Long-Term Care Health Information Technology Summit

Monday, June 8

Optional Early Riser’s Session
This session orients new summit attendees to the long-term care (LTC) health information technology (HIT) Roadmap and the priorities established for 2008 through 2010. It provides a great foundation for the program.

Speaker: John Derr, RPh, SVP, Chief Technology Strategic Officer, Golden Living

Keynote—New Technology or New Business Model? Translating HIT into Innovations in Long-Term Care
The Wall Street Journal named Joe Coughlin one of America’s 12 pioneers inventing the future of retirement and aging. This year he brings his research, vision and humor to the LTC HIT Summit program to discuss the role of technology and, the opportunity for innovations to improve the quality of life of older adults and their families. Dr. Coughlin’s own research focuses on how the convergence of baby boomer expectations and technology will shape the future of public policy and drive innovation across global industries.

Speaker: Joe Coughlin, PhD, Founder and Director of the MIT Age Lab

New President, New Secretary, New Vision: The Transition for HIT and Impact on Aging Services
President Obama has indicated that reforming the healthcare system will be a primary focus of his administration, and that accelerating the use of HIT is a necessary tool for reforming the healthcare delivery system in the US. This includes enabling necessary improvements in quality and coordination of care, increasing efficiencies, and decreasing unnecessary costs. In addition, Congress included several significant HIT provisions in the economic stimulus package. This session will focus on what is happening to advance the use of HIT and reform the healthcare delivery system, with a focus on persons who require LTC services.

Speaker: Charles Friedman, PhD, Deputy National Coordinator, Office of the National Coordinator for Health IT

The Impact of the Stimulus Investment Package on LTC HIT
The economic stimulus bill makes significant investments targeting numerous areas of the US economy, including healthcare and HIT. In this session, learn about the types of HIT investments included in the bill (such as implementation and evaluation grants, and incentives), their relevance to LTC, implications for LTC providers and HIT vendors, and critical gaps that must be filled to advance HIT implementation on behalf of persons receiving LTC.

Speakers:

Yael Harris, PhD, MHS, Office of the National Coordinator

Bob Mayes, Senior Advisor for Health IT, AHRQ

Jennie Harvell, M.Ed, Senior Policy Analyst, ASPE

The Current State–An Update on Key Priorities and Progress
Despite the challenges of the current economic situation, significant progress is being made across most areas of the LTC HIT summit roadmap. This session will summarize standards, certification, and research milestones, and assess industry (vendor, provider, payer, consumer, and regulator) readiness for investment in and adoption of LTC HIT interoperability.

Speakers:

Peter Kress, CIO, VP, ACT Retirement Communities

John Derr, RPh, SVP Chief Technology Strategic Officer, Golden Living

Mary Jane Koren, MD, MPH, Assistant VP, Frail Elders Program, The Commonwealth Fund
Annessa Kirby, NASL; Jerri Hiniker, BSN, RN, CPEHR, Stratis Health

The Future State–Where We Need to Go
Strategists have long said, “You have to decide where you want to go and what it looks like before you start spending money on tasks.” This panel will present visions on what LTC might look like at the end of 2014, the year President Obama stated he wanted interoperability and interconnectivity of the healthcare system. There will be a discussion on the effect of legislation as well as the regulation external forces will have on the vision. Additionally, the possible stages of transformation of LTC HIT to achieve the 2014 vision will be discussed.

Speakers:

Joe Coughlin, PhD, MIT Aging Lab

John Derr, RPh, SVP Chief Technology Strategic Officer, Golden Living

Jonathan D. Linkous, CEO, American Telemedicine Association

Karen Love, Pathways to Care

Bill Russell, MD, Regional Medical Director and Vice President, Erickson Retirement Communities

Tom Check, CIO, VNSNY

Interoperability Showcase
Experience hands-on learning through demonstrations of HIT interoperability for shared care, transfer of care, personal health, and e-prescribing use cases. Interoperability scenarios will include aging services organizations sharing information with physicians, hospitals, other aging services providers, pharmacies, consumers, and health information exchanges.

• Keane Care, Inc.
• American HealthTech
• OmegaCareOnline
• Erickson Retirement Communities, HealthMEDX and GE Healthcare
• TALYST, INC.
• Diakon, CCRx and Prelude Services
• Home For Life Solutions and John Knox Village
• BridgeGate International
• Visiting Nurse Services of New York
  

Poster Presentation Sessions

Get the details of important HIT research projects, resources and case studies through interactive poster presentation sessions.

• HIT Implementation Toolkits for Nursing Homes, Jerri Hiniker, BSN, RN, CPEHR, Stratis Health (Minnesota QIO)
• HIT Implementation Toolkit for Home-Based Services, Jerri Hiniker, BSN, RN, CPEHR, Stratis Health (Minnesota QIO)
• Applying HIT Standards to the MDS and OASIS, Michelle Dougherty, MA, RHIA, CHP, AHIMA
• Survey on Use of Health IT, (Research by University of Colorado Health Sciences Center), Jennie Harvell, M.Ed, ASPE
• Understanding the Costs and Benefits of Health IT in Nursing Homes and Home Health Agencies, (Research by University of Colorado Health Sciences Center), Jennie Harvell, M.Ed, ASPE
• On-Time QI:  Integrating QI and HIT to Improve Clinical Outcomes, Siobhan Sharkey, MBA
  Sandra Hudak, MS RN, Health Management Strategies, Inc.

Tuesday, June 9

Research Findings on Adoption Rate, Market Scan and Vendor Survey
Priorities and perception about the long-term care spectrum and HIT are often measured by adoption rate data. This session provides enlightening data on adoption rates for LTC and results from complimentary research on what products and opinions the marketplace has on current products.

