2008 Teleconference Schedule
(Final)
REGISTER FOR TELECONFERENCES ON OUR HOMEPAGE
Find materials for these teleconferences at our website by CLICKING HERE
January 15, 1-2 pm CT
Medical Disaster Preparedness and Recovery in the 2007 Minnesota Bridge Collapse
Bioelectronics Manager Phillip Gill, Hennepin County Medical Center (HCMC), Minneapolis, explains how
the most difficult thing during a crisis is "communication and transportation." HCMC is the regional medical
disaster center and was put to the test in the aftermath of the August ’07 I-35 bridge collapse. When the cell
system was deluged, they relied on backup technologies including walkie-talkies and Vocera to direct
activity. They describe disaster plans pre- and post-crisis, and other new technologies that are built into
future disaster plans.
Security and Business Continuity Community
January 16, 1-2 pm CT
Security, Audit & Regulatory Compliance IT Issues of Today – Open Forum Discussion
Ashini Surati, Program Manager, Quality and Risk, CHRISTUS Health, and Pat Moylan, Senior Systems
Analyst, Compliance, Parkview Health, lead an open discussion of issues plaguing healthcare IT leaders,
including remote access and vendor access, audit logs, mobile device security, disaster recovery, email
encryption, identity management, and E-Discovery. The discussion continues from the December 10, 2007,
session; listen to the audio recording at the SI website.
Security and Business Continuity Community
January 22, noon-1 pm CT
Consumer Driven Healthcare: Best Practices and IT Implications
Rick Skinner, Director, Stuart Friedman, Director, and other subject matter experts from Navigant
Consulting, Inc., describe the shift in the provision of US healthcare from a wholesale to a retail model and
the potential impact on healthcare organizations. They demonstrate how other industries have shifted focus
from wholesale to retail and the ultimate changes to business models. In addition, they describe the shifting
role of IT professionals needed to support a transition from wholesale to retail, how other industries adapted
IT to the changing business, and use lessons from other industries to understand potential roles for IT to
support the wholesale to retail transition in healthcare.
January 24, 1-2 pm CT
Northwestern Memorial Annual QI Report: Sustained Commitment to Providing the Best Patient
Experience
Julie Creamer, SVP Quality and Planning, and Bob Costello, Director Process Improvement, Northwestern
Memorial Hospital, Chicago, provide an overview of quality improvement efforts in FY 2007. NMH’s quality
strategy calls for top-level performance, implementing evidence-based practices, employing leading
process improvement techniques and developing groundbreaking systems of care that deliver positive
patient outcomes. Key initiatives, such as Medication Reconciliation, Rapid Response Team (aided by
electronic surveillance), and Shoulder Dystocia Emergency Response are highlighted as well as the three
year long range quality plan and key projects planned for FY 2008.
QI Networking Community
January 28, 1-2 pm CT
Open Forum: Measuring Benefits from Clinical System Implementation
Susan Heichert, Vice President, Health Information and Systems, Allina Hospitals & Clinics, Minneapolis,
and Patricia Johnston, FHIMSS, Vice President, Information Services, Texas Health Resources, Arlington,
TX. Susan and Patricia continue the dialog which began on December 6, 2007, centering on challenges
and lessons learned when measuring benefits from clinical systems implementations. Review the questions
and listen to the recording of that session in the Teleconferences section of the SI website, or in the
Community.
Clinical Systems Benefits Measurement and Realization Community
January 29, noon-1 pm CT
The New York Clinical Information Exchange (NYCLIX)
Gilad Kuperman, MD, NYCLIX Board Chair and Director of Quality Informatics at New York Presbyterian,
and Paul Conocenti, Chair of the NYCLIX Technical Committee and CIO at New York University Medical
Center provide a status report of the last three years of planning and implementation, lessons learned, and
plans for the next 24 months. NYCLIX, Inc. (www.nyclix.org) was created for clinical data exchange to
improve patient care in New York City and includes 11 hospitals (eight in Manhattan), the Visiting Nurse
Service of New York, a federally qualified heath center, and a faculty practice organization. It has received
commitments for over $6 million, including a $2.33 million grant from NY State to help create the base
operational platform. NY State is leading the nation in committing to health information technology and
exchange, having committed $53 million in 2005 and another $105 million this year. Development of the
NYCLIX technical platform is underway, with pilot use by clinicians to begin in the spring of 2008. In this
presentation, Dr. Kuperman gives an overview of the history and strategic vision, and Mr. Conocenti covers
the technical aspects of the project, including the approaches being used to address one of the complex
aspects of the project – coordinating the aggressive project schedule across multiple participant
organizations.
Community EHR’s and Health Information Exchange Community
January 31, 1-2 pm CT
Ambulatory EMR Digest, 1 to >100 Doctors
Jared Peterson, KLAS Enterprises, Orem, UT. The Ambulatory EMR Digest covers all practice sizes from
single doctor practices to >100 doctors for EMR software.
Community EHR’s and Health Information Exchange Community
February 5, 1-2 pm CT
Norton Healthcare Case Study: Physician Handhelds
Joe DeVenuto, CIO, and Steven Hester, MD, CMO, Norton Healthcare, Louisville. Physician handhelds:
Lessons learned in the implementation and support of a small form factor, big value product.
February 7, 1-2 pm CT
FCG Research Report: Next Generation Safety Net
Erica Drazen and Jane Metzger, CSC, formerly First Consulting Group, describe what organizations are
doing, or will need to start doing, to provide IT support for the next level of patient safety. The discussion
includes advanced clinical decision support in CPOE, surveillance, and infection control.
