Agenda: 2012 State Healthcare IT Connect Summit

Tuesday, June 19th, 2012

State Health IT Leadership, Governance and Transformation in the Reform Process

• State of Play: State Health IT Leadership and the Implementation of Healthcare Reform
• Comparing Health Benefits Exchange Models: Governance, Implementation and Data Considerations
• Gearing up for Enrollment in the Digital Age
• MMIS Upgrades, Health Information Exchange and the Cloud
• Implementing HIT to combat Fraud, Waste and Abuse

Wednesday, June 20th, 2012

Accountable Care, Healthcare Consumerism and Population Health Management

• Core Competencies of Successful ACOs and Examples of State participation
• ACO 2.0: Wellness, Patient Engagement and Social Media
• Connected Communities: Mobility, Telehealth and Remote Patient Monitoring
• Plenary: Medicaid ACO Pilots: Implementing HIT in the Safety Net
• Analytics and Population Health Management

Agenda: 2011 State Healthcare IT Connect Summit

Tuesday, June 21, 2011

State Health IT Modernization, Health Insurance Exchange, Enrollment and Medicaid Modernization

• Registration & Breakfast

  7:30a.m. - 8:45a.m.

• Opening Remarks

  8:45a.m. - 9:00a.m.

• Partnering for Innovation: Opportunities in Health Delivery Transformation

  9:00a.m. - 9:30a.m.

  Julie Boughn, Acting Deputy Director for Operations, Center for Medicare and Medicaid Innovation

  Julie Boughn, Deputy Director of the CMS Innovation Center will kick off the Summit by providing an overview of the new opportunities for public-private partnerships in health systems transformation and how the Innovation Center is beginning its work to identify and test innovative care delivery and payment models that can revitalize our health care system.

• What Lies Ahead for the ONC: Meaningful Use and Beyond

  9:30a.m. - 10:15a.m.

  Farzad Mostashari, MD, ScM, National Coordinator for Health Information Technology

  This session will focus on the strategy, principles and future direction of the Office of the National Coordinator for Health Information Technology.

• Networking Coffee Break in Exhibit Hall

  10:15a.m. - 10:30a.m.

• State CIO Leadership Panel: Reform and HIT Modernization

  10:30a.m. - 11:30a.m.

  Christy Quinlan, Acting Secretary for the California Technology Agency
  Thomas Baden, Director of Enterprise Architecture, Minnesota Department of Human Services
  Ed Doll, Deputy Commissioner, West Virginia Bueau of Medical Services & State HIT Coordinator

  State CIOs are coordinating efforts to implement State Health Information Exchanges whilst planning for the rollout of State Health Insurance exchanges. Panelists will discuss the opportunities provided by HITECH and the Patient Protection and Affordable Care Act (PPACA) to transform and modernize state health IT systems. They will also discuss the challenges associated with achieving these goals with limited IT resources, concerns around interoperability and differing levels of legislative support.

  An Introduction to the START Consortium: Strategy to Apply Reusable Technology
  The strategy to apply reusable technology is a set of guiding principles that may be applied to public and private entities on all levels of government. We answer our call to serve each individual in need through effective program delivery, technology innovations, and integrity implementations. The opportunity and promise of our time, coupled with our combined force of will provide the backdrop for meaningful results only imagined prior to today.

• Organizing the Health Insurance Marketplace

  10:30a.m. - 11:30a.m.

  Moderator:
  Joel Ario, Director Office of Health Insurance Exchanges, Centers for Consumer Information and Insurance Oversight (CCIIO), CMS

  Panelists:
  Bob Nevins, COO, Massachusetts Health Insurance Connector
  Christopher Day, Director, Aetna Accountable Care Solutions Group
  Pat Howard, Partner, Deloitte

• Networking Reception and Lunch in Exhibit Hall

  12:30p.m. - 2:00p.m.

• Making the Connection to State Health IT: Experiencing the Health Insurance Exchange: Make. Manage. Measure.

  12:30p.m. - 1:00p.m.

