Medical Informatics World Conference Track #2

Coordinated Patient Care, Engagement and Empowerment

Delivering Care to Patients and Consumers in all Settings to Improve Outcomes

Growing use of remote monitoring and mobile technology platforms has made it possible to transform the delivery of care by engaging and empowering patients outside the traditional clinical setting. Engaging and empowering patients in their own care reduces costs and improves health outcomes. Cambridge Healthtech Institute and Clinical Informatics News' 3rd Annual “Coordinated Patient Care, Engagement and Empowerment: Delivering Care to Patients and Consumers in all Settings to Improve Outcomes,” taking place taking place May 4-5, 2015 at the Renaissance Waterfront Hotel in Boston, MA, will bring together thought leaders from the payer, provider and pharma communities for cutting-edge discussions on the evolving patient empowerment and engagement movement.

Day 1 | Day 2

MONDAY, MAY 4

7:00 am Registration and Morning Coffee

8:00 Organizer's Welcome and Chairperson's Remarks

Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute (CHI) and Medical Informatics World

Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health Care

8:10 Doing Care Differently: The Journey to a Healthier Nation

Phil Polakoff, M.D., National Health Advisor; US Surgeon General Nominee; former Advisor to US Senate Leadership and California Legislature

How can we deliver healthcare differently and lead all stakeholders to a healthier nation? An in-depth assessment of our current and future healthcare landscape and the impact health reform is having. A keener understanding as to the nature of the emerging innovative health delivery models and how best to navigate and implement them to achieve meaningful success.

8:40 Health IT, Health Reform, and the Path Forward

Steven Stack, M.D., President-Elect, American Medical Association

The current healthcare environment brings seismic changes for physicians, from EHRs to telemedicine to implementation of the Affordable Care Act. The opportunity to improve patient care and safety through these and other changes is great, but so too are the challenges. This session will explore how recent legislative and regulatory requirements are impacting physicians and how technology can be leveraged to overcome existing challenges, increase efficiencies, and ultimately improve patient care.

9:10 The Confluence of Consumer Care and Two-Way Data: Apple HealthKit, Care Management, Patient/Family Engagement, Privacy

John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center

With the launch of the Apple HealthKit we are seeing the consumerization of healthcare becoming a reality. What are the implications of this transformation for care management, patient/family engagement, and for privacy? With the confluence of consumer care and data where are the opportunities to better identify risk in populations and to improve quality? With the growth and availability of two-way data (to-from patients) what is the hope vs the hype of mobile tech?

9:40 PANEL DISCUSSION: The Future of Healthcare Technology: Separating Wishful Thinking from Realistic Expectations

Moderator: Tariq Abu-Jaber, MA, MPH, Vice President, Medical Informatics, Harvard Pilgrim Health Care	John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center	Steven Stack, M.D., President-Elect, American Medical Association
Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care and School of Medicine	Phil Polakoff, M.D., National Health Advisor; US Surgeon General Nominee; former Advisor to US Senate Leadership and California Legislature

We all hear about potentially marvelous advances in healthcare technologies that will enable coordinated, efficient, high-quality care. But many organizations are struggling with incremental improvements to systems that woefully and evidently fail to fulfill well-acknowledged business requirements. Our expert panelists are working at the frontiers of what is possible and what is actual in healthcare IT and will offer their insights and prognostications as to what we can reasonably expect from technological advances in the coming years.

Looking at our interoperability challenges, and the un-integrated reality we are working in now, what are the biggest challenges we are facing in health IT today?
Looking beyond an individual hospital system or a State HIE, what do you believe to be the long-range technology developments that will enable needed transformations in the US healthcare system? What is a realistic timeline for these technologies not only to become generally available, but also generally deployed?
What are you working on now in your world to get us to this possible future state? What are your priority challenges to overcome in the immediate term (in the next year), medium term (3-5 years) and longer term?
Where are we wasting too much time and money, or investing in solutions that we will just have to replace as obsolete as soon as they are deployed? What is your advice for policy and health IT leaders in the field?

