Event program for the Medical Informatics Update 2013 held October 16, 2013 and sponsored by the Center for Advanced Information Management at Columbia University and IBM Healthcare.

1. a New York State Center for Advanced Technology at Columbia University
Wednesday, October 16, 2013
8:30 AM to 4:30 PM
IBM Thomas J Watson Research Center
1101 Kitchawan Rd, Yorktown Heights, NY 19598
Medical Informatics Update 2013:
Analytics and Tools for Care Coordination
A one-day meeting for local and regional healthcare
specialists to discuss advances,problems, and solutions
in various medical informatics venues. The session will
provide an opportunity to meet and talk with leading
specialists at the forefront of care coordination.
The event is organized by the Center for Advanced
Information Management* at Columbia University and the
IBM Health Informatics Research Department.
* The Center for Advanced Information Management at Columbia University is a
New York State Center for Advanced Technology (CAT) sponsored by Empire State
Development’s Division of Science, Technology and Innovation (NYSTAR).
WWW.CAT.COLUMBIA.EDU 650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196

2. 12:30pm
Program Schedule
Time Event
8:15am
8:45am
2:45pm
9:30am
12:30pm
1:45pm
2:45pm
11:00am
4:00pm
9:30am
9:00am
Medical Informatics Update 2013
Registration
Workshop Co-Chairs Welcome and Introductory Remarks
Shahram Ebadollahi, PhD; IBM
George Hripcsak, MD, MS; Columbia University
Care Coordination – IBM Viewpoints
Guruduth Banavar, PhD, VP Industry Solutions Research, IBM Research
Robert Merkel, VP Healthcare and Life Sciences, Global Business Services, IBM
Karen Parrish, VP Industry Solutions, Software Group, IBM
SESSION A: Patient Centered Care Coordination
Integration of Care Coordination and IT in a Multi-Specialty Group Practice
Scott D. Hayworth, MD, FACOP /Alan B. Bernstein, MD, MPH
Mt. Kisco Medical Group
Serving our Veterans Virtually: Perspectives on VA Telehealth Technology and Policy
Cathy Cruise, MD; Veterans Integrated Service Network
KEYNOTE: The Role of Health IT in Integrated Care (remote)
Nirav R. Shah, MD, MPH; NYS Department of Health
COFFEE BREAK
SESSION B: Impact of Care Coordination on Cost
Cost Considerations in Care Coordination
Rainu Kaushal, MD, MPH; Weill Cornell Medical College
Care Coordination in the Era of Value Based Care Delivery
Peter N. Bowers, MD: Anthem Blue Cross/Blue Shield in Connecticut
LUNCH / DEMOS / POSTERS
SESSION C: Metrics and Analytics in Care Coordination
Improving Care Coordination with Big Data, Analytics, and Technology
Paul Contino, New York City Health and Hospitals Corporation
Data Quality and Metrics for Care Coordination [tentative)
Craig A. Jones, MD; Vermont Blueprint for Health
PANEL: Care Coordination in the Region: Clinical Organizations Using
Technology to Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University
Panelists:
Holly Miller, MD; MedAllies/Taconic IPA
Susan Northover, RN, MPA; Visiting Nurse Service of New York
Walter Sedlazek, IBM Cúram
Simeon Schwartz, MD; WESTMED Medical Group
Adjourn to coffee and mixer
10:30am
11:00am
11:30am

3. Cost Considerations in Care Coordination
Rainu Kaushal, MD, MPH
Center for Healthcare Informatics and Policy, Weill Cornell Medical College
With expertise in quality, patient safety, and health information technology, Dr. Kaushal
will discuss measuring the effects of health IT on health care quality and costs with a
view toward optimizing the value of health care in the current environment. Examples
will be presented from recent empirical studies of different technologies and models
of healthcare delivery, including EHRs, HIE, and PCMH.