February 12, 1-2 pm CT
Management Dashboards: Content and Case Studies
Jean Chenoweth, Sr. VP, Performance Improvement and 100 Top Hospitals Programs, Thomson
Healthcare, provides a new understanding of how management impact can be gained by comparing and
analyzing performance using a hospital-wide scorecard. She includes how national comparisons of longterm rates of improvement combined with comparison of current performance against national benchmarks,
can provide illuminating views of major decisions made by executives. Management actions and hospitalwide data demonstrating impact over time are presented for several benchmark hospitals.
Management Dashboards Community
February 14, 1-2 pm CT
The Business Case for Healthcare IT
Tom Foley, Partner, Ayako Utsumi, Manager, Strategy & Operations, and Brian Doty, Senior Manager,
Deloitte Consulting, LLP. Leading providers continue to ask questions such as: Am I getting the value from
my current IT investments? How can I use technology to bring better service to my patients and
employees? Where should I invest in technology for the future? Most have spent enormous sums on
information technology, but many still fall short of meeting their information quality objectives. What
strategies, rigor, and discipline should healthcare providers consider to drive greater value from enterprise
information? Mr. Foley discusses the impact of information quality problems and the importance of
determining the economic cost of existing processes, business benefits that can emerge from initiatives to
improve information quality, and barriers that can inhibit companies from improving their processes for
creating information. From Deloitte’s global research, hear about ways CFO and CIO teams are adding
value by making changes in information management strategies and enabling technologies.
IT Cost Benchmarking Community
February 19, 1-2 pm CT
The Clinician as a CIO: Challenges, Benefits and Implications
Joanne Sunquist, RN, CIO, Hennepin County Medical Center, Minneapolis, and John McInally, RN, CIO,
Lucile Packard Children’s Hospital, Palo Alto, describe their respective backgrounds and the related
implications for their roles as CIOs and executive team members, as well as successful approaches to
understanding and planning for clinical processes that are important for all IT leaders, regardless of
background.
February 21, 1-2 pm CT
Vendor Clinical Market Share; Investing in Tools for Nurses and Doctors
Kent Gale, KLAS Enterprises, Orem, UT, discusses Clinical Information System investment and software
performance for doctors and nurses in acute care hospitals. This session is an opportunity to understand
the dynamics behind the changes in Clinical Market Share (CMS) leadership the past 18 months and
includes a comparative look at market share versus adoption rates by physicians and nurses.
February 28, 1-2 pm CT
Data Never Gets Obsolete: How to Develop a Data Vision
Jim Philbin, Senior Director of Medical Imaging, Johns Hopkins Medicine, Chris Balbi, Corporate Medical
Imaging Program Director, North Shore-Long Island Jewish Health System, David Dimond, Senior Vice
President, Exogen, and Gary Nicolas, Vice President, Exogen. As leading providers plan for technology
upgrades and updates, data consistency across information systems has become a top concern for
maintaining the patient data continuum. In this roundtable discussion, prominent institutions and experts
share their experiences with technology upgrades and updates, describe their vision around the patient
data continuum, and discuss the 2014 mandate on patient records. They answer: What are the lessons
learned from technology upgrades and updates today? How do I develop a data vision blueprint? Can I
leverage technology today that will support my data vision? How do I prepare today for 2014? Most
organizations have spent enormous sums on information technology, but many still fall short of meeting
their data continuum objectives. What strategies, rigor, and discipline should healthcare providers consider
to drive greater value from their data? From Exogen’s innovation labs and prominent healthcare provider
panelists, hear how organizations are changing the game and making data a vision priority.
Business Intelligence through Data Warehousing Community
March 5, 2-3 pm CT
IT Cost Benchmarking: What Works and What Doesn’t
Kent Gale, President, KLAS Enterprises, Orem, UT, and Helen V. Thompson, CIO, Heartland Health, St.
Joseph, MO, invite you to attend a discussion about benchmarking approaches, including both the value
that can be gained and the pitfalls that have been inherent in many benchmarking efforts. The SI
benchmarking process, developed by Spectrum Health and maintained for SI by KLAS, is summarized, and
the CIO’s perspective is discussed.
IT Cost Benchmarking Community
March 6, noon-1 pm CT
Management Dashboards Support Performance and Quality Improvement at UPMC
Tami Merryman, Vice President, Center for Quality Improvement and Innovation, University of Pittsburgh
Medical Center. UPMC is known for its stellar financial and medical outcomes. Ms. Merryman describes
how UPMC utilizes daily performance dashboards to drive its business and quality goals. The development,
deployment and outcomes from dashboard implementation are covered in this session as well as lessons
learned.
Management Dashboards Community
March 10, 1-2 pm CT
Standards Update: Moving Toward Integrated Nomenclature and Structured Data
Jack Corley, Senior Vice President, Chief Technology and Quality Officer, Advanced Technology Institute,
Charleston SC, and Deputy Program Manager for the Health Information Technology Standards Program
(HITSP) funded by the Office of the National Coordinator specifies how to integrate diverse standards to
meet key healthcare business needs. Jack provides a status report of key standards initiatives and a
discussion of governance approaches and issues involved with moving toward nomenclature and data
standards.
Business Intelligence through Data Warehousing Community
March 11, 1-2 pm CT
Mercy Health Partners Gives Doctors Secure Mobile Access to Clinical Patient Data
Mike Hibbard, Vice President Informatics for Mercy Health Partners, Cincinnati, and Tom Gocke, Solution
Executive at Thomson Healthcare, Denver, share the approach used by Mercy Health Partners to give
physicians a secure way to access clinical patient data wherever they are - at the patient bedside, at home,
or at the office. Mercy Health Partners clinicians now have secure, real-time access to labs, medications,
reports, active orders, nursing observations, critical alerts, and shared messages using both a web-based
desktop interface and smartphones. They discuss how wireless technology is transforming the way critical
information is disseminated throughout healthcare facilities and lessons learned during this initiative.
