Judi Binderman, Vice President, Corporate CMIO, Community Medical Centers - Speaker at the marcus evans National Healthcare CIO Summit 2016 held in Las Vegaas, NV
Synthesis Report of Health Information Systems in IndiaHFG Project
Resource Type: Report
Authors: Michael P. Rodriguez, Gajinder Pal Singh and Jim Setzer
Published: May 31, 2014
Resource Description:
A highly functioning national health information system (HIS) facilitates transparent and evidence-based decision making that ultimately leads to improvements in the health status of a country’s population.1 Rather than reflecting a single structure through which routine health statistics in a country are reported, most country health information systems are made up of multiple sub-systems that may or may not be well-coordinated, potentially collect some of the same information, and typically place the largest burden for reporting on those at the lowest levels of the health system, the primary health care facility staff. All of these characteristics present risks to the ability of the health system to function efficiently and effectively. The Health Metrics Network (HMN) Framework, published in 2008, provides a useful lens for viewing the efforts of the Republic of India to improve the production and availability of health information at all levels of its health system, from health facility to district, state, national and international levels, and to use that information to improve health outcomes.
The objectives of this report are to use the HMN Framework to examine, organize and summarize some of the publicly available written information on the Indian HIS and to serve as a resource tool for stakeholders throughout the Indian health system pursuing efforts to strengthen the HIS. This report is intended to highlight the progress that has been made to date and to discuss some of the gaps in the Indian HIS using the HMN Framework, which can then form the basis of discussions on HIS strengthening priorities.
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Kirt Kemp, Chief Information Officer, Partnership HealthPlan of California (PHC) - Speaker at the marcus evans National Healthcare CIO Summit 2016, held in Las Vegas, NV.
Presentation delivered by Bryan Starnes, Chief Financial Officer, Affinity Living Group at the marcus evanc Long-Term Care & Senior Living Central CXO Summit, October 2016, in Chicago.
Synthesis Report of Health Information Systems in IndiaHFG Project
Resource Type: Report
Authors: Michael P. Rodriguez, Gajinder Pal Singh and Jim Setzer
Published: May 31, 2014
Resource Description:
A highly functioning national health information system (HIS) facilitates transparent and evidence-based decision making that ultimately leads to improvements in the health status of a country’s population.1 Rather than reflecting a single structure through which routine health statistics in a country are reported, most country health information systems are made up of multiple sub-systems that may or may not be well-coordinated, potentially collect some of the same information, and typically place the largest burden for reporting on those at the lowest levels of the health system, the primary health care facility staff. All of these characteristics present risks to the ability of the health system to function efficiently and effectively. The Health Metrics Network (HMN) Framework, published in 2008, provides a useful lens for viewing the efforts of the Republic of India to improve the production and availability of health information at all levels of its health system, from health facility to district, state, national and international levels, and to use that information to improve health outcomes.
The objectives of this report are to use the HMN Framework to examine, organize and summarize some of the publicly available written information on the Indian HIS and to serve as a resource tool for stakeholders throughout the Indian health system pursuing efforts to strengthen the HIS. This report is intended to highlight the progress that has been made to date and to discuss some of the gaps in the Indian HIS using the HMN Framework, which can then form the basis of discussions on HIS strengthening priorities.
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Kirt Kemp, Chief Information Officer, Partnership HealthPlan of California (PHC) - Speaker at the marcus evans National Healthcare CIO Summit 2016, held in Las Vegas, NV.
Presentation delivered by Bryan Starnes, Chief Financial Officer, Affinity Living Group at the marcus evanc Long-Term Care & Senior Living Central CXO Summit, October 2016, in Chicago.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
For more information contact: Slideshare@marcusevans.com
Presentation by Steve Moran, Publisher/Blogger, Senior Housing Forum at the marcus evans Long-term Care and Senior Living CXO Summit held on July 13 & 14 2015, in Palm Beach FL.
Department of Medical Informatics scientific achievements Ivor Kovic
Presentation of scientific achievements of Department of Medical Informatics. Presented by Ivor Kovic during celebration of the 50th anniversary of Rijeka University School of Medicine.
Presentation delivered by Mitch Wasden, Chief Executive Officer and Chief Operating Officer, University of Missouri Health Care, at the marcus evans National Healthcare CXO Summit Fall 2016 in California.
