CITIH 2011 Wrap Up Presentation


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Phillip Payne summarizes the key points of the CITIH 2011 Conference
Bridging Health IT & Innovation: Next steps in advancing healthcare through shared strengths and strategies.

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CITIH 2011 Wrap Up Presentation

  1. 1. CITIH 2011 Summit:Wrap-upApril 18 2011 18,
  2. 2. Tremendous opportunity for collaboration at the intersection of HIT, Biomedical Informatics, , , Government, and Industry Leadership d innovation i thi L d hi and i ti in this space will require constant adaptation and the formation of multi-disciplinary multi disciplinary teams2
  3. 3. Improving Healthcare Quality with HIT Challenges are not primarily technology related Transparency and innovation are critical to addressing q p y g quality and y safety of care Discussions of HIT in the context require a broader aperture Beyond the EHR y CDSS is both an opportunity for improving care, but also a major barrier in terms of provider/staff acceptance of HIT platforms Data ≠ information ≠ knowledge Re-engineering of the healthcare delivery system requires a systems-level approach Training d d T i i and education programs need t adapt t th emerging ti d to d t to the i information and knowledge-centric, team-based approach to healthcare delivery that is emerging All of the above items have major socio cultural implications socio-cultural Balance of power between providers and patients3
  4. 4. Creating a Learning Healthcare System (1) There is a need for a comprehensive approach to creating learning healthcare systems Technology Workflow Business Models (pay for value, sustainability) Education There is an increasing demand to “liberate” data Reduce barriers between producers and consumers Format and structure of data is a major factor Economic model for learning healthcare systems is constantly shifting Data, information, and knowledge overload is a major barrier We must create a “Trust Fabric” spanning all major stakeholders IT culture is not uniform (e.g., IT professional may use the same language, but viewpoints differ by professional home)4
  5. 5. Creating a Learning Healthcare System (2) Challenges regarding the balance of public and private good are not unique to healthcare We must engage in the national policy discussion on this topic To realize the benefits of a learning healthcare system, do we need to? Standardize customization of EHR platforms; or Customize the standardization of EHR platforms Real benefits and business model for the learning healthcare system will likely be indirect Indirect Return on Investment (ROI) ( )5
  6. 6. Health Information Exchange (1) Thinking about HIE in the context of “tribes” “…people who care about healthcare but don’t necessarily talk to each other… (Brammer, other ” (Brammer 2011) Major stakeholders Payment reformers Consumer energizers Health IT champions ONC is driving a significant portfolio of initiatives to catalyze HIE development and innovation Requires active participation by stakeholders! How do we benefit from HIE’s beyond core clinical use cases? Challenges surrounding data ownership, stake-holder concerns, and regulatory frameworks f k Can current secondary use models that extend beyond immediate care delivery and billing be upheld in the courts? Sustainable, reproducible business models remain a challenge6
  7. 7. Health Information Exchange (2) Ongoing and vigorous discussions concerning opt-in or opt-out models of participation How to provide sufficiently understandable information regarding choices to potential participants? Patient identity reconciliation is a major challenge No perfect algorithms, but many well established best p p g , y practices Need to ensure the perfect does not become the enemy of the good Variety of technology and data management models being used Data transport and delivery p y Data storage/retention Hybrids Need to address needs of community-based, primary care providers Particularly ith P ti l l with regard t meaningful use d to i f l Need to better understand stakeholder motivation and value propositions in order to make HIE participation successful and sustainable7
  8. 8. Thanks To All Of Our Speakers and Panelists!8
  9. 9. Thanks Again to Our Sponsors!9
  10. 10. Thank you for attending CITIH 2011 Save the date for CITIH 2012 4/16/2012 Please remember to complete your attendee surveys Please join us for a networking reception!10