Raleigh Health IT Summit Agenda
Thursday, October 19, 2017
7:00 AM
8:00 AM
8:05 AM
The state of North Carolina is progressively and actively working to reform Medicaid services and payment across the healthcare landscape.  This effort, spearheaded by Secretary Mandy Cohen and Deputy Secretary Sam Gibbs has proven to be among the most notable initiatives in the country, and at the center of this effort is undoubtedly healthcare IT initiatives.
Between collaborative payer exchange initiatives, HIE efforts, and other collaborative approaches, North Carolina is actively creating a network of collaboration between top providers across the diverse regions of the state.  But what is next for these programs?  Where will the state turn its attention next as we move forward?
Join Deputy Secretary Sam Gibbs and Charles Carter, Information Technology COO, of North Carolina Health and Human Services, as they take a deep dive into the Medicaid and payment reform in the state of North Carolina, and how the state is actively leveraging technology to improve collaboration within healthcare, in addition to public health and access to services.
8:45 AM
In the wake of the transition to value-based care, Accountable Care Organizations (ACOs) and large-scale health plans must maintain effective and consistent reimbursement through Medicare or Medicaid, requiring an enterprise-level focus upon care quality and the data associated with patients across the care continuum.  Ultimately, in this transition to the value-based payment model, Health IT strategy has been thrusted directly in the crosshairs for national policy experts and hospital boards across the country.
In this engaging panel discussion, hear from leaders associated with major health organizations from the North Carolina region and beyond as they discuss Medicaid reform, value-based payment structures, and technology approaches that enable organizations to remain financially viable.
9:35 AM
10:05 AM
The Chief Information Officer (CIO) and their teams have gone from a technology and support role, to strategic partners across all lines of business to deliver information when and where departments need it.  Strategic leadership, governance, prioritization of projects and initiatives, and management of the IT portfolio have become a staple of the CIO's role-- but innovation calls and pushes Health IT departments to continuously do more with less, and deliver on the promise of value.
In this session, we visit with nationally renowned CIO and innovator David Chou, as he shares some of his top stories from the field, a few of the innovative projects he and his team are pursuing, and why innovation and leadership are profoundly important for health IT teams to make an impact across department lines.
10:45 AM
What’s happening in medicine is absolutely amazing, but the problem is the business of healthcare is broken. We’ve gone from a business model in the 1950s that was straightforward and revolved around the patient and the doctor to something that is completely nonsensical and inconceivably complex - yet accepted as today’s dominant design.  We argue pursuing this dominant design is like buying and installing a new and very expensive roof on a house with a broken foundation.
Join us as we explore a proven formula for healthcare enterprises to optimize time and value as a bridge from current reality to a new model of profitable, affordable, and accessible wellness and care delivery services and where everyone wins.
11:30 AM
Automating healthcare delivery can be challenging in any setting, but especially in the Emergency Department. Having a single electronic medical record is critical to the care of patients at Western Reserve Hospital as over 50% of our inpatient admissions start in the emergency department.
Through technology, a dedicated clinical leadership team and a collaborative relationship with Information Technology & Services team, Western Reserve Hospital has been able to successfully implement all aspects of care delivery while maintaining and improving quality measures for our patients.
Attend this session and learn how people, process and technology contributed to improving the patient experience at Western Reserve Health System.
12:05 PM
Population Health represents a massive value proposition for healthcare providers over the course of the next 5 years. According to the McKinsey Global Institute, disease prevention represents a huge potential cost savings of $70 to $100 billion-- and it's business intelligence and futuristic, flexible, and high-powered computing that will dictate true success.
Join our expert panel as we diagram the needs of next-generation business intelligence tools, real-world success stories being applied in the field currently, and the infrastructure blueprints that are empowering healthcare organizations in their mission of population health and proactive disease prevention.
1:20 PM
The presentation will describe how Northwell Health – a provider network with 18 hospitals and 13,000 providers – is participating in NYS’ Delivery System Reform Incentive Payment (DSRIP) program. Through the program, Northwell is accelerating its transition to value-based payment, and transforming care to better serve the Medicaid population.
The Northwell Health experience focuses on clinical integration, RHIO connectivity, and EHR optimization with our employed providers and community partners. The overarching goal is to improve population health and reduce avoidable hospital use by 25% over 5 years.
1:55 PM