Care Coordination in the Era of Value Based Care Delivery
Peter N. Bowers, MD
Anthem Blue Cross and Blue Shield in Connecticut
Care coordination is a necessary, but not sufficient element of value based care
delivery. Value based care delivery is defined as higher quality at lower cost and is
enabled by care coordination, payment redesign, enhanced access and actionable data
at the point of care. The future of accountable care delivery will support team based
care with real time data that will shape practice transformation. Our quality measures
will advance from process to outcomes measures while simultaneous affordability and
sustainability pressures will drive lower cost through greater adoption of transparency
tools coupled with value based benefit design. Patient- and family-centered,
assessment-driven, team-based activity designed to meet the needs of patients and
their families or care givers that addresses interrelated medical, social, developmental,
behavioral, educational, and financial needs in order to realize the promise of value
based care delivery.
Improving Care Coordination with Big Data, Analytics and Technology
Paul Brian Contino
New York City Health and Hospital Corporation
As we rapidly move toward a healthcare landscape with increased EHR adoption and
interoperability standards for clinical data exchange, how do we leverage technology
and data to effectively impact care coordination and patient engagement.
Data Quality and Metrics for Care Coordination [tentative]
Craig Jones, MD
Vermont Blueprint for Health
Medical Informatics Update 2013
Abstracts
The Role of Health IT in Integrated Care
Nirav R. Shah, MD, MPH
New York State Department of Health.
Health technology plays a significant role in the evolving health care delivery model,
which demands more clinical integration for better care. Dr. Shah will discuss Health IT
innovations in New York, and how health IT will improve patient care and support the
patient-centered medical home. He will also discuss the State Innovation Model Plan
and the federal funds that are helping the state test six new models of care.
Integration of Care Coordination and IT in a Multi-Specialty Group Practice
Scott D. Hayworth, MD,
Alan B. Bernstein, MD, MPH
Mount Kisco Medical Group, PC
The Mount Kisco Medical Group, PC is a multi-specialty group practice with 300
physicians, 25 office sites and 300,000 patients. The Group currently has contracts
involving discrete care coordination functions with three carriers. As a result, the Group
has built a care coordination department and utilizes multiple sources of information
technology. Based on MKMG experience, we will recommend future needs for IT to
assist with our care coordination functions.
Serving our Veterans Virtually: Perspectives on VA Telehealth
Cathy Cruise, MD
VISN 3 Virtual Health and Rehabilitation Programs, Veterans Administration
Dr. Cruise will explain how the VA Telehealth Services uses health informatics, disease
management and telehealth technologies to target care and case management to
improve access to care, improving the health of veterans. Telehealth changes the
location where health care services are routinely provided. The value VA derives from
telehealth is not in implementing telehealth technologies alone, but how VA uses
health informatics, disease management and telehealth technologies to coordinate and
manage care, facilitate access to care and improve the health of veterans]
Abstracts (cont.)

4. Medical Informatics Update 2013
Panel Presentations
Care Coordination in the Region: Clinical Organizations Using Technology to
Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University
Four representatives from practice areas will focus on how clinical information systems are
being used in their organizations to address coordination:
1) Within care teams
2) Across care teams
3) Between care teams and community resources
4) For continuous familiarity with patient across time
5) For continuous proactive and responsive action between visits
6) For supporting providers consider the needs, preferences, of patient
7) For shared responsibility-between patient and caregivers
The panel will comment on how their organization has handled barriers to effective use of
technology, data exchange and/or availability of important information. There will also be
opportunity for the audience to ask questions.
Care Transitions in a Patient Centered Medical Neighborhood
Holly Miller, MD, MBA, FHIMSS
MedAllies/Taconic Independent Practice Association
A brief overview of new technologies for managing care coordination and transitions of care
across a patient centered medical neighborhood.
Driving Improved Outcomes through Informatics
Susan Northover, RN, MPA
Visiting Nurse Service of New York
VNSNY Strategy and Care Coordination – Current and Future State: Post-Acute care
strategies and associated case studies, and using Care Coordination technology platforms
to manage patients and populations to improve quality outcomes
Programs of Care
Walter Sedlazek, MBA
IBM, Cúram
The discussion will highlight a human centered HIT platform approach to integrating
medical, behavioral, and social care and enabling community-based teams to deliver
programs of care for vulnerable populations.
TBA
Simeon Schwartz, MD
WestMed Medical Group
Speaker Profiles
Nirav R. Shah, MD, MPH
Commissioner
New York State Department of Health
Dr. Shah has been the 15th Commissioner of the New York State
Department of Health since 2011. A native of Buffalo, he graduated with
honors from Harvard College. He has an M.D. and M.P.H. in medicine
and chronic disease epidemiology from Yale University. He is board
certified in Internal Medicine. Dr. Shah heads one of the world’s leading
public health agencies with an annual budget of more than $58 billion.
