The Unintended Benefits of Applying Your Data Scientists to Your EDW

Name:
Hannah Marshall
Email:
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Presentation Topic: Clinical and Business Analytics/IntelligenceDetails:

Have you presented this topic before? No.Presentation Abstract:

Enterprise Data Warehouses (EDW) are complex and expensive systems to create and maintain. They require significant time, money, personnel, and data governance. When considering personnel for an EDW, traditional roles that are considered are database administrators and data architects, who traditionally maintain and build the structure of the database and tables in it. Data scientists often work with data from the EDW building predictive models and doing statistical analyses. While doing this work, data scientists can often provide a different perspective from other team members because of the particular needs that arise from their work. In this presentation, I will discuss several scenarios where additional value was added to the EDW parallel to the data scientist’s primary project while working with data in the EDW.

Key Objectives:

  • Attendees will be able to identify the different roles needed to maintain an Enterprise Data Warehouse.

  • Attendees will be able to better understand ways data scientist can help maintain an Enterprise Data Warehouse.

  • Attendees will be able to list several scenarios where data scientist have been able to add additional value to the Enterprise Data Warehouse by providing a different perspective from other team members in different roles.

1 presenters

 


 

Scaling Telehealth within a Digital Strategy Road Map

Name:
Christopher Fiander
Email:
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Presentation Topic: Care Coordination, Culture of Care, and Population HealthDetails:

Have you presented this topic before? No.Presentation Abstract:

Attendees will learn how Duke has leveraged its foundation as an academic medical center to pilot and grow the Telehealth program. Along with research, Duke has developed a robust internal innovation center that has served to incubate several models that include using telehealth for diagnostics, addressing hospital readmission, and community center engagement. This presentation will discuss the intersection of Telehealth in our larger Digital Strategy as Duke looks to integrate Telehealth into consumerism, care delivery and population health strategies. Examples will include leveraging technologies that can use patient attributes to encourage telehealth services, along with strategies to utilize customer relationship management (CRM) tools to direct patients to access the appropriate care venue.
Duke University Health System views growth of Telehealth as a critical component of the organization’s overall digital and care delivery strategy. We will present our experiences in scaling the Duke Telehealth program with a blend of organically grown and third-party supported Telehealth services, including our successes and lessons learned in the implementations. Metrics will highlight areas of growth that are providing the basis for near and longer-term plans to use Telehealth in broader population health and alternative to care delivery. The discussion will include balancing value-based initiatives in a system with a continued prevalence of fee-for-service models. Lastly, we will present impacts to providers in adopting Telehealth services and criteria that has encouraged acceptance and adoptions by various providers in our health system.

Key Objectives:

  • Attendees will understand pros and cons of various telemedicine service approaches, along with acceptance by health care providers.

  • Attendees will understand successes and lessons learned from a major multi-specialty leading Academic Medical Center.

  • Attendees will understand methods of leveraging internal innovation and research to move from pilots to a strategic roadmap.

2 presenters

 


 

Survivor story

Name:
Maria Smith
Email:
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Presentation Topic: OtherSurvivorship/Caretaking

Details:

Have you presented this topic before? No.Presentation Abstract:

Stage IV cancer survivor on how the system "feels" to someone who is immersed in the process and observations for improvement along the patient experience.

Key Objectives:

  • Create empathy for the patient journey through the heathcare system

  • How clinicians can help alleviate patient anxiety in the waiting room.

  • Having meaningful discussions with your oncologist and overcoming fear of treatment.

1 presenters

 


 

The Addversity™ of Diversity: How Great Leaders Drive Innovation

Name:
Anton Gunn
Email:
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Presentation Topic: Career/Workforce Development and DiversityDetails:

Have you presented this topic before? No.Presentation Abstract:

Anton Gunn is a diversity practitioner with twenty-five years of dynamic professional experiences in music, sports, politics, and healthcare. He shares how diversity and inclusion are the keys to industry innovation. From the moment he begins, Anton will help your team understand how to increase employee engagement and increase results by developing and executing the traits of an inclusive leader. Your attendees will be motivated for success in leading diverse teams. They will be empowered to become the best leaders they can be and to make a difference in the lives that they touch.

Key Objectives:

  • Understand how to increase employee engagement and increase results by developing and executing the traits of an inclusive leader.

  • How to motivate for success in leading diverse teams

  • How to be empowered to become the best leaders they can be and to make a difference in the lives that they touch.

1 presenters

 


 

Exploring Opportunities to Improve Health and Healthcare by Creating a Regional Learning Health System

Name:
Holt Anderson
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Presentation Topic: Integrated IT Governance/Strategic PlanningDetails:

Have you presented this topic before? Yes.Presentation Abstract:

Improving Health and Care at the Point of Interaction with Health Professionals: Exploring Opportunities to Improve Health and Healthcare by Creating a Regional Learning Health System

Launched as a concept by the National Academy of Medicine in 2008, the realization of Learning Health Systems (LHSs) is gaining ground as pockets of activities are springing up around the globe and more organizations are beginning to include the concept in their strategic planning. North Carolina’s extraordinary reputation as a collaborative and trusted community with significant Academic Medical Centers and leading technology providers, presents an extraordinary opportunity to launch a regional LHS effort as is happening in MI and IN.
This session will explore the LHS concept, examples underway elsewhere and how NC HIMSS’s members might join in a leadership effort to explore this concept and map a strategy for achieving success in improving decisions at the point of clinical interaction through knowledge gained by participation in an LHS. Challenges to the realization of this vision include (1) creation of a business case that outlines the ROI for providers, payers, and individuals that will create the market demand for LHSs, and (2) an understanding among health professionals and individuals of the benefits of LHSs that underscores the need and provides a demand push for their implementation.

