Program Brochure_HIE Executive Sessions_28Apr10

8/8/2019 Program Brochure_HIE Executive Sessions_28Apr10

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Health Information Exchange (HIE)

Executive Sessions

April 28 - April 29, 2010Florida International University

Modesto A. Maidique Campus, Miami, Florida

Co-Hosted by:National Science Foundation FIU-FAU Industry/University Cooperative Research Center

Center for Advanced Knowledge Enablement (I/UCRC-CAKE)Director - Naphtali David Rishe, PhD

Open Health Tools (OHT)Executive Director Skip McGaughey

American Academy of Family Physicians National Research Network (AAFP NRN)Director Wilson Pace, MD

Corporate Supporter of the FIU HIT Initiative

Program Overview

The Executive Sessions w ill introduc e the a ud ienc e to the bene fits, cha lleng es, and op portunities for

Hea lth Informa tion Excha nge (HIE). It will p rovide a basic understa nd ing of the Nationw ide HealthInforma tion Netw ork (NHIN) co nc ep ts, NHIN implica tions for a resea rc h a ge nda , and explore p rivac y &sec urity c onsidera tions for HIE. Pa rticip ants w ill have the o pportunity to expa nd their know ledge b ase,and build a c ollab orative netw ork to ad vanc e the c ommunity initia tives for HIE in South Florida .

The p rogram ha s bee n organized by the FIU Hea lth Info rma tion Tec hno log y Initiat ive (FIU HIT Initia tive).

Contacts

Tom M. Gom ez Florida Interna tiona l Unive rsity 917-304-7149 [email protected] Russler, MD Op en Hea lth Too ls 404-276-1718 [email protected]
mailto:[email protected]:[email protected]:[email protected]://www.aafp.org/online/en/home/clinical/research/natnet.htmlhttp://hit.fiu.edu/mailto:[email protected]:[email protected]


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Agenda

Welco me a nd Introductions

11.00 AM EDT 11.30 EDT, April 28th, 2010Divina Grossma n, PhD VP of Engag em ent, Florida Internationa l University

Naphta li David Rishe PhD & Tom M. Gom ez FIU HIT Initia tive , NSF FIU-FAU I/ UCRC-CAKE

HIE Demonstration by Misys Open Sourc e Solutions ( MOSS ) LLC

SESSION I: Health Information Exc hanges Build ing the Natio na l Super Highwa y11.30 AM EDT 12.15 PM EDT, April 28th, 2010Sreedhar Potarazu, MD, MBA Preside nt a nd C EO, Vita lSp ring Tec hno log ies, Author of Ge t O ff The Dime: The Sec ret toCha ng ing Who Pays For Your Hea lthc are

SESSION II: DoD/ VA Sha ring with the Priva te Sec tor Using CONNECT Over the NHIN

12.15 PM EDT 1.00 PM EDT, April 28th, 2010Steve Steffensen, M D, LCDR, MC, USN

CMIO, Adva nc ed Informa tion Tec hnology Group (AITG) & Clinica l Neurolog ist a t TATRC

SESSION III: Pane l Discussion2.00 PM EDT 3.30 PM EDT, April 28th, 2010Privacy & Security Considerations for Health Information Exchange (HIE)

Using va rious HIE use c ases suc h a s those from the Dep a rtment of De fense (DoD) a nd theSoc ial Sec urity Ad ministrat ion (SSA), a p ane l of sta keho lde rs from various sub -do mains w illexplore in d eta il the issues of privac y and sec urity for HIEs includ ing the NHIN. The p anelmembers will share their perspectives on the primary legal agreements governingpa rticipa tion in HIEs, the role of p rivac y officers, c onsume r emp ow erment in ma nag ingthe d istribution of d a ta , and the spe c ific te c hnologies availab le in the CONNECT solutionto supp ort the p rivac y officer and the consumer.

The p anel w ill also d iscuss p rivacy, sec urity and c onsent in the c ontext of sec ond a ry usesof data, and explore the considerations for developing a National Infrastructure for

Translationa l Resea rch. The resea rc h d isc ussion w ill be b ased on a mo del architec ture(DARTNet) tha t m ee ts the basic d esign a nd use case sc ena rios as out lined by the NHIN,including standardizing data storage, addressing patient privacy concerns, using de-centralized databases, enabling strong institutional autonomy concerning data sharing,allowing va riable levels of d a ta acc ess, and de fining a self-sc a ling architec ture.

