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Health Care Quality Improvement


Title: Quality Improvement In Cardiology: Ending Business as Usual
Date: 3/11/2004
Presenter: Eric Peterson, MD, Division of Cardiology at Duke University
Description: PowerPoint presentation focusing on the following areas: identify current forces shaping quality assessment / quality improvement in medicine; understand lessons learned from recent large-scale QI efforts in cardiology, and identify upcoming challenges in QI and the potential roles for the QIOs in these. Includes an overview of the “next order” challenges for the quality field and the potential role that the QIO may play in addressing these challenges.
Keywords: quality measurement/quality improvement, medicine, QI collaborations, “the business as usual mentality,” cardiology, QIOs

Title: Linking with Professional Societies' Quality Initiatives
Date: 3/11/2004
Presenter: Robert O. Bonow, MD, Northwestern University Feinberg School of Medicine, Bruce Ferguson, MD, Society of Thoracic Surgeons, and Ralph Brindis, MD, American College of Cardiology
Description: PowerPoint presentation describing the quality improvement strategies and plans for the future – how to close gaps in care, real-world implementation of practice guidelines and via results of ongoing registries, and how QIOs might assist national heart care organizations in promoting quality improvement.
Keywords: quality improvement strategies, practice guidelines, national heart care organizations

Title: Can Quality Improvement Be Improved?
Date: 3/12/2004
Presenters: Kevin Kennedy and Donna Thorson, HealthInsight
Description: PowerPoint presentation defining human error and the three primary categories of performance gaps. Includes an overview on developing interventions having the highest probability for success.
Keywords: Quality Improvement, performance in healthcare, performance gaps, interventions

Title: Quality Improvement Plans (QIPs) in Case Review – A Key QIO Method for Achieving Improvements in Health Care
Date: 3/12/2004
Presenters: Mary Giammona, MD, Lumetra, Christine LaRocca, MD, Colorado Foundation for Medical Care, Connie Gilman, BSN, MHA, CPHQ, Michigan Peer Review Organization, and Andrea Goldstein, RN, MS, IPRO
Description: PowerPoint presentation describing the key components of a QIP and identifying the types of cases needing to have quality improvement plans (QIPs) requested.
Keywords: Quality Improvement Plans, Case Review, key components of a QIP

Title: Evaluation of QI Programs: Using “Collaboratives” as a Model for Improvement
Date: 3/12/2004
Presenters: Donna Daniel, Qualis Health, Judith Schaefer, Group Health Collaborative 1, and Cindy Hupke, Health Disparities Collaboratives
Description: PowerPoint presentation discussing the variety of measures that define “success” in an IHI-like Collaborative. Includes an overview of the software system that will support Collaborative evaluation and identifies the challenges that QIOs face as they try to apply measures of success.
Keywords: Quality Improvement Programs, collaboratives, models for improvement, success measures

Title: CMS-QIO Hospital Patient Safety Learning Pilots: Building Patient Safety Partnerships and Practices
Date: 3/12/2004
Presenters: Stephen Jencks, MD, MPH, CMS, Stormy Sweitzer, HealthInsight, Jan Miltenberger, Health Care Excel, Deborah Huber, HealthInsight, and Mary Brueggeman, MetaStar
Description: PowerPoint presentation describing the aim of the CMS-QIO Patient Safety Learning Pilots developmental project and its components. Includes a comparison of the ways in which the project has been implemented in each pilot state. Lessons learned and the key successes of the pilot project are also identified.
Keywords: patient safety, CMS-QIO Hospital Patient Safety Learning Pilots, patient safety partnerships and practices, pilot projects

Title: Evaluating Readiness for Change: The Transtheoretical Model
Date: 3/12/2004
Presenters: Carlo DiClemente, PhD, Department of Psychology at the University of Maryland, Baltimore County
Description: PowerPoint presentation identifying the five stages of change in creating and sustaining health behavior change, as well as the critical tasks and goals for each of the five stages of change.
Keywords: health behavior change, motivational readiness to change, Transtheoretical Model of Intentional Behavior Change

Title: State of the AHRQ (Part II): Improvements in Patient Safety: The Future is Now
Date: 3/12/2004
Presenters: Eileen Hogan, MD, MPH, James B. Battles, PhD, and Chunliu Zhan, MD, PhD, AHRQ
Description: PowerPoint presentation describing the major components of AHRQ’s patient safety portfolio and their applicability to QIOs. Includes overview of the AHRQ’s Patient Safety Indicators (PSIs) and their utility for identifying risks and hazards to patient safety.
Keywords: patient safety, AHRQ’s patient safety portfolio, Patient Safety Indicators (PSIs), safety culture, safety culture assessment tool, Quality Interagency Coordination (QuIC) Task Force

Title: The Collaborative Model: Success at Breaking Ground on the New Frontier of Surgical Infection Prevention (SIP)
Date: 3/12/2004
Presenters: Sam Markello PhD, Joan Bay RN, MBA, CPHQ, Ed Ellerbeck MD, MPH,
Kansas Foundation for Medical Care, Inc.
Description: PowerPoint presentation discussing how to: facilitate the learning and application of a new strategy for quality improvement in hospitals, beginning with SIP; foster sharing of common knowledge between collaborative participants during, and between, face-to-face learning sessions, with the intent of disseminating successful system changes, and reduce surgical infections by 50%.
Keywords: SIP, Collaborative, Hospital Quality Improvement

Title: Plowing New Ground: The “EyeCare Alabama” Initiative
Date: 3/12/2004
Presenters: Wonsuck Kim, DO, Florence Ophthalmology and Joan Wimberly RN, Alabama Quality Assurance Foundation
Description: Alabama ranks #1 in prevalence of diabetes in the nation, according to the CDC. This PowerPoint presentation discusses providing retinal eye screening in Alabama counties that lack access to full time ophthalmologists and improving the dilated eye exam rate for Medicare beneficiaries.
Keywords: access, retinopathy, diabetes

Title: Using Positive Reinforcement to Motivate Quality Improvement in Nursing Homes
Date: 3/12/2004
Presenters: Holly Colwell, RHIT, CCS, Qualis Health
Description: PowerPoint presentation discussing how to apply positive reinforcement to encourage nursing homes to be more proactive by recognizing successful quality improvement efforts.
Keywords: nursing home, quality improvement, motivation

Title: Using a Hands-on Breakout Session to Teach Pressure Ulcer Staging and Treatment
Date: 3/12/2004
Presenters: Jennifer Brezinski, RNC, CLNC, Ohio KePRO
Description: PowerPoint presentation aiming to teach long-term facilities on the proper identification of pressure ulcers and the appropriate treatment for those ulcers… and how to
improve the quality and frequency of the inservicing that deals with pressure ulcers.
Keywords: pressure ulcer, ulcer treatment

Title: Assessing Treat and Ship Performance: Adding Value to a Small Rural Hospital Collaborative
Date: 3/12/2004
Presenters: Barbara Okerson, PhD, Virginia Health Quality Center
Description: PowerPoint presentation sharing one QIO’s experience in the development and evaluation of ‘treat and ship’ measures as part of a small rural hospital multi-topic collaborative.
Keywords: rural, small hospital, Treat and Ship measures, AMI, stroke

Title: The “100,000 Lives Campaign”
Date: 2/23/2005
Presenters: Donald Berwick, MD, Institute for Healthcare Improvement (IHI)
Description:

PowerPoint presentation. Thanks in part to the efforts of our nation’s Quality Improvement Organizations, process improvement methods are maturing in health care, with a consequent unprecedented opportunity to speed effective changes into widespread practice. To bring this opportunity to the forefront, and to give it point and a deadline, the Institute for Healthcare Improvement in December, 2004, invited major stakeholders in American health care to join together in a “ campaign ” to save 100,000 lives, through rapid deployment of six, proven changes in clinical care that can avoid or delay needless deaths. The “100,000 Lives Campaign” will work to enable at least 1600 hospitals to undertake six, specific improvements within the next 18 months: (1) deployment of Rapid Response Teams, (2) increasing reliability of technically correct care for acute myocardial infarctions, (3) prevention of surgical site infections, (4) prevention of ventilator-associated pneumonia, (5) prevention of central venous line sepsis, and (6) adopting medication reconciliation processes are transition points in care.

