2012 Teleconference Schedule(v 11-15-2012)

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January 11, 1-2 pm CTTechnology Tools to Facilitate the ICD-10 TransitionTom Foley, Principal, and Brian Lee, Manager, Deloitte Consulting LLP. With the CMS mandate for the adoption of the ICD-10 code set, healthcare provider organizations face many challenges including decreases in coder productivity and decision support processes. Many automated tools such as Computer Assisted Coding (CAC) and “cross walk” applications are available to assist with the transition to the ICD-10 code set. These applications should be considered with the development of business and technical work flows such as dual processing of ICD-9 and ICD-10 code sets and the realization of any early adoption strategy. As the benefits of CAC and “cross walk” tools gain increasing attention, many organizations are working to leverage their benefits as well as understand the business and technical challenges to implement them as part of an overall remediation strategy. Tom and Brian share their experiences with CAC and “cross walk” applications and highlights their core functionalities, as well as challenges healthcare provider organizations face with implementation.

January 16, 1-2 pm CTSI-Cerner Users Collaborative No. 39: Memorial Hermann HIERobert Weeks, Director, Information Systems Division, Memorial Hermann Healthcare System. Memorial Hermann is a leading provider of healthcare in Houston with a strong tradition of enabling exchange of clinical information. With early initiatives focused on enabling affiliated physicians to have electronic access to lab results, radiology reports and other data, Memorial Hermann partnered with Cerner to expand this exchange and created the Memorial Hermann Health Information Exchange (MHiE) in 2011. The MHiE enables connecting providers to contribute continuity of care (CCDs) and other documents into a common repository, available for a physician to reference when their patients present. The MHiE is structured as opt-in - patients must choose to participate - and already has an 80% opt-in rate. MHiE is the unifying clinical exchange for Memorial Hermann and its affiliated physicians, and directly impacts initiatives to improve communication across the continuum, manage a diverse population’s health, and support strategies such as Medical Homes.

January 18, 1-2 pm CTACOs and Population Health: The AMGA Anceta Data-Driven Learning CommunityDonald W. Fisher, PhD, CAE, President and CEO, American Medical Group Association, and John K. Cuddeback, MD, PhD, Chief Medical Informatics Officer, Anceta. In parallel with its advocacy for the ACO concept over the past decade, AMGA has brought medical groups together to learn what works (and what doesn’t) in redesigning the delivery system to manage population health. Extending this model for shared learning, AMGA has partnered with Humedica to develop the Anceta collaborative data warehouse, which provides detailed, clinically focused comparative data. Learn how medical groups use variation in care process, outcomes and (standardized) cost to highlight best practices and identify opportunities to learn from each other.

January 19, 1-2 pm CTThe New IOM Report on HIT and Patient Safety: Safer Systems, Better CareDavid Classen, MD, Vice President, CSC, and Associate Professor of Medicine Infectious Diseases, University of Utah. Dr. Classen reviews the November 2011 IOM report on HIT and Patient Safety,

summarizing highlights of the report and emphasizing the recommendations that have a great impact on vendors and healthcare organizations.

January 26, 1-2 pm CTTen Things to Help Ensure Success in Negotiating IT AgreementsRay R. Bonnabeau, Attorney at Law, Hellmuth & Johnson, PLLC. IT contracts do not just contain legalese. Both the business and legal considerations need to be considered hand in hand. This discussion does just that.

February 7, 1-2 pm CTPutting the Meaningful in Meaningful UseEric Finocchiaro, Specialist Leader, Deloitte Consulting LLP. Eric discusses Meaningful Use through the lens of clinician adoption and clinical workflow. He reviews lessons learned and best practices for driving change to achieve Meaningful Use. Eric also highlights how a focus on adoption and clinical workflow has enabled organizations to not only reach the minimum “threshold” of Stage 1 Meaningful Use, but begin to accrue clinical benefits that are the true objective of being a “meaningful” user. Additionally, if the Stage 2 Meaningful Use Notice of Proposed Rulemaking (NPRM) is published prior to February 7, Eric will provide an initial overview of the objectives and measures.

February 14, 1-2 pm CTAmbulatory Patient SafetyErica Drazen, Managing Director, and Caitlin Lorincz, Research Analyst, Emerging Practices, CSC. Since the first IOM report on errors in care was published there have been many efforts to improve safety of inpatient care. But what about the ambulatory setting - where more care is delivered? We cover the findings of a review of ambulatory patient safety over the last decade.

February 27, 1-2 pm CTSI-Cerner Users Collaborative No. 40: Meaningful Use UpdateDenney Hunter, Sr. Engagement Leader, Cerner Corporation. Denney discusses the draft rule for Stage 2, changes from the proposal from the HIT policy committee and Cerner’s strategy in helping health care organizations in meeting the requirements. If the rule is not out, the discussion will focus on the status of Stage 1, and new clarifications.

February 28, 1-2 pm CTClinical Decision Support 2011: Understanding the ImpactCoray Tate, VP Clinical Research, and Colin Buckley, Clinical Strategic Operations Manager, KLAS, Orem, UT, share findings from a recent study on clinical decision support (CDS). Many providers are leveraging information technology at a higher level to manage patient care and improve the quality of care, especially in light of recent healthcare reform. Stage 1 of meaningful use lays a solid electronic infrastructure, but that is really a starting point. By itself, an EMR simply does not mean better care any more than a good road means no accidents. Similar to the adoption of a GPS by motorists, CDS tools are emerging to help healthcare providers navigate complex care situations and drive the type of positive clinical outcomes that organizations and patients want. This teleconference examines the tools providers are using and explains the impact those tools are having on patient care.

March 1, 2-3 pm CTCentura and Colorado HIEDana Moore, SVP/CIO, Centura Health. Dana talks about the history of HIE in Colorado and Centura’s journey with CORHIO. The discussion includes sustainability of CORHIO and how Centura and other Colorado CIOs were able to partner to make CORHIO a reality.

March 2, 1-2 pm CTMeaningful Use Stage 2 and BeyondErica Drazen, Managing Director for Emerging Practices, CSC, discusses the NPRM for Meaningful Use Stage 2, changes from the proposal by the HIT policy Committee, and challenges in meeting the requirements. A Summary document is included and is also posted at SI's home page.