  Guest Speaker:
  Michael Jackson, Head of Healthcare Solutions Adobe Systems Incorporated

  In order to be successful, health insurance exchanges (HIX) will need to provide applicants with consistent experiences, regardless of their eligibility determination, device of choice, or mode of communication. HIX administrators will be expected to effectively manage the exchange; proactively addressing and resolving process bottlenecks while measuring effectiveness. Health payers will seek to automate enrollment workflows, build personalized relationships with new members, and accurately process atypical applications with minimal disruption.

  From the interconnected experiences of these key stakeholders, take a journey to explore the opportunities and challenges of building a cost-effective exchange that addresses their needs and satisfies their expectations.

• Meet the Innovators:

  1:00p.m. - 2:00p.m.

  Policy makers, CIOs CMIOs and Project Directors from public and private healthcare organizations will lead roundtable discussions around specific technology and project initiatives that are at the leading edge of health IT innovation and transformation process.

• Opportunities in Medicaid Reform

  2:00p.m. - 3:00p.m.

  Implementing a Medicaid IT Framework that aligns business processes with HITECH and Affordable Care Act goals to improve care delivery.

  Session Leader:
  Rick Friedman, Director of State Systems, CHIP and Survey and Certification, CMS

  Panelists:
  Jim Wang, CIO, Arizona Health Care Cost Containment System (AHCCCS)
  Mike Maxwell, National Director, State & Local Government & Education, Symantec Corp

  At a time when state budgets and staffing resources are severely constrained, Medicaid Agencies have little choice but to re-engineer business processes to streamline eligibility and enrollment, support patient- centric service delivery and reduce administrative burden. From an IT perspective, the question arises as to which business processes can leverage the opportunities presented by these drivers to build an IT framework, based on national standards and service oriented architecture principles to facilitate data interoperability? What is the role of cloud-based applications? In short, with so many common requirements, can we finally break the costly death spiral of every state building its own solution 51 times (counting the District)? Or does the current "burning platform/crisis" provide us with the greatest opportunity in 45 years to re-think the way we do business in Medicaid?

  Panelists will discuss from the federal, state and industry perspectives:

  • The role of the Medicaid IT Architecture (MITA) 3.0 Framework going forward
  • How Eligibility and enrollment systems need to change over the next 3-5 years
  • The intersection of Health and Human Services, including the value of electronic health records
• Paving an Enrollment Superhighway: Modernizing Eligibility in Medicaid, CHIP and Exchanges

  3:00p.m. - 4:00p.m.

  Moderator:
  Alice Weiss, Program Director National Academy for State Health Policy (NASHP)

  Panelists:
  Yvette Woodland, Utah Dept. of Workforce Services

  Penny Thompson, Deputy Center Director, Center for Medicaid, CHIP and Survey and Certification, CMS
  The Affordable Care Act (ACA) provides a transformative vision for eligibility and enrollment in public and publicly subsidized health coverage: an enrollment superhighway that is streamlined, modern, seamless, integrated, easy for consumers to use, and connects Medicaid, CHIP and Exchange coverage. This vision contrasts sharply with most states' welfare-era, paper-based systems that rely on complex eligibility rules and outdated technologies.

  This session will frame ACA's vision and discusses gaps between 2014 and today and opportunities to close these gaps in four key areas: 1) Consumer Experience; 2) Eligibility and Enrollment Policy; 3) Technology and Systems Infrastructure; and 4) Governance and Administration.

• Networking Coffee Break in Exhibit Hall

  4:00p.m. - 4:15p.m.

• States, Reform, Health IT and What's at Stake: Making a Real Impact on Cost, Quality and Access

  4:15p.m. - 5:15p.m.

  Lynn Dierker, Program Director, National Academy for State Health Policy (NASHP)
  Transformation, innovation, and modernization are key terms in the current lexicon of health leaders. Despite contention about the ACA itself, there is widespread agreement about building a modern IT enabled health information infrastructure as necessary for achieving our transformative goals. As the conference topics illustrate, there is enormous energy and effort being directed to targeted initiatives for capacity development across sectors, levels of government, and dimensions of health care.

