2010 Teleconference Schedule(v 2009-05-12)

REGISTER FOR TELECONFERENCES ON OUR HOMEPAGEFind materials for these teleconferences at our website via "Members Only/Teleconferences"

January 7, 2-3 pm CTNextGen No. 3: NextGen Insights by KLASMark Wagner, Director of Ambulatory Research, and Katie Wood, Research Manager, KLAS Enterprises, Orem, UT. Mark and Katie provide up to the minute findings from their recent survey of ambulatory EMR vendors regarding NextGen’s preparations for meeting Meaningful Use and other critical goals and functionality.NextGen Collaborative Community

January 11, 11 am-Noon CTHHS/ONC HIT Policy Committee UpdateMarc Probst, CIO, Intermountain HealthCare and HIT Policy Committee Member, Office of the National Coordinator for HIT, Department of Health and Human Services, discusses the latest information and efforts of the HIT Policy Committee. Although the rules on Meaningful Use and Certification are still being developed by HHS and CMS, the HIT Policy Committee has been discussing issues such as Health Information Exchange, Security and Privacy issues and developing an overarching plan for HIT in the United States. He reviews these efforts and asks for any thoughts the participants have about these issues and next steps.EHRs and Health Information Exchange Community

January 14, 1-2 CTReducing Waste in Healthcare: Impact of ITBob Kelley, Vice President, Healthcare Analytics, Thomson Reuters. This session provides an objective look at the savings potential in the U.S. healthcare system based on findings from a recent Thomson Reuters white paper. Learn the different independent component categories of waste, as well as supporting details from published research studies, expert opinion and other evidence that quantify specific opportunities for savings. Are there areas where expenses can be cut without undermining quality? How prevalent are misuse and fraud? This session tackles the tangled issue of healthcare waste and provides a framework for thinking about where IT can help tackle the staggering opportunities to manage cost.

January 18, 1-2 pm CTSI-Cerner Users Collaborative No. 20: Cerner Inpatient Clinical Documentation - Successful Practices at AdvocateJoel Shoolin, DO, Vice President, Advocate Healthcare, briefly describes what Advocate has successfully done to date, and is planning, regarding physician documentation using examples from the ED and progress notes. Our usual open discussion and Q&A will follow.SI-Cerner Users Collaborative Community

January 19, 1-2 pm CTGrowing Market for Anesthesia Information SystemsJason Hess, General Manager, Clinical Research, KLAS Enterprises, Orem, UT. Because of the complex, demanding and unique nature of the operating room, the surgery department - and anesthesia specifically - it has often been resistant to electronic automation. Yet early adopters of anesthesia information systems (AIS) are recognizing noteworthy benefits, including better patient care, a reasonable return on investment and even decreased liability. In this presentation, Jason examines the market for AIS solutions, which is

growing steadily. Drawing on research from the recent KLAS AIS report, he highlights several key market trends and reviews the best-performing vendor products.

January 21, 1-2 pm CTA Bridge to CPOE: Meeting Meaningful Use and Evidence-Based Order SetsJeffrey S. Rose, MD, VP Clinical Excellence, Informatics, Ascension Health, and Alan Snell, MD, MMM, Chief Medical Informatics Officer, St. Vincent Health. With Meaningful Use criteria established, the question for healthcare organizations is how to find methods of delivering evidence-based content and provider order sets prior to a CPOE activation. Learn how St. Vincent Health, Indianapolis, the largest ministry within Ascension Health, developed an online tool using Microsoft products to deliver order sets to hospital sites that are still several years away from CPOE.EHRs and Health Information Exchange Community

January 26, 1-2 pm CTMeeting Meaningful Use: Recommendations from HITSP Chair, John Halamka, MDJohn Halamka, MD, CIO at Care Group and Chair of Healthcare Information Technology Standards Panel, and Gregory J. DeBor, Client Partner, Health Delivery, CSC. Based on the Notice of Proposed Rule Making (NPRM) published for meaningful use, Dr. Halamka and Greg discuss the latest changes in the requirements, the biggest challenges that organizations will face and the standards that should be adopted to achieve meaningful use.EHRs and Health Information Exchange Community

February 2, 11 am-Noon CTED EMR Deployment and Culture Change: Success Factors and Lessons Learned at Advocate HealthCareDouglas A. Propp, MD, MS, FACEP, FACPE, Medical Director/Department Chair, Emergency Dept. and Medical Director Clinical Informatics, Advocate Lutheran General Hospital. Dr. Propp describes guiding principles and tactics for “non-incremental culture change” to occur in the context of ED automation. Measured results in satisfaction, safety, quality and efficiency are discussed, as well as unexpected challenges, unexpected benefits, and the roadmap to sustainability.EHRs and Health Information Exchange Community

February 3, Noon-1 pm CTNew Facility Technology Planning at Palomar Pomerado HealthSteven Tanaka, CIO, Palomar Pomerado Health, and Todd Hollowell, Vice President, Impact Advisors, describe emerging trends, best practices, and unforeseen challenges in New Facility Technology Planning, using Palomar Pomerado Health’s expansion and new facility programs as a real-time case study. They discuss how marrying traditional facility planning methodology with advanced and emerging technology planning and the many layers of infrastructure, technical, and workflow considerations meld together. Steven covers Palomar Pomerado’s multi-year planning efforts in the context of organizational growth, economic uncertainty, and rapidly changing technology. Attendees gain an understanding for the intensity, duration and complexity of new facility technology planning and see firsthand how a healthcare organization has leveraged the process and knowledge into a cohesive new construction and renovation strategy and timeline.