March 6, 1-2 pm CTMeaningful Use - Stage 2Eric Finocchiaro, Specialist Leader, and Harry Greenspun, MD, Senior Advisor for Health Care Transformation and Technology, Deloitte Consulting LLP. Eric reviews the Meaningful Use Proposed Rule for Stage 2 as well as the companion regulations which establish the standards, implementation specifications and certification criteria to ensure that EHRs support Stage 2 measures. He also highlights the changes from the HIT Policy Committee recommendations and discusses the anticipated challenges to achieving Stage 2.

March 8, 1-2 pm CTHow to Create a Care Coordination Team Using Spare PartsLyle Berkowitz, MD, FACP, Medical Director, IT & Innovation, Northwestern Memorial Physicians Group. Dr. Berkowitz discusses a primary care group's innovative model of care coordination that uses basic EMR functionality and low cost staff to improve quality, access, efficiency and financial performance. See how they leveraged an EMR's basic functionality of messaging and centralized chart review to provide an infrastructure which supports robust care coordination; understand how to use the "Checklist Philosophy" to empower low-cost staff to do critical care coordination activities; learn how a mathematical model can help predict ROI by simulating the effects of a new process on quality, access and cost; how to improve physician adoption by tracking and publicly sharing their volume of care coordination communications; and, recognize the value of referral authorization data in creating a significant ROI for care coordination projects.

March 13, 1-2 pm CTMore on Stage 2: Quality, Standards and CertificationErica Drazen, Managing Director for Emerging Practices, CSC. While the focus is on NPRM from CMS for Stage 2 of Meaningful Use, in the accompanying NPRM from ONC there are new standards for data and security and important changes to certification that provide more flexibility for systems certification.

March 14, 1-2 pm CTSpending Trends Relevant for Successful ACOsWilliam D. Marder, SVP Analytic Consulting and Research Services, Thomson Reuters, describes an analytical approach to understanding spending trends across areas that impact accountable care organizations. Bill highlights how the degree of illness in a population, combined with the geographic variation in the number of commercially insured, can create a financial burden for providers. He also discusses how to use a medical episode grouper to organize clinical data and better understand the procedures included in an episode of care and how they affect the finances of the provider.

March 15, 1-2 pm CTPath to Cloud Computing Foggy: Perception StudyErik Westerlind, Research Director, and Lorin Bird, Strategic Operations Manager, KLAS, Orem, UT. Erik and Lorin share insights and perceptions recently gathered from healthcare thought leaders about cloud computing. As hospitals are increasingly asked to do more with less, many facilities are considering cloud computing to help cut costs, meet regulations, maintain a high quality of care, and possibly increase productivity. This teleconference examines how facilities are vetting cloud technology, which vendors are leading adoption, the role of virtualization, how hospitals are planning to proceed, and the impact of security and HIPAA concerns on go-forward strategies.

March 19, 1-2 pm CTSI-Cerner Users Collaborative No. 41: Seek and You Will Find: NLP and Chart SearchKarl M. Kochendorfer, MD, FAAFP, Assistant Professor of Clinical Family and Community Medicine at the University of Missouri’s School of Medicine, Director of Clinical Informatics in the Department of Family and Community Medicine, and Adjunct faculty member of the MU Informatics Institute and the Department of Health Management and Informatics. This session provides an update on the use of Natural Language Processing tools in searching for healthcare information, and using semantic knowledge to improve information retrieval by healthcare professionals within and outside of the Electronic Health Record (EHR).

March 21, 1-2 pm CTA Successful Micro ACO as Model for ReformWilliam G. Bithoney, MD, National Medical Leader, Thomson Reuters Healthcare, and former interim president and CEO, COO and CMO at Sisters of Providence Health System/Mercy Medical Center, Springfield, MA, discusses his team's work in managing a full risk Medicare Advantage Accountable Care Organization. This work resulted in marked decreases in hospital admissions (from 380/1000 per year to 173/1000 per year). Significant improvements in patient satisfaction were achieved. This work also resulted in his hospital system moving from experiencing a chronic financial loss to becoming the most profitable community hospital in Massachusetts. Simultaneously, the hospital team was named a Cleverly 100 Top Hospital in the United States for quality of care and value for each of the past two years.

March 22, 1-2 pm CTDowntime Procedure Survey ResultsDean F. Sittig, PhD, and Daniel A. Gonzalez Carrero, University of Texas - Memorial Hermann Center for Healthcare Quality & Safety. A recent report by the Institute of Medicine, “Health IT and Patient Safety: Building Safer Systems for Better Care” recommends that healthcare organizations have contingency plans in place to mitigate any potential issues related to planned and unplanned downtime of their health information technology (HIT) infrastructure. A review of numerous current HIT downtime practices and literature revealed that there is not a comprehensive understanding or method of preparing for HIT downtime. Through research we found a number of best practices from around the country that healthcare organizations may want to adapt and implement into their own HIT downtime plans and processes.

April 3, 1-2 pm CTSpecific IT Requirements of ACOsPatrick Rossignol, Principal, Deloitte Consulting LLP. Patrick summarizes the IT capability needed to support an ACO, making a distinction between core/base capabilities and advanced ones. He outlines known IT issues/current limitations, and some remediation strategies. He also defines a phased ACO IT deployment model and high-level budget projections.

April 5, 1-2 pm CTEvolution of a Mature PMORich Pollack, MS CPHIMS, FHIMSS, VP and CIO, Sallie Lewis, PMO Director, and Jack Koller, Sr. Project Manager, VCU Health System. Rich, Sallie and Jack discuss VCU's evolution of a mature and effective PMO that began five years ago as a complement to a longstanding and solid IT governance. They describe the embedded prioritization part of their governance process, and the use of specific tools for resource tracking, projection and utilization used to address the recent onslaught of high priority, concurrent IT projects.

April 10, 1-2 pm CTAligning Meaningful Use with Healthcare ReformJane Metzger, Research Principal in Emerging Practices, CSC. Between the demands of health reform, payment reforms and the meaningful use requirements of the HITECH act, there’s no shortage of resource-intensive, mission critical initiatives facing health care organizations. It doesn’t take a rocket scientist to predict that pursuing them separately will result in duplicated work and wasted resources, but what will it take to pursue them together in a way that ensures consistent alignment and optimizes outcomes? Jane reviews the 10 principles that healthcare organizations should use to guide meaningful use planning efforts - to maximize HITECH outcomes, and drive results that deliver payment reform success as well.

