data warehouse’
•	 Advancing analysts’ skills (from hunter/gatherer to true analytics)
•	 Optimizing standard reporting in large organizations
•	 Where is self-service analytics an option and how would you get there?
TABLE 4 Man or Machine…Finding the Right Mix for
Population Management
Moderator: Joel Reich, M.D., FACEP, Senior Vice President for Medical Affairs/Chief
Medical Officer, Eastern Connecticut Health Network
•	 Community (home based) care managers: How many patients and
practices can they manage?
•	 Telehealth: What does it work best for in the home setting?
•	 Health apps/wearables: Will the chronically ill use them?
TABLE 5 Data Visualization for Healthcare
Moderators: Katherine Rowell, Co-Founder, Katherine S. Rowell & Associates
and HealthDataViz
Peter Speyer, Chief Data and Technology Officer, Institute for Health Metrics
and Evaluation (IHME)
•	 Where are the best opportunities to communicate healthcare data
via visualization?
•	 How do you communicate critical information used to measure
performance, educate and inform patients, and identify the right
opportunities for change and improvement?
•	 What are the common mistakes in table, graph and dashboard design, and
how do you avoid them?
TABLE 6 Building and Using Clinical Decision Support Systems
(CDSS) for System Wide (Hospital, Ambulatory, Physician Office, Home
Care) Management
Moderators: Martin Reed, M.D., Radiologist, Diagnostic Imaging, Children’s
Hospital, Canada
Daniel Karp, M.D., Professor of Medicine; Medical Director, Clinical and
Translational Research Center, Investigational Cancer Therapeutics, UT MD
Anderson Cancer Center
•	 Integrating Clinical Decision Support Systems (CDSS) into ambulatory care
workflows for improved outcomes and patient safety
•	 What are the goals of using CDSS?
•	 How do you plan for and train for full integration: Hospital, Ambulatory,
Physician Office, Home Care?
•	 What type of CDSS: paper-based, web-based, electronic stand alone,
electronic integrated into an EMR?
•	 What are the barriers to implementing a CDSS? What are the basic
requirements of an effective CDSS? Do you develop your own or purchase?
TABLE 7 Patient-Physician-Care Giver Engagement
Moderators: Anne Lara, CIO, HIS, Union Hospital
Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory
Medicine & Founder, Health Collaboratory
•	 What was the past state of provider and patient medical
record engagement?
•	 What is the current state of provider and patient EHR engagement?
•	 What will drive provider and patient health record engagement
moving forward?
TABLE 8 Business Intelligence (BI) and Healthcare Analytics: Making
InformationTimely, Consumable and Impactful
Moderator: Dipti Patel-Misra, Ph.D, MBA, PCC, Founding Principal, Actionable
Healthcare Insights (AHI); Executive-in-Residence, Health Informatics,
UNC Charlotte
•	 Key to building an information driven org is to have impactful data at
business users’ finger tips when they need it: How can BI be deployed,
what needs to be done?
•	 What are the ways in which front and back end BI can help bring business
users, IT, and Analysts together for improving quality and managing costs?
•	 What would be needed for an enterprise BI in a health plan, provider,
ACO, other?
TABLE 9 DigitalTherapeutics and Scalable Mobile Health Solutions
beyond Engagement to Drive Real Health Improvements Customized at
the Individual Patient Level
Moderators: Christian Suojanen, Co-Founder/Chairman, TTS Global Initiative
Alec Mian, CEO, Curelator, Inc.
Veera Anantha, Ph.D., Co-Founder, CEO, Constant Therapy
•	 Do we need to think beyond population health? Using clinically valid health
outcome improvements through engagement at the individual patient
level, scalable to the population
•	 Viable business models through bottom line impact on health outcomes
•	 How to leverage digital health to address chronic diseases poorly treated
by pharmaceuticals?
•	 How to drive patient compliance and ensure stickiness through immediate
patient ROI and noticeable benefit, not just “lifestyle modification”
TABLE 10 Creating an Achievable Path toTrue Interoperability and
Continuous Healthcare IT Improvement
Moderators: Stanley Huff, M.D., Chief Medical Informatics Officer,
Intermountain Information Systems
Samuel “Sandy” Aronson, Executive Director, IT, Partners
Personalized Medicine
•	 What are the goals of the HealthCare Platform Consortium?
•	 What are the best strategies for achieving these goals?
•	 What is the technical approach for making interoperability easier?
•	 What would it take for my organization to adopt standards based services
and/or contribute to the evolution of HealthCare IT infrastructure?
6 | Medical Informatics World MedicalInformaticsWorld.com
Provider-Payer-Pharma Cross-Industry Data Collaboration to
EnableValue-Based Delivery Models
Integrating Real Time Data Analysis to Manage Costs and Improve Outcomes in the Health Care Ecosystem
As healthcare evolves and becomes more sophisticated, there is an overwhelming need for collaboration across the healthcare spectrum—from provider to payer
to pharma—on data collection and analysis. Data collaboration is essential for lowering costs and improving clinical outcomes. Cambridge Healthtech Institute and
Clinical Informatics News’ “Provider-Payer-Pharma Cross-Industry Data Collaboration to Enable Value-Based Delivery Models: Integrating Real Time Data Analysis
to Manage Costs and Improve Outcomes in the Health Care Ecosystem,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will
bring together executives and thought leaders from the provider, payer and pharma communities for engaging, innovative discussions.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
HEALTH CARE REFORM AND DATA INTEGRATION
11:05 Chairperson’s Remarks
Niteesh Choudhry, M.D., Ph.D., Associate Professor of Medicine, Harvard Medical School
11:10 Big Data in Healthcare: Aspiration vs. Substance
Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health
Care
We all hear a lot of hype regarding the use of “Big Data” in health care, but
how much of it truly represents breakthrough capabilities that present us with
opportunities to improve our operations and market position? In this session,
we will attempt to identify genuinely new capabilities enabled by the use of Big
Data processes and products in health care, looking at four domains: processes
and methodologies, data sources, data types and technology. We will explore
some work currently under way and project into opportunities that may emerge
in the near future.
11:35 Health Care Reform and What It Means Beyond the Pill:
Collaboration,The Connected Patient, MobileTech and Innovation
ThomasTsang, M.D., CMO, Healthcare Services and Solutions, Merck & Co.
Health care reform in the US brought population health management and value-
based payment models to the forefront. What are some of the collaboration and
cross-industry partnerships and data sharing models that can bring value to all
participants and improve health outcomes? How is this shift impacting the life
science industry to innovate beyond the pill?
12:00 pmThe Data Integration Conundrum
HeatherTrafton, Director, Performance Improvement, Population Health, Steward Health
Care
As a community-based network we have > 30 EMRs and other sources
we need to integrate. This is complex. We have lessons learned that we
think others could learn from. This talk will demonstrate how an integrated
accountable care organization with > 30 EMRs has worked to integrate data
from multiple sources. We will discuss the importance of data integration,
processing and analytics to the overall performance of a system. Lastly,
this case study will share the impact of combining data from the 3 major
stakeholders, provider-payer-pharmacy.
12:25 Presentation to be Announced Sponsored by
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
EMR IT SYSTEMS: INTEGRATING PATIENT DATA FOR
REPORTING AND RESEARCH
2:05 Chairperson’s Remarks
Michael Murray, PharmD; MPH, Investigator, RCHER (Regenstrief Center for
Healthcare Effectiveness Research), Regenstrief Institute
2:10 Co-Presentation: AstraZeneca—American College of Cardiology
(ACC) PINNACLE Registry Collaboration
Hui Cao, M.D., Ph.D., Head, Health Informatics, AstraZeneca
Speaker, American College of Cardiology (ACC)
AstraZeneca joined with medical organizations including the American College
of Cardiology (ACC) and the American Diabetes Association to set up the
Diabetes Collaborative Registry, the first clinical diabetes registry to provide a
seamless view of diabetes patients across specialties. This registry leverages
EHR technologies and collects data at various points, including primary care
physicians and specialists, at which patients interact with the healthcare
system to build a complete picture of the diabetes population. The rich,
longitudinal data in the registry provides a complete picture of the diabetes
population and provides great insights for AstraZeneca’s diabetes portfolio.
2:35 AreYour EMR IT Systems Ready to Conduct a Pragmatic Clinical
Trial?
Robert Vermeulen, Enterprise Architect, GlaxoSmithKline
Pharmas are increasingly looking to conduct pragmatic trials in real-world EMR
settings. Demonstrating control over IT systems and processes, data flow
and data quality are key to successful execution. This presentation will share
real-world examples and best practices relevant to both pharma companies
sponsoring clinical research and healthcare providers who conduct clinical trials.
3:00 Presentation to be Announced Sponsored by
David Barth, Senior Director, Strategic Development, Post-n-Track
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
MedicalInformaticsWorld.com Medical Informatics World | 7
TUESDAY, MAY 5
8:20 am Morning Coffee
INNOVATIVE COLLABORATION MODELS AND REAL
WORLD EVIDENCE INSIGHT GENERATION
8:50 Chairperson’s Remarks
HeatherTrafton, Director, Performance Improvement, Population Health, Steward
Health Care
9:00 Payer-Provider Partnerships Academic-Industry Data
Collaboration to Conduct Studies of Novel Delivery Models
Niteesh Choudhry, M.D., Ph.D., Associate Professor of Medicine, Harvard Medical
School
This presentation will focus on academic-industry data collaborations to
conduct randomized studies of novel delivery models. I will describe successful
partnerships that we’ve built between payers and our research group to
leverage real-world/routinely collected data to design, execute and evaluate
studies of care redesign strategies (mostly around medication adherence).
The presentation will share both the straightforward aspects (e.g. Accessing
routinely collected data) and the more challenging things like randomization,
consent, publication timelines, as well as the types of studies that could (and
cannot) be done in the context of these collaborations.
9:25 Innovative Collaboration Models for Real World Evidence Insight
Generation
Michael Murray, Pharm.D., MPH, Investigator, RCHER (Regenstrief Center for
Healthcare Effectiveness Research), Regenstrief Institute
Large isolated real world datasets are available commercially for comparative
effectiveness research, but sometimes these datasets lack the clinical context
required to generate insights into health outcomes and answer research
questions. Also, if these datasets are stripped of PHI/PII, there is no ability to
trace the selected patient cohorts back to real patient populations for validation
of insights or prospective observations and intervention development. So,
despite the increasing availability of structured clinical data for use in research,
life sciences companies are struggling to identify collaborative research models
that engage with healthcare providers to contextualize clinical data through
direct interaction with the clinical communities where the data are captured.
The innovative model to address a) technology, b) research, and c) governance
challenges associated with research, will be shared during the discussion. The
audience will gain an understanding for how cross-industry collaborations and
new innovative business models can enable more rapid insight generation.
9:50 Sponsored Presentation (Opportunity Available)
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
PARTNERSHIPSTHAT INTEGRATETHE BEST OF
HEALTHCARE, SOCIAL ANDTECHNOLOGY
11:00 Little is the New Big: Leveraging Data to Drive Health Care
Performance
Todd Rothenhaus, M.D., FACEP, Senior Vice President and Chief Medical Information
Officer, athenahealth
We need to think about the health care industry in a radically different way. It’s
not big data that drives success. It’s little data that provides insight into how
our products are doing, how our clients are performing, and what’s happening
to the health care ecosystem as a whole. These three pillars-products, clients,
and their ecosystems - are the battleground on which all businesses fight, and
little data shows us where we are doing well and where we need to improve.
Customer-centric industries tenaciously analyze their products to make sure
they do what they need; analyze client performance in ways that are actionable,
and invest resources to coach and help them do better; and keep abreast of
industry trends. Through it all, they leverage data as the means, but never
the end, to focus on clients and the outcomes they are trying to achieve. This
model can work for health care, too.
11:25 ASCO’s CancerLinQ Case Study: Cross-Industry Partnership to
Transform Cancer Care through Big Data
Robert Miller, M.D., Medical Director, Institute for Quality and CancerLinQ, ASCO
Most of what is currently known about cancer treatment is based on the mere
3% of patients who participate in clinical trials. This session will discuss the
vision and evolution of ASCO’s CancerLinQ technology platform, a tool which
will enable oncologists to learn from every patient by capturing data generated
in routine health care operations, currently locked in multiple disparate
electronic health record systems. CancerLinQ aggregates and analyzes real-
world cancer care data, irrespective of source, in order to provide real-time
quality feedback to providers, to feed personalized insights to oncologists at
the point of care, and, using powerful analytic tools, to reveal new, previously
unseen patterns in patient characteristics, treatments, and outcomes.
11:50 PANEL DISCUSSION: Building the Next Generation of
Breakthrough Models that Integrate the Best of Healthcare, Social
andTechnology
Moderator: Terry Stone, Head, Oliver Wyman’s Health Innovation Center
& Grace Emerson Terrell, M.D., MMM, FACP, FACPE, CEO, Cornerstone Health
& Vipin Gopal, Ph.D., MBA, Vice President, Clinical Analytics, Humana
Fueled by consumer dissatisfaction with the status quo, entrepreneurs and
venture capitalists are rapidly moving into the digital consumer-focused
healthcare space. In 1998, there were just 17 rounds of health-tech venture
capital investment worth $2 million or more; last year there were 89. The
opportunities, however, don’t just lie in attracting VC but also in forming
valuable partnerships between legacy players and new entrants. What are the
dynamics of the evolving healthcare market characterized by a convergence of
healthcare and pharma, physical and digital, and medicine and wellness?
• Payers, providers, and pharma can partner to create value in the new
health market
• Players can take advantage of the flood of venture capital investment
• Build business models that will thrive in the convergent healthcare economy
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
Group Discounts areAvailable!
Special rates are available for multiple attendees from the same organization.
For more information on group discounts, contact Bill Mote at 781-972-5479.
8 | Medical Informatics World MedicalInformaticsWorld.com
Coordinated Patient Care,Engagement and Empowerment
Delivering Care to Patients and Consumers in all Settings to Improve Outcomes
Growing use of remote monitoring and mobile technology platforms has made it possible to transform the delivery of care by engaging and empowering patients
outside the traditional clinical setting. Engaging and empowering patients in their own care reduces costs and improves health outcomes. Cambridge Healthtech
Institute and Clinical Informatics News’ 3rd Annual “Coordinated Patient Care, Engagement and Empowerment: Delivering Care to Patients and Consumers in all
Settings to Improve Outcomes,” taking place taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together thought leaders
from the payer, provider and pharma communities for cutting-edge discussions on the evolving patient empowerment and engagement movement.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
EMPOWERING PATIENTS ANDTRANSFORMING
CARE WITH PATIENT-REPORTED DATA
11:05 Chairperson’s Remarks
Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence
in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient
Experience
11:10 Using Patient-Reported Outcome Measures toTransform Care
Neil Wagle, M.D., Medical Director, Population Health Management & Quality,
Safety, and Value, Partners HealthCare
At Partners HealthCare, we have implemented one of the most forward-
looking Patient-Reported Outcome Measures (PROMs) platforms in health
care. We use the PROMs platform to engage our patients and help doctors
take better individual care of patients, monitoring them using iPads in the clinic
and reaching them at home through the patient portal, text messaging, email,
and soon a iPhone/Android app. But we also are beginning to use this data
as the basis of comparative effectiveness and quality measurement to finally
determine which of the things we do in healthcare are actually responsible for
the outcomes that matter to patients.
11:35 Co-Presentation: Empowering Patients and Researchers With
Patient-Reported Data
Marcia Nizzari, Vice President, Engineering, Product Development, PatientsLikeMe,
Inc.
Timothy Vaughan, Ph.D., Director, Data Science, PatientsLikeMe, Inc.
PatientsLikeMe provides a social network and a research platform for capturing,
curating, and analyzing patient-reported data. With 275,000+ users and 2,000+
conditions represented, PatientsLikeMe has enabled unique insights into
patients’ behaviors and health outcomes. Patient-reported data is a critical
new input into many areas of healthcare: clinical, payor, pharmaceutical, and
outcomes research will be positively disrupted by this new source of valuable
data. This talk will cover how these data are collected and curated to establish
the “patient voice.” Analytic case studies will demonstrate how unique insights
are revealed.
