HP Worldwide Health Symposium - Breakout Abstracts

Amid a growing focus on strengthening physician relationships, hospital executives simultaneously seek to protect high margin services and continually to create greater efficiency in the care delivery process. These issues are now set against the broader backdrop of a new federal focus on the interoperable electronic health record (EHR). Such an effort requires unprecedented healthcare IT adoption throughout the community.

These economic and technological imperatives have created a convergence of interests for hospitals and physicians. In the current healthcare climate, hospitals have an opportunity to use their existing technology assets to strengthen their partnerships with the physicians who depend on them

Many successful companies miss the next great wave, mostly due to their sustained incremental innovations that over time meet or exceed their existing customer needs! The speaker—a software industry veteran, inventor, and innovator—presents a provocative perspective on how disruptive innovations will move from good enough to great and achieve market dominance in spite of existing, successful, and established technologies, products, and vendors. The presentation will offer a fresh framework for decision-makers to identify the next great wave in time to ride it!

The electronic health record (EHR) has emerged as the single largest opportunity to transform healthcare from both quality and cost standpoints. Healthcare stakeholders are aggressively moving forward on all fronts in terms of information, connectivity, funding, and, of course, implementation; and the EHR is fast becoming the new standard of care.

This session will discuss the changing landscape and best practices in implementing and leveraging the EHR to create a more seamless patient experience as well as new opportunities for medical groups.

You are the corporate R&D executive working on your agenda for next year. What’s coming at you? Rapidly changing or still emerging requirements? Converging markets? Dissolving barriers between bio, geno, pharma, devices, and patient care? Adoption?

In this highly interactive, provocative, and entertaining session, we will examine:

• R&D Compressive Disruptive Syndrome
• Tier One problem space opportunities
• Pervasive technologies and techniques that matter
• Low-hanging fruit

Healthcare in the United States will face numerous challenges in the coming decades: an aging population, fragmented networks of providers and payers, demanding consumers, and escalating costs, among others. Technology can enable answers to many of the challenges, but technology alone is not the answer. A fundamental transformation of the underlying process of healthcare delivery and information exchange is required. An integrated information exchange will provide the means of enhancing care delivery, improving patient safety, aggregating data, and reducing the cost of a unit of care by providing seamless access to a patient’s medical information, regardless of the information’s collection location. Secretary Leavitt of the U.S. Department of Health and Human Services recently cited interoperability standards as one of the major barriers that have been preventing a national health information network. This presentation will provide a framework for thinking about interoperability standards, ranging from the necessary technical standards to the required clinical data standards. Participants will gain an understanding of the interoperability challenge and be able to identify key industry initiatives that are under way to address this issue.

As the demand for improved information systems pervade the health market, many organizations have taken up the banner of the "Digital Hospital." This presentation will review the implementation of a broad-based digital communications infrastructure for a new hospital at St. Olav’s in Trondheim, Norway. The discussion will focus on the benefits of creating an inclusive architecture that connects a wide variety of devices, including traditional voice and data devices as well as a variety of mechanical and medical devices.

The SAGE (Shareable Active Guideline Environment) Project points the way to an HIT infrastructure that would allow computable clinical practice guidelines to be shared widely and to operate in RHIO-level environments.

SAGE is a collaborative project to develop a universal framework for sharing health knowledge in the form of computable clinical practice guidelines. In work to date we have developed prototypes of a technology infrastructure that will enable sharing of encoded clinical guidelines across multiple clinical information system platforms.

This standards-based infrastructure will enable broad dissemination of executable guideline knowledge that can be integrated into local healthcare information systems.

SAGE technology can also be adapted to provide guideline-based decision support across the information environment of a regional health information organization (RHIO).

The worlds of integration and development have converged. All new applications require integration with existing IT solutions, and integration projects are no longer limited in scope to solutions that can be accomplished with an integration engine or message broker. This presentation will explore the innovative healthcare fusion solutions that are being enabled by a new breed of integration models and technologies in use by many healthcare organizations today.

The business case and the technology for the delivery of improved outcomes through the use of technology is well hypothesized but all too infrequently realized. Why is this?

Microsoft is passionate about the need to measure and prove value in not-for-profit healthcare delivery, where it is all the more vital to ensure that the benefit realized from budgets spent on technology solutions must balance and should significantly outweigh those derived by spending that same budget on staff and medication.

This presentation will talk about Microsoft’s tenets, platform, successes, and future plans in the global Public Sector Healthcare market.

While the National Health Information Network initiative promises the opportunity for an integrated electronic health record, it also faces many integration and technology challenges. This session will outline how Oracle is leading the effort to move this essential initiative forward.

This presentation looks at: RFID technology, RFID healthcare applications, pilots underway and the value of RFID in healthcare.

The presentation provides an understanding of the depth and breadth of the malpractice crisis, a review of the anatomy of a malpractice claim (who sues and why?),
and the role of patient education in decreasing the number and severity of malpractice claims.

Healthcare Challenges: Most healthcare systems today are struggling to improve the quality of medical services and patient safety while reducing costs. In order to meet these challenges, many health systems have embarked on or are planning an ambulatory EMR implementation followed shortly thereafter by an inpatient EMR
implementation. To be effective, EMR implementations entail the need for extensive integration with the Web as well as with legacy applications. They are complicated by the need for workflow changes associated with eliminating the dependency on paper charts and the cultural transformations needed to foster collaboration among traditionally isolated organizations.

Long-Term Goals: In order to meet quality and safety goals, healthcare systems must integrate clinical information across the continuum of care. They are also being challenged by payers and employers to focus on disease management to be more proactive in reducing the cost of care for patients with chronic diseases. These goals require the electronic integration of ambulatory and acute care clinical information across health systems and their affiliated physicians. This electronic integration must be accompanied by improved processes and workflows and enhanced access to clinical information by patients, providers, and case managers.

Key Messages:

• Review patient safety, clinical quality, disease management, and cost challenges—"the big 4"
• Decompose "the big 4" to highlight their IT commonalities
• Review common IT infrastructures that can be leveraged to address "the big 4"
• Using case studies, explain best practices in the implementation of EMR systems and the delivery of clinical/patient portals