Val Gokenbach, DM, RN, MBA, NEC-A, RWJF, Leadership Consultant, Executive Coach, Professional Speaker - Speaker at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
Katherine Howell, MBA, BSN, RN, NEA-BC, Senior Vice President and Chief Nurse Executive, Saint Luke's Health System - Presentation delivered at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
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Presentation delivered by Janet Hahn, PhD, Coordinator, Center for Gerontology/Asst. Professor, School of Interdisciplinary Health Programs, Western Michigan University at the marcus evans Long-Term Care & Senior Living Central CXO Summit in October 2016 in Chicago
For more information about our Healthcare Summits, please contact Slideshare@marcusevans.com. This presentation was delivered by Steve Moran, Publisher/Blogger, Senior Housing Forum at the marcus evans Long-Term Care & Senior Living CXO Summit July 13-14, 2015 in Palm Beach, FL
Steve Narang, MD, MHCM, Chief Executive Officer, Banner – University Medical Center Phoenix delivered his presentation on Improving Quality and Safety through Care Delivery Redesign at the marcus evans National Healthcare CXO Summit 2016 in Palm Beach, FL
What Does a Medical Assistant Need to Know? Part 1Everest College
Medical assistant students are trained in several fields. These classes will teach you everything you need to know to become a successful medical assistant.
Presentation delivered by Renato Suntay, Chief Financial Officer, Meadville Medical Center at the marcus evans National Healthcare CFO Summit Spring 2016 held in Palm Beach, FL
John Cochrane, III, President and Chief Executive Officer, be.group - Speaker at the marcus evans Long-Term Care & Senior Living CXO Summit 2016 held in Los Angeles, CA
Presentation delivered by Earl Parker & Sandi Flores, Commonwealth Assisted Living at the marcus evans Long-Term Care & Senior Living CXO Summit July 2016 in FL.
Joan McFaul, Senior Vice President/CIO, Southcoast Health and Jim Feen, Executive Director, Associate Chief Information Officer, Southcoast Health - Speakers at the marcus evans National Healthcare CIO Summit 2016 held in Las Vegas, NV
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
This session reviews the latest organizational behavior concepts allowing the attendees to learn how to best manage change in complex environments. At the conclusion of the session, attendees possess practical approaches to facilitating and managing change in their organization.
The HIMSS mHealth Physician Task Force's How-to-Guide will help both clinicians and C-suite executives identify which mobile tools are needed and worth investing in.
The Physician Task Force's How-to Guide will help both clinicians and C-suite executives identify which mobile tools are needed and worth investing in.
Learn more about our work with many organisations and sectors with regard to developing informatics skills and capability (DISC), leading to safer care and effective decision making.
This presentation was delivered at EHI Live 2013.
Analytics Staffing Models of Health Systems That Compete Well Using DataThotWave
Analytics Staffing Models of Health Systems That Compete Well Using Data
Analytic leaders are facing unprecedented pressure as expectations from the digitization of health drives questions from every corner of the enterprise. Along with the operational and workflow changes that come with digital health, we are seeing greater demand for data to support care transformation, risk contracting and organizational performance.
The time is right to consider how analytics can support organizational strategies and how we can ensure alignment across the organization. As part of the strategic alignment exercise we often see organizations consider how to best deliver advanced analytic capabilities and then ask themselves the question “how should we organize our analytic teams?” Often, an effective way to increase that efficiency, improve morale and achieve economy of scale is to consider changes to how analytics teams are organized.
The most appropriate organizational structure will vary based on the health system size, culture, and analytics (and data) maturity. Should the analytics capabilities be centralized, decentralized, or should we consider an alternative, hybrid staffing model? Should analytics sit under IT or medical leadership?
In our Data4Decisions talk, we will review the common models employed by leaders in healthcare, and describe how they align with business strategy. Further, we will outline common challenges as well as share success secrets via case studies from across the US healthcare landscape. The goal of this presentation is to provide the audience with a strong foundation for understanding the healthcare analytics staffing models used across the industry.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
With an increased focus on improving patient outcomes and satisfaction through integrated care delivery, Accountable Care Organizations (ACO) continue to increase in numbers and evolve in maturity. While ACO operational models will differ based on the healthcare needs of local communities, there are common competencies that every ACO must address. Focusing on 4 key priorities – People, Process, Technology and Financials – will help every ACO achieve sustained success.
Our experts explain how to:
- Create a roadmap for success in every stage in the ACO lifecycle
- Develop strategies to improve operations in the 4 key areas: People, Process, Technology and Financials
- Build a successful ACO with lessons learned from Dennis Horrigan, President and CEO at Catholic Medical Partner (CMP)
Dennis Horrigan, President and CEO of CMP, shares his experience contributing to CMP’s ACO success. CMP became a successful, top-performing ACO in the Medicare Shared Saving Program (MSSP).
ACO expert Doris Stein with Optimity Advisors discusses core competencies within the framework of the ACO lifecycle.
Whether you’re in the early planning stages or have shared in savings, this webinar will help you prioritize your efforts in 4 core operational areas - People, Process, Technology and Financials.