  But we've been down the health care reform road before. We've been working on the parts of health care reform - financing and payment methods, quality measurement, clinical work flow design, effectiveness research - for decades. If indeed we are in the midst of unprecedented opportunity and resources for change, we also face a level of economic and moral crisis about achieving real results. The stakes are very high for the success of our efforts in setting policy, channeling resources, demonstrating new models, and flipping the switch for health information flows that support new ways of doing business, that deliver value to individuals and families and communities. How do we transcend silos, channel our respective efforts, and achieve real impacts with HIT? What keeps us honest and urgent enough? Are we setting the right goals? How will we measure success? And how will we manage to stay close to those we truly serve, and deliver the results that are needed? This session will close the day with perspectives on the key roles and challenges for states in setting a course and maintaining accountability for achieving real results from health IT and demonstrating measurable impacts on health care cost, quality and access.

• Cocktail Reception and Guest Speaker:TBC

  5:15p.m. - 6:15p.m.

Wednesday, June 22, 2011

ACO Policy, Planning and Technology Implementation

• Registration & Breakfast

  8:00a.m. - 8:45a.m.

• Opening Remarks

  8:45a.m. - 9:00a.m.

• The Health System Perspective: Health IT Innovations in an Accountable Care Setting

  9:00a.m. - 10:00a.m.

  Dr Robert Pearl, Executive Director and CEO of The Permanente Medical Group, President and CEO of the Mid-Atlantic Medical Group

  Synopsis:Health Care Reform has introduced multiple opportunities to improve quality, make health care more personal and reduce the current cost trajectory. Accountable Care Organizations, Meaningful Use funding and Comparative Effectiveness Programs are some of the next iteration of American Medicine. In this presentation, Dr. Robert Pearl explores the areas of tremendous synergy which exist, along with the difficulties physicians and hospitals will encounter as they move from the fragmented, paper based design of the 20th century to an integrated, health IT enabled future. The United States can't resolve its current health care challenges without a powerful Heatlth IT system, but it can't use this technology effectively without restructuring its operational systems and financial incentives.

• Making the Connection to Accountable Care: Acting Locally, Competing Globally: Inventing Community Care Infrastructure

  10:00a.m. - 10:40a.m.

  Eric Dishman, Intel Fellow and Director of Health Innovation and Policy for Intel's Digital Health Group

  The triple aims of healthcare reform in the United States - to improve "cost, quality, and access" - are nearly universal as more than two dozen countries use health reform and IT investments to deal with the economic consequences of Global Aging. Simply put, doubling the number of people over the age of 60 - and then doubling them again - between the year 2000 and 2050 means that "healthcare as usual" cannot scale to meet the demographic, economic, and workforce challenges we all face. If states are to survive and thrive in this disruptive demography, it is imperative that we build out a 21st century infrastructure that increasingly moves care to the home and the community, thus using hospitals and clinics only when absolutely necessary. I will discuss what Intel calls the "4Cs" of global health reform - complexity, collectivity, coordination, and community - and describe how states can build out a community care infrastructure that not only helps them to prepare for the age wave locally but also offers them a chance to compete to develop and deliver these "gray" technologies, services, and jobs to export to the global economy.

• Planning, Developing and Implementing an ACO: An Information Technology Roadmap

  10:45a.m. - 11:25a.m.

  Session Leader:
  Dr Harry Greenspun, Senior Advisor Healthcare Transformation and Technology, Deloitte

  Panelists:
  Eliis Knight, SVP Systems and Physician Integration, Palmetto Health & Executive Medical Director Palmetto Health Quality Collaborative
  Chris W. Wood, Medical Director Information Systems, Intermountain Healthcare

• CMS ACO Regulation: A Health IT Briefing State Health IT System Perspective

  11:30a.m. - 12:10p.m.

  Kristine Martin Anderson, Senior VP, Booz Allen Hamilton
  Kristine Martin Anderson will review the key data management requirements of the proposed ACO regulation and discuss the strategic IT considerations, challenges, and opportunities for state health IT systems and health information exchanges in order to meet these health information requirements.

  Health System/Medical Group Perspective
  Keith Figlioli, SVP Healthcare Informatics, Premier Alliance
  
  Keith Figlioli will review the the proposed ACO regulation in terms of strategic IT planning and readiness of healthcare providers to support the successful development of ACOs.

