AMIA 2013 Hill Day
Orientation
Meryl Bloomrosen, Margo Edmunds, and
Doug Peddicord
April 25, 2013/May 1, 2013
www.amia.org
Today’s Discussion Topics
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Purpose of Hill Day
Hill Day Schedule
2013 AMIA’s Public Policy Priorities
2013 Talking Points (asks/tells)
Tips for Congressional Visits
Hill Day Logistics
2014 Federal Budget
Congressional Committees
Selected Resources
www.amia.org
Purpose of AMIA Hill Day
• Represent AMIA and build valuable relationships in
Congress
• Present AMIA and yourself as a resource to Members of
Congress
• Offer availability of AMIA for informatics expertise,
advice, and assistance
• Spread awareness about AMIA, health information
technology and informatics
• Make a difference for the biomedical and health
informatics community
www.amia.org
2013 Hill Day
• Educate Congressional Members and staff
regarding the importance of biomedical and health
informatics practice, research, and training
• Highlight informatics research and innovation
projects undertaken by AMIA members and funded
by NIH (NLM and other institutes), AHRQ and other
Federal agencies
• Promote what’s important to AMIA and its members
• Help Congressional Members understand the
impact of AMIA’s issues on their
constituents/Districts
www.amia.org
Hill Day Schedule – May 1
7:45 am
Arrive at 122 Cannon House Office Building (Independence Avenue
and 1st Street, SE - Breakfast provided
8:15 am
Welcome, Introductions, and Opening Remarks – Gil
Kuperman, BOD Chair; Kevin Fickenscher, AMIA President
and CEO; Margo Edmunds, AMIA PPC Chair
8:45 am
Review: Agenda; Logistics; AMIA Public Policy Priorities/
Talking Points; Overview of Congressional Offices, Staff,
and Committees - Margo Edmunds, Meryl Bloomrosen and
Doug Peddicord
9:15 am
Ericka Appel (Rep. Van Hollen’s Health LA – Van Hollen is
sponsoring the meeting room)
9:45 am
Proceed to Group Appointments (lunch on your own)
5:00 pm
Optional Debrief at Bullfeathers (meet after last appointment)
www.amia.org
AMIA’s 2013 Public Policy Priorities
INFORMATICS RESEARCH, PRACTICE, AND
EDUCATION/TRAINING
• Research: Advocate for ongoing funding for informatics
research and innovation (AHRQ, NIST, NIH, NLM)
• Practice: Advocate for ongoing focus on the impact of Health
IT on workflow, patient safety, and improving quality of care,
including EHRs, HIEs, and national infrastructure (AHRQ,
CDC, CMS, DoD, HRSA, ONC, VA)
• Workforce: Advocate for ongoing support for informatics
scientists, and Health IT workforce education and training
(researchers, practitioners, and scientists) (AHRQ, NLM, ONC)
• Proactive Issue Monitoring and Tracking:
• HIT and Patient Safety
• Mobile Medical Applications
www.amia.org
AMIA’s 2013 Talking Points
Biomedical and Health Informatics Research
• Maintain sustained levels of funding for research (no
decrease/cuts) supported by key Federal agencies,
especially AHRQ, ONC, and NIH/NLM (note: NLM
budget has a proposed increase)
• Develop a National Strategy for Health Information
Research by convening a public-private sector
consensus conference (of academic, government, and
industry experts)
www.amia.org
AMIA’s 2013 Talking Points cont’d
Practice: Health Information Technology
Usability, and Patient Safety
• AMIA’s Usability Task Force recommends that HHS
establish an adverse event reporting system for Health
IT to improve patient safety
• AMIA participated in and supports the Bipartisan Policy
Center (BPC) oversight framework for patient safety and
Health IT, which emphasizes adherence to standards
and guidelines, broad participation in guideline
development, and creation of a learning environment to
enhance innovation
www.amia.org
AMIA’s 2013 Talking Points cont’d
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Ongoing Need for Training the Health
Informatics Workforce
ONC: 50,000 workers are needed by 2015 to meet
health IT demands
67 percent of healthcare CIOs reported IT staff
shortages in 2012 , compared with 59 percent in
2010 (CHIME survey)
AMIA is developing a clinical informatics
subspecialty certification for physicians, which will
recognize formal training in informatics
A comparable Advanced Inter-professional
certification is in development
www.amia.org
Tips on Congressional Visits
 AMIA’s designated leads keep track of your timing and will
open/close the discussions
 Be aware of the office you are visiting: Republican or
Democrat, personal or Committee; make a note of which
Committee(s) the Member is on
 Introduce yourself and your organization; be descriptive - how
many patients you serve, how many employees, how much
research funding, etc.
