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Final Program
The Texas Medical Center
John P. McGovern Texas Medical Center Commons
Trevisio - Level 6 - Conference Venue
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7:00 am |
Registration Open, Continental Breakfast |
8:00-8:30
am
General Assembly
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Welcome
Jack Smith, MD, PhD
Dean, The University of Texas School of
Health Information Sciences
Conference Chair
Introduction of Speaker
Kim Dunn, MD., PhD
Assistant Professor, The University of
Texas School of Health Information Sciences
Conference Co-Chair
“The State of Health IT in Texas”
Stephen Palmer
Governor’s Advisor
The State of Texas
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STATE HEALTH INFORMATION EXCHANGE
INITIATIVES
Moderator: The Honorable John Davis Texas
House of Representatives |
| 8:30 –
8:45 am |
HB 522 –
Standardization of Insurance ID Cards and
Eligibility Verification Doug Danzeiser,
JD
Deputy Commissioner, Regulatory Matters
Texas Department of Insurance
Discussion of the issues involved in Texas
House Bill 522, passed in the last
legislative session. HB 522 requires an
advisory committee to make recommendations
regarding machine readable data to be
required on health insurance ID cards and
requirements for insurance carriers to
provide robust, real time eligibility
information using the new cards.
|
| 8:45 – 9:00
am |
Implementing a Public-Sector Health
Information Network to Serve Publicly-funded
Behavioral Health Services
Joe Vesowate
Assistant Commissioner for Mental Health
and Substance Abuse Services
Texas Department of State Health Services
Texas is a leader in utilizing technology to
manage and coordinate behavioral health
services. It has received the Davies Award
for the Behavioral Health Integrated
Provider System (BHIPS) tool. The Department
of State Health Services is currently
engaged in the development of a new system,
the Clinical Management for Behavioral
Health Services (CMBHS) system. Built to
incorporate technology, data exchange, and
other health information standards, CMBHS
can serve as an important element as Texas
moves forward to develop a statewide health
information architecture. This new tool will
serve as an electronic health record, a
service for exchanging data among local
mental health authorities, and a reporting
and management system. This presentation
will briefly introduce the system's features
and functionality.
Steve Eichner
Information Technology Project Manager
Mental Health Transformation Project
Texas Department of State Health Services
Texas has received one of the federal
government's Mental Health Transformation
State Incentive Grants through the Substance
Abuse and Mental Health Services
Administration (SAMHSA), SAMHSA's MHT-SIG
grants. Aided by the grant funds, Texas is
using health information technology to
transform the mental health delivery system
at both the state and local levels. This
presentation will provide an introduction to
activities at both levels of government and
identify opportunities for state-local
partnership. |
| 9:00 –
9:15 am |
Foster Care Health
Passport
Yvonne Sanchez
Senior Health Policy Analyst
Health and Human Services Commission
Medicaid/CHIP Division
In 2005, the Texas Legislature called for a
new statewide medical services delivery
model for children in foster care and
mandated the development of an electronic
health information system—the Health
Passport. The Passport is a web-based
electronic summary of medical information
about the children in the care of the State.
It was populated with two years of Medicaid
and CHIP claims history and pharmacy data
when the model became operational on April
1, 2008. In addition to visit information,
it also contains demographic, immunization
and known allergies information, as well as
contact information of health care providers
and others involved in the care of the
child. Foster parents, State employees, and
STAR Health Network providers access the
Passport via a secure web portal.
|
| 9:15 –
9:30 am |
Correctional Managed
Care
Glenn Hammack, OD, MSHI
Assistant Vice President and Executive
Director
Electronic Health Network
The University of Texas Medical Branch
The University of Texas Medical Branch, as
part of a correctional health-outsourcing
contract with the Texas Department of
Criminal Justice, began a state-wide
electronic medical record system deployment
in 1999. By 2003, the system had been
implemented across all state corrections
facilities and had been expanded to include
a complete site-to-site video telemedicine
system. Developed also were systems for
enterprise reporting for quality control and
administration and pharmaceutical ordering,
procurement, fulfillment, and distribution.
An overview of the complete system,
including short videos of the system as
used, will be provided. The system is an
excellent working example of an integrated
solution for complete large-population
health care management.