Dr. Berwick will explain the theory and strategy of the campaign , and recommend ways that QIO’s can help even more to achieve this important goal for health care providers throughout the country.

Keywords: “100,000 Lives Campaign”, QIOs, Rapid Response Teams, myocardial infarctions, surgical site infections, pneumonia, central venous line sepsis, medication reconciliation processes

Title: Keys to Success in HIT: Perspectives from the Field
Date:

2/25/2005

Presenters: James Morrow, MD, North Fulton Family Medicine, J. Marc Overhage, MD, PhD, Indiana Health Information Exchange, Inc., and John Tooker, MD, EVP, American College of Physicians
Description:

PowerPoint presentation. Dr. James Morrow shares his experience and lessons learned from successfully implementing an EHR in his primary care practice. He discusses how QIOs can best assist physicians in the 8 th SOW based on his experience. Dr. Marc Overhage speaks about key elements for success in HIT that QIOs should consider at both the micro and macro levels. Dr. John Tooker of the ACP addresses how partnering with medical societies like ACP can help the QIOs succeed, and how QIOs can work best with ACP state chapters in light of the proposal to include state chapter approval as part of the proof of capability for the 8 th SOW.

 

Keywords: HIT, EHRs, 8th SOW, ACP, QIOs

Title: Progress on the Surgical Care Improvement Project (SCIP) Special Study: The Unique Role of a Surgeon Organization
Date:

2/24/2005

Presenters: Jan Van Vlack , John Lewis, Health Care Excel of Kentucky , and Hiram Polk, Quality Surgical Solutions
Description:

PowerPoint presentation discussing the following:
● One year of progress on SCIP, a special study being piloted in three states to develop an expanded list of surgical quality measures, develop a surgical quality data system, and test them to build the foundation for expanded surgical quality improvement work in the 8th Statement of Work. ● A unique association of surgeons participating with a Medicare QIO to emphasize the pivotal role of surgeons in SCIP. ● Testing a system of datacollectionby surgeons inparallel with a hospital-based data system.

The panel format will include 10 minute presentations by each of three panel members (total 30 minutes) and 25 minutes of open discussion with participants-based Q+A.

Keywords:

surgical quality; process measure; outcome measure; risk adjustment


Title: 8th Statement of Work and ESRD
Date: 2/24/2005
Presenters: David Hunt, MD, CMS, Larry Spergel, MD, NVAII, and Vickie Peters , MSN, MAED, RN, CPHQ, ESRD Network
Description:

PowerPoint Presentation. A brief review of how the Network Coordinating Center helped launch the original ESRD Fistula First project and is now coordinating the national multi-disciplinary and multi-specialty collaboration of the Breakthrough Initiative, regional ESRD Network activities and results of the project so far, and the QIO connection to the Breakthrough Initiative. CMS expectations for QIOs with regard to future hospital measures also described.

Keywords:

ESRD, Fistula First project, Breakthrough Initiative


Title: A Best Practice Model for Promoting Adherence to Ambulatory Drug Therapy through Discharge Management and Hospital Culture Change
Date: 2/24/2005
Presenters:

Manoj Jain, MD, QSource, Donald Lappe, MD, Intermountain Health Care, and Linda Hofmann, RN, LDS Hospital

Description: PowerPoint Presentation. Overview of 1) t he role of an acute care, short stay hospital in improving ambulatory pharmacotherapy in the elderly; 2) the impact of improved adherence to ambulatory patients' drug therapy on long term cardiovascular outcomes (readmissions and mortality), and 3) how a QIO can improve ambulatory patient adherence with pharmacotherapy by promoting hospital culture change.
Keywords:

ambulatory drug therapy, discharge management, hospital culture change, pharmacotherapy

Title: My Long Road to EHR Adoption
Date: 5/25/2005
Presenter: Peter Basch, MD, Medical Director, eHealth, MedStar Health
Description:

Powerpoint presentation highlighting the presenter’s professional decision to adopt electronic health record technology in order to improve the quality of his practice and increase efficiencies. Outlines the lessons learned thus far, such as the business case for HIT adoption, the limitations and challenges experienced to date, and his thoughts on possible solutions.

Keywords: Electronic health records, EHR, HIT , quality improvement, P4P, physician’s office, interconnectivity, productivity, business case

Title: Joe’s Story: A Solo Practice
Date: 5/25/2005
Presenter: Joseph Heyman, MD, Trustee, American Medical Association
Description: Powerpoint presentation describing the road taken by an individual physician in private practice to implement health information technology in a small office setting.
Keywords: Health information technology, HIT, quality improvement, physician’s office, patient care

Title: EHR Adoption: Challenges and Strategies for Moving Forward
Date: 5/25/2005
Presenter: Patricia Lohman, CEO, Outlook Associates
Description: Powerpoint presentation outlining the key steps that purchasers move through in the adoption of EMR technology, from initial preconceptions to systems evaluation, vendor research, purchasing, planning, and implementation. Includes list of websites that have vendor listings.
Keywords: Electronic medical record, EMR , EHR, implementation approaches

Title: Physician Office Workflow and Process Change
Date: 5/25/2005
Presenter: John Weir, Senior Project Ma nager, Informatics, Lumetra
Description: Powerpoint presentation describing the fundamental steps in assessing efficiencies and effectiveness of workflow processes in a physician’s office setting.
Keywords: Physician office, workflow process, flowchart, assessment

Title: Developing a Roadmap to Certified Interoperability of Lab Results and Immunizations
Date: 5/25/2005
Presenter: Alan E. Zuckerman, MD FAAP, Georgetown University Medical Center
Description: Powerpoint presentation outlining the need for interoperability of health information technology systems, in particular those related to e-prescribing, lab results, and immunizations. Reviews the importance of interoperable IT systems for the physician’s office setting in improving patient care, and the role that physicians may play in driving forward the certification of critical systems.
Keywords: Health information technology, IT, EHR, e-prescribing, improving patient care, physician’s office, interoperability, certification, lab results, immunizations

Title: Bridges to Excellence
Date: 5/25/2005
Presenter: Dale Whitney, Corporate Health Care Manager, United Parcel Service
Description: Powerpoint presentation providing a detailed overview of the Bridges to Excellence project, a not-for-profit collaboration between employers, health care providers, and health plans that focuses on providing incentives that improve quality of care within the physician office setting. Includes review of outcomes of pilot marketing and analysis of success factors.
Keywords: Health information technology, HIT, physician’s office, quality improvement, incentives, NCQA Physician Recognition Measures, performance measures

Title: Incentives for HIT: A National Perspective
Date: 5/25/2005
Presenter: Francois de Brantes, Program Leader, Health Care Initiatives, General Electric Co.
Description: Powerpoint presentation overviewing various HIT incentive initiatives that seek to encourage quality improvement through the adoption of improved information technologies. Describes the principles upon which they are based, and the relationship of these principles to the Parallel Pathways program of the eHealth Initiative.
Keywords: Health information technology, HIT, quality improvement, incentive measures, P4P