Dan Russler, MD - Moderator

VP of C linica l Informa tics for Orac le

Wilson Pac e, MD

Direc tor, Americ an Ac adem y of Family Physicians Nat iona l Resea rch Netw orkGreen-Edelma n Cha ir for Prac tice Based Resea rc h, University of Co lorado Denver

Sreedhar Potarazu, MD, MBA

President and CEO, Vita lSp ring Tec hno log ies

Steve Steffensen, MD, LCDR, MC, USN

CMIO, Ad vanc ed Informa tion Tec hnology Group (AITG) & Clinica l Neurolog ist a t TATRC

David Riley

Fed eral Hea lth Architec ture - CO NNECT
http://www.linkedin.com/companies/202328/TATRC?trk=pp_icon&goback=%2Efps_steve+steffensen_*1_*1_*1_*1_*1_*1_*1_Y_*1_*1_*1_false_1_R_true_CC%2CN%2CG%2CI%2CPC%2CED%2CFG%2CL%2CDR_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2http://www.linkedin.com/companies/202328/TATRC?trk=pp_icon&goback=%2Efps_steve+steffensen_*1_*1_*1_*1_*1_*1_*1_Y_*1_*1_*1_false_1_R_true_CC%2CN%2CG%2CI%2CPC%2CED%2CFG%2CL%2CDR_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2http://www.linkedin.com/companies/202328/TATRC?trk=pp_icon&goback=%2Efps_steve+steffensen_*1_*1_*1_*1_*1_*1_*1_Y_*1_*1_*1_false_1_R_true_CC%2CN%2CG%2CI%2CPC%2CED%2CFG%2CL%2CDR_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2http://www.linkedin.com/companies/202328/TATRC?trk=pp_icon&goback=%2Efps_steve+steffensen_*1_*1_*1_*1_*1_*1_*1_Y_*1_*1_*1_false_1_R_true_CC%2CN%2CG%2CI%2CPC%2CED%2CFG%2CL%2CDR_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2


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Martin Prahl

Soc ial Sec urity Ad ministrat ion

Alesha Ad am son

Direc to r, Misys Open Source Solutions ( MOSS ) LLC

Reid Cushma n, PhD

University of M iam i Ethic s Program s & UM-Miller Sc hool o f Me d ic ine

SESSION IV: The Nationwid e Hea lth Information Network (NHIN) & its Imp lications for Disea se Reg istries

11.00 AM EDT 12.00 PM EDT, April 29th, 2010Dan Russler, MD

VP of C linica l Informa tics for Orac le

SESSION V: Enab ling Hea lth Informa tion Exchang e (HIE) w ith Op en Source Solutions

12.00 PM EDT 1.00 PM EDT, April 29th, 2010Tim Elwell

VP of Misys Open Source Solutions ( MOSS ) LLC

Additional de tails may be found a thttp://hit.fiu.edu
http://hit.fiu.edu/http://hit.fiu.edu/http://hit.fiu.edu/


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Host Organizations

The following orga niza tions a re the c o-hosts for the HIE Executive Sessions being held in conjunc tion withthe CONNECT Code-A-Thon which being hosted by Florida Inte rna tiona l University in Miam i, Florida Ap ril28-29, 2010.

FLORIDA INTERNATIONAL UNIVERSITY (FIU)

Florida Inte rna tiona l Universitys Nationa l Sc ienc e Founda tion Ind ustry/University Co op erat ive Resea rc hCenter for Adva nc ed Know ledge Ena b leme nt (NSF FIU-FAU I/ UCRC-CAKE) is foc used on cond uc tingresea rc h in pa rtnership be twee n ind ustry, ac adem e, and gove rnment . A ma jor foc us a t the NSF FIU-FAU I/ UCRC is the Hea lth Informa tion Tec hno log y (HIT) Initia tive.

The p rog ram is p rem ised on an interdisc iplina ry ap p roa c h to HIT as env isioned by Florida Inte rna tiona lUniversity (FIU), and in support of t he o b jec tives out lined in the Hea lth Informa tion Tec hnolog y forEc onom ic a nd Clinica l Hea lth Act of 2009 (HITECH Act ), and guide d by t he stee ring c om mitteecomprised of the FIU Deans of Medicine, Business, Nursing, Public Health, and Engineering &Computing.

The HIT Initiat ive a nd the NSF Center are d irec ted by Na phta li David Rishe , PhD, the inaug ural

Outstanding University Professor of FIU and the principal investigator of $45M in grants, including $7M inc urrent NSF gran ts.

Tom M. Gom ez is Entrep reneur-in-Reside nc e, and Princ ipa l Architec t o f the HIT Program s a t the FIU NSFCe nte r. He serves as Direc to r of Program M ana gem ent for the FIU HIT Initia tive.

http:/ / hit.fiu.edu/

OPEN HEALTH TOOLS (OHT)Op en Hea lth Tools is an internationa l ope n source c ommunity with a vision of ena b ling a ubiquitousec osystem whe re m em be rs of the Hea lth and IT professions c an c ollabo rat e t o b uild interop erab lesystems that enable patients and their care providers to have access to vital and reliable medicalinforma tion a t the time and plac e it is need ed .