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9:30 – 9:45 am |
Question and Answer |
| 9:45 –
10:00 am |
BREAK |
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COMMUNITY- BASED INITIATIVES IN LARGE
URBAN AREAS
Moderator: Pending |
| 10:00 - 10:15
am |
Austin
Ann Kitchen
Executive Director
Indigent Care Coalition
Ann will discuss the ICC’s health
information exchange and provide specific
use case scenarios as examples of how the
system provides value to its member safety
net providers. The ICC is recognized
nationally for its groundbreaking work in
developing a regional health information
exchange for uninsured and underinsured
patients in Central Texas. ICC Members share
patient demographic, encounter, pharmacy and
other data electronically with the ICC
through HIPAA compliant Business Associate
Agreements. Currently patient data is
included from 60 locations for over 700,000
uninsured and underinsured patients, with
over 3 million encounters.
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| 10:15 –
10:30 am |
San Antonio Hospital
Council
Bill Rasco, FACHE
President and CEO
Greater San Antonio Hospital Council
Alesha Adamson, MSc., CPHIMS
Chief of Heath Informatics Integration
The University of Texas at San Antonio
Health Information Exchange was established
as a priority for Bexar County in 2006 when
the Greater San Antonio Hospital Council
hosted the Bexar County Healthcare Policy
Capstone Summit. San Antonio is host to two
significant HIE efforts, one targeting the
uninsured, Healthcare Access San Antonio,
and the other designed to support clinical
translational science, The Institute for
Integration of Medicine & Science of UT
Health Science Center at San Antonio. The
tremendous community collaboration fostered
by these initiatives has motivated of our
region’s leaders and created action to serve
the people of South-Central Texas.
|
| 10:30 –
10:45 am |
Harris County Healthcare Alliance /
HealthQuilt Project
Karen Love
President and Executive Director
Harris County Healthcare Alliance
Kim Dunn, MD, PhD
Assistant Professor
The University of Texas School of Health
Information Sciences
The Harris County Healthcare Alliance was
established in 2006. The Alliance envisions
a comprehensive, coordinated system that
meets the healthcare needs of Houston/Harris
County residents, and serves as a catalyst
for improving the area’s healthcare system
by improving coordination and collaboration
among public and private providers and
expanding resources to meet the growing
demand. A strategic component for meeting
this vision is a community health
information network. In Summer of 2007, the
Alliance convened a workgroup to explore
implementing a health information exchange
for Houston / Harris County. In January 2008
in collaboration with the University of
Texas School of Health Information Sciences
and School of Public Health and University
of Houston at Clear Lake, a prototype health
information exchange, the Health Quilt
Project was established. The Health Quilt
Project
www.healthquilt.org has a three year
goal to be a self-sustaining information
exchange for Houston / Harris County. A
tenet of the Health Quilt Project is the
central role of the health home in
coordinating care and information
management. During Year One, the goal is to
establish three levels of increasing
technical and cultural complexity of
information exchange. The first level is the
role of the health home in identifying high
risk patients (disabled, frail elderly and
children) to enroll in the 211 system and
developing methods for their core health
information to be made available during a
disaster. The second level is the exchange
of information from discrete systems for
multi-site viewing availability (laboratory
information) and integration of data from
clinical systems into public reporting
systems (immunizations). The third level is
a total quality management program that
assures 24 / 7 availability of information,
defines a model for on-demand specialty care
access to the health home practitioners, and
assures outcomes collection from a patient
centered approach. During Year Two, discrete
population interventions will be conducted
with a goal for ongoing payment from payers
during Year Three. |
| 10:45 –
11:00 am |
Dallas-Fort Worth
Susan McBride, PhD, RN
President, Dallas- Fort Worth Hospital
Council
Senior Vice President, Dallas -Fort Worth
Hospital Council Foundation
This presentation will be an overview of a
regional Enterprise Master Patient Index for
tracking patient safety, quality and
population health in a Clinical Data
Repository supporting North Texas. The
challenges of implementation will be briefly
discussed, with preliminary findings on
linkage results presented.
|
| 11:00 –
11:15 am |
Question and Answer |
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COMMUNITY-BASED INITIATIVES IN SMALL URBAN
AND RURAL AREAS
Moderator: Josie R. Williams, MD
Director, Rural and Community Health
Institute
Texas A&M Health Science Center
President – Elect, Texas Medical Association |
| 11:15 –
11:30 am |
Corpus Christi Personal Health Journal
Cardiac Care/Wireless Grid, Utility
Hank Fanberg, MBA
Technology Advocacy
CHRISTUS Health
From the ground up: HIE for emergency
response. Learn how the City of Corpus
Christi created a health information
exchange by focusing the core functionality
on providing health information for
paramedics’ use when responding to a medical
emergency.
