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iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation Meets Information Technology"
 

iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation Meets Information Technology"

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iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation ...

iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation Meets Information Technology"

Lyle Berkowitz, MD, FHIMSS, is a Primary Care Physician and healthcare innovator who was named one of the "Top 20 People Who Make Healthcare Better" by HealthLeaders Magazine and is one of Healthspottr's “Future Health Top 100”, a list of top innovators and change agents in healthcare.

In addition to practicing Internal Medicine, Dr. Berkowitz is the Director of Clinical Information Systems for the largest primary care group in Chicago, the founder and leader of the Szollosi Healthcare Innovation Program, and the President of Back 9 Healthcare Consulting. Past experience includes work as the Medical Director for two publicly traded companies – an electronic medical records vendor and a global eBusiness consulting firm.

Dr. Berkowitz is a frequent national lecturer on healthcare innovation and information technology, and his "Change Doctor" blog was recently named one of the Top 50 Healthcare IT Blogs. He a contributing author to the American College of Physicians' book "Electronic Medical Records" and is on the Editorial Board of Healthcare Informatics magazine. He is a Fellow in the Healthcare Information Management Systems Society (HIMSS), is part of the Advisory Board for the Association of Medical Directors of Information Systems (AMDIS) and serves on the Board of Directors for the American Health Information Management Association (AHIMA) Foundation.

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    iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation Meets Information Technology" iHT2 Health IT Summit in Austin 2012 – Lyle Berkowitz, MD, Associate Chief Medical Information Officer, Northwestern Memorial Hospital, Keynote Presentation: "The Healing Edge: Where Innovation Meets Information Technology" Presentation Transcript

