TRACK SESSIONS

Track Sessions for Healthcare Summit 2006

Track A: Healthcare Payer
New Vision, New Business, New Models

Consumer empowerment challenges Healthcare Payers to create enhanced customer service, offer complex new products, transform business processes, and manage medical information as the industry continues to evolve. IT and Business Executives will be asked to enable customers to evaluate treatment alternatives, competitively price services among competing medical care providers, or manage their personal health information. These fundamental market changes will mean some payers, new business models must be adopted to maintain their market relevance because failure to do so may bring market irrelevance. For others, the change will give IT new roles and greater influence in the enterprise's strategic decision making process.

Presentations:

Track B: Healthcare Provider
Optimizing Care Delivery and Enterprise Management through the use of IT

There is no longer significant debate regarding the value of IT in healthcare. IT is transitioning from advocating for automation adoption to developing plans and strategies for clinical and revenue cycle optimization. This has dramatic implications for executive management, clinical leadership and IT departments alike in terms of IT oversight and applications support. The imperative now exists for leveraging IT to play a critical role in linking clinical and business needs across the enterprise.

Presentations:

Track C: Technology
Extending the Reach of the Enterprise

In 2006 healthcare providers will be looking to derive demonstrable value from the technology and infrastructure investments made in the last few years in the name of clinical automation, patient safety, security, interoperability and compliance. Less paper, improved content, stronger security, increased mobility and more efficient workflows will move patient information closer to the patient and the point of care to new venues. The convergence of data, voice and wireless will prove practical and irresistible as technology begins to align itself with the patient care and financial goals of the enterprise. Technology will partner with the clinician and IT professional to identify, manage and monitor the important people, places, things and events that constitute the increasingly digital and agile healthcare provider.

Presentations:

Track D: Common Ground
Opportunities for Collaboration, Areas of Common Interest

Healthcare insurers and providers increasingly have "common ground" whether it is because organizationally they are facing similar challenges such as how best to use IT service providers or there are national, regional and internal initiatives that involve both organizations. Care management and performance measurement must involve both payers and providers in a collaborative model to make more than incremental progress. The development of Regional Health Information Organizations in the US and Global technology issues have lessons to share of value to all stakeholders in the healthcare ecosystem. This track will include presentations on all of these topics.

Presentations:

Track A: Healthcare Payer
New Vision, New Business, New Models

A Virtual Information Enterprise is Needed for the Post-Industrial Business Model
Joanne Galimi, Research Director
Bob Booz, Research Vice President

Healthcare payer organizations must jettison the traditional assembly-line approach of business processes based on transactions and IT enablement. To meet the changing needs of consumers, payers must adopt a post-industrial business model that is instant, virtual and free of process boundaries. The fuel to propel success in a consumer-enabled world is information - information as a commodity to be accessed and manipulated by many.

This presentation will address:

  • What are the market dynamics and drivers of change for the new business model?
  • How does the post-industrial model take advantage of information?
  • How to achieve a post-industrial business model?


The Consumer of the Future: Here Now and Wants More than You Offer!
Bob Booz, Research Vice President

Healthcare consumers are increasingly becoming direct purchasers of health care services. Whether evaluating treatment alternatives, competitively pricing services among competing medical care providers, or managing their medical information, consumers face new challenges few have the resources to manage. The healthcare payer industry is responding to the changing role of direct to consumer relationships by increasing accessibility and functionality of web portals and creation of medical and financial decision aids. This track focuses on the attributes and challenges of creating successful one to one experiences.

This presentation will address:

  • How will the healthcare consumer experience be changed by web portal enablement and decision aids?
  • What will become the "must have" attributes and functionalities necessary for an effective one to one consumer relationship?
  • How are industry leaders positioning their consumer value propositions to obtain market advantage?


The BPM intersection with customer relationship management (CRM)
Joanne Galimi, Research Director

The use of business rules engines is growing steadily as they are used to provide business agility. This insatiable need for agility is changing the architectural principles and the technologies that healthcare payers must embrace. Rules engines are a key component of BPM and are now embedded "under the covers" of CRM applications. Healthcare payers need to understand the intersection between BPM and CRM to avoid redundancy and rule management challenges.

This presentation will address:

  • What is BPM and what is driving today's significant investment in business processes?
  • How will CRM applications exploit BPM technologies?
  • Which vendors and products will payers be able to rely on to deliver and sustain BPM and CRM?


Underwriting Automation
Cynthia Burghard, Research Director

The automation of the underwriting processes in healthcare insurers impacts both top line growth by improving the customer experience through more accurate rates delivered to prospective customers more quickly. Technology is only just being applied to these processes. This roundtable will discuss the challenges and successes experienced by participants.