12:00 pmTransforming Care in the Intensive Care Unit with a Patient-
CenteredToolkit:The PROSPECT Study
David Bates, M.D., Chief Clinical Innovation Officer, Brigham and Women’s Hospital
Care in the ICU is often fragmented, and it is a risky place for patients. We have
developed a patient-centered toolkit which makes available to patients and their
care partners all their key clinical information, which can be accessed via an
iPad. It also includes a microblog function, so that the patient and family and
anyone on the care team can send messages and ask questions. The effort is
funded by the Gordon and Betty Moore Foundation.
12:25 Sponsored Presentation (Opportunity Available)
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
IMPACT OF PERSONAL HEALTH RECORDS ON
PATIENT SATISFACTION, CLINICAL OUTCOMES AND
OPERATIONAL EFFICIENCIES
2:05 Chairperson’s Remarks
Michael Docktor, M.D., Clinical Director of Innovation, Innovation Acceleration
Program, Boston Children’s Hospital
2:10 Co-Presentation: Delivering Information and Health Care Services
on the Patients’Terms:The Impact of Personal Health Records on
Patient Satisfaction, Clinical Outcomes and Operational Efficiencies
Terhilda Garrido, Vice President, HIT Transformation & Analytics in National Quality,
Kaiser Permanente
Michael Kanter, M.D., Medical Director of Quality & Clinical Analysis, Kaiser
Permanente
Technology-enabled access to personal health data can lead to better health
outcomes, higher satisfaction and improved patient-physician relationships.
By combining access to personal health record information with relevant
health management tools, Kaiser Permanente has created one of the most
widely used patient portals in the world. Naturally, by providing easy access
to services like viewing lab test results online or emailing a clinician, we have
seen an impact on utilization of other services. Kaiser Permanente was ahead
of the curve when it came to the adoption of a robust personal health record.
For that reason, we have years of valuable insights to share with those on
their own journeys, including the impact of the PHR on utilization of health
care services.
2:50 Intersection ofTechnology and Care: FamiliesTaking More
Responsibility
Julie Fry, Founder, Making Care Easier
When a patient walks out of a medical office or hospital today, it is often into
a black hole with hopes that they follow recommended advice. At home,
care typically falls to the patient themselves or their family members acting
as caregivers. New technologies and software now enable caregivers and
patients to better track what they are doing and to better communicate so as
to successfully take on this new burden of care for which they were probably
not prepared.
3:00 Sponsored Presentation (Opportunity Available)
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
MedicalInformaticsWorld.com Medical Informatics World | 9
TUESDAY, MAY 5
8:20 am Morning Coffee
ENGAGING PATIENTS AND FAMILIES AND
LEVERAGING ANALYTICSTO PROMOTE A CULTURE
OF PARTNERSHIP & ACCOUNTABILITY
8:50 Chairperson’s Remarks
Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory Medicine
& Founder, Health Collaboratory
9:00 Engaging Patients and Families in Redesigning Care Delivery:
Viewing All Care Experiences throughTheir Eyes
Pamela Greenhouse, MBA, Executive Director, PFCC Innovation Center, University
of Pittsburgh Medical Center
The PFCC Methodology and Practice (PFCC M/P) is a replicable and sustainable
mechanism for moving care delivery from the current state ever closer to the
ideal. Through six easy steps that can be quickly learned and used in any care
setting, we engage patients and families as full partners in care redesign.
Through Shadowing (direct, real-time observation), we identify the current state
of every segment of the healthcare journey. Then we form high performance
inter-professional care teams to close the gaps between the current state and
the ideal. Real-world examples will be presented.
9:25 Co-Presentation: Reducing Mortality: Leveraging Analytics to
Promote a Culture of Partnership & Accountability
Eric Poon, M.D., Chief Health Information Officer, Duke University Health System
Roshan Hussain, Director, Analytics & Public Reporting, Boston Medical Center
With decreasing reimbursements and increasing external pressure to capture
value, health care organizations have to assess the quality that they provide in
terms of patient outcomes. Risk-adjusted mortality rate is a relatively common
outcome measure that healthcare organizations and external drivers (i.e.,
regulatory agencies and payers) use to assess the quality. Even though this
measure is common, it is relatively difficult to move and requires change in the
cultural fabric of an organization. In this presentation, the speakers will describe
the three year journey that BMC took to move its’ relative performance from
the bottom decile of University HealthSystem Consortium (UHC) risk adjusted
mortality ratio to the top quartile. They will highlight (1) the use of analysis to
create prioritization; (2) iterative approach of analysis to create trust; (3) building
consensus on patient attribution; (4) providing in-sighting into major levers to
affect change; (5) utility of a mixed push & pull strategy of reporting; and (6)
fostering a non-punitive culture.
9:50 Unlocking Patient and Provider Experience:What’sTechnology
Got to Do with It?
Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence
in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of
Patient Experience
Healthcare organizations across the country are thinking about how to
maximize patient outcomes, engage their clinicians, and leverage technology.
Truth of the matter is that new ways of thinking about our practice and
appropriate use of technology can have an enormous impact. Key to this,
however, is bringing clinicians to the table to use it, build it, and know when old
fashioned methods are actually the most effective. We’ll talk about our patient
experience initiatives, innovations to drive performance of our caregivers and
patient outcomes, and key tactics for engaging experienced clinicians.
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
INTERSECTION OF WEARABLES, APPS, AND
QUANTIFIED SELF WITH HEALTH CARE
(special shared session betweenTracks #2 and #5)
11:00 Current Challenges and Opportunities in Mobile Solutions and
Digital Health: BridgingTech, Clinicians and Patients
Michael Docktor, M.D., Clinical Director, Innovation, Innovation Acceleration Program,
Boston Children’s Hospital
Will provide an overview of some of the challenges in implementation of
mobile solutions in large academic medical environments. Will discuss
sourcing ideas from clinicians in addressing challenges within the hospital and
building solutions in-house. Provide success stories from app development
to operationalization.
11:25 Patient Care as Collaboration:Why Episodic Care Fails and How
IT Can Maintain the Connection
Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical
School; Co-Founder, Society for Participatory Medicine
How can we think differently about how we deliver healthcare? How can
we connect with patients between visits and manage larger populations
at lower costs? We know that patient and physician engagement
creates better outcomes, but we have to embrace new models of
patient-physician collaboration.
11:50 PANEL DISCUSSION:The Intersection ofWearables,Apps, and
Quantified Self with Health Care:Where DoThese“PHIT”in the RealWorld?
Moderator: Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine,
Harvard Medical School; Co-Founder, Society for Participatory Medicine
Anna McCollister-Slipp, Co-Founder, Galileo Analytics
William Crawford, MBA, Boston Office Head, Fitbit, Inc.
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
“
“I appreciate the scale of Medical InformaticsWorld. It allows for great
follow-up conversation and engaging dialogue!
- VP of HIT Transformation & Analytics, Kaiser Permanente
10 | Medical Informatics World MedicalInformaticsWorld.com
Population Health Management and Quality Improvement
Using Technology and Analytics to Predict Outcomes, Target High-Risk Populations and Increase Compliance
With the growing availability of health data, healthcare delivery is moving beyond individual care to population health management. Using technology and
analytics, population health management shifts care from immediate treatment to predictive and preventative care. Cambridge Healthtech Institute and Clinical
Informatics News’ 3rd Annual “Population Health Management and Quality Improvement: Using Technology and Analytics to Predict Outcomes, Target High-Risk
Populations and Increase Compliance,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together thought leaders from
the payer, provider and pharma communities for insightful discussions on implementing a population health management strategy.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
THE QUEST FORTHETRIPLE AIM
11:05 Chairperson’s Remarks
Betsy Hampton, Vice President, Population Health, Reliant Medical Group, Atrius
Health
11:10 Data...and the Quest forTheTriple Aim
Joel Reich, M.D., Senior Vice President, Medical Affairs; CMO, Eastern Connecticut
Health Network
Fulfillment of the Triple Aim is dependent upon the collection, exchange, and
analysis of data in many sectors of the healthcare system. This presentation
will explore several key organizational, system, governance, finance, manpower
and technology issues that must be addressed. Discussion will include things
care providers can do at different stages of data system development.
11:35 Population Health Management and Quality Improvement:
Analytics from an At-Risk-Health System’s Perspective
Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield of SC
Accountable Care Organizations (ACOs) and Integrated Delivery Networks
(IDNs, IDSs) are at financial risk for achieving high value healthcare, where
value is defined as the highest quality healthcare for a population of patients
at the lowest possible cost. There is a spectrum of risk for these ACOs/IDNs
when managing various populations and it is important for them to understand
how to use data to better identify these risks. In an evidence-based system
organizations should be able to identify where the risks are and intervene
accordingly. If these organizations manage their populations well, they will
come ahead financially (a win-win). So, how do you reduce waste, increase
quality and accelerate value in healthcare? The presentation will share some
examples and share an approach to: 1) identify patterns, 2) create rules, 3)
identify opportunities to educate providers, and 4) implement change.
12:00 pm Co-Presentation:We Have Data, Now What?
Dominique Morgan-Solomon, Vice President, Population Health, Steward Health
Heather Trafton, Director, Performance Improvement, Population Health, Steward
Health Care
Demonstrate how data can be used to drive population health strategy and
to stratify populations. Demonstrate how data integration in a system with
multiple EMRs can drive quality improvement and improve performance at
the system level. Discuss the different levels of data and how it can be used
at all levels from clinical staff to senior leadership. Share how a community-
based integrated system with multiple data sources has used data to design
population health strategy and improve quality.
12:25 Presentation to be Announced
Sponsored by
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
PATIENT STRATIFICATION, RISK IDENTIFICATION
AND HEALTH MANAGEMENT ALONGTHE CARE
CONTINUUM
2:05 Chairperson’s Remarks
Joel Reich, M.D., Senior Vice President, Medical Affairs; CMO, Eastern Connecticut
Health Network
2:10The Art and Science of Stratifying Patients into Risk Levels for
Longitudinal Care Management
Tabassum Salam, M.D., Senior Physician Advisor for Population Health, Department
of Quality, Safety and Population Health, Christiana Care Health System
Since it is unrealistic and unnecessary to offer intensive care management to
every member of a selected population, we ideally seek to identify our patients
who are at highest risk for poor outcomes. It is important to consider what
factors you will use in your stratification program and to develop an algorithm
around them. An essential step to ensuring success is standardized application
of this stratification algorithm, as well as frequent re-analysis of the process
and adjustments as needed.
2:35 Co-Presentation: Population Stratification and Health
Management along the Care Continuum
Christopher Valerian, M.D., CMO, QualCare Alliance Networks (QANI)
Carl Schneider, Manager, Health Informatics, Care Management, QualCare, Inc.
As part of their Population Health Management strategy, QualCare, Inc.
has developed a methodology to place members on the care continuum to
enhance health management interventions. By using predictive modeling,
members are classified as either no/low risk, moderate risk, or high risk based
on their predictive risk score. Depending on where a member falls on the care
continuum determines the level of intervention a member would receive from
health promotion to chronic condition management.
3:00 Sponsored Presentation (Opportunity Available)
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
MedicalInformaticsWorld.com Medical Informatics World | 11
TUESDAY, MAY 5
8:20 am Morning Coffee
COORDINATED CARE AND PROCEDURAL DECISION
SUPPORT’S IMPACT ON POPULATION HEALTH
MANAGEMENT
8:50 Chairperson’s Remarks
Steven Stack, M.D., President-Elect, American Medical Association
9:00 Co-Presentation:Virtual Care: Driving and Being Driven by
Population Health
Ronald Dixon, M.D., Director, Virtual Practice Project, Massachusetts General
Hospital
John Schmucker, MBA, Project Lead, Product Development and Implementation,
Virtual Practice Project, Massachusetts General Hospital
Population health management priorities and concerns have a significant
impact on virtual care models and delivery. Health systems operating in an
evenly mixed fee for service and value-based care environment have particular
challenges in growing adoption of virtual care. We will discuss the evolution of
virtual care models where population health is a key priority.
9:25 Optimizing Procedural Appropriateness through Web-Based
Decision Support
Creagh Milford, M.D., Assistant Medical Director, Massachusetts General Physician
Organization; Associate Medical Director for Population Health Management,
Partners HealthCare, Massachusetts General Hospital
Massachusetts General Hospital (MGH) has implemented a system to optimize
appropriate use of high-cost and high-volume surgical procedures. PrOE
(Procedure Order Entry) is a web-based procedural decision support solution
that incorporates four innovations in the peri-procedural process: prospective
appropriateness assessment; shared decision making (SDM); informed consent
that includes personal risk assessment; and collection of procedure-specific
outcomes. PrOE has been implemented for eight surgical procedures at MGH.
We will review benefits to providers, payers, and patients, as well as introduce
an innovative alternative to standard prior authorization processes.
9:50 Sponsored Presentation (Opportunity Available)
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
IMPLEMENTING A POPULATION HEALTH STRATEGY
AND SYSTEM
11:00 Implementing a Population Health IT System at Partners
Adrian Zai, M.D., Clinical Director, Population Informatics, Laboratory of Computer
Science, Massachusetts General Hospital
Partners recently implemented a population health information IT system at
3 of its hospitals: Massachusetts General Hospital, Brigham and Women’s
Hospital, and Newton-Wellesley Hospital. In this presentation, Dr. Zai will
discuss the critical components of a population health information system, and
share various interventions that led to improved outcomes.
11:25 Identifying High-Risk Patients and Practice Patterns
Jerry Avorn, M.D., Professor of Medicine, Harvard Medical School; Chief of the
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s
Hospital, Partners HealthCare System
How can healthcare systems better use big data to identify high-risk and
problematic patients and practice patterns? Once a problematic pattern is
seen, how do you tailor information for that particular doctor and decide
what docs need what training? The marketing of information is key to change
individual and organizational behavior and improve outcomes, so how does
a large healthcare system do this – address the population and the individual
simultaneously to improve prescribing patterns, outcomes, reimbursement,
Medicare/Medicaid (CMS) Star Ratings, HEDIS scores (or whatever metric is
being used)?
11:50 Frontiers in the Use of Electronic Health Records for Population-
Based Predictive Modeling
Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health
Informatics; Director, Center for Population Health Information Technology (CPHIT),
Johns Hopkins Bloomberg School of Public Health
To date, the majority of “predictive modeling” for population-based case
identification is done using claims and other administrative data sources. In
the near future, the main source of risk information will be derived from the
electronic health record. This presentation will discuss several exciting frontier
areas related to the use of EHRs and other clinical health IT and e-health
systems for such applications. The use of advanced “big data” techniques such
as natural language processing (NLP) “text mining” and dynamic modeling will
also be discussed. Work in progress from Dr. Weiner’s research center at Johns
Hopkins will be shared.
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
Medical InformaticsWorld cuts across important scientific and practical
components of medical informatics.It is one of the few conferences where
you can find such a diverse set of speakers and attendees.
“
“
- Assistant Director, Center for Population Health Information Technology,
Johns Hopkins Bloomberg School of Public Health
12 | Medical Informatics World MedicalInformaticsWorld.com
Security andAccess of Healthcare Data for Patients,
Providers,and Payers,Anywhere andAnytime
Navigating the Evolving Landscape of Health Data in a BYOD, Cloud, and Increasingly Regulated Environment
Health data security and privacy are growing concerns with the proliferation of medical devices, connected health technologies, and health information sharing
systems. Safeguarding patient privacy and ensuring data security are key challenges that must be met to allow relevant information sharing among patients,
providers and payers. Cambridge Healthtech Institute and Clinical Informatics News’ 2nd Annual “Security and Access of Healthcare Data for Patients, Providers,
and Payers, Anywhere and Anytime: Navigating the Evolving Landscape of Health Data in a BYOD, Cloud, and Increasingly Regulated Environment,” taking
place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together privacy and security leaders from the payer, provider and pharma
communities for key discussions on balancing the needs of patient security and privacy with those of medical information sharing.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
HEALTHCARE SECURITY AND PRIVACY PRACTICES
FORTHE NEW ENVIRONMENT
11:05 Chairperson’s Remarks
Anne Lara, CIO, HIS, Union Hospital
11:10 A Vast and Changing Landscape: How Security and Privacy
Practices Shape the Scenery
Karl West, Chief Information Security Officer; Assistant Vice President, Information
Systems, Intermountain Healthcare
Cyber-attacks are spiraling all across the world. Today’s cyber-attacks are not
the cyber-attacks of a decade ago and the same holds true for cybercriminals.
