Call for Participation - 2010 Summit of the Southeast

 

As a TN HIMSS Board Member and HIE Liaison, I feel it is my duty to fulfill the mission and vision of the TN HIMSS Chapter and ask all those that follow me to consider attending the next conference event. Join the AL, AR, KY, SC and TN Chapters in the largest HIMSS Combined Chapter Conference.There is still time to register for the early bird rates for the 2010 HIMSS Summit of the Southeast.  The Summit offers attendees the chance to join one of the most unique Chapter conferences in the country.  

This meeting is designed to offer attendees access to and hear from the leading healthcare providers and healthcare technology companies in the Southeast.  By attending this conference, you will get a chance to hear national and local leaders on these key agenda items:

• Clinical Informatics (A Credit Session)
• Hospital CEO Discussion
• Keynote – Meaningful Use and Meaningful Change
• State of HIMSS
• Keynote – State of our Nation: A National Road Map
• HIT/HIE Short-term Benefits and Long-term Investment – Panel Discussion
• Evolving Role of the CIO/CMIO/CMO – Panel Discussion
• Keynote – Safety and Quality
• Hospital Point of Care Impact:  Clinicians Sound Off
• Ambulatory Point of Care Impact:  Clinicians Sound Off

This year, the Summit is two days, October 11th and 12th. As such, we have two different options for registration. If you would like to attend the Special Session on October 11th ONLY, please choose that option. If you wish to attend the ENTIRE Summit on October 11th and 12th, please choose the Entire Summit option. I will be attending both days and look forward to seeing many of you there. Make sure to register now to get your early bird rates while they still apply! Safe travels!

Temporary Certification Announced and Tennessee excels toward HIE

In my first blog post dated January 5, 2010, I mentioned that our nation is at the forefront of aligning the stars with monetary incentives to stimulate the adoption and meaningful use of the Electronic Health Record (EHR). Some have dubbed this as the perfect storm of Healthcare reform. Earlier this month, the Office of the National Coordinator for Health IT (ONC) issued a final rule to establish a temporary certification program for EHR technology. This program will establish processes that organizations will need to follow in order to be authorized by ONC to test and certify EHR technology. Use of "certified EHR technology" is a core requirement for providers who seek to qualify to receive incentive payments under the Medicare and Medicaid EHR Incentive Program. 

Certification will be used to provide "assurance and confidence" that a product or service will work as expected. By purchasing certified EHR technology, hospitals and eligible providers will be able to make EHR purchasing decisions knowing that the technology will allow them to become meaningful users of EHRs to qualify for the payment incentives and begin to use EHRs in a way that will improve quality and efficiency in our health care system. Systems will include the capabilities a hospital or provider envisioned when they purchased the EHR. The certification will also ensure the capabilities are available to achieve meaningful use incentives.

Exchanging health information among disparate systems quickly and in usable formats, might be the vision for improving healthcare, but getting information beyond point-to-point transactions is a challenge for even the most engaged, forward thinking organizations. As the drive for information exchange standards continues, some healthcare systems as well as Tennessee are gearing up to purchase tools to harness, index, route, and harmonize patient data to make it available at the right place and at the right time to enable the clinical caregiver to improve the patient care process.

Tennessee has been making incremental strides towards improving the patient care process and was recently recognized as one of the top five most improved states in routing prescriptions electronically. Surescripts, a health information network that operates the country's largest electronic prescribing network, announced that Tennessee ranked second behind Vermont and just ahead of Kansas, Illinois and Missouri on the top five list. Tennessee Gov. Phil Bredesen co-hosted the fourth annual Safe-Rx Awards event as part of the recent State Alliance for e-Health meeting. Bredesen has long supported improving the process and co-chairs the alliance with Vermont Gov. Jim Douglas. Surescripts created the Safe-Rx Awards to raise awareness of e-prescribing as a way to improve patient safety by providing a secure, accurate and informed prescribing process. This is the first of many steps our state will have to make to truly improve the quality of patient care.

Tennessee's department of eHealth, in conjunction with nine other states, is conducting market research regarding enterprise medication management technologies and services. An RFI was published June 17, 2010 and is due July 12, 2010. The responses to this RFI will assist the nine states in understanding the current state of the marketplace, including commercial/government best practices, industry capabilities, innovative delivery approaches, commercial market service levels, and performance strategies and measures. Information gained through this RFI will greatly assist TN in determining how best to advance innovative medication management services.

