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April 2018 Event
HIMSS Clinical & Business IntelligenceCommunity
#PutData2Work | #PopHealthIT | #PrecisionHIT
Shelley Price, MS, FHIMSS
C&BI Community Organizer
Director, Payer & Life Sciences
HIMSS | Arlington, VA
Arthur Panov, MPH, CPHIMS
C&BI Community Co-Chair
Healthcare and Life Sciences Architecture
IBM Watson Health
Mike Berger, PE, CPHIMS
C&BI Community Co-Chair
Vice President, Population Health Informatics &
Data Science, Mount Sinai Health System
Welcome
Joanne Bartley, CAE
C&BI Community Organizer
Manager, Health Business Solutions
HIMSS | Chicago, IL
• Welcome
• HIMSS C&BI Community Updates / Announcements
• Presentation & Discussion:
“Connecting the Dots: The (Bipartisan) Approach to Care
Delivery Reform - Open Data, Health IT and Value-Based
Payment”
Aneesh Chopra, MPH, President | CareJourney
• Wrap-Up / Next Steps
Agenda
Updates / Announcements
REGISTER NOW
*Offer is good for new registrations only
JUNE 13-14, 2018 Grand Hyatt San Francisco
San Francisco, CA
FOR MORE INFORMATION, VISIT: www.BigDataHITForum.com/San-Francisco/2018
*GET $200 OFF WITH CODE “HIMSSNA”
SAVE THE DATE
*Offer is good for new registrations only
OCTOBER 22-23, 2018 Westin Copley Place
Boston, MA
FOR MORE INFORMATION, VISIT:
www.BigDataHITForum.com/Boston/2018
*GET $200 OFF WITH CODE “HIMSSNA”
C&BI Community PresentationGuest Speaker(s)
We will take
questions at the
end of the
presentation…
…Please type your
questions into the
Q&A box.
#PutData2Work | #PopHealthIT | #PrecisionHIT
Connecting the DotsThe (Bipartisan) Approach to Care Delivery Reform -
Open Data, Health IT and Value-Based Payment
Aneesh Chopra
@aneeshchopra
www.CareJourney.com
Source: http://www.hindu.com/2010/11/08/stories/2010110857920500.htm;
http://www.whitehouse.gov/briefing-room/speeches-and-remarks; www.whitehouse.gov/open
India’s “Aadhaar” digital platform crossed 1 billion users in six years;
open infrastructure enables mobile banking, digital health, including
online scheduling w/o friction
“Leapfrog”: Fastest Global Platform to Reach 1BN Users
Despite public
attention on the future
of Obamacare,
economists look to
NHE growth rate as
key to solving budget
deficits, freeing capital
for economic growth,
and enabling public
action in areas as far-
ranging as climate
change to tax reform
Eye on Prize: Cost Growth @ GDP Growth Rate
Trump Administration Actions to Accelerate Data Liquidity, Use
Source: HealthIT.gov
Building on a “Must Share” Foundation for Interoperability
CMS Blue Button 2.0 Adds New Channel for Linked A/B/D Claims Data Access
CMS opens “linked A/B/D” data access
via QE program, VRDC, PUF files and
“Blue Button”
Closing the Loop: Building a Fuller Longitudinal Data Profile for Each Patient
A “patient-centered” data model includes clinical, financial, and
other information to serve as the foundation for intervention
decision support
HIE Circa MU1, MU2 Crawling towards ROI
• $Ms invested• 4% of EHR records requests delivered electronically (HIE)• “Multi-Hop” document transfer results in TIFF files that still need
massive human intervention
In a 10/09 speech, Kapor called for a “health Internet,” a less complex, more open, “light
federal approach” that would encourage an early critical mass of users to participate—thus
reducing costs and time to market while fueling innovation.