February 9, 1-2 pm CTHealth Information Exchanges: Separating Fact from FictionJason Hess, General Manager, Clinical Research, KLAS Enterprises, Orem, UT. With the advent of meaningful use requirements and the prospect of a Nationwide Health Information Network, interest in health information exchange (HIE) solutions is high. But while marketing by vendors would have provider organizations believe that there are plentiful examples of successful HIE organizations built on commercial technologies, proven models are scarce. Based on months of research, this presentation helps providers separate HIE fact from fiction. Jason highlights the key vendors currently offering commercial solutions for HIEs, and which of those solutions have been successful for healthcare organizations. Covering both acute-to-acute and acute-to-ambulatory exchanges, Jason helps participants understand the common

characteristics among successful HIEs, and what industry trends are helping to shape this emerging market.

February 11, 1-2 pm CTIT Service Quality, Delivered Meaningfully: Part 2Mike Wilson, Senior IT Director, Clinical Systems, Compuware. Join Mike as he continues his series on IT Service Quality. He provides specific examples of how effective monitoring of clinical systems can help accurately measure hospital and physician compliance to the Meaningful Use guidelines. If you missed Part One, you can view the on-demand version in the SIWebII ITSM Community and find out how the requirements being set forth by the ARRA will have a direct effect on clinical service level agreements. Understanding meaningful use as SLA’s can provide hospitals a starting point for monitoring and validating compliance with the recently proposed ARRA guidelines.IT Service Management Community

February 15, 1-2 pm CTSI-Cerner Users Collaborative No. 21: Bar Code Med AdministrationFred Machouka discusses Bar Code Med Administration at Memorial Hermann, and describes the initiative to date, success factors, lessons learned and resulting impact.SI-Cerner Users Collaborative Community

February 18, 1-2 pm CTShared Services within Healthcare ProvidersTom Foley, Principal, and Christine Armstrong, Principal, Deloitte Consulting, LLP. Cost containment and efficiency are likely to remain on hospital systems’ executive agendas long after the recession has passed. Fortunately, today’s environment brings new opportunities to providers’ battle against costs. One such opportunity is to adopt a shared services model for business support activities. Done well, the use of shared services can greatly help hospital systems in their efforts to navigate a challenging economic landscape without forcing them to compromise the quality of patient care. Jeff and Tom discuss why today’s changed circumstances make shared services more feasible than ever before, the shared services value proposition includes more than just lower costs, and opportunities to pursue shared services for process areas like Revenue cycle/patient financial services, Procure-to-pay (supply-chain and accounts payable), Finance and Accounting, HR and employee services, and Information Technology. They include tips for hospital systems on how to effectively implement and run a shared services organization.

March 9, 1-2 pm CTEstablishing an Enterprise Architecture Discipline in Your OrganizationCarla Robelli, Vice President PMO, Jeff Poiner, Senior Manager, Enterprise Architecture, and Karen Xie, Karen Xie, PhD, Director, Enterprise Architecture and Program Management, Trinity Health. Trinity Health and the Scottsdale Institute want to determine interest in a potential collaboration on Enterprise Architecture. If your organization is interested in exploring this issue with peers, please register to attend when we discuss the following: 1) Has your organization established an Enterprise Architecture (EA) group? When? What were the key drivers? Resources? Describe the EA organization structure, e.g., centralized vs. within business units, etc. 2) Describe your EA Framework; is it an existing framework such as Gartner's, or did you develop your own? Why? How well does it work? 3) Share your current initiatives. What measurements do you have in place to track EA activities and determine success? Describe some completed deliverables, best practices and/or lesson learned. 4) What is your EA governance structure? 5) How do you handle communication of your EA activities and the development of common language throughout your organization? 6) Describe your current EA challenges and any solutions: organization culture, leadership support, governance, framework, communications, resources, education, talent and skill-set, management of EA activities and deliverables. 7) What external resources are helpful?