April 16, 1-2 pm CTSI-Cerner Users Collaborative No. 42: Adventist Health System CDS UpdatePhilip A. Smith, MD, VP, Chief Medical Information Officer, and Matthew Lord, Pharm.D., PharmNet Application Manager, Adventist Health System and AHS Information Services. AHS worked with Cerner in 2011 to develop mCDS, a new offering for filtering and enhancing Multum alerts. Dr. Smith and Matthew discuss the mCDS journey and how it has transformed clinical decision support at AHS.

April 17, 1-2 pm CTHospitals as Employers: Developing a Culture of HealthWilliam G. Bithoney, MD, National Medical Leader, Thomson Reuters Healthcare, and former interim president and CEO, COO and CMO at Sisters of Providence Health System/Mercy Medical Center, Springfield, MA. Hospital employees are at higher risk for illness than other workers. They utilize 18% more hospital days and have 22% more ED visits. Overall they incur 10% higher costs than other similarly aged workers and have 8% higher “health risk scores.” Hospital employees’ healthcare costs are approximately 10% higher than comparisands. In spite of this, a relatively small number of hospitals have developed broad spectrum employee health programs. This talk reviews some of the strategies for successful health intervention for hospital employees including utilization review, population health management and messaging, disease management and other strategies necessary to develop a Culture of Health. Such strategies may ultimately lead hospitals to realize significant cost savings by enrolling their own hospital employees in a hospital directed Accountable Care Organization.

April 25, 1-2 pm CTThe Complex and Critical Role of SLAsRich Pollack, MS CPHIMS, FHIMSS, VP and CIO, Harold Harris, Manager of Service Delivery, and Jamie Trull, Lead Nurse Informaticist, VCU Health System. While not under IT at VCU, BioMed is playing an increasingly complex but critical role in bedside data integration. In an effort to bring some sanity to this complexity, three-party SLAs were developed for both the Nursing Ascom phones and for the BMDI of Phillips bedside monitors to the EMR. That effort and its ongoing challenges are discussed in detail.

April 26, 1-2 pm CTMeaningful Use Attestation 2012: Early Birds Take FlightColin Buckley, Strategic Operations Manager, KLAS, Orem, Utah. Meaningful use is one of the most focused-on initiatives currently in American healthcare. As of November 2011, 833 (or roughly 14%) of U.S. hospitals have attested to meeting Stage 1 requirements, with many more lining up to follow. CMS data shows that both large and small hospital vendors found success in the first year of MU attestation. In this presentation Colin shares insights from successfully attesting providers about how prepared their vendor was to attest, which vendors have weathered a few storms, why some vendors are ahead and others are behind, and how confident providers are in their vendor for meeting Stages 1-2.

May 1, 1-2 pm CTComparative Effectiveness Research in the U.S.: Update and ImplicationsMarianne Laouri, Specialist Leader, Deloitte Consulting LLP. Marianne focuses on definitions of Comparative Effectiveness Research (CER) and its drivers in the current healthcare marketplace. She addresses when and how life sciences can engage in CER and comparative evidence generation to inform their business questions and develop competitive advantages. Resource requirements and communication of CE information are also addressed.

May 3, 1-2 pm CTTen Things to Help Ensure Success in Negotiating IT Consulting AgreementsRay R. Bonnabeau, Attorney at Law, Hellmuth & Johnson, PLLC. IT consulting agreements govern a wide variety of engagements, from development efforts to project management and staff augmentation. The issues within IT consulting agreements are equally varied as well, spanning from ownership, rights to use, payment terms, residual clauses and termination rights. Learn what to avoid and how to maneuver through such issues. Both the business and legal considerations are discussed hand in hand and sample contractual language is provided.

May 7, 1-2 pm CTCDS Consortium OverviewBlackford Middleton, MD, MPH, MSc, Clinical Informatics Research and Development, Partners HealthCare System, Inc. Clinical decision support (CDS) has proved to be a powerful tool for improving the quality of patient care and reducing healthcare expenses, but currently has opposing evidence suggesting the occurrence of unintended consequences and potential new medical errors when not properly implemented or used. The Clinical Decision Support Consortium is a Harvard-based, federally-funded, academic-

industrial international research collaborative focused on advancing the adoption and effective use of clinical decision support in healthcare at scale. The CDS Consortium delivers the following key products, services, and resources to enable cost-effective knowledge management and implementation of clinical decision support: 1) methods for translating human-readable guidelines into machine-executable format, 2) a publicly available Knowledge Management Portal for content sharing and collaboration among all CDS Consortium participants, 3) cloud-based CDS services, 4) a research and development lab, 5) education, and 6) consulting services. The CDS Consortium’s web-based CDS services have been integrated into the Partners HealthCare Longitudinal Medical Record and Regenstrief Institute EHR, with plans to expand our CDS services to NextGen and GE EHR sites. In the subsequent 3-5 years, the CDS Consortium aims to advance clinical decision support content standardization efforts and expand its activity to the HIT arena.

May 8, 1-2 pm CTPreparing for Accountable Care: Building Capability and Engaging PatientsJordan Battani, Managing Director, CSC. Accountable care, so closely linked with healthcare reform efforts, is a method for organizing and delivering healthcare that empowers providers and holds them accountable for patient healthcare outcomes and financial constraints results. Accountable care expectations are taking hold across the healthcare industry - and developing accountable care capabilities is emerging as a core competency, even for organizations that aren’t participating in the Medicare Shared Savings Program. Although the buzzword may be new, the concepts are mostly familiar ones, with one notable exception. Jordan provides an overview of the core accountable care capabilities (and IT enablers) and delves deeper into a discussion of what’s required to mobilize the accountable care resource that patients must be enabled to bring to the table.

May 17, 1-2 pm CTComputer Assisted Coding: The Next Big ThingGraham Triggs, Senior Research Director, KLAS, Orem, UT. Graham shares recent findings collected from healthcare providers about computer assisted coding (CAC). This presentation delves into the reasons providers are choosing a CAC system, examines the key issues they face, delineates the vendors that are being considered to meet coding needs, and explains the perceived strengths of those vendors, as well as illustrating the timeline providers anticipate following when making their purchasing decision.