Unfortunately, healthcare has become a high-value and enticing target for
criminals, complicating strategies for such things as de-identified data for
research, HIPAA breach notification rules, vendor assessment, and patient
consent. The role of the CISO must keep in step with this changing landscape
by understanding the sociology, anthropology, and workforce demographics
of his or her organization in order to continually assess risks, influence the
organization’s behavior, and create a culture of cooperation to navigate the
competing interests of IT and security.
11:35 Protecting Privacy without Harming Patients
Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group
EHRs and HIEs are powerful tools enabling collaborative care and “right
now” access to medical information whenever and wherever needed. Yet
this important capability creates the risk of privacy breaches by authorized
individuals. Addressing this risk through a web of access restrictions risks harm
to patients. An alternative approach, forensic audit data mining combined with
selective use of Break the Glass alerts, creates a culture of self-deterrence of
snooping, while retaining the collaborative power of electronic health systems,
and allowing good, highly trained people to keep their jobs in the face of
temporary temptation.
12:00 pm Privacy and Security: HardeningYour Privacy and Security
Measures: Pre-Emption, Prevention and Mitigation
Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance
Enhance your Policies and Procedures, Risk Assessment and Management,
Password Management, Encryption, “BYOD,“ MDM, and Social Media…AND,
don’t forget to put your Incident Response Plan to the test.
12:25 Sponsored Presentation (Opportunity Available)
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
DATATRANSPARENCY AND ACCESS; DATA SECURITY
AND PRIVACY: CANYOU HAVE IT ALL?
(special shared session betweenTracks #4 and #5)
2:05 Chairperson’s Remarks
Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance
2:10 PANEL DISCUSSION:Tugs-of-War: Authorized Sharing of PHI and
Ensuring Privacy and Security
HIPAA allows the use/disclosure of and access to PHI… but it gets blurry! The
risks are greater than ever, and healthcare organizations must successfully
juggle the ever increased requirement to comply and the need to safeguard.
This panel will discuss how to predict and prevent the risks of unauthorized
access, over sharing, and breaches of privacy.
Moderator: Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth
Care Alliance
Karl West, Chief Information Security Officer; Assistant Vice President, Information
Systems, Intermountain Healthcare
Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston
Medical Center
Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group
3:00 Sponsored Presentation (Opportunity Available)
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
MedicalInformaticsWorld.com Medical Informatics World | 13
TUESDAY, MAY 5
8:20 am Morning Coffee
ROLE OF A MODERN CISO: MORETHAN COMPLYING
WITH HIPAA/HITECH, MORETHANTECH, MORETHAN
RISK MANAGEMENT
8:50 Chairperson’s Remarks
Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group
9:00 Justifying the Role of an Information Security Analyst
Anne Lara, CIO, HIS, Union Hospital
Complying with HIPAA/HITECH regulations and meeting Meaningful Use
requirements are challenges for all healthcare providers. Small community-
based organizations with limited resources are especially taxed to implement
and monitor compliance to the requisite information security controls. This
presentation will provide one community hospital’s journey toward the
realization of HIPAA/HITECH compliance. Such realization included the creation
of a dedicated information security analyst position; the enactment of policies
and procedures; the establishment of monthly educational programs; the
implementation of tools such as mobile device management, web filtering,
and audit logging; and the ongoing auditing of the electronic health record for
appropriate access.
9:25 A Modern CISO’s Role is More thanTech: Achieving the Elusive
Balance Between Information Security and Human Factors
Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston
Medical Center
This presentation will share a unique perspective on the role of a modern
CISO. A CISO’s role is more than technology implementation and risk
management. Understanding sociology, anthropology, workforce demographics
and cultural context will allow you to build your programs and systems in a
more user-friendly and sustainable way and to, ultimately, influence behavior
and workflows.
9:50 Sponsored Presentation (Opportunity Available)
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
ENSURINGTRUSTWORTHY INFORMATION SYSTEMS
FOR HEALTH ANDWELLNESS INTHE ERA OF BIG DATA
11:00 Big Data, Big Bucks and/or Big Problems?: Balancing Security,
Privacy and Access
Marti Arvin, CCO, David Geffen School of Medicine, University of California, Los
Angeles Health System
This presentation will discuss how big data is being used in health care and its
impact on healthcare organizations, physicians and consumers from a security,
privacy and access perspective. It will include the need to balance privacy and
security of devices and data against the desire to have flexibility and access. What
are the benefits and risks of using big data? What is your view as a consumer and/
or healthcare professional on striking this balance while mitigating risk?
11:25 NSF Case Study:Trustworthy Health and Wellness
David Kotz, Ph.D., Associate Dean of Faculty for the Sciences, Institute for
Security, Technology, and Society (ISTS), Dartmouth College; Principal Investigator,
Trustworthy Health and Wellness (THaW)
This talk will present a brief overview of a large NSF-funded project that
aims to tackle many of the fundamental research challenges necessary to
provide trustworthy information systems for health and wellness, as sensitive
information and health-related tasks are increasingly pushed into mobile
devices and cloud-based services. The interdisciplinary research team includes
expertise from computer science, business, behavioral health, health policy,
and healthcare information technology to enable the creation of health &
wellness systems that can be trusted by individual citizens to protect their
privacy and can be trusted by health professionals to ensure data integrity and
security. Although these problems are motivated by a nationally important
application domain (health and wellness), the solutions have applications far
beyond that domain.
11:50The Coming New World Order on Health Care Privacy and Data
Security
Kirk Nahra, J.D., CIPP, Partner, Privacy, Wiley Rein LLP
Data is the lifeblood of any health care business. While the health care
industry has struggled with the HIPAA Rules for more than a decade, there are
enormous volumes of new data being generated outside of these rules, from
mobile applications, health care web sites and elsewhere. There is enormous
new pressure to regulate this “non-HIPAA” data. Learn how the rules will
change and how this will affect the use of data across all aspects of the health
care industry.
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
Medical InformaticsWorld provides the education and
networking across a spectrum of disciplines needed to improve
patient care delivery through use of technology.
“ “
- CMIO, Scott & White Healthcare
14 | Medical Informatics World MedicalInformaticsWorld.com
Leveraging mHealth,Telehealth and the Cloud
Achieving the Triple Aim with Mobile Tech, POC Devices, Wearables and Telemedicine
Amidst a diminishing supply of providers and escalating costs of healthcare, the call for new point-of-care testing, direct-to-consumer diagnostics, patient-
centered devices and apps to support mobile healthcare and telemedicine has never been greater. These technologies offer clinicians decision support capabilities,
healthcare systems a real-time data stream for population health management, and they offer providers, patients and payers the chance to improve the outcome
of care for less expense. Cambridge Healthtech Institute and Clinical Informatics News’ “Leveraging mHealth, Telehealth and the Cloud: Achieving the Triple Aim
with Mobile Tech, POC Devices, Wearables and Telemedicine,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together
technology developers, clinicians, researchers, payers and innovators in mobile health and telehealth for key discussions on the development and utilization of
mobile tech to improve healthcare.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
WEARABLE SENSORS,THE QUANTIFIED SELF,THE
INTERNET OFTHINGS (IoT) ANDTHE FUTURE OF
WIRELESS MEDICAL DEVICES
11:05 Chairperson’s Remarks
Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health
Informatics, Northeastern University and Indian School of Business
11:10 Wearable Sensors: Moving from the Quantified- to the
Understood-Self
Steven Steinhubl, M.D., Director, Digital Medicine, ScrippsTranslational Science Institute
A wide spectrum of novel technologies has been developed to allow for
personalized wellness, acute disease diagnostics, and chronic condition
management from home that would otherwise have required an office or
hospital visit. Over a dozen important health and wellness parameters are
capable of being monitored continuously with a watch-like device during
routinely daily activities; parameters currently only available in an Intensive Care
Unit setting such as beat-to-beat blood pressure, cardiac output, ECG, oxygen
saturation, and more. Beyond being just a more convenient way for vital signs
to be monitored, these multiple, continuous data streams offer tremendous
opportunities to understand an individual’s unique and personalized physiologic
responses to daily stressors, and most importantly, help guide healthy
responses to them. Transforming these numerous, vast and inter-related data
streams into understandable and actionable information for the individual and
their healthcare team is a critical requirement for mobile sensor technology to
achieve its potential to improve the health and wellness of all of us.
11:35 Building an Internet ofThings (IoT) for HealthCare to Obtain
Complete Patient-Related Data
Julian Goldman, M.D., Medical Director, Biomedical Engineering, Partners
HealthCare System; Director, MGH Medical Device Interoperability Program
This presentation will discuss the challenges and opportunities of building an
Internet ofThings (IoT) for HealthCare to obtain complete patient-related data that
is accurate, contextually rich, and time synchronized.This will support point-of-care
apps for Clinical Decision Support, big data analytics, improved patient safety, and
health technology innovation.
12:00 pmTrends in Wireless Medical Devices:Technologies, Uses, and
Looking into the Future
Donald Witters, Biomedical Engineer, Center for Devices and Radiological Health,
Food and Drug Administration
While there is rapid integration of wireless technology into an ever widening
range of medical device systems, there is need to understand what devices are
wireless, what technology they are using, and the trends over recent years. A
sample of over 400 wireless medical devices have been identified and analyzed for
the type of device, wireless technology and RF characteristics. Not surprising that
the majority of medical devices in the sample operate using wireless technology
commonly used by many other wireless products and in the same frequency
ranges.The issue of how these all will be able to coexist and the medical device
still perform its intended function safely and effectively looms large.
12:25 Sponsored Presentation (Opportunity Available)
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
DATATRANSPARENCY AND ACCESS; DATA SECURITY
AND PRIVACY: CANYOU HAVE IT ALL?
(special shared session betweenTracks #4 and #5)
2:05 Chairperson’s Remarks
Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance
2:10 PANEL DISCUSSION:Tugs-of-War: Authorized Sharing of PHI and
Ensuring Privacy and Security
HIPAA allows the use/disclosure of and access to PHI… but it gets blurry! The
risks are greater than ever, and healthcare organizations must successfully
juggle the ever increased requirement to comply and the need to safeguard.
This panel will discuss how to predict and prevent the risks of unauthorized
access, over sharing, and breaches of privacy.
Moderator: Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth
Care Alliance
Karl West, Chief Information Security Officer, Assistant Vice President, Information
Systems, Intermountain Healthcare
Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston
Medical Center
Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group
3:00 Sponsored Presentation (Opportunity Available)
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
MedicalInformaticsWorld.com Medical Informatics World | 15
TUESDAY, MAY 5
8:20 am Morning Coffee
EVALUATING mHEALTH INNOVATIONSTO ENSURE
SUCCESSFUL PRODUCT ADOPTION AND IMPACT
8:50 Chairperson’s Remarks
Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health
Informatics, Northeastern University and Indian School of Business
9:00 Evaluating the Impact of mHealth Innovations
Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health
Informatics, Northeastern University and Indian School of Business
This lecture presents a methodology for evaluating the extent to which an
existing or potential app achieves the Triple Aim. By definition, innovation
occurs when an invention is brought into practice. Using the Engineering KPIs
approach, it is possible to see which applications and variations of an invention
provide the greatest performance on the different facets of the Triple Aim.
Given the flexibility that mHealth app developers have to add and subtract
features, this approach can be used to optimize the outcomes produced by
new and existing apps.
9:25 DesigningYour WearableTechnology with Mobile Apps:What is
Needed for Successful Product Adoption and Impact
Regina Au, New Product Planning/Marketing, BioMarketing Insight
Wearable technology with mobile apps will become the norm in monitoring
patients’ vital signs at home or at work for diagnoses, alerts, management, or
treatment of diseases. Getting product adoption from all stakeholders (patients,
physicians, other healthcare professionals etc.) involved with these devices can
be difficult unless the device meets their needs and demonstrates significant
benefits to them. Learn the rationale behind what motivates each stakeholder
and the attributes to incorporate into a product for successful product adoption.
9:50 PANEL DISCUSSION: Digital Health Business Models; Achieving
Real Health Outcome Improvements and Cost Savings through
Scalable, DirectTherapeutic Engagement with Individual Patients
Innovative new digital health models are emerging which go beyond population
analytics and patient engagement, to deliver clinically significant improvements
in health outcomes to the individual patient. These clinically-driven, patient-
centric approaches are now cost-efficient, scalable, and set to change standard
of care in many complex, chronic diseases while delivering reduced costs,
improved outcomes, increased productivity for employers, and improved health
and disease management.
Moderator: Christian Suojanen, Co-Founder/Chairman, TTS Global Initiative
Alec Mian, Ph.D., CEO, Curelator Inc.
Veera Anantha, Ph.D., Co-Founder, CEO, Constant Therapy
David Cowles, Founding Partner, Benemax, Inc.	
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
INTERSECTION OF WEARABLES, APPS, AND
QUANTIFIED SELF WITH HEALTH CARE
(special shared session betweenTracks #2 and #5)
Chairperson: Sarah Krug, CEO, CANCER101, Executive Director, Society for
Participatory Medicine & Founder, Health Collaboratory
11:00 Current Challenges and Opportunities in Mobile Solutions and
Digital Health: BridgingTech, Clinicians and Patients
Michael Docktor, M.D., Clinical Director, Innovation, Innovation Acceleration Program,
Boston Children’s Hospital
Will provide an overview of some of the challenges in implementation of
mobile solutions in large academic medical environments. Will discuss
sourcing ideas from clinicians in addressing challenges within the hospital and
building solutions in-house. Provide success stories from app development
to operationalization.
11:25 Patient Care as Collaboration:Why Episodic Care Fails and How
IT Can Maintain the Connection
Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical
School; Co-Founder, Society for Participatory Medicine
How can we think differently about how we deliver healthcare? How can
we connect with patients between visits and manage larger populations
at lower costs? We know that patient and physician engagement
creates better outcomes, but we have to embrace new models of
patient-physician collaboration.
11:50 PANEL DISCUSSION:The Intersection of Wearables, Apps, and
Quantified Self with Health Care:Where DoThese “PHIT” in the Real
World?
Moderator: Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine,
Harvard Medical School; Co-Founder, Society for Participatory Medicine
Anna McCollister-Slipp, Co-Founder, Galileo Analytics
William Crawford, MBA, Boston Office Head, Fitbit, Inc.
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
The symposium provided a robust intersection of quality of care,
patient/family activation and the need for cost analysis.“
“
- Director, Healthcare Partners Institute
16 | Medical Informatics World MedicalInformaticsWorld.com
Building EnterpriseArchitecture and Hospital
Information Systems
Delivering Data-Driven Infrastructures to Support Clinical and Financial Transformation
There are great demands on today’s Healthcare CIOs, CMIOs, CFOs, IT Heads and Medical Informaticists to simultaneously plan for the future to ensure business
continuity while also being asked to derive improvements from their current data and systems. In a world of multiple clinical and financial systems and limited
resources, how do you transition from a siloed organization with siloed systems, from a single Hospital Information System or CDSS to Data-Driven Enterprise
Architectures? Cambridge Healthtech Institute and Clinical Informatics News’ “Building Enterprise Architecture and Hospital Information Systems to Improve
Outcomes: Delivering Data-Driven Infrastructures to Support Clinical and FinancialTransformation,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel
in Boston, MA, will bring together CIOs, CMIOs, IT and Finance Heads and Medical Informaticists from providers, payers, integrated delivery networks (IDN) and
integrated delivery systems (IDS) for key discussions on improving quality measures and reimbursement rates with improved systems and analytics.
MONDAY, MAY 4
7:00 am Registration and Morning Coffee
»»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE
OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY
Please see page 3 for details.
HOSPITAL INFORMATION SYSTEMS VS. ENTERPRISE
ARCHITECTURE: FINDINGTHE REAL DATA-DRIVEN
INFRASTRUCTURESTHAT SUPPORT CLINICAL AND
FINANCIALTRANSFORMATION
10:20 Coffee Break in the Exhibit Hall with Poster Viewing
11:05 Chairperson’s Remarks
Matthew Burton, M.D., Applied Clinical Informatics, Office of Information and
Knowledge Management, Mayo Clinic
11:10The Double-Edged Sword of IDNs: A Long, Slow Climb to Value-
Based Care
J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health
IDNs are blessed and cursed in the (soon to be?) new world order of Value-
Based Care. They have the scope and resources to transform themselves to
meaningfully integrated care. But simultaneously they are typically hamstrung
by conflicting financial incentives, sprawling legacy data architectures immune
to quick fixes, and the same interoperability hurdles everyone else has. This
presentation will examine the challenges and successes of a large Midwest
IDN in the middle of this transition.
