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Episode #22: Management Engineering and Process Improvement (ME-PI) Toolkit

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Ms. Pauline Hogan, Performance Improvement Engineer with Franciscan Skemp-Mayo Health System in La Crosse, Wisconsin and Chair of the ME-PI Tools and Topics Work Group provides an overview of the ME-PI Toolkit. Learn the meaning of management engineering and process improvement and the role they play in ambulatory practices and hospital settings. Ms. Hogan shares how the ME-PI Community began and discusses some of the more than 200 tools that would be of interest to physicians. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC. The ME-PI Toolkit is an evolving dynamic body of knowledge provided by HIMSS members. We invite the use of these tools and topics within your organization to educate your staff, improve your processes and promote effective, efficient use of Health Information Technology that improves patient care.

Episode #23: Red Flags Rule - Purpose, Requirements and Compliance in Healthcare

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Dr. Marlowe Schaeffer-Polk, attorney, physician and founder of Medlawguard, and Mr. John Steinbach, CPHIMS and co-founder of Medlawguard, a healthcare risk mitigation firm, bring their practical experience and extensive training to the subject of the Federal Red Flags Rule in healthcare. What is the Red Flags Rule?  Who must comply?  How does it relate to HIPAA? You'll know all of this and more after you listen. Dr. Schaeffer-Polk and Mr. Steinbach also provide specific examples of healthcare related "red flags." The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC. UPDATE: The Red Flags Rule was scheduled to take effect 06/01/2010 but the FTC has extended the enforcement deadline through 12/31/2010.  However, the information in this podcast is very valuable to protect both you and your patients from the threat of identity theft. Sens. John Thune (R-S.D.) and Mark Begich (D-Alaska) have introduced legislation to exempt certain small businesses--including physician, dental and veterinary offices--from the Federal Trade Commission's Red Flags Rule, scheduled to be effective on June 1. May 21, 2010, CHICAGO – The American Medical Association (AMA), American Osteopathic Association (AOA) and the Medical Society of the District of Columbia (MSDC) today filed a suit in federal court seeking to prevent the Federal Trade Commission (FTC) from extending identity theft regulations to physicians. The complaint, prepared by the Litigation Center of the AMA and State Medical Societies, targets the contentious “red flags rule,” which requires creditors to implement safeguards against identity theft. The medical societies charge that the FTC’s rule exceeds the powers delegated to it by Congress and that its application to physicians is “arbitrary, capricious and contrary to the law.” More information on the Red Flags Rule.

Episode #24: Training the Allied Health Professional

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Dr. Barry Newman, an expert in the medical education of allied health professionals, shares his thoughts on how physicians can ease the transition to electronic health records. The Consortia for Education, ARRA HITECH Section 3016, states that the purpose of this grant proposal is to establish or expand health IT education programs.  Learn why this is so important and why physicians should reach out to educational institutions and make their preferences known. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.  

Episode #26: Association of Medical Directors of Information Systems (AMDIS)

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Dr. William Bria, shares the history of AMDIS, benefits of membership and information on the 19th Annual Physician-Computer Connection Symposium, July 14-16th at the Ojai Valley Inn, Ojai, CA.  Dr. Bria currently serves as the Chief Medical Information Officer (CMIO) for Shriners Hospitals for Children, a 22-hospital health system headquartered in Tampa, Fl. He was named as one ofModern Healthcare’s 50 Most Powerful Physician Executives in 2008 and 2009. Dr. Bria currently serves as chairman of the AMDIS Board and was past chair of the HIMSS/AMDIS Physician Community. He was selected as the HIMSS Physician IT Leader of the Year for 2009. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC. Learn more about AMDIS or register for the 19th Annual Physician-Computer Connection Symposium.

Episode #28: CPOE and Hospital Mortality Rates

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Dr. Christopher Longhurst, a board-certified hospitalist at Lucile Packard Children’s Hospital (LPCH) and Clinical Assistant Professor of Pediatrics at the Stanford University School of Medicine, discusses the association between CPOE and hospital mortality rates.  In 2003, a white paper from the Institute for Healthcare Improvement identified remarkable variability in standardized mortality rates across US hospitals. Seven years later, Dr. Longhurst and fellow physicians published a peer-reviewed paper showing that their computerized physician order entry (CPOE) rollout was significantly associated with decreased mortality rates. Health information technology has been widely touted as a tool to help improve quality and patient safety, and while a retrospective correlation does not prove causation, this is one more piece of evidence suggesting that CPOE is the best way to provide high-quality care for our inpatients. To learn more about this topic:Decrease in Hospital-wide Mortality Rate after Implementation of a Commercially Sold Computerized Physician Order Entry System - Christopher A. Longhurst, MD, MS; Layla Parast, MS; Christy I. Sandborg, MD; Eric Widen, MHA; Jill Sullivan, RN, MSN; Jin S. Hahn, MD; Christopher G. Dawes, MBA; Paul J. Sharek, MD, MPH. Mixed Results in the Safety Performance of Computerized Physician Order Entry- Jane Metzger; Emily Welebob; David W. Bates; Stuart Lipsitz; David C. Classen.

