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HIMSS Patient-Centered Payer Roundtable FY13 Overview
July 1, 2012
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Introduction
HIMSS Volunteer Groups: Definitions• Committees are small groups of highly qualified volunteers executing the Society’s
strategic initiatives via a Board-approved annual plan. Committee members actively engage in work efforts resulting in tangible, valuable resources each year.
• Task Forces are groups of volunteers gathering together to work on narrow-issue projects for the Society. Task Forces convene for a particular period of time to work on the project, and then disband.
• Work Groups are similar to Task Forces in that they are groups of volunteers gathering together for a particular period of time, and then disband. Work Groups differ in that they gather to work on time-sensitive or single-issue projects for the Society.
• Roundtables are Board-created groups focusing on strategic subjects and/or audiences for the Society. Each Roundtable has a specific core constituency – for example, chapter liaisons focusing on state legislative and regulatory issues. Roundtables, and their Chairs, serve at the discretion of the Chair of the HIMSS Board of Directors.
HIMSS Volunteers Groups: By the #s• Committees : 20
• Task Forces, Work Groups, Roundtables : 74
• Communities of Profession : 9
• Engaged HIMSS Volunteers : 4,000 +
HIMSS FY13 Committee Structure
AMBULATORY INFORMATION
SYSTEMS
Meaningful Use Center of Excellence
Continuity of Care
Public Comment Review
ENTERPRISE INFORMATION
SYSTEMS
HIT Usability
CPOE Wiki
Public Comments
Readmissions & IT
Meaningful Use
HEALTH INFORMATION
EXCHANGE
HIE Toolkit
Enterprise HIE Toolkit
HIE Communications
Ambulatory HIE Toolkit
Public Comment
HIE Toolkit Review Panel
ECONNECTING WITH
CONSUMERS
Patient Experience
Public Comment
Provider Excellence Award
Provider Value Proposition
Social Media
CLINICAL BUSINESS
INTELLIGENCE
Analytics
Deriving Value from Data
Data Storage & Management
CBI Community
INTEROPERABILITY & STANDARDS
mHIMSS Roadmap
3rd Edition Dictionary
Position Statement
Enterprise Architecture
INNOVATION
TBD
Innovation Community
HIMSS BOARD OF DIRECTORS
Task ForceRoundtable Workgroup
LEGEND Committee Community/Assoc/Groups
Public Comment Review
HIMSS FY13 Committee Structure
QUALITY, COST & SAFETY
Medical Devices / Patient Safety
Clinical Decision Support
National Quality Forum (NQF)
Public Policy & Advocacy
Stories of Success
Quality 101
PUBLIC POLICY
Government Relations
Legal Aspects of HIT
Small Business & Diversity
NURSING INFORMATICS
Career Development
Website Tools / Resources
Nursing Informatics
Clinical Informatics Insights eNewsletter
Nursing Informatics Awareness
Nursing Executive Engagement
TIGER Initiative
Standard Practices
Survey Development
Long-Term / Post Acute Care
CNO Vendor
Nursing Informatics Community
MEDICAL BANKING & FINANCIAL SYSTEMS
Revenue Cycle Improvement
Business Edge eNewsletter
Privacy & Security
World Bank
ICD-10
ICD-10 Regional Chapters
Communication
ICD-10 Playbook
ICD-10 National Pilot Program
Risk Assessment
PRIVACY & SECURITY
Privacy & Security Policy
Toolkit Content Review
Patient Identity Integrity
Mobile Security
Cloud Computing Security
MANAGEMENT ENGINEERING /
PROCESS IMPROVEMENT
Change Management
Education
Tools, Topics and Toolkits
Communications / Membership
MEPI Community
HIMSS BOARD OF DIRECTORS
Task ForceRoundtable Workgroup
LEGEND Committee Community/Assoc/Groups
Task ForceRoundtable Workgroup
LEGEND Committee Community/Assoc/Groups
EHR Association Federal Health Community
Senior IT Executive Community
Career Services
Professional Development /
Emerging Professionals
Chapter AdvocacyRegional Extension Centers
Regional Affairs Focused Groups
Chapters
Latino Community
Patient-Centered Payer Accountable Care mHIMSS
mHIMSS Roadmap
ANNUAL CONFERENCE EDUCATION
CPHIMS TECHNICAL
DAVIES AMBULATORY
DAVIES ORGANIZATIONAL
DAVIES PUBLIC HEALTH
DISTANCE EDUCATION
PHYSICIANS LEADERSHIP
Physicians Community
HIMSS FY13 Committee StructureHIMSS BOARD OF DIRECTORS
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SOP
FY13 HIMSS Committee Structure• http://www.himss.org/content/files/FY13CommitteeStructure.pdf
Committee Volunteer Structure, Policies and Guidelines
• http://www.himss.org/content/files/Committee_SOP.pdf
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HIMSS FY13
HIMSS Mission
Improve patient care, quality, and outcomes in a cost-effective manner. Foster collaboration and trust between providers, payers and all health care constituents. Improve health care productivity and efficiencies by leveraging
information technology.
HIMSS Patient-Centered Payer Cause
HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, and research initiatives designed to promote information and management systems’ contributions to improving
the quality, safety, access, and cost-effectiveness of patient care.