Clinical Systems Benefits Measurement and Realization Community
March 20, 1-2 pm CT
Eliminating Digital Imaging Optimization Barriers
Randy Wilder, Director of Imaging, Ardent Health Services, Nashville, Jay Backstrom, Vice President and
Gary Nicolas, Vice President, Exogen, Chicago. As digital imaging systems have gained momentum over
the last decade, healthcare organizations continue to grapple with optimization and adoption of these
systems at the department and enterprise levels. In this roundtable discussion, prominent institutions and
field experts share relevant experiences, address the barriers to optimization, and discuss how leading
organizations maintain high adoption rates. In this discussion, expert panelists provide answers to the
following issues: How do I maximize my technology investment by realizing operational efficiencies? How
do I seamlessly deploy a new system into my organization's workflow? How do I ensure high adoption rates
by my clinicians and staff? Is there a "one-size-fits-all" training program I can institute in my environment?
How can I leverage my digital imaging vendor to my advantage?
March 27, 1-2 pm CT
Labor and Delivery Systems: Functional Strengths/Weaknesses and Depth of Integration
Steve Van Wagenen, KLAS Research Director, Orem, UT, reports on the 2008 KLAS Labor and Delivery
study. One hundred and forty participating organizations and individual hospitals address such questions
as: How well are L&D vendors meeting provider expectations? What are the surprising benefits and
challenges of current L&D surveillance, charting and archiving systems? What is missing? How well are
current systems integrated with clinical documentation systems? What do you need to watch out for as you
look at purchasing a new system?
April 1, 1-2 pm CT
Improving Transparency and Reporting Through the EMR at Cedars Sinai
Jerome K. Wang, MD, FAAP, FACP, Associate Medical Director, Enterprise Information Services, and
Medical Director, Information Systems - Cedars-Sinai Medical Care Foundation, Cedars-Sinai Health
System, Los Angeles, describes the benefits of the ambulatory EMR in the context of Pay for Performance
in California. He provides an overview of the clinical quality case for the implementation of an ambulatory
EMR system at Cedars-Medical Group. He also discusses the potential benefits, key challenges, and
important considerations for using the EMR as a tool for quality improvement in this multi-specialty
ambulatory physician group.
Clinical Systems Benefits Measurement and Realization Community
April 3, noon-1 pm CT
Stark Law Relaxations: The Business Case for a Community Physician Technology Donation
Strategy
Michael Busch, Vice President and Chief Strategic Officer from Butler Health System, Butler, Pennsylvania,
and Kenneth Kleinberg, Vice President and Hospital Strategist from Allscripts, discuss the opportunities
now available as a result of the Stark Law relaxations for hospitals to provide electronic health records and
related technologies to community physicians. Mr. Busch shares the business case for why Butler Health
System decided to make Stark Law reforms a key component of their physician strategy.
Community EHRs and Health Information Exchanges
April 7, 1-2 pm CT
EDW Reporting Facilitates Ongoing EHR System Improvements at Northwestern
David Liebovitz, MD, CMIO, Northwestern Medical Faculty Foundation and Medical Director of Clinical
Information Systems, Northwestern Memorial Hospital. This presentation illustrates selected design
approaches and benefits from the new enterprise data warehouse at Northwestern. Specifically, a high level
overview of the process of accepting clinical and administrative content is reviewed, followed by selected
examples of how findings from this data aggregation process have been leveraged to improve the clinical
data collection process in anticipation of further automation of quality and research reporting.
Business Intelligence through Data Warehousing Community
April 10, noon-1 pm, CT
Safe Harbor and Stark Law Update and Case Studies
Ira M. Kalina, Partner, Drinker Biddle Gardner Carton. Mr. Kalina describes how the EMR/eRx Safe Harbor
and Exception are currently being interpreted and applied, providing a regulatory, business and technology
perspective gleaned from working with hospitals across the country. He discusses what is being
subsidized, how much is being subsidized, and the hurdles to internal and external adoption of ambulatory
EMR programs.
Community EHRs and Health Information Exchanges
April 22, 1-2 pm CT
Key Performance Indicators (KPIs) in Digital Imaging: Indicators for Success
Jake Nunn, Director, Metro Region Imaging Services, Aurora Health Care, Jay Backstrom, Vice President,
and Gary Nicolas, Vice President, Exogen Healthcare. To gain operational efficiencies in Digital Imaging
(DI), departments need to establish a set of KPIs that continuously measure process outcomes. The core
challenge then becomes what to measure and how to drive change, both within the department and
throughout the enterprise. In this call, prominent field experts will help you answer: How do I intricately
assess my digital imaging operations without being lost in a paper mountain of reports and documents?
What KPIs should I be measuring? Are there KPIs that can help me gain a competitive advantage within
my market? How can I improve the experience of my referring physician base? How do I use KPIs to drive
change within my institution? Join us to learn more about KPIs and the key metrics you should be capturing
to drive operational improvements within your digital imaging environment.
April 24, 1-2 pm CT
CPOE Outlook: 2006 vs. 2007
Adam Gale, COO, KLAS Enterprises, Orem, UT. KLAS reviews their 6th annual report on major CPOE
vendor/products, which included speaking personally with every live hospital in the country doing CPOE.
