Health Information Integrity Summit: The Quest for Safe, Usable, Quality Data in EHRs
Thursday, November 8, 2012
Patty Thierry Sheridan, MBA, RHIA, FAHIMA, 2012 AHIMA President
Lydia Washington, MS, RHIA, CPHIMS, AHIMA Program Coordinator
What Is Big Data and Why It Is Important to Healthcare?
Big Data is one of the newest buzzwords in our technology-driven world, but it's more than buzz and very real in healthcare. This presentation will address the principles of volume, velocity and variety that define big data, and how they apply to healthcare. The important foundational requirements of privacy, security, and information governance will also be explored. Select healthcare use cases illustrating the approaches and value of the analytics from big data will also be included.
Lorraine Fernandes, RHIA, Global Healthcare Ambassador, IBM
Information Management and Governance: Essential Practices for Health Data Integrity
Data integrity challenges are front and center as health information goes digital. An effective governance strategy and processes are essential to ensure trust and derive value from healthcare information. A thought leader will discuss the information governance imperative and share practical strategies and guidance for establishing a sound enterprise plan to address the challenges.
Linda Kloss, MA, RHIA, Principal, Kloss Strategic Advisors, Ltd.
Panel and Audience Discussion
Moderated by Patty Thierry Sheridan with Lorraine Fernandes and Linda Kloss
11:15 a.m.–12:15 p.m.
The Provider Perspective: Investing in Sustainable, High Value Care
New delivery models and payment systems will require new tools in order to receive the best and highest value. A physician executive will provide perspective on how and why high quality health data is absolutely critical to the success of the medical home model and other impending changes in the healthcare delivery system.
Dr. Grace Terrell, MMM, FACP, FACPE, CEO Cornerstone Healthcare
The Legal Perspective: E-Discovery and the EHR
With the expansion in electronic health information, e-discovery issues and challenges in healthcare litigation are rapidly growing and evolving as well. A federal judge and leading e-discovery expert will share her views and judicial experiences regarding recent changes and trends in e-discovery and implications for the increasingly electronic healthcare environment.
Judge Shira Scheindlin, United States District Judge for the Southern District of New York
Harnessing Analytics for Superior Patient Outcomes
Analytics is about to transform healthcare at every level, revolutionizing hands-on care and the way providers do business today. The masses of information captured and maintained by healthcare providers of every type is a treasure trove that only needs a key to unlock its potential for cost savings, regulatory compliance, and enhanced business and treatment outcomes. Analytics is that key. Genpact’s long history of science-driven process improvement based on detailed, industry-specific analytics is taking healthcare in new and better directions. Every healthcare professional need to understand where the industry is going, and how better use of analytics tools on the information they already have can keep them ahead of the curve.
Tanuj Gilja, Practice Leader–Healthcare, Genpact
3:30–4:15 p.m. Concurrent Sessions
Privacy and Security in Health Information Exchanges
Electronic health information exchange between EHRs holds limitless opportunities for patient care and will fundamentally change the way we manage and consider health information. Health information exchange, however, also brings with it a variety of privacy and security challenges. This session will explore the privacy and security issues that arise through directed and query-based health information exchange, including the importance of calibrating privacy rules, the effect on patients' rights of access and amendment, considerations for business associate contracts with health information exchange organizations, the impact of information security, and the relevance of state laws.
Adam Green, JD, MPH, Partner, Davis Wright Tremaine
Visual Analytics Framework (VAF) for Healthcare Data Analysis
The Visual Analytics Framework (VAF) provides the core competencies that are required to obtain the return on investment in public data infrastructure. This framework facilitates the governance structure that enables open government datasets alignment with useful and practical data standards. The data, analytics, visualization, and evaluation components of the Visual Analytics Framework integrate the intersection of Big Data and Open Data. These components are the core capabilities for open development and open government that enable and open the doors to social and economic opportunities to improve outcomes and make a difference in people's lives.
Dr. Yair Rajwan DSc, PFNLM, Managing Partner and Director of Analytics Visualization Research and Development, Visual Science Informatics, LLC
Managing Data Integrity Challenges
Enterprise integration of all sources of administrative and clinical information is occurring at a rapid pace in our healthcare organizations. Discuss the challenges in managing data integrity in the cloud and HIEs and solutions around patient identity management, user management the data logistics—storage, access, and security.