Key Objectives:

  • Individuals who are responsible for information governance, HIE, privacy and security, analytics and informatics will gain an understanding of this emerging concept and its impact on health and health care of individuals and populations.

  • Individuals will understand the challenges of developing an internal business case for their organizations in order to provide input on the value of including this concept in their strategic plans so as not to be left behind as their competitors move forward.

  • Attendees will learn about other LHS initiative around the world and how LHSs will incorporate initiatives such as Precision Medicine, ACO implementation, and new methods of sharing information as they emerge.

1 presenters

 


 

Reshaping mHealth: Bringing an Amazon Mindset to the Patient Experience

Name:
Dave Anderson
Email:
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Presentation Topic: Mobility TechnologiesDetails:

Have you presented this topic before? No.Presentation Abstract:

Healthcare doesn’t need Amazon to redefine its processes, but they do need CIOs and healthcare executives that have an Amazon-like mindset when it comes to improving the patient experience. While technological advances are helping clinicians better diagnose and treat patients, that revolution hasn’t filtered down to the provider-patient relationship. Healthcare systems, hospitals, surgery centers, physician practices—any entity that interacts with patients—must do better.

Customer expectations are being set by non-healthcare industries, and there is an unmet demand in healthcare as patients are seeking mobile patient experiences, yet healthcare systems are failing to deliver. This session will paint a clear picture of how healthcare executives can adapt to the consumerism of healthcare through apps that deliver a more engaged patient experience, greater patient loyalty and better adherence to appointments and treatments. The presentation will look at how the processes of successful consumer-experience and retail brands like Amazon and Uber are utilizing mobile technology to thrive in the marketplace. And more importantly, how these can translate into the healthcare patient experience.

The potential of digital health, or mHealth, is broadly recognized but often discussed in the context of soft benefits rather than real-dollar impact. This is an impediment to more widespread integration when health systems and organizations are facing significant challenges, yet the numbers are there. This presentation will take a close look at those numbers and show how it compares to the growth model of companies like Amazon that identify operational efficiencies and apply them in view of a long-term commitment to the customer experience. Healthcare organizations must make that same commitment if they are to survive and thrive.

Key Objectives:

  • Attendees will learn how to maximize ROI in the digital healthcare economy through mHealth advances.

  • Attendees will hear case study examples of how various health systems have optimized their healthcare supply chain by reducing same-day cancelations, preventable readmissions and no shows.

  • Attendees will examine the positive effects that mHealth can have on the industries shift to alternative payment models.

1 presenters

 


 

“It’s gonna be a rough month”: calming your executives with regression forecasts and Bayesian updates

Name:
Kaitlyn Bankieris
Email:
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Presentation Topic: Clinical and Business Analytics/IntelligenceDetails:

Have you presented this topic before? No.Presentation Abstract:

In healthcare, leaders often summarize performance using month-end reports containing various outcome measures. Leaders commonly preview these statistics half-way through the month with the desire to predict month-end numbers and react accordingly. The issue with this approach, however, is that these mid-period assessments are based on hidden mental models. In this talk I’ll discuss how to formalize and automate mid-period forecasts, rather than utilizing leaders’ limited time and mental energy to generate off-the-cuff predictions. I’ll present a method that can provide period-end predictions for any repeated, accumulating process such as the number of weekly appointments, monthly readmission rates, or the number of daily blood units. Using this method, a forecast can be updated at regular intervals, incorporating new information into the prediction as it becomes available. This approach not only provides an up-to-date estimate for the end-of-period statistic, but also conveys the appropriate amount of uncertainty surrounding that forecast given the current progress through the period (i.e., there is more uncertainty near the beginning of a period compared to near the end of a period). As a concrete example, I’ll demonstrate how we applied this method to create a forecast for month-end readmission rates with daily updates. Collaborating with our leaders has resulted in an automated process that surfaces helpful information for our organization and eliminates the need for self-generated forecasts with mental models.

Key Objectives:

  • Attendees will learn about a forecasting method that can surface helpful measures to leaders.

  • Attendees will understand what type of process this method can be applied to.

  • Attendees will gain a basic understanding how this method simultaneously uses historical information and updates predictions on a regular basis.

1 presenters

 


 

How AI predictive analytics will solve some of today’s most vexing healthcare management problems

Name:
Tim Maroney
Email:
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Presentation Topic: Artificial Intelligence in HealthcareDetails:

Have you presented this topic before? Yes.