Episode #29: National Priorities Partnership

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Dr. Louis H. Diamond, Vice President and Medical Director at Thomson Reuters Healthcare and President, Performance Excellence Associates provides an overview of the National Priorities Partnership (NPP). Convened by the National Quality Forum, the NPP has a vision for world-class, affordable health care and transformation of the US health care system. The NPP consists of twenty-eight organizations that are committed to improving health care and have collaboratively developed National Priority Goals targeted at proven ways to eliminate harm, waste, and disparities in care. Learn about the six priorities established by the NPP and why they are so important, as we move forward with ARRA and meaningful use of EHR’s. Understand what the “market drivers” are behind these goals and their impact on healthcare. The interview was conducted by Pam Brewer, Coordinator, Healthcare Information Systems, HIMSS. To learn more visit http://www.nationalprioritiespartnership.org.

Episode #30: ICD-10

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Dr. Glen Mitchell, Chief Medical Officer at Sisters of Mercy Health System in St. Louis, discusses the transition from ICD-9 to ICD-10. The United States has put off this migration a few times before, but this time it looks certain that we begin to use this improved system in 2013. The changes are far-reaching enough that it will take that long to successfully perform the planning and execution needed for success. Dr. Mitchell addresses the benefits of ICD-10 and steps that should be taken for efficient and effective implementation of this new disease and procedure coding process.  The interview was conducted by Dr. Kevin W. McEnery, Associate Division Head and Board Certified Diagnostic Radiologist at the M.D. Anderson Cancer Center in Houston, TX.  

Episode #31: Quality 101

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Dr. Louis H. Diamond, Vice President and Medical Director at Thomson Reuters Healthcare and President, Performance Excellence Associates discusses Quality 101 including the basic framework and building blocks of quality measurement. Dr. Diamond speaks to the National Quality Measurement Enterprise and the evolution, development and adoption of measures for public reporting. Dr. Diamond helps you understand how meaningful use under ARRA intersects with quality measurement and improvement. The interview was conducted by Pam Brewer, Coordinator, Healthcare Information Systems, HIMSS. To learn more visit http://www.himss.org/storiesofsuccess. 

Episode #32: Electronic Health Record Implementation

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Dr. Geeta Nayyar, Principal Medical Officer at Vangent provides her expertise on implementing electronic health records (EHRs). Listen to this podcast to learn essential components of a successful implementation and the future of healthcare technology 2012 and beyond. This interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC. To learn more visit: http://www.vangent.com/WP-EHR.php

Episode #33: Healthcare Information Exchange (HIE) in a Community Based Setting

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Dr. Todd Rowland, Executive Director at HealthLINC HIE, provides an overview of how HIE can help community based physicians. Dr. Rowland addresses the importance of office managers in HIE adoption and tactics to increase adoption of EMR and HIE technologies by rural healthcare providers. Listen to this podcast to learn ways to use data standards to enhance revenue cycles and how to obtain optimal use of federal dollars to obtain meaningful use of EMR and HIE technologies. Dr. Rowland also provides his insight on ingredients to ensure that technology helps providers improve direct patient care and investments that should be made by the private and public sector to ensure that this more widespread. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.  

Episode #34: Impact of ARRA Incentives and EHR Adoption

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Dr. Larry Ozeran, Physician Informaticist, highlights the impacts of American Recovery and Reinvestment Act (ARRA) incentives on electronic health record (EHR) adoption. Dr. Ozeran discusses factors to think about before making the strategic decision to obtain an EHR, even if providers don’t qualify for incentives. He also gives his perspective on how ARRA incentives could be modified and what the vendor community can contribute to better support adoption. Dr. Ozeran provided more detailed comments on the challenges in the ARRA incentives in his response to the ONC Health IT Strategic Plan for 2011-2015, here: www.healthit.gov/buzz-blog/from-the-onc-desk/hit-strat-plan/. The document is quite lengthy and Dr. Ozeran posted three responses. Once on the page, search for "Ozeran" (Ctrl-F in most browsers) and view the May 4, 2011 comment. This interview was conducted by Dr. Geeta Nayar, Principal Medical Officer at Vangent.

Episode #35: Learning from HIT Failures

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Dr. Larry Ozeran, Physician Informaticist, addresses several different types of health care information technology (HIT) failures and points out the most common ones. Dr. Ozeran also provides several ways to minimize the risk of HIT failure. This interview was conducted by Dr. Geeta Nayar, Principal Medical Officer at Vangent. To learn more about the book, H.I.T. or Miss: Lessons Learned Want to be part of the next book? You can share an example of HIT Failure to be included in the next volume of "H.I.T. or Miss", by contacting Dr. Ozeran atlozeran@clinicalinformatics.com. All cases are presented anonymously and authors may choose to be credited (at the end of the book, not with the case) or not.