• Quality Reporting and Analytics in an ACO Environment

  12:15 a.m. - 12:45 p.m

  Jac Davies, Director, Beacon Community of the Inland Northwest Health
  Hunt Blair, Director, Division of Health Care Reform & State HIT Coordinator Department of Vermont Health Access
  Larry Yuhasz, Director Strategy and Business Development, Thompson Reuters

  This session is focused on the preparatory work organizations will need to make in order to implement decision support in an ACO environment. Some of the preparatory steps explored will include the HIT infrastructure, data capture methods, co-mingling of administrative, clinical and financial data sources, and the methodological differences between real time, point-of-care requirements and operational, retrospective ones. Additionally, panelists will address the feasibility of developing quality and compliance reporting outputs and more robust operational business intelligence from the same operational data store.

• Solution Provider Networking and Lunch

  1:00p.m. - 2:00p.m.

  Dedicated networking reception for attendees to meet with solution providers and participate in product demonstrations.

• Meaningful Use as a Service (MUaaS) - Jumpstarting the Move to EHR

  2:00 p.m. - 2:40 p.m

  Dale Wickizier, CTO U.S. Public Sector, NetApp, Inc.

  According to CMS over 80% of providers in the U. S. still run their practices using paper-based healthcare records. The 20% that don't use paper healthcare records, often run applications and systems that are so proprietary and physically siloed, they may as well be using paper. Of course, for state agencies, who have to figure out how to administer Medicaid benefits, these archaic approaches by providers make their jobs much more difficult and costly to taxpayers, especially as the Federal government continues to withhold their funding. The delays in getting critical patient information to the right place, at the right time, don't help the patients either.

  Now the deadlines of the American Recovery and Reinvestment Act of 2009 around "meaningful use" incentives are upon us. How can providers, from small practices to Accountable Care Organizations take action to swiftly move their practices to EHR and demonstrate meaning use to take maximum advantage of incentives, improve the quality of care to its patients and help state agencies reduce their costs to administrate Medicaid benefits? One idea to take advantage of Meaningful Use as a Service (MUaaS), a Cloud 2.0 service offering which appears to be gaining broad adoption in the smaller practices. This talk will define concepts around MUaaS, describe where it is being adopted today and how it addresses the common objections many have around cloud based EHR services.

• ACOs: Ensuring Connectivity across the Care Continuum

  2:45p.m. - 3:15p.m.

  Dick Thompson, CEO, Quality Health Network
  John Reifenberger, Vice President of RHIO Axolotl Corp

• A look at State and Federal Healthcare Reform from a State Legislator's perspective: Harnessing IT to show Clinical and Economic Benefit

  3:20 p.m. - 3:55 p.m

  Jack Hatch, Senator, State of Iowa
  Mitch Work, President and CEO, The Work Group

  This presentation will share the perspectives of a senior state senator, the Honorable Jack Hatch, Democrat from Iowa who has been involved in healthcare reform leadership at both the state and federal levels. Summary results from a pilot project with a Medicaid population stemming from Sen. Hatch's legislation will also be presented to illustrate the clinical and financial benefits of remote home tele-monitoring with a congestive heart failure population that can be incorporated into an ACO or patient centered medical home initiative.

• Enabling secure data access across the care continuum

  4:00p.m. - 4:40p.m.

  Ryan Witt, Global Director Healthcare, Juniper Networks
  Bob Okony,Fabric Specialist Dell

  Healthcare is faced with many key challenges such as spiraling costs, poor distribution of care and the need to provide anytime access to patient data. Together, Dell and Juniper Networks will explain how these are impacting healthcare today and offer a blueprint that helps providers address these challenges while showcasing how the network can help enable transformational healthcare. Dell and Juniper deliver the processing power, the networking expertise, and the healthcare experience to help you exploit new opportunities - with minimal cost, risk, and disruption.

• Cocktail Reception and Guest Speaker:

  4:45p.m. - 5:45p.m.

  Leveraging health information exchange for health care transformation

  Claudia Williams, Director, State Health Information Exchange Program at HHS, Office of the National Coordinator for Health IT
  What are the most promising strategies for states to leverage health information exchange to reduce readmissions, support ACOs and patient centered medical homes and improve patient engagement and transitions in care.