Title: Accelerating HIT Adoption: A View of the NHIN
Date: 5/25/2005
Presenter: Francois de Brantes, Program Leader, Health Care Initiatives, General Electric Co.
Description: Powerpoint presentation briefly describing the initial stages of project development under the National Group for the Advancement of HIT, and the proposed common framework capturing technical standards, policy standards, and performance measurement.
Keywords: Health information technology, HIT, quality improvement, performance measures, standards, common framework

Title:

Status of the Florida Health Information Network (PPT)

Interim Report to Governor Jeb Bush (Word)

Date: 5/25/2005
Presenter: Michael Heekin, Chair, Governor’s Health Information Infrastructure Advisory Board, State of Florida
Description: Powerpoint presentation and Word document describing the implementation of a statewide health information network for Florida. Includes the current status of the network, key lessons learned to date, and recommendations for next steps in its evolution.
Keywords: Health information network, health information exchange, electronic health records, EHR, HIT, health policy issues, resource sharing, stakeholder education

Title: Colorado Health Information Exchange
Date: 5/25/2005
Presenter: David W. Kaplan, MD, MPH, Professor Pediatrics, University of Colorado School of Medicine, Chief Medical Information Officer, Children’s Hospital
Description: Powerpoint presentation describing the implementation of a statewide health information network for Colorado. Outlines the many technical and policy challenges involved in developing a far-reaching electronic tool and the efforts to build a multistakeholder approach to creating effective solutions.
Keywords: Health information network, health information exchange, electronic health records, EHR, HIT, HIE, health policy issues, multistakeholder collaboration

Title: A Brief History of the Indiana Health Information Exchange
Date: 5/25/2005
Presenter: J. Marc Overhage, MD, PhD, Regenstrief Institute, Indiana University School of Medicine
Description: Powerpoint presentation describing the development of Indiana’s statewide health information exchange system, its partners, goals, and outcomes. Describes three recent challenges and their solutions, with particular attention paid to the aspect of “data re-use.” Provides snapshots of web-based user interface tools.
Keywords: Electronic health information, electronic medical record, EMR, HIT, HIE, data re-use, electronic laboratory reporting, syndromic surveillance

Title: Santa Barbara County Care Data Exchange
Date: 5/25/2005
Presenter: Mike Skinner, Board of Directors, Santa Barbara County Care Data Exchange
Description: Powerpoint presentation describing the implementation of a peer-to-peer data network for health data exchange. Outlines the challenges inherent in planning, funding, network architecture, consumer education, and evaluation for the system. Provides planning tips to those interested in developing a similar mechanism.
Keywords: Health information exchange, health data, electronic medical record, EMR, stakeholder engagement, consumer education



Title: HealthBridge
Date: 5/25/2005
Presenter: Robert Steffel, Executive Director, HealthBridge
Description: Powerpoint presentation outlining the development of a community-wide collaborative health information network for the Cincinnati, OH area. Includes project-specific details regarding key partners, financial structure, pricing and overall collaborative strategies, and accomplishments to date.
Keywords: Health information network, CHIN, collaborative network, multistakeholder participation, ROI, pricing strategy

Title:

Massachusetts eHealth Collaborative (MAeHC)

Date: 5/25/2005
Presenter: Micky Tripathi, CEO, Massachusetts eHealth Collaborative
Description: Powerpoint presentation focusing on the piloting phase of a statewide collaborative health information network. Includes significant detail on both organizational and project structure, objectives, timeline, vision, and values, and the strategy to carry lessons learned to communities once the pilot phase is completed.
Keywords: Health information network, ehealth, EHR, collaborative models, sustainability, replicability, pilot project structure

Title: Bopping Around the Spectrum of Long Term Care
Date: 5/25/2005
Presenter: John F. Derr, R.Ph, Executive Vice President, American Health Care Association/National Center for Assisted Living
Description: Powerpoint presentation providing a broad overview of the status of long term care and some of the aspects for which health information technology is now being considered as a mechanism for the improvement of patient care.
Keywords: Health information technology, HIT, electronic health record, EHR, CMS, long term care, LTC, elderly, nursing homes, assisted living, resident care, RHIO, e-prescribing, consultant pharmacist

Title: PA Moving Forward, Goal: Seamless Collaboration and Integration in Healthcare
Date: 5/25/2005
Presenter: Dan S. Drawbaugh, CIO, University of Pittsburgh Medical Center
Description: Powerpoint presentation providing a broad overview of the history, planning timeline, and mission of the Pennsylvania eHealth Initiative, a regional health information organization (RHIO).
Keywords: Health information technology, regional health information organization, HIT, RHIO, electronic medical record (EMR), population health

Title:

Lee County Connectivity/Enhanced Care Access Program, Pilot Program 2005

Date: 5/25/2005
Presenter: Michael Smith, CIO, Lee Memorial Health System
Description: Word document outlining the proposed Lee County ( Florida ) connectivity/coordinated care management program. Describes the partners and partnership values behind the program, its mission and goals, and a 2-phase pilot implementation for an integrated electronic medical records system.
Keywords: Health information technology, electronic medical records, EMR, care management

Title: Vermont Information Technology Leaders
Date: 5/25/2005
Presenter: Gregory Farnum, CIO, Vermont Association of Hospitals and Health Systems, Project Director, Vermont Information Technology Leaders
Description: Powerpoint presentation describing work to date in developing a RHIO-based model for integrating health care using health information technology and electronic medical records. Presents the project outline as well as key questions and requirements of the system that will be developed, and an analysis of the costs, benefits, and projected return on investment (ROI).
Keywords: RHIO, health information technology, strategy development, electronic medical records, EHR, cost benefit, ROI

Title: Regional Clinical Data Exchange: The Massachusetts Experience
Date: 5/25/2005
Presenter: John Glaser, Vice President and CIO, Partners HealthCare
Description: Powerpoint presentation outlining the key issues in developing a state-wide clinical data system for Massachusetts (MA-SHARE) as part of the much larger Massachusetts Health Data Consortium.
Keywords: Health data exchange, clinical data exchange, regional collaboration
Title: Committee on Operating Rules for Information Exchange
Date: 5/25/2005
Presenter: L. Carl Volpe, PhD, Vice President, Strategic Initiatives, WellPoint Inc.
Description: Powerpoint presentation describing the work of the Committee on Operating Rules for Information Exchange, a program of the Council for Affordable Quality Healthcare (CAQH) designed to give providers greater and more effective access to information on patient health plan eligibility and benefits.
Keywords: Health information technology, data standards, operating rules, HIPAA 270/271, health benefit plan coverage, eligibility

Title: Building a National Health Information Infrastructure
Date: 5/25/2005
Presenter: Allan Korn, MD FACP, Senior Vice President and Chief Medical Officer, Blue Cross Blue Shield Association
Description: Powerpoint presentation providing a broad overview of how BCBSA is working to develop IT initiatives nationally and how health plans and regional health information organizations (RHIOs) can provide greater understanding and use of health information technology (HIT). Includes discussion of financial incentives in promoting the adoption of HIT.
Keywords: Health information technology, health plans, RHIOs, stakeholder incentives, P4P

Title: Transforming Health Care: Using Health Information Technology to Improve Health Delivery at the Point of Care
Date: 5/25/2005
Presenters: Bruce Taffel, MD, Senior Medical Director, Blue Cross Blue Shield of Tennessee, Chief Medical Officer, SharedHealth
Description: Powerpoint presentation that seeks to make the case for thinking beyond the development of individual electronic health records (EHRs) to a regional and national health information exchange infrastructure that creates the basis for improving clinical practice and patient care.
Keywords: Health information technology, health information exchange, electronic health record, community health record, regional health information organization, national health information infrastructure, EHR, HIE, EMPI, HIPAA