During his tenure, the Department led the transformation of the state’s Medicaid
program, which resulted in more than $4 billion in savings in just the first year while
improving population health and quality of care. The Department also spearheaded
the creation of a health benefit exchange that will give 1.1 million New Yorkers health
insurance coverage and drafted an evidence-based Prevention Agenda for improving
the health of all New Yorkers.
Alan B. Bernstein, MD, MPH, FAAP
Senior Medical Director
Mount Kisco Medical Group
Alan has been the Senior Medical Director at Mount Kisco Medical
Group overseeing the Group’s Accountable Care Organization (ACO)
activities for one year. He is also a Clinical Associate Professor of
Family and Community Medicine at New York Medical College. He
has extensive experience in hospital care, medical group practice
and managed care. He has served as the Chairman of Pediatrics at
two academically affiliated community hospitals, the President/Chief
Medical Officer of several medical group practices, and Medical Director at multiple
managed care plans in the Northeast. Most recently, Dr. Bernstein was the Chief
Medical Officer at the Greater Hudson Valley Family Health Center in Newburg, NY.
He is a graduate of the New York University School of Medicine, the pediatric
residency program at Columbia Presbyterian Medical Center/Babies Hospital, and
the UC Berkeley School of Public Health. He has served on the Board of Directors of
Inspire, the United Cerebral Palsy Center of Orange County and the Maternal Infant
Services Network of Orange, Rockland and Sullivan Counties. He was Editor of
Seminars in Medical Practice and Consulting Editor in Pediatrics, Journal of Clinical
Outcomes Management both Turner White Publications.

5. Speaker Profiles (cont.)
Peter N. Bowers, MD
Chief Medical Officer
Anthem Blue Cross and Blue Shield in Connecticut
Peter is Chief Medical Officer at Anthem Blue Cross and Blue Shield in
Connecticut. He is responsible for development and execution of medical
management, cost of quality care and clinical support for sales in the
Connecticut marketplace. Additionally, he has served as the Medical
Director for Anthem National Accounts and WellPoint’s Payment
Innovation. He joined Anthem Blue Cross and Blue Shield in 2006 from
the faculty of the Yale University School of Medicine where he was active in teaching,
clinical practice and biomedical research. He directed the fellowship training program
in pediatric cardiology and won the pediatric resident teaching award in addition to an
active clinical practice in both the outpatient and inpatient settings.
With continuous funding from the National Institute of Health and the Howard Hughes
Medical Institute, he investigated embryonic cardiovascular development and identified
genetic causes of SIDS and congenital heart disease. He is widely published and has
received awards from the Society of Pediatric Research, the American Academy of
Pediatrics, the American College of Cardiology and the American Heart Association.
A native of Connecticut, Dr. Bowers is a cum laude graduate of Colby College and the
University of Connecticut School of Medicine.
His post graduate medical training in pediatrics is from the University of Rochester and
his fellowship training in pediatric cardiology and human molecular genetics is from Yale
University. He lives in Guilford, CT with his wife, an obstetrician/gynecologist and two
daughters.
Speaker Profiles (cont.)
