The 2011 CITIH Summit emphasized collaboration across healthcare, technology, and informatics to improve quality and safety through a systems-level approach. Key challenges include overcoming cultural barriers, engaging multi-disciplinary teams, and creating an effective learning healthcare system that balances public and private interests. Active participation from stakeholders is crucial for advancing health information exchange and addressing issues like data ownership and standardization.

1. CITIH 2011 Summit:
Wrap-up
April 18 2011
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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 teams
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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 patients
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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)
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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)
( )
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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 challenge
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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
sustainable
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8. Thanks To All Of Our
Speakers and Panelists!
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9. Thanks Again to Our Sponsors!
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10. Thank you for attending CITIH 2011
http://citih.osumc.edu/
Save the date for CITIH 2012
4/16/2012
Please remember to complete your attendee surveys
Please join us for a networking reception!
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