March 10, 1-2 pm CTNYCLIX (New York Clinical Information Exchange) Program UpdateGilad Kuperman, MD, PhD, Board Chair. NYCLIX, Inc., is a RHIO in New York City which has developed a legal, technical and privacy infrastructure to interconnect its members, which include 10 academic medical centers, two faculty practice organizations and the largest home health agency in the country. The last

report to Scottsdale about NYCLIX was in January 2008. This presentation describes progress made since then, including the current status of the technical platform, status of the consent processes, early clinician experiences and NYCLIX's planned strategic directions.

March 15, 1-2 pm CTSI-Cerner Users Collaborative No. 22: U of Missouri on M-PagesKarl M. Kochendorfer, MD, FAAFP, Assistant Professor of Clinical Family and Community Medicine at the University of Missouri’s School of Medicine, Director of Clinical Informatics in the Department of Family and Community Medicine, and Adjunct faculty member of the MU Informatics Institute and the Department of Health Management and Informatics. Dr. Kochendorfer discusses the use of M-Pages at the University of Missouri.SI-Cerner Users Collaborative Community

March 17, Noon-1 pm CTThe Evolution of Clinical Data Exchange at Northwestern Memorial HospitalJulie Bryant and David Liebovitz, MD, Northwestern Memorial Hospital, and Adam Theall from Impact Advisors, review the evolution of clinical data exchange strategies and solutions, with a focus on contemporary and emerging technologies. The discussion covers the key drivers of clinical data exchange within and beyond a single enterprise, including available solution architectures and data models, current limitations, technical prerequisites and enablers, and cost/benefit considerations. They describe these factors in the context of NMH’s strategic approach to the selection of a vendor for next-generation interoperability. They also highlight the technology environment at NMH, outline the business and technical considerations of the selection process, and describe NMH’s short and long term goals for their interoperability initiative.

March 18, 1-2 pm CTUltrasound and Digital Radiography: Core Imaging ComponentsKirk Ising, Senior Research Manager, and Emily Crane, Manager, KLAS Enterprises, Orem, UT. Emily and Kirk, from the Medical Equipment / Medical Imaging team at KLAS, illustrate the developing imaging trends, discuss new ultrasound and digital radiography technologies and share key performance findings from recent KLAS research in this presentation. In addition, they explain ways ultrasound is expanded throughout the entire hospital organization as well as into most outpatient settings.

March 23, 1-2 pm CTQuality Reporting under Meaningful Use and its Relationship to Core MeasuresMathew Bates, Senior Vice President, Products & Solutions, Healthcare, and Lou Diamond, MD, Vice President and Medical Director, Healthcare, Thomson Reuters. The Quality Reporting requirements under Meaningful Use are larger and more challenging than they first appear. In order to fulfill the MU Quality Reporting requirements for Stage 1, more than 100 discrete data elements need to be captured not only from your EHR, but also other systems like ADT, lab and nursing. To make things more complicated, the MU Quality Reporting requirements overlap with, but do not replace, the Core Measures program. This session presents details on these topics and provides the participant with a practical implementation process for tackling the hospital quality reporting space.Management and Quality Dashboards Community

March 26, 1-2 pm CTEffective Business Intelligence - A Key to Survival for Healthcare ProvidersDean Miller, Principal, Healthcare BI and DS Practice, Deloitte Consulting. Provider healthcare data grows exponentially each year, as do data reporting pressures. Can organizations survive without significant advancements in Business Intelligence (BI) capabilities and technology? BI is the intersection of business strategy, the data behind it, and the technology that delivers it, and includes aggregating, structuring, cleansing, analyzing and delivering data to improve performance, allowing end users to act on that data to develop and implement corrective actions. Dean addresses the role of Business Intelligence in achieving excellence, examples of initiatives that advance the use of it, and benefits associated with the effective deployment of BI.

March 31, 1-2 pm CTIT Service Quality Delivered Meaningfully, Part 3: CHRISTUS Health Case StudyGeorge Conklin, VP and CIO, CHRISTUS Health, Mike Wilson, Senior IT Director, Clinical Information Systems and Kristen Allmacher, ITIL Subject Matter Expert, Compuware. In part three of this series we evaluate process such as ITIL and Six Sigma. This is not another session explaining what ITIL is; it is a live discussion aimed at helping you improve your IT service delivery. George shares insight from his own experience using ITIL and Six Sigma at CHRISTUS, and discusses how his team continues to adapt in the face of constantly evolving strategy and healthcare reform. Mike and Kristen offer additional insight on how IT should use these principles to develop a go-forward strategy for achieving meaningful use.IT Service Management Community

April 1, Noon-1 pm CTNext Generation Clinical Desktop at Spectrum HealthScott Dresen, VP of Enterprise Technology Services, Spectrum Health, and Rob Faix, Principal, Impact Advisors, share experiences and lessons learned regarding how Spectrum’s workstation standardization deployment strategy was developed and organized into phases spanning three years. In 2006, Spectrum Health developed the workstation standardization plan. More recently Spectrum has been preparing to implement enabling technologies such as Single Sign-On, Context Management, Desktop Virtualization, and an application launching portal. Collectively, the introduction of these technologies over time represents Spectrum’s next generation clinical desktop. In this session the audience gains an appreciation for the current state of the industry and the strategic and tactical planning efforts necessary to successfully deploy these technologies.

