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CareScience 2002 National Conference Session Details


 
   
  
Thursday, April 25, 2002
8:00am-8:50am

Opening Address: "The 'Clinical Vertical' of Healthcare Comes of Age"

David Brailer, M.D., Ph.D.
Chairman & CEO, CareScience

The healthcare industry is continuing to recognize that there are no easy answers to the challenges of improving decision-making, care delivery execution, and accountability to the consumer. The failure to transform the industry on a wholesale basis have left many with a lack of direction and sense of achievement. However, like many near-shifts in paradigm, industry failures have forced everyone to return their focus to the core business of healthcare: delivering services to sick people and preventing others from becoming ill. In his opening address, Dr. Brailer will explore how CareScience views these industry changes and how the return to the clinical focus is seen as the essential framework in the industry to achieve new levels of quality, efficiency, safety and security. This "clinical vertical" will define a new approach to managing the enterprise, delivering care to the patient, and relating trading partners to each other.

 

9:00am-9:50am


"Santa Barbara County Care Data Exchange: Collaboratively Reaching the Point of Care"

Moderator: Sam Karp
CIO, California Healthcare Foundation

Panelists: Santa Barbara County Care Data Exchange Participants

Sam Karp, CIO of the California HealthCare Foundation will provide insight as to why the foundation formed a partnership with CareScience to create the Santa Barbara County Care Data Exchange™, a community-wide shared information services project that includes more than 75 percent of leading healthcare providers in Santa Barbara County, CA. Participants of the Santa Barbara County Care Data Exchange are developing a set of initiatives that demonstrate and deploy Internet-based technologies, including business rules and data standards to guarantee the appropriate and secure sharing of patient information throughout the county. The panel discussion will include key project leaders from the community and will address the following issues: the challenges and advantages of collaborating in a competitive environment, ethical and legal issues surrounding privacy and security with regard to data access and data sharing, project milestones and recommendations for replication.

 



"Building Institutional Support for Care Management: Developing Physician and Clinical Champions"

Lawrence Layfer, M.D.
Chairman, Department of Medicine, Rush North Shore Medical Center, Skokie, IL

Jill Rogers, Ph.D., R.N., C.S.
Assistant Vice President, Medical, Psychiatric and Geriatric Patient Care Services, Rush North Shore Medical Center, Skokie, IL

A strategy for building institution-wide support is critical to the successful implementation of care management within an organization. This session will describe the steps taken by Rush North Shore Medical Center in Skokie, IL to develop a culture that recognizes and uses the CareScience Care Management System™ as a core means of supporting the achievement of organizational goals. Strategies discussed will include: physician engagement (obtaining active support from physician and administrative leaders); identifying and educating key stakeholders across multiple departments; using the Care Management System as a primary means of supporting performance improvement initiatives across the organization; and creating structures and processes that facilitate a continued focus on care management initiatives.

 



"Negative Inliers: Assessing the Cost/Quality Relationship"

Tarek Salaway , M.H.A., M.P.H., M.A.
System Director, Clinical Performance Improvement, Providence Health System, Seattle WA

Julie McDonald, R.N.
The Heart Institute at Providence Everett Medical Center

This session describes an innovative approach to identifying significant operational cost savings opportunities. A sophisticated clinical and financial comparative analysis of Providence facilities will be presented as a means of identifying unprofitable Medicare cardiac discharges across a multi-state health system. Patterns of opportunities in clinical quality and resource utilization will be reviewed via a clinical outcome comparisons of sub-DRG sets of Medicare patients at Everett Providence facility. Facility-specific measurements of cost and clinical outcomes will be discussed as a means of determining the impact of follow-up interventions.

 

10:00am-10:50am

Keynote: "Employers and Patient Safety: The Leapfrog Initiative"

Arnie Milstein, M.D.
Medical Director, Pacific Business Group on Health (PBGH)
National Health Care Thought Leader, Worldwide Partner, William M. Mercer

This keynote session will address the newly emerging changes in healthcare purchasing, specifically, management of high-risk enrollees, provider network performance tiering, clinical re-engineering and healthcare consumerism. Dr. Milstein will also discuss how these emerging changes will impact healthcare providers and the healthcare system overall.

