2006 Agenda

Wednesday, May 3, 2006

4:30 - 5:55 pm Cocktail reception
6:00 - 7:15 pm
Data Overload: The Quest to Deliver Knowledge
William Hendee, PhD - President, MCW Research Foundation
Gary Wendt, MD, MBA - Vice-Chair of Informatics, UW-Madison
Jim Prekop - President & CEO, TeraMedica
John Traxler, MD, MBA, MSMI - Co-Director, M.S. in Medical Informatics, MCW/MSOE
John W. Melski, M.D. - Clinical Informatics Medical Director, Marshfield Clinic

The knowledge fabric of health care is being challenged by the overwhelming amount of data produced by new modalities, technologies and information systems. As this ever increasing data is delivered to clinicians, organizations are struggling with how to store, index and access this information. The format and context in which the data is presented allows it to form the valuable information and knowledge that can be used by clinicians to care for their patients.

In addition, much can be learned through the aggregation and analysis of these large data sets of individual clinical data, offering new insight into physiology, genetics and disease processes. Researchers must be able to examine this multi-dimensional data and apply sophisticated epidemiological principles to their path of analysis. Only then will we obtain all the benefits from collecting this data.

In this session, attendees will hear from informatics experts who will share their experiences dealing with this tsunami of data and the steps they are taking to secure all the benefits it has within.

Presentation Video: Data Overload: The Quest to Deliver Knowledge

Thursday, May 4, 2007

7:00 - 7:50 am
Registration & continental breakfast
8:00 - 8:10 am
Opening remarks, announcements and introductions
Mike Klein - Founder & President, WTN Media
8:10 - 8:35 am
CEO Perspective: The Role of IT in Improving Healthcare Delivery
Jeff Grossman, MD President and CEO, UW Medical Foundation; Senior Associate Dean for Clinical Affairs, UW Medical School

Information technology is touted as the solution to all healthcare woes. Over the past few years organizations invested millions of dollars in technologies that promised improved information management leading to increased efficiencies and effectiveness. These new technologies require significant changes in workflow and clinical processes.

In this session attendees will learn about some of the strategic challenges these new technologies present and hear what organizational vision is necessary to make these new systems successful.

Grossman Powerpoint

8:40 - 9:30 am
A New Patient-Centric and Sustainable Approach to Health Information Infrastructure
William A. Yasnoff, MD, PhD, FACMI - Managing Partner, NHII Advisors

Communities building health information infrastructures (HIIs) face at least three key problems: 1) providing financial incentives to office-based physicians for use of electronic health record (EHR) systems; 2) assuring overall financial sustainability; and 3) giving patients control over their health care information.

To address these issues, Louisville, Kentucky, is using a recently developed business and operational model for HIIs known as an eHealthTrustâ„¢. Consisting of a central community repository for medical record information paid for and controlled by patients, the estimated annual per-patient fee of $60/year covers both operations and EHR incentives. Payments of $3 per patient encounter goes to participating physicians who submit a standard electronic record, averaging $10,000 to $20,000 of revenue per physician. The details of the eHealthTrust model and its current status will be presented.

Learning objectives:
1. Recognize the key requirements that HIIs must meet to be successful.
2. Understand the problems faced by developing HIIs.
3. Know the critical determinants of financial sustainability for HIIs.

Yasnoff Powerpoint

Presentation Video: A New Patient-Centric and Sustainable Approach to Health Information Infrastructure

9:30 - 9:55 am
The Wisconsin E-Health Initiative
Helene Nelson - Secretary, Department of Health and Family Services

Building of health information networks is considered critical in the effort to enhance patient safety and quality while reducing health care costs. Before electronic medical records can become a widespread reality, there must exist standards for the safe secure and accurate exchange of these records and their content.

In an effort to foster this clinical information exchange in Wisconsin, Governor Jim Doyle formed a board of experts, the eHealth Care Quality and Patient Safety Board, to establish standards for electronic medical records sharing and storage.

In this session attendees will hear from Wisconsin’s Secretary of Health and Family Services, Helene Nelson who will provide an update on the Board’s effort to develop a five year road map to provide up-to-date electronic patient information at the point of care. In addition, she will review what organizations can do to assist in this state-wide effort.