Track B: Healthcare Provider
Optimizing Care Delivery and Enterprise Management through the use of IT

Healthcare Automation Support for Clinical Care Optimization
Barry Hieb, MD, Research Director

Healthcare is now entering into the age of evidence-based medicine (EBM). This EBM evolution is placing new demands on the automation systems that support the delivery of patient care. A computer-based patient record system is essential for care delivery organizations that wish to make this transition. This presentation will look at some of the automation capabilities that are required if EBM is going to become real.

The presentation will address questions such as:

  • What CPR capabilities will be most in demand as the practice of evidence-based medicine evolves?
  • What is the current status of these capabilities in today's CPR systems?
  • Where do we anticipate seeing the most progress over the next two to three years?
  • What external resources exist to help provide the content necessary to practice evidence-based medicine?


The Physician Office of the Future
Thomas Handler, MD, Research Director

Ongoing developments in the healthcare provider and payer industries are creating a physician office of the future that will operate much differently than it does today. Overarching goals will remain the same-optimizing clinical care and improving the bottom line-will remain the same. The care delivery organization's strategy and its clinical and administrative processes, however, must evolve as industry changes create new demands on outpatient providers. RHIOs, Stark Law amendments, electronic medical record certification, personal health records, disease management, quality measurement, and electronic prescribing are examples of market trends that represent both opportunities and challenges for ambulatory care providers.

This presentation will discuss:

  • How should CDOs adapt their ambulatory care strategy to most effectively leverage industry change?
  • How will these changes affect the CDO's physicians, patients, and its relationships to payers?
  • What new opportunities exist for ambulatory care physicians to benefit from clinical automation?
  • How can IT systems help ambulatory care providers implement incremental changes that will yield business and clinical improvements?


How CDOs can Optimize Clinical Care and Demonstrate Value?
Thomas Handler, MD, Research Director

Many care delivery organizations are poised to move from the selection of a computer-based patient record system to tackling the even more important issue of obtaining full value from the system they have chosen. While technology is important in this quest, success is more often determined by an organization's ability to understand and appropriately modify its processes, politics and culture. This presentation will examine the steps organizations must undertake to successfully optimize their clinical care processes.

Topics to be covered include:

  • What is clinical optimization and why should you bother?
  • What organizational approaches can maximize your chances for success?
  • How can progress in clinical optimization be accurately measured?


Asking, and Answering, the Right Questions : Business Intelligence for Healthcare Delivery Organizations
Vi Shaffer, Vice President and Agenda Manager

The progress of clinical automation and the complex management issues of integrated delivery systems are combining with Pay for Performance and consumer-directed health plan initiatives to fuel demand for timely, better enterprise information. This session will cover building the business case for integrated BI; the critical elements of effective healthcare BI, and discuss how organizations can improve their odds of success.


Pioneering Medicine's Next Information Frontier
Curtis Cole, M.D. Director of Information Services, Cornell Physician Organization
Richard Mackenzie, M.D. Vice Chariman of Emergency Medicine, Lehigh Valley Hospital and Health Network
Beth Karoly, MBA, RRT, Senior Clinical Analyst, Lehigh Valley Hospital and Health Network

Everyone talks about turning data into information. But that effort must lead to action, and that means getting information to the clinical champions who make change happen. Leading facilities and champions share their experiences in doing it right, and the patient care benefits that can result.

Track C: Technology
Extending the Reach of the Enterprise

Data Retention Issues in the Healthcare Provider
Barry Runyon, Research Director

Clinical automation and interoperability initiatives are creating a need to store and retrieve more and more information - both structured and unstructured - every year. Medical imaging systems are consuming terabytes of disk space annually. Enterprise email systems are creating a crush of message traffic that will need to be organized, classified and saved. Compliance efforts mandate the provider to save protected healthcare information based on retention schedules that are not often well understood. Without guidance, provider storage managers respond by saving everything in near-term storage. In the next few years healthcare providers will not find it practical to apply the same level of storage, management and protection to all data within the enterprise.

This presentation will address:

  • What are the relevant data retention requirements for the healthcare provider?
  • What is Information Lifecycle Management (ILM) and how can it help?
  • What steps should the provider take in addressing data retention issues?
  • Who are the important vendors in this space?


Web Portals to Healthcare
Barry Runyon, Research Director

Healthcare portal strategies have evolved from providing inward-facing, read-only functionality to an outreach approach to include stakeholders outside of the care delivery organization firewall such as Payers, Suppliers, Distributors, Patients and Consumers. Care Delivery Organizations need to advance their web portal strategies from simple data aggregation and collection to one of sophisticated data and process integration. Failure to do so will impede the care delivery organization's efforts to improve in areas such as Staffing and Administrative Efficiency, Revenue Cycle Management, Customer Relationship Management and Physician Recruitment and Retention. A repository of enterprise clinical and business services is required to move beyond data integration to support a viable Web Portal strategy. The care delivery organization may need to upgrade or replace its enterprise integration platform so portal support services can be sourced from any enterprise application that is equipped to expose its business and clinical functionality.