 

11:00am-11:50am

"Real-Time Information Flow Via the Clinical Information Architecture: A CIO Report"

Brad Block
CIO, Doylestown Hospital

Mr. Block will describe his organization's experience as being one of the first organizations to use the new CareScience Clinical Information Architecture, a communication and integration platform that enables real-time data updates and prospective care management. Mr. Block will reveal from first-hand experience the challenges and rewards of piloting this new architecture. In this session he will address key technical and business considerations of using the Clinical Information Architecture. Topics discussed will include criteria considered when evaluating rationale for the Clinical Information Architecture, an overview of the gaps in the original batch submission of data, a discussion of approach alternatives leading to implementation priorities, specific integration milestones, and expectations for future development. A case study approach will also be presented which details the specific steps taken to integrate into Doylestown Hospital’s MEDITECH environment, a breakdown of resources required to accomplish these steps, technology challenges encountered, CareScience’s collaborative role in solving integration complexities, and tactical and strategic benefits realized.



"Developing a System-Wide Data-Mining Model to Leverage Knowledge Gained Through the Care Management System"

Phillip Menashe, M.D., F.C.C.P.
Medical Director, Acute Care, Providence Health System, Yakima Medical Center, WA

James Kennedy, M.S.
Clinical Analyst, Decision Support, Providence Health System, Central Washington Service Area

Case Study: This session will describe an opportunity found in a single Providence Health System facility for saving costs for non-indicated respiratory therapy resources and how the project was expanded to include additional facilities across Providence Health System. The session will include the system-wide study findings for nearly 5000 pneumonia patients which demonstrate a potential cost savings opportunity of over $2,000,000; the lessons learned from coordinating a cross-system study with this degree of complexity; and achievement of cost savings by redefining the care process. Further, risk-adjusted outcomes associated with both indicated and non-indicated use of Broncho-Dialator treatments will be discussed, highlighting the strikingly significant adverse outcomes associated with non-indicated use. This systematic approach may be applied to an array of facility-level Care Management System studies and used to improve patient outcomes across the Providence Health System. The practical implications of measuring the return on investment in the Care Management System information technology will also be discussed.



"Multi-Disciplinary Team Approach for Improving Outcomes in the Tracheostomy Population"

Brigid Krizek, R.N., M.G.A., C.P.H.Q.
Director of Quality, Risk, and Case Management, Prince George's Hospital Center

Case Study: Patients falling into DRG 483 (Tracheostomy) accounted for 15% of excess patient days in 2000 at the Prince George's Hospital Center. This population was identified by CareScience's Care Management System to have significant opportunity in mortality, morbidity, complications, and length of stay. This presentation will describe the initial analysis and primary interventions that were undertaken by a multi-disciplinary team to improve the clinical and financial outcomes for this challenging group of patients. Preliminary results, including potential cost savings, will also be reviewed.

 

12:30pm-1:20pm

Keynote: "Molding the Quality Improvement Initiative"

Kenneth W. Kizer, M.D., M.P.H.
President and CEO of The National Quality Forum

This keynote address will identify three primary factors that are at the root of the healthcare "quality chasm" and describe the major forces that are driving the quality improvement agenda. Dr. Kizer will cite examples of changing purchaser and customer attitudes and describe the role of the National Quality Forum in the U.S. Healthcare System. Initiatives in quality such as the Leapfrog Group, Pittsburgh Regional Health Initiative, California’s Pay for Performance Initiative and the Baldrige Competition will be discussed as examples of quality improvement programs contributing to the quality movement.

1:30pm-2:20pm


"Legal Issues and Solutions to Community-Wide Data Sharing"

Robb Tretter, J.D.
General Counsel, CareScience

While the prospect of sharing clinical data among healthcare constituents solves many operational goals of healthcare providers and professionals, such data sharing arrangements also bring up many legal issues. The sharing of clincal data implicates federal and state privacy laws, including HIPAA, as well as security regulations. Cooperation among healthcare consitutents also leads to other problems such as indemnification for other participant's liabilities, coordination of privacy practices and other legal implications. These problems can be avoided by properly structuring the relationships among the parties and using the proper technologies.