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HIMSS Payer Activities
• Monthly Roundtable meetings (via WebEx)– Member driven 2-minute drills– Keynote speaker– 3rd Thursday of the month from 4-5pm EST
• HIMSS13: Payer Networking Lunch – 100+ attendees
• Relevant virtual events: TBD
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Patient-Centered Payer Roundtable Overview
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PCPR Roundtable • Open to all HIMSS members (current membership: approx 250 people)
• Will meet virtually 10 times/year
• Agenda for the meetings may include:
• Commencing with a short series of 2-Minute Drills presented various Roundtable and HIMSS members
• Topical discussion with key note presenter
The ‘2-Minute Drill’ is based loosely on the sports analogy, and in this case
is a fast-paced (short in length) presentation on a hot, emerging, or timely topic, news event (e.g. research paper, game-changing market or technology news), or recent and relevant event (e.g., federal public meeting, legislative/federal/judicial news, critical conference or
educational event).
2-Minute Drills foster greater peer-to-peer networking, member engagement, problem solving, solution sharing, and education. If you are interested in presenting any drills,
please contact Nancy or Shelley.
Patient-Centered Payer RoundtableCurrent Leadership Team: Chairperson Vice ChairpersonDavid Fitzgerald, Aetna Gary Austin, TranzformHealth Term: July 2013 -June 2014 Term: July 2013 -June 2014
Vision:• Improve patient care, quality, and outcomes in a cost-effective manner. Foster
collaboration and trust between providers, payers and all health care constituents. Improve health care productivity and efficiencies by leveraging information technology.
Mission:• Provide a vehicle for payer, providers, and other stakeholders to exchange ideas and
dialogue on emerging health IT issues and opportunities. • Advance the engagement and learning of payer stakeholders• Impact public policy through the HIMSS Public Policy Committee • Create a conduit for health IT and provider stakeholders to impact the payer community
engagement and investment in improving of delivery of care14
Key Theme Areas for 2012-2013
• Building toward holistic collaborations between payers and providers to support improve care and outcomes. Need to better understand each group’s priorities and goals and see where there are areas for discussion, collaboration.– The RT/HIMSS can provide a “safe place” to discuss payer-provider issues
• Holistic view of payer-provider IT solutions– Health IT solutions (and sometimes departments) are often “siloed”
within both payer and provider organizations.– The healthcare system is moving toward a more “holistic” view of patient
care. The delivery system is becoming more integrated. – Health IT professionals and systems need to also become more “holistic”
in their viewpoints and integrated in function.
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• Value-based healthcare– Bundled payments– Payment models– Build around collaboration
• Move toward retail/consumer-focused healthcare – Collaborative Care Coordination– Big Data– Population Health
• Consumer data– Data Exchange / Interoperability / Standards– HIE-HIX
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Key Topics Areas for 2012-2013
Roundtable TeamsLeadership Team is responsible for guiding vision, purpose and content of the Roundtable; and ensuring alignment with HIMSS leadership and other industry workgroups as needed; ensuring Patient-Centered Payer Roundtable leadership positions are filled.
– To dos: Visioning…guiding…big think…build the roadmap…strategic planning…generate ideas on how to leverage internal HIMSS and external opportunities….
– Key Deliverables: Recommendations/volunteers for leadership positions. Schedules for duration/rotation in positions. Recommendations for improvement to vision, mission and approach to roundtable.
– Meetings: monthly calls
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Roundtable TeamsContent and Speakers Team is responsible for topics and content for roundtable. Identifies and invites speakers, with input from leadership team. Maintains a high level of quality of content. Identifies topics of interest that require taskforces. Appoints and organizes chairs of taskforces.
– To dos: Use your ear to the ground to identify and pull in emerging trends, new ideas, key issues, critical content areas, and high quality speakers. Generate ideas and potential speakers for upcoming HIMSS events and webinars as needed, HIMSS13 payer events like the networking luncheon. Be a resource for speakers request.
– Key Deliverables: Create and maintain list of topics and corresponding speakers that are pertinent, timely, of interest to both payers and providers, and align with the direction of the HIMSS payer initiative. Identify topics of interest that require taskforces; appoints and organizes chairs of taskforces. Track and report out roundtable meeting notes and action items.
– Meetings: Monthly calls 18
Roundtable TeamsResponse and Communications Team is responsible for managing the “external face” of the roundtable. Is the Go-To body and organizes the roundtable’s contribution to HIMSS public responses. Monitors HIMSS opportunities like conferences, webinars of interest to roundtable and communicates same. Recommends how the content created by Roundtable can be leveraged by other HIMSS committees, government agencies, and collaborating groups.
– Key Deliverables:
• ARTICLES – Develop “thought leadership pieces” for publication on the HIMSS.org and the
• SOCIAL MEDIA – Engage in payer social media through blogs, LinkedIn, and twitter• PUBLIC POLICY – Coordinate and guide responses from the Roundtable for HIMSS responses to
public comments, HIMSS Public Policy Principles, other public policy activities
– Meeting: monthly calls
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Get Involved!
Join the Roundtable Sign up for a Team Write a guest blog or article
ContactShelley Price Nancy DevlinDirector, Payer and Life Sciences Senior Associate, Payer and Life SciencesHIMSS [email protected] [email protected]
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Where To Go For More Information
• Web page– Payer Topics and Tools page!
– http://www.himss.org/ASP/topics_payers_healthplans.asp
– .– http://www.healthcarepayernews.com/himss-payer-insider
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FY13 Leadership and Contact InformationChairperson: David FitzgeraldEnterprise Systems Architect Manager [email protected]
Vice Chairperson:Gary AustinPrincipal & Co-Founder, TranzformHealth [email protected]
HIMSS Staff Liaison:Shelley Price Nancy DevlinDirector, Payer and Life Sciences Senior Associate, Payer and Life SciencesHIMSS [email protected] [email protected]
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Thank You!
