2011 AMGA Annual Conference

Information Technology

Bring IT/MIS, medical informatics, data warehouse research, and clinical research staff to hear from progressive groups on issues such as EMR development and implementation, IT for disease management, and emerging technological solutions for the enormous challenges facing healthcare organizations.

Friday, 2:00 p.m. - 3:15 p.m. How to Create, Capture and Report Clinical Data That Heals
Betty Rabinowitz, M.D., FACP, Medical Director, Center for Primary Care, URMC Ambulatory Information Officer, Associate Professor of Clinical Medicine, University of Rochester School of Medicine

Clinical data powerfully drives clinical and practice transformation. This presentation will describe how the University of Rochester 100-physician primary care network implemented an EMR and created a highly utilized clinical reporting system that has been a significant driving force in quality initiatives and practice transformation. The session will include a reporting exercise for participants to design a reporting methodology in response to a clinical question.
Upon completion of this activity, participants should be able to discuss the impact of an EMR driven data on patient care, quality of care and patient outcomes; identify the barriers to capturing meaningful usable data in an electronic clinical environment; report on a variety of clinical reporting tools (actionable reports, detail clinical reports and dashboards); describe the organization's reporting structure; design a clinical reporting project starting with a clinical question and choosing the reporting tools best suited for this project.

Friday, 2:00 p.m. - 3:15 p.m. The Secrets to Building a Wildly Successful Patient Portal
Kathy Hutchens, B.A., Director of Marketing and Patient Contact Center, and Anthony Sacks, M.D., Family Medicine Doctor, Sharp Rees-Stealy Medical Group

mySharp is Sharp Rees-Stealy's new online portal that allows patients to schedule real-time appointments, e-mail their doctor's office, view lab results and more. The presenters will describe how Sharp Rees-Stealy gained physician buy-in and developed a product that exceeded expectations of patients, physicians, and staff members.
Upon completion of this activity, participants should be able to describe the most critical functionalities of a user-friendly patient portal; identify the benefits of a real-time portal to both patients and the medical group; determine key performance indicators; and describe the secrets to a successful portal launch.

Friday, 3:45 p.m. - 5:00 p.m. Essential Role of Health Information Exchange in Quality Improvement
Karen Van Wagner, Ph.D., Executive Director; and Tom Deas Jr., M.D., Board Member, North Texas Specialty Physicians

Through EMR implementation, an interoperable health information exchange (HIE), and point-of-service care coordination applications, NTSP has taken physician adoption and meaningful use of health information technology to a new level. NTSP will describe how the ability to deliver complex care coordination, clinical decision support, and quality measure reports transform the care which NTSP patients receive. Discover how the organization implemented a HIE to improve care coordination and quality management through clinical decision support, advanced quality measures, and EMR interoperability to help achieve meaningful use and provide more accountable care.
Upon completion of this activity, participants should be able to examine how the independent practicing physicians use the HIE's clinical decision support application at the point of care to track care quality measures which meet the EHR meaningful use criteria; review examples of quality reports (e.g., PQRI, HEDIS) produced by the HIE, highlighting the advantages of reports from the interoperable HIE comprehensive EHR platform; discuss the pivotal role of the HIE in allowing physicians and patients to adhere to care guidelines and improve quality of care; and discuss how NTSP determined strategies to leverage the HIE and lessons learned into its ACO design and development.

Friday, 3:45 p.m. - 5:00 p.m. The Telehealth Journey: Using Technology to Manage Diabetes for Patients Living in Underserved Areas
John J. Haney, M.B.A., FACHE, Chief Operating Officer; Bankim Bhatt, M.D., Director - St. Luke's Center for Diabetes & Endocrinology; and Benjamin Negley, M.H.A., FACHE, Service Line Administrator, St. Luke's Center for Neurosciences, St. Luke's Physician Group

This presentation is an in-depth summary of the development of a telehealth service for diabetic patients living in underserved areas of North Eastern Pennsylvania. St. Luke's uses a two-way interactive video system (TWIV) to accomplish the connection needed to see and treat patients. The speakers will address the planning and implementation of this technology and the successes that have been realized with this project.
Upon completion of this activity, participants should be able to successfully establish a telehealth program for not only diabetes management, but potentially neurosurgery and pulmonology; establish a low cost quality-driven and physician-led endocrinology program for underserved patients; initiate an outreach program that increases access and patient satisfaction; and obtain reimbursement for the services provided.