 

"Patient-Centric Information Redefined: Access Beyond the Enterprise"

Moderators:
Lori Evans, M.P.H., M.P.P.
Santa Barbara Care Data Exchange Project Manager, CareScience

Panelists: Santa Barbara County Care Data Exchange Participants

This session is a panel discussion on the significance of patient-centric data access to the delivery of healthcare. Specific discussion points include: patient identity management issues and implications of being able to correlate patients within the enterprise and across the community; the operational impact of obtaining access to longitudinal information; the efficiency gains and care effectiveness potential with having more informed patient care; and related cost-savings that can be achieved with access to real-time information.

 



"Transforming a Culture: A Successful Strategy Toward Clinical Effectiveness"

Kevin Jones, M.A.
Manager, Clinical Effectiveness and Quality Improvement, University of Pennsylvania Health System

Within the fiscal year 2001 and 2002, the University of Pennsylvania Health System's (UPHS) Office of Clinical Effectiveness and Quality Improvement (CEQI) has developed an approach to balancing the achievement of financial goals which has resulted in a savings of nearly $12,000,000. In addition to attaining financial targets, this initiative, at a large, academic hospital system, demonstrated continuous improvement in quality of care. Presentation of the CEQI two-year, evolutionary process will include organizational environment and leadership, short and long-term goals, strategies/approaches deployed, implementation and monitoring of performance, and assessment of success.

 



"Practice Variation Analysis: A Model for Cost Reduction"

Monica Arrowsmith, M.S.N., J.D.
Division Director, Adena Health System, Chillicothe, OH

This presentation will demonstrate how to use the Care Management System to perform practice variation analysis. A step-by-step process and its results will be provided. The presentation will further provide a methodology to implement cost reduction strategies based on the analysis and successes to date.

 

2:30pm-3:20pm


"Financial, Operational, and Competitive Issues with Clinical Data Sharing"

Julie Vaughan, M.B.A.
Vice President of Services, CareScience

This session addresses the key financial, operational and competitive issues to community-wide data-sharing. In working with several healthcare organizations across Santa Barbara County, CA, CareScience has developed an approach to resolving financial, operational and competitive issues that impede successful clinical data sharing. Key issues discussed will include: how a data-sharing organization is structured and what mechanisms can be used to expand participation and optimize value; what the true cost and benefits of data sharing are; how implementation works and who really gets to share data; effective governance structures for setting cross-organizational priorities, and enforcing realistic participation by all parties.

 



"Managing a Chronic Co-Existing Condition: Reducing the Incidence and Improving the Treatment of CHF"

Carol Fridlin, R.N., B.S.N., C.P.H.Q.
Manager of Quality Management, St. Vincent Hospital & Health Services, Indianapolis, IN

Case study: Congestive Heart Failure (CHF) was the second highest complication hospital-wide. Patients with CHF had a four day longer length of stay than patients without CHF. Realizing the cost savings potential, St. Vincent focused on the populations with the highest incidence of this chronic condition: COPD, Pneumonia and Cardiac Arrhythmia. St. Vincent's wanted to reduce the incidence of iatragenic CHF as well as to evaluate and improve the treatment of patients in whom CHF was a chronic comorbid condition. Study findings, cost savings, metrics, and a performance improvement plan will be discussed.

 



"Physician Profiling and Re-Credentialing: What is Meaningful?"
(Runs additional 30 minutes)

Paul P. Antonecchia, M.D., F.A.C.P.
Medical Director, Informatics, St. Vincent's Medical Center, Bridgeport, CT

Theresa Johnson, R.N., C.P.H.Q.
Director Patient Support Services, Providence Medical Center

John Jurica, M.D., M.P.H.
Vice President for Medical Affairs, Riverside Medical Center (RMC), Kankakee, IL

This session provides an interactive forum around the topic of physician profiling, re-appointment, and engagement. Presenters will discuss how the CareScience Care Management System™ and other internal data sources are used to share quality information with their physicians. Panelists will discuss their strategies and processes, highlight their successes and barriers to establishing buy-in, and share examples of their reports. Participants will be able to dialogue with the panelists during the Q&A portion of this session.

 

4:00pm-4:50pm

Keynote: "The Future of Information Technology and Healthcare"

Jeff Goldsmith
President, Health Futures, Inc.