April 5, 1-2 pm CTNew Options for Meeting Meaningful Use for Community Physician PracticesDavid C. Kibbe, MD, MBA, Senior Advisor, American Academy of Family Physicians, and Chair, ASTM International E31 Technical Committee on Healthcare Informatics. While most of the public commentary on HITECH so far has been directed to the NPRM on meaningful use, the real news here relates to the deconstruction of EHRs that is described in the interim final rule, IFR, covering EHR standards and implementation specifications. Expect a revolution in the marketplace for EHR technology, with new "meaningful use" product offerings that are much less expensive than their legacy competition. Physicians and their organizations will have new choices for EHRs that embrace component or modular architectures, use web-based delivery also known as "software-as-a-service," and offer practical means of achieving interoperable data exchange between applications from different vendors. If you want to know why physicians are waiting on the sidelines, this helps to explain the phenomenon.

April 6, 1-2 pm CTThe Health Story Project: Exchange Basic Records and Meet Early Meaningful Use RequirementsBob Dolin, MD, Chair, Health Level Seven and Principal, Semantically Yours, LLC. Over a billion clinical notes are created by physicians in the U.S. each year. With standards, the output can easily integrate with EMRs/HIEs and provide a glide path to interoperability. The Health Story Project is an industry collaboration working to accelerate the development and adoption of electronic clinical documents using HL7 Clinical Document Architecture. Learn how use of these standards support ARRA requirements for meaningful use for exchanging basic records - even prior to EMR system adoption. And, discover the benefits of the Health Story approach, including minimal disruption to workflow, physician acceptance, leveraging current technology investments and offering easy access to the right information. Can your system support this strategy? Learn how to get started.

April 8, 1-2 pm CTHL7 and Personalized Medicine Part 1: It Starts with Family Health HistoryGrant M. Wood, Intermountain Healthcare Clinical Genetics Institute, LDS Hospital, Salt Lake City, Utah, and HL7 Clinical Genomics Work Group. Physicians have been asking patients for family health history information for a long time. Clinicians use this information to stratify disease risk and to guide prevention efforts. In this era of personalized medicine, family health history information could also be used to guide genetic test ordering and interpretation. Even with advances in genetic testing technology decreasing the cost, family health history remains the best and least expensive genetic ‘test’ available. Yet, for most

doctors, the process of collecting family health history information is still paper-based, interrupts clinical workflow, and typically does not get shared with other healthcare providers or family members. Physicians are asking for better, computerized tools. The HL7 Pedigree model is designed to address these issues by requiring structured and coded data, thereby making advanced clinical decision support and data integration between systems possible. This session provides a basic understanding of what data is involved, and the clinical importance of collecting robust pedigrees. Current HL7 based projects - a Microsoft Healthvault-enabled application by Intermountain Healthcare, and the online tool by the Surgeon General - are reviewed.

April 20, 1-2 pm CTIT Infrastructure Library (ITIL)Carol Chouinard, Director, and Jeff Hersh, Specialist Leader, Deloitte Consulting, LLP. IT Service Management (ITSM) based on the IT Infrastructure Library (ITIL) process framework continues to be increasingly adopted at healthcare provider organizations as they rationalize and standardize their IT operations. ITSM is the foundation that IT builds on to provide consistent levels of services at a reliable, cost-effective price. The ITIL process framework is essentially an open source, best practice framework developed over the last fifteen years which presents the basis around which to develop and implement repeatable, reliable processes for such routine IT functions as change management and incident management. This teleconference provides an overview of ITSM and the ITIL framework, as well as thoughts related to the ITSM software vendor market. Carol and Jeff present some thoughts and insights based on what some healthcare providers, and companies in other industries, are doing related to the implementation of ITSM and ITIL. Finally, they share some thoughts as to how ITSM and ITIL can assist in developing the basis for a reliable technology environment for HITECH requirements.IT Service Management Community

April 21, Noon-1 CTSpectrum IS Service ExcellenceScott Dresen, Vice President of Enterprise Services, and Heather Strickland, Strategist, Spectrum Health. In the last 2-plus years, Spectrum Health’s Technology and Information Services (TIS) has been on a path of proactively responding to a growing diverse user base, an impending CPOE rollout, an Ambulatory EMR implementation, and preparing for the possible acquisition and integration of a several community hospitals and large physician groups. Through disciplined and widespread leveraging of industry best practices, including LEAN, ITIL, and the Capability Maturity Model (CMM), Spectrum Health has created a pragmatic and customer-focused service model to take Information Systems to the next level of operational efficiency and effectiveness. In this session, Scott and Heather discuss how the Spectrum Health program evolved from strategy to business value delivered, the opportunities and challenges encountered along their journey, and lessons learned in a multi-faceted approach to Service Excellence. This session aids attendees in developing their own strategies and approaches to improving IS operational efficiency and effectiveness.IT Service Management Community