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| 11:30 –
11:45 am |
Southeast Texas Health System
Shannon Calhoun
CEO and Executive Director
Southeast Texas Health System
Ms. Calhoun will discuss the experiences and
lessons learned in deploying Information
Technology to 7 Rural and Urban hospitals
along the Texas Gulf Coast. |
| 11:45- Noon |
Question and Answer |
| Noon –
1:00 pm |
Buffet Lunch |
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ALTERNATIVE MODELS FOR HEALTH
INFORMATION EXCHANGE
MODERATOR: Eric W. Ford, MPH, PhD
Director, Center for Health Innovation,
Education & Research
Texas Tech University |
| 1:00 –
1:15 pm |
The Health Bank Model
William Yasnoff, MD, PhD
Managing Partner
NHII Advisors
It is widely recognized that the U.S. health
care sector needs a Health Information
Infrastructure (HII) to reduce errors,
improve quality and increase efficiency by
assuring immediate availability of complete
patient information and decision support. A
local or regional approach involving sharing
of electronic records among all health care
organizations and providers has been
advocated by stakeholders, and HII
development efforts are now underway in
communities across the nation. However, no
clear path leading to success for these
projects has been defined. At least three
heretofore insoluble problems must be
simultaneously overcome: 1) protecting
privacy by giving patients control over
their health care information; 2) providing
financial incentives to office-based
physicians for use of electronic health
record (EHR) systems; and 3) assuring
overall financial sustainability. A central
community repository for medical record
information paid for and controlled by
patients known as a Health Record Bank (HRB)
can address these challenges. It is low
cost, simple to operate, and greatly reduces
many of the vexing and time-consuming
organizational, legal, governance, and
technical issues that have been problematic
in current implementation efforts. The HRB
model can accelerate community progress
toward the goal of delivering complete
patient information at any point of care.
|
| 1:15 – 1:30
pm |
Insurance Company Approaches
Jay R. Meyers
Director, Strategic Relations
Availity, LLC
Availity, LLC is a single, secure electronic
information exchange for all health care
stakeholders providing EDI batch and
real-time connectivity and information
needed to manage healthcare stakeholders’
business. Availity’s mission is to reduce
the administrative complexity, reduce costs
for all stakeholders, improve the patient
experience and improve relationships between
stakeholders.
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| 1:30 –
1:45 pm |
Question and Answer |
| 1:45 – 2:30
pm |
PERSPECTIVES ON THE PRIVACY OF HEALTH
INFORMATION
MODERATOR: William Winslade, PhD, JD
Professor of Philosophy of Medicine
Faculty, Institute for the Medical
Humanities
The University of Texas Medical Branch at
Galveston
|
| 1:45 –
2:00 pm |
Advocacy
Deborah Peel, MD
Founder and Chairman
Patient Privacy Rights
Patient Privacy Rights is the nation's
leading consumer advocacy organization
working to restore our rights to health
privacy. Our children and grandchildren
simply will not get jobs, credit, insurance,
be admitted to schools, or have key
opportunities in life if their entire
medical, genetic, and prescription records
can be seen and used by others. Women will
suffer more discrimination and harm if their
rights to control access to electronic
reproductive and sexual health information
are not restored. Today over 4 million
health-related businesses and government
agencies have access to the most sensitive
information on Earth, every American's
electronic personal health records, for any
business purpose without notice or consent.
Today, the main uses of electronic medical
records are not to improve our health, but
to improve corporate profits.
PPR educates the public about the massive
threats technology poses to privacy and how
technology can be used instead to strengthen
and preserve personal control of access to
health information. Electronic health
systems will not succeed, unless the rights
and interests of consumers come first.
