Summit08

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Speakers

Carlotta Gabard, MBA, DrPH Executive Director, Ann Arbor Area Health Information Exchange

John Combs Mark Leavitt, MD, PhD, FHIMSS
Chairman, Certification Commission for Healthcare Information Technology (CCHIT)

Results-Based Partnerships Achieve new levels of collaboration between ambulatory care physicians and their enterprise affiliates. Receive practical solutions to improving patient care through enhanced collaboration.
Monday, June 9
10:30am - 11:45am	Should Every HIE Apply for Not-for-Profit Status and What Are the Alternatives? Many HIEs/RHIOs conclude that they must organize themselves as not-for-profits and are applying or have applied for 501(c)(3) tax status, which would exempt them from paying federal income tax and enable them to attract federal, state, local and foundation grants. These applications have been held up by the IRS for a more definitive review of whether such organizations provide the requisite community benefit. In completing the forms to submit to the IRS, it is likely that some HIEs failed to understand the need to show that the organization is actively involved in serving well-recognized charitable purposes such as improving the quality of care, facilitating research and aiding public health initiatives. It is reasonable to question whether an HIE involving only clinical data exchange among practitioners, without any features designed to promote other charitable goals, can receive a tax exemption. The purpose of this presentation is to educate attendees on what it really means to apply for tax exemption, how to judge whether their organization is likely to meet IRS criteria and what other alternative legal structures should be considered. The presenter is the executive director of an HIE incorporated in June 2006 that is exchanging significant clinical data among practitioners and whose current organizational structure is a limited liability corporation. Having pursued the requirements for obtaining tax exempt status this HIE continues to debate applying or not. Provide an in-depth review of how the IRS defines community benefit and awards 501(c)(3) status to applicants Educate the audience on likely questions and responses by the IRS to such applications by HIEs/RHIOs Provide an overview of organizational structure alternatives that can, with appropriate partnerships, provide the same benefits Speaker: Carlotta Gabard, MBA, DrPH Executive Director, Ann Arbor Area Health Information Exchange View Bio >>
11:45-1:00pm Networking Lunch
1:00pm - 2:15pm	The Role of Stark Reform in the Transformation of Healthcare in Rural Maine In 2005, President Bush set a goal of universal electronic medical records in the United States by the year 2015. Across the country, widespread adoption of interoperable electronic medical records are expected to help alleviate the crises in healthcare safety, quality, access, and cost. On October 10, 2006, amendments the Stark and Anti-kickback rules allowed healthcare entities to donate up to 85% of the value of certain elements of electronic health records to clinicians. This session will outline how a rural Maine health system is using the new Stark and Anti-Kickback safe harbors to implement locally interoperable electronic health records as a foundation of improvement in healthcare safety, quality, access, and cost. Describe the MaineGeneral Health System Describe the MaineGeneral ambulatory EHR project Review the series of lessons/observations that led to the choice to subsidize EHR under revised Stark and Antikickback regulations Discuss the opportunities and uncertainties under the New Stark Regulations and how MaineGeneral is approaching them Speaker: Daniel Mingle, MD, MS Director, Ambulatory Clinical Informatics, MaineGeneral Medical Center View Bio >>
2:15pm - 2:30pmBreak
2:30-3:30pm	Connecting the Docs: Collaboration between Ambulatory Care and the Enterprise in Health IT Adoption Delivering high quality, seamless care across inpatient, outpatient, and office settings requires the seamless flow of clinical information between these environments. Achieving this vision of full interoperability will take time, but significant progress is being made. The Certification Committee for Healthcare Information Technology (CCHIT®) has been certifying both Ambulatory and Inpatient EHRs. This summer, the Commission’s certification criteria will begin requiring the ability to exchange basic clinical summaries electronically between these settings, offering an “Enterprise” certification endorsement for vendors who prove their products’ seamless information exchange capability. The presentation will explain the strategy and goals of certification, the testing of standards-based interoperability, and the connection between CCHIT certification and other industry initiatives such as IHE. Understand the current status and future plans in certification of health IT Describe the approach to testing and certifying interoperability of systems used in the ambulatory, inpatient, and enterprise settings Learn how to get involved in the Commission’s certification development process Speaker: Mark Leavitt, MD, PhD, FHIMSS Chairman, Certification Commission for Healthcare Information Technology (CCHIT) View Bio >>
3:30-3:45pm Break
3:45pm - 5:00pm	Show Me the Incentives...Why Should We Invest in a Health Information Exchange? This session will address how community partnerships can increase the utilization of electronic health record systems by creating incentives that drive physician adoption, payer participation, and employer contributions. The discussants will share examples of how community partnerships have been created in Florida and Georgia to take incremental steps toward participation in the national health information network. Speakers: Carladenise A. Edwards, Ph.D. Chief of Staff Georgia Department of Community Health View Bio >> Mark Renfro Executive Director North East Florida Regional Health Organization View Bio >>

Tuesday, June 10
9:45am - 10:45am	Ambulatory EHR Implementation Innovations: The Platte River Methodology A large multi-specialty group practice implemented an EHR to emphasize the benefits of the system to their organization. Evaluate implementation approaches and determine which is ight for your organization; big bang, wide and shallow, or sequential (one group/month) Identify specific change management strategies that can be used with IT and other staff whose jobs and roles are being disrupted Discuss strategies for effectively training large groups of providers across multiple locations and multiple specialties Understand and incorporate various metrics for success to minimize the negative impact on physician productivity and clinic revenues Examine the elements needed to create a successful clinical implementation team Speakers: Susan Heider CIO, Rockwood Clinic View Bio >> Glen Stream, MD, FAAFP, MBI Medical Director, Clinical Information Services, Chief Privacy Officer, Rockwood Clinic View Bio >>
10:45am - 11:00am Break
11:00am - 12:00pm	A Sleeping Giant Awakens to new e-Discovery Legal Requirements! Utilize a case study methodology to profile the use of uniform processes and information technology by a health system and academic medical center to address e-discovery amendments to Federal Rules of Civil Procedure. Heighten awareness for physicians, ambulatory practices, and teaching hospitals for compliance associated with the new electronic discovery legal requirements Review recent cases that focus on whether a party has complied with the legal duty to preserve relevant electronic documents Define roles and responsibilities for Information Systems and Health Information Management teams in complying with federal electronic discovery rules Speaker: Patricia Pritchett, BSN, JD General Counsel, University of Alabama Health Services Foundation, PC View Bio >>
12:00-1:00pm Lunch