April 22, 1-2 pm CTEnterprise Business Intelligence: Who Can Help You Use Data in a Meaningful Way?Mike Smith, General Manager, Financial/Services Research and Lorin Bird, Strategic Operations Manager, Financial and Services Research, KLAS Enterprises, Orem, UT. Mike and Lorin share findings from recent KLAS research on business intelligence (BI) to answer questions such as who can provide an enterprise-wide BI solution? What benefits can be expected? Which solutions provide accurate, timely data? What are the challenges of BI and how are providers successfully overcoming them? And who has the strongest reporting, dashboarding and analytics capabilities? In addition, Mike examines consulting firms' roles in BI deployment and strategy.

April 27, 1-2 pm CTAutomating Boston Medical Center's Referral Process: Bottom-line Benefits and Community IntegrationJoel L. Vengco, BMC’s Chief Applications Architect & Director, Boston Medical Center. Joel details how BMC facilitated community information exchange by addressing HIE standards related to interoperability, usability, collaboration and enhanced quality of care, as well as how re-engineering the referral management process boosted efficiency, care coordination and patient tracking. He documents BMC’s successful expansion of electronic referral management to all departments, along with BMC’s plans for internal consultations and enhanced communications between BMC departments and non-network providers. Significant financial gains can be achieved through HIE-based electronic referral systems that increase referral volume through integration and collaboration. BMC will generate an additional $7 million over four years through its implementation of a portal-based referral management solution called eReferral. Since going live in May 2009, eReferral has helped BMC improve scheduled referrals by approximately 20 percent, reduce no-shows by 5 percent and increase referrals by 100 a day (about 10 percent). Other outcomes include a decline in missed clinic appointments, improved care access and quality, safety and satisfaction, and development of an architecture that will serve as a cost-effective platform for future communications between community physicians and community clinics around BMC. In addition to delivering financial benefits such as ensured payment, reduced no-shows and increased revenues, eReferral has achieved clinical gains through its ability to ensure patient access to care, generate data for quality reporting, improve outcomes and optimize use of clinical and administrative resources.

April 29, 1-2 pm CTIT Service Management Delivered Meaningfully - Part 4: Fault Domain IsolationMike Wilson, Senior Director of Clinical Systems, Compuware, continues the conversation regarding the importance of optimal service delivery in achieving meaningful use. During this discussion, Mike looks specifically at how understanding your application performance, especially when there are outages, helps meet the regulations set forth by the ARRA. True meaningful use cannot be achieved until you have complete visibility across all tiers of your infrastructure.IT Service Management Community

May 6, 1-2 pm CTGetting to Stimulus Funding: Which Consultants Can Help?Kent Gale, Chairman and Founder, KLAS Enterprises, Orem, UT. With stimulus deadlines looming ever closer, providers are looking to bridge gaps in their organization to get to full EMR with CPOE by enlisting the expertise, advice and staff of consulting firms. Using recent KLAS research, Kent answers provider questions, such as: Which firms are providers turning to? What gaps are they filling? What challenges do providers face when working with consulting firms? How successful are firms in helping providers reach CPOE, improve patient care, and achieve deeper adoption? And which firms are really helping?

May 11, 1-2 pm CTHIE: Latest and Greatest DevelopmentsPatrick Rossignol, Principal, Deloitte Consulting, LLP. We have just seen unprecedented activity in the Health Information exchange (HIE) area with the influx of funds by ONC and the impact of HITECH’s meaningful use. Patrick presents ongoing developments and potential end points at each level and their cumulative impact: 1) The National Health Information Network (NHIN) efforts and the long-term impact of the definition interoperability standards; 2) State-level HIE Cooperative Agreements: the states’ role as conveners, connectors and operators and ONC’s assumption is that service oriented architecture (SOA) will be the foundation; 3) Regional and “proprietary” HIEs: the multiplication of hospital-sponsored HIEs using the impact of HITECH requirements on community hospitals and community physicians (and the relaxation of the Stark laws) to create “HIEs-of-One” throughout the U.S.; 4) Medical Home and Connected Communities; and 5) Interoperability’s endgame: clinical effectiveness; where interoperability and healthcare reform create a completely new operating environment for providers including those caused by ICD-10 and HIPAA 1050.EHRs and Health Information Exchange Community