Title: Public Health participation in health information exchanges: Accelerating adoption and widespread use of HIT
Date: 5/25/2005
Presenter: David A. Ross, Sc.D., Director, Public Health Informatics Institute
Description: Powerpoint presentation describing how public health institutions can add value to health information exchange (HIE) initiatives and how HIE can help to achieve public health goals and objectives.
Keywords: Health information exchange (HIE), quality improvement, public health, data standards, business processes

Title: A Need for Population Health Data in Clinical Practice
Date: 5/25/2005
Presenter: Jane L. Garb, Health Geographics Program, Baystate Medical Center
Description: Powerpoint presentation providing a brief overview of how a health geographics program can bring together census population data with healthcare quality analytics to assess risk factors in direct care, benchmark healthcare outcomes, provide the foundation for effective research and prevention initiatives, more effectively allocate resources, and plan strategically for the long term.
Keywords: Population health data, high-risk populations, risk assessment, outcomes benchmarking, resource allocation, facilities planning, disaster preparedness

Title: Vital Statistics as an Assessment Tool for Population Health Outcomes
Date: 5/25/2005
Presenters:

Marjorie S. Greenberg, Chief, Classifications and Public Health Data Standards Staff, National Center for Health Statistics, CDC

Description: Powerpoint presentation describing recent efforts to “re-engineer” national standards and tools for certain vital statistics, including birth and death registration systems. Includes local and state-level examples as well as websites providing further information.
Keywords: Population health data, vital statistics, certificates, registrations, data quality, data access, messaging system, public health information network (PHIN)

Title: Accelerating the Development of Health Information Exchanges and Health Information Technology Use: A Call for Stakeholder Action
Date: 5/25/2005
Presenters: Lawrence P. Hanrahan, PhD, Chief Epidemiologist, Bureau of Health Information and Policy, Wisconsin Division of Public Health
Description: Powerpoint presentation describing the case for increased inclusion of public health expertise and analysis in the adoption, design, and use of health information technology by all stakeholder groups.
Keywords: Public health, population health, health information technology, HIT, business case, business intelligence

Title: Role of Population/Public Health in Regional Health Information Exchanges: Critical Infrastructure to Advance Population Health
Date: 5/25/2005
Presenters: Marty LaVenture, PhD MPH, Director, Public Health Informatics, Commissioners Office, Minnesota Department of Health
Description: Powerpoint presentation describing the mutuality of benefits that each sector will experience in increasing collaboration between public health practitioners and both regional and national health information networks.
Keywords: Population health, public health, health information exchange, regional health information network, RHIO, NHIN, health data systems, information management, data acquisition, client information, epidemiology, point of service tools

Title: Public Health’s Role in Health Information Exchange
Date: 5/25/2005
Presenters: Farzad Mostashari, MD MSc, NYC Department of Health and Mental Hygiene
Description: Powerpoint presentation outlining the case for greater collaboration between public health practitioners and those interested in health information technology and exchange. Provides a business case for attracting greater involvement from the public health sector in health information initiatives.
Keywords: Public health, health information exchange, clinical information systems, public health surveillance, resource management, epidemiology

Title: Where and How Does Public Health Fit into Regional Health Information Exchanges
Date: 5/25/2005
Presenters: Anna O. Orlova, PhD, Executive Director, Public Health Data Standards Consortium
Description: Powerpoint presentation describing the objectives, key aspects of, and challenges for an interoperable model of electronic health records and health information exchange between clinical settings and public health agencies, designed by the Public Health Data Standards Consortium.
Keywords: Public health, health information exchange, electronic health records, EHR, interoperability, standards-based infrastructure

Title: Population/Public Health and EHRs: The State Perspective
Date: 5/25/2005
Presenters: Mary Shaffran, Principal Director, Public Health Systems, Association of State and Territorial Health Officials
Description: Powerpoint presentation describing the need for and challenges arising from efforts to integrate public health data in state and local health information network development. Outlines programs contributing data to integrated child health information systems in Missouri , Oregon , Rhode Island , and Utah .
Keywords: Public health data, health informatics, health information network, EHRs, PHRs, PHIN, HIT

Title: Report on the Population Health Surveillance Committee
Federal Information Architecture
Date: 5/25/2005
Presenters: Steven J. Steindel, PhD, Senior Advisor, Data Standards and Vocabulary, Centers for Disease Control and Prevention
Description: Powerpoint presentation describing the current state of thinking on the development of the Federal Health Architecture (FHA), the organizational structure working to develop it, and recommendations to date on terminology needs. Focuses specifically on the needs to integrate population health data in six key areas.
Keywords: Population health data, public health reporting, health informatics, health architecture, FHA, CHI, population health surveillance, interoperability, EHR

Title: Public Health Participation in Health Information Exchanges: Barriers and Challenges to the Widespread Adoption and Use of Health Information Technologies
Date: 5/25/2005
Presenters: Walter G. Suarez, MD MPH, President, Public Health Data Standards Consortium
Description: Powerpoint presentation describing the challenges faced in increasing the participation of public health practitioners and agencies in health information technologies, including consideration of regulatory, organizational, financial, and cultural barriers.
Keywords: Public health, health information technologies, HIT , cost-benefit, public health infrastructure, health information exchanges, HIE, connectivity, standards, interoperability



Title: Purchasers and HIT Adoption: Physician Practice Connections
Date: 5/25/2005
Presenters: Linda K. Shelton, Assistant Vice President, Product Development, NCQA
Description: Powerpoint presentation describing NCQA’s Physician Practice Connections program, which provides incentives to practices that use systematic processes and information technology to improve patient care.
Keywords: Health information technology, HIT, physician’s office, incentives

Title: Aligning Incentives with Quality and Health Information Technology: Parallel Pathways for Quality Healthcare
Date: 5/25/2005
Presenters: John Glaser, PhD, Vice President and CIO, Partners Healthcare; Francois de Brantes, Program Leader, Health Care Initiatives, General Electric Co.
Description: Powerpoint presentation introducing the eHealth Initiative’s Parallel Pathways for Quality Healthcare framework, as part of a multi-stakeholder panel session during the 2 nd Annual Connecting Communities for Better Health Annual Learning Forum in 2005. Describes how the framework seeks to align incentives to adopt HIT with quality capabilities, physician HIT capabilities, and health information exchange capabilities.
Keywords: Health information technology, health information exchange, HIT, HIE, quality, incentives, physician practice

Title:

The Right Care for the Right People at the Right Time:
The 21st Century Health Information Act

Rx: Health Care FYI #1: Federal Spending

Rx: Health Care FYI #2: Electronic Medical Records

Rx: Health Care FYI #3: Electronic Prescribing

Rx: Health Care FYI #12: Information Technology Can Transform Healthcare

Date: 5/25/2005
Presenters: Patrick J. Kennedy, Member of Congress and Timothy Murphy, Member of Congress
Description: Powerpoint presentation and informational briefs describing the urgent need for transformative change of the national healthcare system within the United States, and how the 21 st Century Health Information Act (H.R. 2234) proposes to meet the challenges by promoting the development of IT capacity at the provider level and supporting the creation of interoperable and secure health information networks.
Keywords: Health information networks, information technology, provider capacity, interoperability, change systems, electronic medical records, electronic prescribing

Title: Early Results: Connecting Communities for Better Health Learning Forum Second Annual Survey
Date: 5/26/2005
Presenters: Janet Marchibroda, CEO, eHealth Initiative and Foundation
Description: Powerpoint presentation summarizing preliminary results of a survey of state-, regional-, and community-based health information exchange initiatives. Includes information on key drivers, challenges, technical models, and capital requirements.