Paul Brian Contino
Corporate Chief Technology Officer
New York City Health and Hospitals Corporation
Paul is Corporate Chief Technology Officer at the New York City Health
& Hospitals Corporation. He is an accomplished healthcare IT executive
with over 20 years of experience in technology development and
management. He has held numerous leadership roles in healthcare,
education and academic medicine. At the New York City Health and
Hospitals Corporation (HHC), paul is responsible for strategic direction
in the areas of enterprise architecture, business intelligence and data
warehousing, interoperability and health information exchange. He provides technology
leadership for many of HHC’s key patient care initiatives including PCMH, Health
Home, Medical Home, ACO and EMR/PHR (patient portal)
HHC is a $6.7 billion integrated healthcare delivery system with its own 385,000
member health plan, MetroPlus, and is the largest municipal healthcare organization
in the USA. HHC serves 1.4 million New Yorkers every year of which more than 475,000
are uninsured. HHC provides medical, mental health and substance abuse services
through its 11 acute care hospitals, four skilled nursing facilities, six large diagnostic and
treatment centers and more than 70 community based clinics. HHC Health and Home
Care also provides in-home services for New Yorkers. HHC was the 2008 recipient of
the National Quality Forum and The Joint Commission’s John M. Eisenberg Award for
Innovation in Patient Safety and Quality
Cathy Cruise, MD
Director
Veterans Integrated Service Network
Cathy is Director, of the Veterans Integrated Service Networks
(VISN), Virtual Health and Rehabilitation Programs. A psychiatrist,
she graduated from the New York University School of Medicine
and completed a residency in Physical Medicine and Rehabilitation
at the Rusk Institute of Rehabilitation, New York University. She is
responsible for the development and implementation of the Health and
Rehabilitation Programs in Veterans Integrated Service Network #3,
which encompasses New York City, Long Island, Westchester, the Hudson Valley and
New Jersey.
In this capacity, she embraces a culture in which access to care is facilitated through
the use of telehealth technology. Dr. Cruise works closely with Telehealth Services in VA
Central Office.
Medical Informatics Update 2013

6. Speaker Profiles (cont.)
Scott D. Hayworth, MD, FACOG
President and CEO
Mount Kisco Medical Group
Scott is President and CEO of the Mount Kisco Medical Group,
a 285-physician multispecialty medical group, since 1996. He is
also a Clinical Assistant Professor of Obstetrics, Gynecology, and
Reproductive Sciences at Mount Sinai School of Medicine and a
Consultant for the Vincent Memorial Obstetrics & Gynecology at
Massachusetts General Hospital. In addition, he is Head of the
Board of Directors of the Ambulatory Surgery Center of Westchester; a member of the
Foundation Board of Northern Westchester Hospital; and President and a member
of the Board of Directors of Bedford Physicians’ Risk Retention Group. His many
other organizational leadership roles include being Past Chairman of the Board of the
American Medical Group Association, National Treasurer and former Chairman for
District II of the American College of Obstetrics and Gynecology, and a member of
ACOG’s national executive board.
He also serves as one of nine physicians on the national advisory board for Aetna
Insurance, Senior Advisor at Arsenal Capital Partners, and advisor to WIRB-
Copernicus. He has served on the Board of Directors of Community Mutual Savings
Bank and as a Consulting Editor for Contemporary OB/GYN. His writings have been
published in various medically-related magazines. He received his A.B. in Biology from
Princeton and M.D. from Cornell University Medical College in 1984.
His honors include “Best Doctor” listings in New York and Westchester magazines,
the “Best Doctors in America” publication, and “America’s Top Obstetricians and
Gynecologists”. Dr. Hayworth was the 2002 recipient of the American College of
Obstetricians and Gynecologists District Service Award
Speaker Profiles (cont.)
Craig A. Jones, MD
Director
Vermont Blueprint for Health
Craig is the Director of the Vermont Blueprint for Health, a program
established by the State of Vermont, under the leadership of its
Governor, Legislature and the bi-partisan Health Care Reform
Commission. The Blueprint is intended to guide statewide
transformation of the way that health care and health services are
delivered in Vermont. Currently, Craig serves on several committees
and workgroups including the Institute of Medicine’s Consensus Committee on the
Learning Healthcare System in America, and the Roundtable on Value and Science
Driven Healthcare. Prior to this, he was an Assistant Professor in the Department of
Pediatrics at the Keck School of Medicine at the University of Southern California,
and Director of the Division of Allergy/Immunology and Director of the Allergy/
Immunology Residency Training Program in the Department of Pediatrics at the
Los Angeles County + University of Southern California (LAC+USC) Medical Center.
He was Director, in charge of the design, implementation, and management, of the
Breathmobile Program, a program where mobile clinics deliver ongoing care to inner
city children in at their schools and at County clinics.
He was an Executive Committee and Board Member for the California Chapter of
the Asthma & Allergy Foundation of America, as well the chapter President. He is
a past president of the Los Angeles Society of Allergy Asthma & Immunology, and
a past President and a member of the Board of Directors for the California Society
of Allergy Asthma & Immunology. He received his undergraduate degree at the
University of California at San Diego and MD degree at the University of Texas
Health Science Center in San Antonio, Texas.