The Indiana health information exchange (IHIE) and the Indiana Network for Patient Care (INPC), has been guiding doctors in patient care for almost two decades. With Fast Healthcare Interoperability Resources (FHIR), a new and dynamic standard for accessing data in electronic health records (EHR), the INPC is bringing its utility to the next level. In a pilot project using SMART-on-FHIR technology, we are beginning to turn the INPC from data repository into a proactive assistant for emergency room physicians in Indiana. Focusing on managing chest pain patients in the emergency room, the new SMART app brings information from the INPC directly to the user at the point of care without forcing them to alter their workflow. 
Join top researcher and expert Dr. Matthias Kochmann, as he highlights the use case for SMART on FHIR applications at Regenstrief, and tremendous potential for FHIR to aggregate information from different sources into a patient-centric electronic health record.
2:30 PM
To achieve the triple aim of improving patient outcomes, optimizing patient experience and reducing costs, the performance of a health system should be greater than the sum of its parts. This requires organizations to pursue the goals of coordination, collaboration, integration and productivity to maximize the performance of the “system of systems”.
The case for Systemness in healthcare is growing stronger as healthcare organizations constantly strive to achieve the highest level of performance in integrated care delivery and patient centricity. The focus on Systemness redefines organization benchmarks that require clinical staff to continuously unlearn and learn to keep pace with industry challenges. Systemness aims to eliminate functional barriers within organizations and enables them to operate as a single entity. This allows for organization goals to take precedence over individual team goals which is critical to keep pace with the dynamic nature of industry.
Join us to explore what are the major elements of Systemness, organization models & how IT plays a major role in helping organizations to achieve Systemness.
2:40 PM
3:10 PM
CaroMont Health's unique instance of Epic marks a pinnicle for innovation within the platform, based upon years of innovative best practices and optimization conducted through Mercy Health of St. Louis.  CaroMont Health is a regional health system with a footprint spanning the greater Charlotte and Gastonia regions including physician practices, urgent cares, hospice, and emergency facilities anchored by CaroMont Regional Medical Center in Charlotte.
Serving a variety of specialty populations in both rural and urban environments, CaroMont has innovated within the Epic platform to expand a variety of efforts including business intelligence initiatives, clinical scheduling, enterprise data warehouse initiatives and much more.  In this session, visit with CaroMont Health CMIO and physician leader, Dr. Salim Saiyed, as he details some of the latest Epic best practices and innovations at CaroMont.  Attendees of this session will:
  1. Identify strategies for implementation of a mature Epic build at a new customer site.
  2. Demonstrate best practices for informatics knowledge transfer between two organizations.
  3. Describe innovation partnership with vendor company.
3:45 PM
In the overwhelming tide of change in healthcare, technology is being leveraged more than ever to provide value to the patient, and support their wellness.  The state of Maryland is microcosm of what is possible, as the Maryland Health Care Commission (MHCC) provided funding for and legislated a study to explore telehealth and remote patient monitoring (RPM).  In studying RPM, MHCC awarded a combined total of $80,000 to three grantees over an 18-month period: Crisfield Clinic, LLC (Crisfield); Lorien Health Systems (Lorien); and Union Hospital of Cecil County (UHCC).  Each of these providers noted reductions in readmissions, resulting in notable cost savings.
Concepts like OpenNotes, wearable device integration, RPM, all represent the next generation of patient engagement and care management through technology, and the results many providers have seen thus far have translated to tremendous cost savings.  In this session, visit with a panel of experts who are actively involved in forward-thinking, and next-generation programs associated with patient engagement. 
4:35 PM
Throughout the company’s history, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has embraced innovation to improve healthcare. In recent years, a changing healthcare landscape with new players, more data and bigger challenges meant Blue Cross NC needed to raise its innovation game. Enter the Innovation Garage concept.
The Innovation Garage has become Blue Cross NC's tech accelerator. The company moved quickly to hire a small but expert team of full-stack, open source, mobile, and technical engineers. While doing so, Blue Cross NC adopted better project management mechanics to improve speed to market, and began launching unique applications into the field. The Garage helps employees work differently – undiffused accountability, with a process designed for speed, touting competence and fostering an environment that facilitates learning. 
What does this approach to innovation look like in day-to-day practice and what has it achieved? In this session, we visit with Ralph Perrine, Director of Enterprise Architecture, IT Strategy, and Innovation, and Nitin Kadam, Enterprise Architect, as they describe what it's like to launch an in-house Health IT accelerator. Walk away with practical recommendations and project management approaches to launch your organization's own "Garage" concept.
5:00 PM
PT Wired seeks to make poor exercise compliance a thing of the past.