Title: DOQ-IT in Arkansas
Date: 5/26/2005
Presenter: Nancy Archer, RN, HCQIP Director, Arkansas Foundation for Medical Care
Description: Powerpoint presentation providing a broad overview of Arkansas ’ efforts to implement greater use of health information technology in the physician office setting. Includes a review of the operational phases each office/clinic moves through, detail on the readiness assessment phase, and a summary of the results to date at the state level.
Keywords: Health information technology, physician office, DOQ-IT, EHR, readiness assessment

Title: Implementation Pearls
Date: 5/26/2005
Presenter: James R. Morrow, MD, North Fulton Family Medicine
Description: Powerpoint presentation providing a user’s perspective on implementing a health information technology system in a physician’s office setting, including its rewards and challenges.
Keywords: Health information technology, physician office, EMR, quality of care, outcomes, change management, methodologies

Title: What Public Health Brings to Health Information Technology
Date: 5/26/2005
Presenters: Perry F. Smith, MD, State Epidemiologist, New York State
Description: Powerpoint presentation describing the mutual benefits that medical practitioners and the public health sector may experience with increased and more effective use of health information technology. Includes examples of immunization information systems, electronic communicable disease reporting, laboratory reports and tracking.
Keywords: Public health, public health data, computerized information systems, eHealth commerce, health alerts, IT

Title: Getting Clinical Value Out Of Interoperability: New Strategies
Date: 5/26/2005
Presenters: Jonathan Teich, MD PhD, Senior VP and CMO, Healthvision
Description: Powerpoint presentation describing the potential for innovation in creating technological strategies that provide for greater interoperability between different data systems and interfaces.
Keywords: EHealth, interoperability, data exchange, EMR

Title: Frameworks and Models for Integration
Date: 5/26/2005
Presenters: Noam H. Arzt, PhD, President, HLN Consulting
Description: Powerpoint presentation using childhood health information as a case in point to describe the twin challenges of data integration and application integration in efforts to develop more effective health information exchange systems.
Keywords: Health information exchange, EMR, information systems, integration models

Title: Patient Identification Technology and Data Exchange
Date: 5/26/2005
Presenters: Lorraine Fernandes, RHIA, Senior Vice President of Healthcare Practice, Initiate
Description: Powerpoint presentation discussing the complexities of designing an appropriate patient identification technology to enable effective health information exchange across multiple platforms and varying user needs. Includes commentary on the current debate in Canada .
Keywords: Health information exchange, regional health information organization, RHIO, patient identification, MRNs, HER

Title: Facilitating ePrescribing Interoperability: Payers, Physicians, Pharmacies, and Patients
Date: 5/26/2005
Presenters: J. P. Little, Chief Information Officer, RxHub
Description: Powerpoint presentation describing a vendor’s perspective on meeting the challenge of technical interoperability between diverse stakeholders, with a focus on e-prescribing.
Keywords: E-prescribing, industry alliances, interoperability, efficiency, point-of-care, service delivery, standards

Title: Developing an Incremental Pathway Towards Interoperability and Health Information Exchange
Date: 5/26/2005
Presenters: Anna O. Orlova, PhD, Executive Director, Public Health Data Standards Consortium, Johns Hopkins Bloomberg School of Public Health
Description: Powerpoint presentation describing the special considerations of semantic interoperability for the public health sector and the lessons that it may provide in developing more effective health information exchange. Presents an overview of four state-level health information systems ( Missouri , Utah , New York , and Rhode Island ), as well as a summary of the Public Health Data Standards Consortium’s EHR-PH system prototype for interoperability of clinical and public health systems.
Keywords: Health information exchange, HIE, semantic interoperability, public health, data exchange, EHR

Title: Connecting Communities “Technical Aspects”
Date: 5/26/2005
Presenters: Wes Rishel, Director, Gartner Inc.
Description: Powerpoint presentation providing an overview of the questions to be answered in developing effective health information exchange systems. Discusses the critical technological components of interoperability and proposes a broader ecological framework in which those components need to be considered.
Keywords: Health information exchange, semantic interoperability, interoperability profile

Title: Accurately Linking Patient Data
Date: 5/26/2005
Presenters: Bill Braithwaite, MD PhD, Chief Medical Officer and Vice President, eHealth Initiative
Description: Powerpoint presentation discussing the twin challenges of accessing benefits vs. patient privacy in the development of health information exchange systems. Provides an overview of the limitations of most existing systems and recent progress in the development of Master Patient Indexes.
Keywords: Health information exchange, patient data, patient records, master patient index, MPI, health identifier

Title: Semantic Interoperability
Date: 5/26/2005
Presenters: J. Marc Overhage, MD PhD, CEO, Indiana Health Information Exchange
Description: PDF file of a powerpoint presentation outlining the components of HL7 messaging standards, LOINC code standards, and current user and developer challenges in the construction of health data exchange systems.
Keywords: Semantic interoperability, messaging standards, code standards, HIE, HL7, LOINC

Title: New Mexico RHIO
Date: 5/26/2005
Presenters: Jeff Blair, Vice President, Medical Records Institute
Description: Powerpoint presentation describing a multi-stakeholder effort to develop a regional health information organization (RHIO) for the state of New Mexico that aims to enhance the ability of the healthcare delivery system to capture and share health information, improve efficiency, protect patient privacy, and support clinical research and public health.
Keywords: Regional health information organization, RHIO, claims data, electronic health record, EHRs, stakeholder collaboration

Title: California Regional Health Information Organization
Date: 5/26/2005
Presenters: Ann Donovan, Project Director, CalRHIO
Description: Powerpoint presentation describing CalRHIO’s goals, organizational structure, project components, and early lessons learned.
Keywords: Health information exchange, regional health information organization, HIE, RHIO, data exchange, IT investment, stakeholder collaboration

Title: Multi-Stakeholder Collaboration
Date: 5/26/2005
Presenters: David Ross, Public Health Informatics Institute
Description: Powerpoint presentation briefly outlining the key questions and challenges in multi-stakeholder collaborations, as well as the benefits they bring to the question of health care quality improvement.
Keywords: Stakeholder collaboration, public health, community of practice, information systems

Title: Connecting Healthcare Stakeholders Through HIT and Health Information Exchange: The Inland Northwest Health Services Story
Date: 5/26/2005
Presenters: Thomas Fritz, CEO, Inland Northwest Health Services
Description:

Powerpoint presentation describing an organization that has successfully established a business model using shared services and integrated information systems to improve the delivery of health care across a large geographic region – eastern Washington, northern Idaho, northeastern Oregon and western Montana

Keywords: Integrated clinical systems, electronic medical record, EMR, information access, Master Patient Index, standard data sets, patient safety, outcomes improvement

Title: Working to Improve Health in the Central Appalachian Region through the Collaborative Use of Health Information
Date: 5/26/2005
Presenters: Liesa Jenkins, Executive Director, Kingsport Tomorrow
Description: Powerpoint presentation describing the development of CareSpark, a regional health information organization (RHIO) spanning southwestern Virginia and northeastern Tennessee .
Keywords: Health information, health information exchange, services improvements, savings model projections, cost-benefits

Title: The Pennsylvania eHealth Initiative
Date: 5/26/2005
Presenters: Daniel P. Jones, Chief Operating Officer, Quality Insights of Pennsylvania
Description: Powerpoint presentation outlining the early stages of development of a collaborative health information initiative for the state of Pennsylvania , and lessons learned to date.
Keywords: eHealth, stakeholders, payer involvement, governance

Title: Multi-Stakeholder Collaboration
Date: 5/26/2005
Presenters: Mary Shaffran, Principal Director, Public Health Systems, Association of State and Territorial Health Officials
Description: Powerpoint presentation outlining the structure, benefits of, and challenges facing ASTHO’s Public Health Informatics Policy Committee, a multi-stakeholder body that provides leadership and guidance to ASTHO members to strengthen their ability to utilize health information technology to achieve public health objectives.
Keywords: Health information technology, public health informatics, collaboration, health information network, electronic health records, health alert network
Keywords: Health information exchange, HIT, HIE, data exchange, functionalities, funding needs, drivers