This report contains a detailed look at the real usage of CPOE in live inpatient and major ambulatory
facilities. It also includes commentary by providers on various aspects of their CPOE system, such as
integration with pharmacy, benefits, value proposition, etc. Adam reviews the changes between 2006 and
2007 in the CPOE installed hospitals and shares lessons learned.
April 29, noon-1 pm CT
Predictive Knowledge Management
Vi Shaffer, Research VP, Gartner, and Dr. Tonya Hongsermeier, Corporate Manager for Clinical Knowledge
Management at Partners Healthcare, discuss the evolving interest in predictive knowledge management
that closes the loop between measuring, predicting and influencing clinical performance. Partners’ strategic
approach to developing and delivering coherent clinical decision support interventions is explored.
Business Intelligence through Data Warehousing Community
April 30, 2-3 pm CT
Leveraging the EMR for Clinical Data Warehouse Reporting
Jonathan S. Einbinder, MD, MPH - Corporate Manager, Partners Health Care Information Systems,
presents a case study on the reporting system that was developed to support pay for performance and
other quality initiates at Partners. Specifically: How can EMR data be leveraged into a clinical data
warehouse that supports reporting? What are the key issues in planning and design? How to design a
report portal based on the clinical data warehouse that is easy for physicians to use? How can doctors
navigate from summary reports back to the EMR in one click? How to roll out an enterprise-wide reporting
system to medical directors and individual physicians? What organizational challenges must be overcome?
Project components include Planning – How the data warehouse planned, designed and developed,
Development – How the reporting portal was planned, designed and developed, and Deployment – How the
system was rolled out to the enterprise, and what organizational hurdles were overcome to achieve
success.
Business Intelligence through Data Warehousing Community
May 6, noon-1 pm CT
CITL: The Business Case for Telehealth Technologies for Physician to Physician Communication
Eric Pan, MD, MS, Center for IT Leadership, Partners Healthcare. Adoption of telehealth technologies
could save $4.28 billion annually, according to the Center for Information Technology Leadership, even if
implemented only in emergency departments, correctional facilities, nursing homes and Physician offices.
Clinical Systems Benefits Measurement and Realization Community
May 7, 1-2 pm CT
Advocate HealthCare Medication Reconciliation Case Study
Joel S. Shoolin, DO, MBA, VP, Advocate Health Care, JohnMarc Alban, RN, Manager, Clinical Informatics,
and Mark Franklin, PharmD, Pharmacy Director, Advocate Illinois Masonic Medical Center. Advocate
started its EMR journey in medication reconciliation several years ago and now can share its successes
and the challenges of full electronic medication reconciliation using Cerner Millennium 2007.
Medication Management and Reconciliation Community
May 13, noon-1 pm CT
Kaiser makes PHRs Available to all Members
Jan Oldenburg, Practice Leader, Health Content, Internet Services Group, Kaiser Permanente. The Kaiser
PHR, called My Health Manager, offers access to the member’s electronic health record, lab test results,
and immunization records. Other functionalities include online appointment scheduling, prescription refill
requests, information about eligibility and benefits, and secure messaging with clinicians.
May 15, 1-2 pm CT
University of Pennsylvania Clinical Business Intelligence Case Study
Paul E Pancoast, MD, MBA, Deloitte Consulting LLP, and Brian Wells, Chief Technology Officer, University
of Pennsylvania Health System (Penn). Penn and Deloitte developed a Proof-of-Concept Clinical Business
Intelligence dashboard application. Penn had several large-scale data warehousing projects underway, but
was dependant on manual extraction techniques for clinical informatics dashboards. Deloitte and Penn
worked collaboratively to develop the application which automatically extracts and processes data from four
data sources and displays it in a customizable, web-based format. Diabetes management specifically is
highlighted, and lessons learned during the development process are discussed.
Business Intelligence through Data Warehousing Community
May 19, 11 am-noon CT
The Leapfrog CPOE Simulator: Evaluate your Readiness
David C. Classen, MD, M.S., Vice President, CSC (formerly First Consulting Group) and Associate
Professor of Medicine and Consultant in Infectious Diseases, School of Medicine, University of Utah, Salt
Lake City, reviews the 2008 Leapfrog and National Quality Forum CPOE standards, including the
compliance requirements, testing details, and lessons learned to date from the testing of both CPOE
standards in numerous healthcare organizations.
Managing Clinical Decision Support Community
May 20, 1-2 pm CT
Remote Application Hosting
Mike Smith, Sr. Research Director, KLAS, Orem, UT. Application hosting may be the fastest growing market
in the IT outsourcing arena for healthcare providers. KLAS presents findings from recent research on
application hosting that provides insights regarding what is fueling the fire, key benefits of going this route,
expectations that have not been met/delivered, emerging trends and who delivers.
June 3, 2-3 pm CT
IT Enabling Patient Involvement in their Care
Linda Talley, Director of Nursing Systems, and Roberta Alessi, Executive Director, Operations and
Compliance, Children's National Medical Center, Washington, DC. This leading Children’s Medical Center
implemented a patient interactive system as part of new facility design in November 2007. The system
offers customer service and entertainment functionalities including a variety of information links to area
restaurants and other accommodations, interactive games, and on demand movies. Perhaps of greater
importance is that the system allows an interactive process between patients and the care team whereby
instantaneous feedback can be generated by the patient and received by the team. The system provides
creative ways to engage patients at the point of care with patient specific educational content as well as
safety related educational series. Learn how this hospital is using the system to enhance safety and quality
in the delivery of patient care and what outcomes can be achieved.