Nelson Powerpoint

10:00 - 10:25 am
Morning break
10:30 - 11:00 am
The CEO-CIO Experience: Strategies for Success
Donna Sollenberger - President & CEO, UW Hospital and Clinics
Mike Sauk - Interim CIO, UW Hospital and Clinics

If there is a disconnect between the healthcare CEO and CIO over organizational strategies and IT capabilities, the IT department will be seen as a cost and a burden rather than an integral part of a hospital's business model.

In this session the CEO and interim CIO of UW Hospital and Clinics will share their experiences in building a collaborative relationship that balances the needs of the organization while controlling costs.

  • Build bridges to all stakeholders, including nurses, physicians, researchers and patients
  • Choose criteria for IT success
  • Identify the challenges facing management of emerging technology initiatives
  • Why some projects succeed while others stall along the way

11:00 - 11:40 am
Intelligent Decision Support: Delivering Knowledge at the Point of Care
Mark Dente, MD - VP of Healthcare Solutions, GE Healthcare
Lindsy Strait - Chief Technology Strategy Officer, SeeBeyond Healthcare Vertical, Sun Microsystems

Finally, the perfect storm for clinical decision support may be brewing. The power of the tidal wave of clinical knowledge, particularly with the soon to be realized burden of personalized medicine, is almost too large for clinicians to manage or ignore. Fortunately, information technology, utilizing clinical databases, expert systems and rules engines, offers clinicians and technologists tools to address this immense knowledge challenge.

In this session, attendees will hear from senior experts in information technology, change management and decision support who will review their experiences in implementing and using information technology to address the demands of increasing bodies of knowledge. In addition, the participants will discuss their efforts to decrease clinical variability, improve quality and reduce costs.

11:45 - 12:25 pm
CIO SPOTLIGHT: The Current and Future Issues Impacting Healthcare IT
Kim Pemble - Vice President and CIO SynergyHealth
Sandy Butschli - CIO, ACL Laboratories
Peter Strombom - VP/Chief Information Officer, Meriter Health System
Judy Murphy - VP, Information Services, Aurora Health Care

This session will bring together a distinguished group of CIO's who will discuss the drivers, challenges and best practices of healthcare IT adoption today and tomorrow. They will discuss the factors that are influencing the future direction of their technology investments and the changes that are required to meet the growing needs of their organizations.

  • Real world lessons from the data center to the boardroom
  • Future opportunities and risks
  • Building consensus and adoption from CEO's to clinicians
  • Balancing the demands of EHR versus other applications
12:30 - 1:30 pm
1:35 - 2:15 pm
Clear and Lasting Danger: Pandemic Flu, and How IT Can Help
Barry P. Chaiken, MD, MPH, FHIMSS – Conference Chair; Associate CMO, BearingPoint
Edward Barthell Executive VP of Strategy & Clinical Affairs, Infinity Healthcare
Bevan K. Baker, CHE Commissioner of Health for the City of Milwaukee
Seth Foldy, MD, MPH health.e.volution and Medical College of Wisconsin

Unlike bombs or tornados, pandemic flu's impact is not measured in hours but months. Organizations need to prepare for the slow and methodical erosion of their ability to maintain services in the face of increasing demand, and realize that the disaster plans they maintain that address other disasters will not apply.

Even more chronic and just as devastating in the long haul is the human toll from medical injuries and lapses in healthcare quality that claim up to 4,500 Wisconsin lives annually, and the rising healthcare costs that threaten everyone’s access to care. How might information technology help us address such “chronic emergencies”?

In a follow-on panel, government and public health leaders will present their view on the role health information networks and electronic medical records will have in ensuring the public’s safety.

Chaiken Powerpoint

2:20 - 3:00 pm
Beyond Information Systems: Hospital Video Auditing
Is Point-of-Care Clinical Decision Support a Substitute for EMRs?
Charles Safran, MD - Associate Clinical Professor of Medicine, Harvard Medical School

Hospital acquired infections continue to present a major challenge to hospitals. The Institute for Healthcare Improvement (IHI) includes hand washing, an activity that greatly reduces infection rates, as a significant part of its current 100K Lives Campaign.