He completed his internship and residency in pediatrics at LAC + USC Medical
Center, where he also completed his fellowship in allergy and clinical immunology.
Medical Informatics Update 2013

7. Speaker Profiles (cont.)
Rainu Kaushal, MD, MPH
Director
Weill Cornell Medical College
Rainu is the Director of the Center for Healthcare Informatics
and Policy; the Frances and John L. Loeb Professor of Medical
Informatics at Weill Cornell Medical College, the Director of Pediatric
Quality for the Komansky Center for Children’s Health at New
York-Presbyterian Hospital, and the Executive Director of the Health
Information Technology Evaluation Collaborative (HITEC) for New
York State. She is an international expert on the effectiveness, cost-effectiveness
and comparative effectiveness of health information technology, health information
exchange and novel health care delivery models. She has published more than 80
scholarly publications, has served on numerous national advisory committees,
has formally consulted with other researchers as well as with policy makers, and
has served on editorial boards for health care journals as well as on several study
sections for the Agency for Healthcare Research and Quality. She is a frequent
invited national and international speaker.
Rainu is an expert in quality, patient safety and health information technology
(health IT). She has particular expertise in pediatric medication safety and in
measuring the effects of health IT on health care quality and costs. She is engaged
in research, patient care, management and operations activities at Weill Cornell
Medical College and New York-Presbyterian Hospital, all geared toward using health
IT to optimize the value of health care today.
She attended Harvard Medical School, and then completed her residency at
Brigham and Women’s Hospital and Children’s Hospital in Boston, attaining
double board certification in Internal Medicine and Pediatrics. She then completed
the Harvard Clinical Effectiveness Fellowship while obtaining a Masters in Public
Health from Harvard School of Public Health. She joined and remained on faculty
at Harvard Medical School until 2006 when she joined the faculty of Weill Cornell
Medical College
Panelists
Holly Miller, MD, MBA, FHIMSS
Chief Medical Officer
MedAllies, Taconic Independent Practice Association
Holly currently has two roles: She is the Chief Medical Officer of
MedAllies, providing operational, tactical, and strategic collaborative
leadership on all MedAllies projects. She is also the medical director
of the Taconic Independent Physicians Association (IPA), where she
works to optimize strategic implementations of certified EHR systems to
improve patient quality and outcomes, support PCMH transformation
and enhance care coordination. She was formerly a Vice President and CMIO of
University Hospitals and Health Systems, in Northern Ohio. Prior to joining UH, she
worked as an HIT Managing Director for the Cleveland Clinic where she also maintained
a clinical practice in General Internal Medicine.
She has been active in healthcare informatics research, and has been a co-investigator
on multiple grants. A member of HIMSS since 1999, Dr. Miller was on the HIMSS
US Board for 4 years, and served as a Vice Chair of the HIMSS Board. She is also an
immediate past inaugural member of the HIMSS World Wide Board. She is active in a
variety of current and previous S&I ONC committees, and other State and Government
HIT committees
Susan Northover, RN, MPA
Vice President
Visiting Nurse Service of New York
Susan is currently the Vice President of Intake Services, Enterprise Market
Development for VNSNY, the country’s largest not for profit organization
providing in-home nursing care, therapy, hospice and palliative services
and managed health plan services to New Yorkers. Ms. Northover
supports the growth of business across the organization by promoting
optimal solutions; including innovative care delivery models to meet
the needs of integrated health systems, physician organizations, nursing facilities and
community based organizations.
Previously, as Vice President for Amedisys Home Health Care, she led operational and
sales efforts for homecare in multiple locations throughout the northeast. She led program
and resource development to address market trends, including implementation of a
Transitional Care model to improve Care Coordination from facility to home.
Prior to Amedisys Ms. Northover was General Manager for Tender Loving Care offices
in Connecticut. She was responsible for all operational, clinical, regulatory and sales
efforts for the organization. Ms Northover is a graduate of the Memorial University of
Newfoundland School of Nursing and is a Registered Nurse. She also holds a Master’s
Degree in Health Care Administration from the University of New Haven.