A Decade’s Journey Towards an (Open) Health Internet
ONC Focused on APIs “Without Special Effort”
ONC funds SMART on FHIR / HL7 to design “Flat FHIR”
specification for bulk access to EHR data; goal to publish
an implementation guide in 2019 (with connectathons
starting June 2018 @ FHIR Dev Days
Converging on a Single Technical Path (FHIR API, Argonaut Project IG)
Draft Specification Emphasizes Asynchronous “Bulk” Request, Response
VA Pledge to Accelerate “Demand Side” FHIR API Development
VA Taps UPMC’s Dr. Rasu Shrestha to lead coalition; early
signatories include Partners, Intermountain, Rush, Jefferson,
Cleveland Clinic, Geisinger (12 in total)
Argonaut Work in Progress: Invoking Decision Support in EHR Workflow
• Synchronous, workflow-triggered CDS calls returning information and suggestions
• Launching a user-facing SMART app when CDS requires additional interaction
Physician EHR
Opportunities to Collaborate as EHR Vendors Accelerate Standards Deployment
1. Consistent access to data
(Common Clinical Data Set)
2. Consistent schema in returned
data (Data Access Framework)
3. Open Implementation & Testing
Framework (Sync for Science)
Property of CareJourney Confidential and Proprietary
2017 Road Map includes support for
scheduling, provider directory, and “CDS
Hooks”; 2018 covers “Flat” FHIR/backend
services, questionnaire, clinical notes
Multi-stakeholder collaborative to deliver a
trust framework for consumer-directed
exchange; voluntary but enforceable app
“code of conduct”
Proportion of Total Potentially Preventable
Spending, by high-Cost Subpopulation
Total potentially preventable spending by Medicare subpopulation, percent
Adapted from J. F. Figueroa, K. E. Joynt Maddox, N. Beaulieu et al., “Concentration of Potentially Preventable Spending Among High-Cost Medicare Subpopulations,”Annals
of Internal Medicine, published online Oct. 17. 2017.
Payment Reform to Drive Improvements in High Need, High Cost Patients
Source: White House Office of the CTO
Scaling What Works via ACA Payment Reform (Innovation Center)
“The evaluation…indicate that beneficiaries…have achieved success with losing weight and
reducing the incidence of diabetes.” - CMS Actuary
Pre-Populating Eligibility Calculators
Property of CareJourney Confidential and Proprietary
CMS publishes “eligibility criteria” for care models supported by the physician fee scheduled (CCM, TCM, Diabetes Prevention
Program, Collaborative Care Model, etc.); and emerging models under CMMI testing programs
Source: http://www.superiorymca.org/cms-view-page.php?page=national-diabetes-prevention-program
Property of CareJourney Confidential and Proprietary
Source: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM/; https://millionhearts.hhs.gov/data-reports/data.html
Percent of Hypertensive Patients whose Last E&M Visit in 2016 was Conducted by their PCP, an IN provider, or an OON provider
Following Digital “Bread Crumbs” to Save a “Million Hearts”
Care management fee for cardiologists caring for hypertensive patients at elevating heart attack risk
Enabling “Plug and Play” Clinician Applications Access
Property of CareJourney Confidential and Proprietary
Source: https://www.rush.edu/health-wellness/video-library/total-health-collaborative; Shafiq Rab, RUMC CIO
16-year life expectancy
gap; “Total Health
Collaborative” goal to cut
50% in ten years
Leadership selected 3rd
party app, NowPow, for
“plug-play” seamless
experience via reusable
FHIR standards
CIO takes 6 weeks to
production by extending
Epic MU3 FHIR APIs for
“bulk access” via API mgmt
& +$16K in labor costs
1st 30 days - 70 screened,
48 needs (shelters, meals,
utilities, transportation); no
return ER visits
To Do: A Voluntary but Enforceable Industry-Led “Fiduciary” Code of Conduct
Source: Commonwealth Fund; https://www.whitehouse.gov/sites/default/files/docs/cea_coi_report_final.pdf
“Savers receiving conflicted advice earn returns roughly 1% lower each year… we estimate the aggregate annual
cost of conflicted advice is about $17 billion each year” – Obama Council of Economic Advisors
Thank you!
Questions?
Aneesh Chopra, MPH
President, CareJourney
LinkedIn Page: https://www.linkedin.com/in/apchopra/
@aneeshchopra
• Want to get involved?
Topic or Speaker ideas
Key Note Presenter
Blogger | Tweeting
• Community Website
Visit the ‘Session Recordings’ tab at
www.himss.org/ClinBusIntelCommunity for
a copy of this or previous presentations
Wrap-Up / Next Steps
Contact
Shelley Price or
Joanne Bartley
#PutData2Work | #PopHealthIT | #PrecisionHIT
Earn CAHIMS & CPHIMS credit!
The HIMSS C&BI Community is pleased to offer webinar attendees
up to one continuing education (CE) hour for use in fulfilling the CE
requirements of the Certified Professional in Healthcare Information &
Management Systems (CPHIMS) and the Certified Associate in
Healthcare Information & Management Systems (CAHIMS) programs.
Visit the C&BI Community website for more information.
Wrap-Up / Next Steps
Wrap-Up / Next Steps
JOIN US!