Wall St. Capital, NY, NY via teleconference, January 11, 2019

Presentation Abstract:

In this session we will explore 6 sample impacts that artificial intelligence (AI) will have on clinical care by 2024.First, exactly what is Artificial Intelligence? Colloquially, the term "artificial intelligence" is applied when a machine mimics "cognitive" functions that humans associate with "learning" and "problem solving".

Key Objectives:

  • 1. Define AI as it will apply to healthcare settings in ways that current technology cannot process, e.g. reduce the number of missed diagnoses in outpatient clinics

  • 2. Explain how AI will operate and provide solutions in healthcare settings through 6 real-world examples

  • 3. Remove the mystery surrounding perceptions that AI is intrusive to patient privacy and difficult for providers to implement

1 presenters

 


 

Agile Analytics to Enhance Patient Experiences at the Duke Eye Center

Name:
Heidi Banks
Email:
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Presentation Topic: Clinical and Business Analytics/IntelligenceDetails:

Have you presented this topic before? No.Presentation Abstract:

In 2018, Duke University Health System became the first health system in the country to be awarded with Stage 7 certification for the HIMSS Adoption Model for Analytics Maturity. This case study was one of those presented to the certification committee during the site visit.

Background: The Duke Eye Center main campus routinely sees 500 complex patients per day (the department overall has over 187,000 patient visits per year). Clinical workflows around staffing and imaging equipment are critical in affecting patient wait times, and therefore influencing patient satisfaction.

Purpose: To provide Duke Eye Center clinicians with a tool that will allow for prompt but thorough analysis of visit types, technician work-up time, and patient cycle time (time of arrival to time of discharge, which includes various waiting events) to decrease cycle time at the main campus and increase patient, provider, and staff satisfaction.

Description: Using agile project management methodology, a PORT (PDC Outcome Research Team) subteam comprised of a business analyst, a data warehouse developer, and business intelligence developer (in concert with the Eye Center project team), developed and delivered a Tableau dashboard based on data from Epic’s Clarity reporting database. The dashboard includes the following visual analytics:

• Total Visit Time (scatter plot)
• Number of Visits by Visit Category (bubble + lollipop charts)
• All Patient Waiting For Events: Patients Waiting > 20 Mins or 30-60 Mins (heat map)
• Patients for All Waiting For Events vs Patients Waiting For Doctor (line charts)
• Patients Waiting For Technician vs Working Technicians (bar chart)
• Duration of Patient Waiting For Events (bubble + box and whiskers charts)

Evaluations and Outcomes: The Ophthalmology Department’s operations replaced their daily manual event tracking workflows and graphs with the Tableau dashboard to support staff scheduling in an effort to reduce patient wait times. In addition, the department leadership after using the provided dashboard became interested in enhancing it to expand the analysis to include provider scheduling and its impact on patient cycle times.

Key Objectives:

  • Attendees will be able to identify the six factors that can negatively or positively impact patient wait times.

  • Attendees will be able to interpret seven different chart types and understand why they were selected to visualize the data.

  • Attendees will be able to describe the benefits and challenges of agile software development as they apply to healthcare analytics.

3 presenters

 


 

There’s an APP for that – Protecting your Organization while meeting Patient request

Name:
Erica Olson
Email:
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Presentation Topic: Care Coordination, Culture of Care, and Population HealthDetails:

Have you presented this topic before? No.Presentation Abstract:

There’s an APP for that – Protecting your Organization while meeting Patient request
The use of mobile medical apps by clinicians and patients continues to grow. Patients expect instant communication and want the data in a timely accurate There are apps that help a patient diagnosis themselves with bi-polar disorder, there are apps that help physicians calculate drug dosage and apps to provide the healthcare provider real time information about asthma and diabetes. Theses apps offer providers and patients the ability to access patient information easily and timely. However, they also expose the provider and the entire healthcare organization to risk.

Key Objectives:

  • What do you need to do to protect your healthcare organization?
    Discussion on risks including determination of app accuracy and reliability, patient privacy concerns, and quality of healthcare.

  • What do you need to do to protect your healthcare organization?
    Discussion on risks including determination of app accuracy and reliability, patient privacy concerns, and quality of healthcare.

  • What do you need to do to protect your healthcare organization?
    Discussion on risks including determination of app accuracy and reliability, patient privacy concerns, and quality of healthcare.

1 presenters

 


 

The Role of Technology to Promote Family Engagement in the LTC Setting and The Limitations

Name:
Mikell Clayton
Email:
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Presentation Topic: Care Coordination, Culture of Care, and Population HealthDetails:

Have you presented this topic before? No.Presentation Abstract:

One of the key benefits for the adoption of Health Information Technology is to “engage patients and family in their health.” 1
The Long-Term Care settings have historically struggled to adopt and implement newer technologies. LTC settings were excluded from governmental incentive programs, specifically The EHR Incentive Program (Meaningful Use) that could have aided in the cost of upgrading to more advanced technologies.