The OHT Acade mic O utrea c h Projec t is an open software resea rc h and develop me nt project m od eledon simila r outrea ch ac tivities at the Ec lipse Found ation. The Projec t enc apsulate s three related a c tivitystreams, eac h of w hich is based on , or uses the OHT Platfo rm a nd / or Op en Hea lth Too ls:

1. Stud ent resea rch p rojec ts and other explora tory investiga tions ("Resea rc h Stream")2. Developme nt of ed uca tional ma terials, tea c hing aids, and c oursew are ("Educ a tion Strea m")3. Inc ubation of sma ll-sc a le, innova tive p latfo rm a nd too ls p rojec ts ("Inc ubators Stream")

OHT is d irec ted by Skip Mc Ga ughey, one of the found ers of the Ec lipse Foundation. OHT is the firstorganizat ion to app ly Ec lipse-ba sed op en source conc ep ts and learnings in a spe c ific industry vertica lop en source c omm unity.

Dan Russler, MD, VP of C linica l Informa tics at Orac le lea ds the O HT Ac adem ic Outreach Projec t.

http://www.openhealthtools.org/

AMERICANACADEMY OF FAMILY PHYSICIANS NATIONAL RESEARCH NETWORK (AAFPNRN)The Americ an Ac adem y of Family Physicians is the na tiona l assoc iation of fa mily doc to rs. It is the thirdlargest national medical organization, with more than 94,600 members in 50 states, D.C., Puerto Rico,the Virgin Islands, and Gua m. The Ac ad em y wa s founde d in 1947 to p rom ote and m a intain high q ualitystandards for fam ily doc tors who a re p roviding c ontinuing c om prehensive hea lth c are to the p ublic.
http://hit.fiu.edu/http://hit.fiu.edu/http://www.openhealthtools.org/http://www.openhealthtools.org/http://hit.fiu.edu/


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The AAFP Nat iona l Resea rch Net work (AAFP NRN) is a na tionw ide p rac tice -ba sed resea rc h ne tw ork w ithprima ry ca re c linician me mb ers rep resent ing 48 U.S Sta tes and 4 Canad ian p rovinc es. It is a volunta ryresearch association of primary care physicians who collaborate on studies to describe and improveupon the phenom enon of p rima ry ca re p rac tice . The AAFP NRN assists in rea lizing o vera ll strateg ies forac hieving improved prima ry c a re fo r the na tion. These inc lude, but no t limited to, initiatives inadvancing the Patient Centered Medical Home (PCMH), promoting ongoing imperative for practicec hang e through imp roved use of tec hnology, educ a tion and c om munica tion, assisting our me mb ers to

achieve financial success through optimal practice management, involving family physicians intargeted public health activities, specifically tobacco, obesity, exercise and immunizations, andincrease m em ber and pa tient aw areness of resources throug h our educa tional prog ram s.

Wilson Pac e, M.D., is Direc to r of the AAFP Nationa l Resea rch Netw ork. Dr. Pac e is a p rofessor of FamilyMedic ine at the University of Colorad o Denver (UCD) and the Green-Ede lman Cha ir for Prac tice-basedResea rc h. He is a lso the p rinc ipa l a rc hitec t for a ne twork of EHR ena b led p rima ry ca re p rac tice s, theDistributed Amb ulato ry Resea rc h in Therap eutic s Netw ork (DARTNet) using b oth techno logy and sha redlearning to he lp them transform tow ards a PCMH. His current w ork is foc used on a dvanc ing thedeve lopme nt o f a Na tiona l Infrastructure fo r Clinic a l Translationa l Resea rch.

http://www.aafp.org/online/en/home/clinical/research/natnet.html
http://www.aafp.org/online/en/home/clinical/research/natnet.htmlhttp://www.aafp.org/online/en/home/clinical/research/natnet.html


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NHIN An Overview

The Nat ionw ide Hea lth Informa tion Network (NHIN) is a set of sta nd ards, services and policies tha t

ena b le sec ure he alth informa tion excha nge over the Internet. The NHIN will provide a founda tion for theexchange o f hea lth IT ac ross d iverse entities, within comm unities and ac ross the count ry, helping toac hieve the g oa ls of the HITECH Ac t. This c ritica l pa rt of the na tiona l hea lth IT agend a w ill enab le hea lth

information to follow the consumer, be available for clinical decision making, and support appropriateuse of hea lthca re informa tion b eyond direc t p atient c are so a s to imp rove po pulation health.

The NHIN Work Group , pa rt of the Hea lth IT Policy Co mm ittee , is c urrent ly deve lop ing rec om mend ationsfor extending the secure exchange of health information using NHIN standards, services and policies tothe b roa dest a udienc e po ssible. Activities of the NHIN Work Group and Health IT Polic y Co mm ittee c anbe found at http://healthit.hhs.gov/policycommittee.

A g roup of fed eral ag enc ies, loc al, reg ional and sta te-leve l Hea lth Informa tion Exchang e Orga nizat ions(HIOs) and integrated delivery networks, formerly known as the NHIN Cooperative, has been helping todeve lop the NHIN sta nda rds, services and policies. Tod ay, these o rga niza tions a re dem onstrating livehea lth informa tion excha nge throug h the NHIN Limited Prod uc tion Exc hange . By the end of 2010, it isexpec ted that app roxima tely a do zen e ntities will be sec urely sharing live he alth informa tion as pa rt of

this Excha nge.

