Keynote Speakers:

Linda L. Kloss, MA, RHIA, FAHIMA CEO AHIMA

Featured Speakers:

Mark Carrol Telehealth Program Director Indian Health Service	Judy Hanover Research Manager IDC	Raymond Lowe IS Director Providence Saint Joseph Medical Center	Khalid Kark Principal Analyst Forrester Research
Dr. Deborah Peel Founder & Chair Patient Privacy Rights Foundation	Michael Stearns, MD, President & CEO, e-MD’s, Inc.	John Abraham Chief Executive Officer & Founder Redspin, Inc.	Jason Angel President & CSMO WiFiciency, Inc.
Robert Israel VP & CIO John C. Lincoln Health Network	Dr. John Bachman Saunders Professor of Primary Care Mayo Foundation	Judy Van Norman Senior Director, Clinical Informatics Banner Health	Aaron Carpenter Chief Information Security Officer Arizona Department of Health Services
Mark D. Moyle Chief Technology Officer Arizona State Hospital	William Biber Director & Manager Electronic Health Records University Physicians Healthcare	William Johnson Founder and Director of the Center for Health Information & Research Arizona State University	Kaveh Safavi Vice President Global Healthcare Practice Cisco Internet Business Solutions Group
Brad Tritle, CIPP Executive Director Arizona Health-e Connection	Dale Alverson, MD President-Elect American Telemedicine Association	Kristen B. Rosati Partner Coppersmith Schermer & Brockelman PLC	Steve Wasson Vice President of Clinical Solutions RelayHealth
Sajid Ahmed Director, Health Information Technology L.A. Care Health Plan	Ram Krishnan SVP of Products & Marketing GuardianEdge	Jim Cramer Chief Information Officer Scottsdale Healthcare	Robert A. Greenes, MD, PhD Chair, Department of Biomedical Informatics Arizona State University

2010 Winter Health IT Summit
February 9-10, 2010
Phoenix, AZ

Conference Agenda

Tuesday, February 9, 2010

7:30am Registration Opens

8:15am Opening Remarks by Day One Conference Chair

8:30am - 9:30am General Panel Session

“Connected Care: Why Can't We All Play Together?”

Why does it feel like the year 1960 when it comes to patient records and sharing data among providers to efficiently and effectively take care of patients? How often are patients told to bring their test results or films when they call to see a specialist? In this session, you will learn how to use technology to provide 'connected care.' You will discover how practices and hospitals successfully collaborate to create a network to manage and monitor care in an ambulatory setting across a community.

Moderator: Raymond Lowe, Regional Director for IS Operations, California, Providence
Health & Services

Cindy Koelbl, Director of Contracting & Project Management, Integrated Medical Services
Robert Greenes, Chair, Biomedical Informatics, Arizona State University
Kaveh Safavi, Vice President & Global Lead, Cisco Internet Business Solutions Group
Healthcare Practice
Jason Angel, President & CSMO, WiFiciency, Inc.

9:30am - 10:00am Keynote Presentation "Information Governance: The Next HIT
Battleground”



Linda Kloss, RHIA, CAE, FAHIMA
Chief Executive Officer
American Health Information Management Association

Health care organizations should begin now to strengthen and formalize policies and procedures governing digital patient information.  Senior leaders need to be stewards of patient information assets and the surest way to do this is to implement an organization-wide information governance program covering range of information issues including its protection, access, use and distribution inside and outside the organization.

With todays focus on HIT adoption and meaningful use, why is information governance important now and why is it a C-suite issue?  Properly implemented, health IT improves access and control of primary and secondary patient data, but it also increases information volume without ensuring its completeness, accurate, or reliability.  This has the potential to effect patient safety and the quality of clinical and management decision making.  Governing the range of information policy and practices is a challenge for an individual organization.  This challenge is multiplied with interoperability, information exchange, and reporting. The information management policies and procedures that most health care organizations have in place are generally not adequate for the digital age and need a careful and thoughtful organization-wide effort to increase the strategic value of information throughout its lifecycle, while minimizing costs and risks.

The good news is that business and healthcare organizations have documented real benefits from effective information governance.  For example, an effective information policy framework reduces the cost and risk associated with information, increases its value of information, and therefore supports business growth. Governance speeds decisions by creating processes, ensuring transparency and establishing accountability. Governance improves the effectiveness of decisions by involving all stakeholders, clarifying issues, and promoting collaboration between the business and the IT organization. Catholic Healthcare Initiative reported significant improvements in information flow and cost savings from its multi-hospital information governance initiative.  