'Smart' technology and 'smart' legislation
can ensure an electronic health system that
patients trust and are willing to
participate in.
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| 2:00 – 2:15
pm |
Beyond HIPAA: Emerging Privacy &
Security Issues In Health Information
Ron Scott, JD, LLM
Professor
University of Houston Law Center, Health Law
& Policy
HIPAA has raised provider’s and patient’s
awareness of privacy and security issues
regarding personal health information, but
the narrow focus of HIPAA leaves several
questions unanswered. This presentation will
address ownership of health information (the
patient, health care facility or
physician?), liability issues regarding use
of electronic health records, and
congressional proposals to increase
patient’s control over their health
information and improve the security of
electronic health records.
|
| 2:15 –
2:30 pm |
Consumer Attitudes
Christine Bechtel
Vice President
E-Health Initiative
The eHealth Initiative has been involved in
a number of efforts designed to gain a
deeper understanding of the connection
between health information technology,
privacy, security and consumer engagement in
their health and care. Following the
destruction of patient records in the Gulf
Coast region after hurricanes Katrina and
Rita, the eHealth Initiative conducted focus
groups and surveys to gauge consumer
sentiment towards increased use of
electronic health records and secure health
information exchange. Ms. Bechtel will cover
this and other research which examines the
connections between privacy, security and
confidentiality, and consumer participation
in the electronic exchange of health
information.
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| 2:30-2:45
pm |
Provider Approaches
David Bernard, MD, Ph.D.
Medical Director, Clinical Pathology
The Methodist Hospital
Maintaining and assuring Privacy of Health
Information has been a responsibility of
healthcare providers since Hippocrates. The
creation of HIPAA provided minimum
requirements to protect healthcare
information. Provider approaches to privacy
compliance will be described with particular
focus on electronic healthcare information.
Practical activities and challenges will
also be presented. |
| 2:45 –
3:00 pm |
Question and Answer |
| 3:00 – 3:15
pm |
BREAK |
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PHYSICIAN-ORIENTED INITIATIVES
MODERATOR: The Honorable John Zerwas, MD
Texas House of Representatives |
| 3:15 – 3:30
pm |
Why a Physician-Controlled Local
Cooperative is the Answer to Health
Information Exchange for One Community of
Physicians.
Marlene Smitherman
CEO, Critical Connection
When their data sharing requirements are
met, physicians will be a powerful driver in
taming excessive healthcare cost trends and
bringing together other stakeholders into a
collaborative, connected community.
|
| 3:30 –
3:45 pm |
Karen Van Wagner
CEO, North Texas Specialty Physicians
Harry McQueen
CEO, Sandlot ConnectTM
SandlotConnectTM was created to develop a
health information exchange and an
integrated electronic medical record
platform that gathers and exchanges patient
information between a community of
participating physicians. Basic patient
information is collected from acute care
facilities, ambulatory care settings and
physician EMRs, then stored in a central
clinical data base. Information is accessed
through an internet based physician portal
as well as shared between interoperable
physician EMRs.