May 17, 1-2 pm CTSI-Cerner Users Collaborative No. 23: Discharge ProcessDebbie Carter, RN BSTM, Director Clinical Decision Support, Banner Health. Housewide discharge went live at Banner with the focus of an interdisciplinary team discharge approach. Banner built functionality with CPOE in mind so the focus was on their six CPOE facilities, but implemented parts of the workflow throughout Banner to get the workflows solidified prior to CPOE conversions this year. They are on 2007.19 code, and utilized the Depart functionality but added ancillary discharge recommendations which the provider reviews during the depart process. The key to the success of this project is the use of a “pending discharge” order which triggers ancillary involvement in the discharge process. This process encourages daily discharge rounds and the use of an Interdisciplinary Discharge Screening Powerform. Debbie covers the workflow, build, rules, and the education efforts.SI-Cerner Users Collaborative Community

May 18, 1-2 pm CTMeaningful Use: Implications for Standardized LanguagesCyndie Lundberg, SNOMED Terminology Solutions (STS), a Division of the College of American Pathologists. The American Recovery and Reinvestment Act (ARRA) program includes $40 billion financial incentive payment program for hospitals that implement meaningfully use HIT and EHRs. Stage 1 rules related to meaningful use focus on electronically capturing health information in a standardized format for managing quality, patient safety, patient care outcomes, and billing information using clinical terminologies/classifications: SNOMED Clinical Terms® (SNOMED CT®), LOINC, RxNorm, ICD-9-CM, and ICD-10-CM. What’s your organization’s plan? Learn how SNOMED CT can lay the foundation for your organization’s ARRA requirement.EHRs and Health Information Exchange Community

May 25, 1-2 pm CTMeaningful Use and HIEsMatthew Bates Senior Vice President, Products & Solutions, Healthcare, Thomson Reuters. The Meaningful Use Stage 1 requirements include 10 separate criteria that require some form of electronic exchange of health information between providers, public health, healthcare payers and patients. This session covers the MU criteria related to HIE technology and a framework for how to go about addressing these to meet both Stage 1 compliance and be positioned for future Stages.EHRs and Health Information Exchange Community

May 26, 2-3 pm CTHL7 and Personalized Medicine Part 2: Getting Genetic/Genomic Data in the EHRGrant Wood, Senior IT Strategist at Intermountain Healthcare’s Clinical Genetics Institute, and Samuel (Sandy) Aronson, Executive Director of IT for the Partner’s Center for Personalized Genetic Medicine. In the Fall of 2009, Intermountain Healthcare’s Clinical Genetics Institute and the Partner’s Center for Personalized Genetic Medicine announced a technological breakthrough that may help lead to the medical record of the future and treatment plans that are tailor made for each individual - right down to their DNA. For the first time ever, comprehensive genetic test results were transmitted from a genetics lab to an individual patient’s electronic health record, using a newly developed HL7 standard message. Imagine that a patient undergoes genetic testing, but nothing of concern is found. Three years from now, researchers discover a genetic marker that raises a red flag for cancer. If the patient’s test results are in his medical record, a computer program could see the marker, send an automated notice to his physician, and suggest a plan for screening - all, potentially, long before there are signs of disease. The system might also single out a drug that would have the greatest chance for success, based on the genetic makeup of the individual - and the tumor. Grant and Sandy describe the infrastructure that has been put in place as well as future expansion plans and how you can participate.

June 3, 1-2 pm CTThe Impact of Health Reform on Health Delivery OrganizationsErica Drazen, Managing Director for Emerging Practices, and Jordan Battani, Principal Researcher, Health Plans, CSC. While the most obvious impact of health reform is that 32 million more people will have coverage and create a surge in demand for care, there are other, less discussed provisions that health

delivery organizations need to prepare for now. For example, starting in 2012, hospitals can establish accountable care organizations and share savings with CMS, all Medicare reimbursement will be subject to adjustment based on quality outcomes and preventable readmissions starting in 2013, and additional penalties based on the rate of hospital acquired conditions will be added in 2014.Management and Quality Dashboards Community

June 10, 1-2 pm CTIT Service Management Delivered Meaningfully - Part 5: Tools, Tools and More ToolsMike Wilson, Senior Director Clinical Systems, Compuware. What does your hospital need to endure that you are achieving meaningful use? Mike brings the series to a close with a look at tool functionality and best practices for determining how hospital IT delivers true quality service to the clinicians and all end users.IT Service Management Community

June 14, 1-2 pm CTSI-Cerner Users Collaborative No. 24: Optimizing Clinical Performance through Business IntelligenceScott Baumann, Director Enterprise Decision Support, Spectrum Health, provides an overview of how Spectrum Health populates data into its Enterprise Data Warehouse and leverages Business Intelligence tools and processes to drive performance. Specific examples will focus on how the integrated data environment has played a critical role in financial, clinical and research activities.SI-Cerner Users Collaborative Community