According to Gardner, “Information Governance can be technically complex, organizationally challenging and politically sensitive.”  It encompasses all aspects of information, including abstractions such as metadata, formats (structured vs. unstructured information), functions (for example, access and discovery), life cycles, media (paper vs. electronic), usage (such as transactions and analysis) and domains (patient data, billing data and so on).   Setting formal information governance in place should not be approached as a project, but rather as an infrastructure that once established will need to be continuously managed and improved.  Hence, it is advisable to:

• Establish an information governance council
• Build a vision for managing information assets
• Develop a business case for information governance
• Communicate the value and benefits of governance to all stakeholders
• Design the information governance authority and ensure that the information management team has the skills and resources needed
• Develop and implement standards, policies and procedures
• Measure benefits and impact and  continue to refine

Information governance will require vigilance and continuous improvement because the underlying systems and processes are changing.  So, take the time to lay the infrastructure.  It may take six months to define the information governance strategy, and another several years to put all the processes and controls in place.  This is a great opportunity to expand education about best information practices throughout the organization, so ensure that this is a very visible and transparent process.

10:00am - 10:45am Morning Networking Break and Introduction to Living Groups

10:45am -12:00am Featured Presentation and General Panel Session

“The Mind of the EHR Buyer: Healthcare IT is at a turning point”

With unprecedented government investment in EHRs alongside demands for interoperability, a growing schism exists between buyers on the two sides of the care spectrum, in the inpatient and ambulatory settings . A presentation will cover the findings of interviews with buyers conducted during the research process for the ambulatory and inpatient short list research, and the key vendors examined as part of the short list research. A highly informative panel discussion will follow this presentation including EHR buyers from both the ambulatory and inpatient settings.

Moderator: Judy Hanover, Research Manager, IDC

Mark Moyle, Chief Technology Officer, Arizona State Hospital
Bill Biber, EHR Department Manager, University Physicians Healthcare
Dr. Steve Margolis, Chief Medical Informatics Officer, Orlando Health
Jaime James, Director HIM, Banner Health

12:00pm - 1:45pm Break for Lunch

1:45pm - 2:30pm Case Study "Leveraging your Clinical Connectivity Strategy to Evolve with State and National HIE"

Steve Wasson VP, Clinical Solutions RelayHealth	Jim Cramer CIO Scottsdale Healthcare

As HIEs evolve outside geographically defined territories, hospitals and large healthcare systems can leverage their current clinical connectivity strategy to connect to state or regionally run network entities.  By leveraging standard protocols and their own network-based connectivity platform, providers can help build and sustain evolving HIEs—which is crucial as clinical transactions are increasingly automated. Presenters will discuss market trends driving clinical connectivity and its progression toward HIE and highlight the unfolding of this model’s strategy across the U.S.:  Arizona-based Scottsdale Healthcare and providers in the San Francisco Bay area and Northern New Jersey.

2:30pm - 3:30pm Panel “Privacy After ARRA: Opportunity or Challenge?”

The “American Recovery and Reinvestment Act of 2009” (ARRA) maintains and expands the current patient health information privacy and security protections, especially as patient health information is electronically transferred through HIT systems. ARRA amends HIPAA to protect patient health information with some key provisions.  These new protections represent a range of challenges and opportunities for providers, payers, vendors and patients.

This informative session will address different perspectives on privacy and security along with how organizations are approaching and dealing with these new regulations and mandates.

Moderator: Jay Srini, Chief Innovation Officer, University of Pittsburgh Medical Center

Michael Stearns, MD, President & CEO, e-MD’s, Inc.
Archie Galbraith, Chief Technology Officer, UCLA Medical Sciences
Kristen Rosati, Partner, Coppersmith, Schermer & Brockelman PLC
Dr. Deborah Peel, Founder & Chair, Patient Privacy Rights Foundation

3:30pm - 4:15pm Afternoon Networking Break

4:15pm - 5:15pm Presentation “The nuts and bolts of online consultations: A review of over 2700 online visits done at the Mayo Clinic ”


Dr. John Bachman
Saunders Professor of Primary Care
Mayo Foundation

To do online consultations one has to have the infrastructure, workflow, and  a change in culture to be successful . A pilot project was conducted at Mayo Clinic where these issues were addressed.  A great deal was learned and will be used as Mayo Foundation moves forward with its online system. This presentation will review all three aspects of a successful online project and provide participants a forum to experience the paradigm change in going online and being paid for it. The presentation includes a demonstration, a review of the pilot outcomes, and ample time for interaction.

5:30pm - 6:30pm Opening Cocktail Reception

Don't miss this interactive and fun reception amongst your colleagues and peers toasting an incredible day of thought leadership and networking.