Video auditing has been used in the food industry to improve compliance with hygienic guidelines, and has been met with great results. In an effort to reduce infections associated with central line insertion, A Boston hospital is testing a new service called Hospital Video Auditing to see if the results in the food industry can be achieved in healthcare.

In this session attendees will hear from an internationally known physician informaticist who is working to evaluate this new surveillance technology in critical care units. Preliminary results from the pilot project ongoing in Boston will be presented.

Safran Powerpoint

3:05 - 3:30 pm
Afternoon Break
3:35 - 4:20 pm
Lost, stolen, or damaged medical records: Managing the nightmare and liability
David Hanson - Partner, Michael Best & Friedrich
Paul Benson - Partner, Michael Best & Friedrich
John Thomure - Partner, Michael Best & Friedrich
Steve Biskupic - United States Attorney for the Eastern District of Wisconsin
Lorna Granger - Chief Legal Officer and Chief of Compliance Officer, ProHealth Care
Paul Verberne - Legal Counsel, HSA Bank

Security breaches, hacks, virus attacks, and disasters can all lead to lost, stolen or damaged medical records and lead to huge liabilities. The March 2006 issue of Consumers Reports magazine reports that the national system being developed for sharing of electronic medial records has the potential for abuse. Recently Providence Home Services reported that 365,000 patient records were stolen from an employee's car when he took home disks and computer tapes. ChoicePoint was fined $10M for its data breach. 57,000 Blue Cross/Blue Shield customers in Arizona had personal data stolen from a safe. Hurricane Katrina caused a loss of not only medical records, but files pertaining to 125 federal Vioxx lawsuits were waterlogged.

HIPPA regulates how data may be shared without a patient’s knowledge for treatment, research, and billing. But HIPPA does not require a disclosure audit if those records are compromised. Advocates of electronic medical records sharing say that the systems will have the tightest security possible, but recent large-scale thefts of credit card and banking information have all shown that state of the art security technologies and policies are vulnerable

Each audience member will receive a summary of a fictional composite case involving the duty of care to protect heath records and the duty of care to patients when records are improperly released. Two experienced trial lawyers will give brief opening arguments for the plaintiff and the defense illustrating the issues raised by the facts. This session will cover:

  • Liability and risk associated with retention and destruction of medical records, documents and e-mail
  • Lessons to be learned from security and identify theft in other industries
  • Additional exposure for inadequate responses to release or loss of health records
  • Best practices for responding to breaches in security, including identity theft
4:00 - 4:30 pm
Future Scan: Using Simulations and Gaming to Revolutionize the Training of Clinicians
Frederick W. Kron, MD – Clinical Assistant Professor, Dept. of Family Medicine, UW-Madison

New media technologies, such as simulations and gaming, can significantly enhance medical training by greatly impacting learning on issues such as ethics, medical humanism, and communication. In addition, these technologies can be applied to patient education to facilitate a reduction in unhealthy behaviors and improvement in treatment plan compliance. In the area of IT, simulations can facilitate clinician adoption through the construction of virtual worlds where new technologies and processes are visualized and experimented with. In this session attendees will:

  • Learn how gaming and simulations are used in education
  • Explore the impact of these technologies on change management
  • Review the advantages of these learning techniques over traditional methods

Dr. Kron Powerpoint

4:25 - 5:00 pm
RFID/Wireless Convergence: Asset and Location Tracking
Alfonso E. Gutiérrez - Director - UW RFID Lab
James W. Hermann - Vice President Asset Management, RF Technologies

Hospitals and clinics are exploring and deploying wireless and RFID technologies to improve workflow, asset tracking and improve communications to improve patient safety. The next generation of applications are moving beyond the hospital walls and will allow physicians, home care providers, and first responders with increased efficiency and communications wherever they are.

This session will explore the advantages and challenges of these technologies and how they can increase the ROI on existing networks as well explore case studies on how active and passive RFID technogies and location tracking are being deployed from hospitals to entire healthcare supply chain and beyond.

Gutierrez Powerpoint

5:00 - 5:10 pm
Closing Remarks
Mike Klein, Founder & President, WTN Media
  • Produced by WTN Media / Wisconsin Technology Network