10:20 Coffee Break in the Exhibit Hall with Poster Viewing

11:05 Chairperson’s Remarks

Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient Experience

11:10 Using Patient-Reported Outcome Measures to Transform Care

Neil Wagle, M.D., Medical Director, Population Health Management & Quality, Safety, and Value, Partners HealthCare

At Partners HealthCare, we have implemented one of the most forward-looking Patient-Reported Outcome Measures (PROMs) platforms in health care. We use the PROMs platform to engage our patients and help doctors take better individual care of patients, monitoring them using iPads in the clinic and reaching them at home through the patient portal, text messaging, email, and soon a iPhone/Android app. But we also are beginning to use this data as the basis of comparative effectiveness and quality measurement to finally determine which of the things we do in healthcare are actually responsible for the outcomes that matter to patients.

11:35 Co-Presentation: Empowering Patients and Researchers With Patient-Reported Data

Marcia Nizzari, Vice President, Engineering, Product Development, PatientsLikeMe, Inc.

Timothy Vaughan, Ph.D., Director, Data Science, PatientsLikeMe, Inc.

PatientsLikeMe provides a social network and a research platform for capturing, curating, and analyzing patient-reported data. With 275,000+ users and 2,000+ conditions represented, PatientsLikeMe has enabled unique insights into patients’ behaviors and health outcomes. Patient-reported data is a critical new input into many areas of healthcare: clinical, payor, pharmaceutical, and outcomes research will be positively disrupted by this new source of valuable data. This talk will cover how these data are collected and curated to establish the “patient voice.” Analytic case studies will demonstrate how unique insights are revealed.

12:00 pm Transforming Care in the Intensive Care Unit with a Patient-Centered Toolkit: The PROSPECT Study

David Bates, M.D., Chief Clinical Innovation Officer, Brigham and Women's Hospital

Care in the ICU is often fragmented, and it is a risky place for patients. We have developed a patient-centered toolkit which makes available to patients and their care partners all their key clinical information, which can be accessed via an iPad. It also includes a microblog function, so that the patient and family and anyone on the care team can send messages and ask questions. The effort is funded by the Gordon and Betty Moore Foundation.

12:25 Sponsored Presentation (Opportunity Available)

12:50 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch on Your Own

1:30 Session Break

2:05 Chairperson’s Remarks
Michael Docktor, M.D., Clinical Director of Innovation, Innovation Acceleration Program, Boston Children's Hospital

2:10 Delivering Information and Health Care Services on the Patients’ Terms: The Impact of Personal Health Records on Patient Satisfaction, Clinical Outcomes and Operational Efficiencies

Terhilda Garrido, Vice President, HIT Transformation & Analytics in National Quality, Kaiser Permanente

Michael Kanter, M.D., Medical Director of Quality & Clinical Analysis, Kaiser Permanente

Technology-enabled access to personal health data can lead to better health outcomes, higher satisfaction and improved patient-physician relationships. By combining access to personal health record information with relevant health management tools, Kaiser Permanente has created one of the most widely used patient portals in the world. Naturally, by providing easy access to services like viewing lab test results online or emailing a clinician, we have seen an impact on utilization of other services. Kaiser Permanente was ahead of the curve when it came to the adoption of a robust personal health record. For that reason, we have years of valuable insights to share with those on their own journeys, including the impact of the PHR on utilization of health care services.

2:50 Intersection of Technology and Care: Families Taking More Responsibility

Julie Fry, Founder, Making Care Easier

When a patient walks out of a medical office or hospital today, it is often into a black hole with hopes that they follow recommended advice. At home, care typically falls to the patient themselves or their family members acting as caregivers. New technologies and software now enable caregivers and patients to better track what they are doing and to better communicate so as to successfully take on this new burden of care for which they were probably not prepared.

