April 2018 Event

HIMSS Clinical & Business IntelligenceCommunity

#PutData2Work | #PopHealthIT | #PrecisionHIT

Shelley Price, MS, FHIMSS

C&BI Community Organizer

Director, Payer & Life Sciences

HIMSS | Arlington, VA

Arthur Panov, MPH, CPHIMS

C&BI Community Co-Chair

Healthcare and Life Sciences Architecture

IBM Watson Health

Mike Berger, PE, CPHIMS

C&BI Community Co-Chair

Vice President, Population Health Informatics &

Data Science, Mount Sinai Health System

Welcome

Joanne Bartley, CAE

C&BI Community Organizer

Manager, Health Business Solutions

HIMSS | Chicago, IL

• Welcome

• HIMSS C&BI Community Updates / Announcements

• Presentation & Discussion:

“Connecting the Dots: The (Bipartisan) Approach to Care

Delivery Reform - Open Data, Health IT and Value-Based

Payment”

Aneesh Chopra, MPH, President | CareJourney

• Wrap-Up / Next Steps

Agenda

Updates / Announcements

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JUNE 13-14, 2018 Grand Hyatt San Francisco

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FOR MORE INFORMATION, VISIT: www.BigDataHITForum.com/San-Francisco/2018

*GET $200 OFF WITH CODE “HIMSSNA”

SAVE THE DATE

*Offer is good for new registrations only

OCTOBER 22-23, 2018 Westin Copley Place

Boston, MA

FOR MORE INFORMATION, VISIT:

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*GET $200 OFF WITH CODE “HIMSSNA”

C&BI Community PresentationGuest Speaker(s)

We will take

questions at the

end of the

presentation…

…Please type your

questions into the

Q&A box.

#PutData2Work | #PopHealthIT | #PrecisionHIT

Connecting the DotsThe (Bipartisan) Approach to Care Delivery Reform -

Open Data, Health IT and Value-Based Payment

Aneesh Chopra

@aneeshchopra

www.CareJourney.com

Source: http://www.hindu.com/2010/11/08/stories/2010110857920500.htm;

http://www.whitehouse.gov/briefing-room/speeches-and-remarks; www.whitehouse.gov/open

India’s “Aadhaar” digital platform crossed 1 billion users in six years;

open infrastructure enables mobile banking, digital health, including

online scheduling w/o friction

“Leapfrog”: Fastest Global Platform to Reach 1BN Users

Despite public

attention on the future

of Obamacare,

economists look to

NHE growth rate as

key to solving budget

deficits, freeing capital

for economic growth,

and enabling public

action in areas as far-

ranging as climate

change to tax reform

Eye on Prize: Cost Growth @ GDP Growth Rate

Trump Administration Actions to Accelerate Data Liquidity, Use

Source: HealthIT.gov

Building on a “Must Share” Foundation for Interoperability

CMS Blue Button 2.0 Adds New Channel for Linked A/B/D Claims Data Access

CMS opens “linked A/B/D” data access

via QE program, VRDC, PUF files and

“Blue Button”

Closing the Loop: Building a Fuller Longitudinal Data Profile for Each Patient

A “patient-centered” data model includes clinical, financial, and

other information to serve as the foundation for intervention

decision support

HIE Circa MU1, MU2 Crawling towards ROI

• $Ms invested• 4% of EHR records requests delivered electronically (HIE)• “Multi-Hop” document transfer results in TIFF files that still need

massive human intervention

In a 10/09 speech, Kapor called for a “health Internet,” a less complex, more open, “light

federal approach” that would encourage an early critical mass of users to participate—thus

reducing costs and time to market while fueling innovation.

A Decade’s Journey Towards an (Open) Health Internet

ONC Focused on APIs “Without Special Effort”

ONC funds SMART on FHIR / HL7 to design “Flat FHIR”

specification for bulk access to EHR data; goal to publish

an implementation guide in 2019 (with connectathons

starting June 2018 @ FHIR Dev Days

Converging on a Single Technical Path (FHIR API, Argonaut Project IG)

Draft Specification Emphasizes Asynchronous “Bulk” Request, Response

VA Pledge to Accelerate “Demand Side” FHIR API Development

VA Taps UPMC’s Dr. Rasu Shrestha to lead coalition; early

signatories include Partners, Intermountain, Rush, Jefferson,

Cleveland Clinic, Geisinger (12 in total)

Argonaut Work in Progress: Invoking Decision Support in EHR Workflow

• Synchronous, workflow-triggered CDS calls returning information and suggestions

• Launching a user-facing SMART app when CDS requires additional interaction

Physician EHR

Opportunities to Collaborate as EHR Vendors Accelerate Standards Deployment

1. Consistent access to data

(Common Clinical Data Set)

2. Consistent schema in returned

data (Data Access Framework)