Based on initial rec om me nd ations from the NHIN Work Group , a ne w initiative , the NHIN Direc t Projec t, isbeing launched to explore the NHIN standards and services required to enable secure healthinformat ion excha nge at a mo re loc al a nd less com plex level, such a s a p rimary ca re p rovide r send inga referral or care summary to a local specialist electronically. For more information about the NHINDirect Project, please visit http://nhindirect.org.

Moving forward, the NHIN will continue evolving to meet emerging needs for exchanging electronichea lth informa tion sec urely over the Inte rnet. This evo lution will be d riven by em erging tec hno logy,users, uses, and policies.

The O ffice o f the Na tional Co ordinator for Hea lth IT (ONC) be lieves that w ith b roa d implementa tion, thesec ure excha nge o f hea lth informa tion using NHIN sta nd ards, services and policies w ill help imp rove thequa lity and effic iency of hea lthca re for all America ns.

Dav id Blumentha l, MD, MPP serves as the Nat iona l Coordinator for Health Informa tion Tec hno logy underPresident Ba rac k Oba ma . In this role he is c harge d with building an interop erab le, p riva te a nd sec urena tionwide hea lth informa tion system and supp orting the w idespread , mea ningful use of hea lth IT.

CONNECT An Overview

The C ONNECT solution w as built b y fed eral agenc ies in response to their need to sha re he a lth da ta

among themselves and with other levels of government and the private sector using the NationwideHea lth Informa tion Net wo rk (NHIN).

Rather than have each federal agency independently build its own NHIN-compliant gateway solution,they b and ed tog ethe r through the Fed eral Hea lth Arc hitect ure (an E-Gov initiative) to b uild CO NNECT.The CONNECT projec t tea m b roug ht tog ethe r more tha n 20 fed eral agenc ies to d efine project needs, itdeveloped the solution, demonstrated its viability for connecting federal and non-federal healthorganizat ions, and it ma de the solution a va ilab le to the public in less than a yea r.
http://healthit.hhs.gov/policycommitteehttp://nhindirect.org/http://nhindirect.org/http://healthit.hhs.gov/policycommittee


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CONNECT is an op en source softwa re g a tew ay tha t supp orts hea lth informa tion excha nge bo thloca lly and at the na tional level. CONNECT uses NHIN standards and go vernanc e to ma ke sure thathealth information exchanges are compatible with other exchanges being set up throughout thecountry.

CONNECT is now availab le to a ll organizat ions and c an be used to he lp set up hea lth informa tionexcha nge s and share d a ta using na tionally-rec og nized interop erab ility stand ards.

Vish Sankaran is Direc tor of the Fed eral Hea lth Arc hitec ture (FHA) program in the Office of Na tiona lCo ordina tor for Hea lth Informa tion Tec hno logy in the De pa rtment o f Hea lth and Huma n Services (HHS).

Vanessa Ma nc hester is Prog ram Ma na ge r for CO NNECT, Fed eral Hea lth Architec ture (FHA) in the Officeof Nationa l Coordinato r for Hea lth Informa tion Tec hnology in the Dep artment of Hea lth and Huma nServic es (HHS).

Visit www.connectopensource.org to learn more a bout the CONNECT solution, join the CONNECTCom munity or do wnload the softwa re.
http://www.connectopensource.org/http://www.connectopensource.org/http://www.connectopensource.org/


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Executive Sessions

SESSION IHea lth Informa tion Exc hanges Building the National Supe r Highway

11.30 AM EDT 12.15 PM EDT, April 28th, 2010

Dr. Sreedhar Potarazu, MD MBA, will present an overview on the promise of Health Information Exchangefor facilitating administrative efficiencies, clinical innovation, and payment reform, and explore howtha t vision is beg inning t o b e rea lized today. Dr. Pota razu will d isc uss how HIE can ena b le pa yers,providers and even employers to see not only improvements in the quality and efficiency of caredelivery, but the development of consumer-directed programs and services that are beginning totransform the w ay peo ple think ab out their hea lthc are.

SPEAKERBIO

Dr. Sreedhar Potarazu, MD MBACEO of VitalSpring Tec hno log ies

Dr. Sreedhar Pota razu is an ac c laimed op htha lmologist a nd entrepreneur rec og nized as aninternationa l visiona ry in the business of m ed icine. He is the found er and CEO of Vita lSpringTec hnologies Inc ., a privat ely held enterprise softwa re c ompany foc used on p roviding e mp loyers withap plic ations to em po we r them to b ec ome more sop histic ated purc hasers of hea lth c are.

Dr. Pota razu rec eived his me d ica l deg ree from The Geo rge Washington University and subseq uentlycompleted his internship in surgery and residency there as well. He completed fellowships inneuroophthalmology and glaucoma at the esteemed Bascom Palmer Eye Institute at the University ofMiami in Florida .