May 21, 1-2 pm CTSI-Cerner Users Collaborative No. 43: Medication Reconciliation at Spectrum HealthMarti Slot, and Peter Lundeen, MD, Physician Solutions Architect, Technology and Information Solutions, Spectrum Health. Marti and Dr. Lundeen discuss lessons learned from their medication reconciliation journey, including the critical roles of pharmacy technicians, completely mapping out the complete medication history/medication reconciliation process from beginning to end for each unique transition of care, training and ongoing support for clinicians in key steps and safety factors in performing medication reconciliation well. They also discuss measuring what you think is important to evaluate success, and optimization challenges.

May 22, 1-2 pm CTSurveillance: Optimizing Performance to Meet Infection Prevention and ADE ComplianceTina Moen, PharmD, Chief Clinical Officer, Clinicians, Thomson Reuters Healthcare. Surveillance and reporting of clinical data for Infection prevention (IP) and Adverse Drug Event (ADE) intervention can represent a significant and ongoing resource drain on clinical and IT staff. And, with Stage 2 Meaningful Use criteria recommending that evidence-based Clinical Decision Support (CDS) be available to point-of-care clinicians once IP and intervention opportunities are identified; an approach that impacts patient care and meets compliance and reporting obligations is ever more difficult to accomplish with your EMR alone. During this presentation, Dr. Moen discusses how an organizational approach that ties system or facility-wide Quality Initiatives and Compliance Goals to discreet objectives for specific departments, such as Infection Prevention and Pharmacy, is a more efficient, clinically consistent and cost effective approach for surveillance and reporting. She also discusses how using evidence-based clinical decision support as part of a patient profiling and alert system, integrated with your EMR, that can enable electronic compliance reporting to NHSN and help your clinicians achieve pro-active intervention and care optimization across care disciplines.

June 5, 1-2 pm CTEmpowering Reform with AnalyticsAsif Dhar, Principal, Deloitte Consulting LLP. Asif discusses the use of data analytics to enable healthcare reform. Focusing on trends within the industry, he also discusses lessons learned in leveraging analytics, and providing a general overview of the analytics landscape.

June 6, 1-2 pm CTSoftware Licensing Agreement RecommendationsRay R. Bonnabeau, Attorney at Law, Hellmuth & Johnson, PLLC. Ray examines a number of licensee challenges in software licensing agreements. Ten key software license agreement areas are discussed, with a focus on what to do and what not to do in each area. From getting the license right, to obtaining meaningful acceptance testing and warranties, this presentation guides you through the process. Both business and legal considerations are discussed, and sample contractual language is provided.

June 12, 1-2 pm CTPreventing Readmissions: The First Test Case for Continuity of CareJane Metzger, Research Principal in Emerging Practices, CSC. Preventing readmissions is turning out to be the first real test case for continuity of care since capitation put a dollar value on it in the 1990's.  This presentation provides an overview of the research base concerning what works, the current state of the practice for hospitals, and what advanced models tell us about how these practices are likely to evolve.

June 13, 1-2 pm CTMU 2014 Standards: A Big Jump?Virginia Lorenzi, Manager, HIT Standards and Collaborations, NewYork-Presbyterian Hospital, and Associate, Columbia Department of Biomedical Informatics. This timely discussion focuses on standards adoption as Washington finalizes regulations, and providers and vendors roll up their sleeves preparing for the next leg of the meaningful use journey. Survey findings are presented and discussed with the goal of collectively exploring the scope of work ahead for HIT standards adoption in provider organizations.

June 14, 1-2 pm CTCreating and Sustaining InnovationEd Marx, CIO, Texas Health Resources. What is innovation? How do you create a culture that encourages innovation? Once created, how do you sustain innovation in your enterprise? Learn how Texas Health created and sustained innovation leading to improved business and clinical outcomes.

June 18, 1-2 pm CTSI-Cerner Users Collaborative No. 44: MPage Use at University of WashingtonThomas Payne, MD, Medical Director for IT Services, University of Washington. mPages build on the Millennium foundation to permit sites to address workflow, display, and simple data entry needs quickly. It is a satisfier for busy clinicians, which is particularly helpful when much of what EMR implementation involves is not well-received by all. Creating mPages uses technical skills that are easier to find than CCL, and mPage projects are an outlet for creativity and ideas that are the fun part of clinical computing. In short, it makes life better for our users and those who support them. We describe our experience in UW Medicine and the community of mPage sites that now exists.

June 19, 1-2 pm CTPrevent Fraud Before Taking on RiskJean MacQuarrie, Vice President Payment Integrity Services, Truven Health Analytics, formerly the Healthcare Business of Thomson Reuters. As your organization prepares to take on risk, consider protection from fraud and abuse: there are over $700 Million in fraudulent healthcare claims annually. Section 6028 of the Affordable Care Act will require that all risk-bearing entities have a way to credential providers and re-credential or monitor them to limit fraud. Manual systems simply will not keep up and could increase staffing dramatically. Learn how to leverage multiple public record databases including death records, federal and multi-state sanctions, licensing boards, criminal records, credit records, and even utility records to verify that providers are legitimate and capable of providing care. Tools can present risk-bearing entities with an identification of the level of risk associated with specific providers so that onsite visits can be

conducted efficiently and effectively. Included is an example of how a risk-bearing entity remains in control regarding what actions should take place with specific providers, and also supports the review of all providers, not only the select few.

June 26, 1-2 pm CTPhysician Documentation: How to Sell it and Get it DoneKen Ong, MD, MPH, CMIO, New York Hospital Queens. Full electronic physician documentation can facilitate Meaningful Use and take a healthcare organization one step closer to full adoption of the electronic health record. It offers not only unique challenges, but unique opportunities to improve patient safety, provider communication, and clinical decision support.

June 27, 1-2 pm CTEHR Certification: What is Happening Now; What You Can Expect in the FutureKaren Bell, MD, Chair, CCHIT. Dr. Bell provides an update on EHR certification programs available to hospitals and health systems. Learn about the anticipated changes in certification programs coming with the ONC’s Permanent Certification Program and their 2014 edition of criteria and standards, and find out how hospitals have successfully certified internally developed or customized EHR systems in CCHIT’s EHR Alternative Certification for Healthcare Providers (EACH™) to qualify for incentive payments.