In the absence of expanded HIT, LTC facilities still rely on inefficient methods of data capture and clinical information exchange. A recent study, “Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review” published in the Journal of Medical Internet Research found that:
Results of this systematic review conclude that EHRs show significant improvement in the management of documentation in LTC facilities and enhanced quality outcomes. Approximately 43% (12/28) of the papers reported a mixed impact of EHRs on the management of documentation, and 33% (9/28) of papers reported positive quality outcomes using EHRs. Surprisingly, very few papers demonstrated an impact on patient satisfaction, physician satisfaction, the length of stay, and productivity using EHRs.2

Key Objectives:

  • The Patient Portal can provide useful clinical information to the patient and/or family representative. These members can access current laboratory results, radiological results, request prescription refills, and securely message members of the patient’s care team 24 hours of the day.
    Patient portals can drastically reduce call volumes in provider practices and optimize practice workflows. Patients can receive laboratory results and request prescription refills via the patient portal; thusly

  • Referring to Key Objective 1, the benefits of accessing a Patient Portal are widely accepted in the ambulatory care model. However, severe limitations in accessibility are present in the Long-Term Care populations.
    Patients with advanced age and/or cognitive dysfunction, as generally seen in LTC segment (5% among persons aged 65–69 to about 32% among persons aged 85 or older) 4, lack the technological and cognitive function to navigate and electronic patient portal. Many of those patient’s c

  • With the advent and adoption of HIT; the shift and hope were that with more quantifiable data available to clinicians, better clinical decisions and clinical outcomes could be accessed. Numerous studies have proven this to be true. However, there is a silent minority that impact patient care and quality, specifically in LTC, outside of the clinical capacity that deserve to be a part of the decision-making process.

1 presenters

 


 

HIPAA Reviews - Lessons Learned

Name:
Erica Olson
Email:
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Presentation Topic: How to prepare for a HIPAA Audit (from each area: admin, tech, physical)Details:

Have you presented this topic before? No.Presentation Abstract:

The Office of Civil Rights (OCR) continues to increase the emphasis on audit and enforcement. The preliminary results from the recently completed Phase 2 audits suggest that while organizations are better at meeting the Privacy rule standard, we still have a long way to go to meet the compliance standards for Security and Breach Notification with over 94 percent of the covered entities failing to have risk management plans for example. In addition, Health and Human Services recently released Cybersecurity Guidance for healthcare organizations that while not mandatory provides a road map to the expectations for cybersecurity going forward.

Key Objectives:

  • What does your organization need to do to demonstrate compliance? What do you need to do be ready for an audit? Is there any way this can actually benefit a compliance Organization?

  • The presentation will cover:

    Common issues in noted in HIPAA Security Reviews
    How to perform your assessment

  • Other key objectives:
    How to address the issues while adding value to the organization. Don't just "check the box" but use the opportunity to improve operations!
    What to do if the government knocks on the door!

1 presenters

 


 

A Standardized Framework for Managing Information Technology Incidents

Name:
Charles Sawyer
Email:
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Presentation Topic: IT InfrastructureDetails:

Have you presented this topic before? Yes.

Beckers Hospital Conference 2018

Presentation Abstract:

In spite of rigorous testing and monitoring, information technology systems still experience unexpected downtimes. The impact of these service interruptions can be almost silent while others have the potential to negatively affect the direct delivery of care to patients. The Hospital Incident Command System (HICS) is a recognized standard for hospital operations during unexpected events. Mission Health Information Technology has developed and utilized a similar structure for investigating, responding to, and investigating unexpected IT service interruptions. This standardized approach facilitates communication, problem solving brainstorming, and provides a consistent framework with clearly identified responsibilities for managing operations through IT service interruptions. Since most all organizations experience unplanned service outages at some point, having a pre-planned, standardized approach to resolution can speed resolution and minimize the impact to the clinical teams who rely on these systems to provide bedside care.

Key Objectives:

  • Attendees will articulate the benefits of a standardized information technology incident response paradigm

  • Attendees will understand the application of the Hospital Incident Command System principles to IT incident management

  • Attendees will be exposed to metrics that can be utilized to measure response time for IT incidents

1 presenters

 


 

Lessons Learned - EMR Advancement at a Cleveland FQHC Provider

Name:
Greg Foster
Email:
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Presentation Topic: Automation to Improve Clinical and Business OutcomesDetails:

Have you presented this topic before? Yes.

Northern Ohio HIMSS, November 2018

Presentation Abstract:

Federally Qualified Health Centers (FQHC) are fundamental to providing integrated health services in Northeast Ohio. To strengthen integrated services, the affiliated Circle Health Services and Centers for Families and Children, recently deployed OCHIN’s Epic solution to advance the EMR capabilities across their organization and with their healthcare partners (MetroHealth, Cleveland Clinic and University Hospitals). Learn from the deployment leads the lessons learned around key program approach, FQHC functionality, integration and operational strategies, and governance considerations that led to successful deployment.
Lessons learned include:
• Program Approach – To secure successful adoption, the team conducted a readiness assessment and defined a deployment roadmap with the affiliates’ technical leads, functional users and medical center operations. The team used interviews with key user groups to secure firsthand information about the functionality, workflows, and system configuration needs of the organization. Then the team defined a deployment plan for the remainder of the transition schedule.

