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2012 Long-Term and Post-Acute Care Health IT Summit

Event Type: In Person Meeting

Learning Category: e-HIM and Electronic Records

Venue: Hyatt Regency Baltimore

Location: Baltimore, MD

Date: 6/18/2012 – 6/19/2012

Time: 7:30 AM – 6:00 PM EST

Event

The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Summit is the leading health IT conference; convening HIT leaders, policy makers, leading LTPAC providers, vendors and professionals to advance issues, initiatives, and policies facing LTPAC HIT.

For two days the Summit will cover 2012-2014 Roadmap for Health IT in LTPAC priorities and recommendations, showcase real world implementation successes, and put the spotlight on certified LTPAC electronic health records.

This year’s summit includes an exhibit hall, an interoperability showcase, and a program focused upon:

  • Accelerating the development of health IT skill sets in the LTPAC workforce.
  • Engagement in patient-centric health care to enhance overall quality of care.
  • Quality and process improvement.
  • Initiatives that improve care coordination and health information exchange.
  • New payment models that are iincumbent upon health information technology.
  • Certified LTPAC electronic health records in skilled nursing facilities and home health.
  • Current research, studies, and data on LTPAC HIT use, adoption, and care delivery impact.
  • Support for organizations starting out with HIT and EHR implementation.

NEW THIS YEAR! A Pre-Summit Educational Session, "Connections between LTPAC and the EHR Meaningful Use Program--Closing the Gap" held on Sunday, June 17 from 3:00-5:00 pm.  The concept of “Meaningful Use of EHRs” is used to refer to both the (i.) CMS Medicare and Medicaid EHR Meaningful Use Incentive Programs for Eligible Professionals and Eligible Hospitals (the Noun) and (ii.) meaningful use of EHRs to support clinical workflow (the Verb).   This pre-summit education session, offered at no charge to Summit attendees, will provide you with information about the Noun: CMS EHR Programs, including requirements recently proposed in Stage 2; and the Verb: the clinical processes in LTPAC that could be supported through the meaningful use of EHRs.

Continuing Education Units: 14



Program
Registration & Fees
Travel & Hotel
Exhibits & Showcase
Sponsorships
Sunday, June 17–Complimentary Pre-Conference Tutorial
1–5 p.m. Registration
3–5 p.m. Connections between LTPAC and the EHR Meaningful Use Program–Closing the Gap

The concept of “Meaningful Use of EHRs” is used to refer to both the (i) CMS Medicare and Medicaid EHR Meaningful Use Incentive Programs for Eligible Professionals and Eligible Hospitals (the Noun) and (ii) meaningful use of EHRs to support clinical workflow (the Verb). This session will provide you with information about the Noun: CMS EHR Programs, including requirements recently proposed in Stage 2; and the Verb: the clinical processes in LTPAC that could be supported through the meaningful use of EHRs. Specific topics include:

  • Provide an overview of the proposed rules for the: CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Program (Meaningful Use Stage 2) and the Office of the National Coordinator (ONC) proposed rule on New and Revised Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; and the “touch points” in these rules to LTPAC including health information exchange to support quality and coordination of care.
  • Highlight the clinical processes in LTPAC that could be supported by the meaningful use of EHRs. This discussion will, in part, be framed in terms of key components in the proposed CMS EHR Meaningful Use proposed rule.

Monday, June 18–Day 1
7–9 a.m. Registration and Continental Breakfast
7:30–8:15 a.m.
OPTIONAL

Optional Early Riser’s Session

New attendees will be oriented to the history and priorities of the health IT initiatives in LTPAC and hear about progress since the first summit in 2005. Highlights of key topics on the summit agenda will help new attendees gain a great foundation for fully benefiting from the sessions.

8:30 a.m. Welcome and Opening of the 8th Annual LTPAC Health IT Summit
8:30–9 a.m.

Unveiling the 2012–2014 LTPAC HIT Roadmap

There has been a great deal of progress over the past two years since the last Roadmap was released, yet there is clearly much work still to accomplish. The 2012–2014 edition of the LTPAC HIT Roadmap incorporates stakeholder reaction, aligns with the Federal health IT strategic plan, and the summit sessions link to key themes outlined in the document.