3:00 Sponsored Presentation (Opportunity Available)

3:25 Refreshment Break in the Exhibit Hall with Poster Viewing

4:10 Find Your Table and Meet Your Moderator

4:15 Interactive Breakout Discussion Groups

Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing.
View Discussion Group Details

5:15 Networking Reception in the Exhibit Hall with Poster Viewing

6:15 Close of Day

6:20 - 9:00 pm Dinner Workshops (Separate registration required)

View Workshop Details

Day 1 | Day 2

TUESDAY, MAY 5

8:20 am Morning Coffee

8:50 Chairperson’s Remarks
SarahKrug Sarah Krug, CEO, CANCER101, Executive Director, Society for Participatory Medicine & Founder, Health Collaboratory

9:00 Engaging Patients and Families in Redesigning Care Delivery: Viewing All Care Experiences through Their Eyes

Pamela Greenhouse, MBA, Executive Director, PFCC Innovation Center, University of Pittsburgh Medical Center

The PFCC Methodology and Practice (PFCC M/P) is a replicable and sustainable mechanism for moving care delivery from the current state ever closer to the ideal. Through six easy steps that can be quickly learned and used in any care setting, we engage patients and families as full partners in care redesign. Through Shadowing (direct, real-time observation), we identify the current state of every segment of the healthcare journey. Then we form high performance inter-professional care teams to close the gaps between the current state and the ideal. Real-world examples will be presented.

9:25 Co-Presentation: Reducing Mortality: Leveraging Analytics to Promote a Culture of Partnership & Accountability

Eric Poon, M.D., Chief Health Information Officer, Duke University Health System

Roshan Hussain, Director, Analytics & Public Reporting, Boston Medical Center

With decreasing reimbursements and increasing external pressure to capture value, health care organizations have to assess the quality that they provide in terms of patient outcomes. Risk-adjusted mortality rate is a relatively common outcome measure that healthcare organizations and external drivers (i.e., regulatory agencies and payers) use to assess the quality. Even though this measure is common, it is relatively difficult to move and requires change in the cultural fabric of an organization. In this presentation, the speakers will describe the three year journey that BMC took to move its’ relative performance from the bottom decile of University HealthSystem Consortium (UHC) risk adjusted mortality ratio to the top quartile. They will highlight (1) the use of analysis to create prioritization; (2) iterative approach of analysis to create trust; (3) building consensus on patient attribution; (4) providing in-sighting into major levers to affect change; (5) utility of a mixed push & pull strategy of reporting; and (6) fostering a non-punitive culture.

9:50 Unlocking Patient and Provider Experience: What's Technology got to do With it?

Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient Experience

Healthcare organizations across the country are thinking about how to maximize patient outcomes, engage their clinicians, and leverage technology. Truth of the matter is that new ways of thinking about our practice and appropriate use of technology can have an enormous impact. Key to this, however, is bringing clinicians to the table to use it, build it, and know when old fashioned methods are actually the most effective. We'll talk about our patient experience initiatives, innovations to drive performance of our caregivers and patient outcomes, and key tactics for engaging experienced clinicians.

10:15 Coffee Break in the Exhibit Hall with Poster Viewing

11:00 Current Challenges and Opportunities in Mobile Solutions and Digital Health: Bridging Tech, Clinicians and Patients

Michael Docktor, M.D., Clinical Director, Innovation, Innovation Acceleration Program, Boston Children's Hospital

Will provide an overview of some of the challenges in implementation of mobile solutions in large academic medical environments. Will discuss sourcing ideas from clinicians in addressing challenges within the hospital and building solutions in-house. Provide success stories from app development to operationalization.

11:25 Patient Care as Collaboration: Why Episodic Care Fails and How IT Can Maintain the Connection

Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine

How can we think differently about how we deliver healthcare? How can we connect with patients between visits and manage larger populations at lower costs? We know that patient and physician engagement creates better outcomes, but we have to embrace new models of patient-physician collaboration.

11:50 PANEL DISCUSSION: The Intersection of Wearables, Apps, and Quantified Self with Health Care: Where Do These "PHIT" in the Real World?

Moderator: Daniel Sands, M.D., MPH, Assistant Clinical Professor of Medicine, Harvard Medical School; Co-Founder, Society for Participatory Medicine

Anna McCollister-Slipp, Co-Founder, Galileo Analytics

William Crawford, MBA, Boston Office Head, Fitbit, Inc.