Healthcare information technology is interwoven with many other threads that influence the way healthcare is delivered. A leading expert on the future developments of healthcare technology, Jeff Goldsmith will address how connectivity and intelligent software will affect hospitals, physicians, health plans, and in the future. Goldsmith will also discuss newly available medical and information technologies and how institutions will have to adapt their policies to meet such technological advances.

 

4:50pm-5:00pm
 

Closing Comments for the Day

David Brailer, M.D., Ph.D.
Chairman & CEO, CareScience

 
Friday, April 26, 2002
7:15am-8:15am
 

"CareScience Core Measures Solution - Overview and Discussion"

Barbara Doyle, M.S.N, C.R.N. P.
Product Manager, CareScience

Education and demonstration for current Care Management System clients interested in Core Measures Reporting. An informal breakfast session, key users will be introduced to the latest CareScience Core Measures service. Topics discussed will include file formats, front end data collecting, sampling, the CareScience Data Management Utility interface, and reporting timelines.

 

 
8:30am-9:20am

Keynote: "Inside HIPAA: What Comes Next?"

Janlori Goldman, Ph.D., J.D.
Director, Health Privacy Project, Assistant Research Professor, Georgetown University

HIPAAA is one of the biggest mega-forces in the healthcare industry today. As the Director of the Health Privacy Project at Georgetown University, Dr. Goldman was intimately involved with the formation of these regulations, and has a unique insight about the political, academic and commercial stakeholders that came together to create this landmark legislation. Dr. Goldman will discuss why HIPAA came to be, and how these forces will continue to shape business practices and social expectations for privacy and security in healthcare.

 

9:30am-10:20am

"Data Sharing: Market and Organizational Considerations"

Jim Kalamas, B.S., M.S.
Principal, McKinsey & Company

In this session, Mr. Kalamas will share industry perspective on how the market for clinical information exchange is currently defined. Various models for solving the problem of access to clinical data and information exchange will also be discussed. Different business constructs and the associated risks for leveraging clinical information exchange technologies will be presented and the types of delivery settings that benefit the most from these data sharing models will be reviewed in detail.

 

"The Business Case for the Clinical Information Architecture"

Jim Rourke
Director, Integration Services, CareScience

In this session attendees will learn about the strategic and tactical advantages of using streaming data and how the CareScience Clinical Information Architecture enables this capability. As we move closer towards prospective care management, access to real-time clinical data becomes critical. Combining the speed and efficiency of the Clinical Information Architecture data flow with the analytic power of the Care Management System offers both the clinical user and the CIO immediate operational benefits, while positioning their organization to take advantage of new features in future versions of the Care Management System.

 

"Flow: A Decongestant for Stuffed-Up Hospitals"

James L. Reinertsen, M.D.
President, The Reinertsen Group

Flow: Hospitals often experience congested flow between units, leading to delays in care, suboptimal treatment in the wrong units, staff dissatisfaction, and high costs. Many of these problems can be managed using the following principles: 1) Variation is the key to managing flow: Natural variation must be managed by queuing theory, and artificial variation must be understood and eliminated; 2) The goal is optimal throughput, which can not be achieved at 100% occupancy of each unit and, 3) Just because there's not a person in a bed doesn't mean it can not be considered "occupied."





"Service Line Approach to Care Management: The Pneumonia Project"

Paulette Van Dyke, R.N., B.S.N., C.P.H.Q.
Director of Quality Management, Hillcrest Medical Center

Kent Towsley, M.D.
Medical Director, Regional Division HHS, Chairman CQI HMC/HMS

Debra Fluke, R.N., B.S.N.
Performance Improvement Coordinator, Hillcrest Medical Center

The session will demonstrate the importance of infrastructure in implementing a successful quality program. A case study on a pneumonia project that highlights Hillcrest Medical Center's service line approach to successful care management will be discussed. Key discussion points include: presenting a patient population to a multi-disciplinary team; the steps involved in the data analysis; the improvement process; and the outcomes.

 

10:30am-11:20am

Keynote: "Lessons from Bringing Information to the Point of Care"

Dr. John Glaser, Ph.D,
CIO, Partners Healthcare System, Inc.