July 16, 1-2 pm CTSI-Cerner Users Collaborative No. 45: Population ManagementKaren Cabell, DO, CMIO, and Chris Stevens, CIO, Billings Clinic. Dr. Cabell and Chris present the Billings Clinic’s journey towards effective population management utilizing Cerner’s Clinical Information System, Disease Management Registries, and processes for identifying gaps in care. They highlight their steps towards ACO and NCQA Medical Home, including methods to engage patients, point of care reports to drive appropriate care, and the use of data and RN Care Navigators to achieve better care of their patients.

July 17, 1-2 pm CTQuality and Utilization in the New World of Collaborative MedicineMichael R. Udwin, MD, FACOG, Medical Director, Analytic Consulting and Research Services, Truven Health Analytics, formerly the Healthcare Business of Thomson Reuters. Why do we continue to drive off the road despite guard rails? Order sets and clinical pathways promised to be the solution to physician practice variability. Yet, quality and utilization continue to represent challenges to hospitals and health systems. Dr. Udwin discusses approaches to addressing opportunities in the new world of collaborative medicine, and covers the background on directed care, strategies to reduce physician variability and what the future may hold.

July 19, 1-2 pm CTHIM in 2016: Transformative Journey to Enterprise Information ManagementLinda L. Kloss, RHIA, Kloss Strategic Advisors, Ltd., former CEO of AHIMA. Innovation of the methods and tools for information management are undergoing profound change. Speech recognition, natural language processing, clinical vocabularies and the upgrade to ICD-10 are examples of advances in information management necessitated by the new challenges of managing the exploding volume of digital information. Processes for managing electronic records, information stewardship and performance improvement are also undergoing profound change. The field and functions of health information management are in the spotlight because the transition to digital health information increases the complexities of information management. This teleconference focuses on the changing information management landscape, its implications, and the strategic opportunities for healthcare organizations.

July 24, 1-2 pm CTDo Electronic Medical Records Reduce Unnecessary Testing? The Balance of EvidenceAlexander Turchin, MD, MS, Senior Medical Informatician, Quality Performance Management, Partners HealthCare. The presentation combines a review of the existing literature and the presentation of his study: "Bridging the Chasm: Effect of Health Information Exchange on Volume of Laboratory Testing" published in the March 26, 2012, issue of the Archives of Internal Medicine, which examined outpatient visits at two affiliated academic hospitals one year before and up to three years after a health information exchange was

rolled out. The study looked at 117,606 outpatient encounters at the two hospitals. The encounters occurred in 1999, the year before a health information exchange between them was rolled out, and in the years 2001 - 2004, when the HIE was in operation. After introduction of the HIE, the number of lab tests performed after those encounters that had involved recent off-site lab tests decreased by 49% to 53%.

July 26, 1-2 pm CTClinical Engineering and Information Technology Convergence at Spectrum HealthRobert Rinck, IT Director, Tom O’Keefe, IT Manager, and Aaron Predum, Biomedical Electronics Manager, Spectrum Health. In 2007, Spectrum Health integrated Clinical Engineering and Information Technology teams into a single organization. In a five-year retrospective review, leaders from Spectrum Health discuss: What the safety, clinical, and technology drivers were for convergence; how the team was initially organized and how is it organized today; the important roles that were created in the new organization; key processes that were implemented, and which were discontinued; unique cultures and behaviors that were sustained from the original teams and whether a new culture converged; what the most significant leadership challenges were and how were they managed; what the outcomes and benefits of convergence were; and, how we would do it differently.

July 31, 1-2 pm CTUsing the Voluntary Universal Patient Identifier SystemBarry Hieb, M.D., Chief Scientist, Global Patient Identifiers, Inc., Sponsor of the Voluntary Universal Healthcare Identifier Project. Accurate patient identification is a prerequisite for the information exchange envisioned as part of the Nationwide Health Information Network. Support for various patient consent and privacy paradigms is also a necessity. Join us for a discussion about how a private enterprise implementation of unique healthcare identifiers can address these issues and contribute to significant cost savings for the healthcare system.

August 2, 1-2 pm CTInaugural HCCI Health Care Cost and Utilization ReportCarolina Herrera, Research Director, Health Care Cost Institute (HCCI). Carolina reviews the first-ever report using health plans’ claims data from HCCI: the nation’s largest private insurers show that prices, not utilization, are driving health spending growth.

August 7, 1-2 pm CTBenchmarking Shared Services for Hospitals - 2012Jeff Christoff, Principal, Tom Foley, Principal, and Michael Janis, Senior Manager, Benchmarking Center, Deloitte Consulting LLP. Consolidating operations into a shared services model has been popular in many industries for many years. Healthcare providers are becoming more interested in shared services and many have already incorporated aspects of their operations into a shared services model. IT is typically included as an element of the shared services initiative and is front and center as part of the decision to support shared services. In this call we discuss lessons learned from the strategy, planning and execution of shared services projects, especially with IT. We share recent trends healthcare providers are experiencing which are making the migration to shared services a business imperative. We also share benchmarking approaches that are used to make decisions and what benchmarks a provider client typically targets when deciding on a shared services model. Specific to benchmarking, we provide comparative information on how a provider performs in particular transaction processing areas and how the benchmarking approach aligns both industry and function for insight into performance.

August 9, 1-2 pm CTNatural Language Processing - Today & TomorrowMelissa Rubel, RHIA, Product Manager, OptumInsight, describes how NLP is helping hospitals overcome the challenges they face today - fragmented healthcare, labor shortages and diversity in clinical documentation - while preparing them for tomorrow‘s challenges, including ICD-10. Learn Melissa’s experience with a leading academic medical center to adapt computer-assisted coding (CAC) and the NLP engine behind it to address the challenges hospitals face with people, processes, inefficiencies and lost revenue.

August 14, 1-2 pm CTGetting it Right on Privacy and SecurityJared Rhoads, Senior Researcher, and Owen Pate, Healthcare Risk and Compliance Executive, CSC's Global Institute for Emerging Practices. Achieving excellence in privacy and security is essential to care delivery, yet for many hospital executives this can seem like a continuously moving target. New technologies, an increasing reliance upon data, and changing regulations make now the time to refocus on protecting health information. Jared outlines the key issues, reviews the new HIPAA audit protocol, and shares tips on how to get things done right on privacy and security.