This presentation will address:

  • What are the relevant data retention requirements for the healthcare provider?
  • What is Information Lifecycle Management (ILM) and how can it help?
  • What steps should the provider take in addressing data retention issues?
  • Who are the important vendors in this space?


Telemedicine and Telehealth at the VHA
Dr. Adam Darkins, Chief Consultant for Care Coordination, Department of Veterans Affairs (VA)

Dr. Darkins defines Telehealth as "the use of information and communication technologies to provide and support health care when distance separates the participants". As a consultant to the Veteran's Health Administration, a world leader in the field of Telemedicine and Teleheath, Dr. Darkins shares his knowledge and insights for transforming telemedicine programs into successful clinical services and viable businesses. He discusses the VHA's mission, vision, major clinical components and technical architecture and some of its history to date. Dr. Darkins outlines the challenges of establishing a sustainable Telehealth service and provides sound and practical recommendations for starting up and managing programs so as to increase the likelihood of success.


Mobile Computing Devices and Healthcare
Ken Dulaney, VP Distinguished Analyst

What is available now and what is next for mobile and wireless devices in general. How will this apply to the healthcare provider? This presentation discusses the most recent offerings of notebook computers, industrial handhelds, PDAs, cellular photocommunications, and mobile software and their potential application to the healthcare setting. This presentation provides an enlightened and unbiased look at the newest wireless devices and their capabilities. It outlines recommendations on how the healthcare provider may want to adjust their procurement, security and deployment strategies to keep pace with changes and maximize their investments over the long term.

Track D: Common Ground
Opportunities for Collaboration, Areas of Common Interest

Care Management: Strategic and Technological Innovation
Cynthia Burghard, Research Director

Over the past two years care management has moved to toward a patient focused approach with tools such as predictive modeling and patient health management tools being successfully adopted. Innovative healthcare organizations will need to collaborate more actively in care management and learn to effectively balance technology and touch to create efficacious programs that address both quality and cost.

Questions to be addressed in this presentation include:

  • What will be required to engage consumers in healthcare decisions?
  • What models for payer and provider collaboration in care management will work?
  • How can healthcare organizations determine how to balance technology and high touch in their care management programs?


RHIOs: Hype, Disillusionment and Hope
Wes Rishel, Managing Vice President

The RHIO movement in the US is on schedule in the Gartner hype cycle, dropping towards the Valley of Disillusionment. The few successes in this phase are the seeds of future growth and the more abundant failures and frustrated progress are the compost.

This session reviews the progress in 2006 to address these key issues:

  • What functional and technology approaches will be associated with successful RHIOs?
  • What business and policy approaches will be associated with successful RHIOs?
  • What will the "RHIO Market" look like?


Moving Outside the Hospital: Successes from Around the World
Jonathan Edwards, Research Director

With the emergence of RHIOs across the United States, now is the time for US healthcare organizations to look at the value of sharing patient data. Administrative data has been shared for many years; clinical data sharing is something new. While it is difficult to find direct financial evidence of the benefits of sharing clinical data, we can point to several examples of initiatives around the world that are considered to be successes in terms of qualitative benefits. Along with data sharing, this presentation will look at telemedicine - the delivery of care across organisational boundaries. We will discuss the benefits that US HCOs could derive from more widespread deployment of telemedicine, and the challenges still remaining.

Key issues:

  • What benefit does clinical information sharing bring for patients, clinicians, private payers and government agencies?
  • What is the status of telemedicine in the US and worldwide?
  • What are some success stories in sharing clinical data and in telemedicine, and what lessons can be learned?


Consulting firms in the Healthcare Provider market: do they have what you need?
John Lovelock, Principal Research Analyst

Healthcare organizations IT Departments are under pressure to deliver new IT services, implement new software and improve overall system performance. Internal resources are perennially stretched beyond their ability to meet these demands. Whether you use external service consultants to implement systems, back fill internal staff or provider thought leadership, your challenge is the same; The Healthcare Services Market place has a plethora of organizations offering a myriad range of services and expertise - how do you choose?

This session reviews:

  • What are the offering of the major companies in the Healthcare Provider Services market?
  • Who have they targeted and are able to serve?
  • What do you need to do to engage with them successfully?


Provider Performance: Linking Measurement and Management
Cynthia Burghard, Research Director

Provider performance measurement is here to stay. Demands will continue to grow and the vocabulary and definitions will continue to be confusing. Innovative healthcare organizations will tie measurement to business objectives. Performance metrics must tie to management objectives, both internal and external in order to have meaning and be accepted by all stakeholders.

This presentation will address the issues of linking measurement to management from both the healthcare provider and payer perspective covering the following key issues:

  • What is the state of provider performance measurement today?
  • What are best practice examples of linking measurement to management?
  • How can technology play a key role in linking measurement to management?