11:35 Do No Harm and the Cost of Quality Variation will Require
Disruptive Analytics
Stephen Allegretto, Vice President, Financial Planning & Analysis, Yale New Haven
Health System
There are three key standalone data Systems that simply must be integrated
to adequately protect our patients from harm while providing our patients
the care they require to get better at an economically responsible cost. The
cost of poor quality and waste is understood by every other industry. What
stands in the way for healthcare to understand and reduce this variation: the
current organizational ownership and expert knowledge structures supporting
these data coupled with the inability to disrupt these ownership/knowledge
structures. The traditional standalone information systems capturing these
patient data include the EMR, Business Systems and the clinical quality
registries. This presentation will explore YNHHS’ efforts to disrupt these data
silos for the benefit of the patient and their journey to get better. Practical
applications of how these three systems and their data were integrated at
the patient level to reduce unnecessary variation for concurrent, retrospective
and predictive patient management, outcomes and resource utilization will
be demonstrated.
12:00 pm Five Competencies for Designing a New Health Care
Architecture
Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of
North Carolina Health Care and School of Medicine
A modern health enterprise – where business and clinical decisions are
powered by data – stands in stark contrast to the existing status quo across
health and life sciences. Historical approaches to medical informatics are
incapable of supporting the sophisticated insights needed to optimize the
tradeoffs between health outcomes and costs, and between standardized
medical treatment plans and more personalized care practices. The health
industry’s technology lens is shifting from purely retrospective, presumptive,
and practice-oriented policies towards collaborative, data-driven, predictive,
patient-centered, and real-time engagement-oriented processes. To be
effective, IT organizations will need more rigorous competencies in five
key areas: enterprise architecture, data sciences (including advanced
analytics), performance management, computing resource management, and
agile methods.
12:25 Co-Presentation: Clinical NLP for Predictive Sponsored by
Risk Models, Point-of-Care Insights and Patient
Engagement: Challenges and Opportunities
David Milward, Ph.D., CTO, Linguamatics
Simon Beaulah, Director, Healthcare Strategy, Linguamatics
Vital patient insights essential to addressing rising costs, accountable care and
meaningful use are trapped in unstructured text. New NLP approaches within
HIT architectures are providing access to specific data buried in unstructured
text to power predictive models (e.g. readmissions and pulmonary nodule),
point-of-care insights and patient engagement.
12:50 Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:30 Session Break
MOVING BEYONDTHE HOSPITALTO ACHIEVE DATA
AND PROCESS INTEROPERABILITY
2:05 Chairperson’s Remarks
Samuel “Sandy” Aronson, Executive Director, IT, Partners Healthcare Personalized
Medicine
2:10The Healthcare Services Platform Consortium: An Opportunity to
FosterTruly Interoperable Health Care Applications
Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information
Systems
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 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.
2:35 Clinical Research and the Medical Record: Mandates of
Interoperability in the Modern Era
Sorena Nadaf, Director, Translational Informatics; CIO, School of Medicine & Cancer
Center, University of California, San Fransisco
This presentation will share our experiences at UCSF as we are building the
Architecture across a matrix academic institution leveraging clinical research
MedicalInformaticsWorld.com Medical Informatics World | 17
informatics and the electronic medical record. Such an endeavor has been
complicated on many levels. However it is important for the future of precision
medicine and medical informatics.
3:00 Sponsored Presentation (Opportunity Available)
3:25 Refreshment Break in the Exhibit Hall with Poster Viewing
INTERACTIVE BREAKOUT DISCUSSION GROUPS
4:10 FindYourTable and MeetYour Moderator
4:15 Interactive Breakout Discussion Groups
Concurrent breakout discussion groups are interactive, guided discussions
hosted by a facilitator or set of co-facilitators to discuss some of the key
issues presented earlier in the day’s sessions. Delegates will join a table
of interest and become an active part of the discussion at hand. To get
the most out of this interactive session and format please come prepared
to share examples from your work, vet some ideas with your peers, be
a part of group interrogation and problem solving, and, most importantly,
participate in active idea sharing.
See page 5 for details.
5:15 Welcome Reception in the Exhibit Hall with Poster Viewing
6:15 Close of Day
6:20 - 9:00 pm Dinner Workshops (Separate registration required; see
page 4 for details.)
TUESDAY, MAY 5
8:20 am Morning Coffee
DESIGNING AN ENTERPRISE ARCHITECTURE IT
STRATEGY: BUSINESS INTELLIGENCETO ADVANCED
ANALYTICS
8:50 Chairperson’s Remarks
Stephen Allegretto, Vice President, Strategic Analytics and Financial Planning, Yale
New Haven Health System
9:00 Hardwiring Clinical Evidence into Enterprise Architecture and
Governance: Operations, Clinical and Finance
Evon Holladay, Vice President, Enterprise Intelligence, Catholic Health Initiatives
If we were constructing a building we would not think of starting without
an architectural diagram. Healthcare - operations and information systems
rarely have this advantage. Come learn how a $15B healthcare system with
multiple electronic health record systems is using governance and operational
processes to hardwire clinical evidence - and building a bridge to financial and
operational data.
9:25 Co-Presentation: Designing an Enterprise Architecture IT
Strategy: Ensuring Business Continuity, Enabling Access, Achieving
Security
Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston
Medical Center
Roshan Hussain, Director, Analytics & Public Reporting, Boston Medical Center
This presentation will share a story from the last 13 months wherein BMC
went through a process of systems re-evaluation and business strategy
development. The process included finance, IT, medical, privacy and other
organizational leaders. When examining the risks to business continuity what
criteria were used? What was the systems selection process? How were
costs/ROI/legacy systems evaluated? Once investments in new systems were
made and new process improvements were identified, what was the impact
on the organization? The goal: to achieve business continuity for years to come
and to effectively roll it out.
9:50 WorkingTogether: A Cross-Industry Collaboration Focused on
Bringing the Benefits of Genetic Aware Clinical Decision Support to
Everyone
Samuel “Sandy” AronsonSamuel “Sandy” Aronson, Executive Director, IT, Partners
Healthcare Personalized Medicine
Truly genetics enabling the Electronic Health Record (EHR) ecosystem on
a broad scale will require significant sustained collaboration between EHR
vendors, Laboratory system vendors, Providers, Laboratories, Standards Bodies,
Patient Advocates and Government.The Institution of Medicine has established
an action collaborative that brings these groups together for the purpose of
speeding the development of critical support.This talk will describe this effort,
where it is currently focused, and the challenges and opportunities we face.
10:15 Coffee Break in the Exhibit Hall with Poster Viewing
CASE STUDIES IN WORKFLOW AUTOMATION AND
CLINICAL DECISION SUPPORT
11:00 Co-Presentation:Workflow Optimization and Cognitive Support
for Development and Delivery of Clinical Best Practices
William Bria, M.D., CMIO, The HCI Group; President, AMDIS (Association of Medical
Directors of Information Systems)
Matthew Burton, M.D., Applied Clinical Informatics, Office of Information and
Knowledge Management, Mayo Clinic
There is an overwhelming need to provide the means and mechanisms for
advanced practices to continually and consistently deliver the Next Best
Practices. To do so, information and knowledge management tools must be
fit to clinician mental models and integrate into optimized clinical workflows.
Clinical informatics, design, software development, and systems engineering
principles and best practices can be employed in the development of such
systems. These systems may be conceptualized as components organized into
a platform to enable or even catalyze practice redesign in the ultimate service
of patients as well as their providers.
11:25 ARMADA (Advanced Research Management and Data Analysis):
Protocol Management System For Early Phase Cancer ClinicalTrials
Daniel Karp, M.D., Professor of Medicine; Medical Director, Clinical and Translational
Research Center, Investigational Cancer Therapeutics, University of Texas MD
Anderson Cancer Center
We have developed a working computer system that helps a high volume
clinical research unit conduct cancer clinical trials in a more efficient and
accurate way. The ARMADA Protocol Guidance System has had a major
impact on drug development and patient care at MDACC: documenting
complex requirements in real time, producing a complete list of all protocol
requirements completed via a graphic interface, revolutionized clinical
research as well as the billing process in MD Anderson CTRC with increased
productivity and significant cost savings.
11:50 Diagnostic Imaging: A Paradigm for the Potential of Decision
Support, Analytics and Enterprise Architecture in Health Care
Martin Reed, M.D., Radiologist, Diagnostic Imaging, Children’s Hospital, Canada
Integrating decision support for diagnostic imaging into physicians’ workflow has
been shown to change physicians’ practice. Analytics integrated into these systems
can be used to assess and improve physicians’ performance. In this presentation
I will review the work that has been done, including work done by the Canadian
Association of Radiologists, on integrating decision support into computerized order
entry systems for diagnostic imaging. I will discuss the current state of integrated
decision support for diagnostic imaging. I will also discuss the role that integrated
analytics can play in assessing and improving physicians’ performance and,
referencing work being done in Canada and elsewhere, the potential for analytics
for diagnostic imaging and other areas of medicine in an enterprise architecture to
support clinical transformation and improved population health.
12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or
Lunch onYour Own
1:00 Session Break
»»KEYNOTE SESSION #2: LEVERAGING ANALYTICS
ATTHE INTERSECTION OF MEDICAL SCIENCE,
HEALTHCARE DELIVERY, AND ECONOMICS
Please see page 3 for details.
4:00 Close of Conference
IT Innovation Transforming Care Delivery at Medical Informatics World Conference
IT Innovation Transforming Care Delivery at Medical Informatics World Conference
IT Innovation Transforming Care Delivery at Medical Informatics World Conference

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IT Innovation Transforming Care Delivery at Medical Informatics World Conference

  • 1. Transforming Care Delivery Models with IT Innovation World 2015 Conference Medical Informatics Third Annual FINAL AGENDA MedicalInformaticsWorld.com Provider-Payer-Pharma Cross-Industry Data Collaboration Coordinated Patient Care Engagement and Empowerment Population Health Management and Quality Improvement Security and Access of Healthcare Data Leveraging mHealth, Telehealth and the Cloud NEW! Building Enterprise Architecture and Hospital Information Systems NEW! 2015 CONCURRENT TRACKS May 4-5, 2015 Renaissance Waterfront Hotel Boston, MA The Confluence of Consumer Care andTwo-Way Data: Apple HealthKit, Care Management, Patient/Family Engagement, Privacy John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center Health IT, Health Reform, and the Path Forward Steven Stack, M.D., President-elect, American Medical Association Doing Care Differently:The Journey to a Healthier Nation Phil Polakoff, M.D., National Health Advisor; US Surgeon General nominee, former advisor to US Senate leadership and California Legislature The Coming Era of High Performance Medicine Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care and School of Medicine Forecasting the Impact of HIT and e-Health on the Future Demand for Physicians Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health Informatics; Director, Center for Population Health Information Technology (CPHIT), Johns Hopkins Bloomberg School of Public Health DINNER WORKSHOPS Actionable Predictive Intelligence in Healthcare Visual Analytics in Healthcare 2015 PLENARY KEYNOTES Organized by: Cambridge Healthtech Institute #MIW15 Register Early for Maximum Savings! PREMIER SPONSOR
  • 2. 2 | Medical Informatics World MedicalInformaticsWorld.com Monday AM Monday AM-PM Monday PM Tuesday AM Medical Informatics World Opening Keynotes and Panel May 4, 2015 Medical Informatics World Welcome Reception in the Exhibit Hall Interactive Breakout Discussion Groups Dinner Workshops* Tuesday PM Medical Informatics World Closing Keynotes and Panel May 5, 2015 Provider- Payer-Pharma Cross-Industry Data Collaboration Coordinated Patient Care, Engagement and Empowerment Population Health Management and Quality Improvement Security and Access of Healthcare Data TRACK #1 TRACK #2 TRACK #3 TRACK #4 Leveraging mHealth, Telehealth and the Cloud TRACK #5 Building Enterprise Architecture and Hospital Information Systems TRACK #6 NEW! NEW! Provider- Payer-Pharma Cross-Industry Data Collaboration Coordinated Patient Care, Engagement and Empowerment Population Health Management and Quality Improvement Security and Access of Healthcare Data TRACK #1 TRACK #2 TRACK #3 TRACK #4 Leveraging mHealth, Telehealth and the Cloud TRACK #5 TRACK #6 NEW! NEW! Building Enterprise Architecture and Hospital Information Systems CONFERENCE-AT-A-GLANCE About the Event Held each year in Boston, Medical Informatics World connects more than 400 healthcare, biomedical science, health informatics, and IT leaders to navigate emerging trends and opportunities in the evolving industry. The event responds to the challenges in collaborating and maximizing the benefit of enabling technologies with inspiring plenary keynotes combined with focused expert-led presentations and discussions. Coverage includes population health management, predictive analytics, payer-provider-pharma data collaborations, patient care and engagement, mobile and wearable technologies, care delivery models, enterprise hospital information systems, clinical decision support, error and readmission reduction, and healthcare data security. The 2015 program features six conference tracks, two interactive dinner workshops and six plenary keynote presentations, providing attendees with the connections, tools and strategies for taking their research and care delivery to the next level. CORPORATE SPONSORS See videos and photos from last year’s conference at MedicalInformaticsWorld.com * Separate registration required PREMIER SPONSOR
  • 3. MedicalInformaticsWorld.com Medical Informatics World | 3 Keynotes »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY AND TECHNOLOGY MONDAY, MAY 4 8:00 Organizer’s Welcome and Chairperson’s Remarks Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute (CHI) and Medical Informatics World Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health Care 8:10 Doing Care Differently:The Journey to a Healthier Nation Phil Polakoff, M.D., National Health Advisor; US Surgeon General Nominee; former Advisor to US Senate Leadership and California Legislature How can we deliver healthcare differently and lead all stakeholders to a healthier nation? An in-depth assessment of our current and future healthcare landscape and the impact health reform is having. A keener understanding as to the nature of the emerging innovative health delivery models and how best to navigate and implement them to achieve meaningful success. 8:40 Health IT, Health Reform, and the Path Forward Steven Stack, M.D., President-Elect, American Medical Association The current healthcare environment brings seismic changes for physicians, from EHRs to telemedicine to implementation of the Affordable Care Act. The opportunity to improve patient care and safety through these and other changes is great, but so too are the challenges. This session will explore how recent legislative and regulatory requirements are impacting physicians and how technology can be leveraged to overcome existing challenges, increase efficiencies, and ultimately improve patient care. 9:10The Confluence of Consumer Care andTwo-Way Data: Apple HealthKit, Care Management, Patient/Family Engagement, Privacy John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center With the launch of the Apple HealthKit we are seeing the consumerization of healthcare becoming a reality. What are the implications of this transformation for care management, patient/family engagement, and for privacy? With the confluence of consumer care and data where are the opportunities to better identify risk in populations and to improve quality? With the growth and availability of two-way data (to-from patients) what is the hope vs the hype of mobile tech? 9:40 PANEL DISCUSSION:The Future of HealthcareTechnology: Separating WishfulThinking from Realistic Expectations Moderator: Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health Care John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center Steven Stack, M.D., President-Elect, American Medical Association Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care and School of Medicine Phil Polakoff, M.D., National Health Advisor; US Surgeon General Nominee; former Advisor to US Senate Leadership; Consultant to California Legislature We all hear about potentially marvelous advances in healthcare technologies that will enable coordinated, efficient, high-quality care. But many organizations are struggling with incremental improvements to systems that woefully and evidently fail to fulfill well-acknowledged business requirements. Our expert panelists are working at the frontiers of what is possible and what is actual in healthcare IT and will offer their insights and prognostications as to what we can reasonably expect from technological advances in the coming years. • Looking at our interoperability challenges, and the un-integrated reality we are working in now, what are the biggest challenges we are facing in health IT today? • Looking beyond an individual hospital system or a State HIE, what do you believe to be the long-range technology developments that will enable needed transformations in the US healthcare system? What is a realistic timeline for these technologies not only to become generally available, but also generally deployed? • What are you working on now in your world to get us to this possible future state? What are your priority challenges to overcome in the immediate term (in the next year), medium term (3-5 years) and longer term? Where are we wasting too much time and money, or investing in solutions that we will just have to replace as obsolete as soon as they are deployed? What is your advice for policy and health IT leaders in the field? »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS TUESDAY, MAY 5 1:40 pm Organizer’s and Chairperson’s Remarks Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute (CHI) and Medical Informatics World Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information Systems 1:50The Coming Era of High Performance Medicine Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of North Carolina Health Care and School of Medicine Can medicine truly become a performance-driven industry?The complexity residing at the intersection between the science of medicine, the delivery of health care services, and natural patient variation has made it difficult to scale organizational performance beyond the effectiveness of individual contributors.Yet other fields such as space exploration, battlefield operations, meteorology, financial services, and automotive racing have demonstrated that comparably complex systems can be characterized and even managed to very high levels of performance. By adopting similar capabilities in the context of population health, accountable care, and personalized medicine, health and life sciences organizations can unlock a new era of clinical, financial, and operational high performance. 2:20 Forecasting the Impact of HIT and e-Health on the Future Demand for Physicians Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health Informatics; Director, Center for Population Health Information Technology (CPHIT), Johns Hopkins Bloomberg School of Public Health Few factors will change the face of the American health care workforce as widely and dramatically as will health IT and e-health. This presentation explores how such applications will affect the future demand for physicians, and other clinicians. Professor Weiner will discuss the premise that HIT systems, when fully implemented, will allow care to be delivered by fewer physicians and more nurse practitioners and physician assistants. Furthermore, HIT-supported generalists could provide some care now delivered by specialists. Health IT could also help address rural clinician shortages patients by enabling care to be delivered remotely or asynchronously. Dr. Weiner will discuss the implications of these and other health informatics trends on what some believe to be a looming shortage of physicians. 2:50 Health Delivery Reform and Health IT-Enabled Quality Improvement ONC Speaker, Office of the National Coordinator for Health InformationTechnology (ONC) How can we use health IT to provide the best possible care for all Americans? Health InformationTechnology is critical to the success of delivery reforms that aspire to transform the nation’s health care system to focus increasingly on the quality of care provided, rather than the quantity. Only health IT can provide the kind of smart data and analytics that organizations such as Accountable Care Organizations need to succeed. 3:20 CAPSTONE PANEL DISCUSSION:What Can We Really do to Accelerate Value in Healthcare? Moderator: Eric Glazer, Vice President, Physician Engagement & Social Media, Best Doctors Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of North Carolina Health Care and School of Medicine J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield of South Carolina Speaker, Office of the National Coordinator for Health Information Technology (ONC) Our esteemed panel will summarize the key theme of the conference, how technology and analytics enable providers to better engage and manage patient populations, and ultimately achieve a higher quality at lower cost. Specifically, we will address strategies to transforming care models to shared risk using technologies. Areas of discussion will include: • Should we fire the CMO? Who are the ideal clinical leaders to drive this successful change? • How can provider organizations invest in the future without going broke today? • How does an ACO navigate the conflicting financial incentives? • What is the technology that can support ACOs? • How will we get to system wide Accountable Care in less than 10 years!?