In addition to the above RFI, the Health Information Partnership for Tennessee (HIP TN) also released an RFP on June 25, 2010. Responses are due July 13, 2010. HIP TN is the state designated entity charged with coordinating activities for the Regional Extension Center (tnREC) as well as the Health Information Exchange (HIE) strategy for Tennessee. HIP TN, a non-profit organization, works to improve access to health information through a statewide collaborative process by providing services and infrastructure for the secure electronic exchange and use of health information between state-wide agencies and local or Regional Health Information Organizations (RHIO). This RFP is soliciting proposals to provide a statewide HIE infrastructure platform for Core Services and other functions to be accessed by physicians, hospitals, other health care organizations, and consumers.

HIP TN has defined Core Services to include:

• Service Access Layer
• Patient Matching Service
• Master Clinician Index
• Master Facilities Index
• Trust Broker
• NHIN Gateway

In addition, the RFP will describe hosting services and operational expertise in support of the Core Services that will be administered on behalf of HIP TN by the Solution Provider. I currently volunteer on the Technology work group who has been leading the RFP process. While the remainder of the year ahead is full of deadlines and deliverables, I look forward to assisting with one of the biggest challenges, to keep various stakeholders in HIP TN, across my state, and various other states abreast of all the technology and standards that are out there.

Kudos to my home state of Tennessee on the newly announced Nashville Medical Trade Center

The Nashville Medical Trade Center has signed its first major tenant: the Healthcare Information and Management Systems Society (HIMSS). The partnership with HIMSS was announced at a news conference today in Nashville attended by Gov. Phil Bredesen, Nashville Mayor Karl Dean, state Economic and Community Development Commissioner Matt Kisber, HIMSS President and CEO Stephen Lieber and Bill Winsor, president and CEO of Market Center Management Co., the developer of the medical mart.

Project officials said today that HIMSS an “anchor tenant,” is one that is essential to the initial success of the project and will attract other tenants. The medical mart must lease 60 to 70 percent of its 1.5 million square feet in permanent showroom space to secure financing for its plans to remodel and expand the existing Nashville Convention Center downtown.

Market Center Management Co., the developer for the Nashville Medical Trade Center, hopes to transform the Nashville Convention Center into a global headquarters for health care events and the exchange of medical equipment and other related products. The highly anticipated project would employ 2,760 people, generate $390 million in economic activity a year and produce $21 million a year in state and local taxes by 2019, according to a study conducted by the University of Tennessee.

The proposed $250 million medical mart will lease 25,000 square feet permanently to HIMSS to use for a an “interoperability showcase.” The last US showcase, which was part of HIMSS’ annual conference in March in Atlanta, included 84 vendors and 71 educational sessions and attracted about 5,000 people over the course of three days. At 25,000 square feet, HIMSS would occupy 1.7 percent of the medical mart.

“A permanent, year-round destination for (health information technology) activity and innovation would only be possible inside this groundbreaking marketplace,” Lieber said. “By joining the trade center we are able to reach more participants, demonstrate meaningful use more completely, and offer more flexibility than ever before.”

I am proud to have been the first co-chair helping launch of the first US HIMSS Interoperability Showcase in 2004 and then launching the first HIMSS World of Health IT and HIMSS AsiaPac Showcases in 2006 and 2007 while working for HIMSS. I am so very proud of my home state, Tennessee, for providing a new  home for the showcase.   The showcases have always been used to “demonstrate standards-based health IT applications in a venue that stimulates health information exchange in health care settings.” HIMSS is a nonprofit organization that promotes “a better understanding of health care information and management systems. I would never have believed that I would serendipitously host Governor Phil Bredesen at the 2007 HIMSS Interoperability Showcase, host former Senator Bill Frist at the 2008 Showcase and now live and work in Tennessee who will be hosting the Interoperability Showcase permanently in the future.



I feel very blessed to have worked with HIMSS to bring vendors and users together to demonstrate meaningful use and improved quality that interoperable health care applications and devices can bring; I look forward to seeing Nashville, TN move forward in it's plans to be an epicenter for the medical industry with the new medical mart. This is a new concept that does not exist any other place in the world, but the Market Center hopes to transform the Nashville Convention Center into a global headquarters for health care events and the exchange of medical equipment and other related products.

Make sure to check out the video gallery to get further information and see the live press conference from earlier today.  Go Tennessee!.

The Uncanny Valley

As the new calendar year begins, Serendipity Health and I wish you and your family a happy, healthy 2010. At the same time, we thank you for being a part of our growing community of professionals interested in learning more about how health information technology can be leveraged. 2010 promises to be another important year in advancing technology to improve our overall healthcare system, and we look forward to continuing this journey with you and providing all the vital information you need to know.