9–9:45 a.m.

Keynote: The Healthcare Revolution–Making Changes for the Better

Nationally recognized leader and health IT pioneer, Judy Murphy, will kick off the 2012 LTPAC HIT Summit by sharing ONC’s vision on how technology supports healthcare reform, new coordination and business models, and why it is crucial for LTPAC providers to invest in technology to meet this vision.

Speaker: Judy Murphy, RN, FACMI, FHIMSS, FAA, Deputy National Coordinator for Programs and Policy, ONC

 

9:45–10 a.m. Networking Break
10–11 a.m.

The Business Imperative of Health IT: Know Your Future

The emerging healthcare market is populated with burgeoning new entities like Accountable Care Organizations, Accountable Communities, and formally competitive singularities linked to common goals by new payment systems such bundling and pay for performance. These system changes are both driving and being shaped by the creation and adoption of transformative health IT. In this session, you will hear from leaders in the field and participate in discussing key questions, including:

  • What are the ways that health IT is enabling new ways to build sustainable business strategies?
  • What is the potential pay-off, challenge, and feasibility of implementing new business models that leverage health IT across various settings?
  • Introduction to ONC S&I Framework and LTPAC activities under S&I
  • How fast are these changes moving?
11 a.m.–12 noon

New Approaches to Care Coordination Fueled by Health IT

This session will focus on real strategies and initiatives in care coordination including health homes, mobile and telehealth technologies initiatives to improve care coordination and health information exchange, and cross-organizational care plans and visioning. 

12 noon–1 p.m. Lunch
12 noon–7 p.m. Exhibit Hall Open—Product and Interoperability Showcase
1–2 p.m.

 

Strategies for Improving Consumer Engagement through Access, Attitude and Action

Concierge care is the buzzword in ambulatory care–what is the equivalent in LTPAC? Patient-centeredness, patient access, and hospitality will drive the future. Successful organizations will need to master the art of patient-centeredness. This session will set the stage for providers to obtain our ultimate objective to produce the highest quality of life possible in person-centric longitudinal care within the patients/consumers chosen home.

2–2:45 p.m.

Health IT Support for Quality Improvement and Outcomes

Attendees will be asked to explore and discuss appropriate quality measures for LTPAC as this session addresses the use of technology to support an organization’s quality improvement activities. Discussion topics include:

  • The eQuality initiative;
  • CARE Assessment Tool strategy and the transformative effects on the MDS, OASIS, IRF-PAI output of assessments for quality reporting, payment, and survey;
  • and LTPAC’s vision for e-measures.

2:45–3:30 p.m.

2014: Getting Ready for Meaningful Use

The Federal policy agenda, EHRs, and HIEs are converging into a cohesive strategy as evidenced by the CMS Medicare and Medicaid EHR Meaningful Use Incentive Programs for Eligible Professionals and Eligible Hospitals NPRM released for public comment on March 30. While LTPAC providers are not incented for Meaningful Use, the proposed rule is not without implications for LTPAC providers.  This session will address:

  • What does it mean for LTPAC providers to “meaningfully use” EHR systems?   
  • What are the touch points between the CMS Meaningful Use program for eligible hospitals and eligible providers (for example, doctors and hospitals) and LTPAC providers?
  • What will increasing HIE requirements for incented providers mean for LTPAC?
3:15–3:30 p.m. Break
3:30–5:15 p.m. Interoperability and Innovation Showcase
  • Interoperability and Innovation Showcase Theater
  • ONC Consumer Engagement Pledge Booth
  • Poster Sessions
  • Vendor Exhibits
5–6 p.m.

 Networking Reception


7:30–
9 a.m.   
Registration and Continental Breakfast
8–9:15 a.m.

Town Hall:

Process Reform to Impact Hospital Readmissions and Other Outcomes

9:15–9:30 a.m. Networking Break
 
9:30–10:20 a.m.