 Make a personal connection -- around geography, education,
sports, anything -- if you are a constituent, say so
www.amia.org
Tips on Congressional Visits cont’d
Talk about Research, Practice and Workforce in your organization
• Research you have been involved in/conducted or currently being
conducted within your organization
• Practice: pros and cons of your EHR system, usability and
interoperability issues, patient engagement efforts; patient safety
issues; health information exchange efforts
• Workforce training and staffing shortages and issues in your
organization.
www.amia.org
Tips on Congressional Visits con’t
• Tell real stories and make the stories memorable (no
jargon allowed, not even the word "interoperability", until
one of you defines it)
• Get to your Asks/Tells if and when that makes sense from the first 5 minutes to the last 5 minutes, or not at all
(though we would like you to deliver at least one of the
Asks, if possible)
• Ask (listen for) what you, your organization, AMIA can do
to be of assistance - would the Member like to visit your
hospital, university, or office or know more about a
particular program? Make sure AMIA staff knows about
the request and either you or staff gets back to them
www.amia.org
Tips on Congressional Visits con’t
• Like most people, Congressional/committee staff can
only hold only a few pieces of information in their heads
– don’t overload them
• We suggest focusing on no more than two “Asks/Tells”
across AMIA’s three topic areas: Research, Practice,
Workforce
NOTE: AMIA and its members have expertise across
many areas and you can talk about many things related
to your Research, Practice and Workforce interests, but
our leave-behinds will contain only a few Asks/Tells.
www.amia.org
Hill Day Logistics
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If you are running late please call (see phone numbers at end of slides)
Allow enough time; security is tight
– Leave bags/luggage elsewhere
– Any bag larger than 14" wide x 13" high x 4" deep is prohibited. All bags
are subject to a lengthy search and security screening.
Take Metro or taxi (maps at end of slides )
Dress for the weather (bring umbrella if raining)
Wear COMFORTABLE shoes
Groups of participants (usually based on geography) will visit Congressional
offices.
Each group will have a designated AMIA lead
AMIA will provide packets containing AMIA leave behinds and talking points
for you to use during your visits
Please familiarize yourself with AMIA talking points and materials
The Senate and House office buildings have cafeterias located on the
ground or basement floors- you are on your own for lunch
www.amia.org
President’s FY 2014 Budget Proposal
(In
millions)
AHRQ
2013: $432
2014: $434
NLM
2013: $384
2014: $390
CDC
2013: $5,068
2014: $6,600
NIST
2013: $857
2014: $928
HRSA
NIH
2013: $30,702
2014: $31,331
2013: $6,088
2014: $6,021
FDA
2013: $4,486
2014: $4,654
ONC
2013: $66
2014: $78
www.amia.org
Selected Happenings
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Energy and Commerce Committee Hearings on Mobile Applications: The Committee’s
Subcommittees on Communications and Technology, Health, and Oversight and
Investigations held hearings on March 19-21 to discuss role of technology in the health
care industry and how federal regulations could threaten patient safety and innovation and
increase costs for consumers. http://energycommerce.house.gov/press-release/fda-goeson-record-with-pledge-not-to-tax-consumers-smartphones-and-tablets
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New ONC FACA Workgroup: New workgroup (Food and Drug Administration Safety
Innovation Act (FDASIA)) Workgroup will focus on identifying key considerations to improve
patient safety and promote innovation including mobile medical applications--will report to
the Health IT Policy. http://www.healthit.gov/policy-researchers-implementers/federaladvisory-committees-facas/fdasia
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Senate Report Critical of MU: Six Republican members of the U.S. Senate published a
report critical of the progress of the electronic health records meaningful use program and
calling for a pause to the program and re-examination of its strategies.