Medical Informatics Update 2013

8. Panelists (cont.)
Walter Sedlazek, MBA
Director, Product Strategy
IBM Cúram
Walt is Product Manager at IBM Cúram. He reports to the Cúram brand
CTO and helps to define future product plans and innovation initiatives,
including joint research activities with IBM’s Watson research labs and
IBM’s Smarter Care development programs. Walt has been with Cúram
for eight years and has supported the launch of multiple major new
products for its health and human services clients and has participated
in health information technology standards work for the US government.
He brings over 20 years of experience in managing COTS-based enterprise software
solutions for clients in the public sector as well industries such as insurance, retail,
telecommunications, and manufacturing.
Prior to joining Cúram, Walt led product management and strategy teams at Oracle
for ten years developing CRM, case management, customer service and call center
applications and government vertical applications. In addition, he has led quality
management and business process reengineering initiatives using lean manufacturing
and six sigma techniques while working for system integration and product vendors
supplying solutions to the public sector and telecommunications industries. He has a
BSEE from Georgia Tech and a MBA from the University of Virginia, Darden School.
Simeon A. Schwartz, M.D.
President and CEO
WESTMED Medical Group
Simeon is founding President and CEO of WESTMED Medical Group
and the CEO of WESTMED Practice Partners (WPP). The group is a
250+ physician primary care focused multi-specialty practice. He has
been committed to improving both operational and clinical efficiency
with a focus on quality. To accomplish this, Dr. Schwartz and WESTMED
have been early adopters of healthcare IT and have worked with many IT
vendors with process and system redesign to improve care. WESTMED
Practice Partners, established in 2011, is a management services company that has
evolved from the success of the WESTMED Medical Group. The mission of WPP is to
provide comprehensive, turnkey solutions for advanced ambulatory care sites.
Dr. Schwartz is a hematologist and oncologist. He received his undergraduate degree
from the Massachusetts Institute of Technology and his medical degree from Yale
University School of Medicine in New Haven. Dr. Schwartz then completed his internship
and residency at The New York Hospital-Cornell Medical Center and a fellowship in
hematology and medical oncology at Memorial Sloan Kettering Cancer Center
Medical Informatics Update 2013
Demonstrations
Organizing Committee
Automating Big-Data Analysis for the ICU of the Future
Daby Sow with Alain Biem, Peter Kirchner, Raju Pavuluri, Robert Saccone, Deepak Turaga
Care Plan Workbench for Evidence Driven Coordinated Care
Jianying Hu, Guo Tong Xie
Cervical Cancer Solution
Michal Rosen-Zvi
Cúram
Abha Keshava
Patient Care and Insights
David Gotz / Kenny NG
Patient Centric Analytics for Enhanced Care Coordination and Management
Nirmal Mukhi, Nirmal Mukhi, David Gotz, Jianying Hu
Watson EMR Application - Patient Record Summarization
Marty Kohn, Murthy V Devarakonda
Shahram Ebadollahi, PhD
Program Director, Health Informatics Research
IBM Research
George Hripcsak, MD, MS
Chair and Vivian Beaumont Allen Professor of Biomedical Informatics
Director, Center for Advanced Information Management, Columbia University
Paul Goldfarb, MBA; CAIM Director of Business Development
Joseph Jasinski, PhD; IBM Distinguished Engineer and Global Industry Executive,
Healthcare and Life Sciences
Shilpa Mahatma, MS; Senior Research Engineer, IBM T. J. Watson Research Center
Jacqueline Merrill, PhD, MPH, RN; Associate Professor of Nursing
(In Biomedical Informatics), CAIM Clinical Director
Adler J. Perotte, MD, MA; Associate Research Scientist, Biomedical Informatics
CAIM Assistant Director for Technology
Daby M. Sow, PhD; IBM T. J. Watson Research Center
Vincent Tomaselli, PhD; CAIM Executive Director
Conference Chairs

9. Posters (cont.)
This study explores the impact of electronic based patient engagement tools (kiosks, portals,
mobile phones, and clinical decision support alerts) on decision-making, adherence to care
plans, and clinical, and financial outcomes.
We explore adoption rates, workflow implications, and analytic approaches to predict which
tools work best with various populations. Engaging patients to take action through meaningful
use of technology is an integral part of health care transformation, contributing to better
health, better healthcare, and lower costs.