• FQHC Functionality – In addition to traditional EMR functionality, post-affiliation FQHC had an expanded need for documentation of psychiatric and behavioral health services, substance abuse services and social determinants of health indicators.

• Integration and Operations Strategies – To facilitate operational effectiveness and continuity of care for clients who receive services from multiple health partners in the catchment area, a high degree of integration across lab, pharmacy, and referrals are foundational needs of the FQHC.

• Governance Considerations – EMR governance is an important concern due to the reporting requirements for FQHCs, the collaborative nature of the OCHIN deployment of Epic, and the affiliation between the multi-site agencies.

Key Objectives:

  • • Learn about Federal Qualified Health Center (FQHC) providers in Cleveland

  • • Learn about FQHC’s health information needs, both clinical and business operations

  • • Learn success factors for program management, governance, integration and functionality
    • Learn how the Oregon Community Health Information Network (OCHIN) deploys Epic and other systems to 105+ FQHCs and other community health centers.

1 presenters

 


 

How Real-Time Technologies Enable Process Automation to Improve Clinical and Business Outcomes

Name:
Scott Hondros
Email:
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Presentation Topic: Automation to Improve Clinical and Business OutcomesDetails:

Have you presented this topic before? Yes.

NC HIMSS in 2016. Since then we expanded the use of the system to addtional use cases and locations.

Presentation Abstract:

There is no doubt that Real-Time Technologies transform the way hospitals operate and how medical staff care for their patients and communicate with patients and their loved ones. There are more than 100 unique use cases that leverage real-time technologies. The most common ones include:
- asset tracking and asset management, which includes PAR level management, equipment utilization reporting,
- environmental monitoring through such use cases as measuring temperatures of refrigeration units, blanket warmers, and for ambient temperature in sensitive locations,
- patient flow optimization, which helps to identify bottlenecks in patient flow and improve patient experience by providing information on current wait time, and a phase of care.
During this session audience will be presented with examples of how real-time technologies enable process automation to improve clinical and business outcomes, including results achieved by Wake Forest Baptist Health.
The Enterprise Visibility program at Wake Forest Baptist currently encompasses more than 4 million square feet across 40+ buildings with RTLS coverage. The program is recognized as one of the largest and the most comprehensive implementations of RTLS technology, in healthcare, anywhere in the world. The program includes:
• 16,000 assets tracked in real time
• 1,100 automatically monitored temperature units
• 5,000 patients per week using RTLS badges for enhanced patient experience
• 7,600 staff experiencing a safer work environment by wearing location badges
• 11 systems, including Epic electronic health records, augmented with real-time data via integrations
• more than 100,000,000 real-time events processed each day
Wake Forest Baptist has achieved sustainable operational, safety, and satisfaction outcomes, with a validated financial return of more than $10 million USD.

During this session best practices for a successful implementation of process automation will also be shared.

Key Objectives:

  • Attendees will be able to identify key clinical and business processes that can be automated using Real-Time Technologies.

  • Attendees will be able to determine Key Performance Indicators (KPIs) required to measure the success of the process automation.

  • Attendees will be able to propose a solution to common barriers related to implementing process automation

1 presenters

 


 

How A.I. is taking the pain out of prior authorizations

Name:
Patrick Morrell
Email:
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Presentation Topic: Artificial Intelligence in HealthcareDetails:

Have you presented this topic before? Yes.

HFMA Wester Region Symposium 2019

Presentation Abstract:

Every week we see a headline like this: “54% of Healthcare Pros Expect Widespread Artificial Intelligence Adoption in 5 Years (HealthIT Analytics)." But “5 years” is an understatement. A.I. is integral to every industry. Healthcare is no exception.

And the best way for healthcare providers to understand the pragmatic ROI of A.I. is to introduce solutions to NON-CLINICAL areas. Administrators, doctors, and patients can all ease into an understanding of the realistic benefits of A.I. in an environment that is less intimate and vulnerable than a clinical setting.

But where do they start? How do they start? What's the ROI?

This session will show attendees how to take that first step by focusing on a use case for A.I. in the revenue cycle—particularly focusing on prior authorizations. Digitize.AI’s co-founders Justin Adams and Pat Morrell will lead the audience through an interactive working session—equal parts survey, small group brainstorms, and case study overview—that will teach the audience how healthcare CFOs and revenue cycle leaders can benefit from A.I., today.

Key Objectives:

  • Attendees will learn the true cost—financial, operational, patient treatment quality, etc.—of back office RCM processes prior authorizations, why those burdens and costs will continue rising (industry trend lines), and how they can combat those red ink trends with purposeful and proven A.I. solutions. These findings and lessons will be corroborated by case study results from a leading academic medical institution that has seen a 400% ROI since introducing an A.I. solution for prior auth

  • Attendees will learn how to socialize the value of A.I. in addressing back office RCM challenges, and build consensus enthusiasm for A.I. solutions among key peer groups at their provider organization (RCM teams, IT leaders, clinicians, board members)—attendees will be provided with handouts and tools that they can take back to their organization to facilitate this consensus-building.

