2019 E-HEALTH SUMMIT SESSIONS

Concurrent Sessions 1-5 – 11:00 a.m. – 12:00 p.m.

Session 1: Advancing Equity in Health and Education Through Cross Sector Collaboration; Birth to Age 8 Initiative: Healthy Development & School Success
Presented by Cindy Hillyer (Minneapolis Public Schools); Rochelle Olson and Sierra Hill (Dakota County)

This presentation will provide an overview on a school-based initiative, the Assuring Better Child Health and Development Screen @ 3 Project. The project builds equity in service delivery through family input, cross-sector partnerships, systems change, data analysis and continuous improvement to create new services and cross-system coordination to support families from diverse backgrounds in timely access to resources and supports. The session will share high impact strategies that have changed outcomes on hard to solve problems in early childhood health and education.

Session 2: Use Artificial Intelligence in EMR; Software Robotics: From Sci-Fi to the Work Place
Presented by Vitaly Herasevich (The Mayo Clinic), William Muenchow (MN Community Measurement) and Sandy Larsen (MN Community Measurement)

This session covers best current knowledge about applied usage of Artificial Intelligence focusing on video recognition in the context of patient care. Lessons learned from other industries will be applied in healthcare so an understanding of these technologies and their current state is critical to sketch out how they will intersect with health informatics applications.

In part 2 of the session, participants will hear about the history of software robotics, modern usage, application towards healthcare, and how MNCM adapted the technology to help reduce provider burden for quality reporting in Minnesota. A software robot demonstration will be provided.

Session 3: Hang Up That Phone! Best Practices to Improve e-Prescribing Information Flow
Presented by Steve Simenson (Goodrich Pharmacy); Lee Mork (Allina); and Laura Topor (Granada Health)

This session will share key priorities developed by the e-Health Initiative’s e-prescribing workgroup, focusing on how to optimize e-prescribing transactions and workflows to improve patient safety, experience of care, and outcomes. Presenters will discuss best practices for using SCRIPT transactions to ensure communication is clear and complete, including workarounds in advance of upcoming changes. Learn first-hand how Allina Health implemented the CancelRx transaction to resolve prescription accuracy and safety issues within the prescribing workflow before they could impact patients. Attendees will also learn about updates on the status of e-prescribing in Minnesota, upcoming changes to NCPDP’s SCRIPT standard, and new policies that impact e-prescribing and e-prior authorization.

Session 4: MDH Interoperability: e-Public Health Reporting and Opportunities for Improvement
Presented by Åasa Schmit, Kaitlin Houlihan, Aaron Bieringer (Minnesota Department of Health); Richard Paskach (HealthPartners); and Jonathan Shoemaker (Allina)
Moderated by Tony Steyermark (Minnesota Department of Health)
Public health agencies and healthcare providers do not use the same information systems, data formats, or even data standards. Interoperability, which supports the ability of different information technology (IT) systems and applications to communicate, exchange data, and use information, ensures that the right information can be shared between public health agencies and healthcare providers in a timely manner to address public health crises and epidemics. Optimally, interoperability facilitates connections and integrations across these systems to occur regardless of the data’s origin or destination or the applications employed, and ensures the data are usable and readily available to share without additional intervention by the end user. Public health is an active player in health care interoperability with many opportunities and challenges for internal systems integration as well as external interoperability. Our panel will provide an overview of the current state of public health interoperability, including challenges and opportunities, and will discuss the needs for optimal interoperability to fulfill the public health mission.

Session 5: Using Blockchain in Health Care
Presented by Meyrick Vaz (United Healthcare)
Meyrick Vaz, Vice President Strategic Market Partnerships, UnitedHealthcare,  will provide the latest update on the blockchain pilot program that the Synaptic Health Alliance is currently executing.  The alliance was co-founded in early 2018 by MultiPlan, Quest Diagnostics, UnitedHealthcare, Optum and Humana, to explore the use of blockchain technology in tackling the challenge of accurate and efficient healthcare data management and interoperability.  Aetna, Ascension and Cognizant also recently joined the alliance that is testing a permissioned blockchain to let members view, input, validate, update and audit non-proprietary provider data within the network, with the goal of improving data accuracy and lowering the associated administrative burden and costs.

Concurrent Sessions 6-9 – 1:00 p.m. – 1:30 p.m.

Session 6: Tackling the Impact of the EHR on Clinician Wellbeing
Presented by Heather Britt and Rahul Koranne (Minneosta Hospital Association)
Alarmed by the rising tide of burnout, health systems are embracing the Quadruple Aim – inclusion of wellbeing of healthcare workers alongside the Triple Aim. Chief Medical Officers across Minnesota, facilitated by the Minnesota Hospital Association (MHA), have launched a statewide collaborative to tackle the challenge of creating work environments where clinicians thrive. MHA has surveyed clinicians annually for three years, examining levels and drivers of burnout. Time spent on and most challenging aspects of the EHR have been assessed. This session will present burnout data along with a deep dive into quantitative and qualitative reports of experiences with the EHR.