  • 4. 4 | Medical Informatics World MedicalInformaticsWorld.com “ “The healthcare technology and policy landscape changes so rapidly that IT leaders are challenged to deploy solutions fast enough to meet user and regulatory needs. Medical InformaticsWorld convenes experts from across the country to share best practices,proving the guidance we all need to be successful. - CIO, Beth Israel Deaconess Medical Center Dinner Workshops* MONDAY, MAY 4 | 6:20 – 9:00 PM W1: Actionable Predictive Intelligence in Healthcare Dipti Patel-Misra, Ph.D., MBA, PCC, Founding Principal, Actionable Healthcare Insights (AHI); Executive-in-Residence, Health Informatics, University of North Carolina, Charlotte Predictive analytics/intelligence provides a framework for narrowing the focus - on customers, resources, opportunities, and innovations. Understanding how and when to utilize predictive analytics, it can be used to customize marketing campaign optimization to patient engagement. In this dinner workshop attendees will learn: • Key data-driven information to seek to make an immediate impact for your organization • What questions to ask? • How to gather information from incomplete or “imperfect” data • How to balance need for information with the time it might take to get the data AboutYour Instructor: Dr. Patel-Misra has two decades experience with a unique background in healthcare finance, insurance, health economics, outcomes, informatics, and healthcare analytics, including senior leadership roles at Blue Cross Blue Shield of North Carolina, SAS, and Best Doctors. She specializes in strategically using analytical insights to drive enterprise objectives. Her key projects include episode analytics, personalized healthcare models, risk-based clinical models, and predictive models. Dr. Patel-Misra is also adjunct faculty and executive-in-residence at University of North Carolina, Charlotte, where she teaches and advises graduate students in the Health Informatics Program. She is also a leadership coach, advising rising stars in healthcare analytics on how to effectively transition from contributor to manager to executive. Dr. Patel-Misra earned her Ph.D. in chemistry at Johns Hopkins University and a Master of Business Administration from the University of North Carolina. She has her coaching certification from Healthcare Coaching Institute. W2:Visual Analytics in Healthcare Katherine Rowell, Co-Founder, Katherine S. Rowell & Associates and HealthDataViz Too often, the tables and graphs used to communicate healthcare data are poorly designed, at best failing to and at worst even incorrectly communicating the critical information used to measure performance, educate and inform patients, and identify the right opportunities for change and improvement to our healthcare systems. Incorporating examples of actual healthcare data here’s a summary of what you’ll learn: • Historical contributions to the visual communication of healthcare data and information • Common mistakes in table and graph design, and how to avoid them • Best practices of table and graph design • The most common dashboard design mistakes • How to use human visual perceptions to design effective dashboards • The guiding principles of dashboard design • The features of a well-designed dashboard AboutYour Instructor: Katherine S. Rowell, MS, MHA, is co-founder and principal of Katherine S. Rowell & Associates and HealthDataViz, a Boston firm that specializes in helping healthcare organizations organize, design, and present visual displays of data to inform their decisions and stimulate effective action. She advises providers, payers, policymakers and regulatory agencies how to align systems, design reports, and develop staff to communicate healthcare data clearly. She made crucial contributions to the establishment of the Massachusetts General Hospital Codman Center for Clinical Effectiveness and the launching of the National Surgical Quality Improvement Program (300+ participating hospitals throughout the U.S. and Canada). Rowell has published numerous high-profile articles, and UnleashYour Inner Healthcare Data, her twice-monthly newsletter, has more than 1,500 passionate subscribers all over the world. Her clients, drawn from leading national and international healthcare organizations, include the Cleveland Clinic, Partners Healthcare, Baylor Healthcare, the World Health Organization, and the Children’s Hospital Association.They and hundreds of other companies, organizations, and individuals seek out her public and private workshops, in-house training sessions, and private consulting services to learn the best practices of data visualization for healthcare professionals and other stakeholders. Kathy holds a BS in Business Management and a Master’s in Health Administration from the University of New Hampshire, and an MS from Dartmouth Medical School. A former member of the faculty of Brandeis University’s Medical Informatics Graduate Program, Kathy continues to serve on its Advisory Committee. She is a recipient of the prestigious Partners in Excellence Award for leadership and innovation. MEDIA PARTNERS * Separate registration required SPONSORING ORGANIZATION OFFICIAL MEDIA PARTNERS LEAD SPONSORING PUBLICATIONS SPONSORING PUBLICATIONS WEB PARTNERS FierceEMRMAPPING THE FUTURE OF HEALTHCARE INFORMATION
  • 5. MedicalInformaticsWorld.com Medical Informatics World | 5 Breakout Discussion Groups MONDAY, MAY 4 | 4:10 -5:15 PM Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand.To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. TABLE 1 Near and Far Future WirelessTechnology Use and Deployment in Health IT and Beyond Moderator: Donald Witters, Biomedical Engineer, Center for Devices and Radiological Health, Food and Drug Administration • Are we headed toward implantable technology with wireless to track, to provide therapy? • What are the implications for areas like brain implants? • What are the logistical and other issues? Who needs to be involved and how can the stakeholders come together? • What are the barriers (e.g., human communication) and how can these be overcome? TABLE 2 The New Paradigm for Health Care Privacy Moderator: Kirk Nahra, Wiley Rein LLP • How is Big Data changing the discussion on health care privacy? • What is the impact of the wide variety of new health care data (mobile apps, web sites, etc) on health care privacy? • How is this new data and the legal gaps in protection for this data going to change the privacy environment TABLE 3 MaturingYour Analytics Program: Getting the Data, Metadata, and User-Friendly Standard Reports in Place to Actually Deliver Value Moderators: J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health Evon Holladay, Vice President, Enterprise Intelligence, Catholic Health Initiatives • What is the reality today, where should we be heading, and what is hype? • When the old reports just don’t work anymore • How to use technology to automate ‘the human data warehouse’ • Advancing analysts’ skills (from hunter/gatherer to true analytics) • Optimizing standard reporting in large organizations • Where is self-service analytics an option and how would you get there? TABLE 4 Man or Machine…Finding the Right Mix for Population Management Moderator: Joel Reich, M.D., FACEP, Senior Vice President for Medical Affairs/Chief Medical Officer, Eastern Connecticut Health Network • Community (home based) care managers: How many patients and practices can they manage? • Telehealth: What does it work best for in the home setting? • Health apps/wearables: Will the chronically ill use them? TABLE 5 Data Visualization for Healthcare Moderators: Katherine Rowell, Co-Founder, Katherine S. Rowell & Associates and HealthDataViz Peter Speyer, Chief Data and Technology Officer, Institute for Health Metrics and Evaluation (IHME) • Where are the best opportunities to communicate healthcare data via visualization? • How do you communicate critical information used to measure performance, educate and inform patients, and identify the right opportunities for change and improvement? • What are the common mistakes in table, graph and dashboard design, and how do you avoid them? TABLE 6 Building and Using Clinical Decision Support Systems (CDSS) for System Wide (Hospital, Ambulatory, Physician Office, Home Care) Management Moderators: Martin Reed, M.D., Radiologist, Diagnostic Imaging, Children’s Hospital, Canada Daniel Karp, M.D., Professor of Medicine; Medical Director, Clinical and Translational Research Center, Investigational Cancer Therapeutics, UT MD Anderson Cancer Center • Integrating Clinical Decision Support Systems (CDSS) into ambulatory care workflows for improved outcomes and patient safety • What are the goals of using CDSS? • How do you plan for and train for full integration: Hospital, Ambulatory, Physician Office, Home Care? • What type of CDSS: paper-based, web-based, electronic stand alone, electronic integrated into an EMR? • What are the barriers to implementing a CDSS? What are the basic requirements of an effective CDSS? Do you develop your own or purchase? TABLE 7 Patient-Physician-Care Giver Engagement Moderators: Anne Lara, CIO, HIS, Union Hospital Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory Medicine & Founder, Health Collaboratory • What was the past state of provider and patient medical record engagement? • What is the current state of provider and patient EHR engagement? • What will drive provider and patient health record engagement moving forward? TABLE 8 Business Intelligence (BI) and Healthcare Analytics: Making InformationTimely, Consumable and Impactful Moderator: Dipti Patel-Misra, Ph.D, MBA, PCC, Founding Principal, Actionable Healthcare Insights (AHI); Executive-in-Residence, Health Informatics, UNC Charlotte • Key to building an information driven org is to have impactful data at business users’ finger tips when they need it: How can BI be deployed, what needs to be done? • What are the ways in which front and back end BI can help bring business users, IT, and Analysts together for improving quality and managing costs? • What would be needed for an enterprise BI in a health plan, provider, ACO, other? TABLE 9 DigitalTherapeutics and Scalable Mobile Health Solutions beyond Engagement to Drive Real Health Improvements Customized at the Individual Patient Level Moderators: Christian Suojanen, Co-Founder/Chairman, TTS Global Initiative Alec Mian, CEO, Curelator, Inc. Veera Anantha, Ph.D., Co-Founder, CEO, Constant Therapy • Do we need to think beyond population health? Using clinically valid health outcome improvements through engagement at the individual patient level, scalable to the population • Viable business models through bottom line impact on health outcomes • How to leverage digital health to address chronic diseases poorly treated by pharmaceuticals? • How to drive patient compliance and ensure stickiness through immediate patient ROI and noticeable benefit, not just “lifestyle modification” TABLE 10 Creating an Achievable Path toTrue Interoperability and Continuous Healthcare IT Improvement Moderators: Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information Systems Samuel “Sandy” Aronson, Executive Director, IT, Partners Personalized Medicine • What are the goals of the HealthCare Platform Consortium? • What are the best strategies for achieving these goals? • What is the technical approach for making interoperability easier? • What would it take for my organization to adopt standards based services and/or contribute to the evolution of HealthCare IT infrastructure?
  • 6. 6 | Medical Informatics World MedicalInformaticsWorld.com Provider-Payer-Pharma Cross-Industry Data Collaboration to EnableValue-Based Delivery Models Integrating Real Time Data Analysis to Manage Costs and Improve Outcomes in the Health Care Ecosystem As healthcare evolves and becomes more sophisticated, there is an overwhelming need for collaboration across the healthcare spectrum—from provider to payer to pharma—on data collection and analysis. Data collaboration is essential for lowering costs and improving clinical outcomes. Cambridge Healthtech Institute and Clinical Informatics News’ “Provider-Payer-Pharma Cross-Industry Data Collaboration to Enable Value-Based Delivery Models: Integrating Real Time Data Analysis to Manage Costs and Improve Outcomes in the Health Care Ecosystem,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together executives and thought leaders from the provider, payer and pharma communities for engaging, innovative discussions. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. 10:20 Coffee Break in the Exhibit Hall with Poster Viewing HEALTH CARE REFORM AND DATA INTEGRATION 11:05 Chairperson’s Remarks Niteesh Choudhry, M.D., Ph.D., Associate Professor of Medicine, Harvard Medical School 11:10 Big Data in Healthcare: Aspiration vs. Substance Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health Care We all hear a lot of hype regarding the use of “Big Data” in health care, but how much of it truly represents breakthrough capabilities that present us with opportunities to improve our operations and market position? In this session, we will attempt to identify genuinely new capabilities enabled by the use of Big Data processes and products in health care, looking at four domains: processes and methodologies, data sources, data types and technology. We will explore some work currently under way and project into opportunities that may emerge in the near future. 11:35 Health Care Reform and What It Means Beyond the Pill: Collaboration,The Connected Patient, MobileTech and Innovation ThomasTsang, M.D., CMO, Healthcare Services and Solutions, Merck & Co. Health care reform in the US brought population health management and value- based payment models to the forefront. What are some of the collaboration and cross-industry partnerships and data sharing models that can bring value to all participants and improve health outcomes? How is this shift impacting the life science industry to innovate beyond the pill? 12:00 pmThe Data Integration Conundrum HeatherTrafton, Director, Performance Improvement, Population Health, Steward Health Care As a community-based network we have > 30 EMRs and other sources we need to integrate. This is complex. We have lessons learned that we think others could learn from. This talk will demonstrate how an integrated accountable care organization with > 30 EMRs has worked to integrate data from multiple sources. We will discuss the importance of data integration, processing and analytics to the overall performance of a system. Lastly, this case study will share the impact of combining data from the 3 major stakeholders, provider-payer-pharmacy. 12:25 Presentation to be Announced Sponsored by 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break EMR IT SYSTEMS: INTEGRATING PATIENT DATA FOR REPORTING AND RESEARCH 2:05 Chairperson’s Remarks Michael Murray, PharmD; MPH, Investigator, RCHER (Regenstrief Center for Healthcare Effectiveness Research), Regenstrief Institute 2:10 Co-Presentation: AstraZeneca—American College of Cardiology (ACC) PINNACLE Registry Collaboration Hui Cao, M.D., Ph.D., Head, Health Informatics, AstraZeneca Speaker, American College of Cardiology (ACC) AstraZeneca joined with medical organizations including the American College of Cardiology (ACC) and the American Diabetes Association to set up the Diabetes Collaborative Registry, the first clinical diabetes registry to provide a seamless view of diabetes patients across specialties. This registry leverages EHR technologies and collects data at various points, including primary care physicians and specialists, at which patients interact with the healthcare system to build a complete picture of the diabetes population. The rich, longitudinal data in the registry provides a complete picture of the diabetes population and provides great insights for AstraZeneca’s diabetes portfolio. 2:35 AreYour EMR IT Systems Ready to Conduct a Pragmatic Clinical Trial? Robert Vermeulen, Enterprise Architect, GlaxoSmithKline Pharmas are increasingly looking to conduct pragmatic trials in real-world EMR settings. Demonstrating control over IT systems and processes, data flow and data quality are key to successful execution. This presentation will share real-world examples and best practices relevant to both pharma companies sponsoring clinical research and healthcare providers who conduct clinical trials. 3:00 Presentation to be Announced Sponsored by David Barth, Senior Director, Strategic Development, Post-n-Track 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.)