  • Attendees will be educated on the differentiators among A.I. and automation solution providers and vendors in healthcare today (ex: RPA/bots v A.I.), learn key practical A.I. concepts and terms, and be provided with an "A.I. Buying Guide" that can be used as a 'checklist' for vetting potential vendors and technology partners.

2 presenters

 


 

Do you have a grip on Point of Care Images

Name:
Jeffrey Agricola
Email:
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Presentation Topic: Digital TransformationDetails:

Have you presented this topic before? Yes.

National Hyland Webinar on October 23, 2018

Presentation Abstract:

Imaging devices are becoming amazingly portable with quality and capabilities that rival their big brothers, allowing imaging to occur in locations we never considered. The devices are surprisingly affordable, allowing departments and even individual physicians to purchase them without capital outlay from the organization. Specialty image capture and interpretation is becoming standard in most residency and fellowship programs where imaging is largely expected. Those physicians are comfortable with the rapidly evolving technology and are highly skilled at the interpretation of images related to their field. This allows them to make more immediate decisions for care, in the moment, without the lag time of interpretation by another clinician.

When you consider the portability, quality, affordability and increased expertise now available throughout an organization, it’s no wonder the volume of point-of care imaging is exploding. Unfortunately, point of care images sometimes aren't easily accessible outside the acquiring department or clinician and don't always leverage synergies that are available using existing enterprise workflows and systems. During the presentation we will use real world examples from UNC Health Care to provide a roadmap on getting a better grip on point of care imaging.

Key Objectives:

  • Attendees will be identify at least four deficiencies of common Point of Care imaging workflows that must be addressed.

  • Participants will be able to identify at least three critical clinical components for effective Point of Care imaging.

  • Attendees will be able to name the five technical attributes for successful Point of Care imaging

2 presenters

 


 

Disaster Recovery - Perform an Effective Business Impact Assessment

Name:
Tammy Brown
Email:
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Presentation Topic: IT InfrastructureDetails:

Have you presented this topic before? No.Presentation Abstract:

Operational involvement in disaster recovery design helps to gain an understanding on issues, concerns, and risks with any business interruption in order to create accurate application tiering (priorities). In 2018 alone, North Carolina experienced impacts from two hurricanes which significantly interrupted system access for several organizations around the state. Patient safety is of highest concern, but it is also important to maintain access to key non-clinical systems as well.

Operational leaders must understand the impacts of a system outage before it occurs and to provide input to prioritize efforts that to effectively to improve the disaster recovery framework to ensure appropriate response in the event of system interruption.

We will demonstrate how to use the data collected data to recommend tiering, negotiate with Operational leaders on tiering recommendations, and obtain budget approval for improvements needed. The presentation will include include a review of the tools UNC used for surveying, data summary, and project tracking.

Key Objectives:

  • Attendees will be able to identify the important impacts to measure to determine the correct disaster recovery tier/priority for an application or system.

  • Attendees will learn skills to efficiently survey and interview operational leaders to obtain the needed inputs to help with prioritization/tiering.

  • Attendees will be able to identifyhear about methods to make tiering recommends and how to reduce identify Tier 1 (most critical) systems the number of tier 1 applications basedusing on the data collected.

2 presenters

 


 

18. Social Determinants – Can the data drive results?

Name:
Jonathan Wiik
Email:
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Presentation Topic: Consumer and Patient EngagementDetails:

Have you presented this topic before? Yes.

HFMA Western Region Symposium

Presentation Abstract:

80% of healthcare outcomes fall to Social Determinants of Health and the remaining 20% are a limited to clinical interventions in traditional delivery. Given this paradigm, population health management at the provider, payer, and employer level have focused on predictive analytics to drive cost and outcomes. In this session, data elements and their impact will be explored in depth. Alternative deliveries of food pharmacies, alternative transport, and telemedicine will be outlined and evaluated. The cookie cutter healthcare approach will be disrupted by alternative delivery – SDOH will be the backbone in this new delivery paradigm.

Key Objectives:

  • 1. Understand SDOH use cases and application in the healthcare market

  • 2. Evaluate data correlates in the area of income, education, food, transport, and others and their relationship to medical adherence and outcomes

  • 3. Differentiate perspectives from Provider, Payer, and Employer as the patient consumers of healthcare are stratified by risk

1 presenters

 


 

The Power of Design Thinking to Improve Consumer & Patient Engagement

Name:
AVERY EARWOOD
Email:
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Presentation Topic: Consumer and Patient EngagementDetails:

Have you presented this topic before? No.Presentation Abstract:

Design thinking is a powerful process for problem-solving that begins with understanding customers' unmet needs. Empathy emerges from that insight that, if applied creatively through prototyping and experimentation, will improve the Customers' experience.

Key Objectives:

  • Attendees will gain an understanding of the importance of Design Thinking, and how it can be
    applied in a healthcare setting to improve the experience for customers and caregivers.

  • Attendees will learn the principles of Design Thinking and the importance of empathy and experimentation in the innovation process.