June 4, 1-2 pm CT
CHW Case Study: Community MD Strategy and Roll Out
Scott Whyte, VP, Information Technology, and Dan Ferguson, MD, MS, FACP, CPE, Vice President,
Medical Operations, Catholic Healthcare West, San Francisco. CHW describes their approach to electronic
results distribution to physicians, and its impact. A participating community physician also describes how
this technology has increased both practice productivity and patient safety.
Community EHRs and Health Information Exchanges
June 5, 1-2 pm CT
Benchmarking Your Progress on the Journey to Operational and IT Excellence
Erica Drazen, Ed D, VP, CSC, formerly First Consulting Group. CSC has recently completed a survey of
healthcare organizations to assess industry progress towards national goals. Their "Evolution Framework"
uses widely-accepted industry benchmarks for Safety, Accountability/Transparency, Patient Centeredness,
and Efficiency and is a self-scoring instrument including 40 operational and 40 IT measures. A brief report
for each site and a comparison to the aggregate results was provided to survey respondents and is
intended to support strategic planning discussions to help answer: How is our hospital doing against key
clinical, operational and IT measures? Are we focusing on "the right things" relative to important national
indicators? How are we doing relative to our peers when it comes to these key measures? Are our
operational performance and IT initiatives leading or lagging the industry?
June 10, 1-2 pm CT
Management Dashboards: The Memorial Hermann Daily Flash Report
Emily Handwerk, System Executive Information Systems, Memorial Hermann Health System, Houston,
demonstrates a key operations management tool and describes its use, IT’s role in supporting the process,
and ongoing governance matters addressed by Memorial Hermann as the management process and tool
evolves.
Management Dashboards Community
June 11, noon-1 pm CT
E-Discovery Rules of the Road: New Data Retention Policies and Practices
Ronald Bonig, VP and CIO, The George Washington University, and George Conklin, VP and CIO, Evelyn
Briggs, Information Management Director, Security and Compliance, and Nancy Poblenz, Esq, CHRISTUS
Health. With the recently updated regulations for E-Discovery, it is necessary for organizations to review
the rules of the road for legal preservation and retention, create new maps for easy navigation, and update
discovery procedures to eliminate the fines and penalties for driving too slowly through the maze of legal
preservation requirements. GWU and CHRISTUS Health partner to present their strategies for success in
the fast lane of regulatory requirements, with an emphasis on the impact of eDiscovery legislation on data
retention policies and practices in health care settings. Ron Bonig will also share his cross-industry
perspectives on eDiscovery.
June 17, noon-1 pm CT
Standardizing Vocabularies and Creating the Governance Structures to Manage and Maintain Them
Christopher Chute, MD, DrPH, Professor and Chair, Biomedical Informatics, Mayo Clinic, Rochester.
Standard terminology and vocabulary are now widely recognized as crucial elements for interoperability and
within enterprise data consistency. Dr. Chute outlines the present trends for enterprise terminology
management, some ongoing developments, and Mayo’s approach. He also highlights activities at the
National Center for Biomedical Ontology, the LexWiki project for terminology authoring, and strategies for
the distributed authoring of ICD-11.
Business Intelligence through Data Warehousing Community
June 23, noon-1 pm CT
Sharp HealthCare Baldrige Award and IT Enablers
Bill Spooner, Chief Information Officer, and Nancy Pratt, SVP Clinical Effectiveness, Sharp HealthCare, San
Diego. This session reviews how Sharp HealthCare answered the 2007 HealthCare Baldrige criteria across
all seven categories. Areas the examiners highlighted as particular strengths are explored. Sample process
diagrams and tools employed at Sharp are also discussed, as are results from the 2007 application.
Specifics about how information technology facilitated and enabled the results are presented as is Sharp’s
journey over the past four years, including how the Baldrige feedback helped shape priorities for
improvement.
QI Networking Community
June 25, 1-2 pm CT
2nd Generation PACS: Are the Market Leaders Changing?
Ben Brown, Research Director, KLAS Enterprises, Orem, UT. Larger, acute care organizations are
demanding more from their PACS system. What vendors are delivering? Imaging crosses traditional
boundaries, creating new opportunities to improve care and leverage technology. Where are providers
turning as they replace their legacy PACS?
June 26, 1-2 pm CT
Implementing Standard Terminologies to Share Data: SNOMED Case Studies
Cyndie Lundberg, Clinical Informatics Educator, College of American Pathologists, SNOMED Terminology
Solutions. The use of standard terminology provides interoperable patient data and the ability to share data
across acute care departments and other facilities. The extracted data can provide research and analysis to
improve outcomes, manage costs by eliminating redundant testing, and reduce errors through alerts and
reminders. In the case study organizations, SNOMED CT represents clinically relevant information
consistently, reliably and comprehensively as an integral part of electronic health records. They
demonstrate that: 1) Electronic health record systems that do not have a strategy to implement structured
terminology lack the ability to extract interoperable data, 2) The inability to extract interoperable data does
not support analysis that results in shorter length of stays, cost containment, and improved patient care
outcomes, 3) Transfer of care from home care to acute care results in data loss, and 4) Lacking resources
to develop and maintain encoded clinical terms undermines project viability.
Managing Clinical Decision Support Community
July 7, 2-3 pm CT
Texas Health Resources Clinical Decision Support Implementation
Luis Saldana, MD, MBA, Medical Director of Clinical Decision Support, and Ferdinand Velasco, MD, CMIO,
Texas Health Resources. Lessons learned from the first year of implementing clinical decision support and
CPOE in a community hospital setting. Our discussion focuses on order sets, clinical alerts and drug
interaction checking.