    • THE HEALING EDGE The Power of Combining Innovation + HIT Health IT Summit in Austin December 6, 2012Lyle Berkowitz, MD, FACP, FHIMSS / Lyle@DrLyle.com / DrLyle.com / @DrLyleMD Associate Chief Medical Officer of Innovation, Northwestern Memorial Hospital Medical Director of IT & Innovation, Northwestern Memorial Physicains Group (NMPG) Associate Professor of Clinical Medicine, Feinberg School of Medicine, Northwestern University Founder and Director, Szollosi Healthcare Innovation Program / TheShipHome.org Founder and Chairman, healthfinch / healthfinch.com The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • I’m a physician.And… an informaticist… an innovator… an entrepreneur The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • The Innovation Process Discover Investigate new ideas, programs, technologies Incubate Move from ideas to pilot programs AccelerateMove from pilot programs into standard operations The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Where to Start?Experimentation vs. Planning The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • LYLE CHRISBERKOWITZ, MD MCCARTHY, MPH, MBA The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • LET ME TELL YOU A STORYABOUT THE ROCKY SPRINGS HEALTHCARE SYSTEM The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 1 The Healing Edge • Tell me a Story: Voice of the Innovator +Innovation Personas • Standardized Structure:+ What, Why, How, Results, Lessons Learned, Future, and ConclusionInformation • Three Sections: EHR, TeleHealth, EdgeTechnology The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 2 Mad for Method Evidence-based human-centered designInnovation Observation Synthesis+ Ideation PDSA Prototyping PilotInformation Others…Technology The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Computers are really good at being computers, but they are lousy at being paper! What if we reallyYou took advantageHaveAn of all we could doEHR. with EHRs?NowWhat? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 3You Inflection NavigatorHave Messaging and Chart ReviewAn • Physician notifies Care Coordination TeamEHR. about an ―Inflection Point Checklist‖ • Care Coordinator does authorizations, sets upNow tests and consults, and does final chart reviewsWhat? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 4You Making ―Right‖ EasierHave CDS Tools and OrderingAn • Allows whomever is with a patient to easilyEHR. see and act upon relevant ―care opportunities‖ , while still respecting visitNow workflows.What? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 5You Prevention Every TimeHave CDS Tools, Ordering and ReportingAn • Pre-Visit Preventive Screening ToolEHR. • An Instant Quality Measures ToolNow • Real-Time Provider Performance Feedback ToolWhat? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 6You Logic RulesHave Conditional Logic, Ordering, NotesAn • Pre-Visit Orders: helps staff pre-order lab tests before a patients Annual Exam visit.EHR. • Documentation Chooser: Helps MAsNow choose the correct documentation templates atWhat? an office visit. The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 7 Team BundlingYouHave Alerts, Registry, Pt Outreach, Reporting • Team-based approach to care :An Automating and Delegating tasks across team • All or None Bundle Philosophy: ReportEHR. the % of pt who receive every element ofNow recommended care (rather than % that achieve any particular measure).What? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 8You Automatically Getting BetterHave Reporting ToolsAn •Automated Adverse Event Detection: Queries EMR for abnormal labs (e.g. lowEHR. glc, high INR) or meds (e.g. Naloxone, Vit K)Now • Nurse-led Analysis: To determine level of harm and whether it was preventableWhat? The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Office Visits are so old school! Time for a ―whole lotta tele‖: Televisit, Teleconsul t, TelemonitoringMeetYou and TeletranslationAt01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 9 The Connected Patient One of the First Patient Portals!Meet It offers patients the ability to view their medical information ("HealthYou Record"), access relevant medical referenceAt services ("Health Library"), and communicate with their physicians ("Mail Center").01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 10 The Virtual Consult Consulting SpecialistsMeet Asynchronous communication between physicians, either between Primary Care andYou a Specialist, or between Specialists. AssignsAt RVU in theirValue based Reimbursement Model.01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 11 TeleVisits Keep IT Local Virtual visit with an endocrinologistMeet This virtual visit includes not only the remote diabetes specialist and diabetes nurse, butYou also the locally based community clinic nurseAt and sometimes even the primary care provider.01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 12 Mommy Monitor Home OB MonitoringMeet A telehealth system which allows a high-risk obstetrics (OB) clinic to monitor patients withYou high-risk conditions at home in between officeAt visits. Includes a Glucometer, BP Monitor, and Scale.01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 13 Every Language Now Tele-TranslatorsMeet Collaborative of hospitals and providers that share the services of their trained language interpretersYou over a video and voice network Needed both innovative uses of technology and anAt organizational and governance structure to overcome the barriers that affect county-operated01100101 health systems. The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 14 Rise of the ePharmacists Virtual PharmacistMeet An ePharmacist is defined as a hospital trained pharmacist who works from a remote location usingYou secured enabling technology to support bedside clinicians with an effective and timely method ofAt providing medication treatments for patients.01100101 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • The future of healthcare is here, just lookOn around! HappyThe Exploring!!! EdgeOfTheEdge The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 15On The Smartest RoomThe A Computer/Monitor in Every RoomEdge • Detects who is in a given hospital room and provides them with the information they need toOf complete their job efficiently and reliably. • Utilizes a real time locating system (RTLS) andThe a touch screen user interface designed to make input/output quick and simple for end users.Edge The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 16On One EMR To Go PleaseThe Mobile EHR (mEHR) appEdge • Enables providers to user their consumer smart phones to securely access theOf organization’s electronic medical record. • Heavily leveraged existing enterpriseThe architecture, providing for high levels of security, availability, and agility.Edge The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 17On Real Time, Right CareThe Ventilator-Associated Pneumonia (VAP) QualityEdge Monitor • Compares real time EMR data against pre-definedOf processes of care related to VAP.The • Presents results on a dashboard tool via a wall- mounted monitor (or on desktop PC).Edge The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 18On Dashboards 2.0The Over 40 dashboards have been developedEdge • Extract and analyze data from EMR and financialOf systems. Uses off-the-shelf business intelligence tools. • The IT Dept isn’t the gatekeeper anymore—users areThe empowered to come up with creative ways to examine aEdge problem and develop equally creative solutions. The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Chapter 20On The Gaming EdgeThe Gaming , IT and Health • Improve motivation, and engagement via use ofEdge elements such as: Fun, Goals, and Rewards.Of • Want to get into ―The Flow‖: Skills, Feedback, Focus, LOC, Transformation ofThe Time. •Examples: From Twister to Wii to Nikeplus toEdge SnowWorld to DrHero to FoldIt. The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • The New CIO Chief Innovation OfficerSource: Innovation Leadership Study: Managing Innovation – An Insiders Perspective. CapGemini Consulting. March, 2012 The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • "The reasonable man adapts himself to the world. The unreasonable one persists in trying to adapt the world to himself. Therefore, all progress depends on the unreasonable man.‖ George Bernard Shaw Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is theInnovation only thing that ever has.+ Margaret MeadInformationTechnology The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • THANK YOU Lyle Berkowitz, MD, FACP, FHIMSS Lyle@drlyle.comThe Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Szollosi HealthcareInnovation Program(SHIP)A charitable endeavor with amission to use creative thinking anddiverse technologies to produce abetter healthcare experience forpatients, physicians and othersassociated with their care.www.TheShipHome.org The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Future of EMRsPrototype examples whichrethink the look and feel ofuser interfaces forElectronic Medical Records.www.TheShipHome.org The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Inflection NavigatorAn ambulatory-based triagesystem and web-based toolthat supports a navigatorguiding patients thru anacute healthcare inflectionpoint.www.TheShipHome.org The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • ExpectEDA web-based application thatallows physicians toelectronically notify anemergency department (ED)about an incoming patient .www.TheShipHome.org The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12
    • Szollosi Healthcare Innovation Program (SHIP) A charitable endeavor with a mission to use creative thinking and diverse technologies to produce a better healthcare experience for patients, physicians and others associated with their care. www.TheSHIPHome.org ExpectED - A web-based application that allows physicians to electronically notify an emergency department (ED) about an incoming patient . THE FUTURE of EMRs - Prototype THE INFLECTION NAVIGATOR - An examples which rethink the look and feel ofambulatory-based triage system and web-based user interfaces for Electronic Medical Records.tool that supports a navigator guiding patients thru an acute healthcare inflection point. The Healing Edge: The Power of Combining Innovation + HIT / Lyle Berkowitz, MD / AMDIS 6.28.12