3. Open Implementation & Testing

Framework (Sync for Science)

Property of CareJourney Confidential and Proprietary

2017 Road Map includes support for

scheduling, provider directory, and “CDS

Hooks”; 2018 covers “Flat” FHIR/backend

services, questionnaire, clinical notes

Multi-stakeholder collaborative to deliver a

trust framework for consumer-directed

exchange; voluntary but enforceable app

“code of conduct”

Proportion of Total Potentially Preventable

Spending, by high-Cost Subpopulation

Total potentially preventable spending by Medicare subpopulation, percent

Adapted from J. F. Figueroa, K. E. Joynt Maddox, N. Beaulieu et al., “Concentration of Potentially Preventable Spending Among High-Cost Medicare Subpopulations,”Annals

of Internal Medicine, published online Oct. 17. 2017.

Payment Reform to Drive Improvements in High Need, High Cost Patients

Source: White House Office of the CTO

Scaling What Works via ACA Payment Reform (Innovation Center)

“The evaluation…indicate that beneficiaries…have achieved success with losing weight and

reducing the incidence of diabetes.” - CMS Actuary

Pre-Populating Eligibility Calculators

Property of CareJourney Confidential and Proprietary

CMS publishes “eligibility criteria” for care models supported by the physician fee scheduled (CCM, TCM, Diabetes Prevention

Program, Collaborative Care Model, etc.); and emerging models under CMMI testing programs

Source: http://www.superiorymca.org/cms-view-page.php?page=national-diabetes-prevention-program

Property of CareJourney Confidential and Proprietary

Source: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM/; https://millionhearts.hhs.gov/data-reports/data.html

Percent of Hypertensive Patients whose Last E&M Visit in 2016 was Conducted by their PCP, an IN provider, or an OON provider

Following Digital “Bread Crumbs” to Save a “Million Hearts”

Care management fee for cardiologists caring for hypertensive patients at elevating heart attack risk

Enabling “Plug and Play” Clinician Applications Access

Property of CareJourney Confidential and Proprietary

Source: https://www.rush.edu/health-wellness/video-library/total-health-collaborative; Shafiq Rab, RUMC CIO

16-year life expectancy

gap; “Total Health

Collaborative” goal to cut

50% in ten years

Leadership selected 3rd

party app, NowPow, for

“plug-play” seamless

experience via reusable

FHIR standards

CIO takes 6 weeks to

production by extending

Epic MU3 FHIR APIs for

“bulk access” via API mgmt

& +$16K in labor costs

1st 30 days - 70 screened,

48 needs (shelters, meals,

utilities, transportation); no

return ER visits

To Do: A Voluntary but Enforceable Industry-Led “Fiduciary” Code of Conduct

Source: Commonwealth Fund; https://www.whitehouse.gov/sites/default/files/docs/cea_coi_report_final.pdf

“Savers receiving conflicted advice earn returns roughly 1% lower each year… we estimate the aggregate annual

cost of conflicted advice is about $17 billion each year” – Obama Council of Economic Advisors

Thank you!

Questions?

Aneesh Chopra, MPH

President, CareJourney

LinkedIn Page: https://www.linkedin.com/in/apchopra/

@aneeshchopra

• Want to get involved?

Topic or Speaker ideas

Key Note Presenter

Blogger | Tweeting

• Community Website

Visit the ‘Session Recordings’ tab at

www.himss.org/ClinBusIntelCommunity for

a copy of this or previous presentations

Wrap-Up / Next Steps

Contact

Shelley Price or

Joanne Bartley

#PutData2Work | #PopHealthIT | #PrecisionHIT

Earn CAHIMS & CPHIMS credit!

The HIMSS C&BI Community is pleased to offer webinar attendees

up to one continuing education (CE) hour for use in fulfilling the CE

requirements of the Certified Professional in Healthcare Information &

Management Systems (CPHIMS) and the Certified Associate in

Healthcare Information & Management Systems (CAHIMS) programs.

Visit the C&BI Community website for more information.

Wrap-Up / Next Steps

Wrap-Up / Next Steps

JOIN US!

Next meeting: Thursday, May 24, 2018

TITLE: TBA

Speaker(s):

TBA

#PutData2Work | #PopHealthIT | #PrecisionHIT

Co-Chairs:

Mike Berger, PE, CPHIMS Vice President, Population Health Informatics & Data Science Mount Sinai Health Systemmichael.berger@mountsinai.org

Arthur Panov, MPH, CPHIMS Healthcare and Life Sciences ArchitectureIBM Watson Healthapanov@us.ibm.com

HIMSS Community Organizers:

Shelley Price, MS, FHIMSS Joanne Bartley, CAEDirector, Payer and Life Sciences Manager, Health Business SolutionsHIMSS HIMSSsprice@himss.org | @SPriceHIMSS jbartley@himss.org

FY18 Leadership & Contact Information

#PutData2Work | #PopHealthIT | #PrecisionHIT

Thank you!!!