Creating large scale telehealth network : A story from the USA by Adam Darkins, Vice President, Medical Affairs & Enterprise Technology Development, Medtronics, USA
Ahead of the marcus evans ACO & Payer Leadership Summit 2024, Ruth Krystopolski discusses the technology needed to empower value-based care in a community.
Ahead of the marcus evans ACO & Payer Leadership Summit 2023 and the ACO & Payer Leadership Summit 2024, Dr Michael D. Parkinson discusses how ACOs can lower total healthcare costs.
Ahead of the marcus evans National Healthcare CXO Summit 2023, Joy Figarsky discusses the link between mental health costs and medical costs, and why hospitals should adopt a whole-person care approach.
Ahead of the marcus evans National Healthcare CXO Summits 2023, Yuriy Kotlyar discusses how healthcare organizations can capture additional revenue with a more efficient patient scheduling process.
An interview with Dr LaTonya Washington, the Chairperson at the marcus evans National Healthcare CMO Summit 2023, on how healthcare organizations can improve patient care by achieving health equity and having a truly diverse workforce.
Presentation by David Kelly, MHSA, FHFMA, CRCR, Director, Operations Excellence, Piedmont Healthcare - marcus evans National Healthcare CXO Summit Oct 16-18, 2022-Boston MA
Presentation delivered by Scott Kashman, MHA, FACHE, Market President & CEO, St. Dominic Health Services & St. Dominic Hospital at the marcus evans National Healthcare CXO Summit October 16-18, 2022 in Boston MA
Interactive Discussion led by Aaron Davis, MSHA, FACHE, CPXP, Vice President & Chief Experience Officer, UMC Health System, at the marcus evans National Healthcare CXO Summit in Boston MA October 16-18, 2022
Ahead of the marcus evans National Healthcare CXO Summit 2022 and the National Healthcare CXO Summit 2023, Jonathan Asmis discusses the benefits of healthcare organizations playing a role in the home ownership journey of their staff.
Ahead of the marcus evans National Healthcare CFO Summit 2022, read here an interview with Sandra Johnson where she discusses how hospital systems can maximize reimbursement.
Ahead of the marcus evans National Healthcare CFO Summit 2022, read here an interview with Rick Reid where he discusses what strategies healthcare CFOs can implement to improve the financial situation of their facilities.
Ahead of the marcus evans National Healthcare CFO Summit 2022, read here an interview with Rick Reid where he discusses what strategies healthcare CFOs can implement to improve the financial situation of their facilities.
Ahead of the marcus evans National Healthcare CXO Summit 2022, Mark Behl discusses how having a more diverse and inclusive workforce can help address social injustices in the community and improve access to healthcare.
Ahead of the marcus evans ACO & Payer Leadership Summit 2022, Sebastian Seiguer discusses why medication adherence should be a top priority for payers and ACOs.
Ahead of the marcus evans National Healthcare CNO Summit 2022, Erin Jaynes discusses effective strategies for combating the nursing shortage in hospitals and healthcare systems.
Ahead of the marcus evans National Healthcare CXO Summit 2021, Brian Cannavan discusses how hospital systems can improve financial and operational results
Ahead of the marcus evans Healthcare Leaders Forum 2021, read here an interview with Nick Grant discussing how healthcare providers can benefit from providing patients different payment services
Ahead of the marcus evans ACO & Payer Leadership Summit 2021, Colleen Lindholz and John King discuss why collaboration between payors, specialty pharmacies and providers will be key to success
Ahead of the marcus evans National Healthcare CFO Summit 2020, read here an interview with Tracey Goessel on why physicians are needed alongside hospital coders to cover the gaps in inpatient documentation
Ahead of the marcus evans National Healthcare CNO Summit Fall 2020, Trisha Coady discusses the need to ensure all nurses are equally competent, and how it can be achieved in an under-resourced environment
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
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https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
3. Community Medical Centers
Clovis
Community
Medical
Center
Fresno Heart
& Surgical
Hospital
Community
Behavioral
Health Center
Community Regional Medical Center
Snapshot:
• Central California
• 1100 Beds & growing
• 58,000 Admissions
annually
• 172,000 ED visits
• 1300 Affiliated physicians
• 300 Residents
• 350 Med Students
• EPIC EMR x 5 years
4. Definitions
• Informatics
– noun plural but singular in construction
– The collection, classification, storage, retrieval,
and dissemination of recorded knowledge
• Chief Medical Informatics Officer
– A healthcare executive generally responsible
for the health informatics platform
– Supports the efficient design, implementation,
and use of health technology within a
healthcare organization.
5. Within an Organization
• Reports to either CMO, CIO, COO, or
CEO.