Saturday, 11:00 a.m. - 12:15 p.m. The Health Buddy Project: Implications of Telehealth-based Care Management for Accountable Care Organizations
Jasper zu Putlitz, M.D., President; Karen Flores, Pharm.D., Director CMS and IDN Segments, Robert Bosch Healthcare; and Peter Rutherford, Medical Director, Wenatchee Valley Medical Center

The Health Buddy Project brought together two AMGA medical groups and AMGA with a telehealth-technology company for a Medicare-sponsored demonstration of telehealth-based care management for high-cost, high-risk Medicare fee-for-service beneficiaries via multispecialty medical groups. The project met its performance target, which was largely financial. This session will bring together the project's senior leaders to discuss the project's implications for emerging models, with a focus on the Accountable Care Organization.
Upon completion of this activity, participants should be able to understand the mechanics, benefits, challenges, and other implications of implementing telehealth-based care- management programs for high-risk, high-cost beneficiaries as a tool to support Accountable Care Organizations (ACOs) in meeting their goals.

Saturday, 11:00 a.m. - 12:15 p.m. Leveraging Self-Service Technology for Better Outcomes and a Better Bottom Line
Christopher D. Jordan, M.B.A., Chief Operating Officer, Physician Associates, LLC

Facing the dual challenges of declining reimbursement and patient bad debt, Physician Associates deployed self- service technology to drive efficiencies, increase time-of-service collections, and maximize revenue. Self service is also having a positive impact on clinical processes by helping physicians more effectively address gaps in care. This case study presentation will explore the financial and clinical impact of the technology and evaluate results to date.
Upon completion of this activity, participants should be able to outline best practices for integrating self- service applications within the existing IT infrastructure of a group practice; describe strategies for securing buy-in of self-service technologies among physicians, clinical and administrative staff, and patients; describe how self-service technology can be utilized to increase time of service collections and reduce patient bad debt; identify specific strategies for utilizing self-service technology to improve medication compliance among patients; and define metrics for measuring the impact of self-service applications on patient satisfaction and the revenue cycle.

Saturday, 2:00 p.m. - 3:15 p.m. Leveraging the Anceta Collaborative Data Warehouse to Analyze and Improve Quality and Relative Resource Use in the Care of Patients with Diabetes
John Cuddeback, M.D., Ph.D., Chief Medical Informatics Officer, Anceta; A.G. Breitenstein, J.D., M.P.H., Vice President, Provider Markets, Humedica; and John Walker, M.D., C.P.E., Chief Medical Officer, Cornerstone Health Care
The presenters will discuss initial findings from the Anceta Diabetes Collaborative and Cornerstone's use of Anceta data as a foundation for its Patient Care Advocate program. Anceta analytics illuminate the relationship between key aspects of the process of care, patient outcomes, and relative resource use, from a patient population perspective. For example, the detailed comparative data allow interactive exploration of differences within and across medical groups in the use of medications for various subgroups of patients with type 2 diabetes. A new "value matrix" relates improvement in glycemic control and management of comorbid conditions to key markers of resource use. Moving from analytics to action, the presenters will describe how Cornerstone is using the data to prioritize patients for outreach and intervention, as part of a comprehensive patient-centered medical home program.
Upon completion of this activity, participants will be able to discuss how the Anceta Collaborative Data Warehouse enables AMGA members to understand variation in practice and its impact on quality and cost. They will also be able to describe the use of detailed comparative data to establish performance improvement and monitoring systems for patients with diabetes and other chronic conditions.

Saturday, 2:00 p.m. - 3:15 p.m. The Physician Quality Reporting Initiative: Using Information Technology to Advance Quality of Care
Joseph Cooke, M.D., Chief Quality and Patient Safety Officer; and Mary Koval, R.N., CPHQ, Clinical Quality Program Manager, Weill Cornell Physician Organization

The presenters will provide an overview of Weill Cornell's Physician Organization's leverage of the CMS Physician Quality Reporting Initiative (PQRI) to establish and promote a safety culture and a quality program. The presentation will include the journey made by this organization from reporting PQRI measures in 2007 manually to leveraging the electronic medical record to automate these measures. The challenges, opportunities, and lessons learned will be discussed as well as the specific tools to engage the physician leadership and the utilization of the electronic medical record for quality data collection.
At the conclusion of this activity, participants should be able to discuss advanced IT data capturing capabilities for disease management and pay-for-performance initiatives as well as the challenges encountered in capturing the data.

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