Speakers:

Barbara Manard, Vice President of Long-Term Care Health Strategies, AAHSA

Dr. Michael K. Lin, Department of Health Policy & Management, University of Pittsburg

8:45–9:45 a.m.

Update on the Centers for Medicare and Medicaid Services (CMS) Projects and Initiatives
Under the new Economic Recovery Plan, Medicare and Medicaid are tasked with key responsibility in moving the nation towards health information technology and interoperability. Speakers will discuss a number of CMS initiatives including the CARE tool, the future of the MDS and OASIS tools, EHRs and the survey process, and potential for financial incentives with use of EHRs in long-term care and post-acute care settings.

Speakers:

Mary Pratt, Director, Division of Chronic and Post Acute Care, CMS
Susan Joslin, PhD, RN, CMS

Ronald Lambert, Social Science Research Analyst CMS

James Coan, CMS

Implementation Case Studies

Interoperability Panels

Boardroom Discussion
Sessions

EHR Implementation and Sustainability
This implementation case study focuses on an organization’s approach, experience, lessons learned from their EHR implementation, and discussion about ongoing sustainability.

Speakers:

Ariel Avgar, PhD, University of Illinois at Urbana Champaign

Scott White, Project Director

Stephen Pacicco, Chief Executive Officer, Sigma Care

Caroline Rich, Administrator, Four Seasons Nursing and Rehabilitation Center

Transfer for Care and Shared Care
This session will discuss examples of and issues related to sharing of consumer health information during shared care (that is, through an external or consulting physician, nurse, and care facility) and transfer of care.

The Stimulus and Healthcare Reform
How does the stimulus package and healthcare reform change the focus and priorities of the LTC HIT Roadmap? How should aging services providers position themselves on this topic? Participate in a discussion that will help inform and update the Roadmap and set new priorities.

Facilitators: Cynthia E. Berry, Counsel

Bryan Cave, LLP Michelle Dougherty, MA, RHIA, CHP, AHIMA

Medical Home and Telehealth
The future vision of healthcare includes comprehensive care that is facilitated and coordinated through a single entity. This vision of the “medical home” is critical for individuals requiring LTC. The use of health information such as telehealth consults and remote monitoring and electronic transmission of health data is necessary to ensure the success of a medical home. This session will provide insight into current projects to support the medical home model and new telehealth technologies that improve care quality and coordination.

Speaker:

MaryJo Vetter, Director of New Clinical Product Development, VNSNY
Christina Coons

E-Prescribing and Medication Management
This session discusses interoperability implications of e-prescribing and medication management, including eMAR. Systems will allow multiple providers to have access to complete medication lists, coverage, and drug-drug interaction checking, and facilitate medication management in different care settings.

Exploring Privacy and Workforce Issues
The LTC HIT Roadmap hasn’t addressed privacy and workforce issues, yet both have emerged as critical issues for meeting the goal of EHRs by 2014. This session explores both issues and identifies new priorities for the next roadmap.

Facilitators:

Michelle Dougherty, AHIMA

David Lipsky, Cornell University

E-Prescribing and e-MAR Implementation
The Medicare Improvements for Patients and Providers Act (MIPPA) mandated e-prescribing incentives starting in 2009.  While research has demonstrated the benefits of e-prescribing and e-MAR solutions, LTC providers are faced with very practical questions about: what to consider in selecting an IT solution, what trade-offs should be considered, and what are realistic expectations of resource investment and time to results?  This session will highlight implementation experiences, successes, failures, and lessons learned, from e-prescribing and e-MAR implementation efforts.

Speaker:
Beth Cavallaro, Lead Quality Implementation Consultant NewCourtland eRx and President Strategic Solutions, LLC

EHR, PHR, and Patient Portals
Hear examples and implementations of systems and approaches that facilitate the interoperability between EMRs/ EHRs and Personal Health Records, including Patient Portal based EHR systems. Particular discussion regarding patient and family roles and readiness.

Business Case and Emerging Business Models
This session explores and engages participants in dialogue about business case issues and the new emerging business models for aging services. Time will be spent discussing the potential for grants with the stimulus package and the acquisition process.

Facilitator: John Derr, R.Ph, Chief Technology Strategic Officer, Golden Living, Lorin Hitt, University of Pennsylvania Wharton School

12:30–1:30 p.m.

Lunch

1:30–2 p.m.

Advocacy Briefing
Get plugged into advocating for LTC HIT. What are the options and what is the prognosis for success?

Speakers:

Nancy Taylor, Shareholder, Greenberg Traurig

Joel White, Executive Director, HIT Now Coalition

2–3:30 p.m.

The State Landscape and HIT State Initiatives
What’s happening on the home front? This session takes a look at key information from state initiatives that are shaping the direction of healthcare and aging services. Hear the results of a recent State of Technology report for LTC and findings from the ONC contract on State-Level HIE issues. Speakers will explore the current and emerging issues state Medicaid system face related to technology as well as the stimulus package grants directed at state initiatives.

Speakers:

Chris Muir, Senior Policy Analyst, ONC

Betsy Ranslow, Sr. Policy Analyst, ONC

Lynn Dierker, RN, Director State Level HIE Project

Nimalie Stone, MD, Medical Epidemiologist, Long-term Care, Center for Disease Control

3:30 p.m.

Wrap Up—Points of Convergence and Key Action Items from the 2009 HIT Summit

Early Bird Pricing (through May 14 Extended to May 26, 2009)

Price

$325

Price

$395