– Role and responsibilities vary widely
– Typically include at least one of the following:
– Strategic planning
– EMR Governance and Policy development
– Systems development and implementation
– Stakeholder engagement
– Capacity Building
– Informatics education and platform development
– Data mining and quality reporting
– Education, Training and curriculum design
6. The Runway
“By the time Doctors woke up to the potential of
the computer in medicine, territorial imperatives
were firmly established. …the CIO and his staff
were firmly in charge.”1[Stark, 1998]
“CPOE is probably the first IT initiative being led
by people outside of IT,” and “Physicians are key
leaders.” 2 [Classen, 2004]
“Clinical knowledge management remains an essential
CMIO responsibility, but new areas of responsibility at
some organizations include analytics and population
health management leadership.” 3 [Advisory Board, 2015]
8. Today’s Focus*
• EMR Liaison
– Champion for adoption
– Engagement for design
– Optimization / New modules
• Clinical Knowledge Management
– Serve up best practices
– Leverage technology
• Operations Management
– Resources
– Budget
*Advisory Board-CMIO Role in 2015
9. Today’s Focus*
• Analytics
– Metric Development
– Disease Management
– Good data in = good data out
• Population Health Management
– Risk stratification
– Data aggregation
– Resource utilization
– Value over volume
– Continuum of information
• Patient Engagement
– Patient Portal
– Secure messaging
*Advisory Board-CMIO Role in 2015
10. Daily Frustrations
• Unhappy physicians
– Loss of productivity
– Constantly changing systems
– New workflows
• IT projects thrown over the fence
• Fighting for validation and commitment
• Over-commitment in organization
11. CMIO 2.0
• “The first-generation CMIO was a change
agent, an implementer… [providing] operational
heavy lifting with creating order sets, engaging
physicians in new systems, and overseeing
training and education”
• “This next generation is more strategic and
visionary... searching for the type of initiatives
to leverage the healthcare system’s investment
in EHRs, focused on population health,
improving patient safety and care and lowering
costs.”
H. Ross, in Healthcare Informatics, the Rise of the Second Generation
CMIO
12. My Path to CMIO
Doctor Consultant
CMIO
Reimbursement
QualityRegulations
Technology
Patient
Satisfaction
Documentation
Coding
Population
Management
EMR
Best
Practices Analytics
Reimbursement
Process
Efficiency
Patient SystemClient
13. Milestone 1: Meaningful Use
• Stage 1
– Difficult to get started
– Fairly straightforward to achieve
• Stage 2
– Hard to maintain the wins
– Moving targets
– Competing priorities
• Stage 3
– Optional 2017
– Required 2018
– Encourages electronic submission of CQM
– Alignment of reporting for Medicare/Medicaid
– Move to Merit-Based Incentive Payment System (MIPS)
14. Milestone 2: ICD 10
• Multiple delays loss of interest
• Training
– Just in time
– Specialty focus
– Online modules
– Reciprocity with other facilities
– EHR tools to leverage
• Tracking revenue impacts
• “A non-event” for CMC
15. Milestone 3: Governance
• Too many requests for improvement and
change with too few resources
• Elimination of multiple pathways for
requests Single funnel point
• Prioritization of requests with sound
estimates of work effort
• Return ‘guidance’ back to operations and
clinical leadership
• Engagement and understanding by
leadership
18. Milestone 4: Analytics
• Reporting vs Data Mining
• Real-time vs normalized, delayed
• Foundation for information about ‘things’
– Patients
– Physicians
– Diseases
– Behaviors
– Components
• Interpretation and utilization for decision-
making
19. Milestone 5: Utilization Standardization
• Training/Onboarding
– Initial training
– Follow up support
– Reinforcement of standards for utilization
• Feedback on Compliance
– Dashboards
– Shadowing
– Reporting previews
20. Milestone 6: Foundational Optimization
• Optimization of EHR
– Responding to requests
– Allocation of resources
– Rate of change with loss of stability
– Cross-facility task forces
• New Modules implementation
– Tier 3 applications
– Expanded focus on utilization of EHR
• Right-size training/support foundation
21. Looking Ahead
• Population Management
– Functionality within EMR
– Capitated risk joint venture with Adventist
• Data Curiosity
• Service Organization
• Ongoing maintenance
Informatics
Analytics
IT
22. In Summary
• Meeting the expectations
• Looking ahead to new ways to utilize
technology
• Collaborative partnerships
• Understand operational planning
• Staying connected
24. References
1. Friedman CP, Frisse ME, Musen MA, Slack WV, Stead WW.
How should we organize to do informatics? Report of the ACMI
debate at the 1997 AMIA Fall Symposium J Am Med Inform
Assoc1998;5(3):293-304
2. Bria W, Rydell R. The Physician-Computer Conundrum. Get
Over It!. Health Information Management Systems Society;
2004.
3. Peter Kilbridge, The CMIO’s Role in 2015, The Advisory Board
Health Care IT Advisor, 2015.