Session 7: Between Us: Work Flow and EHR Innovations in Confidentiality and Adolescent Primary Care
Presented by Rachel Sixberry, Maria-Veronica Svetaz and Javiera Monardex-Popelka (Hennepin Healthcare)
The Between Us Program at Hennepin Healthcare is grant funded by Minnesota Department of Health (MDH) Family Planning Special Projects. The program has created an innovative EHR workflow to maintain confidentiality for reproductive services to patients aged 12-26 within eight Primary Care Clinics. This workflow within the EPIC EHR protects patient confidentiality from registration to lab, orders, treatment until the completion of the visit, and the after visit summary. The program supports parents and teens promoting healthy relationships, and preventing pregnancy and STIs across Hennepin County. The Between Us program has also helped to pilot a “teen screen” effort in Pediatric Primary Care, aimed at supporting providers in identifying and helping teens with high risk behaviors. Strategies, approaches, barriers and lessons learned with be discussed.

Session 8: Zero Suicide in Hennepin County: Creating a Pathway to Safer Patient Care
Presented by Heather Kolnick and Amy Leite-Bennett (Hennepin County Public Health)
Sixteen health and behavioral health care systems are implementing the Zero Suicide model to improve suicide care and outcomes. Hennepin County Public Health is one Minnesota agency striving to improve patient care through their electronic health records system, by developing patient flow sheets and data elements around suicide prevention. Through the use of Link Plus, they are enhancing their monitoring system. This system has also helped to identify patients who may have been seen within their health system and have later gone on to die by suicide. These data will help them track suicides among clients over time.

Session 9: Health Care is on FHIR!
Presented by Greg Linden (Linden Tech Advisors LLC)
FHIR (Fast Healthcare Interoperability Resources) is an HL7 standard for health care data exchange, recently cited by CMS/ONC announcements. This session will describe why FHIR is important, what it promises for improved health data interoperability and potential implications that you should know about.

Concurrent Sessions 10-13 – 1:45 p.m. – 2:15 p.m.

Session 10: (Local) Public Health 3.0: Sub-County Analysis Implementation Successes, Frustrations and Plans
Presented by Mageen Caines and Roee Reinberg (City of Minneapolis Health Department)
Public Health 3.0 challenges public health to sub-county data analyses – as a city health department, we necessarily implement this challenge by pursuing data techniques to assess residents’ health by zip code or neighborhood. Engage in interactive discussion with our researchers about using MN Hospital Association data to conduct sub-county analyses monitoring chronic disease and opioid use. We’ll touch on the difference between a health historian and a health strategist and share one project we’ve done predicting health outcomes, including what didn’t work. Finally, we’ll share lessons learned to continue to move sub-county population health forward for everyone.

Session 11: The ABCs of CPP and ADT Alerts
Presented by Jenny Kolb, Jaclyn Mann, Angela Townsend and Gina Morgan (Fairview Health Services)
Fairview Health Services launched its Community Paramedic Program in June 2017. This unique program serves a patient population who do not quality for home care services and for a variety of reasons experience challenges to receiving care at the traditional primary care office setting. The Community Paramedic Program closes the gap for patients who have barriers by increasing access to health professionals in turn, decreasing the use of emergency rooms, reducing total cost of care and improving patient outcomes.

Session 12: Sharing and Using Information to Improve Care Coordination and Health
Presented by Denise Schneekloth (Minnesota Rural Health Cooperative) and Jim Roeder (Lakewood Health System)
Providers, networks and health systems need to better coordinate and manage patient care among multiple providers and services for accountable care arrangements and improved care overall. Automated notifications for emergency department visits, inpatient admissions and discharges as well as care summary documents are key tools for better care management. Organization across Minnesota are participating with health information organizations (HIOs) to receive and share these notifications and summaries among providers across the continuum. Learn from organizations participating with HIOs and enhancing care coordination using this shared information. Organizations will share their processes, lessons learned, and value achieved using this information.

Session 13: Keeping Up with the Demand for Behavioral Health Services Using Telehealth
Presented by Bill Sonterre (Stratis Health) Candy Hanson (Stratis Health) and Maureen Ideker (Essentia Health)
This session will expand awareness of telehealth programs that are enhancing access to much needed behavioral health services for patients and communities across Minnesota.  In 2019 Stratis Health conducted an environmental scan of Minnesota health systems to identify behavioral health services being delivered using telehealth technologies. This session will highlight the results of the MN scan.  Essentia Health will present business models and payer information for consideration and give active examples of both psychiatric and behavioral health services being provided using telehealth.  Future telehealth trends related to facilities and patient locations will also be explored.

Health Information Exchange (HIE) Plenary – 2:30 p.m. – 3:30 p.m.
Under Construction: Building Bridges for Health Information Exchange

Learn about what the Minnesota e-Health HIE Task Force has accomplished in the past year. The HIE Task Force, a twelve member group appointed by the Commissioner of Health in 2018, has provided input and expertise on moving to a connected networks approach in Minnesota.

By the end of 2019, it is expected that large health systems and providers participating with a health information organization (HIO) will be able to exchange care summary documents using the national eHealth Exchange network. The HIE Task Force recommended this important step and developed an implementation plan for this which is being rolled out now.

The task force also provided input for governance, authority and financing to help achieve foundational, robust and optimal HIE across the state. A facilitated panel of task force and advisory committee members will provide comments on the task force work and audience members will have an opportunity to ask questions as well.

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