August 16, 1-2 pm CTONC Online Guide: Unintended Consequences of EHRsMichael I. Harrison, PhD, Sr. Social Scientist, Organizations & Systems Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, and Spencer S. Jones, PhD, Associate Information Scientist at the RAND Corporation. The AHRQ Guide to Reducing Unintended Consequences of Electronic Health Records available at http://www.healthit.gov/ucguide, is an online resource providing practical, troubleshooting knowledge and resources to help practices and entire organizations anticipate, avoid, and address problems that can occur during implementation and use of an EHR. Drs. Harrison and Jones, The Guide’s developers, alert listeners to the wide range of unintended consequences that can emerge during EMR implementation. They also explain how users can act before and during implementation to monitor emerging developments and deal with ones that may cause serious harm or create risks, and provide an overview of how to use the Guide before and during EHR implementation.

August 21, 1-2 pm CTMeaningful Use Reporting; Maximizing Utility, Efficiency, and EngagementSean Gaskie, MD, Physician Director, Sutter Health, and Laura Kreofsky, Impact Advisors and Program Director for Sutter Health's Meaningful Use Program. Dr. Gaskie and Laura describe the approach taken to ensuring maximum value and utility in the organization's Meaningful Use reporting toolset - including the reports from Epic and those internally developed. With a focus on finding real value for stakeholders - from individual providers to organization leadership to credentialing specialists - the Sutter MU Program developed an array of reports and dashboards to support MU tracking and outreach/improvement efforts and used a multitude of channels and strategies to gain awareness and understanding. They also discuss not only their team's approach, but also key lessons learned - including why they secured a unique database environment for reporting, and how they anticipate MU reporting changes for Stage 2.

August 23, 1-2 pm CTBusiness Intelligence: A Wave is ComingJoe Van De Graaff, Research Director, Business Intelligence, KLAS. More than half of the providers KLAS recently spoke with said that they plan to replace or purchase a business intelligence (BI) solution. A wide variety of vendors offer tools to collect, aggregate, and report data - leaving many providers wondering which vendor tools provide predictive analytics, trending, data modeling, and forecasting beyond standard clinical and financial data models; which vendor has the functionality for HIE, ACO, and other potential regulatory challenges; and which vendor would best fit their organization’s needs. Joe examines research collected about the BI market, its vendors, and the approaches that providers are pursuing.

September 11, 1-2 pm CTInnovative Approaches to Sepsis at The University of Kansas HospitalSteven Simpson, MD, and Amanda Gartner, RN, The University of Kansas Hospital, and Bryan Eckert, Healthcare Group, CSC. The University of Kansas Hospital (KUMED) has made great strides in improving outcomes for sepsis patients using an "early warning system" supported by seasoned critical care nurses acting as a special team of clinical surveillance and triage nurses. KUMED's innovative approach uses real-time information in the EMR across the enterprise for early identification of patients at risk for serious conditions like sepsis, followed by aggressive clinical intervention. Learn more about how KUMED is using this innovative approach to realize clinical and financial benefits, and improve patient outcomes.

September 12, 1-2 pm CTImpacts from the ElectionPaul Keckley, PhD, Executive Director, Deloitte Center for Health Solutions, Deloitte Consulting LLP. Dr. Keckley examines the Affordable Care Act’s implementation status, what to expect regarding the 2012 elections, why the lame duck session is not so lame, and what to watch for in 2013.

September 17, 1-2 pm CTSI-Cerner Users Collaborative No. 46: Revenue Cycle TransformationTim Reiner, VP Revenue Management, Adventist Health System. Second only to Meaningful Use, Revenue Cycle Management (RCM) is essential. About 60% of Registration and Patient Accounting applications were purchased prior to 1999, and HIMSS estimates 40% will replace RCM solutions in next 4-5 years. Your current EMR supplier will have a high impact on the RCM decision due to needed clinical/financial integration. The transformation required to enhance revenue cycle is critical due to increasingly complex reimbursement models and government intervention. Systems that can track end-to-end performance with clean integration, benchmark against peers, invest in technology to improve RCM, and think beyond the traditional boundaries of revenue cycle will win. Tim describes Adventist Health Systems’ move away from legacy, traditional revenue cycle, to advanced models of a clinical integrated revenue cycle; creating positive patient experience, accurate translation of clinical work into billing transactions, flawless claim submission, automated claims payment, and sustained financial success.

September 18, 1-2 pm CTBundled Payment Strategy Development: Incorporating Physician Variation InsightsDavid Jackson, Senior Consulting Manager, Analytic Consulting and Research Services, Truven Health Analytics, formerly the Healthcare Business of Thomson Reuters. Building on the momentum created by PPACA legislation and commercial market payment innovation, new tactics for bundled payment are beginning to gain traction. David describes approaches used to support health systems in developing a bundled payment strategy and highlights a process to assess physician variation as part of a broader opportunity assessment and strategy. Specifically, he discusses methods to assess physician-specific clinical practice variation, how this impacts performance in a payment bundle, and how to identify steps for improvement.

September 20, 11 am-Noon CTLeadership Lessons of KilimanjaroEd Marx, SVP and CIO, and Elizabeth Ransom, MD, Chief Clinical Leader - North Zone, Texas Health Resources. After scaling smaller mountains, a team of officers and doctors at Texas Health Resources fixed their eyes on summiting Mt. Kilimanjaro. The planning progressed, and this seed of an idea grew into a mission that would encompass a much greater feat. Nine months later, this group of leaders not only conquered a mountain but opened a medical clinic in an underserved Tanzanian village. They thought they were going there to change a village, but walked away transformed by the experience. Join Ed and Elizabeth as they share a story of teamwork and collaboration. Hear the insightful leadership lessons learned through the Maasai people and from their journey to the Roof of Africa.

September 24, 1-2 pm CTNew Clinician Orientation: How to Move EMR Training out of the ClassroomKaren Broz, EMR Training Team Coordinator, and Elaine Hinton, EMT Staff Development Coordinator, University of Missouri Health. Karen and Elaine discuss how they have changed traditional nurse and resident physician onboarding models to accommodate the realities of today’s EMR-enabled world. Learn how they reduced the total amount of time to get the clinician to the desired level of competence and confidence by increasing the amount of training on the job vs. classroom, implementing training in small doses as they learn the work, engaging other clinicians in the training process, and implementing a measurement framework to measure each individual’s competence and confidence.

