September 22, 2016Dial In: 877.668.4493Code: 660 330 626
What’s Next for Electronic
Health Records?
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Dial In: 877.668.4493 Code: 660 293 496
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Madge KaplanDirector of Communications
Institute for Healthcare Improvement
For resources & slides, visit IHI.org/WIHI
Dial In: 877.668.4493 Code: 660 330 626
Madge Kaplan, IHI’s Director of
Communications, is responsible for developing
new and innovative means for IHI to communicate
the stories, leading examples of change, and
policy implications emerging from the world of
quality improvement ― both in the U.S. and
internationally. Prior to joining IHI in July 2004,
Ms. Kaplan spent 20 years as a broadcast
journalist for public radio – most recently working
as a health correspondent for National Public
Radio. Ms. Kaplan was the creator and Senior
Editor of Marketplace Radio's Health Desk at
WGBH in Boston, and was a 1989/99 Kaiser
Media Fellow in Health. She has produced
numerous documentaries, and her reporting has
been recognized by American Women in Radio
and Television, Pew Charitable Trusts, American
Academy of Nursing and Massachusetts
Broadcasters Association.
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Jill DuncanInstitute for Healthcare Improvement
For resources & slides, visit IHI.org/WIHI
Dial In: 877.668.4493 Code: 660 330 626
Jill Duncan, RN, MS, MPH, Executive Director, Institute for Healthcare Improvement (IHI), provides strategic development and programming leadership for IHI's Quality, Cost, and Value Focus Area, IHI’s Leadership Alliance, and program development and facilitation for many of IHI's workforce development initiatives. Her previous IHI responsibilities include daily operations and strategic planning for the IHI Open School, leadership of IHI's Joint Replacement Learning Community, and program coordination and faculty guidance for IHI's Leading Quality Improvement: Essentials for Managers program. Ms. Duncan draws from her learning as a Clinical Nurse Specialist, quality leader, nurse educator, and front-line care provider.
You can reach Jill at [email protected]
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The IHI Leadership Alliance is a
dynamic collaboration of health care
executives who share a goal to work
with one another as well as in
partnership with our patients,
workforces, and communities to deliver
on the full promise of the IHI Triple Aim.
6Year 2 Members
Year 3 Alliance Members to Date• Air Force Medical Department • Alberta Health Services• Army Medical Department• Baystate Health• Bellin Health• CareSouth Carolina• Charleston Area Medical Center• Children's Health• Christiana Care Health System • Cincinnati Children's Hospital
Medical Center• Coastal Medical• Consulate Health Care• Dignity Health• Emerald Physicians • GBMC HealthCare System Inc.• Geisinger Health System
• Genesis HealthCare• Health Quality Council of
Alberta (HQCA)• HealthPartners• Henry Ford Health System• Kaiser Permanente• Kansas Healthcare Collaborative• Mayo Clinic• Memorial Hermann• MemorialCare Health System• Missouri Hospital Association• National Capital Region
Enhanced Multi-Service Market • Navy Medical Department• North Carolina Hospital
Association• Northwell Health
• Palmetto Health• Parkview Health System• Providence St. Joseph Health • Roanoke Chowan Community
Health Center• Sanford Health Network• Sibley Memorial Hospital• South Carolina Hospital
Association• Southcentral Foundation• The Dartmouth Institute• UMass Memorial Health Care• University of Arkansas for
Medical Sciences • University of Pittsburgh
Medical Center
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IHI Leadership Alliancehttp://www.ihi.org/Engage/collaboratives/LeadershipAlliance
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John HalamkaBeth Israel Deaconess System
For resources & slides, visit IHI.org/WIHI
Dial In: 877.668.4493 Code: 660 330 626
John D. Halamka, MD, MS, is the International
Healthcare Innovation Professor at Harvard Medical
School, Chief Information Officer of the Beth Israel
Deaconess System, and a practicing emergency
physician. He strives to improve health care quality,
safety, and efficiency for patients, providers, and
payers throughout the world using information
technology. Dr. Halamka has written five books,
several hundred articles, and is the author of the
popular Geekdoctor blog. He is also an organic farmer
in Sherborn, Massachusetts, overseeing 15 acres of
agriculture, animals, and cider/mead making.
You can reach John at [email protected]
A Brief History of Time
• The National policies from Brailer to DeSalvo
• Interoperability - from HITSP to Argonaut
• Patient/Family Engagement - from a rogue idea to
OpenNotes
• Big Data Analytics - from managed care to care
management
• Cloud/Mobile - from Palm Pilots to CareKit
Assessing Our
Progress• EHR - safety/quality, efficiency, physician satisfaction
• Interoperability - is the data you need there when you need it without difficulty or significant cost?
• Patient/family engagement - are we bringing value to the patient with our electronic tools?
• Big Data Analytics - are we supporting alternative payment models and value-based purchasing?
• Cloud/mobile - are EHR vendors, clinicians, and compliance departments embracing cloud hosted, mobile friendly options?