  • Attendees will learn techniques that use empathy to recognize customers' / patients' / employees' unmet needs and invent creative ways to satisfy those unmet needs.

1 presenters

 


 

Is Artificial Intelligence ready for the limelight? - A look at overcoming barriers to AI implementation for improving health outcomes

Name:
Whitley Yi
Email:
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Presentation Topic: Artificial Intelligence in HealthcareDetails:

Have you presented this topic before? No.Presentation Abstract:

The promise of artificial intelligence (AI) includes achievement of sustainable analytic solutions beyond what is currently available, providing automation and scalability. However, in regards to leveraging AI for improving clinical outcomes, it is not yet clear the extent to which deployment of machine learning algorithms is a feasible option in the ambulatory care setting to identify patients for intervention. Many barriers exist, such as quality and accessibility of data for training, availability of AI expertise for algorithm design and validation, as well as mixed evidence for whether AI is able to produce predictions to the same or higher degree of accuracy as traditional statistical modeling.
This presentation will explore these barriers around AI implementation, utilizing specific examples from a use case for heart failure patients at a cardiology specialist clinic. To reduce readmissions, the clinic utilizes an institution-specific 30-day readmission risk algorithm to stratify patients for interdisciplinary transitions-of-care interventions. However, risk algorithms, such as this one, are non-specific for patients at high risk for readmission, unable to account for the unique health needs putting them at risk. The goal of AI implementation is to identify high risk patients with specific modifiable risk factors. The ability to identify and match patients’ needs with provider-specific interventions could result in optimized resource allocation, more efficient care, and improved clinical outcomes.

Key Objectives:

  • Attendees will be able to identify three key barriers to AI implementation in ambulatory care.

  • Attendees will be able to describe the opportunities and limitations of current AI methodologies for patient risk stratification.

  • Given a specific barrier, attendees will be able describe possible AI implementation strategies.

2 presenters

 


 

Virtual Diabetic Education to Engaged Patients with Uncontrolled Diabetes – A Randomized Controlled Trial

Name:
Stacy Lutz
Email:
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Presentation Topic: Automation to Improve Clinical and Business OutcomesDetails:

Have you presented this topic before? No.Presentation Abstract:

The American Diabetes Association (ADA) recommends providing patients with self-management education. Despite insurance coverage, less than half of diabetics receive formal education. Providers infrequently refer patients, there are few programs available, copayments can be prohibitive, and time and transportation barriers can limit participation. In 2017-2018, Privia Health built and tested a proprietary, automated, multimedia patient educational tool called the Diabetes Engagement and Activation Platform (DEAP). DEAP is tightly integrated into the Privia primary care electronic health record and the patient portal. The program, which is provided at no cost to providers or patients, consists of nine modules covering the standard diabetic education curriculum. Each module includes self-guided educational handouts, educational videos, and questions assessing knowledge, confidence, and desire for help. Providers receive a patient summary and care team members are alerted to patients with low confidence or requesting help.

Working with a team from VCU, we performed a randomized controlled trial to compare DEAP to usual diabetic primary care in 21 Privia Medical group practices across 5 states. The study results show that virtual patient education has a positive effect on patient outcomes. The study shows that DEAP has more than double Privia’s usual 20% read rate on portal messages. It also shows that uncontrolled diabetics need help with nutrition and mental health, not medications and checking sugars. Use of DEAP was associated with improved A1c and BMI also improved in the intention to treat analysis.

Since the completion of the study, DEAP has been rolled out in all 1500 Privia Medical Group practice locations. This presentation will cover both the program and the study results, as well as the lessons learned from inception to pilot to national rollout.

Key Objectives:

  • On completion of this session, participants should be able to describe the use and effect of self-directed virtual diabetic education on patients with poor diabetes control.

  • On completion of this session, participants should be able to translate the concepts of self-directed virtual diabetic education and action planning to their patient populations.

  • On completion of this session, participants should be able to describe the challenges of creating and rolling out an automated self-directed virtual diabetic patient education program on a large scale.

1 presenters

 


 

Building and Implementing a Scalable Decision Support Technology to Deliver Regional-Based Oncology Care & Clinical Trials

Name:
Lindsay Deneault
Email:
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Presentation Topic: Clinical Decision SupportDetails:

Have you presented this topic before? Yes.

- Association of Community Cancer Centers in October 2017 - https://youtu.be/nXqB3z83WlI
- Published in Journal of Clinical Pathways in May 2018 - https://www.journalofclinicalpathways.com/article/novel-clinical-pathways-approach-delivering-regional-based-clinical-trials-and-patient-care?page=1

Presentation Abstract:

Patient care is changing as providers and health systems increasingly place value on standardized yet individualized care, and clinical pathways are becoming useful and necessary to deliver this type of care to patients consistently and efficiently across regional health networks. This is especially true in oncology as new approvals of therapeutics cause constantly evolving standards of care and precision medicine diagnostics enable doctors to recommend patient-specific treatment regimens. The number of active oncology therapeutics in clinical development quadrupled between 1998 and 2018 and the global market for next generation sequencing is expected to grow by 21% annually from 2017 to 2022, causing a data avalanche for community-based physicians. In 2015, the Levine Cancer Institute (LCI) at Atrium Health developed and implemented Electronically Accessible Pathways (EAPathways) to empower clinicians to make evidence-based treatment decisions and deliver consistent, high-quality, individualized oncology care and access to over 400 clinical trials across 25 different care locations in its regional network. In 2016, Atrium Health (formerly Carolinas HealthCare System) became one of Cerner’s first health system partners to employ the SMART on FHIR platform to integrate EAPathways into the EMR. Leaders from Levine Cancer Institute and Information & Analytics Services will share lessons learned along the integration journey, engagement results and feedback from practicing providers, and best practices for health systems looking to implement care pathways across a regional network.