Concurrent Sessions

Track 1: Clinical Decision Support Strategies: Strategies for LTPAC

Learn about ONC- and AHRQ-sponsored activities to enable clinical decision-making and care coordination using health information technology. The Oklahoma HIE LTC Challenge Grant demonstrates how INTERACT tools for preventing avoidable hospitalizations are integrated into HIT strategy for LTC providers. The AHRQ On-Time Program on Preventing Avoidable Transfers to Hospital and ED provides tools and front-line implementation approach to integrating clinical decision-making reports into daily practice.

Speaker: Brian Yeaman, CMIO, Norman Regional Health System

Track 2: S&I Framework Longitudinal Coordination of Care Initiatives

ONC established the Standards & Interoperability (S&I) Framework in 2011 to empower healthcare stakeholders to establish standards, specifications and other implementation guidance that facilitate effective healthcare information exchange.  LTPAC is leading the S&I Longitudinal Coordination of Care Workgroup (LCC WG) which is focused on three key initiatives: Longitudinal Care Plans; Exchange of LTPAC Care Transition Data, and Patient Assessment Summary Exchange. 

Speakers:  S&I LCC WG co-Leads: Larry Garber, MD

Track 3:  Case Study TheaterInteroperability Showcase Panel: e-Prescribing and Medication Management

Interoperability and Innovation Showcase Participants provide an in-depth review of their interoperability solution, highlight innovative approaches, and describe the results of implementation in e-prescribing and medication management.

Speakers: Brian Dimit, PointClick Care

Track 4: Boardroom Discussion Session—Regulatory Systems and Impact on HIT

This boardroom discussion session provides an opportunity to dialogue with CMS about the issues that HIT presents in the regulatory process and provide input on workable solutions.

10:25–11:15 a.m.

Concurrent Sessions:

Track 1: Technology Enabled Referral Process

The referral process is the heart of coordinating care as individual’s transition from one provider to another. The technology-enabled referral streamlines the intake process by connecting the patient to the appropriate placement for their acuity and facilitates communication between the sending and receiving entities. This session will review the potential impacts to timeliness of care, patient and staff satisfaction, and costs.

Track 2: EHR for LTPAC: A Primer on Planning and Vendor Selection

This session will provide a preview of the CAST Report EHR for LTPAC: A Primer on Planning and Vendor Selection. The session will provide an overview of the most important steps a provider should take in planning for, selecting and implementing an EHR. Then, the session will review an EHR Matrix that captures the current landscape of EHR products for LTPAC available on the market today, including care setting they are appropriate for, functionalities they offer, interoperability standards they implement, and their interoperability certification status. Finally, the session will demonstrate an Online EHR Selection Tool that CAST designed to help LTPAC providers narrow down and select an EHR product that fits their business lines, functional requirements, and desired features.

Track 3:  Case Study Theater—Interoperability Showcase Panel: CPOE, Laboratory, Radiology, Patient Access
Interoperability and Innovation Showcase

Participants will provide an in-depth review of their interoperability solution, highlight innovative approaches, and describe the results of implementing the solutions. This session will focus on both direct and HIE mediated inter/intra-provider interoperability solutions for laboratory and medication computerized physician order entry (CPOE), viewing radiology and other lab results, as well as providing consumers with access to their health information.

Track 4: Boardroom Discussion Session—Strategies for Providing Patient Access to Personal Health Information

Allowing access to a person’s medical records is the first step toward improving patient engagement. This interactive session explores the unique issues for LTPAC, discusses the challenges and possible solutions.

Moderator: Michelle Dougherty, MA, RHIA, CHP, AHIMA Foundation
11:20 a.m.–12:10 p.m.

Concurrent Sessions:

Track 1: Clinical Workflow

Successful adoption and use of IT in LTPAC depends on a good match between users of IT systems and clinical workflow as they perform their jobs. This session will identify strategies to improve IT implementation to enhance clinical workflow in LTPAC, introduce new methods to measure clinical workflow throughout an LTPAC organization, and to define benchmarks that are crucial to determine how workflow is affected by IT implementation.

Track 2: Harnessing the Power of NwHIN, Direct, and CONNECT

Technical infrastructures—standards, services and policies—have been developed by ONC to facilitate secure exchange of health information. This session will clarify and differentiate the initiatives and identify resources for LTPAC including the use of Direct to facilitate interoperability with other providers.