Assessing Our
Progress • EHR - 80% adoption of EHRs but with 453 clicks to admit a patient ,
140 structured data elements per encounter to support clinical quality measures, 40% of clinicians feel burned out (C+)
• Interoperability - we’ve made reasonable gains with pushing payloads from place to place, but have not built the enabling infrastructure to support pull (C+)
• Patient/family engagement - we’re making reasonable progress with portals but we need an app that enables true patient stewardship of data (B)
• Big Data analytics - many products compiled in Powerpoint (B)
• Cloud/mobile - we need to accept that risk can never be zero (B)
We Can Do Better• EHR - my wife’s recent experience and the need
for Facebook/wikipedia
• Interoperability - my mother’s recent experience with a hip fracture
• Patient/Family engagement - my recent experience with hypertension
• Big Data Analytics - my wife’s cancer experience
• Cloud/Mobile - my current journey with multiple vendors
Next Steps
• Meaningful Use has run its course - we must move to outcomes based payment models for clinicians and hospitals
• Certification in its current form paralyzes innovation and does not improve interoperability
• We need a national provider directory, a voluntary national patient identifier, a trust fabric, a governance framework, and consistent privacy policies
• We must reduce clinician burden
• Return the agenda to the private sector
• http://geekdoctor.blogspot.com
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Laurance StuntzMassachusetts eHealth Institute
For resources & slides, visit IHI.org/WIHI
Dial In: 877.668.4493 Code: 660 330 626
Laurance Stuntz is the Director of the Massachusetts
eHealth Institute, the Commonwealth’s entity for health
care innovation, technology, and competitiveness. At the
eHealth Institute, Mr. Stuntz and his team are leading the
state’s participation in the Massachusetts Digital Health
Initiative and helping all providers in the Commonwealth
adopt electronic health records and become part of a
statewide health information exchange, with a particular
emphasis on behavioral health and long term care
providers. The effort involves a broad range of
stakeholders to ensure that patients have access to their
data and become active and engaged participants in
managing their health. Prior to joining the eHealth Institute,
Mr. Stuntz worked for private industry and has 25 years of
experience in healthcare information technology product
development, systems integration and management
consulting. Much of this work was focused on collaboration
and exchange of information among all types of healthcare
organizations. He was a Partner at Computer Sciences
Corporation (CSC) with responsibility for CSC’s
Collaborative Communities solution area and the Senior
Vice President responsible for product development for
NaviNet.
You can reach Laurance at [email protected]
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Strategic Framework
Make Massachusetts a global leader in Digital Health innovation, in turn driving economic growth and improving healthcare outcomes and efficiency.
Improve Access to Customers /
Pathways to Market
Digital Health Marketplace
Convene the Cluster / Increase Network Density
Digital Health Hub & Accelerator
MassDigitalHealth.org
#MassDigitalHealth
Improve Healthcare Data Transparency &
Availability
Healthcare Data Initiative
Goal
Strategies
Programs
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Mass Digital Health: Marketplace Framework
Distribution[strategic
partnerships,
scaling]
Deployment
[initial
partnerships]
Development
[vetting & insights]
Discovery
[networking, hackathons]
Challenges Teams
TechSpring
Insights
PULSE Program
(10-15 companies)
TechSpring
Projects
PULSE Check
Scaling
Cohort
Support
Tap Into TechSpring
PULSE Learnings &
Vetting / Checklists
Customer
Openness /
Matchmaking
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Mass Digital Health: PULSE@MassChallenge
PULSE@MassChallenge is the state’s
innovation hub and laboratory for
digital health economic development.
PULSE@ is receiving grant funding
and strategic support from MeHI on
behalf of the Commonwealth.
Program Offerings:
• Networking/Meetups (PULSE Checks)
• A competitive accelerator program for later-stage startups; application period
launching in mid-September
• Coworking space, data challenges, and other activities
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Mass Digital Health: TechSpring
TechSpring is Baystate Health’s
digital health technology
innovation laboratory. They offer
strategic support to later-stage
startups, corporate partnerships,
mentoring, meetups, and other
economic development activities.
TechSpring is receiving grant
funding from MeHI on behalf of
the Commonwealth, in order to
build statewide connectivity and
build collaborations with
PULSE@MassChallenge.
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Mass Digital Health: Convening & Promotion
#MassDigitalHealth
Applying Value Management to Health Care
November 2-4Washington, DC
For more
information,
visit IHI.org
• Define a clear standard of care for at least one value stream
• Identify approaches to improve efficiency within a standardized value stream
• Design tests to recognize and improve resource capacity and alignment within
a value stream
• Test specific tools (Lean accounting approaches) that do not require any
additional investment or significant new data, but will provide weekly insight
into cost, quality, and capacity for their value stream
• Learn how to make the case for investment in continuous value improvement
to organizational leaders and staff
• Have a better understanding of financial information for better decision making
on the front lines
Find Us at25
Thanks to everyone who makes WIHI possible!
Coming up on WIHI:
Improving Patient Experience – What’s Working and
What’s Not
– October 6, 2016
Re-imagining Family Caregiving With Engagement and
Support
– October 20, 2016
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