Dr. Potarazu practiced seven years in the Washington, D.C. area, during which time he was on thefaculty of the Wilmer Eye Institute at Johns Hopkins University. While practicing, he earned an MBA atJohns Hopkins w ith a foc us on he a lth informa tion techno logy. It was his thesis tha t ultima tely served asthe basis for the o rig ina l business p lan o f Vita lSp ring . Dr. Pota razu is w ide ly rec og nized as an industrylea de r in hea lth c are and healthca re tec hnolog y and is a sought-after spe aker on the top ic .

He currently resides in Maryland with his wife and two daughters. Dr. Potarazu is also involved in thepromotion of fine arts and education to the underprivileged. He is the author of a well-publicized book Ge t O ff The Dime The Sec ret of Cha ng ing Who Pays For Your Health Ca re. Dr. Pota razu, has raisedove r 30 million d ollars for VitalSpring, w ithout t he help of any institutiona l or venture c ap ital investors. Dr.Pota razu is a regula r contributor to the Fox New s Cha nne l and The Washington Post


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SESSION IIDoD/ VA Sharing with the Private Sec tor Using CONNECT Ove r the NHIN

12.15 PM EDT 1.00 PM EDT, April 28th, 2010

Steve Steffensen, MD will provide an overview of the NHIN basics and a review of the NHIN trialimplementa tion. Using the Teleme dic ine and Adva nc ed Tec hnolog y Resea rc h Cent er (TATRC)exam ple, Dr. Steffensen will de sc ribe NHIN adva nced c onc ep t te am stra teg y and disc uss DoD/ VA NHINimplementa tion strate gies.

SPEAKERBIO

Steve Steffensen, MD

LCDR, MC, USN

CMIO, Advanced Informa tion Tec hnology Group (AITG) & Clinica l Neurolog ist at TATRC

Dr. Steve Steffensen is a boa rd c ertified ac tive duty Navy Neurolog ist who c urrently works for theTeleme d icine a nd Adva nced Tec hnology Resea rch C ente r (TATRC) a s Chief Med ica l Informa tionOffice r. He has bee n involved in numerous Hea lth IT p rojec ts rela ted to the Arme d Forces HealthLong itudina l Trac king App lic at ion (AHLTA) a nd is rec og nized ac ross the Milita ry Hea lth System as aphysician a dvo ca te in electronic me dic al reco rd business p roc ess integration a nd innovation. Prior tohis milita ry c a reer, Dr. Steffensen co-founde d and wa s lead p rog ramm er for an online e lectronicme dic al rec ord c om pa ny supp orting the needs of physicians in rem ote und er-served c om munities.

In add ition to c linica l duties, Dr. Ste ffensen s c urren t military responsibilities inc lude serving a s theDepartment of De fense lea d for the Nationw ide Hea lth Informa tion Netwo rk FHA-Connec t initiative. Hea lso m a inta ins an a dvisory role in the Milita ry Hea lth System Persona l Hea lth Rec ord imp leme nta tioneffort.

Dr. Steffensen s a rea s of e xpertise inc lude Me d ica l Informa tics, Hea lth Informa tion Net wo rks, NaturalLanguage Processing, Voice Recognition, Personal Health Records Policy, Clinical Neurology, and

Clinica l Sleep Med icine.

Dr. Steffensen rec eived his me d ica l degree a t the University of Oklahoma Hea lth Sc ienc es Center. Hecompleted an internship in Internal Medicine at the National Naval Medical Center in Bethesda wherehe a lso received his reside nc y training in c linica l Neurolog y. Following residenc y, Dr. Steffensen was thecommand Neurologist at Naval Hospital Pensacola where he was the sole provider for returningwo unde d wa rriors with trauma tic brain injury.

Dr. Ste ffensen ha s bee n ab le to c om bine his unique perspec tive as a c linica l Neurologist with hisprevious IT ba c kground to a rticulate the strate gic nec essity of ena bling hea lth IT ap plic ations to be ttersupp ort the need s of the w ound ed wa rrior and the m ilitary providers who c a re for them.


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SESSION IIIPrivacy & Security Considerations for Health Information Exchange (HIE)

Scheduled for 2.00 PM EDT 3.30 PM EDT, April 28 th, 2010

Pane l Discussions Proceeding s will be pub lished .

Using va rious HIE use c ases suc h a s those from the Dep artment of Defense (DoD) a nd the Soc ial Sec urityAd ministrat ion (SSA), a p ane l of sta keho lde rs from various sub -dom a ins w ill explore in deta il the issues ofp rivac y and sec urity for HIEs includ ing the NHIN. The panel mem bers w ill sha re their pe rspec tives on the

primary legal agreements governing participation in HIEs, the role of privacy officers, consumerempowerment in managing the distribution of data, and the specific technologies available in theCO NNECT solution to support the p rivac y officer and the c onsume r.