Wednesday, February 10, 2010

8:00am Registration Opens

9:00am Opening Remarks by Day Two Conference Chair

9:15am - 10:15am General Panel Session “Stuffing Your Wallet: Financial Benefits from Electronic Health Information Exchange”

While there is a growing demand for 'interoperability' between hospitals, clinics, pharmacies and physician practice information systems, the cost often exceeds the potential benefits. In this session, you will learn how to make participation in a health information exchange (HIE) financially viable. You will discover how to analyze specific savings and revenue opportunities and how to cost-share expenditures across the network. Also you will learn how to leverage new Stark regulations and government aid to support start-up costs. And you will learn how to use an HIE to take advantage of pay-for-performance opportunities and strengthen payer contracting.

Moderator: Linda Kloss, CEO, American Health Information Management Association  

Steve Wasson, Vice President of Clinical Solutions, RelayHealth
Brad Tritle, CIPP, CPHIT, Executive Director, Arizona Health-e Connection
William Johnson, Director, Center for Health Information Research & Professor of Biomedical Informatics, ASU Biomedicine, Arizona State University
Sajid Ahmed, Director, HIT, L.A. Care Health Plan

10:15am - 11:00am Morning Networking Break

11:00am - 12:15pm Featured Presentation and Panel Session “Technology, Security
Mandates, and HIPAA Privacy”

The American Recovery and Reinvestment Act (ARRA) greatly expanded the privacy and security requirements for practices under HIPAA. New mandates will force practices to adopt policies and procedures in order to avoid new enforcement provisions and significantly increased penalties. Critical changes include: onerous new provisions for accounting of disclosures; new patient rights that you will need to incorporate into your policies and staff training; new requirements should your patient data be breached; modifications that will need to be made to your business associate relationships; and increased penalties up to $50,000 per violation to a maximum of $1.5 million a year in the most egregious cases of data breaches. Some of the nation's leading privacy experts will lead you through these changes and how they will impact your practice.

Moderator: Khalid Kark, Principal Analyst, Forrester Research

Ram Krishman, SVP of Products & Marketing, GuardianEdge
Robert Israel, Vice President & Chief Information Officer, John C Lincoln Health Network
Aaron Carpenter, Chief Information Security Officer, Arizona Department of Health Services
John Abraham, Chief Executive Officer & Founder, Redspin Inc.

12:15pm - 2:00pm Break for Lunch

2:00am - 2:30pm Presentation "Care Transformation Initiative at Banner Health"


Judy Van Norman
Senior Director, Clinical Informatics
Banner Health

Banner Health has embarked upon a system wide initiative called Care Transfomation that unites best practices in clinical care with leading-edge clinical computer systems to provide better, safer care to patients.

As part of the initiative, Banner Health has redesigned many care processes - from how surgeries are scheduled to how patient records are managed - to find the optimum way to provide patient care.

One way Care Transformation improves patient care is to place patient information at caregivers’ fingertips by using an integrated electronic medical record that contains lab results, doctors’ and nurses’ notes and charting and medical images. Both Banner Estrella Medical Center and Banner Gateway Medical Center opened as fully electronic hospitals.  Banner is on a path to have all of its acute care facilities eliminate paper charts at the bedside and have CPOE implemented by December 31, 2011.

Research done at Banner Estrella shows Care Transformation improved medication safety, reduced patient wait times in the Emergency department, reduced costs in a number of areas, improved patient satisfaction and staff retention.

Banner Health is implementing many system standards under the overarching umbrella of Care Transformation that drive improvements in clinical care practices by using HIT to support and measure its efforts to provide better, safer care to patients. 

3:00pm - 3:45pm Afternoon Networking and Coffee Break

3:45pm - 4:45pm General Panel Session “Remote Patient Monitoring and Next Generation Telemedicine”

Telemedicine and remote patient monitoring are becoming an integral component in modern, quality healthcare. From emergency rooms to physician’s offices, from the home to schools and the workplace, telemedicine is extending the reach of healthcare services, improving care and reducing costs. We are witnessing a boom in the use of remote healthcare both in the United States and abroad. Almost one-half of U.S. hospitals use remote medical imaging. Telemedicine networks in the United States link over 3,200 facilities nationwide.

This session will highlight examples and detail how remote patient monitoring and the next wave of telemedicine can benefit the hospital, physician practice and patient care.

Moderator: Dale Alverson, MD, President-Elect, American Telemedicine Association

Jennifer Ball, RN, BSN, MBA, eICU Operations Director & Director, Nursing Informatics, Saint Luke's Health System
Ana María López, MD, MPH, FACP, Professor of Medicine and Pathology & Medical Director,
Arizona Telemedicine Program, University of Arizona
Mark Carroll, MD, Telehealth Program Director, Indian Health Service

4:45pm - Closing Remarks by Day Two Conference Chair