Ginger: Conquering Complex Industry Models with Dictionary Tooling
John Timm, Peter Schwarz, Joshua Hui, Sarah Knoop
IBM Research – Almaden
Information models used in healthcare IT data standards are often quite complex. This
presents a challenge to implementers who need to efficiently build applications that produce
and consume data according to these models but are not themselves expert in the specific
standard used. In this poster, we discuss an approach to bridge this gap. We combine a
methodology with software tooling to facilitate the creation of sets of clinical data abstractions
that insulate application developers from the inherent complexities and steep learning curve
posed by the standards.
IBM Big Data Platform for Wellness
Haim Nelken
IBM Research
The estimated global wellness market is 1.9 trillion. In particular, the workplace wellness
market is estimated by 2.7-8.2 billion per year. IBM’s mature Big Data, Cloud and Mobile
technologies provide the scale and robustness required by wellness solutions. The proposed
Wellness platform combines several IBM Big Data products (Big Insights, Streams, Netezza)
and Cognos, with innovative wellness accelerators developed by IBM Research.
Aging Well – Speeding the Adoption of Ambient Assisted Living Services
Haim Nelken
IBM Research
The increase in life expectancy reinforces the need for smart and innovative services that help
elderly people to be self-sustaining as long as possible and maintain a satisfactory quality of
life. This emerging market of smart services, known in Europe as Ambient Assisted Living
(AAL) services, offers many solutions for disease management, support in daily life activities,
wellness and social interactions. AAL services are usually a non-trivial composition of software,
hardware and human resources. One of the
impediments to the adoption of AAL services is the lack of an economically viable market place
for the provisioning of such services.
Medical Informatics Update 2013
Posters
Targeting and Refining Health Challenges to Improve Medical Adherence
Robert Farrell1
, Catalina Danis1
, Shih Ping (Kerry) Chang2
IBM, TJ Watson Research Center1
and Carnegie Mellon University2
Medical providers are increasingly managing patients with chronic disease by applying risk
analysis methods to determine the best course of treatment. However, adherence to long-term
treatment plans is low (averaging 50% for prescribed medications and 30% for lifestyle changes.)
Our approach is to improve adherence through improved patient engagement in health care
processes. We are developing a software solution for mounting engaging Health Challenges that
help participants set a goal, track their behavior, monitor their progress towards the goal and
evaluate the result.
Challenges can be targeted to individuals or to groups in a particular demographic or with a
particular risk factor. We will use data analytics to refine the mechanics of the challenge to respond
better to each individual’s performance. We present observations from a first deployment of the
solution in a wellness setting and describe a planned deployment to chronic patients who have
been advised to lose weight.
Towards Greater Care Coordination: Automatically Identifying Primary Care Providers
Hojjat Salmasian, Rimma Pivovarov, Gregory W. Hruby, Daniel G. Fort, Nancy Chang,
and David J. Vawdrey
Department of Biomedical Informatics, Columbia University
Primary care providers (PCPs) can contribute historical context to the hospital team, enhancing
continuity of care, if they are notified when their patients are hospitalized. This notification seldom
happens, because the PCP is not often identified in the electronic health record. A medical logic
module was created to assign PCP status to the author of a PCP-specific encounter note.
We interviewed a 15% subset of providers about accuracy of the PCP status for a sample of
patients attributed to them. The intervention increased the percentage of clinic visits where a
PCP was assigned from approximately 10% to 90%. Among the 22/34 physicians who agreed to
be interviewed, PCP status was correct for 408/414 of their patients. An automated method for
identifying PCPs based on clinicians’ electronic documentation is the first step in determining
which physician to contact for future automated care coordination efforts.
Patient Engagement: Measuring Technology Impact on Care Outcomes
CPP (M Minniti, D Freed, S Cashon, T Blue); IBM (C Danis, M Ball, R Farrell);
Jefferson School of Nursing (R Kennedy, I Hilghman, B Thomas, C Dolan, S Nevins; NSIM
(M Miller, S Ballen, A Crimm, Z Font)
IBM, Care Partners Plus (CPP) and NSIM (Ninth Street Internal Medicine Associate)
It is estimated that patient adherence to long-term medication therapies is in the 40% to 50%
range, while estimated rates of adherence to lifestyle-based prescriptions such as increasing
exercise and adopting a low-fat diet, range 20% to 30%. Increasingly technology is being used to
engage patients; however, there is a paucity of research showing the impact of such technology on
patient engagement, adherence to treatment plans and clinical and financial outcomes.