Managing Clinical Decision Support Community
July 10, 1-2 pm CT
Clinical System Benefits-Driven Implementation: Lessons Learned from Early Adopters
Doug Thompson, Director, Navigant Consulting, and Patricia Johnston, FHIMSS, Vice President
Information Systems, Texas Health Resources, explain how to manage a clinical system implementation “to
the benefits,” instead of “to the technology.” Lessons learned from surveys and direct experience with more
than 100 hospitals that have focused on benefits in their implementations are described and discussed, as
is a case study from Texas Health Resources illustrating many of the principles and lessons learned.
Clinical Systems Benefits Measurement and Realization Community
July 25, 1-2 pm CT
Business Intelligence (BI): Opening the Floodgates
Jeremy Bikman, VP of Research, KLAS Enterprises, Orem, UT. Microsoft, Oracle and IBM have jumped
into the healthcare BI arena. Will they replace McKesson, Siemens, Avega, Eclipsys (EPSI), etc. as
providers look for advanced solutions? Who offers the strongest clinical/financial access to data for better
business decision making? Are acute care provider organizations ready to act on concurrent data?
Business Intelligence through Data Warehousing Community
July 28, 1-2 pm CT
Clinical Decision Support at Robert Wood Johnson: A Case Study
John Chuo, MD, MS, John Chuo, MD, MS, Neonatal Quality Officer, Children's Hospital of Philadelphia. Dr.
Chuo specifically discusses the orderset lifecycle process at the Bristol Myers Squib Children's Hospital at
Robert Wood Johnson. The four-month process consisted of a two-track strategy that produced ordersets
for 12 pediatric divisions, including both private and university practitioners.
Managing Clinical Decision Support Community
July 31, 1-2 pm CT
Advocate Clinical Decision Support Case Study
Joel S. Shoolin, DO, MBA, VP, Advocate Health Care, Oakbrook, IL. Chicagoland's Advocate Healthcare
has developed a number of Clinical Decision Support (CDS) tools to improve patient care. This session
enumerates the current CDS rules and alerts and discusses plans for future deployments.
Managing Clinical Decision Support Community
August 6, 1-2 pm CT
Information Sharing Within a Federated Data Model: Enabling Data Collaboration Without
Compromising Security
Jamie Welch, CIO of the Louisiana Rural Health Coalition (LRHC), presents how a decentralized data
approach helped LRHC and the Louisiana State University Health Sciences Center overcome privacy
concerns to create a network allowing 24 rural hospitals to access an integrated, patient-centric web portal
system to support a statewide telemedicine program.
Community EHRs and Health Information Exchanges
August 13, 1-2 pm CT
Clinical System Benefit Measurement Metrics: How to Select, Collect and Report
Doug Thompson, Director, Navigant Consulting, presents a detailed “technical” discussion laying out the
principles of benefit metric selection, issues around data collection, principles of report design and use; and
illustrating them with real-world examples. Participants are invited to contribute and discuss their own
specific examples.
Clinical Systems Benefits Measurement and Realization Community
August 14, 2-3 pm CT
Realizing Budgetable Benefits: RAD Voice Recognition
Robert C. Weeks, Director, Information Services Division, Memorial Hermann Healthcare System, Houston.
Prior to implementing digital voice recognition technology for Radiology transcription, Memorial Hermann
Healthcare System was spending over $1.5 million per year on transcription services and final report
turnaround times (TAT) were averaging 25 to 26 hours. After going to voice recognition, report turnaround
times are down to lees than 5 hours and over $1.4 million has been eliminated in annual transcription costs.
Robert explains how this was achieved and participants gain valuable insights on what it takes to implement
this emerging best practice technology in one of the nation's largest integrated not-for-profit healthcare
systems.
Clinical Systems Benefits Measurement and Realization Community
August 26, 1-2 pm CT
Revenue Cycle Reformation: Will Software Solutions Keep Up?
Kent Gale, President, KLAS Enterprises, Orem, UT. Have the new Revenue Cycle Management solutions
come of age? Are 20-30 year old legacy AR/billing solutions being replaced? If so, who is making the
change and why? What influence does the clinical information system have in replacing a legacy financial
information system?
September 9, 1-2 pm CT
A Balanced Scorecard Approach to Developing an Integrated Enterprise Data Warehouse
Narayanan Kulasekar, Manager EDW/Business Intelligence, and Tina Esposito, MBA, RHIA, Director,
Center for Health Information Services, Advocate Health Care, Oakbrook, IL, describe the approach
Advocate is taking in developing an integrated Enterprise Data Warehouse (EDW). They cover the design,
approach and the benefits provided by the EDW to users ranging from the executive team to front-line
associates. By using Advocate’s balanced scorecard as a springboard for the EDW, associates are able to
drill down on key performance indicators for management level results. Included in the discussion is a
description of the Business Intelligence rollout at Advocate Healthcare.
Business Intelligence through Data Warehousing Community
September 16, 1-2 pm
Hospitals Subsidizing Community Physician EHRs, Tax Implications for Both Parties
Linda Sauser Moroney and Jennifer R. Breuer, Partners, Drinker Biddle Gardner Carton. Two years have
passed since CMS/OIG regulations were issued allowing hospitals to subsidize ambulatory electronic health
record arrangements for community physicians on their medical staffs. Since that time, the IRS has
provided informal guidance to assist hospitals in ensuring that such arrangements won't risk their taxexempt status. Nonetheless, the lurking question remains as to whether such arrangements result in
taxable income to participating physicians. This session addresses these tax considerations, the parties'
respective risks, and how hospitals are tackling these questions.
Community EHRs and Health Information Exchanges
September 17, 1-2 pm CT
Oncology Solutions: A Complex Area – Who is Hitting the Mark?