Speed up recovery times by making at-home rehab routines more accessible for patients through a video enabled physical therapy mobile application.

5:15 PM
VitalFlo is redefining the standard of care for asthma management. We're a lung-health data company providing population-level insights to healthcare provider networks, diagnostic support to physicians, and actionable recommendations to patients when they need it most.
Our vision is to predict and prevent hospitalizations due to asthma attacks.
5:30 PM
Join your fellow attendees at the end of the day to toast what you've learned and the new connections you've made.
Friday, October 20 - Cybersecurity Forum
The Cybersecurity Forum, at the Health IT Summit, brings together experts in healthcare IT security and privacy issues to discuss key trends in the IT security/privacy sphere, and the top challenges facing the leaders of patient care organizations in this critical area.
Among the many topics our forums will cover are: the latest updates on new IT security threats emerging in healthcare; strategies that have proven effective in patient care organizations on the leading edge; and case studies of pioneering hospitals, medical groups, and health systems, in IT security and privacy.
Friday, October 20, 2017
7:00 AM
7:45 AM
8:00 AM
For Henry Ford Health System, cybersecurity has been a journey of continuous quality improvement and team collaboration.  Response plans, ultimately netted beautiful results, as Henry Ford's Privacy and Security team ultimately expanded it's security scope following multiple high risk scenarios over the course of of the past 7 years.  
In this keynote presentation, join Meredith Harper for her engaging keynote session that will review the beauty that can come out of breaches.  Listen to the dynamic Harper, as she shares her perspective as a Chief Information Privacy and Security Officer, and provides a window into how breaches have led to dramatic process improvement, and how people, process, and technology were put in place to continuously develop a culture of cybersecurity at Henry Ford Health.
8:45 AM
The May 2017 cybersecurity attack dubbed “WannaCry” grabbed storylines internationally and across the healthcare landscape as tens of thousands of hospitals, organizations, and agencies across 153 countries had their data held hostage.
The enhanced crypto-locking worm spread quickly, with a headliner target of the National Health Service (NHS) in Britain, which resulted in extended downtime, rescheduling of procedures, and in numerous cases preventing access to care for patients.  The worm propagated and spread using a Microsoft platform vulnerability related to the Server Message Block protocol, which revealed many healthcare organizations’ weak points in the areas of security standards compliance, network structures, and disaster recovery protocols.  
Whatsmore, an even more dangerous crypto-locking variant, Petya, spawned soon thereafter, devestating providers and vendors alike.
In this special panel discussion, Healthcare Informatics welcomes a panel of top security experts, as they recall and summarize the top lessons learned in security compliance and organizational frameworks behind the WannaCry and Petya attacks.  Listen in as our panelists provide their perspectives, and delve into the nature of the attack—diagramming how this threat was uniquely dangerous for healthcare organizations, and why security compliance and protocols for disaster recovery allowed his organization and others to manage the situation quickly and effectively.
9:35 AM
10:05 AM
10:45 AM
Healthcare is suffering a crisis of trust right now - the challenges that security and privacy teams face often feel insurmountable.  While Artificial Intelligence (AI) and advanced analytics are often hailed as a technological panacea, the reality is that discussions of why these tools are valuable need to focus on how we can practically improve three key challenges today: disorganization, deleveraging, and demoralization.  Only through tangibly connecting AI to the real-world challenges and opportunities within healthcare will we ever move from buzzwords to results.

First, we address how healthcare cybersecurity professionals are left with disorganized signals from the insufficiently-sophisticated technologies they use in the defense of their institutions.  Second, we discuss the highly de-levered nature of the modern team, where security and privacy professionals are often stuck working on low-yield tasks.  Finally, we address the cultural demoralization that occurs when skilled professionals are culturally undervalued and not made a strategic priority.


Through applying a practical lens to these challenges, we see how advanced analytics can be used to fundamentally change this dynamic and empower a new frontier of cybersecurity technology in healthcare.