  • 7. MedicalInformaticsWorld.com Medical Informatics World | 7 TUESDAY, MAY 5 8:20 am Morning Coffee INNOVATIVE COLLABORATION MODELS AND REAL WORLD EVIDENCE INSIGHT GENERATION 8:50 Chairperson’s Remarks HeatherTrafton, Director, Performance Improvement, Population Health, Steward Health Care 9:00 Payer-Provider Partnerships Academic-Industry Data Collaboration to Conduct Studies of Novel Delivery Models Niteesh Choudhry, M.D., Ph.D., Associate Professor of Medicine, Harvard Medical School This presentation will focus on academic-industry data collaborations to conduct randomized studies of novel delivery models. I will describe successful partnerships that we’ve built between payers and our research group to leverage real-world/routinely collected data to design, execute and evaluate studies of care redesign strategies (mostly around medication adherence). The presentation will share both the straightforward aspects (e.g. Accessing routinely collected data) and the more challenging things like randomization, consent, publication timelines, as well as the types of studies that could (and cannot) be done in the context of these collaborations. 9:25 Innovative Collaboration Models for Real World Evidence Insight Generation Michael Murray, Pharm.D., MPH, Investigator, RCHER (Regenstrief Center for Healthcare Effectiveness Research), Regenstrief Institute Large isolated real world datasets are available commercially for comparative effectiveness research, but sometimes these datasets lack the clinical context required to generate insights into health outcomes and answer research questions. Also, if these datasets are stripped of PHI/PII, there is no ability to trace the selected patient cohorts back to real patient populations for validation of insights or prospective observations and intervention development. So, despite the increasing availability of structured clinical data for use in research, life sciences companies are struggling to identify collaborative research models that engage with healthcare providers to contextualize clinical data through direct interaction with the clinical communities where the data are captured. The innovative model to address a) technology, b) research, and c) governance challenges associated with research, will be shared during the discussion. The audience will gain an understanding for how cross-industry collaborations and new innovative business models can enable more rapid insight generation. 9:50 Sponsored Presentation (Opportunity Available) 10:15 Coffee Break in the Exhibit Hall with Poster Viewing PARTNERSHIPSTHAT INTEGRATETHE BEST OF HEALTHCARE, SOCIAL ANDTECHNOLOGY 11:00 Little is the New Big: Leveraging Data to Drive Health Care Performance Todd Rothenhaus, M.D., FACEP, Senior Vice President and Chief Medical Information Officer, athenahealth We need to think about the health care industry in a radically different way. It’s not big data that drives success. It’s little data that provides insight into how our products are doing, how our clients are performing, and what’s happening to the health care ecosystem as a whole. These three pillars-products, clients, and their ecosystems - are the battleground on which all businesses fight, and little data shows us where we are doing well and where we need to improve. Customer-centric industries tenaciously analyze their products to make sure they do what they need; analyze client performance in ways that are actionable, and invest resources to coach and help them do better; and keep abreast of industry trends. Through it all, they leverage data as the means, but never the end, to focus on clients and the outcomes they are trying to achieve. This model can work for health care, too. 11:25 ASCO’s CancerLinQ Case Study: Cross-Industry Partnership to Transform Cancer Care through Big Data Robert Miller, M.D., Medical Director, Institute for Quality and CancerLinQ, ASCO Most of what is currently known about cancer treatment is based on the mere 3% of patients who participate in clinical trials. This session will discuss the vision and evolution of ASCO’s CancerLinQ technology platform, a tool which will enable oncologists to learn from every patient by capturing data generated in routine health care operations, currently locked in multiple disparate electronic health record systems. CancerLinQ aggregates and analyzes real- world cancer care data, irrespective of source, in order to provide real-time quality feedback to providers, to feed personalized insights to oncologists at the point of care, and, using powerful analytic tools, to reveal new, previously unseen patterns in patient characteristics, treatments, and outcomes. 11:50 PANEL DISCUSSION: Building the Next Generation of Breakthrough Models that Integrate the Best of Healthcare, Social andTechnology Moderator: Terry Stone, Head, Oliver Wyman’s Health Innovation Center & Grace Emerson Terrell, M.D., MMM, FACP, FACPE, CEO, Cornerstone Health & Vipin Gopal, Ph.D., MBA, Vice President, Clinical Analytics, Humana Fueled by consumer dissatisfaction with the status quo, entrepreneurs and venture capitalists are rapidly moving into the digital consumer-focused healthcare space. In 1998, there were just 17 rounds of health-tech venture capital investment worth $2 million or more; last year there were 89. The opportunities, however, don’t just lie in attracting VC but also in forming valuable partnerships between legacy players and new entrants. What are the dynamics of the evolving healthcare market characterized by a convergence of healthcare and pharma, physical and digital, and medicine and wellness? • Payers, providers, and pharma can partner to create value in the new health market • Players can take advantage of the flood of venture capital investment • Build business models that will thrive in the convergent healthcare economy 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference Group Discounts areAvailable! Special rates are available for multiple attendees from the same organization. For more information on group discounts, contact Bill Mote at 781-972-5479.
  • 8. 8 | Medical Informatics World MedicalInformaticsWorld.com Coordinated Patient Care,Engagement and Empowerment Delivering Care to Patients and Consumers in all Settings to Improve Outcomes Growing use of remote monitoring and mobile technology platforms has made it possible to transform the delivery of care by engaging and empowering patients outside the traditional clinical setting. Engaging and empowering patients in their own care reduces costs and improves health outcomes. Cambridge Healthtech Institute and Clinical Informatics News’ 3rd Annual “Coordinated Patient Care, Engagement and Empowerment: Delivering Care to Patients and Consumers in all Settings to Improve Outcomes,” taking place taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together thought leaders from the payer, provider and pharma communities for cutting-edge discussions on the evolving patient empowerment and engagement movement. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. 10:20 Coffee Break in the Exhibit Hall with Poster Viewing EMPOWERING PATIENTS ANDTRANSFORMING CARE WITH PATIENT-REPORTED DATA 11:05 Chairperson’s Remarks Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient Experience 11:10 Using Patient-Reported Outcome Measures toTransform Care Neil Wagle, M.D., Medical Director, Population Health Management & Quality, Safety, and Value, Partners HealthCare At Partners HealthCare, we have implemented one of the most forward- looking Patient-Reported Outcome Measures (PROMs) platforms in health care. We use the PROMs platform to engage our patients and help doctors take better individual care of patients, monitoring them using iPads in the clinic and reaching them at home through the patient portal, text messaging, email, and soon a iPhone/Android app. But we also are beginning to use this data as the basis of comparative effectiveness and quality measurement to finally determine which of the things we do in healthcare are actually responsible for the outcomes that matter to patients. 11:35 Co-Presentation: Empowering Patients and Researchers With Patient-Reported Data Marcia Nizzari, Vice President, Engineering, Product Development, PatientsLikeMe, Inc. Timothy Vaughan, Ph.D., Director, Data Science, PatientsLikeMe, Inc. PatientsLikeMe provides a social network and a research platform for capturing, curating, and analyzing patient-reported data. With 275,000+ users and 2,000+ conditions represented, PatientsLikeMe has enabled unique insights into patients’ behaviors and health outcomes. Patient-reported data is a critical new input into many areas of healthcare: clinical, payor, pharmaceutical, and outcomes research will be positively disrupted by this new source of valuable data. This talk will cover how these data are collected and curated to establish the “patient voice.” Analytic case studies will demonstrate how unique insights are revealed. 12:00 pmTransforming Care in the Intensive Care Unit with a Patient- CenteredToolkit:The PROSPECT Study David Bates, M.D., Chief Clinical Innovation Officer, Brigham and Women’s Hospital Care in the ICU is often fragmented, and it is a risky place for patients. We have developed a patient-centered toolkit which makes available to patients and their care partners all their key clinical information, which can be accessed via an iPad. It also includes a microblog function, so that the patient and family and anyone on the care team can send messages and ask questions. The effort is funded by the Gordon and Betty Moore Foundation. 12:25 Sponsored Presentation (Opportunity Available) 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break IMPACT OF PERSONAL HEALTH RECORDS ON PATIENT SATISFACTION, CLINICAL OUTCOMES AND OPERATIONAL EFFICIENCIES 2:05 Chairperson’s Remarks Michael Docktor, M.D., Clinical Director of Innovation, Innovation Acceleration Program, Boston Children’s Hospital 2:10 Co-Presentation: Delivering Information and Health Care Services on the Patients’Terms:The Impact of Personal Health Records on Patient Satisfaction, Clinical Outcomes and Operational Efficiencies Terhilda Garrido, Vice President, HIT Transformation & Analytics in National Quality, Kaiser Permanente Michael Kanter, M.D., Medical Director of Quality & Clinical Analysis, Kaiser Permanente Technology-enabled access to personal health data can lead to better health outcomes, higher satisfaction and improved patient-physician relationships. By combining access to personal health record information with relevant health management tools, Kaiser Permanente has created one of the most widely used patient portals in the world. Naturally, by providing easy access to services like viewing lab test results online or emailing a clinician, we have seen an impact on utilization of other services. Kaiser Permanente was ahead of the curve when it came to the adoption of a robust personal health record. For that reason, we have years of valuable insights to share with those on their own journeys, including the impact of the PHR on utilization of health care services. 2:50 Intersection ofTechnology and Care: FamiliesTaking More Responsibility Julie Fry, Founder, Making Care Easier When a patient walks out of a medical office or hospital today, it is often into a black hole with hopes that they follow recommended advice. At home, care typically falls to the patient themselves or their family members acting as caregivers. New technologies and software now enable caregivers and patients to better track what they are doing and to better communicate so as to successfully take on this new burden of care for which they were probably not prepared. 3:00 Sponsored Presentation (Opportunity Available) 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.)
  • 9. MedicalInformaticsWorld.com Medical Informatics World | 9 TUESDAY, MAY 5 8:20 am Morning Coffee ENGAGING PATIENTS AND FAMILIES AND LEVERAGING ANALYTICSTO PROMOTE A CULTURE OF PARTNERSHIP & ACCOUNTABILITY 8:50 Chairperson’s Remarks Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory Medicine & Founder, Health Collaboratory 9:00 Engaging Patients and Families in Redesigning Care Delivery: Viewing All Care Experiences throughTheir Eyes Pamela Greenhouse, MBA, Executive Director, PFCC Innovation Center, University of Pittsburgh Medical Center The PFCC Methodology and Practice (PFCC M/P) is a replicable and sustainable mechanism for moving care delivery from the current state ever closer to the ideal. Through six easy steps that can be quickly learned and used in any care setting, we engage patients and families as full partners in care redesign. Through Shadowing (direct, real-time observation), we identify the current state of every segment of the healthcare journey. Then we form high performance inter-professional care teams to close the gaps between the current state and the ideal. Real-world examples will be presented. 9:25 Co-Presentation: Reducing Mortality: Leveraging Analytics to Promote a Culture of Partnership & Accountability Eric Poon, M.D., Chief Health Information Officer, Duke University Health System Roshan Hussain, Director, Analytics & Public Reporting, Boston Medical Center With decreasing reimbursements and increasing external pressure to capture value, health care organizations have to assess the quality that they provide in terms of patient outcomes. Risk-adjusted mortality rate is a relatively common outcome measure that healthcare organizations and external drivers (i.e., regulatory agencies and payers) use to assess the quality. Even though this measure is common, it is relatively difficult to move and requires change in the cultural fabric of an organization. In this presentation, the speakers will describe the three year journey that BMC took to move its’ relative performance from the bottom decile of University HealthSystem Consortium (UHC) risk adjusted mortality ratio to the top quartile. They will highlight (1) the use of analysis to create prioritization; (2) iterative approach of analysis to create trust; (3) building consensus on patient attribution; (4) providing in-sighting into major levers to affect change; (5) utility of a mixed push & pull strategy of reporting; and (6) fostering a non-punitive culture. 9:50 Unlocking Patient and Provider Experience:What’sTechnology Got to Do with It? Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient Experience Healthcare organizations across the country are thinking about how to maximize patient outcomes, engage their clinicians, and leverage technology. Truth of the matter is that new ways of thinking about our practice and appropriate use of technology can have an enormous impact. Key to this, however, is bringing clinicians to the table to use it, build it, and know when old fashioned methods are actually the most effective. We’ll talk about our patient experience initiatives, innovations to drive performance of our caregivers and patient outcomes, and key tactics for engaging experienced clinicians. 10:15 Coffee Break in the Exhibit Hall with Poster Viewing INTERSECTION OF WEARABLES, APPS, AND QUANTIFIED SELF WITH HEALTH CARE (special shared session betweenTracks #2 and #5) 11:00 Current Challenges and Opportunities in Mobile Solutions and Digital Health: BridgingTech, Clinicians and Patients Michael Docktor, M.D., Clinical Director, Innovation, Innovation Acceleration Program, Boston Children’s Hospital Will provide an overview of some of the challenges in implementation of mobile solutions in large academic medical environments. Will discuss sourcing ideas from clinicians in addressing challenges within the hospital and building solutions in-house. Provide success stories from app development to operationalization. 11:25 Patient Care as Collaboration:Why Episodic Care Fails and How IT Can Maintain the Connection Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine How can we think differently about how we deliver healthcare? How can we connect with patients between visits and manage larger populations at lower costs? We know that patient and physician engagement creates better outcomes, but we have to embrace new models of patient-physician collaboration. 11:50 PANEL DISCUSSION:The Intersection ofWearables,Apps, and Quantified Self with Health Care:Where DoThese“PHIT”in the RealWorld? Moderator: Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine Anna McCollister-Slipp, Co-Founder, Galileo Analytics William Crawford, MBA, Boston Office Head, Fitbit, Inc. 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference “ “I appreciate the scale of Medical InformaticsWorld. It allows for great follow-up conversation and engaging dialogue! - VP of HIT Transformation & Analytics, Kaiser Permanente
  • 10. 10 | Medical Informatics World MedicalInformaticsWorld.com Population Health Management and Quality Improvement Using Technology and Analytics to Predict Outcomes, Target High-Risk Populations and Increase Compliance With the growing availability of health data, healthcare delivery is moving beyond individual care to population health management. Using technology and analytics, population health management shifts care from immediate treatment to predictive and preventative care. Cambridge Healthtech Institute and Clinical Informatics News’ 3rd Annual “Population Health Management and Quality Improvement: Using Technology and Analytics to Predict Outcomes, Target High-Risk Populations and Increase Compliance,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together thought leaders from the payer, provider and pharma communities for insightful discussions on implementing a population health management strategy. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. 10:20 Coffee Break in the Exhibit Hall with Poster Viewing THE QUEST FORTHETRIPLE AIM 11:05 Chairperson’s Remarks Betsy Hampton, Vice President, Population Health, Reliant Medical Group, Atrius Health 11:10 Data...and the Quest forTheTriple Aim Joel Reich, M.D., Senior Vice President, Medical Affairs; CMO, Eastern Connecticut Health Network Fulfillment of the Triple Aim is dependent upon the collection, exchange, and analysis of data in many sectors of the healthcare system. This presentation will explore several key organizational, system, governance, finance, manpower and technology issues that must be addressed. Discussion will include things care providers can do at different stages of data system development. 11:35 Population Health Management and Quality Improvement: Analytics from an At-Risk-Health System’s Perspective Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield of SC Accountable Care Organizations (ACOs) and Integrated Delivery Networks (IDNs, IDSs) are at financial risk for achieving high value healthcare, where value is defined as the highest quality healthcare for a population of patients at the lowest possible cost. There is a spectrum of risk for these ACOs/IDNs when managing various populations and it is important for them to understand how to use data to better identify these risks. In an evidence-based system organizations should be able to identify where the risks are and intervene accordingly. If these organizations manage their populations well, they will come ahead financially (a win-win). So, how do you reduce waste, increase quality and accelerate value in healthcare? The presentation will share some examples and share an approach to: 1) identify patterns, 2) create rules, 3) identify opportunities to educate providers, and 4) implement change. 12:00 pm Co-Presentation:We Have Data, Now What? Dominique Morgan-Solomon, Vice President, Population Health, Steward Health Heather Trafton, Director, Performance Improvement, Population Health, Steward Health Care Demonstrate how data can be used to drive population health strategy and to stratify populations. Demonstrate how data integration in a system with multiple EMRs can drive quality improvement and improve performance at the system level. Discuss the different levels of data and how it can be used at all levels from clinical staff to senior leadership. Share how a community- based integrated system with multiple data sources has used data to design population health strategy and improve quality. 12:25 Presentation to be Announced Sponsored by 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break PATIENT STRATIFICATION, RISK IDENTIFICATION AND HEALTH MANAGEMENT ALONGTHE CARE CONTINUUM 2:05 Chairperson’s Remarks Joel Reich, M.D., Senior Vice President, Medical Affairs; CMO, Eastern Connecticut Health Network 2:10The Art and Science of Stratifying Patients into Risk Levels for Longitudinal Care Management Tabassum Salam, M.D., Senior Physician Advisor for Population Health, Department of Quality, Safety and Population Health, Christiana Care Health System Since it is unrealistic and unnecessary to offer intensive care management to every member of a selected population, we ideally seek to identify our patients who are at highest risk for poor outcomes. It is important to consider what factors you will use in your stratification program and to develop an algorithm around them. An essential step to ensuring success is standardized application of this stratification algorithm, as well as frequent re-analysis of the process and adjustments as needed. 2:35 Co-Presentation: Population Stratification and Health Management along the Care Continuum Christopher Valerian, M.D., CMO, QualCare Alliance Networks (QANI) Carl Schneider, Manager, Health Informatics, Care Management, QualCare, Inc. As part of their Population Health Management strategy, QualCare, Inc. has developed a methodology to place members on the care continuum to enhance health management interventions. By using predictive modeling, members are classified as either no/low risk, moderate risk, or high risk based on their predictive risk score. Depending on where a member falls on the care continuum determines the level of intervention a member would receive from health promotion to chronic condition management. 3:00 Sponsored Presentation (Opportunity Available) 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.)