|
| 3:45 – 4:00
pm |
Question and Answer |
| 4:00 –
5:00 pm |
PUBLIC HEALTH BIOSURVEILLANCE AND HIE
PARTNERSHIPS
MODERATOR: Nicole Fehrenbach, MPP
Deputy Director, Division of Alliance
Management & Consultation
National Center for Public Health
informatics
Centers for Disease Control
HIEs have become an integral part of the vision for CDC’s Public Health Information
Network (PHIN) in addition to being a foundation for HHS’ Nationwide Health Information
Network (NHIN). The timely exchange of information between public health organizations
and HIEs may expedite the identification of public health events, improve response
time during health emergencies, aid in the continuity of care, support decision-making
through the provision of aggregate community-based information, and determine the
health of the population and its healthcare system in near real time. This panel
will specifically discuss the issues and opportunities related to public health
biosurveillance and HIE partnerships from the state perspective. |
| 4:00- 4:15
pm |
Barry Rhodes, PhD
Acting Director, Division of Emergency
Preparedness and Response
National Center for Public Health
Informatics
Centers for Disease Control |
| 4:15 –
4:30 pm |
Texas State Perspective
Doug Hamaker, BS
National Electronic Disease Surveillance
System (NEDSS)
Project Manager for the Texas Department of
State Health Services |
| 4:30 – 4:45
pm |
A Tarrant County Perspective
William F. Stephens, MS
Manager, Advanced Practice Center
Tarrant County Public Health
|
| 4:45 – 5:00
pm |
Question and Answer |
| 7:00 am |
Registration Opens, Continental
Breakfast |
8:00-8:10
am
General Session
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Introduction
Jack W. Smith, MD, PhD
Dean, The University of Texas School
Health Information Sciences
Conference Chair
Welcome
James T. Willerson, MD
President, The University of Texas Health
Science Center at Houston |
| 8:10 – 8:15
am |
Introduction of Key
Note Speaker
Elmer Bernstam, MD
Associate Professor, The University of
Texas School of Health Information Sciences
Conference Co-Chair
|
| 8:15 –
9:15 am |
Keynote Address
“U.S. Health Care and Health IT: Tying
It All Together”
Robert M. Kolodner, MD
National Coordinator for Health
Information Technology
Department of Health and Human Services
Washington, DC
Question and Answer
|
| 9:15 -9:30
am |
BREAK |
| 9:30 –
11:00 am |
National Health
IT Initiatives
MODERATOR: Charles Friedman, PhD
Deputy National Coordinator for Health
Information Technology
|
| 9:30 -9:55
am |
CDC Health IT
Initiatives
Leslie Lenert, MD
Director, National Center for Public
Health Informatics
Centers for Disease Control
|
9:55 –
10:20 am
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CMS Health IT
Initiatives
Tony Trenkle
Director, E-Health Standards and Services
Centers for Medicare and Medicaid Services
|
| 10:20–
10:45 am |
AHRQ Health IT
Initiatives
P. Jon White, MD
Director, Health IT Portfolio
U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality |
| 10:45 –
11:00 am |
Question and Answer |
| 11:00 –
11:30 am |
State Level Response
Moderator: Stephen Palmer
HIE Panel selected from April 15th Sessions |
11:30 –
12:30pm
Trevisio Dining Room |
Buffet Lunch |
12:30 –
1:30 pm
General Session
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Luncheon Program:
Hospitals and Health Information Exchange
Donna Sollenberger
CEO, Baylor Clinic and Hospital
Executive Vice President, Baylor College of
Medicine
With the convergence of the increasing
importance of patient safety and reduction
of patient complications in hospitals,
reducing costs, and assuring coordination of
care for patients, the importance of
implementing integrated and robust
electronic health records is a vital
strategy for hospitals to successfully
implement. In an academic teaching hospital,
further consideration must be given to the
coordination of the electronic health record
with the needed access to clinical
information for advancing the science of
medicine. Today’s speakers will provide
their view of how to use the electronic
health record to meet these challenges and
succeed in an emerging era of personalized
medicine.
Dave Jones
CEO, Memorial Hermann Memorial City Medical
Center
In an emerging era of personalized medicine,
there are many challenges in integrating
not-for-profit, multi-hospital systems like
the Memorial Hermann Healthcare System.
Integrating system networks in
not-for-profit hospital systems requires the
strategic planning and implementation for
both inter- and intra-hospital campus
networks, as well as physician networks. New
hospitals and hospital systems must have a
strategy of how to meet these challenges and
succeed while meeting the needs of the
healthcare consumer with convenient access
to the highest quality medicine.
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1:30 –
3:00 pm
Break Out Sessions
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Texas Stakeholder
Break Out Sessions
Stakeholders to identify local, state,
and federal issues per Survey Tool
• Hospitals - Dan Stultz, MD
• Physicians - Joseph Schneider, MD
• Public Health - Nicole Fehrenbach, MPP
• Technology - Jack Smith, MD, PhD
• Payers - Doug Danzeiser, JD |
| 3:00 – 3:15
pm |
BREAK |
| 3:15 –
4:30 pm |
Texas Stakeholder
Presentations |
| 4:30 – 5:00
pm |
Conference Summary |
| 5:00 pm |
Adjourn |
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