12:15 pm Luncheon Presentation (Sponsorship Opportunity Available) or Lunch on Your Own

1:00 Session Break

1:40 Organizer's and Chairperson's Remarks

Micah Lieberman, Executive Director, Conferences, Cambridge Healthtech Institute (CHI) and Medical Informatics World

Stanley Huff, M.D., Chief Medical Informatics Officer, Intermountain Information Systems

1:50 The Coming Era of High Performance Medicine

Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care and School of Medicine

Can medicine truly become a performance-driven industry? The complexity residing at the intersection between the science of medicine, the delivery of health care services, and natural patient variation has made it difficult to scale organizational performance beyond the effectiveness of individual contributors. Yet other fields such as space exploration, battlefield operations, meteorology, financial services, and automotive racing have demonstrated that comparably complex systems can be characterized and even managed to very high levels of performance. By adopting similar capabilities in the context of population health, accountable care, and personalized medicine, health and life sciences organizations can unlock a new era of clinical, financial, and operational high performance.

2:20 Forecasting the Impact of HIT and e-Health on the Future Demand for Physicians

Jonathan Weiner, Dr.P.H., Professor, Health Policy & Management and Health Informatics; Director, Center for Population Health Information Technology (CPHIT), Johns Hopkins Bloomberg School of Public Health

Few factors will change the face of the American health care workforce as widely and dramatically as will health IT and e-health. This presentation explores how such applications will affect the future demand for physicians, and other clinicians. Professor Weiner will discuss the premise that HIT systems, when fully implemented, will allow care to be delivered by fewer physicians and more nurse practitioners and physician assistants. Furthermore, HIT-supported generalists could provide some care now delivered by specialists. Health IT could also help address rural clinician shortages patients by enabling care to be delivered remotely or asynchronously. Dr. Weiner will discuss the implications of these and other health informatics trends on what some believe to be a looming shortage of physicians.

2:50 Topic to be Announced

ONC Speaker, Office of the National Coordinator for Health Information Technology (ONC)

3:20 CAPSTONE PANEL DISCUSSION: What Can We Really do to Accelerate Value in Healthcare?

Moderator: Eric Glazer, Vice President, Physician Engagement & Social Media, Best Doctors	Jason Burke, Senior Advisor for Innovation and Advanced Analytics, UNC Health Care and School of Medicine	J.D. Whitlock, Vice President, Clinical & Business Intelligence, Mercy Health
Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield of SC	ONC Speaker, Office of the National Coordinator for Health Information Technology (ONC)

Our esteemed panel will summarize the key theme of the conference, how technology and analytics enable providers to better engage and manage patient populations, and ultimately achieve a higher quality at lower cost. Specifically, we will address strategies to transforming care models to shared risk using technologies. Areas of discussion will include:

Should we fire the CMO? Who are the ideal clinical leaders to drive this successful change?
How can provider organizations invest in the future without going broke today?
How does an ACO navigate the conflicting financial incentives?
What is the technology that can support ACOs?
How will we get to system wide Accountable Care in less than 10 years!?

3:55 Closing Remarks

4:00 Close of Conference

Day 1 | Day 2

Parallel Conference Tracks:

Track #1: Provider-Payer-Pharma Cross-Industry Data Collaboration
Track #2: Coordinated Patient Care, Engagement and Empowerment
Track #3: Population Health Management and Quality Improvement
Track #4: Security and Access of Healthcare Data
Track #5: Leveraging mHealth, Telehealth and the Cloud
Track #6: Building Enterprise Architecture and Hospital Information Systems

For questions or suggestions about the meeting, please contact:

Micah Lieberman
Executive Director, Conferences
Cambridge Healthtech Institute (CHI) & Bio-IT World
T: (+1) 541.482.4709
E: mlieberman@healthtech.com

For media and association partnerships, please contact:

Kaushik (KC) Chaudhuri
Director of Product Marketing
Cambridge Healthtech Institute (CHI)
T: (+1) 781.972.5419
E: kchaudhuri@healthtech.com

Jaime Hodges
Marketing Manager
Cambridge Healthtech Institute (CHI)
T: 781.972.5429
E: jhodges@healthtech.com

For partnering and sponsorship information, please contact:

Katelin Fitzgerald (Companies A-K)
Business Development Manager
Cambridge Healthtech Institute (CHI)
T: (+1) 781.972.5458
Mobile: (+1) 857.636.8188
E: kfitzgerald@healthtech.com

Elizabeth Lemelin (Companies L-Z)
Business Development Manager
Cambridge Healthtech Institute (CHI)
T: (+1) 781.972.1342
E: elemelin@healthtech.com