Key Objectives:

  • Attendees will be able to identify 3 unique drivers that make clinical decision support, care pathways, and shared decision making essential to and more complex in delivering standardized oncology care.

  • Attendees will be able to identify 3 lessons learned from iteratively building and implementing a scalable technology platform to drive standardization in oncology services across a geographically disperse regional network.

  • Attendees will be able to identify 3 best practices for integrating technology into the clinical workflow and EMR infrastructure using Cerner’s SMART on FHIR to remove administrative barriers, demonstrably increase provider efficiency and enable better communication, ultimately enabling rapid clinical adoption.

2 presenters

 


 

Break Down Silos and Bridge Digital Information Gaps - Enabling Technology Adoption for Informed Clinical Decisions

Name:
Ted Ottenheimer
Email:
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Presentation Topic: Integrated IT Governance/Strategic PlanningDetails:

Have you presented this topic before? No.Presentation Abstract:

Today's top healthcare executives are faced with a complex web of responsibilities and priorities that include technologies, workflows, integrations, standardization, and budgets.

Care providers are faced with gaps between departments, communication devices, processes, alarm fatigue, and overload. These challenges reduce the time spent at the point of care.

Having a methodology in place for these changes can help ensure the success of the solution and lead to greater satisfaction of all involved. These methods include a collaborative planning model with decision makers, stake holders, caregivers, and executive sponsors to paint the strategic goals of the solution.

To find your champions, create a small technology pilot with those who stand to benefit most from the technology. Build momentum by informing them early about the coming technology and the benefits it will provide.

Scope the solution so it is implemented in a phased approach for quicker end user adoption. Once you secure that success, word of mouth will spread the excitement across other departments and create demand for the solution.

Track and measure during the pilot. Create a before and after survey to see how it impacted the department. Pull statistics from the systems. Share what the pilot accomplished for the department, the health system, and most importantly - the patients.

The conclusion of a successful solution launch leads to an infectious desire to use it. End user adoption is the key to a successful technology implementation. Break down the silos that seem to be multiplying!

Key Objectives:

  • Attendees will understand methods that can be used for a collaborative technology deployment and who to involve.

  • Attendees can describe ways in which technology can be built upon with a phased approached for end user adoption.

  • Attendees can describe metrics to use to determine the success of pilots and integrations.

1 presenters

 


 

Experience Based Co-Design: a Method of Quality Improvement

Name:
Sean Whitfield
Email:
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Presentation Topic: Consumer and Patient EngagementDetails:

Have you presented this topic before? Yes.

I have presented on this topic at Company meetings and during the Institute for Healthcare Improvement learning sessions last year.

Presentation Abstract:

CareSouth Carolina is an Ambulatory Care accredited and a certified Patient-Centered Medical Home (PCMH) in the Pee Dee region of South Carolina with thirteen practice locations. Sean Whitfield, IT Liaison, will speak about a quality improvement method called Experience Based Co-design (EBCD) and the project that took place at the Chesterfield, SC location. Experience Based Co-design was created to improved communication between patients and staff in order to understand problems and develop lasting solutions. He will also speak about how Experience Based Co-design and the outcomes of the Chesterfield project align with CareSouth Carolina’s strategic plan specifically related to the safety and empowerment of patients.

Key Objectives:

  • Attendees will come away from the presentation learning what Experience Based Co-Design (EBCD) is, as well as with knowledge of how to begin such a project. EBCD is an approach that enables staff and patients to co-design services and/or care pathways together in partnership. This method involves gathering experiences from patients and staff through in-depth interviewing, observations and group discussions, identifying key ‘touch points’ and assigning positive or negative feelings.

  • The audience will learn the steps of an EBCD project and the value of each phase.
    - Observation and interview: use survey data & video recordings. Important to cast a wide net and reach many different patient demographics and employee types
    - Co-design: three different events, one for staff, one for patients and one with both patients and staff. The main focus is to form a genuine partnership between patients and staff
    - Testing: pursue various ideas differently. Use Plan Do Study Act (PDSA)

  • By hearing about the outcomes of the EBCD project, and how it aligns with an organization's Strategic Plan to Improve Patient Satisfaction and Empower Patients, the attendees will see the value in implementing such a project at their own facility. You will see that the results of the surveys show an improvement in Patient Satisfaction across the majority of the tested solutions. Through these surveys, patients reported that staff members made visible changes to their workflow and care.

1 presenters