  • 11. MedicalInformaticsWorld.com Medical Informatics World | 11 TUESDAY, MAY 5 8:20 am Morning Coffee COORDINATED CARE AND PROCEDURAL DECISION SUPPORT’S IMPACT ON POPULATION HEALTH MANAGEMENT 8:50 Chairperson’s Remarks Steven Stack, M.D., President-Elect, American Medical Association 9:00 Co-Presentation:Virtual Care: Driving and Being Driven by Population Health Ronald Dixon, M.D., Director, Virtual Practice Project, Massachusetts General Hospital John Schmucker, MBA, Project Lead, Product Development and Implementation, Virtual Practice Project, Massachusetts General Hospital Population health management priorities and concerns have a significant impact on virtual care models and delivery. Health systems operating in an evenly mixed fee for service and value-based care environment have particular challenges in growing adoption of virtual care. We will discuss the evolution of virtual care models where population health is a key priority. 9:25 Optimizing Procedural Appropriateness through Web-Based Decision Support Creagh Milford, M.D., Assistant Medical Director, Massachusetts General Physician Organization; Associate Medical Director for Population Health Management, Partners HealthCare, Massachusetts General Hospital Massachusetts General Hospital (MGH) has implemented a system to optimize appropriate use of high-cost and high-volume surgical procedures. PrOE (Procedure Order Entry) is a web-based procedural decision support solution that incorporates four innovations in the peri-procedural process: prospective appropriateness assessment; shared decision making (SDM); informed consent that includes personal risk assessment; and collection of procedure-specific outcomes. PrOE has been implemented for eight surgical procedures at MGH. We will review benefits to providers, payers, and patients, as well as introduce an innovative alternative to standard prior authorization processes. 9:50 Sponsored Presentation (Opportunity Available) 10:15 Coffee Break in the Exhibit Hall with Poster Viewing IMPLEMENTING A POPULATION HEALTH STRATEGY AND SYSTEM 11:00 Implementing a Population Health IT System at Partners Adrian Zai, M.D., Clinical Director, Population Informatics, Laboratory of Computer Science, Massachusetts General Hospital Partners recently implemented a population health information IT system at 3 of its hospitals: Massachusetts General Hospital, Brigham and Women’s Hospital, and Newton-Wellesley Hospital. In this presentation, Dr. Zai will discuss the critical components of a population health information system, and share various interventions that led to improved outcomes. 11:25 Identifying High-Risk Patients and Practice Patterns Jerry Avorn, M.D., Professor of Medicine, Harvard Medical School; Chief of the Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Partners HealthCare System How can healthcare systems better use big data to identify high-risk and problematic patients and practice patterns? Once a problematic pattern is seen, how do you tailor information for that particular doctor and decide what docs need what training? The marketing of information is key to change individual and organizational behavior and improve outcomes, so how does a large healthcare system do this – address the population and the individual simultaneously to improve prescribing patterns, outcomes, reimbursement, Medicare/Medicaid (CMS) Star Ratings, HEDIS scores (or whatever metric is being used)? 11:50 Frontiers in the Use of Electronic Health Records for Population- Based Predictive Modeling Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health Informatics; Director, Center for Population Health Information Technology (CPHIT), Johns Hopkins Bloomberg School of Public Health To date, the majority of “predictive modeling” for population-based case identification is done using claims and other administrative data sources. In the near future, the main source of risk information will be derived from the electronic health record. This presentation will discuss several exciting frontier areas related to the use of EHRs and other clinical health IT and e-health systems for such applications. The use of advanced “big data” techniques such as natural language processing (NLP) “text mining” and dynamic modeling will also be discussed. Work in progress from Dr. Weiner’s research center at Johns Hopkins will be shared. 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference Medical InformaticsWorld cuts across important scientific and practical components of medical informatics.It is one of the few conferences where you can find such a diverse set of speakers and attendees. “ “ - Assistant Director, Center for Population Health Information Technology, Johns Hopkins Bloomberg School of Public Health
  • 12. 12 | Medical Informatics World MedicalInformaticsWorld.com Security andAccess of Healthcare Data for Patients, Providers,and Payers,Anywhere andAnytime Navigating the Evolving Landscape of Health Data in a BYOD, Cloud, and Increasingly Regulated Environment Health data security and privacy are growing concerns with the proliferation of medical devices, connected health technologies, and health information sharing systems. Safeguarding patient privacy and ensuring data security are key challenges that must be met to allow relevant information sharing among patients, providers and payers. Cambridge Healthtech Institute and Clinical Informatics News’ 2nd Annual “Security and Access of Healthcare Data for Patients, Providers, and Payers, Anywhere and Anytime: Navigating the Evolving Landscape of Health Data in a BYOD, Cloud, and Increasingly Regulated Environment,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together privacy and security leaders from the payer, provider and pharma communities for key discussions on balancing the needs of patient security and privacy with those of medical information sharing. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. 10:20 Coffee Break in the Exhibit Hall with Poster Viewing HEALTHCARE SECURITY AND PRIVACY PRACTICES FORTHE NEW ENVIRONMENT 11:05 Chairperson’s Remarks Anne Lara, CIO, HIS, Union Hospital 11:10 A Vast and Changing Landscape: How Security and Privacy Practices Shape the Scenery Karl West, Chief Information Security Officer; Assistant Vice President, Information Systems, Intermountain Healthcare Cyber-attacks are spiraling all across the world. Today’s cyber-attacks are not the cyber-attacks of a decade ago and the same holds true for cybercriminals. Unfortunately, healthcare has become a high-value and enticing target for criminals, complicating strategies for such things as de-identified data for research, HIPAA breach notification rules, vendor assessment, and patient consent. The role of the CISO must keep in step with this changing landscape by understanding the sociology, anthropology, and workforce demographics of his or her organization in order to continually assess risks, influence the organization’s behavior, and create a culture of cooperation to navigate the competing interests of IT and security. 11:35 Protecting Privacy without Harming Patients Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group EHRs and HIEs are powerful tools enabling collaborative care and “right now” access to medical information whenever and wherever needed. Yet this important capability creates the risk of privacy breaches by authorized individuals. Addressing this risk through a web of access restrictions risks harm to patients. An alternative approach, forensic audit data mining combined with selective use of Break the Glass alerts, creates a culture of self-deterrence of snooping, while retaining the collaborative power of electronic health systems, and allowing good, highly trained people to keep their jobs in the face of temporary temptation. 12:00 pm Privacy and Security: HardeningYour Privacy and Security Measures: Pre-Emption, Prevention and Mitigation Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance Enhance your Policies and Procedures, Risk Assessment and Management, Password Management, Encryption, “BYOD,“ MDM, and Social Media…AND, don’t forget to put your Incident Response Plan to the test. 12:25 Sponsored Presentation (Opportunity Available) 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break DATATRANSPARENCY AND ACCESS; DATA SECURITY AND PRIVACY: CANYOU HAVE IT ALL? (special shared session betweenTracks #4 and #5) 2:05 Chairperson’s Remarks Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance 2:10 PANEL DISCUSSION:Tugs-of-War: Authorized Sharing of PHI and Ensuring Privacy and Security HIPAA allows the use/disclosure of and access to PHI… but it gets blurry! The risks are greater than ever, and healthcare organizations must successfully juggle the ever increased requirement to comply and the need to safeguard. This panel will discuss how to predict and prevent the risks of unauthorized access, over sharing, and breaches of privacy. Moderator: Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance Karl West, Chief Information Security Officer; Assistant Vice President, Information Systems, Intermountain Healthcare Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston Medical Center Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group 3:00 Sponsored Presentation (Opportunity Available) 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.)
  • 13. MedicalInformaticsWorld.com Medical Informatics World | 13 TUESDAY, MAY 5 8:20 am Morning Coffee ROLE OF A MODERN CISO: MORETHAN COMPLYING WITH HIPAA/HITECH, MORETHANTECH, MORETHAN RISK MANAGEMENT 8:50 Chairperson’s Remarks Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group 9:00 Justifying the Role of an Information Security Analyst Anne Lara, CIO, HIS, Union Hospital Complying with HIPAA/HITECH regulations and meeting Meaningful Use requirements are challenges for all healthcare providers. Small community- based organizations with limited resources are especially taxed to implement and monitor compliance to the requisite information security controls. This presentation will provide one community hospital’s journey toward the realization of HIPAA/HITECH compliance. Such realization included the creation of a dedicated information security analyst position; the enactment of policies and procedures; the establishment of monthly educational programs; the implementation of tools such as mobile device management, web filtering, and audit logging; and the ongoing auditing of the electronic health record for appropriate access. 9:25 A Modern CISO’s Role is More thanTech: Achieving the Elusive Balance Between Information Security and Human Factors Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston Medical Center This presentation will share a unique perspective on the role of a modern CISO. A CISO’s role is more than technology implementation and risk management. Understanding sociology, anthropology, workforce demographics and cultural context will allow you to build your programs and systems in a more user-friendly and sustainable way and to, ultimately, influence behavior and workflows. 9:50 Sponsored Presentation (Opportunity Available) 10:15 Coffee Break in the Exhibit Hall with Poster Viewing ENSURINGTRUSTWORTHY INFORMATION SYSTEMS FOR HEALTH ANDWELLNESS INTHE ERA OF BIG DATA 11:00 Big Data, Big Bucks and/or Big Problems?: Balancing Security, Privacy and Access Marti Arvin, CCO, David Geffen School of Medicine, University of California, Los Angeles Health System This presentation will discuss how big data is being used in health care and its impact on healthcare organizations, physicians and consumers from a security, privacy and access perspective. It will include the need to balance privacy and security of devices and data against the desire to have flexibility and access. What are the benefits and risks of using big data? What is your view as a consumer and/ or healthcare professional on striking this balance while mitigating risk? 11:25 NSF Case Study:Trustworthy Health and Wellness David Kotz, Ph.D., Associate Dean of Faculty for the Sciences, Institute for Security, Technology, and Society (ISTS), Dartmouth College; Principal Investigator, Trustworthy Health and Wellness (THaW) This talk will present a brief overview of a large NSF-funded project that aims to tackle many of the fundamental research challenges necessary to provide trustworthy information systems for health and wellness, as sensitive information and health-related tasks are increasingly pushed into mobile devices and cloud-based services. The interdisciplinary research team includes expertise from computer science, business, behavioral health, health policy, and healthcare information technology to enable the creation of health & wellness systems that can be trusted by individual citizens to protect their privacy and can be trusted by health professionals to ensure data integrity and security. Although these problems are motivated by a nationally important application domain (health and wellness), the solutions have applications far beyond that domain. 11:50The Coming New World Order on Health Care Privacy and Data Security Kirk Nahra, J.D., CIPP, Partner, Privacy, Wiley Rein LLP Data is the lifeblood of any health care business. While the health care industry has struggled with the HIPAA Rules for more than a decade, there are enormous volumes of new data being generated outside of these rules, from mobile applications, health care web sites and elsewhere. There is enormous new pressure to regulate this “non-HIPAA” data. Learn how the rules will change and how this will affect the use of data across all aspects of the health care industry. 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference Medical InformaticsWorld provides the education and networking across a spectrum of disciplines needed to improve patient care delivery through use of technology. “ “ - CMIO, Scott & White Healthcare
  • 14. 14 | Medical Informatics World MedicalInformaticsWorld.com Leveraging mHealth,Telehealth and the Cloud Achieving the Triple Aim with Mobile Tech, POC Devices, Wearables and Telemedicine Amidst a diminishing supply of providers and escalating costs of healthcare, the call for new point-of-care testing, direct-to-consumer diagnostics, patient- centered devices and apps to support mobile healthcare and telemedicine has never been greater. These technologies offer clinicians decision support capabilities, healthcare systems a real-time data stream for population health management, and they offer providers, patients and payers the chance to improve the outcome of care for less expense. Cambridge Healthtech Institute and Clinical Informatics News’ “Leveraging mHealth, Telehealth and the Cloud: Achieving the Triple Aim with Mobile Tech, POC Devices, Wearables and Telemedicine,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together technology developers, clinicians, researchers, payers and innovators in mobile health and telehealth for key discussions on the development and utilization of mobile tech to improve healthcare. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. 10:20 Coffee Break in the Exhibit Hall with Poster Viewing WEARABLE SENSORS,THE QUANTIFIED SELF,THE INTERNET OFTHINGS (IoT) ANDTHE FUTURE OF WIRELESS MEDICAL DEVICES 11:05 Chairperson’s Remarks Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health Informatics, Northeastern University and Indian School of Business 11:10 Wearable Sensors: Moving from the Quantified- to the Understood-Self Steven Steinhubl, M.D., Director, Digital Medicine, ScrippsTranslational Science Institute A wide spectrum of novel technologies has been developed to allow for personalized wellness, acute disease diagnostics, and chronic condition management from home that would otherwise have required an office or hospital visit. Over a dozen important health and wellness parameters are capable of being monitored continuously with a watch-like device during routinely daily activities; parameters currently only available in an Intensive Care Unit setting such as beat-to-beat blood pressure, cardiac output, ECG, oxygen saturation, and more. Beyond being just a more convenient way for vital signs to be monitored, these multiple, continuous data streams offer tremendous opportunities to understand an individual’s unique and personalized physiologic responses to daily stressors, and most importantly, help guide healthy responses to them. Transforming these numerous, vast and inter-related data streams into understandable and actionable information for the individual and their healthcare team is a critical requirement for mobile sensor technology to achieve its potential to improve the health and wellness of all of us. 11:35 Building an Internet ofThings (IoT) for HealthCare to Obtain Complete Patient-Related Data Julian Goldman, M.D., Medical Director, Biomedical Engineering, Partners HealthCare System; Director, MGH Medical Device Interoperability Program This presentation will discuss the challenges and opportunities of building an Internet ofThings (IoT) for HealthCare to obtain complete patient-related data that is accurate, contextually rich, and time synchronized.This will support point-of-care apps for Clinical Decision Support, big data analytics, improved patient safety, and health technology innovation. 12:00 pmTrends in Wireless Medical Devices:Technologies, Uses, and Looking into the Future Donald Witters, Biomedical Engineer, Center for Devices and Radiological Health, Food and Drug Administration While there is rapid integration of wireless technology into an ever widening range of medical device systems, there is need to understand what devices are wireless, what technology they are using, and the trends over recent years. A sample of over 400 wireless medical devices have been identified and analyzed for the type of device, wireless technology and RF characteristics. Not surprising that the majority of medical devices in the sample operate using wireless technology commonly used by many other wireless products and in the same frequency ranges.The issue of how these all will be able to coexist and the medical device still perform its intended function safely and effectively looms large. 12:25 Sponsored Presentation (Opportunity Available) 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break DATATRANSPARENCY AND ACCESS; DATA SECURITY AND PRIVACY: CANYOU HAVE IT ALL? (special shared session betweenTracks #4 and #5) 2:05 Chairperson’s Remarks Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance 2:10 PANEL DISCUSSION:Tugs-of-War: Authorized Sharing of PHI and Ensuring Privacy and Security HIPAA allows the use/disclosure of and access to PHI… but it gets blurry! The risks are greater than ever, and healthcare organizations must successfully juggle the ever increased requirement to comply and the need to safeguard. This panel will discuss how to predict and prevent the risks of unauthorized access, over sharing, and breaches of privacy. Moderator: Lassaad Fridhi, Information Privacy & Security Officer, Commonwealth Care Alliance Karl West, Chief Information Security Officer, Assistant Vice President, Information Systems, Intermountain Healthcare Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston Medical Center Eric Liederman, M.D., Director, Medical Informatics, The Permanente Medical Group 3:00 Sponsored Presentation (Opportunity Available) 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.)