Episode #36: A Retrospective and Prospective Review: Physician Community and Medical Informatics

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Dr. Howard Landa, Chief Medical Information Officer at Alameda County Medical Center; Pediatric Urologist and Director of Medical Informatics for Hawaii Permanente; and incoming chair of the HIMSS/AMDIS Physician Leadership Committee, discusses the future activities that the Physician Leadership Committee will focus on for the year, as well as a look at the evolution of medical informatics. Listen to this podcast to hear a discussion of the challenges facing medical informaticists in the coming years and advice to those relatively new to medical informatics. This interview was conducted by Dr. Brian Jacobs, Vice President and Chief Medical Information Officer and Executive Director of the Center for Pediatric Informatics at Children's National Medical Center and outgoing chair of the Physician Leadership Committee. To learn more about the mentioned book, The CMIO Survival Guide.

Episode #37: CPOE and Risk Stratification

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Dr. C. William Hanson III, Chief Medical Information Officer and Vice President of the University of Pennsylvania Health System, discusses real-time risk scoring approaches using electronic data and rules-based analytics versus alternative algorithms. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.  

Episode #38: Physician Documentation - the Move from Paper to Electronic

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Dr. Paul Manicone, Associate Chief in the Division of Pediatric Hospital Medicine at Children's National Medical Center and Assistant Professor of Pediatrics at the George Washington University Medical Center, provides insightful tips on how to make the most of electronic physician notes and shares his research findings when comparing paper documentation to electronic documentation. This interview was conducted by Dr. Brian Jacobs, Vice President and Chief Medical Information Officer and Executive Director of the Center for Pediatric Informatics at Children's National Medical Center. Review Paul's Poster Session from HIMSS11.

Episode #39: Clinical Informatics Certification

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Dr. Charles Safran, Chief of Clinical Informatics at Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center and Associate Professor of Medicine at Harvard Medical School, discusses the recent addition of Clinical Informatics as a sub-specialty of the American Board of Preventive Medicine (ABPM). Dr. Safran provides the past and current situation of Clinical Informatics Certification and shares his perspective on what this means for clinicians going forward. This interview was conducted by Dr. William Bria, Chief Medical Information Officer (CMIO) for Shriners Hospital for Children and President of the Board for the Association of Medical Directors of Information Systems (AMDIS).

Episode #40: ICD-10 Risk Mitigation

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Dr. Joe Nichols, Principal for Health Data Consulting, explores the physician’s role in ICD-10 implementation and shares sage advice on what physicians need to know to be ready for a successful rollout. This interview was conducted by Juliet Santos, MSN, CCRN, FNP-BC, Sr. Director of HIMSS Business Centered Systems and the Medical Banking Project. For more information on ICD-10, review the ICD-10 Playbook.

Episode #41: The Legal Implications of Mobile Medical Applications

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Dr. Marlowe Schaeffer-Polk, attorney, physician and founder of Medlawguard, and Mr. John Steinbach, Chief Technical Officer and co-founder of Medlawguard, a healthcare risk mitigation firm, discuss the recent Draft Guidance on Mobile Medical Applications. Marlowe and John: Examine the scope of the guidance, and highlight what are/are not regulated by FDA Distinguish between Medical Devices and Mobile Medical Applications Clarify the three categories of Mobile Medical Applications Share some potential risks they pose to patients and providers This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.

Episode #42: Leveraging Healthcare Intelligence to Improve Outcomes

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Dr. Daniel Rosenthal, an Internist and Director of Healthcare Intelligence at Inova Health System and Clinical Instructor at George Washington University, shares his perspective on healthcare intelligence to: Examine the scope Identify stakeholders Explore the benefits and challenges Appraise the future of healthcare IT This interview was conducted by Dr. Geeta Nayyar, Chief Medical Information Officer at AT&T.

Episode #43: Stories of Success

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Dr. Louis H. Diamond, President, Quality in Health Care (QHC) Advisory Group, provides an overview of the HIMSS Stories of Success project. Through a case study format, this project recognizes healthcare organizations that have leveraged HIT to support the Joint Commission Safety Goals, the National Quality Strategy and the National Priorities Partnership recommendations. Stories of Success is co-sponsored by the American Society for Quality (ASQ), National Committee for Quality Assurance (NCQA) and National Patient Safety Foundation (NPSF). Dr. Diamond discusses the Standards for Quality Improvement Reporting Excellence methodology (SQUIRE) that was used for the submission of case studies and shares the process for case study selection. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration. View slides from presentation > Learn more about Stories of Success >
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