The p anel w ill a lso d isc uss p rivac y, sec urity and c onsent in the c ont ext of sec ond ary uses of d a ta , andexp lore the c onsidera tions for develop ing a Nat iona l Infrastructure fo r Translationa l Resea rch. Theresea rc h discussion will be based on a mo del architec ture (DARTNet) tha t meets the b asic d esign anduse case scenarios as outlined by the NHIN, including standardizing data storage, addressing patientprivacy concerns, using decentralized databases, enabling strong institutional autonomy concerningda ta sha ring, allow ing variab le levels of d a ta acc ess, and de fining a self-sc a ling architec ture.

PANELISTS:

Daniel Russler, MD (Bio Refer to Session IV)

VP of Clinical Informatics, Oracle Corporation; Moderator

Wilson Pac e, MD

Direc tor, American Ac ad em y o f Family Physic ians Nationa l Research Network (AAFP NRN)

Dr. Pac e is a Professor of Family Med icine a nd the G ree n-Edelma n Cha ir for Prac tice -ba sed Resea rc h a tthe University of Colorado. He is the director of the American Academy of Family Physicians NationalResea rch Netw ork (AAFP NRN), the d irec to r of SNOC AP a c onsortium of p rac tice-based resea rc hnetworks within the University of Colorado, and the Department of Family Medicines InformationServices g roup .

An accomplished investigator, Dr. Paces research has focused on practice reorganization, practice-based research methodology, electronic data collection techniques and patient safety. He serves asthe p rincipa l investigat or, c o-investigat or, or in an a dvisory ca pa c ity to a numb er of hea lth informa tiontechnology, behavioral change, and disease specific projects funded by the National Institutes ofHea lth (NIH), the Ag enc y for Hea lthcare Resea rch and Q ua lity (AHRQ) and seve ra l found a tions. Dr.Pace s most rec ent p rop osa l to the NIH for Transforma tive Resea rch is foc used on d eve lop ing a ndimplementing a national infrastructure for translational research.

Dr. Pace is the principal architect for a network of EHR enabled primary care practices, the DistributedAmbulato ry Resea rc h in Therap eutic s Netw ork (DARTNet) using both tec hnolog y and sha red lea rning tohelp the m transform tow ards a Patient C entered Medic a l Hom e (PCM H). DARTNet is a federatednetwork - a collection of databases that reside in multiple member practices and that are linked


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through a secure Web-based system so they can be searched and queried as one large databasewhile m aintaining p rivac y and c onfide ntiality of pa tient d ata .

The Americ an Ac adem y of Family Physicians Nat iona l Resea rc h Network (AAFP NRN) under Dr. Pac e slea dership ha s esta b lished a c ollabora tive fram ew ork with the FIU NSF CAKE Ce nte r. AAFP NRN isworking with FIU on the Meaningful Use of Electronic Health Records, particularly in the areas of clinicalde c ision supp ort, feed ba ck rep orting, and learning c om munities.

Dr. Sreedha r Pota razu, MD MBA (Bio Refer to Session I)

CEO of VitalSpring Tec hno log ies

Dr. Steve Steffensen, MD (Bio Refer to Session II)LCDR, MC, USN

CMIO, Advanced Informa tion Tec hnology Group (AITG) & C linica l Neurolog ist at TATRC

David Riley

CONNECT Initiative Lea d (Contrac tor)

Federal Health Architecture (FHA) Program

Dav id Riley is the CO NNECT initiative lead for the Fed eral Hea lth Architec ture (FHA) Program in theOffic e of t he Nationa l Coo rd inator for Hea lth Informa tion Tec hnolog y (ONC). In this role, he fac ilitatesconsensus across a group of federal agencies, states and private sector organizations to enhancehea lth informa tion sharing on a na tionwide ba sis.

Mr. Riley s work has resulted in the d eve lopme nt a nd relea se o f the CONNECT softw a re a s well as in theforma tion of the CONNECT op en source c om munity. He has served as the Chief, Tec hno logy Disc ove ryand Insertion d irec tly for the Assista nt Sec reta ry of Defense fo r Hea lth Affa irs.

Mr. Riley is an Air Forc e Trained Prima ry Care Physic ian Assista nt w ith a Bache lors Deg ree in Allied Hea lthfrom the University of Neb raska Med ica l Center, Co lleg e o f Med icine. He served in the United Sta tes Air

Force and wa s dep loyed during the Persian Gulf War.

Martin Prahl

Soc ial Sec urity Ad ministration Ma rtin Prahl is a Hea lth IT Architec t on c ont rac t to the Soc ial Sec urity Administration fo r the past eightyears. Mr. Prahl has over thirty years of technical and business experience in the financial, banking,ma nufac turing a nd hea lth IT industries in bo th the p ub lic and p rivate sec tors. Mr. Prahl has bee n thetec hnic a l lea d fo r SSA in the NHIN (Nat ionw ide Hea lth Informa tion Ne twork), HITSP (Hea lth IT Sta nda rdsPanel) and FHA (Fed eral Hea lth Arc hitec ture) efforts.