  • 15. MedicalInformaticsWorld.com Medical Informatics World | 15 TUESDAY, MAY 5 8:20 am Morning Coffee EVALUATING mHEALTH INNOVATIONSTO ENSURE SUCCESSFUL PRODUCT ADOPTION AND IMPACT 8:50 Chairperson’s Remarks Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health Informatics, Northeastern University and Indian School of Business 9:00 Evaluating the Impact of mHealth Innovations Adam Powell, Ph.D., President, Payer+Provider Syndicate; Adjunct of Health Informatics, Northeastern University and Indian School of Business This lecture presents a methodology for evaluating the extent to which an existing or potential app achieves the Triple Aim. By definition, innovation occurs when an invention is brought into practice. Using the Engineering KPIs approach, it is possible to see which applications and variations of an invention provide the greatest performance on the different facets of the Triple Aim. Given the flexibility that mHealth app developers have to add and subtract features, this approach can be used to optimize the outcomes produced by new and existing apps. 9:25 DesigningYour WearableTechnology with Mobile Apps:What is Needed for Successful Product Adoption and Impact Regina Au, New Product Planning/Marketing, BioMarketing Insight Wearable technology with mobile apps will become the norm in monitoring patients’ vital signs at home or at work for diagnoses, alerts, management, or treatment of diseases. Getting product adoption from all stakeholders (patients, physicians, other healthcare professionals etc.) involved with these devices can be difficult unless the device meets their needs and demonstrates significant benefits to them. Learn the rationale behind what motivates each stakeholder and the attributes to incorporate into a product for successful product adoption. 9:50 PANEL DISCUSSION: Digital Health Business Models; Achieving Real Health Outcome Improvements and Cost Savings through Scalable, DirectTherapeutic Engagement with Individual Patients Innovative new digital health models are emerging which go beyond population analytics and patient engagement, to deliver clinically significant improvements in health outcomes to the individual patient. These clinically-driven, patient- centric approaches are now cost-efficient, scalable, and set to change standard of care in many complex, chronic diseases while delivering reduced costs, improved outcomes, increased productivity for employers, and improved health and disease management. Moderator: Christian Suojanen, Co-Founder/Chairman, TTS Global Initiative Alec Mian, Ph.D., CEO, Curelator Inc. Veera Anantha, Ph.D., Co-Founder, CEO, Constant Therapy David Cowles, Founding Partner, Benemax, Inc. 10:15 Coffee Break in the Exhibit Hall with Poster Viewing INTERSECTION OF WEARABLES, APPS, AND QUANTIFIED SELF WITH HEALTH CARE (special shared session betweenTracks #2 and #5) Chairperson: Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory Medicine & Founder, Health Collaboratory 11:00 Current Challenges and Opportunities in Mobile Solutions and Digital Health: BridgingTech, Clinicians and Patients Michael Docktor, M.D., Clinical Director, Innovation, Innovation Acceleration Program, Boston Children’s Hospital Will provide an overview of some of the challenges in implementation of mobile solutions in large academic medical environments. Will discuss sourcing ideas from clinicians in addressing challenges within the hospital and building solutions in-house. Provide success stories from app development to operationalization. 11:25 Patient Care as Collaboration:Why Episodic Care Fails and How IT Can Maintain the Connection Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine How can we think differently about how we deliver healthcare? How can we connect with patients between visits and manage larger populations at lower costs? We know that patient and physician engagement creates better outcomes, but we have to embrace new models of patient-physician collaboration. 11:50 PANEL DISCUSSION:The Intersection of Wearables, Apps, and Quantified Self with Health Care:Where DoThese “PHIT” in the Real World? Moderator: Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine Anna McCollister-Slipp, Co-Founder, Galileo Analytics William Crawford, MBA, Boston Office Head, Fitbit, Inc. 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference The symposium provided a robust intersection of quality of care, patient/family activation and the need for cost analysis.“ “ - Director, Healthcare Partners Institute
  • 16. 16 | Medical Informatics World MedicalInformaticsWorld.com Building EnterpriseArchitecture and Hospital Information Systems Delivering Data-Driven Infrastructures to Support Clinical and Financial Transformation There are great demands on today’s Healthcare CIOs, CMIOs, CFOs, IT Heads and Medical Informaticists to simultaneously plan for the future to ensure business continuity while also being asked to derive improvements from their current data and systems. In a world of multiple clinical and financial systems and limited resources, how do you transition from a siloed organization with siloed systems, from a single Hospital Information System or CDSS to Data-Driven Enterprise Architectures? Cambridge Healthtech Institute and Clinical Informatics News’ “Building Enterprise Architecture and Hospital Information Systems to Improve Outcomes: Delivering Data-Driven Infrastructures to Support Clinical and FinancialTransformation,” taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together CIOs, CMIOs, IT and Finance Heads and Medical Informaticists from providers, payers, integrated delivery networks (IDN) and integrated delivery systems (IDS) for key discussions on improving quality measures and reimbursement rates with improved systems and analytics. MONDAY, MAY 4 7:00 am Registration and Morning Coffee »»KEYNOTE SESSION #1: CURRENT AND FUTURE STATE OF HEALTHCARE REFORM, POLICY ANDTECHNOLOGY Please see page 3 for details. HOSPITAL INFORMATION SYSTEMS VS. ENTERPRISE ARCHITECTURE: FINDINGTHE REAL DATA-DRIVEN INFRASTRUCTURESTHAT SUPPORT CLINICAL AND FINANCIALTRANSFORMATION 10:20 Coffee Break in the Exhibit Hall with Poster Viewing 11:05 Chairperson’s Remarks Matthew Burton, M.D., Applied Clinical Informatics, Office of Information and Knowledge Management, Mayo Clinic 11:10The Double-Edged Sword of IDNs: A Long, Slow Climb to Value- Based Care J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health IDNs are blessed and cursed in the (soon to be?) new world order of Value- Based Care. They have the scope and resources to transform themselves to meaningfully integrated care. But simultaneously they are typically hamstrung by conflicting financial incentives, sprawling legacy data architectures immune to quick fixes, and the same interoperability hurdles everyone else has. This presentation will examine the challenges and successes of a large Midwest IDN in the middle of this transition. 11:35 Do No Harm and the Cost of Quality Variation will Require Disruptive Analytics Stephen Allegretto, Vice President, Financial Planning & Analysis, Yale New Haven Health System There are three key standalone data Systems that simply must be integrated to adequately protect our patients from harm while providing our patients the care they require to get better at an economically responsible cost. The cost of poor quality and waste is understood by every other industry. What stands in the way for healthcare to understand and reduce this variation: the current organizational ownership and expert knowledge structures supporting these data coupled with the inability to disrupt these ownership/knowledge structures. The traditional standalone information systems capturing these patient data include the EMR, Business Systems and the clinical quality registries. This presentation will explore YNHHS’ efforts to disrupt these data silos for the benefit of the patient and their journey to get better. Practical applications of how these three systems and their data were integrated at the patient level to reduce unnecessary variation for concurrent, retrospective and predictive patient management, outcomes and resource utilization will be demonstrated. 12:00 pm Five Competencies for Designing a New Health Care Architecture Jason Burke, Senior Advisor for Innovation and Advanced Analytics, University of North Carolina Health Care and School of Medicine A modern health enterprise – where business and clinical decisions are powered by data – stands in stark contrast to the existing status quo across health and life sciences. Historical approaches to medical informatics are incapable of supporting the sophisticated insights needed to optimize the tradeoffs between health outcomes and costs, and between standardized medical treatment plans and more personalized care practices. The health industry’s technology lens is shifting from purely retrospective, presumptive, and practice-oriented policies towards collaborative, data-driven, predictive, patient-centered, and real-time engagement-oriented processes. To be effective, IT organizations will need more rigorous competencies in five key areas: enterprise architecture, data sciences (including advanced analytics), performance management, computing resource management, and agile methods. 12:25 Co-Presentation: Clinical NLP for Predictive Sponsored by Risk Models, Point-of-Care Insights and Patient Engagement: Challenges and Opportunities David Milward, Ph.D., CTO, Linguamatics Simon Beaulah, Director, Healthcare Strategy, Linguamatics Vital patient insights essential to addressing rising costs, accountable care and meaningful use are trapped in unstructured text. New NLP approaches within HIT architectures are providing access to specific data buried in unstructured text to power predictive models (e.g. readmissions and pulmonary nodule), point-of-care insights and patient engagement. 12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:30 Session Break MOVING BEYONDTHE HOSPITALTO ACHIEVE DATA AND PROCESS INTEROPERABILITY 2:05 Chairperson’s Remarks Samuel “Sandy” Aronson, Executive Director, IT, Partners Healthcare Personalized Medicine 2:10The Healthcare Services Platform Consortium: An Opportunity to FosterTruly Interoperable Health Care Applications Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information Systems 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 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. 2:35 Clinical Research and the Medical Record: Mandates of Interoperability in the Modern Era Sorena Nadaf, Director, Translational Informatics; CIO, School of Medicine & Cancer Center, University of California, San Fransisco This presentation will share our experiences at UCSF as we are building the Architecture across a matrix academic institution leveraging clinical research
  • 17. MedicalInformaticsWorld.com Medical Informatics World | 17 informatics and the electronic medical record. Such an endeavor has been complicated on many levels. However it is important for the future of precision medicine and medical informatics. 3:00 Sponsored Presentation (Opportunity Available) 3:25 Refreshment Break in the Exhibit Hall with Poster Viewing INTERACTIVE BREAKOUT DISCUSSION GROUPS 4:10 FindYourTable and MeetYour Moderator 4:15 Interactive Breakout Discussion Groups Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing. See page 5 for details. 5:15 Welcome Reception in the Exhibit Hall with Poster Viewing 6:15 Close of Day 6:20 - 9:00 pm Dinner Workshops (Separate registration required; see page 4 for details.) TUESDAY, MAY 5 8:20 am Morning Coffee DESIGNING AN ENTERPRISE ARCHITECTURE IT STRATEGY: BUSINESS INTELLIGENCETO ADVANCED ANALYTICS 8:50 Chairperson’s Remarks Stephen Allegretto, Vice President, Strategic Analytics and Financial Planning, Yale New Haven Health System 9:00 Hardwiring Clinical Evidence into Enterprise Architecture and Governance: Operations, Clinical and Finance Evon Holladay, Vice President, Enterprise Intelligence, Catholic Health Initiatives If we were constructing a building we would not think of starting without an architectural diagram. Healthcare - operations and information systems rarely have this advantage. Come learn how a $15B healthcare system with multiple electronic health record systems is using governance and operational processes to hardwire clinical evidence - and building a bridge to financial and operational data. 9:25 Co-Presentation: Designing an Enterprise Architecture IT Strategy: Ensuring Business Continuity, Enabling Access, Achieving Security Sumit Sehgal, CISSP, CISA, Chief Information Security & Privacy Officer, Boston Medical Center Roshan Hussain, Director, Analytics & Public Reporting, Boston Medical Center This presentation will share a story from the last 13 months wherein BMC went through a process of systems re-evaluation and business strategy development. The process included finance, IT, medical, privacy and other organizational leaders. When examining the risks to business continuity what criteria were used? What was the systems selection process? How were costs/ROI/legacy systems evaluated? Once investments in new systems were made and new process improvements were identified, what was the impact on the organization? The goal: to achieve business continuity for years to come and to effectively roll it out. 9:50 WorkingTogether: A Cross-Industry Collaboration Focused on Bringing the Benefits of Genetic Aware Clinical Decision Support to Everyone Samuel “Sandy” AronsonSamuel “Sandy” Aronson, Executive Director, IT, Partners Healthcare Personalized Medicine Truly genetics enabling the Electronic Health Record (EHR) ecosystem on a broad scale will require significant sustained collaboration between EHR vendors, Laboratory system vendors, Providers, Laboratories, Standards Bodies, Patient Advocates and Government.The Institution of Medicine has established an action collaborative that brings these groups together for the purpose of speeding the development of critical support.This talk will describe this effort, where it is currently focused, and the challenges and opportunities we face. 10:15 Coffee Break in the Exhibit Hall with Poster Viewing CASE STUDIES IN WORKFLOW AUTOMATION AND CLINICAL DECISION SUPPORT 11:00 Co-Presentation:Workflow Optimization and Cognitive Support for Development and Delivery of Clinical Best Practices William Bria, M.D., CMIO, The HCI Group; President, AMDIS (Association of Medical Directors of Information Systems) Matthew Burton, M.D., Applied Clinical Informatics, Office of Information and Knowledge Management, Mayo Clinic There is an overwhelming need to provide the means and mechanisms for advanced practices to continually and consistently deliver the Next Best Practices. To do so, information and knowledge management tools must be fit to clinician mental models and integrate into optimized clinical workflows. Clinical informatics, design, software development, and systems engineering principles and best practices can be employed in the development of such systems. These systems may be conceptualized as components organized into a platform to enable or even catalyze practice redesign in the ultimate service of patients as well as their providers. 11:25 ARMADA (Advanced Research Management and Data Analysis): Protocol Management System For Early Phase Cancer ClinicalTrials Daniel Karp, M.D., Professor of Medicine; Medical Director, Clinical and Translational Research Center, Investigational Cancer Therapeutics, University of Texas MD Anderson Cancer Center We have developed a working computer system that helps a high volume clinical research unit conduct cancer clinical trials in a more efficient and accurate way. The ARMADA Protocol Guidance System has had a major impact on drug development and patient care at MDACC: documenting complex requirements in real time, producing a complete list of all protocol requirements completed via a graphic interface, revolutionized clinical research as well as the billing process in MD Anderson CTRC with increased productivity and significant cost savings. 11:50 Diagnostic Imaging: A Paradigm for the Potential of Decision Support, Analytics and Enterprise Architecture in Health Care Martin Reed, M.D., Radiologist, Diagnostic Imaging, Children’s Hospital, Canada Integrating decision support for diagnostic imaging into physicians’ workflow has been shown to change physicians’ practice. Analytics integrated into these systems can be used to assess and improve physicians’ performance. In this presentation I will review the work that has been done, including work done by the Canadian Association of Radiologists, on integrating decision support into computerized order entry systems for diagnostic imaging. I will discuss the current state of integrated decision support for diagnostic imaging. I will also discuss the role that integrated analytics can play in assessing and improving physicians’ performance and, referencing work being done in Canada and elsewhere, the potential for analytics for diagnostic imaging and other areas of medicine in an enterprise architecture to support clinical transformation and improved population health. 12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch onYour Own 1:00 Session Break »»KEYNOTE SESSION #2: LEVERAGING ANALYTICS ATTHE INTERSECTION OF MEDICAL SCIENCE, HEALTHCARE DELIVERY, AND ECONOMICS Please see page 3 for details. 4:00 Close of Conference