Jeremy Bikman, VP of Research, KLAS Enterprises, Orem, UT. From community hospital to cancer center,
what options do providers have? Do single source and/or integrated vendors like Cerner, Eclipsys, Siemens
and Epic, compete well with the niche players?
September 22, 2-3 pm CT
Ultrasound Technology: Benefits and Impact at the Seton Family of Hospitals
Robert Petty, Dell Healthcare Practice Executive of Seton Family of Hospitals, and Jeff Falwell, Dell Project
Manager, discuss the selection process used to determine their choice of ultrasound technology. They also
discuss the planned and realized benefits of using Ultrasound for RTLS and RTLS benefits in general.
They conclude with a discussion of lessons learned from their hospital-wide implementation of real-time
asset tracking.
Clinical Systems Benefits Measurement and Realization Community
September 23, 1-2 pm CT
Cincinnati Children's Clinical Research Data Warehouse (I2B2)
Keith Marsolo, Director of Research Data Warehouse and Instructor of Pediatrics, Cincinnati Children's
Hospital Medical Center. Cincinnati Children’s Hospital Medical Center has implemented a research data
warehouse using the i2b2 framework (https://www.i2b2.org). By merging disparate sources of clinical and
research data and providing a set of web-based mining and analysis tools, this project will foster
collaboration and further translational research. Dr. Marsolo discusses the rationale behind the selection of
i2b2, the challenges faced during implementation, as well as current and future plans for the development
of associated analysis tools.
Business Intelligence through Data Warehousing Community
October 1, 1-2 pm CT
Clinical Browser Delivers Value at Daughters of Charity Health System
Dick Hutsell, VP and CIO. The health system reestablished itself in 2002 with little capital to make up for
many years of under-investing in clinical information technology. A clinical browser was the first investment;
providing clinician access to the legacy ancillary applications while allowing the health system to
incrementally build a comprehensive clinical system strategy. Budget limitations and implementation issues
have delayed the overall strategy, but we continue to add more data to the browser increasing its value as a
clinical tool in our quest for improved patient safety and outcomes. This parallel investment in the browser
as well as incrementally automating clinical processes lets DCHS deliver more clinical data without waiting
until the ultimate solution is in place.
Clinical Systems Benefits Measurement and Realization Community
October 2, 1-2 pm CT
Clinical System Benefit Requirements: A Practical Tool for Benefits-Driven System Implementation
Doug Thompson, Director, Navigant Consulting, describes and gives practical examples of how to identify
and use detailed technical and process change requirements focused on realization of specific operational
benefits, as distinguished from a focus on process changes or technical implementation goals.
Clinical Systems Benefits Measurement and Realization Community
October 7, 1-2 pm CT
Business Intelligence Strategy and Approach
Bruce Johnson, Managing Director of Data Architecture Strategy and Governance, Recombinant Data
Corporation, describes post-EMR implementation analytical needs and factors to consider when analyzing
the business drivers and technology options for the solutions most appropriate for your needs. Navigating a
large solution landscape and innumerable technology vendors can be time intensive, costly, and may result
in many disparate efforts. Learn approaches to saving time, focusing efforts, and ultimately increasing the
value of your data and solutions.
Business Intelligence through Data Warehousing Community
October 9, Noon-1 pm CT
Building Business Analytics from Healthcare IT Systems at Spectrum Health
Anthony J. Senagore, MD, MS, MBA, VP Research and Education, Spectrum Health, and Professor of
Surgery, Michigan State University/CHM, and Scott Bauman, Director, Enterprise Business Intelligence,
Spectrum Health, describe Spectrum Health’s approach to creating business analytics from core vendor
applications systems data. Since most healthcare applications are not built to provide analysis of
operations for quality improvement, and don’t integrate operational processes such as coding and billing
effectively, it is up to each health system to develop an approach to delivering data to such points of
service. Learn about Spectrum Health’s pathway for bringing business analytics to clinical and operational
users for real time decision making and improved operational and revenue cycle processes.
Business Intelligence through Data Warehousing Community
October 15, Noon-1 pm CT
Identity Theft Red Flag Rules
Rebecca L. Williams RN, JD, and Brent R. Eller, Partner, Davis Wright Tremaine, Seattle. The Federal
Trade Commission (FTC) has announced the Nov. 1, 2008, compliance deadline for implementing identity
theft prevention programs pursuant to the identity theft red flag rules (“Red Flag Rules”). This presentation
covers the Red Flag Rules and the applicability of the requirements. Providers in general should be aware
of the Red Flag Rules, should revisit their existing privacy and security compliance programs to ensure that
the requirements of the Red Flag Rules have been addressed, and should take other actions to bring
themselves into compliance.
Security and Business Continuity Community
October 16, 1-2 pm CT
Closed-Loop Processes to Facilitate Transparency and Enhance Patient Safety
Donna Willeumier, Administrator Safety and Regulatory Compliance, and Kate Kovich, Director Patient
Safety and Regulatory Compliance, Advocate Health Care, Oak Brook, IL, describe how Advocate uses
technology to facilitate patient safety lessons learned sharing. Root cause, apparent cause and common
cause analyses are performed and reported in standardized reports. The lessons learned from the cause
analyses are shared online so that proactive risk reduction can be implemented at the sites. The use of
reports to drive improvement of patient safety processes are discussed.