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Alesha Ad am son

Misys Open Source Solu tions (MOSS ) LLC

Alesha Adamson is the Direc to r of Misys Op en Source Solutions - Hea lthcare. Ms. Adamson s expertise isin the areas of building multi-stakeholder collaboration, community building, corporate governance,and hea lth informa tion tec hno logy p olicy. She is the Senior Pa rtner for Misys Co nsulting Services wo rking with Health Informa tion Orga nizat ions from a round the country.

Ms. Ada mson has been a ppointed by Texas Go vernor Rick Perry to the Board of Direc tors of the TexasHealth Servic es Autho rity, a pub lic -priva te c orpo ra tion c ha rte red by the Texas Leg islature to improvepatient safety and quality of care by coordinating the development of a voluntary and secureelec tronic hea lth informa tion infrastruc ture for the sta te he alth c a re system . In add ition, she w aselec ted Sec reta ry of the Boa rd . She a lso sits on the Board o f Stewards for Ope n Hea lth Too ls, an

internationa l consortium o f go vernment, hea lth, a nd t ec hnology professionals c ollab orating in an op ensource ecosystem to build interoperable health information systems.

Prior to joining Misys, Ms. Adamson served as the Chief of Hea lth Informa tics Integ rat ion a t the Universityof Texas Hea lth Sc ienc e C enter a t San Antonio (UTHSCSA) w here she worked as part o f the Clinic a l andTranslationa l Sc ienc e Award (CTSA) tea m. In ad d ition, she he ld a fa c ulty position in the Dep artment o fEp ide miolog y and Biosta tistic s. Alesha c ame to UTHSCSA aft er serving a s the Exec utive Direc to r ofTec hno logy for Hea lthcare Ac c ess San Anto nio (HASA), a Reg iona l Health Informa tion Orga nizat ion forBexar County that is comprised of 14 hospitals and 40 clinics, to include the Bexar County Public HealthDepartment.

Ms. Ada mson ho lds a Bachelors and Ma sters of Sc ienc e in Comp uter Sc ienc e from Portland Sta te

University. She a lso served a s a Police Reserve Spec ialist on the Hillsboro Polic e Depa rtment Hi-Tec hCrime Tea m. As a sold ier in the Oreg on Army Nat iona l Gua rd , she w as rec og nized w ith the MG Thom asE. Rilea Award for Insp ira tion, SFC Ca rl Hansen Award for Tea mwork, Sold ier Lea der of the Cyc le, andSold ier of the Yea r.

Reid Cushma n, PhDUniversity of Miami Ethics Programs & UM-Miller School of Medicine

Reid Cushman, Ph.D., is a Resea rch Assista nt Profe ssor in University of M iam i Depa rtment o f Me d ic ine. Heis affiliated with the University's inter-campus Ethics Programs, where he works on information ethicsissues and com plianc e e duc at ion. He d evelop ed the University's Privac y and Data Prote c tion web site.

Dr. Cushman rec eived his training in ec ono mic s and p olitica l sc ienc e a t the University of Virg inia . Hewas a Robert Wood Johnson Foundation health policy fellow at Yale University and the University ofCa lifornia a t San Franc isc o, and a lec turer a t the G oldma n Sc hoo l of Pub lic Policy, University ofCa lifornia a t Berkeley.


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Dr. Cushman has written numerous articles on the use (and misuse) of information technology in healthcare and education, and on privacy issues for those sectors. He is an author and editor for theCo llabora tive Institutiona l Training Initia tive (CITI) Program . The CITI Program is a subsc rip tion serviceproviding ethics and c omplianc e ed uca tion to all memb ers of the resea rc h comm unity. The CITIProgram is currently used by over 1140 participating institutions and facilities from around the world,add ing more tha n 440,000 new lea rners ove r the p ast 12 mo nths. The p rogram provides basic c ourses in

the Protec tion of Human Resea rc h Sub jec ts, Go od Clinic a l Prac tice (GCP), Hea lth Informa tion Privac yand Sec urity (HIPS), Lab ora to ry Anima l Welfa re Courses, and Responsible C onduc t of Research (RCR).To da te, the re have bee n m ore than 200,000 co urse c om pletions in Dr. Cushman's HIPS (Hea lthInforma tion Privac y and Sec urity) c ourse series.


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SESSION IVThe Nationw ide Health Information Network (NHIN) & its Imp lications for Disea se Reg istries

11.00 AM EDT 12.00 PM EDT, April 29th, 2010

Dan Russler, M.D., (Orac le Hea lth Sc ienc es Strategy) w ill expa nd upon p revious use cases for the NHIN,and examine national infrastructures for communication of sensitive health information over theinternet. Dr. Russler will compare a nd c ontrast the nat ional hea lth comm unic a tion architec tures in theUK, Cana da , and the US as examp les of na tional initiatives, and provide a de ta iled overview of the US

Nat ionw ide Health Information Net work (NHIN). He w ill disc uss va rious NHIN c onside ra tions includ ing thegovernance model for health communications, the trust fabric, and current and future types ofc om munica tion support that a re included in the a rc hitec tural mod el for the NHIN. Dr. Russler w ill thenexplore the opportunities for working within these different national health communication models inorder to sup port d isea se reg istries.

