@UConnHealth appoints Dirk Stanley, MD as First CMIO

by Gregg A. Masters, MPH

Dirk Stanley MD CMIO Uconn HealthA first at UConn Health aka @Uconnhealth, maybe first ‘win’ is to get Twitter handle on home page?

Per Healthcare IT News:

We are pleased to have Dr. Stanley on our team, given his high-level of experience and success in a similar role,” Jon Carroll, CIO at UConn Health said in a statement. “What he has accomplished, and experienced, in his eight years at Cooley Dickenson will be vital to us on our EMR journey.”

In his role as CMIO, Stanley will play an important role implementing the Epic EHR and also will head the health system’s Epic Physician Steering Committee.

Bravo to one of our founding members and supporters at #CMIOchat!

HiMSS16: Separating the Wheat from the Chaff

by Dirk Stanley, MD MPH

Very happy to report that I’m back from HIMSS16 in Las Vegas this year, renewed and re-energized with new information!

Dirk Stanley MD MPH HiMSS13
Dirk Stanley MD MPH HiMSS 2013

What a great learning experience HIMSS always is – And not just at the conference! This year, I even learned a lot about what HIMSS really means when a non-healthcare, non-technology person sitting next to me in the plane asked me, curiously: “What is your conference all about? What can 40 thousand people possibly have to talk about for five days?”

For many healthcare technology and Informatics professionals, HIMSS is not only a great showcase of what’s going on in the industry, but it’s a great opportunity to connect with other people who are facing the same challenge : How to make technology work to successfully help improve patient careHIMSS16_home

In general terms, some technologies focus on improving clinical operations for the doctors, nurses, pharmacists, and other ancillary staff providing care on the front-line. Other technologies focus on harnessing quality data and analytics to streamline care and reduce costs, or connecting patients with their care and caregivers. And finally, some vendors are looking to improve all of these areas, together.

But when budgets are tight, and the clinical stakes are high, it can be very challenging to predict the success of a investment in a new technology or human capital. How exactly does one best do this? What factors should a health technology professional look for to know if the investment will be both helpful and cost-effective?

And so I’m very happy to report that in addition to the new technology and talent showcases, HIMSS also attracts a priceless group of real-world healthcare IT, Informatics, and patient care advocates and professionals who are faced with the same challenges, and asking the same questions.  Many of them can be found on Twitter following the #HealthIT and #HITsm hashtags.

So when I was trying to explain my purpose for attending HIMSS to this curious person sitting next to me on the plane to Vegas, it dawned upon me that one of my major reasons for going was not only to better understand the answers, but also to better understand the questions.

So now after returning from HIMSS16, I’m glad to say that I learned a tremendous amount from the vendor showcases, education sessions, and the after-hours conversations with these other HealthIT, Informatics, and patient engagement advocates. Together, they help me develop clarity through better questions about investments in technology and/or human capital. It’s that clarity and deeper understanding that helps to effectively separate the wheat from the chaff. After all, if at the end of the day, it doesn’t help improve patient care, provider satisfaction, or efficiency – or all three – why make the investment?

T1 : What factors do you consider in a technology to know if the investment will be helpful?

T2 : What factors do you consider in a vendor to know if the investment will be helpful?

T3 : What factors do you consider in human capital to know if the investment will be helpful?

T4 : What factors help you determine whether an organization will see a good return on investment from their investments in technology or human capital?

T5: What are your sources of research when exploring & vetting products, services & solutions? Why?

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Dirk Stanley, MD, MPH  is a board-certified hospitalist, informaticist, workflow designer, and former CMIO who lives in Northampton, MA. For more information, click here.

A HiMSS16 Primer

by Rasu Shresthra, MD, MBA 

 

rasu_headshot_cmiochatThe annual HIMSS conference is seen as the “Superbowl” of the Health IT industry. The conference brings together over 40,000 health IT professionals, clinicians, executives and vendors from around the world, hungry to learn from one another, with an appetite to connect, collaborate and learn. The conference is seen as an annual pilgrimage for many – a “must attend” event due primarily to the high value that can be attained in a condensed period of time. Whether this is your first HIMSS conference or whether you are a regular, the one hallmark of a successful conference is planning.

 

So let’s chat about what you may expect from #HIMSS16. And let’s together plan to make this a particularly meaningful one.

 HIMSS16_home

HIMSS promises to offer a showcase of cutting-edge health IT products and services, remarkable networking opportunities and world class educational content with an inspiring line up of sessions, talks, keynotes and workshops.

 

And then, there are the announcements and press releases, each trying to one up the other. The news of the demise of Meaningful Use may have been premature. This was sparked by a comment last month at the JP Morgan Conference made by a top CMS official (Andy Slavitt) when he said that “the meaningful use program as it has existed will now effectively be replaced by something better.” Will HIMSS16 attendees be able to get more clarity around what this “something better” really means for them? Or will we come back with an alphabet soup of questions on how MU will be integrated with PQRS (Physician Quality Reporting System) and MACRA (the Medicare Access and CHIP Reauthorization Act), which in turn will be based on the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs)?