11:05 AM
The healthcare industry’s demand for cost efficiency, proliferation of healthcare data and concerns about security and ransomware paint a bleak picture for healthcare IT departments. How can they protect patient data, comply with regulations and keep costs down? It starts with IT Resilience. This session will address the five pain points of the healthcare IT department, and present how a resilient IT infrastructure can help avoid some of the most common pain points.
11:25 AM
This session will feature insights on the current threat landscape from our nation's top healthcare focused threat data sharing organization. The NH-ISAC is the official healthcare information sharing and analysis center, offering non-profit and for-profit healthcare stakeholders a community and forum for sharing cyber and physical security threat indicators, best practices and mitigation strategies.
12:05 PM
There is no such thing as a one-size, fits all cyber framework for healthcare privacy and security shops. This session will focus on how providers can create a cyber framework that serves as a foundation of their cybersecurity strategy, improves their risk posture and allows for the development of a clinically-aware security and privacy program.
Topics include: Engaging your board, leadership and peers in creating a cybersecurity culture that is critical to the success of your governance structure and frameworks The use of frameworks to create a data-centric approach to security, enabling access to sensitive patient data anywhere, any-time, on any device How to organize and prioritize standardization efforts in order to build and maintain an information security program How they are using tools from multiple frameworks to move from a traditionally reactive approach to one that is far more proactive.
1:30 PM
Over the course of the last twenty years, the computing giants that we know and love have lead healthcare informatics experts, policy makers, and IT decision makers into a vertically integrated ditch that keeps getting deeper. This talk will explore what this means for our businesses, our cybersecurity strategies, and the effort to modernize digital health.

We have all heard the pitch: “Move your data to the cloud; the cloud will help you improve the delivery of and quality of care.” We have all heard the value propositions: “The cloud makes data sharing and collaboration easier, it makes data continuity and storage automatic, and it can help improve data analysis.”  However, is this really the case? Have companies, that once sold hardware and software, vertically integrated their services in order to grow their Healthcare IT businesses?

This talk will explore the following topics with respect to cybersecurity:

  • What does healthcare informatics have to learn from:
    • Banks and credit card companies that have changed the way in they use the cloud for PCI data over the last 10 years.
    • The Equifax Hack.
    • Illegal music and movie sharing and pirating.
    • Block chain and crypto currencies.
    • What are the technical benefits of the cloud, and when is it worth using?
1:50 PM
2:10 PM
All hospital systems and networks - large and small - can be targets of cybercrime, yet, financial resources are declining and the pressures to increase efficiencies are top of mind. Creating a culture of cybersecurity in the workplace enables hospitals and medical centers to be resistant and resilient, and manage and mitigate cybersecurity risk across the enterprise. Our speaker will discuss: 
  • How to effectively reach and communicate with every employee from the break room to the boardroom and to cultivate a culture of cybersecurity.
  • Identifing the driving factors that impact behavior and how to effectively reach and communicate with diverse audiences about cybersecurity
  • Explain how to access and best utilize community resources and implement effective cybersecurity awareness programs
  • How to develop communication processes and programs to engage your board of directors, peers and the workforce
2:55 PM
The concept of risk exposure in cybersecurity is an ever-evolving challenge.  In a large-scale breach situation, the lines of liability can often be blurred providing providers to exposure to risk or legal entanglements depending on enterprise risk assessments and contract negotiations with vendor partners.
In this talk, hear from Health IT legal expert Gerard Nussbaum, as he reviews the top areas of consideration for legal risks and network risk assessment when partnering with new organizations.  Listen in to hear legal considerations around patient privacy, network liability, patching, and other critical aspects of cybersecurity-- ultimately developing a strategy for contracting a win-win partnership with technology partners.
3:15 PM
Legacy systems, from medical devices, to electronic health records, to billing platforms, each pose a unique security threat if left untested as a potential threat for breach.  There are the obvious security risks like Wired Equivalent Privacy (WEP) internet access, but what about additional legacy systems that will be unsupported is patched or upgraded beyond a certain point?  One of the biggest influencing factors of the WannaCry ransomware outbreak of May 2017, was this concept of legacy systems remaining unpatched past Windows XP, which opened the door for an exploit and propagation of the virus on a grand scale.
In this engaging panel discussion, we visit with a panel of top security experts as they explore the commonalities and risks among legacy systems.  Listen in as our panel defined which legacy systems are most at risk, which systems are commonly overlooked in evaluation, and what patching protocols are covered by existing vendor relationships.