SPEAKERBIO

Daniel Russler, MD

VP, Clinical Informa tics at Orac le Corporation

Dr. Russler is vice p resident of Clinic a l Informa tics for Orac le. His c urrent role a t O rac le inc ludes c rea tingstrategies for healthcare standards, healthcare training, and new product development in healthcareintellige nc e a nd hea lthca re informa tion excha nge . Dr Russler also p layed a key role in the d evelop mentof the HL7 Reference Informa tion M od el for HL7 Version 3 a nd is past mem ber and Trea surer of t heBoard of HL7. He gives frequent tutorials on HL7 requirements definition and modeling and the use ofHL7 standards in the IHE document sharing architecture. Most recently, he has been contributing to thede velopme nt of tec hnica l spe c ifica tions for the NHIN.

Previously, Dr Russler joined Mc Kesson (then HBOC ) in late 1995 and bec ame vice p resident o f c linica ltechnology, specializing in clinical data repositories and J2EE portal development in healthcare. During

this period , he w as c o-cha ir of the HL7 Patient Care TC, which introd uc ed the HL7 Ca re Prov isionDomain along with Care Record Messages and models for problems, allergies, care plans, goals, and

CCD do c uments. While c o-ed itor of the IHE Pa tient Ca re Coo rdinat ion TC, the first IHE CDA d oc ume ntspe c ific ations were introd uce d , and the C DA tem plateID mode l wa s invented.

Prior to McKesson, he focused on primary care including private family medicine, hospice medicine,long-term care medicine and acute care medicine. Dr Russler held various administrative positionsranging from clinical to information systems, including associate administrator of hospital medical clinicsand informa tion system s.

Dr Russler earned bachelor and medical degrees from the University of Wisconsin in Madison, WI, andtrained in family prac tice a t the University of Wisc onsin Depa rtme nt of Family Medic ine and Prac tice.

Dr. Russler lead s the Ac a dem ic Outreach Projec t for Open Hea lth Too ls and is c ollab orat ing w ith the FIUHIT Initia tive o n severa l fron ts inc lud ing a dva nc ing CONNECT, as an advisor to the FIU Prac tic e BasedResea rch Network (PBRN), and in the build of the FIU HIT Innova tions Labora to ry (HITLAB).


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SESSION VEnab ling Hea lth Informa tion Exc hang e (HIE) w ith Op en Source Solutions

12.00 PM EDT 1.00 PM EDT, April 29, 2010

Tim Elwell will provide a detailed overview of the viability of open source software in the creation ofHea lth Info rma tion Exchanges (HIEs). Using rea l world dep loyments of M isys MO SS as examp les, Mr.Elwell will desc ribe the c ollab oration w ith the ir c ustom ers in pa rtnership w ith the op en source c om munityto b uild viab le HIE solutions. Ad d itiona lly, he w ill desc ribe service offerings w ith hybrid b usiness models,

ones that m eld the be st of op en sourc e a nd premium offerings of value-ad de d c omp onents.

SPEAKERBIO

Tim Elwell

VP of Misys Op en Source Solutions (MOSS ) LLC

Mr. Elwell is the Vice President of Misys Open Source Solutions - Healthcare. In this role, he leads thec om pa nys op en source strat eg y in supp ort of healthc a re p rod uc ts and services offerings. A we ll-know n expert and author on op en sourc e de velopm ent a nd tec hnolog ies in the healthca re industry,Mr. Elwell is helping to expa nd the influenc e of the op en source a pproa ch to improve p at ient ca re.

Prior to joining Misys, Mr. Elwell spent 11 years at IBM working in various business development roles. Healso led large eq uity and d ea l c ap ture op portunities in the hea lthc are ma rket, before bec oming SalesDirec tor for sta te and loc a l business.

Before his career at IBM, Mr. Elwell served as Deputy Director for Columbia Universitys Center forAdvanced Tec hnology and wa s respo nsible for com me rc ializa tion efforts in med ica l informa tics andcomputer science. He also held executive operations roles for Raytel Medical and Medtronic, Inc.,respectively.

Mr. Elwe ll is curren tly on the Boa rd of Stewards for Op en Hea lth Too ls (OHT) and lea ds the OHT market ingeffo rts. Add itiona lly he is a Co mm issioner a t CCHIT. He rec ent ly wa s pub lished as a c o-autho r ofCha pter 9 in the book Paper Kills 2.0: How Hea lth IT Ca n Help Save Your Life a nd Your Money .

Mr. Elwell graduated from the City University of New York at Baruch College with an MBA in GeneralMa nag eme nt, and a n undergrad uate de gree in Biology from Siena College .

Documents

Program Brochure_HIE Executive Sessions_28Apr10