Transforming the Payer and Provider Relationship: The Role of Healthcare IT
The entire healthcare landscape is in the midst of unprecedented evolution – impacting every aspect of the care continuum. At the center of this evolution is the transformation of how both providers and payers will interact and collaborate to enhance patient care and meet the fundamental needs of new care delivery and payment models. In this workshop InterSystems will facilitate discussions relevant to the transformation of the payer and provider relationship. Industry experts will present market changes and will serve as the foundation for dialogue with leaders from both payer and provider organizations. Join InterSystems and your peers in this interactive workshop.
Location: Fiesta Ballroom 1 Mark Blatt WW Medical Director, Enterprise Solution Sales Intel Cynthia Burghard Research Director IDC Health Insights P. Nelson Le, MD HealthShare Senior Advisor InterSystems Michael Rosenblum Clinical Executive InterSystems
J.D. Kleinke is a pioneering health care information entrepreneur, medical economist, author, policy expert, and business strategist. His keynote will provide insight and analysis of the current challenges and opportunities facing IT professionals in healthcare.
Mr. Kleinke has been instrumental in the creation of four health care information organizations; helped hospital systems, insurers and physician groups prepare for medical computerization and health reform; provided business, product and technology strategy services to new and established health care companies; and sat on the Boards of several public and privately held health information companies.
Mr. Kleinke has authored three books on the U.S. health care system, Bleeding Edge: The Business of Health Care in the New Century, Oxymorons: The Myth of a U.S. Health Care System, and Catching Babies (2011). His work has appeared in The Wall Street Journal, New York Times, Barron’s, Health Affairs, JAMA, the British Medical Journal, Modern Healthcare, Managed Healthcare, Forbes, and numerous other publications.
Since his earliest writings on health policy and market dynamics in The Wall Street Journal in the early 1990s, Mr. Kleinke has long been known as a forceful, non-partisan advocate for an evidence-driven, computerized, patient-centric health care system.Location: Fiesta Ballroom 5-8 J.D. Kleinke Medical Economist, Health Information Technology Entrepreneur
Every aspect of the healthcare marketplace is experiencing market pressures, regulatory changes, changes in business models, and transformative challenges and opportunities. A decade of disruption lies ahead for market participants as we pursue the goals of the triple aim, and try to become more engaged with consumers. Recent challenges with the ACA, and Healthcare.gov are simply a precursor to the real disruption of the market driven by cost, quality and resource pressures. Join us for a discussion of how disruption will manifest itself in healthcare, and what challenges and opportunities are created in the chaos.Location: Fiesta Ballroom 5-8 Scott Lundstrom Group VP and General Manager IDC Health Insights
Session: ROI for the EMR
Join us for this interactive discussion with Mark Blatt, Director, Global Healthcare Strategies, Digital Health Group, Intel Corp., Scott Lundstrom, IDC Health Insights and the event audience!Location: Fiesta Ballroom 5-8 Mark Blatt WW Medical Director, Enterprise Solution Sales Intel Scott Lundstrom Group VP and General Manager IDC Health Insights
Peer Networking Topics:
Session Title: Strategic Interoperability and End-User Adoption – Driving Value Beyond Implementation
So much of the focus on strategic interoperability has been centered on the technology and infrastructure to support interoperability across disparate systems – both within an organization as well as across a community. While the technology platform is a critical factor in supporting interoperability, fundamental value comes from both a robust technical platform along with broad end-user adoption across stakeholder groups – including physicians, hospitals, and other provider groups. This session will focus on why strategic interoperability is important and offer considerations related to driving end-user adoption. The session content is applicable to both public and private interoperability initiatives, including those driven by large integrated delivery networks.
Session title: Healthcare Anywhere
Today’s healthcare practitioners are pushing IT to the limit by requesting data, collaboration and communication capabilities wherever and whenever they are working. From approving orders by smart phone to remote collaboration with physicians, technicians and pharmacies, enabling and securing a mobile environment has become a priority for outcomes based facilities. This discussion will focus on these challenges and how NEC solutions leverage existing investments while providing the foundation for integrated accountable care.Location: Fiesta Ballroom 5-8 Kevin Hooper SVP Enterprise Solutions, NEC NEC Michael Rosenblum Clinical Executive InterSystems
With the increased use of mobile solutions by healthcare consumers, payers, and providers, mobile transformation is looming for healthcare organizations to compete successfully in an increasingly mobile world. This mobile transformation will have a profound impact on IT because mobile is not just a device but a strategic architecture that drives decisions across the healthcare enterprise and impacts people, process, and technology. Effective mobile transformation will enable healthcare organizations to provide a customer experience that is valued, improve productivity and efficiency, create a competitive advantage, and differentiate themselves in the marketplace.
This presentation will:
With the 2013 release of the HIPAA Final Omnibus Rule, it’s clear that HIPAA and HITECH, with their associated pains, are here to stay. The Office of Civil Rights (OCR) is unwavering in their enforcement and showing no mercy to even the smallest entities and their business associates that operate with Willful Neglect. Kevin will share stark truths about Covered Entity and Business Associate privacy and security obligations and accompanying liability. You will see real life examples of breaches, social engineering, resolution agreements, penalties suffered and more. Learn why risk managers, I.T. personnel and even legal frequently overlook major risks. Kevin will share critical tactics you need to survive.Location: Fiesta Ballroom 10 Kevin McDonald President Noloki Healthcare IT & Compliance
The HHS Path Toward a Risk-Based Regulatory Framework for Health IT
Building trust into the IT ecosystems is touching public heath. On point is the HHS-ONC with all US Regulatory Agencies including HHS, FDA, FCC, etc. The goal—a harmonized framework that unifies compliance of managing pubic health with IT tools.