Beth Haanke Just, MBA, RHIA, FAHIMA CEO and President
Mary Ann Leach, CHCIO Vice President and CIO Children’s Hospital of Colorado
Lisa Fink, MBA, RHIA, CPHQ Senior HIM Consultant Care Communications
4:15–5 p.m. Concurrent Sessions
The Impact of Social Media on Improving the Integrity of Patient Record Information
It isn't enough anymore in healthcare to just have a web presence. Social media, a resource largely untapped in healthcare, is transforming traditional relationships between providers and patients as bi-directional communications on mobile devices are taking the place of messages broadcast from tethered computers. As such, social media presents opportunities and challenges for healthcare organizations. If used properly, this new computing platform can innovate healthcare and improve the integrity of patient health record information. Failing to do so can hurt the clinicians, patients, and healthcare employees who are actively using the tools on their own devices.
Deborah Kohn, MPH, RHIA, FACHE, CPHIMS, Principal Dak Systems Consulting
The Critical Role of Semantic Interoperability in Achieving Health Information Exchange
Healthcare providers face complex challenges in getting the right data to the right people, at the right time. Many are turning to Health Information Exchanges (HIEs) to enable secure and timely sharing of clinical information and ultimately improve care processes, patient outcomes, decision making, and financial performance. One of the biggest obstacles to facilitating information exchange is not the method for transmitting the data, but the ability to communicate via a common language. This presentation will explore the challenges associated with achieving semantic interoperability and address the critical role that terminology management solutions play in creating and maintaining a successful Health Information Exchange.
Elaine King, MHS, RHIA, CHP, CHDA, FAHIMA, Health Language Inc.
Dr. Stephen Ross, Health Language, Inc.
Strategic Documentation Improvement and Data Integrity Solutions
Help your HIM department earn the recognition it deserves with its role in your organization’s improvement in quality outcomes reporting. Hear how an organization endeavors to avoid 'false positives' for patient safety indicator cases, and confirms any hospital acquired conditions prior to billing. Develop an understanding of the mortality index and its importance in the healthcare benchmarking scheme. Understand how your clinical documentation improvement program and coding are key to accurate reporting.
Brenda Bell, RHIA, Director of Health Record Integrity, Emory Healthcare
Kathy Hartman, RN, MSN, CNS, Senior Director of Health Information Management, Cleveland Clinic Health System
Friday, November 9, 2012
Early Risers Session: AHIMA Core Model and Its Relationship to Health Information Integrity
The AHIMA Core Model contains a set of robust information management functions that suggests future roles for HIM professionals. Learn how the components of the Model provide an excellent framework for thinking about your approach to information governance and data integrity.
Bonnie Cassidy, MPA, RHIA, FAHIMA, FHIMSS, Managing Director of HIM Innovation, Nuance
Lynne Thomas Gordon, MBA, RHIA, FACHE, FAHIMA
The Quest for Safety with the Good: Addressing Potential Unintended Consequences of HIT EHRs and HIEs
With the enormous potential benefits of EHRs and health information exchange comes the responsibility for using them well and safely. Avoiding and mitigating potential negative unintended consequences of the rapid adoption of EHRs and health information exchange will get the attention it needs and deserves by a panel from ONC and a prominent EHR safety researcher. This session will help you understand the policy drivers surrounding EHR/HIT safety and will introduce you to tools being developed to address potential risks.
Kathy Kenyon, JD, Senior Policy Analyst, Office of the National Coordinator for Health Information Technology
Joan Ash, PhD, MLS, MS, MBA, Professor and Vice-Chair, Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University (OHSU)
10:15–11:15 a.m. Concurrent Sessions
Using Clinical Content Management to Aggregate the Patient Story
Attending this session will provide insight into the challenges and needs around building and maintaining the patient story. You'll leaved equipped with the knowledge and insights you need to analyze and challenge your clinical documentation programs and how you are going to meet the challenges of aggregating clinical data to appropriately serve both your patients and caregivers.