QI Networking Community
October 22, 1-2 pm CT
The Legal EHR: Definitions and Beyond
Barry S. Herrin, FACHE, Smith Moore Leatherwood, LLP. As we continue to implement our grandchildren's
technology within our grandparents' legal system, questions and problems continue to arise in the context
of the electronic health record, and particularly in the definition of the "legal" electronic health record. This
presentation discusses some of the practical problems and legal issues created as healthcare organizations
work through this definitional process, with reference to the Federal Rules of Evidence, the Federal Rules of
Civil Procedure, the HIPAA Privacy and Security Rules, and general risk management and health
information management best practices.
Security and Business Continuity Community
October 23, 1-2 pm CT
Making Inroads with Speech Recognition
Ben Brown, Research Director, KLAS Enterprises, Orem, UT. A growing number of healthcare provider
organizations report dramatic workflow efficiency, faster report turnaround times and cost savings benefits
by adopting speech recognition technology. The findings in this presentation have motivated a great many
providers to consider speech recognition as the next step in automating workflow and documentation; that
movement toward automation prompted this study on the vendors that supply speech recognition
technology. This presentation outlines key findings KLAS gathered from interviewing 300-plus healthcare
professionals regarding the speech recognition solutions in use at their respective organizations.
October 28, 1-2 pm CT
Maximizing Service Response and Nursing Efficiency through Family Involvement
Aliza Koenigsberg, Administrative Director, Children's Service Line, Morgan Stanley Children's Hospital of
NewYork-Presbyterian, Komansky Center for Children's Health, and Joseph McTernan, Director of
Operations at Morgan Stanley Children's Hospital of NewYork Presbyterian/Columbia University Medical
Center. Aliza and Joseph describe the NYP Children's Hospital’s interactive bedside program, which allows
patients and families to communicate concerns or requests directly to the Support Services team. This
program empowers families to easily and rapidly resolve service issues without taking nurses away from
patient care responsibilities. The innovative system also enables the hospital to track and resolve recurring
operational problems.
November 12, 1-2 pm CT
Are Integrated ED Solutions Overtaking Best of Breed Products?
Jason Hess, Research Director, KLAS Enterprises, Orem, UT. How deeply are physicians engaged in their
ED system? Which solutions cover the ED from A to Z? What vendors/products are replacing legacy
systems?
November 14, 11 am-Noon CT
Impact of Patient Involvement in their Care
Kathy Pereira-Ogan, RN, Director of Service Excellence and Patient Satisfaction, and Kristen Lindsey
Project Leader for the Department of Information Services, Christiana Care Health System, Wilmington, DE.
Christiana Care Health System is committed to providing patients and their families with the best possible
health care and customer service. In response to patient satisfaction scores and in listening to the voice of
our patients, Christiana Care sought to bring our service commitment to a new level through leading edge
interactive care technologies. Through this process, patients have become more active participants in their
healthcare process by using tools directly at the beside.
November 19, 11 am-noon CT
Using Technology to Improve the Patient Experience
Bryan Croft, Vice President of Operations, The Methodist Hospital, Houston, discusses the innovative ways
Methodist is leveraging interactive technology to improve the patient experience. He explains how The
Methodist Hospital engages patients in their own care by bridging gaps in communication and
understanding between patients and caregivers. Ultimately, engaged patients improve patient satisfaction,
clinical outcomes, and the bottom line.
November 20, 1-2 pm CT
A Review of the Piedmont Healthcare OIG Audit
Nadia Fahim-Koster, MBA, CHPS, CISSP, Information Security Director, Piedmont Healthcare, Atlanta, and
Cliff Baker, PricewaterhouseCoopers, describe the OIG Security Audit of Piedmont, lessons learned, and
the related CMS Security Audits. Since the HIPAA Security Rule is enforced by CMS, not OIG, this rule
provides CMS with broad discretion over enforcement decisions based on provider cooperation and
commitment to information security. The purpose of OIG audit was to assess CMS enforcement of the
Security Rule by auditing provider compliance. The Final Report will be issued to CMS and will likely not be
public.
Security and Business Continuity Community
November 24, 1-2 pm CT
Quality Dashboard Collaborative Workgroup, Call #1
Dr. Judi Binderman, MD, MBA, MHSA, a consulting physician principal, CSC, Moderator. SI now convenes
a workgroup to share information and solutions on creating dashboards for executives, quality directors,
managers and staff. This group shares how they: 1) track progress on quality initiatives, federal reporting
requirements, and public transparency, 2) the various measures utilizing different yet similar definitions for
data sources and, 3) automating the data presentation. The working group would convene via conference
call each month, and could report our initial findings at SI’s Spring Conference. Our first call includes the
introduction of participants, sharing of information about what data you collect, collection methods,
presentation and general performance. We also gather a short list of challenging areas for both data
accuracy and data collection. Future calls feature topics requested by the group members.
Management Dashboards Community
December 2, Noon-1 pm CT
CPOE Simulator at Northwestern Memorial Hospital
Tim Zoph, Vice President and Chief Information Officer, Northwestern Memorial Healthcare, and David C.
Classen, MD, M.S., CMO, CSC. The session outlines the experience of Northwestern Memorial Hospital
with the Leapfrog CPOE Testing Standard and reviews the basic aspects of the standard. Dr. Classen and
Mr. Zoph also outline NMH's experience as one of the earliest sites to take the test and then retaking the
test in 2008. The session shares how NMH responded to the results of the first CPOE Test and how these
interventions led to improvement in results in 2008.
December 18, 1-2 pm CT
Is Medication Administration Technology Creating a Win/Win at the Bedside?
Jason Hess, Research Director, KLAS Enterprises, Orem, UT. Are advances in smart pump technology and
barcode medication administration generating the anticipated benefits? Providers expect to see improved
nurse workflow and patient safety. Are those benefits being realized? What are the options available to
providers and which solutions are measuring up?