Tuesday, November 09, 2010

@Whit Day 2 kicks off with an interoperability discussion

More from #WHIT World Health Care Innovation and Technology Congress 6.0

8:15 am -
8:30 am
Co-Chairperson’s Welcome and Opening Remarks
Jennifer Covich Bordenick
Chief Executive Officer
eHealth Initiative 

 View Biography

We have come a long way. 
10-15 years ago very little support for EHRs. Consumers not interested. 

How many kids coming out of med school in the next few years will put up with an EHR that doesn't come up on their iPhone/iPad?

The Opening Panel will discuss interoperability

8:30 am -
10:00 am
KEYNOTE PANEL DISCUSSION: Interoperability – Establishing an Infrastructure to Support a Connected Health Environment
  • Key components to creating a truly interoperable health care system
  • The role of regulatory and certification bodies
  • Evaluate standards and adoption
  • Identify new approaches to integration
  • Evaluate the cost of interoperability
  • The future of interoperability: The relationship between PHRs and the consumer movement with RHIOs, HIEs, and NHIN – how will they all coexist?
Aaron Seib
Chief Executive Officer
National eHealth Collaborative 

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Bill Beighe
Chief Information Officer
Physician Medical Group of Santa Cruz and Santa Cruz Health Information Exchange 

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Tom Burns
Executive Vice President
Enterprise and Strategic Industries organization 

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Gwendolyn Lohse
Deputy Director and Managing Director, Committee on Operating Rules for Information Exchange (CORE)

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Charles (Chuck) Parker
Executive Director
Continua Health Alliance 

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Bill Spooner
Senior Vice President and Chief Information Officer
Sharp HealthCare 

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Aaron Seib is moderating the panel.

Bill B: Real adoption of EHRs is low. The apps are not very good and they are not interoperable. Clinical and Billing are typically separate.

Santa Cruz HIE has 95% inclusion of 270,000 county population in the Master Patient Index. This has been built since 1996. 100k documents exchanged each month. 400+ MDs and 700+ Users.

The average practice size in Santa Cruz is 3 Physicians.

Gwen L: CAQH Non profit alliance of Health Plans and trade associations. CORE Committe on Operating Rules for Information Exchange (CORE)
UPD: Universal Provider Datasource. A database of providers. 870,000 unique providers. 600 participating plan, hospitals and others use UPD. 12 States and DC have adopted the CAQH Standard Provider application.

CORE rules have a connectivity requirements. Aligned with MHIP.

IBM analysis - CORE Phase 1 could yield $3B of savings over 3 years across the industry

Chuck P: Continua - pushing market in one direction for devices. Develop industry standards. Creating an ecosystem of interoperable Health Devices.

Certification program for interoperability of devices and the collective power of the organizations to encourage market standardization.

Tom B: Alcatel - Improve people's lives by helping them communicate. 

HealthCare - investing in Telemedicine, remote care. Most investment in healthcare has been about admin and moving paper. Not in advancing the care of patients.

Bill S: Sharp HealthCare of San Diego. Interoperability has focused internally on patients in the network.  Sharp's approach is to connect everyone in network in to their IT Network and provide the link to the San Diego HIE and on to the National HIN

Low adoption of EHR in small practices. 

Everyone needs a Patient Consent Framework.

By 2020 Patients will EXPECT alerts, to use their phone to access information.

Bill B: Providers want to share information. so much benefit comes from sharing. But there needs to be confidentiality. 

Bill S: the emergence of the PHR means the patient owns their data.

Gwen L: How do we start building trust in to the system. Transparency and Trust are two critical building blocks. 

Tom B: You have to work across the silos to convince people of the benefits of sharing.

Bill B: we need to build a medical grade network. One that can reach out to insecure endpoints.

Bill S: Devices are ahead of the business models. 

Question from the Audience: What is happening to move forward the issue of Unique Patient Identifier

My thoughts: Why is this an issue? Is there a Universal ID for the Internet - No - Yet things work. We are seeing Facebook, Google, OpenID and others that provide the ability for an INDIVIDUAL to connect multiple personae together. 

Tom B: Consent will become less of an issue with Gen Y. They are sharing on their wall anyway.

"it's the network"  (stoopid!)

Chuck P: Connectivity creates value. Microsoft anf Google need apps and devices that give life and meaning to the PHR.

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