10. The Health Informatics Research Department at IBM is a multi-disciplinary team of
scientists with diverse set of skills conducting research in the broad area of health
informatics. Its mission is to provide the scientific underpinnings and thought leadership
for IBM’s active presence in the area of health informatics.
Main focus areas are:
• Analytics and Big Data in Healthcare and Life Sciences
• Visualization and Decision Support for Healthcare and Life Sciences
• Insights-driven Wellness Management Services
• Data Integration and Platforms
We conduct our research in collaboration with external organizations and are active
participants in the scientific community.
Our research in the above areas has applications in Care Coordination (providers, payers,
governments) and Real World Evidence (pharma) among many others. In Care
Coordination we are interested in using advanced analytics and technologies to enable
identification of patients/members at risk, devising management plans, identifying the
collaborative team to support the patient/member, addressing adherence and
compliance with the suggested plans.
In the area of Real World Evidence, we use our advanced analytics tools and visual
analytics to better explain variation in the population (responders vs. non-responders),
exploring hypotheses, and design of adjacent services (insights-driven services health and
wellness service design).
There are a number of commercial software and services offerings by IBM based on our
research. For example see IBM Patient Care and Insights:
http://www-01.ibm.com/software/ecm/patient-care/
Organizational Profiles Center for Advanced Information Management
650 West 168th Street, B-130, New York NY 10032 Telephone: 212 305-2944
www.cat.columbia.edu
In 1983, New York State established a Center for Advanced Technology (CAT) Program to promote
the collaboration between it’s industry base and it’s major research institutions. The goal was to
facilitate technology transfer and commercialization using the expertise and resources in academia
to benefit companies economically.
Currently, the program continues with 15 CATs at 13 institutions located around the state. Each
CAT has a specific technology focus (http://www.nystar.state.ny.us/cats.htm) and approach to
helping its partner companies. The CAT program is supported by NYSTAR, the New York State
Foundation for Science, Technology and Innovation. NYSTAR currently offers a range of programs
to help promote the state’s technology base.
Columbia University’s Center for Advanced Information Management has been a participant in the
CAT program since its inception. CAIM’s focus is at the intersection of biomedical science,
information technology, and biomedical imaging, with the occasional inclusion of other areas of
biomedicine and information processing. It’s main contributing units are the Department of
Biomedical Informatics and the Center for Computational Biology and Bioinformatics, both at the
medical center (College of Physicians and Surgeons), and the Computer Science Department and
imaging group of the Department of Biomedical Engineering, both in the School of Engineering
and Applied Science. This broad range of expertise serves CAIM well in allowing for innovative
interdisciplinary projects involving specialists from both schools and campuses.
A few of CAIM’s industry-focused activities and offerings are:
• Grant program for industry co-sponsored research projects
• Specialized workforce training courses and seminars
• Technology Forums featuring informative programs focusing on areas of industry interest
• External Advisory Board with members from a wide range of companies
• Access to other NYSTAR development programs (funding, technology/legal services, etc.)
Department of Biomedical Informatics
622 West 168th St. VC5, New York, NY 10032 Tel: 212 305-5334
www.dbmi.columbia.edu
The Columbia University Department of Biomedical Informatics is among the oldest in the nation.
Its goals are to discover new information methods, to augment the biomedical knowledge base, and
to improve the health of the population. DBMI’s 30 faculty members and 60 students work in a
highly collaborative environment, applying informatics from the atomic level to global populations.
Areas of application include:
• CLINICAL CARE. Design clinical information systems and mine the electronic health record.
• BIOLOGY. Includes systems biology, structural biology, and virology, on studies in
partnership with the Center for Computational Biology and Bioinformatics.
• PUBLIC HEALTH. Design systems to promote and protect the health of communities,
improve public health systems, and deploy information technology internationally.
• TRANSLATIONAL RESEARCH. Integrate biological and clinical knowledge and facilitate
multidisciplinary science.
Medical Informatics Update 2013

11. 650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196
WWW.CAT.COLUMBIA.EDU