Title: Quality Improvement In Cardiology: Ending Business as Usual
Date: 3/11/2004
Presenter: Eric Peterson, MD, Division of Cardiology at Duke University
Description: PowerPoint presentation focusing on the following areas: identify current forces shaping quality assessment / quality improvement in medicine; understand lessons learned from recent large-scale QI efforts in cardiology, and identify upcoming challenges in QI and the potential roles for the QIOs in these. Includes an overview of the “next order” challenges for the quality field and the potential role that the QIO may play in addressing these challenges.
Keywords: quality measurement/quality improvement, medicine, QI collaborations, “the business as usual mentality,” cardiology, QIOs

Title: Linking with Professional Societies' Quality Initiatives
Date: 3/11/2004
Presenter: Robert O. Bonow, MD, Northwestern University Feinberg School of Medicine, Bruce Ferguson, MD, Society of Thoracic Surgeons, and Ralph Brindis, MD, American College of Cardiology
Description: PowerPoint presentation describing the quality improvement strategies and plans for the future – how to close gaps in care, real-world implementation of practice guidelines and via results of ongoing registries, and how QIOs might assist national heart care organizations in promoting quality improvement.
Keywords: quality improvement strategies, practice guidelines, national heart care organizations

Title: Can Quality Improvement Be Improved?
Date: 3/12/2004
Presenters: Kevin Kennedy and Donna Thorson, HealthInsight
Description: PowerPoint presentation defining human error and the three primary categories of performance gaps. Includes an overview on developing interventions having the highest probability for success.
Keywords: Quality Improvement, performance in healthcare, performance gaps, interventions

Title: Quality Improvement Plans (QIPs) in Case Review – A Key QIO Method for Achieving Improvements in Health Care
Date: 3/12/2004
Presenters: Mary Giammona, MD, Lumetra, Christine LaRocca, MD, Colorado Foundation for Medical Care, Connie Gilman, BSN, MHA, CPHQ, Michigan Peer Review Organization, and Andrea Goldstein, RN, MS, IPRO
Description: PowerPoint presentation describing the key components of a QIP and identifying the types of cases needing to have quality improvement plans (QIPs) requested.
Keywords: Quality Improvement Plans, Case Review, key components of a QIP

Title: Evaluation of QI Programs: Using “Collaboratives” as a Model for Improvement
Date: 3/12/2004
Presenters: Donna Daniel, Qualis Health, Judith Schaefer, Group Health Collaborative 1, and Cindy Hupke, Health Disparities Collaboratives
Description: PowerPoint presentation discussing the variety of measures that define “success” in an IHI-like Collaborative. Includes an overview of the software system that will support Collaborative evaluation and identifies the challenges that QIOs face as they try to apply measures of success.
Keywords: Quality Improvement Programs, collaboratives, models for improvement, success measures

Title: CMS-QIO Hospital Patient Safety Learning Pilots: Building Patient Safety Partnerships and Practices
Date: 3/12/2004
Presenters: Stephen Jencks, MD, MPH, CMS, Stormy Sweitzer, HealthInsight, Jan Miltenberger, Health Care Excel, Deborah Huber, HealthInsight, and Mary Brueggeman, MetaStar
Description: PowerPoint presentation describing the aim of the CMS-QIO Patient Safety Learning Pilots developmental project and its components. Includes a comparison of the ways in which the project has been implemented in each pilot state. Lessons learned and the key successes of the pilot project are also identified.
Keywords: patient safety, CMS-QIO Hospital Patient Safety Learning Pilots, patient safety partnerships and practices, pilot projects

Title: Evaluating Readiness for Change: The Transtheoretical Model
Date: 3/12/2004
Presenters: Carlo DiClemente, PhD, Department of Psychology at the University of Maryland, Baltimore County
Description: PowerPoint presentation identifying the five stages of change in creating and sustaining health behavior change, as well as the critical tasks and goals for each of the five stages of change.
Keywords: health behavior change, motivational readiness to change, Transtheoretical Model of Intentional Behavior Change

Title: State of the AHRQ (Part II): Improvements in Patient Safety: The Future is Now
Date: 3/12/2004
Presenters: Eileen Hogan, MD, MPH, James B. Battles, PhD, and Chunliu Zhan, MD, PhD, AHRQ
Description: PowerPoint presentation describing the major components of AHRQ’s patient safety portfolio and their applicability to QIOs. Includes overview of the AHRQ’s Patient Safety Indicators (PSIs) and their utility for identifying risks and hazards to patient safety.
Keywords: patient safety, AHRQ’s patient safety portfolio, Patient Safety Indicators (PSIs), safety culture, safety culture assessment tool, Quality Interagency Coordination (QuIC) Task Force

Title: The Collaborative Model: Success at Breaking Ground on the New Frontier of Surgical Infection Prevention (SIP)
Date: 3/12/2004
Presenters: Sam Markello PhD, Joan Bay RN, MBA, CPHQ, Ed Ellerbeck MD, MPH,
Kansas Foundation for Medical Care, Inc.
Description: PowerPoint presentation discussing how to: facilitate the learning and application of a new strategy for quality improvement in hospitals, beginning with SIP; foster sharing of common knowledge between collaborative participants during, and between, face-to-face learning sessions, with the intent of disseminating successful system changes, and reduce surgical infections by 50%.
Keywords: SIP, Collaborative, Hospital Quality Improvement

Title: Plowing New Ground: The “EyeCare Alabama” Initiative
Date: 3/12/2004
Presenters: Wonsuck Kim, DO, Florence Ophthalmology and Joan Wimberly RN, Alabama Quality Assurance Foundation
Description: Alabama ranks #1 in prevalence of diabetes in the nation, according to the CDC. This PowerPoint presentation discusses providing retinal eye screening in Alabama counties that lack access to full time ophthalmologists and improving the dilated eye exam rate for Medicare beneficiaries.
Keywords: access, retinopathy, diabetes

Title: Using Positive Reinforcement to Motivate Quality Improvement in Nursing Homes
Date: 3/12/2004
Presenters: Holly Colwell, RHIT, CCS, Qualis Health
Description: PowerPoint presentation discussing how to apply positive reinforcement to encourage nursing homes to be more proactive by recognizing successful quality improvement efforts.
Keywords: nursing home, quality improvement, motivation

Title: Using a Hands-on Breakout Session to Teach Pressure Ulcer Staging and Treatment
Date: 3/12/2004
Presenters: Jennifer Brezinski, RNC, CLNC, Ohio KePRO
Description: PowerPoint presentation aiming to teach long-term facilities on the proper identification of pressure ulcers and the appropriate treatment for those ulcers… and how to
improve the quality and frequency of the inservicing that deals with pressure ulcers.
Keywords: pressure ulcer, ulcer treatment

Title: Assessing Treat and Ship Performance: Adding Value to a Small Rural Hospital Collaborative
Date: 3/12/2004
Presenters: Barbara Okerson, PhD, Virginia Health Quality Center
Description: PowerPoint presentation sharing one QIO’s experience in the development and evaluation of ‘treat and ship’ measures as part of a small rural hospital multi-topic collaborative.
Keywords: rural, small hospital, Treat and Ship measures, AMI, stroke

Title: The “100,000 Lives Campaign”
Date: 2/23/2005
Presenters: Donald Berwick, MD, Institute for Healthcare Improvement (IHI)
Description:

PowerPoint presentation. Thanks in part to the efforts of our nation’s Quality Improvement Organizations, process improvement methods are maturing in health care, with a consequent unprecedented opportunity to speed effective changes into widespread practice. To bring this opportunity to the forefront, and to give it point and a deadline, the Institute for Healthcare Improvement in December, 2004, invited major stakeholders in American health care to join together in a “ campaign ” to save 100,000 lives, through rapid deployment of six, proven changes in clinical care that can avoid or delay needless deaths. The “100,000 Lives Campaign” will work to enable at least 1600 hospitals to undertake six, specific improvements within the next 18 months: (1) deployment of Rapid Response Teams, (2) increasing reliability of technically correct care for acute myocardial infarctions, (3) prevention of surgical site infections, (4) prevention of ventilator-associated pneumonia, (5) prevention of central venous line sepsis, and (6) adopting medication reconciliation processes are transition points in care.