http://www.thune.senate.gov/public/index.cfm/files/serve?File_id=0cf0490e-76af-4934b534-83f5613c7370
www.amia.org
Overview of Congress: Who’s Who in the
US Senate
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Leadership
Majority Leader: Harry Reid (D-NV) Minority Leader: Mitch McConnell (R-KY)
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Majority Whip: Richard Durbin (D-IL)
Minority Whip: John Cornyn (R-TX)
Key Committees
Finance
Chairman: Max Baucus (D-MT)
Ranking: Orrin Hatch (R-UT)
Health, Education, Labor, Pension
Chairman: Tom Harkin (D-IA)
Ranking: Lamar Alexander (R-TN)
Budget
Chairman: Patty Murray (D-WA)
Ranking: Jeff Sessions (R-AL)
Appropriations
Chairman: Barbara Mikulski (D-MD)
Ranking: Richard Shelby (R-AL)
Source: KaiserEDU.org
www.amia.org
Overview of Congress: Who’s Who in the
US House
Leadership
Speaker: John Boehner (R-OH)
Majority Leader: Eric Cantor (R-VA)
Minority Leader: Nancy Pelosi (D-CA)
Majority Whip: Kevin McCarthy (R-CA) Minority Whip: Steny Hoyer (D-MD)
Key Committees
Energy and Commerce
Chairman: Fred Upton(R-MI)
Ranking: Henry Waxman (D-CA)
Ways and Means
Chairman: Dave Camp (R-MI)
Ranking:
Sander Levin (D-MI)
Budget
Chairman: Paul Ryan (R-WI)
Ranking: Chris Van Hollen (D-MD)
Appropriations
Chairman: Harold Rogers (R-KY)
Ranking: Nita Lowey (D-NY)
www.amia.org
Overview of Congress: Senate Committee on
Finance
Chief Health Responsibilities:
– Health programs under the Social Security Act and including:
• Medicaid - including ACA expansions, Center for Consumer
Information, and Insurance Oversight
• Medicare
• CHIP
• Welfare (TANF)
• Maternal and Child Health block grant
• Supplemental Security Income (SSI)
• ERISA (w/HELP Committee)
– Revenue measures
Source: KaiserEDU.org
www.amia.org
Overview of Congress: Senate Committee on
Health, Education, Labor, and Pensions (HELP)
– Public Health
– Employee Retirement Income Security Act (ERISA), (shared with
Finance Committee)
– Individuals with disabilities
– Occupational safety and health
– Biomedical research and development
– Aging
Source: KaiserEDU.org
www.amia.org
Overview of Congress: House
Committee on Energy and Commerce
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Medicaid and Children’s Health Insurance Program
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Medicare (Part B, Parts C and D shared with Ways & Means)
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Centers for Medicare and Medicaid Services (CMS), including the Center
for Consumer Information and Insurance Oversight
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Aging policy, individuals with disabilities
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National Institutes of Health (NIH)
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Domestic activities of the American National Red Cross
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Occupational safety and health, including the welfare of miners
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Public Health
Source: KaiserEDU.org
www.amia.org
Overview of Congress: House Committee
on Ways and Means
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Government payments for programs in Social Security Act:
Medicare (Part A, Parts B, D joint with E&C)
Welfare, Temporary Assistance for Needy Families (TANF)
Supplemental Security Income (SSI)
Social Services (Title XX)
• Tax credits and related matters in tax code dealing with health
insurance premiums
Source: KaiserEDU.org
www.amia.org
Overview of Congress: Senate and
House Committees on Appropriations
• Allocates discretionary funding to federal agencies, departments,
and programs
• Sub-committees prepares funding allocations for programs within
jurisdiction
• Subject to spending levels established in budget resolution
• Major authority over discretionary, non-entitlement programs
Source: KaiserEDU.org
www.amia.org
Overview of Congress: Senate and
House Committees On Budget
• Review and evaluate President’s budget proposal
• Formulate budget resolution establishing Congressional spending
and revenue levels
• Submit resolution to full chambers for vote and negotiations in
conference
• Monitoring budget “reconciliation” process
• Oversight of Congressional Budget Office (CBO)
Source: KaiserEDU.org
www.amia.org
Other Supporting Materials and
Resources
Biomedical and Health Informatics Research
• President’s Council of Advisors on Science and Technology
(PCAST). “Designing a Digital Future: Federally Funded
Research and Development Networking and Information
Technology." December 16, 2010.