#PutData2Work | #PopHealthIT | #PrecisionHIT

APPENDIX

Ellen Harper, DNP, RN-BC, MBA, FAAN*FY18 C&BI Committee Chair

Adjunct Faculty, U of Minnesota School of Nursing

President, CEO, Blue Water Informatics, LLC

Claudine Beron, PMPFY18 C&BI Committee Vice-Chair

CEO

Initiate Government Solutions, LLC

Meg Broderick, MBA, MPA, CPHIMS*Consultant

Sharon Davis, MS, CPHIMS, PMPClinical Programs Manager

Government Programs - Clinical Operations Solutions

Team

Blue Cross Blue Shield of Texas

Jeff Fuller, MS, FACHE*

Executive Director, Analytical Solutions

U of North Carolina (UNC) Healthcare System

Kevin Gormley, PhD, MEPrincipal Data Scientist

MITRE

Mitch KwiatkowskiSr. Director, Informatics

Gateway Health

Raj Lakhanpal, MD, FACEP*CEO

Spectramedix

Anne Park, MPH, MSMIS*Sr. Business Systems Analyst

MD Anderson Cancer Center

Anthony C Villanueva, CPHIMSCIO, Vice President of IT/IS

Neighborhood Health

Anthony T. Williams, MBA*Chief Information Officer

American Family Care, Inc.

Amber Zimmermann, BSN, MBA, RN-BCSr Manager, Health Data Analytics

Philips Healthcare

* Indicates a returning

committee member

About Us: FY2018 C&BI Committee Members

Community Co-Chairs

Mike Berger, PE, CPHIMS

Vice President, Population Health

Informatics and Data Science

Mount Sinai Health

Arthur Panov, MPH, CPHIMS

Healthcare and Life Sciences Architecture

IBM Watson Health

C&BI for Population Health

Task Force Co-Chairs

Marius Petruc, MD, MS

President

Informatics Solutions, LLC

Michelle Vislosky, M.B.A., FACHE

Director of Health System

Partnerships

Syapse

About Us: FY18 C&BI Community, Task Force, Workgroup Leadership

Precision Medicine Workgroup ChairBG Jones

SVP - Business Development

PierianDX

About Us: C&BI Community

Looking to better leverage clinical & business intelligence tools, technologies,

and strategies to help you and your organization meet patient care delivery,

clinical and health outcome, and business operation goals? Our community

supports activities that promote peer-to-peer networking, problem solving,

solution sharing, and education.

HIMSS C&BI Community webinars let members dig into pertinent subjects

throughout the year. Our ongoing web-based programs cover topics such as:

Data aggregation and access through EDW and cloud solutions

Data management, validation, quality, and integration

Descriptive, retrospective, predictive, and prescriptive analytics

Governance – data and program

Population health management – including attribution and risk stratification

Precision medicine

Predictive modeling

Reporting, dashboards, and visualization techniques

Resource management

Skills sets and staffing

www.himss.org/ClinBusIntelCommunity

About Us: C&BI Community

• Open to all HIMSS members (current membership: approx 7,800 people). Join the

C&BI Community today:

1. Login into your HIMSS account in the Member Center

2. Click the tab "My Involvement" | select "Participation" dropdown

3. Click on "Edit Participations"

4. Check the “Clinical & Business Intelligence Community” box

5. Click "Save"

• Will meet virtually 6 times/year

• Agenda for the meetings may include:

News you can use! New content and events

2-Minute Drills presented by various Community members

Topical discussion with key note presenter

The ‘2-Minute Drill’ is based loosely on the sports analogy, and in this case

is a fast-paced (short in length) presentation on a hot, emerging, or timely topic, news event (e.g. research paper, game-changing market or technology news), or recent and relevant event (e.g., federal public meeting, legislative/federal/judicial news, critical conference or educational event).

2-Minute Drills foster greater peer-to-peer networking, member engagement, problem solving, solution sharing, and education. If you are interested in presenting any drills,

please contact Shelley Price.

About Us: Task Force

C&BI for Population Health Task Force

CO-CHAIR: Marius Petruc, MD, MS | President | Informatics Solutions, LLC

CO-CHAIR: Michelle Vislosky, MBA, FACHE | Director of Health System Partnerships

| Syapse

This group creates resources and tools that employ practical guidance and

unbiased information to help healthcare organizations (providers, hospitals,

integrated delivery networks, health plans and other stakeholders) use C&BI to

harness, use and analyze data captured in the healthcare setting to execute

population health management initiatives and improve care and health

outcomes.

Meeting times: 3rd Tuesday of the month, 4:00-5:00pm ET