Dr. Berwick will explain the theory and strategy of the campaign , and recommend ways that QIO’s can help even more to achieve this important goal for health care providers throughout the country.

Keywords: “100,000 Lives Campaign”, QIOs, Rapid Response Teams, myocardial infarctions, surgical site infections, pneumonia, central venous line sepsis, medication reconciliation processes

Title: Keys to Success in HIT: Perspectives from the Field
Date:

2/25/2005

Presenters: James Morrow, MD, North Fulton Family Medicine, J. Marc Overhage, MD, PhD, Indiana Health Information Exchange, Inc., and John Tooker, MD, EVP, American College of Physicians
Description:

PowerPoint presentation. Dr. James Morrow shares his experience and lessons learned from successfully implementing an EHR in his primary care practice. He discusses how QIOs can best assist physicians in the 8 th SOW based on his experience. Dr. Marc Overhage speaks about key elements for success in HIT that QIOs should consider at both the micro and macro levels. Dr. John Tooker of the ACP addresses how partnering with medical societies like ACP can help the QIOs succeed, and how QIOs can work best with ACP state chapters in light of the proposal to include state chapter approval as part of the proof of capability for the 8 th SOW.

 

Keywords: HIT, EHRs, 8th SOW, ACP, QIOs

Title: Progress on the Surgical Care Improvement Project (SCIP) Special Study: The Unique Role of a Surgeon Organization
Date:

2/24/2005

Presenters: Jan Van Vlack , John Lewis, Health Care Excel of Kentucky , and Hiram Polk, Quality Surgical Solutions
Description:

PowerPoint presentation discussing the following:
● One year of progress on SCIP, a special study being piloted in three states to develop an expanded list of surgical quality measures, develop a surgical quality data system, and test them to build the foundation for expanded surgical quality improvement work in the 8th Statement of Work. ● A unique association of surgeons participating with a Medicare QIO to emphasize the pivotal role of surgeons in SCIP. ● Testing a system of datacollectionby surgeons inparallel with a hospital-based data system.

The panel format will include 10 minute presentations by each of three panel members (total 30 minutes) and 25 minutes of open discussion with participants-based Q+A.

Keywords:

surgical quality; process measure; outcome measure; risk adjustment


Title: 8th Statement of Work and ESRD
Date: 2/24/2005
Presenters: David Hunt, MD, CMS, Larry Spergel, MD, NVAII, and Vickie Peters , MSN, MAED, RN, CPHQ, ESRD Network
Description:

PowerPoint Presentation. A brief review of how the Network Coordinating Center helped launch the original ESRD Fistula First project and is now coordinating the national multi-disciplinary and multi-specialty collaboration of the Breakthrough Initiative, regional ESRD Network activities and results of the project so far, and the QIO connection to the Breakthrough Initiative. CMS expectations for QIOs with regard to future hospital measures also described.

Keywords:

ESRD, Fistula First project, Breakthrough Initiative


Title: A Best Practice Model for Promoting Adherence to Ambulatory Drug Therapy through Discharge Management and Hospital Culture Change
Date: 2/24/2005
Presenters:

Manoj Jain, MD, QSource, Donald Lappe, MD, Intermountain Health Care, and Linda Hofmann, RN, LDS Hospital

Description: PowerPoint Presentation. Overview of 1) t he role of an acute care, short stay hospital in improving ambulatory pharmacotherapy in the elderly; 2) the impact of improved adherence to ambulatory patients' drug therapy on long term cardiovascular outcomes (readmissions and mortality), and 3) how a QIO can improve ambulatory patient adherence with pharmacotherapy by promoting hospital culture change.
Keywords:

ambulatory drug therapy, discharge management, hospital culture change, pharmacotherapy

Title: My Long Road to EHR Adoption
Date: 5/25/2005
Presenter: Peter Basch, MD, Medical Director, eHealth, MedStar Health
Description:

Powerpoint presentation highlighting the presenter’s professional decision to adopt electronic health record technology in order to improve the quality of his practice and increase efficiencies. Outlines the lessons learned thus far, such as the business case for HIT adoption, the limitations and challenges experienced to date, and his thoughts on possible solutions.

Keywords: Electronic health records, EHR, HIT , quality improvement, P4P, physician’s office, interconnectivity, productivity, business case

Title: Joe’s Story: A Solo Practice
Date: 5/25/2005
Presenter: Joseph Heyman, MD, Trustee, American Medical Association
Description: Powerpoint presentation describing the road taken by an individual physician in private practice to implement health information technology in a small office setting.
Keywords: Health information technology, HIT, quality improvement, physician’s office, patient care

Title: EHR Adoption: Challenges and Strategies for Moving Forward
Date: 5/25/2005
Presenter: Patricia Lohman, CEO, Outlook Associates
Description: Powerpoint presentation outlining the key steps that purchasers move through in the adoption of EMR technology, from initial preconceptions to systems evaluation, vendor research, purchasing, planning, and implementation. Includes list of websites that have vendor listings.
Keywords: Electronic medical record, EMR , EHR, implementation approaches

Title: Physician Office Workflow and Process Change
Date: 5/25/2005
Presenter: John Weir, Senior Project Ma nager, Informatics, Lumetra
Description: Powerpoint presentation describing the fundamental steps in assessing efficiencies and effectiveness of workflow processes in a physician’s office setting.
Keywords: Physician office, workflow process, flowchart, assessment

Title: Developing a Roadmap to Certified Interoperability of Lab Results and Immunizations
Date: 5/25/2005
Presenter: Alan E. Zuckerman, MD FAAP, Georgetown University Medical Center
Description: Powerpoint presentation outlining the need for interoperability of health information technology systems, in particular those related to e-prescribing, lab results, and immunizations. Reviews the importance of interoperable IT systems for the physician’s office setting in improving patient care, and the role that physicians may play in driving forward the certification of critical systems.
Keywords: Health information technology, IT, EHR, e-prescribing, improving patient care, physician’s office, interoperability, certification, lab results, immunizations

Title: Bridges to Excellence
Date: 5/25/2005
Presenter: Dale Whitney, Corporate Health Care Manager, United Parcel Service
Description: Powerpoint presentation providing a detailed overview of the Bridges to Excellence project, a not-for-profit collaboration between employers, health care providers, and health plans that focuses on providing incentives that improve quality of care within the physician office setting. Includes review of outcomes of pilot marketing and analysis of success factors.
Keywords: Health information technology, HIT, physician’s office, quality improvement, incentives, NCQA Physician Recognition Measures, performance measures

Title: Incentives for HIT: A National Perspective
Date: 5/25/2005
Presenter: Francois de Brantes, Program Leader, Health Care Initiatives, General Electric Co.
Description: Powerpoint presentation overviewing various HIT incentive initiatives that seek to encourage quality improvement through the adoption of improved information technologies. Describes the principles upon which they are based, and the relationship of these principles to the Parallel Pathways program of the eHealth Initiative.
Keywords: Health information technology, HIT, quality improvement, incentive measures, P4P