We saw a similar initiative more than 30 years ago in the banking and financial sector. Today they enjoy and trust the common exchange framework/network which harmonized the worldwide wire transfer of trillions of dollars each day, electronic payroll and tax deposits, direct deposit, credit and debit card transactions and the ATM cash system.
Join us and weigh in, as Howard Asher reviews this very important topic.Location: Fiesta Ballroom 5-8 Howard Asher Chairman Abnology
Roni Zeiger, MD, the former Chief Health Strategist at Google and current CEO of Smart Patients, will discuss the increasingly important role of innovation in health care. While the principles of user-centered design are typically thought to be for software designers, applying them to everything we do in health care can help us identify and address problems that matter most to patients and clinicians. There is tremendous need for innovation in areas ranging from from clinical trial design to patient-physician communication. We can systematically improve our practices by challenging assumptions while still accounting for the complex constraints of health care.Location: Fiesta Ballroom 5-8 Roni Zeiger, M.D. Co-Founder and CEO Smart Patients
By the Numbers: What’s Possible in the Changing Healthcare Economy
Healthcare payors are currently burdened by an unprecedented level of industry change. A perfect storm of enhanced industry regulations, new healthcare business models and cumbersome legacy technology solutions is poised to have a profound impact on the long-term health and success of many payor organizations. While some payors are taking a wait-and-see approach to understand how these changes will affect their businesses, many leading payors are moving forward, embracing this change and transforming their organizations so that they will be well-positioned to engage in the new healthcare economy. Attendees will hear the results of a recent industry survey of healthcare payor executives and will learn how payors of all sizes and types can leverage this period of change to create opportunities for next-generation healthcare business models, increased customer service, administrative cost savings, and more.Location: Fiesta Ballroom 10 Ray Desrochers Executive Vice President HealthEdge
Peer Networking Topics:
Healthcare organizations that are involved in accountable care initiatives are moving past the pilot and demonstration phases and are now actively looking at applications to meet their requirements. At the same time the supplier market is evolving solutions. In today's market Population Health Management Applications are emerging as a choice for many healthcare organizations. These applications combine analytics, workflow and patient engagement functionality to identify, manage and communicate with patients that would benefit from additional resources. As healthcare organizations navigate the accountable care maturity model, Populations Health Management has a role to play. Additionally, the scope of accountable care initiatives varies widely from single group practices adopting new models of patient care, taking on risk based on outcomes, providing wellness outreach to large multi-hospital integrated delivery systems with hundreds of owned physician groups, long term care facilities and hospice care. The challenge for organizations engaging in accountable care initiatives is to have a clear picture of their strategy and buy the "right size" technology all within nascent applications markets. During this presentation attendees will:
Location: Fiesta Ballroom 5-8
IDC Health Insights
By the end of this decade, many US health plans are projecting that at least 50% of their revenue will come from new and non-traditional business models. These new models include accountable care initiatives, health and care management services, technology investment and acquisition, health services investment and acquisition and new market entry. This presentation will:
Location: Fiesta Ballroom 10 Janice Young Program Director, Payer IT Strategies IDC Health Insights
IDC research shows that 68% of all healthcare organizations in North America are already using, planning, or researching cloud computing. The use of cloud as an increasingly business-critical technology is transforming how companies and institutions evaluate, procure, and deploy IT assets. Cloud computing promises to not only bring IT efficiencies and IT agility but also to bring opportunities through the development of intelligent industry solutions and other IT-enabled products and services. The most important work that companies can do to is to envision and develop these next-generation systems, taking a path that considers people, processes, and technologies together.
In this presentation, IDC-HI research director Judy Hanover will present the IDC Cloud Maturity Model for healthcare and discussion will center around:
The presentation will provide a dynamic and comprehensive presentation on the state of health care systems design and delivery in an age of health information technology. The presentation will include samples of the use of technology to develop the “hospital of the future” as well as discussion regarding patient care coordination models with community providers using mTechnologies, secure email, portals and Health Information Exchanges. The session will also highlight the changing Integrated Delivery Network financial incentives to care including Patient Centered Medical Home Models and Accountable Care Organizations and other approaches that provide innovative financial solutions in partnership with payers.Location: Fiesta Ballroom 5-8 Lori Hack CEO - Object Health Object Health AND California e-Health Collaborative
The National Health Information Sharing and Analysis Center (NH-ISAC) Executive Director, Deborah Kobza is providing a national briefing on the National Health Cybersecurity Framework (health sector-focused version) of the NIST Cybersecurity Framework (Presidential Executive Order), and the National Health Cybersecurity Response System. Health sector-defined working in collaboration with NIST, HHS, DHS, FBI, etc., the Health Framework incorporates cybersecurity leading practice and security situational awareness information sharing and response to support National Health Critical Infrastructure Resilience (Identify, Protect, Detect, Respond and Recover).
This session provides the opportunity to engage and participate with a "defining voice" and benefit from ongoing efforts.
Location: Fiesta Ballroom 10 Deborah Kobza Executive Director/CEO National Health ISAC