I had the opportunity to see what is dubbed the most expensive movie ever made; Avatar which takes you to a spectacular world beyond imagination. James Cameron first wrote the script over a decade ago and tried to make the movie in 1995. He found that the technology did not exist to do what he wanted. Therefore, he patiently waited a decade until 2005 when it appeared more promising. In 2005, he started to try again and even invented a new performance capture technology to cross what is called the uncanny valley. James Cameron needed to make sure that his new technology could cross the chasm, known in robotics and animation as the uncanny valley. James Cameron worked with the best animators in the world and the movie has now reached over a billion dollars in sales.


Over the past 19 years of my career, I have experienced similarities with our healthcare reform. As we begin a new year, and as we contemplate our resolutions for 2010, let’s take a look at a few predictions from the past that led to innovation.


• In 1876, American president Rutherford B. Hayes told Alexander Graham Bell: “The telephone is an amazing invention, but who would ever want to use one?”


• In 1873, Sir John Eric Erickson, the Surgeon-Extraordinary to Queen Victoria, said: “The abdomen, the chest, and the brain will forever be shut from the intrusion of the wise and humane surgeon.”


• In 1949, mathematician John von Neumann said: “It would appear that we have reached the limits of what is possible to achieve with computer technology.”


Many inventions have taken several centuries to develop into their modern forms and are rarely the product of a single inventor's efforts. Every breakthrough is a collective effort that combines and tweaks already existing ideas and technology in novel ways. As James Burke said; “The easier it is to communicate, the faster change happens.” In 1985, Burke produced a 10-part series The Day The Universe Changed. Burke worried that computing and communications would increasingly be in the hands of expert elite, in the closing scenes of The Day the Universe Changed he instead suggested that a forthcoming revolution in communication and computer technology would allow people all over the world to exchange ideas and opinions instantaneously. With the launch of Microsoft’s first version of Windows 1.0, on November 20, 1985 and other subsequent events, such as the rise of popular access to the Internet, suggest he had been correct.


Inventions only become successful when they are not only needed, but when mankind is so far advanced in intelligence as to appreciate and to express the necessity for them, and to at once make use of them. Each invention may be just one small step on the road to the ultimate goal. I feel we must take baby steps, always moving toward our goal of interoperable health care. I agree with James Burke that the easier it is to communicate, the faster change happens.


Our nation is at the forefront of aligning the stars with monetary incentives to stimulate the adoption and meaningful use of the Electronic Health Record (EHR). The Health Information Technology for Economic and Clinical Health (HITECH) Act provisions of the Recovery Act of 2009 create a historic opportunity to improve the health of Americans and the performance of the nation’s health system through an unprecedented investment in health information technology (HIT). This initiative will be an important part of health reform as health professionals and health care institutions, both public and private, will be enabled to harness the full potential of digital technology to prevent and treat illnesses and to improve our nation’s health. The HITECH grants are specifically designed to work together to provide the necessary assistance and technical support to providers, enable coordination and alignment within and among states, establish connectivity to the public health community in case of emergencies, and assure the workforce is properly trained and equipped to be meaningful users of EHRs.


Meaningful Use has been a long time in the making, as those who have been in this industry as long as I can recall. I remember being required to read the Institute of Medicine’s (IOM) report entitled Crossing the Quality Chasm: A New Health System for the 21st Century while working for a major EHR vendor in 2001. The report stated that Americans should be able to count on receiving care that meets their needs and is based on the best scientific knowledge. The formation of the Committee on the Quality of Health Care in America in June 1998 set our nation on the decade-long journey. They were charged with developing a strategy that would result in a substantial improvement in the quality of healthcare.


I know there are still gaps and obstacles ahead as not all stakeholders are incentivized to make the necessary changes to allow ubiquitous communication. A well respected friend and colleague of mine, Wes Rishel explained some of the pitfalls in his blog recently. I am hopeful that he is right in his statement that

“We expect that the incentive-bump will create a ripple of adoption of interoperable HIT. We hope the ripple will be a good-sized wave.”

Being an eternal optimist, I expect that this “good-sized wave” will carry us across the uncanny valley we are facing right now.


I continue to be inspired by ongoing work with members of Integrating the Healthcare Enterprise (IHE), who I have worked with for the past decade to profile many of the infrastructure standards to carry us along this wave. With the Healthcare Information Technology Standards Panel (HITSP) adoption of many of these standards, our nation now has a framework that will enable vendors and other stakeholders to start collaborating in new and innovative ways. I am further encouraged by those who are well on their way and will be showing meaningful use sooner rather than later as reference by another friend of mine John Halamka, in his blog this week. I am excited to see what innovations will come in the next decade of my career as I help stakeholders navigate the waters while riding the wave to help deploy connected healthcare with my friends and family close by.