Next meeting: Thursday, May 24, 2018
TITLE: TBA
Speaker(s):
TBA
#PutData2Work | #PopHealthIT | #PrecisionHIT
Co-Chairs:
Mike Berger, PE, CPHIMS Vice President, Population Health Informatics & Data Science Mount Sinai Health [email protected]
Arthur Panov, MPH, CPHIMS Healthcare and Life Sciences ArchitectureIBM Watson [email protected]
HIMSS Community Organizers:
Shelley Price, MS, FHIMSS Joanne Bartley, CAEDirector, Payer and Life Sciences Manager, Health Business SolutionsHIMSS [email protected] | @SPriceHIMSS [email protected]
FY18 Leadership & Contact Information
#PutData2Work | #PopHealthIT | #PrecisionHIT
Thank you!!!
#PutData2Work | #PopHealthIT | #PrecisionHIT
APPENDIX
Ellen Harper, DNP, RN-BC, MBA, FAAN*FY18 C&BI Committee Chair
Adjunct Faculty, U of Minnesota School of Nursing
President, CEO, Blue Water Informatics, LLC
Claudine Beron, PMPFY18 C&BI Committee Vice-Chair
CEO
Initiate Government Solutions, LLC
Meg Broderick, MBA, MPA, CPHIMS*Consultant
Sharon Davis, MS, CPHIMS, PMPClinical Programs Manager
Government Programs - Clinical Operations Solutions
Team
Blue Cross Blue Shield of Texas
Jeff Fuller, MS, FACHE*
Executive Director, Analytical Solutions
U of North Carolina (UNC) Healthcare System
Kevin Gormley, PhD, MEPrincipal Data Scientist
MITRE
Mitch KwiatkowskiSr. Director, Informatics
Gateway Health
Raj Lakhanpal, MD, FACEP*CEO
Spectramedix
Anne Park, MPH, MSMIS*Sr. Business Systems Analyst
MD Anderson Cancer Center
Anthony C Villanueva, CPHIMSCIO, Vice President of IT/IS
Neighborhood Health
Anthony T. Williams, MBA*Chief Information Officer
American Family Care, Inc.
Amber Zimmermann, BSN, MBA, RN-BCSr Manager, Health Data Analytics
Philips Healthcare
* Indicates a returning
committee member
About Us: FY2018 C&BI Committee Members
Community Co-Chairs
Mike Berger, PE, CPHIMS
Vice President, Population Health
Informatics and Data Science
Mount Sinai Health
Arthur Panov, MPH, CPHIMS
Healthcare and Life Sciences Architecture
IBM Watson Health
C&BI for Population Health
Task Force Co-Chairs
Marius Petruc, MD, MS
President
Informatics Solutions, LLC
Michelle Vislosky, M.B.A., FACHE
Director of Health System
Partnerships
Syapse
About Us: FY18 C&BI Community, Task Force, Workgroup Leadership
Precision Medicine Workgroup ChairBG Jones
SVP - Business Development
PierianDX
About Us: C&BI Community
Looking to better leverage clinical & business intelligence tools, technologies,
and strategies to help you and your organization meet patient care delivery,
clinical and health outcome, and business operation goals? Our community
supports activities that promote peer-to-peer networking, problem solving,
solution sharing, and education.
HIMSS C&BI Community webinars let members dig into pertinent subjects
throughout the year. Our ongoing web-based programs cover topics such as:
Data aggregation and access through EDW and cloud solutions
Data management, validation, quality, and integration
Descriptive, retrospective, predictive, and prescriptive analytics
Governance – data and program
Population health management – including attribution and risk stratification
Precision medicine
Predictive modeling
Reporting, dashboards, and visualization techniques
Resource management
Skills sets and staffing
www.himss.org/ClinBusIntelCommunity
About Us: C&BI Community
• Open to all HIMSS members (current membership: approx 7,800 people). Join the
C&BI Community today:
1. Login into your HIMSS account in the Member Center
2. Click the tab "My Involvement" | select "Participation" dropdown
3. Click on "Edit Participations"
4. Check the “Clinical & Business Intelligence Community” box
5. Click "Save"
• Will meet virtually 6 times/year
• Agenda for the meetings may include:
News you can use! New content and events
2-Minute Drills presented by various Community 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 Shelley Price.
About Us: Task Force
C&BI for Population Health Task Force
CO-CHAIR: Marius Petruc, MD, MS | President | Informatics Solutions, LLC
CO-CHAIR: Michelle Vislosky, MBA, FACHE | Director of Health System Partnerships
| Syapse
This group creates resources and tools that employ practical guidance and
unbiased information to help healthcare organizations (providers, hospitals,
integrated delivery networks, health plans and other stakeholders) use C&BI to
harness, use and analyze data captured in the healthcare setting to execute
population health management initiatives and improve care and health
outcomes.
Meeting times: 3rd Tuesday of the month, 4:00-5:00pm ET