• President’s Council of Advisors on Science and Technology
(PCAST). “Realizing the Full Potential of Health Information
Technology to Improve Healthcare for Americans: The Path
Forward.” December 8, 2010.
• AMIA Response to Request for Information (RFI): Training Needs
in Response to Big Data to Knowledge (BD2K) Initiative (NOTHG-13-003)
www.amia.org
Other Supporting Materials and
Resources
Workforce and Informatics Training
• Defining the Medical Subspecialty of Clinical Informatics. Don E
Detmer, John R Lumpkin, Jeffrey J Williamson. JAMIA 2009;16:167168
• AMIA Board White Paper: Core Content for the Subspecialty of
Clinical Informatics. JAMIA 2009;16:153-157
• AMIA Board White Paper: Program Requirements for Fellowship
Education in the Subspecialty of Clinical Informatics.. JAMIA
2009;16:158-166
• National Institutes of Health BIOMEDICAL RESEARCH
WORKFORCE WORKING GROUP REPORT A Working Group of
the Advisory Committee to the Director June 14, 2012
• Bipartisan Policy Center. The Complexities of National Health Care
Workforce Planning: A review of current data and methodologies
and recommendations for future studies Feb. 5, 2013
www.amia.org
Other Supporting Materials and
Resources
Health Information Technology, Usability, and
Patient Safety
• AMIA Usability Task Force Report: Enhancing
Patient Safety and the Quality of Care by
Improving the Usability of Electronic Health
Records: Recommendations from AMIA
• Bipartisan Policy Center. An Oversight
Framework for Assuring Patient Safety in Health
Information Technology Feb. 13, 2013
www.amia.org
AMIA- Who We Are
• AMIA and its multidisciplinary members advance the use of health
information technology (HIT) in clinical care, research, public and
population health, personal health management, and translational
science
• Our more than 4000 members are health professionals,
researchers, teachers, and thought leaders who work in academic,
government, private health care delivery, research, and commercial
settings
• AMIA is regarded as an authoritative and objective source within the
informatics community, the policy community, and the health care
industry
• AMIA members’ expertise spans a wide range of disciplines
including biomedical and health sciences, computer and
communications technology. organizational behavior, cognitive
science, biomedical and health sciences library and information
science, and consumer health
www.amia.org
AMIA’s Mission
• With others, create health information technology and
systems that transform health care and measurably
improve health status
• Strengthen the ability to create and manage the science
and knowledge base of health and health care, including
its timely access
• Actively participate in global health information policy,
technology, and informatics with particular emphasis on
needs of underserved populations
www.amia.org
What is Informatics?
• A general term used to refer to biomedical informatics
and its many areas of application and practice (e.g.,
bioinformatics, clinical informatics, public health
informatics)
• Biomedical informatics (BMI) is the interdisciplinary,
scientific field that studies and pursues the effective uses
of biomedical data, information, and knowledge for
scientific inquiry, problem solving and decision making,
motivated by efforts to improve human health and health
care delivery
http://www.amia.org/about-amia/science-informatics
www.amia.org
AMIA’s Invitational Health Policy Meetings
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2006:Toward a national framework for the secondary
use of health data: an American Medical Informatics
Association White Paper.
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2007: Advancing the framework: use of health data-a report of a working conference of the American
Medical Informatics Association
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2008: Informatics, evidence-based care, and
research; implications for national policy: a report
of an American Medical Informatics Association
health policy conference
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2009: Anticipating and Addressing Unintended
Consequences of HIT and Policy
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2010: The Future of Health IT Innovation and
Informatics
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2011: Future State of Clinical Documentation and
Data Capture
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2012: Health Data Use, Stewardship and
Governance
www.amia.org
Cannon Office Building
Cannon House
Office Building
Address:
Independence
Avenue and 1st
Street, SE
Washington, DC
20003
www.amia.org
Map of Capitol Buildings
www.amia.org
Nearby Metro Stations
www.amia.org
Need More Information
Between Now and Hill Day?
Meryl Bloomrosen
301 657-1291 (office)
meryl@amia.org
www.amia.org
Discussion
www.amia.org
After Our Hill Visits
5:00 pm Optional/Informal Debriefing
(after your last appointment)
Bull Feathers (http://bullfeathersdc.com/)
410 1st St SE
Washington, DC 20003
(202) 484-0228
www.amia.org