Many new healthcare information technologies and advances are being made today, and yet challenges in adoption and acceptance remain. Leading organizations have been able to impact care delivery with information technology in profound ways, but are still seeking opportunities to most effectively harness the power of new technology. Based on his experience as the Chief Information Officer of Partners Healthcare System (Boston, MA), Dr. Glaser will discuss the lessons learned by Partners HealthCare, over the last decade, from its implementation of clinical information systems such as provider order entry, computerized medical records, imaging systems and telemedicine. The presentation will review the impact of these systems on care and the strategies and approaches that have been utilized in bringing information systems closer to the point of care.

 

11:30am-12:20pm

"Developing a Hospitalist Program"

Robert M. Wachter, M.D.
Professor and Associate Chairman, Department of Medicine, University of San Francisco,
Chief of the Medical Service, Moffitt-Long Hospitals

This session will first describe the hospitalist model of inpatient care and then focus on key organizational, financial, political, and logistical issues that can spell success or failure for hospitalist models. How the hospitalist model fits into the overall framework of the value equation in healthcare will be discussed as well as the forces promoting the use of hospitalists and key issues facing the movement. Published data on costs, outcomes, and satisfaction associated with hospitalist care will be presented.

 



"Empowering the Consumer: A New Role in Care Delivery"

Lori Evans, M.P.H., M.P.P.

Santa Barbara Care Data Exchange Project Manager, CareScience

Panelists: Santa Barbara County Care Data Exchange Participants and Consumer Representatives

This session will focus on the patient's new role in the healthcare delivery process. Presenters will discuss the impact that Internet-based clinical data sharing has on the patient experience. Product features of the CareScience Care Data Exchange™ that specifically enable the patient to be more informed will be discussed. Other issues that will be covered are: the implementation of federal regulations and how the patient will gain more control as HIPAA becomes a reality; increased patient rights and how they will improve physician-patient communications via the Care Data Exchange.

 

"Enabling Access, Analysis and Application of Clinical Information"
(repeated Friday, 2:30 pm)

LeRoy Jones, B.S., M.S.
Chief Technology Officer, CareScience

Barbara Doyle, M.S.N. C.R.N.P.
Product Manager, CareScience

This session will review how CareScience is operationalizing its philosophy of turning clinical data into actionable information, allowing users to improve care processes and outcomes not only at the system and facility levels, but also for individual patients undergoing active treatment. The session will review the evolution of the CareScience Clinical Information Architecture and the next generation of the Care Management System (version 2.0), the combination of which truly brings better information closer to the point of care. The Clinicial Information Architecture empowers care provider organizations to consistently assemble clinical information on a real-time or near real-time basis for patients across the continuum of care. Incorporating the Clinical Information Architecture's data flow with the back-end analytic power of the Care Management System Version 2.0 is how CareScience is working towards turning clinical data into actionable information. The next version of the Care Management System will intelligently exploit continuous data feeds in the form of dashboard reporting, alerts and reminders, built-in indicators, and "one-click" reporting to support the function of care managers, quality professionals, executives, and others who shape the treatment of patients. With this next version, users will be able to study patterns of care for populations of patients, as well as have the ability to intervene proactively with patients on a real-time basis when necessary.

 





"Engaging Physicians in an AMI Initiative: Strategic and Tactical Approaches"

Carol Smith, R.N., M.S.A.
Director of Performance Improvement, Riverside Regional Medical Center

Kimberla Jones, R.N.C.
Cardiology Outcomes Manager, North Mississippi Health Services

A key strategy for a successful performance improvement project is to engage physicians in the process. Establishing physician trust with data can present a challenge in an organization. Two hospitals share their strategic and tactical approaches to partnering with physicians to improve outcomes in the AMI population.

 

1:30pm-2:20pm

Disruptive Technologies in Healthcare: The Future of Patient Care and Clinical Practice

Molly Coye, M.D.
Founder and CEO, Health Technology Center

As the pace of new technologies accelerates, healthcare leaders are challenged to decide how and when to adopt new innovations. Delivery systems and health plans face aging infrastructures and service models, rising concerns about the quality and cost of healthcare, and a bulging pipeline of medical products and services under development. Against this backdrop, Dr. Coye will discuss how industry leaders joined together in 2001 to create The Health Technology Center (HealthTech),a cross-industry, objective source of information about emerging technologies. Dr. Coye will describe HealthTech's work to forecast the market trajectory and the impact emerging technologies will have on healthcare delivery. She will also discuss the development of new public and private policies to propel the adoption of beneficial and cost-effective technologies, and how these new technologies may close the technology gap for underserved populations and safety net providers.