Track 3: Case Study Theater: EHR Implementation, Use, and Impacts

This session will present case studies from three LTPAC providers who implemented and are experiencing the benefits of EHRs first-hand. Session attendees will hear from participating providers, learning how they went about selecting an EHR, redesigning workflows to maximize the benefits of the EHR, and their implementation approach. Presenters will review the impacts the implementation and use of EHRs has had on care quality, staff efficiencies, accuracy of documentation and organization’s bottom-line from the providers’ perspective. Speakers will discuss the lessons they learned with the audience.

Track 4: Boardroom Discussion SessionPrioritizing LTPAC Focused e-Measures

What are the right e-measures for LTPAC? This boardroom will gain insights from the participants on the top priorities.  

12:10–1:10 p.m. Lunch
 
1:15–2:05 p.m.

Concurrent Sessions:

Track 1: Telemedicine and Nursing Home Hospitalizations

This study examines a randomized telemedicine intervention within a nursing home chain consisting of physician coverage via two-way video conferencing during evening and weekend hours. The intervention generated approximately $82,000 per participating nursing home in annual savings to Medicare in terms of lower hospitalization expenditures.

Speaker: David Grabowski, PhD, Harvard Medical School, Department


Track 2: The Provider Position on EHR Workflow in Post-Acute Healthcare—A Joint Project of the CIO Consortium and Nurse Executive Council

HITECH and PPACA legislation drive adoption of EMR technology in LTPAC. This joint project of the CIO Consortium and Nurse Executive Council develops a provider-based position on key workflow issues across various LTPAC settings. During the session, our panel explores approach, goals for project, results to date, and planned activities.

Track 3: Case Study Theater: HITECH and HIPAA Privacy and Security Compliance—Requirements, Benefits, and Ramifications

The ability to comply with HIPAA/HITECH privacy and security requirements is foundational to achieving interoperability and exchanging information with hospitals and physicians to meet the meaningful use requirements. This session provides common challenges and lessons learned from audits of healthcare organizations, including LTPAC.

Track 4: Boardroom Discussion SessionCertification and Future Meaningful Use Stage 3 Functionality

ONC and the HIT Policy and Standards committees are beginning to seek input into Stage 3 meaningful use, the certification process and the relationship to providers not eligible for the incentive program. This interactive session provides an opportunity for summit attendees to share their insights.

2:10–3 p.m.

Concurrent Sessions:

Track 1: Telemedicine and Nursing Home Hospitalizations

This study examines a randomized telemedicine intervention within a nursing home chain consisting of physician coverage via two-way video conferencing during evening and weekend hours. The intervention generated approximately $82,000 per participating nursing home in annual savings to Medicare in terms of lower hospitalization expenditures.

Track 2: Tackling LTPAC HIT Workforce Challenges

One of the barriers to successful HIT implementation is a skilled workforce.  This session provides a case study of how Evangelical Lutheran Good Samaritan Society leveraged the ONC HIT training program to bridge the technology gap and develop new skills in administration, nursing and HIM. 

Track 3: Case Study Theater: Innovative Technology—Enabled Business Models: Case Studies from Pioneering Providers

Aging services are changing in response to many drivers, including consumer preferences/demands, reimbursement/payment/revenue streams, workforce, and technology. Health reform and other recent policy changes are accelerating such transformation and technology is playing an important role in shaping emerging LTPAC providers’ business models. This session will highlight the efforts of pioneering LTPAC providers in preparation for the future. Attendees will hear how providers are implementing Continuing Care Retirement Communities without walls, creating new home and community-based operations that meet consumer demands, and using technology to deliver preventive and supportive services efficiently and cost-effectively.

Track 4: Boardroom Discussion Session—Improving Workflow through Technology in LTPAC

Can better clinical technology workflow improve outcomes in LTPAC settings? Join in this boardroom discussion with clinical experts to discuss where the evidence says yes it can, expand current case studies, and offer up additional case opportunities.

   
3–3:45 p.m. General Session: Aging in Place and the Role of Personal Health Technologies
3:45 p.m. Closing the Eighth Annual LTPAC Health IT Summit