September 25, 1-2 CTAdvancing PMO Value in HealthcareJohn A. Kocon, PMP, Vice President, Enterprise Program Management Office, Catholic Health Initiatives. CHI’s journey to improve project performance began four years ago with the implementation of an IT-

focused Project Management Office. Based on the value received from IT PMO services, business demand grew, which resulted in expanding services to support strategic priorities across the enterprise. This session outlines the CHI “Enterprise” PMO’s implementation approach, results and lessons learned.

September 27, 1-2 CTCode Explosion: Leveraging Computer Assisted CodingLorri Luciano, RHIA, Manager, HIM Product Hospital Specialist, OptumInsight. Lorri provides a detailed discussion of ICD-10 and coding; how this impacts hospitals and what you should be thinking about. She shares her experience in helping hospitals implement computerized-assisted coding (CAC), the benefits these hospitals have seen, as well as information from other hospitals adopting CAC - both challenges and solutions. Lorri shares stories and examples that demonstrate effective use of CAC, her recommendations, and demonstrates how organizations are calculating ROI on both inpatient and outpatient results achieved.

October 2, 1-2 pm CTPostdigital Healthcare: Mobile Apps for Care and Collaboration with PatientsRajeev Ronanki, Director, and Quinn Solomon, Senior Manager, Deloitte Consulting. Mobile Applications have been rising as a technology allowing patients to better understand and manage their health, as well as being effective tools for care professionals to handle their day-to-day work. Yet, mobility can also be an effective enabler of new strategies as part of the ongoing, tremendous transformation the industry is currently facing; better connecting all participants of the care continuum, increasing transparency and establishing new roles and responsibilities between all participants. During the presentation, we share a few case studies that demonstrate effective and potential implementations.

October 4, 1-2 pm CTAnalytics Tools for ACOShawn Griffin, MD, Chief Quality and Informatics Officer for MHMD - Memorial Hermann Physician Network. Dr. Griffin reviews the multiple new analytics tools being utilized by Memorial Hermann’s Medicare Shared Savings ACO to track performance metrics, manage population health, and support ambulatory care management. He also discusses both claims-based analytics and EMR based “middleware” for extraction and standardization of quality metrics utilizing physician endorsed care rules and reminders.

October 15, 1-2 pm CTSI-Cerner Users Collaborative No. 47: Patient PortalDavid Voran, MD, Medical Director, Heartland Health. Heartland Health quietly turned on Cerner's patient portal in 2007 and after several years of piloting it in one clinic, has now expanded it throughout it's entire network. The primary benefit has been to provide patients with secure communication directly with their providers. Patients also have access to their labs, medications, problems, physician documents and upcoming visits. This discussion covers usage, enrollment decisions and issues, as well as many other outcomes.

October 18, 1-2 pm CTTrinity Health: MU Progress Toward Stage 2Carla Robelli, Vice President, PMO, and Tauana McDonald, Vice President, Integration Services, Trinity Health. In 2011, Trinity Health attested for over 25 hospitals as early adopters of Meaningful Use Stage 1 and subsequently plan on early attestation regarding Stage 2. Trinity has established ongoing governance and developed a comprehensive plan to prepare for the new workflow and technology capabilities required for Stage 2. In this session, Carla and Tauana share lessons learned from Stage 1, hospital audit experience, and plans for Stage 2.

October 31, 2-3 pm CTSuccessful Practices, Challenges, and Solutions in Project Prioritization in Large Health SystemsJohn Kocon, Vice President, Enterprise Program Management Office, Catholic Health Initiatives (moderator), Carla Robelli, VP, PMO, Trinity Health, Nanda Lahoud, Administrative Director, Value Realization-Innovative Technology Solutions, Texas Health Resources, Emily Handwerk, System Executive, Information Systems, and Mike Rodriguez, Manager, Professional Services, Memorial Hermann Healthcare System, panelists. This panel features representatives from large healthcare systems who share

their approaches, successes and challenges to project portfolio prioritization. Panelists provide an overview of the processes, tools and techniques utilized to select and prioritize projects across multiple facilities, regions and project types.

November 1, 1-2:30 pm CTClinically Focused Packaged Analytics - Panel DiscussionJoe Van De Graaff, Research Director, Business Intelligence, KLAS, moderator, Lee Pierce, Director of Business Intelligence, Intermountain Healthcare, Mike Kramer, MD, CMIO, James Schweigert, MD, Associate Medical Director Quality and Medical Director Emergency Medicine, Kristen Farmer, Manager Quality & Professional Practice, Spectrum Health, Wendy Wright, VP Clinical Integration, MissionPoint, Shawn P. Griffin, MD, Chief Quality and Informatics Officer, Memorial Hermann Physician Network, and Marcus Speaker, MD, Assistant Professor, Virginia Tech Carilion School of Medicine Family Medicine Residency Program and a medical informaticist with Carilion Clinic. Beginning with an industry overview of the packaged analytics market by KLAS, panelists then offer insights on their strategies for pre-packaged analytics (i.e., standalone, in conjunction with, or complementary to other BI tools), when prepackaged analytics make sense and when they don’t, why prepackaged vs. traditional BI tools, shortfalls/challenges of pre-packaged analytics, single source of truth (back end), data governance, and the longevity/staying power of the current pre-packaged analytics trend.

November 8, 1-2 pm CTAdventist Health System: Journey to Meaningful UseBruce A. Wacker MT(ASCP), Director of Customer and Regulatory Services, Adventist Health System. Bruce discusses the timeline of Adventist Health System’s Meaningful Use activities and outcomes, governance structure, implementation strategy and tools, status management, and lessons learned on their way to reaching meaningful use.

November 14, 1-2 pm CTHealth Insurance Exchanges and Implications for ProvidersSally Fingar, Senior Manager, Deloitte Consulting LLP. Sally focuses on the background of exchanges, the current state of the state for exchanges in the marketplace and at the federal level, and discusses the specific impact to providers.

November 15, 1-2 pm CTACO 2012: The Train Has Left the StationColin Buckley, Strategic Operations Director, KLAS, Orem, Utah, and Andrew Croshaw, Partner and Managing Director, Leavitt Partners. Recently KLAS and Leavitt Partners embarked on a joint research project to provide greater insight into the evolution of accountable care organizations - including partnerships, practices, and payment arrangements. Colin and Andrew highlight what solutions are being applied, IT’s role in the process, and how well HIT vendors are performing.