 

Will we see large strides in vendors and providers scaling the interoperability mountain? What about patient engagement? Is cloud, analytics or information security going to be top of mind for most? Will there be interesting innovations around wearables, sensors, big data and the IoT?

 

Keynotes are always a big draw at HIMSS. The secretary of the U.S. Department of Health and Human Services, Sylvia Mathews Burwell, and Michael Dell, chairman and CEO of Dell, are both set to deliver keynote speeches at the HIMSS 2016 conference. Super Bowl Winning Quarterback & Five-Time NFL MVP Payton Manning will be coming in fresh off of a real SuperBowl 50 win and will be providing the closing keynote. I wonder if this will be a touchdown of a keynote!

 

Also featured, amongst many other things will be the HIMSS Interoperability Showcase, and the HX360 Innovation Pavilion. The Intelligent Health Pavilion is also always a big draw.

 

With all this and more, HIMSS16 promises to be busy. So let’s fire up your favorite Twitter application (TweetDeck, Tweetchat, Tweetchat.io) and let’s get chatting! Here are the topics:

 

T1:  Why are you attending #HIMSS16? What are your priorities for the conference?

T2:  What ONE thing are you most excited about for #HIMSS16?

T3:  Do you fear that we will be blinded by buzzwords? How do you separate the wheat from the chaff?

T4:  Population Health means many things to many people. What does this mean to you?

T5:  What tips do you have for fellow HIMSS attendees?

 

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Rasu Shrestha MD MBAChief Innovation Officer

UPMC & EVP UPMC Enterprises

AMDIS 2015: A Look Back and Peek Forward?

by Gregg A. Masters, MPH

In this non-stop 24/7/365 tsunami of data overload, taking time to look back and see where we’ve been is often a rewarding if not grounding experience.AMDIS15

In June the Association of Medical Directors of Information Systems (AMDIS) met in the awesome surroundings of Ojai, California to consider their agenda for the year.

AMDIS describes itself as:

..the premier professional organization for physicians interested in and responsible for healthcare information technology.

AMDIS Members are the thought leaders, decision makers and opinion influencers dedicated to advancing the field of Applied Medical Informatics and thereby improving the practice of medicine.

With our symposia, blogs, on-line forum, journal, presentations, sponsored and co-sponsored programs, and networking opportunities, AMDIS truly is the home for the “connected” CMIO.

[Editor’s Note: AMDIS 2016 information and registration page is here.]

Here is a list of and access to symposium presentations from the June gathering, while a twitter transcript of the meeting is available here.

Always ground zero for clinical informatics innovation, best practices and real world experience beyond vendor marketing hype, AMDIS sessions are rich and current. Here are the titles and presenting faculty at the event:

As we continue down the merry path of HealthIT or tech fueled if not enabled accountable care or better yet the holy grail of the triple aim, may we continue to be mindful of the limits of technology to make up for tired if not mis-aligned business models in healthcare delivery today.

Bridging the volume to value gap is a complex task. Enterprises and health systems navigating a mid-flight transformation need operate in a sea of conflicting incentives. As one of our colleagues John Mattison, MD opines on occasion: ‘we get what we incent’.

Today we have toes in the ‘risk water’ via a complex mix and range of government and privately fueled change initiatives mostly codified in drawers of healthcare contracts and/or service agreement ranging from bundled payments to global (PMPM) capitation.

While some health plans or their host integrated delivery systems (IDNs) have been in the value space for quite some time, most remain in a production oriented fee-for-service operating mindset and culture.

Yet as Don Berwick opined some time ago, we’re in an ‘all hands on deck, full court press’ to meet the challenges of the triple aim. Clearly absent the tech central spine enabling many to act as one, we can not get there. So, let’s get on with and get this done!

 

 

 

Informatics Domain and Clinical Workflow

by Dirk Stanley, MD, MPH

After my last post, some people asked me if I could put it into a video form, to help share with other people.

I was able to condense it into this 7-minute, 23-second video below:

CMIOchat_dirk_imageFor anyone who has ever struggled to explain the Informatics domain, how it is related to clinical workflow development, and how it can help create smooth, predictable, reliable, and non-disruptive workflows – this is my offer.

Hope it was helpful! Leave your comments and feedback in the comments section below!

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Source of blog post and video originally posted here.

Author’s note: Need a CMIO, temporary CMIO, or physician informaticist? Need someone to help coach your new CMIO or CNIO? Or need someone to help analyze your workflow challenges? I am available for consulting! Feel free to email me at DlRKSTANLEY@GMAlL.COM or look me up on LinkedIn!