Christopher Spring, Vice President of Health Information Technology & Solutions, M*Modal
Facilitating Interoperability with HL7 CDA Level 3 R2 Messages
Meeting federal objectives for health information exchange and interoperability will require standardized data formats. Without standardization, health information cannot be shared and understood between incompatible systems or healthcare providers using disparate EHRs. When the patient’s full health story is available in a format accessible by all providers on the healthcare team, that information can follow the patient and inform critical health decisions, improving the quality and safety of healthcare for the patient. The adoption of HL7 CDA Level 3 R2 as the solution to this challenge offers important advantages.
Dr. James Maisel, Chairman and CEO, MediSapien
How Meaningful Is the Provider Documentation in the EHR? Success Strategies Associated with Bridging Clinical Document Gaps in the Electronic Record
A degradation seen in clinical content is an artifact of the EHR unless an aggressive multi-faceted strategy is undertaken to counteract this concerning trend. It is of critical importance that best practice strategies be employed to ensure all documentation is meaningful, relevant, and devoid of replicative, outdated and irrelevant documentation to ensure the patient's story isn't lost or buried.
Cassi Birnbaum, MS, RHIA, CPHQ, VP of HIM Peak Health Solutions
Dr. Nicholas Holmes, MD, MBA, Pediatric Urologist, Rady Children’s Hospital, Associate Clinical Professor of Surgery at UCSD, Assistant Professor at the School of Medicine Uniformed Services University of Health Sciences
11:15 a.m.–12:15 p.m. Concurrent Sessions
The Impact of ICD-10 on Clinical Documentation Improvement and Integrity
The ICD-10-CM and ICD-10-PCS code sets offer greater detail and increased ability to accommodate new technologies and procedures. This session will explore specific instances where this greater detail will be useful and the clinical documentation needed to allow the code sets to fulfill this potential. Various perspectives on the uses of ICD data will be explored and compared between versions 9 and 10, including for example compliance and legal risk, reimbursement, and quality measurement.
Mary Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA, VP HIM Consulting Services, United Audit Systems, Inc.
Application of Deming’s 14 Points to Achieve Information Governance
This presentation will offer a practical application of Deming's 14 Points for Management Transformation to the growing requirement of healthcare organizations to manage their information for better patient outcomes, greater patient safety, smaller cost outlays and more defensible healthcare delivery. There will be concrete examples of the application of Deming's principles to establishment of Information Governance, Data Stewardship and the development of an organizational culture that regards healthcare data management as a core competency.
Sandra Nunn, MA, RHIA, CHP, Principal, KAMC Consulting
A Meaningful EHR Training Model that Drives Quality Care
EHR training receives mixed reviews within the healthcare industry. When measured against best practices in adult learning and knowledge of how EHRs are used, the deficiencies in traditional training delivery are clear. Only 25 to 30 percent of material presented is retained when the system goes live. Dr. Jimenez will present a better model that minimizes out-of-clinic time, reduces lost revenue, and demonstrates impacts on patient quality.
Andres Jimenez, MD, implementHIT
Protecting the Privacy of Sensitive Health Information: The Data Segmentation for Privacy Initiative
This presentation will address the development of provenance and policy metadata through the S&I Framework Data Segmentation for Privacy Initiative as a result of the recommendations of the Standards Committee following the PCAST report. It will tie the issue of data integrity to the handling of specially protected health information, particularly substance abuse treatment information, when providers receive this information and want to incorporate it into their EHR.
Scott Weinstein, JD, Presidential Management Fellow in the Office of the Chief Privacy Officer at the Office of the National Coordinator for Health Information Technology
Advancing and Advocating for Health Information Integrity
The panel and audience are invited to react to the ideas presented over the two day Summit and explore the question: “Where do we go from here in the quest for safe, usable, quality health information? This is your opportunity to share your thoughts about the direction AHIMA and the HIM profession should take in addressing the challenges and advancing the quality of health information for all the uses for which it is critical.
Moderator: Deborah Green, MBA, RHIA, VP HIM Solutions, AHIMA
Panelists: Deborah Kohn, Kathy Hartman, Brenda Bell, Cassi Birnbaum, Dr. Nicholas Holmes