November 19, 1-2 pm CTSI-Cerner Users Collaborative No. 48: Hardwiring Quality MeasuresTed Daniel, MD, CMIO, and Alexa Hodgins, Director Quality Improvement, St. John Providence Health System, Ascension Health, and Linda Mazur, Manager, Nancy Earp, Team Lead and Brian Conway Senior Systems Analyst, from SJPHS IT Clinical Information Systems. The team has worked collaboratively with SJPHS Providers, Quality, and Clinical Transformation to develop Cerner rules and alerts to hardwire quality measures. Learn how the hardwiring has modified the providers’ electronic ordering and transformed clinical decision support at SJPHS.

November 27, 1-2 pm CTSustainable Community HIE: A Birds-eye Perspective and VisionDoug Dietzman, Executive Director, Michigan Health Connect. With the Stage 2 Meaningful Use and evolving risk-based funding models continuing the push for widespread data exchange beyond current EMR system and enterprise boundaries, why is the reality of sustainable community HIE still so elusive? Michigan Health Connect shares its story and current status, as well as its perspective and vision on the

guiding principles necessary for successful community-based HIE that can be applied in your community tomorrow.

November 28, 2-3 pm CTSI Readmissions Collaborative KickoffErica Drazen, ScD, Senior Advisor, Scottsdale Institute, and former VP, Global Institute for Emerging Practices, CSC, leads a discussion about the purpose of the Collaborative, the starting point and the plans for future work. All SI members are welcome, but to be an active collaborator you need to be currently involved in interventions to reduce readmissions (or plan to do so in the near future) and be willing to share your results.

December 4, 1-2 pm CTInnovating with Telehealth: An Example for Emergent CareDeborah Hunt, RN, Specialist Leader, and Saurabh Vyas, MD, Consultant, Deloitte Consulting. Resource constraints, regulatory climate and rapid innovations in technology are driving the evolution of telehealth from being a tool for remote healthcare delivery to being a complement to traditional care models helping organizations achieve operational efficiencies while increasing patient satisfaction. Emergent care can leverage telehealth in innovative business models that create new markets, improve throughput, reduce costs and provide access to data for personalized and accountable care. We outline a roadmap for implementation of telehealth in emergent care, and share selected case studies and business models.

December 5, 1-2 pm CTLeveraging Business Intelligence to Achieve Strategic ObjectivesAndrew W. Proctor, MS, Senior Director of Business Intelligence, Medical Operations Division, and Brian Harte, MD, Medical Director, Business Intelligence and President, Southpointe Hospital, Cleveland Clinic. In 2006, The Cleveland Clinic implemented its Enterprise Business Intelligence program. Initial success from the early dashboards provided the platform for using BI to introduce an Executive dashboard, Quarterly Review and short-cycle analytics into its well established performance-directed culture. The Cleveland Clinic has leveraged its EMR, in conjunction with BI, to create demonstrable improvement on federally defined quality measures, specifically the Joint Commission’s Core Measures. Brian and Dr. Harte also share case examples for improvement in clinic access, reduction in blood utilization and system integration in ICU operations.

December 11, 1-2 pm CTCare Coordination Capability for Accountable CareJane Metzger, Research Principal in Emerging Practices, CSC. Care coordination is clearly a core competency for accountable care. This talk reviews the likely processes based on the evidence so far from demonstration projects, collaboratives, and safety net institutions, as well as models for collaboration between primary care teams and external care management programs in three clinical domains: providing direct care, ensuring continuity of care, and collaborative population management.

December 12, Noon-1 pm CTTimelines/Nuances of Reporting and PenaltiesLaura Kreofsky, PMP, CPHIMS, Principal, and Jason Fortin, Senior Advisor, Impact Advisors. Jason and Laura review key MU Stage 2 timing elements, including the special 2014 EHR reporting periods and the time periods on which penalties are based on verses assessed in. EHR Certification requirements are also covered, including how to satisfy “possessing Certified EHR Technology” in both 2012-13 and 2014.

December 17, 1-2 pm CTSI-Cerner Users Collaborative No. 49: Physician ProductivityAdem Arslani, MS, RN, Director Information Systems & Clinical Informatics, Advocate, discusses EMR adoption strategies employed at a large academic medical center and physician productivity results achieved after a two-year combined rollout of Speech and Physician documentation. Adem has recently transitioned to a Community Hospital, which is part of the same health system, and discusses different EMR strategies that will be employed as a result of the complex physician and network environment.

December 18, 1-2 pm CTKLAS Reveals the Top-Performing HIT Vendors of 2012Mike Smith, Senior Vice President of Services Research, and Coray Tate, Senior Vice President of Software Research, KLAS, Orem, Utah. As accountable care organizations, HIE, and meaningful use requirements continue to drive the future of healthcare technology, Mike and Coray examine the top-performing vendors of 2012 to help providers understand which HIT companies are rated best (and worst) by their customers. The presentation covers a wide range of key market segments, including ACO, HIE, electronic medical records (EMRs), cardiology systems, revenue cycle management and IT outsourcing, among others.

Date TBDAre We Ready? New Industry Research on Health IT AdoptionCarol Simon, PhD, SVP & Executive Director, The Optum Institute. Dr. Simon highlights newly released research from the Optum Institute, including the perspectives of physicians, consumers and health system CIOs. Various provisions of the health reform law are rolling in over the next 18 months. Are industry stakeholders ready? Is there agreement on sustainability? Are providers prepared to take on greater financial responsibility for managing patient care and taking on greater financial risk? Are providers (and MU2 requirements) keeping up with consumers’ demands for online access? She also discusses different aspects of the research (which tracks overall progress in digitizing medical care), including HIT capabilities, stage of “meaningful use” attestation, and the benefits and challenges associated with technology use.

Date TBDQuality Measures and Quality Reporting with HITTim Smith, Principal, and Kirk Mahlen, Specialist Leader, Deloitte Consulting LLP, discuss HIT and its continued role in enabling Quality Measures within a Healthcare Provider setting. They provide lessons learned on the current clinical quality measures as defined by CMS for attestation, and cover how the promotion of EHRs via HITECH have helped to further enable development of Quality Measures. Lastly, they will have a brief discussion on the future trends within HIT that will impact/improve Quality Measures.