June 15, 1-2 pm CTCleveland Clinic Leverages Business Intelligence to Accelerate Performance ImprovementTom Wadsworth, Managing Director, IntellisEPM - Cleveland Clinic. Healthcare organizations possess a wealth of untapped strategic information in their transaction systems. Cleveland Clinic has applied Business Intelligence (BI) technology in a meaningful and intuitive manner to unlock transaction information to accelerate financial, operational, and clinical performance improvement. In this session, Cleveland Clinic, one of the largest providers in the U.S., will lay out specific steps that it took to leverage BI technology to achieve strategic objectives and positive organizational change. Sixteen years ago, the Clinic began tracking key performance indicators (KPIs) that had an impact on financial performance. At the time, Cleveland Clinic’s CEO sought ways to better monitor and manage performance across the organization’s multiple facilities. Since then, the initiative has helped Cleveland Clinic reduce costs and enhance quality care, even during periods of financial turmoil. Here are four takeaways this session offers: Align performance metrics with strategic initiatives; structure dashboards for the CEO; link performance to annual reviews; and customize dashboard views to the specific user.Business Intelligence and Data Warehousing Community

June 16, 1-2 pm CTApplication Management Services What, Why, and Who-For?Tim Smith, Principal, and Chris Davis, Director, Healthcare Technology Practice, Deloitte Consulting, LLP. Tim and Chris discuss trends and perspectives on the evolution of outsourced application services for healthcare providers, providing an informative look at the changing landscape of services for managing and hosting applications, and addressing questions such as: What are the types of services most commonly desired by provider organizations? What are the range of services available in the market, and who is providing them? What are the emerging or innovative services? What are reasons to consider - and not consider - using AMS? Do AMS’s tend to vary by size of the healthcare provider? Are current industry dynamics (HITECH, ICD-10, etc.) “changing the game” for AMS’s? And, what are key questions to address when evaluating or buying AMS’s?

June 17, 1-2 pm CTAre We There Yet? Getting to Meaningful CPOE UseJason Hess, General Manager of Clinical Research, KLAS, Orem, UT. Despite governmental push to speed up adoption, the road to meaningful CPOE use for many providers may be long and slow. Jason explains findings from recent KLAS research representing approximately 95 percent of North American organizations live with a commercial CPOE product. Find out which systems hospitals are using most, how satisfied they

are with their solution, which products have the deepest physician adoption, the differences in experience between community and large hospitals, how fast even the leading vendors will need to run for their install bases to reach stage 1 meaningful use requirements by 2011, and consider which vendors will continue to make progress in workflow after meaningful use deadlines pass.

June 21, 1-2 pm CTImplementing a Perioperative and Anesthesiology IS in Six Months or LessShermeen Vakharia, MD, HS/Clinical Professor, Director of Thoracic Vascular, and Compliance and Quality Improvement Officer, University of California Irvine, identifies the performance requirements of Anesthesia Information Management System (AIMS) and how UCI evaluated and differentiated various systems to match user and functional requirements. Additionally, Dr. Vakharia describes how to organize an implementation team and develop a project plan for customization, training and go-live.

June 22, 1-2 pm CTPenn Medicine Data Warehouse: Now for the Really Hard PartBrian P. Wells, FHIMSS, Chief Technology Officer, Information Services, Penn Medicine (formerly The University of Pennsylvania Health System). With more than 1.4 billion rows of clinical data in a standard format Operational Data Store, Penn Medicine has completed the pick and shovel work. We are now focused on standardizing data vocabularies, eliminating duplicate rows and integrating additional clinical and financial subject areas.Business Intelligence and Data Warehousing Community

June 24, 1-2 pm CTQuality Measurement 101Lou Diamond, MD, Vice President and Medical Director, Healthcare, Thomson Reuters. Learn the essentials you need to know to support successful Quality Initiatives. This session reviews the basic dimensions of quality, definitions and uses of evidence-based medicine, and the basics of clinical performance measures. Dr. Diamond also provides a summary of the ARRA HIT and quality measurement requirements, as well as an overview of the national quality measurement and improvement enterprise.Management and Quality Dashboards Community

June 29, Noon-1 pm CTQuality Reporting: the Hidden Requirements of Meaningful UseErica Drazen. Managing Director for Emerging Practices, and Jane Metzger, Principal Researcher, Patient Safety, CSC. The common discussion is about the burden of trying to meet all 23 proposed requirements for meaningful use. However, one of those requirements, quality reporting, contains many hidden requirements to capture data not required for the other 22. There are 27 proposed hospital measures - for Medicare alone - and they require 167 different data elements; about a quarter of these will come from physician documentation.Management and Quality Dashboards Community

July 14, 1-2 pm CTDigital Health Community: Enabling the Coordination of CareCarol Chouinard, Director, and Mitchell Morris, MD, Principal, Deloitte Consulting, LLP. IT Service Management (ITSM) based on the IT Infrastructure Library (ITIL) process framework continues to be increasingly adopted in healthcare as we rationalize and standardize IT operations. ITSM is the foundation that IT builds on to provide consistent levels of services at a reliable, cost effective price. The ITIL process framework is an open source, best practice framework which presents the basis around which to develop and implement repeatable, reliable processes IT functions such as change management and incident management. Carol and Dr. Morris provide (1) an overview of ITSM and the ITIL framework, (2) the ITSM software vendor market, (3) insights on what some healthcare providers, and companies in other industries, are doing related to the implementation of ITSM and ITIL, and (4) how ITSM and ITIL can assist in developing the basis for a reliable technology environment for HITECH requirements.IT Service Management Community