 

2:30pm-3:20pm

"Enabling Access, Analysis and Application of Clinical Information"
(repeated Friday, 11:30 am)

LeRoy Jones, B.S., M.S.
Chief Technology Officer, CareScience

Barbara Doyle, M.S.N. C.R.N.P.
Product Manager, CareScience

This session will review how CareScience is operationalizing its philosophy of turning clinical data into actionable information, allowing users to improve care processes and outcomes not only at the system and facility levels, but also for individual patients undergoing active treatment. The session will review the evolution of the CareScience Clinical Information Architecture and the next generation of the Care Management System (version 2.0), the combination of which truly brings better information closer to the point of care. The Clinicial Information Architecture empowers care provider organizations to consistently assemble clinical information on a real-time or near real-time basis for patients across the continuum of care. Incorporating the Clinical Information Architecture's data flow with the back-end analytic power of the Care Management System Version 2.0 is how CareScience is working towards turning clinical data into actionable information. The next version of the Care Management System will intelligently exploit continuous data feeds in the form of dashboard reporting, alerts and reminders, built-in indicators, and "one-click" reporting to support the function of care managers, quality professionals, executives, and others who shape the treatment of patients. With this next version, users will be able to study patterns of care for populations of patients, as well as have the ability to intervene proactively with patients on a real-time basis when necessary.

 

"What Consumers Want: The Patient's Perspective"

Barbara Lackritz, B.A., M.A.
Cancer Survivor, Patient and Consumer Advocate

As a cancer suvivor patient and consumer advocate, Ms. Lackritz will focus this session on understanding patients needs, including identifying what patients' needs are, how they can be addressed, common patient concerns, and factors associated with their concerns. Ms. Lackritz will also examine the medical process and help identify how this process can be put into simplified terms so they are easily understood by the patient and his/her caregivers. The session will also detail how caregivers can give their patients the tools to understand the correct party to turn to for information on a variety issues such as insurance coverage. Participants will come away with a new understanding of patients' needs and will be able to work with patients so that they understand the medical system and its processes better.

 



"Exploring and Sharing Solutions: The Stroke Collaborative"

Gary Frank, M.D.
Chief Medical Officer, St. Vincent Hospital, Santa Fe, NM

Bill Ricketts, R.N., C.E.N.
Clinical Outcomes Manager, North Mississippi Health Services, Tupelo, MS

Donna Mahoney, B.S., C.P.H.Q.
Care Management Processes Data Coordinator, Christiana Care Health System, Wilmington, Delaware

Chris Murphy
Senior Applications System Analyst, Seton Health System, TX

This session will highlight the benefit of networking and collaborating with various organizations on analyzing and improving care delivery. Several CareScience Care Management System™ client facilities joined forces to analyze care delivery in the stroke population. Each hospital shared information, experiences and findings with their counterparts and actively participated in the analysis of outcome variations and practice patterns. Participating facilities shared comparative findings with a multi-disciplinary team at their hospital and developed an action plan specific to their hospital improvement goals.

 

3:30pm-4:20pm

Keynote: Multicultural Healthcare Delivery

Robert K. Ross, M.D.
President and Chief Executive Officer, The California Endowment

Dr. Robert K. Ross, President and Chief Executive Officer for the California Endowment, a $3.4 billion health foundation established in 1996 to address the health needs of Californians will review the role of culturally appropriate health approaches in improving health outcomes. Dr. Ross will define the importance of community-based prevention strategies in improving health access and health outcomes with emphasis on patient-safety and improved quality of care.

 

4:20pm-5:30pm
 

CareScience Client Awards Presentation

Meg Horgan, R.N., M.S.N.
Director of Consulting Services, CareScience

Lori Evans, M.P.H., M.P.P.
Santa Barbara Care Data Exchange Project Manager, CareScience

 

Closing Remarks

David Brailer, M.D., Ph.D.
Chairman & CEO CareScience

Closing remarks and interactive Q&A.

 

 

 
Session Focus
Strategic
Operational
Policy
 
Session Category
Clinical
Technology
Pharma

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