Title: Accelerating HIT Adoption: A View of the NHIN
Date: 5/25/2005
Presenter: Francois de Brantes, Program Leader, Health Care Initiatives, General Electric Co.
Description: Powerpoint presentation briefly describing the initial stages of project development under the National Group for the Advancement of HIT, and the proposed common framework capturing technical standards, policy standards, and performance measurement.
Keywords: Health information technology, HIT, quality improvement, performance measures, standards, common framework

Title:

Status of the Florida Health Information Network (PPT)

Interim Report to Governor Jeb Bush (Word)

Date: 5/25/2005
Presenter: Michael Heekin, Chair, Governor’s Health Information Infrastructure Advisory Board, State of Florida
Description: Powerpoint presentation and Word document describing the implementation of a statewide health information network for Florida. Includes the current status of the network, key lessons learned to date, and recommendations for next steps in its evolution.
Keywords: Health information network, health information exchange, electronic health records, EHR, HIT, health policy issues, resource sharing, stakeholder education

Title: Colorado Health Information Exchange
Date: 5/25/2005
Presenter: David W. Kaplan, MD, MPH, Professor Pediatrics, University of Colorado School of Medicine, Chief Medical Information Officer, Children’s Hospital
Description: Powerpoint presentation describing the implementation of a statewide health information network for Colorado. Outlines the many technical and policy challenges involved in developing a far-reaching electronic tool and the efforts to build a multistakeholder approach to creating effective solutions.
Keywords: Health information network, health information exchange, electronic health records, EHR, HIT, HIE, health policy issues, multistakeholder collaboration

Title: A Brief History of the Indiana Health Information Exchange
Date: 5/25/2005
Presenter: J. Marc Overhage, MD, PhD, Regenstrief Institute, Indiana University School of Medicine
Description: Powerpoint presentation describing the development of Indiana’s statewide health information exchange system, its partners, goals, and outcomes. Describes three recent challenges and their solutions, with particular attention paid to the aspect of “data re-use.” Provides snapshots of web-based user interface tools.
Keywords: Electronic health information, electronic medical record, EMR, HIT, HIE, data re-use, electronic laboratory reporting, syndromic surveillance

Title: Santa Barbara County Care Data Exchange
Date: 5/25/2005
Presenter: Mike Skinner, Board of Directors, Santa Barbara County Care Data Exchange
Description: Powerpoint presentation describing the implementation of a peer-to-peer data network for health data exchange. Outlines the challenges inherent in planning, funding, network architecture, consumer education, and evaluation for the system. Provides planning tips to those interested in developing a similar mechanism.



Title: Regional Health Information Organizations (RHIOs): The Primary Vehicle for Achieving the National Health Information Network (NHIN)
Date: 5/26/2005
Presenters: Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance
Description: Powerpoint presentation describing the basic organizing principles of regional health information organizations (RHIOs) and their role in implementing a national health information network (NHIN). Provides detail of the North Carolina Healthcare Information and Communications Alliance (NCHICA) as a case study.
Keywords: Health information exchange, regional health information organization, national health information network, RHIO, NHIN,

Title: Regional Health Information Organizations: Business, Organizational and Legal Issues

The New Health Care Frontier: Navigating Through the Land of Regional Health Information Organizations (Word Document)

Date: 5/26/2005
Presenters: William S. Bernstein, Esq., Manatt, Phelps and Phillips
Description: Powerpoint presentation and accompanying article providing an overview of the policy issues driving the formation of regional health information organizations (RHIOs) and an analysis of RHIO organizational models currently operating in the United States .
Keywords: Health information exchange, HIE, regional health information organization, RHIO, policy issues, models, financing, governance

Title: RHIO Activation Plan: Essential Elements of a RHIO Business Plan
Date: 5/26/2005
Presenters: Bruce A. Henderson, PriceWaterhouseCoopers, LLP
Description: Powerpoint presentation describing the essential issues to consider in the planning process for the creation of a regional health organization, from articulation of the vision and strategy to the development of an effective business model, governance structure, and data management system. Provides a graphic outline of an implementation plan.
Keywords: Regional health information organization, RHIO, business plan, implementation, priorities, standards, execution

Title: Organizational and Legal Issues
Date: 5/26/2005
Presenters: Vicki Hohner, Fox Systems, Inc.
Description: Powerpoint presentation briefly describing the key privacy and security issues and goals within the discussion of health information exchange.
Keywords: Health information exchange, privacy, security

Title: Developing Organization and Governance Models for HIE
Date: 5/26/2005
Presenters: Walter Suarez, MD MPH, President, Public Health Data Standards Consortium
Description: Powerpoint presentation describing the critical issues faced in the development of regional health information organizations (RHIOs), including mission, governance, sustainability, and community trust.
Keywords: Health information exchange, HIE, organizational development, governance, sustainable business models

Title: Developing Organization and Governance Models for HIE: Privacy and Security
Date: 5/26/2005
Presenters: Walter Suarez, MD MPH, President, Public Health Data Standards Consortium
Description: Powerpoint presentation offering thoughts and recommendations on operationalizing the five HIPAA principles related to patient privacy within an information exchange discussion.
Keywords: Health information exchange, privacy, security standards, information network, cross-state data sharing, HIPAA

Title:

Overview of Personal Health Records and Consumer Engagement in Health Information Exchange

Date: 5/26/2005
Presenters: David Lansky, PhD, Markle Foundation
Description: Powerpoint presentation discussing the implications of recent consumer surveys for understanding current attitudes toward personal health records (PHRs) and the engagement of consumers in building demand for connectivity.
Keywords: Health information exchange, electronic health records, personal health records, EHRs, PHRs, health IT, interoperability, privacy, security, consumer demand

Title: Working with Consumers
Date: 5/256/2005
Presenters: Mike Skinner, Board of Directors, Santa Barbara Country Care Data Exchange
Description: Powerpoint presentation briefly outlining the creation of a regional health information organization in southern California , keeping in mind consumer needs in its development.
Keywords: Health information exchange, regional health information organization, RHIO, consumer engagement

Title: TRICARE Online
Date: 5/26/2005
Presenters: Robert Wah, MD, CAPT, MC, USN, Associate CIO for Clinical Informatics, Military Health System
Description: Powerpoint presentation of a case study on the development of the Military Health System’s electronic health capacity. Includes discussion of its structure, user interface, and usage metrics.
Keywords: eHealth, information system, stakeholder identification, buy-in

Title:

Designing the National Health Information Network: Patient and Consumer-Focused Principles

Date: 5/26/2005
Presenters: David Lansky, PhD, Markle Foundation
Description: Word document containing the Patient and Consumer-Focused Principles developed by the Markle Foundation in 2005 through a multi-stakeholder dialogue with nine national advocacy groups. The Principles provide recommendations to the Office of the National Coordinator for Health Information Technology (ONCHIT) regarding issues of information access and control, disclosure and accountability, functionality, and governance.
Keywords: Health information network, NHIN, information access, privacy, security, control, disclosure, accountability, governance

Title: Case Studies of Organizational Models for HIE: The Rhode Island Quality Institute
Date: 5/26/2005
Presenters: Laura Adams, President and CEO, Rhode Island Quality Institute
Description: Powerpoint presentation using a Quality Improvement Organization and its work related to health information exchange as a case study to discuss two models of change: Diffusion of Innovations and Complex Adaptive Systems.
Keywords: Health information exchange, regional health information organization, HIE, RHIO, change models, complex adaptive systems, CAS

Title: California Regional Health Information Organization (CalRHIO)
Date: 5/26/2005
Presenters: Jo Ellen Hylind Ross, President and CEO, Lumetra
Description: Powerpoint presentation introducing a relatively new statewide health information organization for California , including its structure, funding, and projects.
Keywords: Regional health information organization, RHIO, health data exchange, governance



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