July 15, 1-2 pm CTKLAS

July 19, 1-2 pm CTSI-Cerner Users Collaborative No. 25Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

July 22, 1-2 pm CTTrinity Health Case Study

August 11, 1-2 pm CTClinical Documentation ExcellenceMichael Larson, Manager, CIS Practice, and Todd Manion, Manager, Strategy & Operations, Deloitte Consulting. Many organizations have or are in the process of implementing electronic clinical documentation technology. While the design of clinical content is very important to capture appropriate assessment details, other aspects of clinical documentation are often left for later stages of an implementation. Electronic documentation tied to quality measures and charges not only enhances functionality, but further allows the automation of reporting and billing functions. In this session, Michael reviews the necessary components of a clinical documentation system in order for documentation to meet quality measures and allow point-of-care billing, answers the question of how to implement a complete clinical documentation solution, and provides industry leading examples.

August 12, 1-2 pm CTKLAS

August 16, 1-2 pm CTSI-Cerner Users Collaborative No. 26Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

August 19, 1-2 pm CTHITECH Final Rules for Healthcare Reform: August UpdateEric Finocchiaro, Consulting Specialist Leader, and Mitchell Morris, MD, Principal, Deloitte Consulting, LLP. Deloitte presents their assessment of the final regulations that will govern the initial year of the HITECH program, including key implications of final rules, strategies clients are using to accelerate compliance with HITECH, and client case studies. These include: discussion of final rules that will govern the HITECH incentive programs including physicians incentives and hospital incentives; detailed review of meaningful use including latest updates on 2011, 2013 and 2015 criteria; and an update on HITECH grants (examples: Regional Extension Centers, Beacon Communities, and the Strategic Health IT Advanced Research Projects (SHARP) Program).EHRs and Health Information Exchange Community

September 15, 1-2 pm CTBoston Medical Center Case Study

September 16, 1-2 pm CTHITECH Final Rules for Healthcare Reform: September UpdateEric Finocchiaro, Consulting Specialist Leader, and Mitchell Morris, MD, Principal, Deloitte Consulting, LLP. Deloitte presents their assessment of the final regulations that will govern the initial year of the HITECH program, including key implications of final rules, strategies clients are using to accelerate compliance with HITECH, and client case studies. These include: discussion of final rules that will govern the HITECH incentive programs including physicians incentives and hospital incentives; detailed review of meaningful use including latest updates on 2011, 2013 and 2015 criteria; and an update on HITECH grants (examples:

Regional Extension Centers, Beacon Communities, and the Strategic Health IT Advanced Research Projects (SHARP) Program).EHRs and Health Information Exchange Community

September 20, 1-2 pm CTSI-Cerner Users Collaborative No. 27Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

September 21, 1-2 pm CTAccountable Care OrganizationsErica Drazen, Partner, CSC.

September 23, 1-2 pm CTKLAS

September 27, 1-2 pm CTeShare Data ExchangeDoug Dietzman, Spectrum Health, and Adam Theall, Impact Advisors.

October 14, 1-2 pm CTHITECH Final Rules for Healthcare Reform: October UpdateEric Finocchiaro, Consulting Specialist Leader, and Mitchell Morris, MD, Principal, Deloitte Consulting, LLP. Deloitte presents their assessment of the final regulations that will govern the initial year of the HITECH program, including key implications of final rules, strategies clients are using to accelerate compliance with HITECH, and client case studies. These include: discussion of final rules that will govern the HITECH incentive programs including physicians incentives and hospital incentives; detailed review of meaningful use including latest updates on 2011, 2013 and 2015 criteria; and an update on HITECH grants (examples: Regional Extension Centers, Beacon Communities, and the Strategic Health IT Advanced Research Projects (SHARP) Program).EHRs and Health Information Exchange Community

October 18, 1-2 pm CTSI-Cerner Users Collaborative No. 28Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

October 21, 1-2 pm CTKLAS

November 11, 1-2 pm CTKLAS

November 15, 1-2 pm CTSI-Cerner Users Collaborative No. 29Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

December 16, 1-2 pm CTKLAS

December 20, 1-2 pm CTSI-Cerner Users Collaborative No. 30Judy Van Norman, Senior Director, Care Transformation, Banner Health, and Dr. Joel Shoolin, DO, Vice President, Clinical Information, Advocate Healthcare, moderators.SI-Cerner Users Collaborative Community

TBDSecurityDave Reitzel, Deloitte Consulting, LLP.

TBDICD 10Christine Armstrong, Deloitte Consulting, LLP.