Advancing EHR: ACMIs Agenda for Action

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Advancing EHRACMIs Agenda for Action

• Blackford Middleton
• Ed Hammond
• Patti Brennan

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Sunday Morning

• 800-845 Self-selected small group discussion
• 850-930 Eds Top 10
• 930 -10 Break
• 1030-1115 Groups report out
• 1115-12 Discussion and Direction

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Charge to the Small Groups

• How can ACMI as an organization stimulate
  adoption of EHR by mitigating restraining factors
  or enhance driving forces in ___________?
  (policy, market, technology, practice,
  education, finance incentives, knowledge
  management)
• Create a list of 3-4 actions for ACMI

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Nominees for Group Facilitators

• Finance Incentives Homer CHin
• Clinical Practice Models Les Lenert
• Information Technology Helly Ortner
• Knowledge Management Blackford Middleton
• Health care marketplace Don Detmer
• Education Julie Mc Gowan
• Policy Mark Overhage

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Just how did we get here?Historical and
political context of the EHR

• Patti Brennan

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What can ACMI do to advance adoption of the
EHR?
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Education
What can ACMI do to advance adoption of the
EHR?
Technology
Policy
Knowledge Management
Health CareMarketplace
Practice
Finance Incentives
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Education

• Work with educational establishment
• Undergraduate
• Partnerships between Industry and schools to
  create simulation labs
• Change culture in schools -- implement MSOP,
  other programs
• Work with LCME/AAMC/NLN to require exposure to
  EHR in undergrad programs
• Graduate CME
• Specialty boards mandate all CME in 5 years to be
  embedded in EHR
• Work with BME to build EHR training into
  competencies

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Education

• Create speakers bureau to present at national
  meetings
• Mentor champions, invite to established sites
  of excellences
• Create PR programs to educate public
• Got EMR and other public service announcements
• Full-length programs on PBS, Discovery, History
  Ch
• ACMI grant from RWJ
• Leverage Pharmaceutical groups
• Target AARP
• Road trip to compare systems

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Practice

• 5-year plan or vision for ambulatory records
• ACMI awards
• Success stories in ambulatory systems/change/safet
  y
• Woods Hole-like meeting for CEO, CMO
• Get our experts in contact with change agents
• Target patient group publications with articles
  on importance of computer records
• Other patient strategies

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Finance Incentives

• Lobby for government to require a certain data
  set for higher reimbursement using a minimum
  level of technology
• A white paper to clarify Stark and what hospitals
  and other organizations can do to support
  physician use of information technology
• Support building standard interfaces that allow
  matching patients across organizations

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Knowledge management

• Make the concepts of the benefits of Knowledge
  Management
• Define, clarify, communicate
• How is it impeding progress challenges, EMR
  adoption
• share best practices, brainstorm or common
  reference
• Open source knowledge library
• Clarification
• Knowledge taxonomy (/ MESH)
• Ontology (/ SnoMED)
• Organization
• representations
• Coordination

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Health Care Marketplace

• ACMIs contribution Education -gt marketing
• The message
• Your health and information -- anywhere,
  anytime, as you want and need it!
• Consumers and their proxies
• Include patients as E-Health users
• Pt Advocacy Groups
• Pts Illness/Wellness
• AARP
• Readers Digest, Press Releases

Open Access
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Health Care Marketplace

• Media
• Pro bono firm support to build strategy
• Vignettes
• Public Policy Markets
• Joint with AMIA?
• Other lobbying (needs discussion)
• Silent brokers to
• Consultants
• Companies

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Technology(includes security, vocabulary, etc)

• Support functional demonstrations
• Benchmark development
• Staged and progressive
• Open source reference implementation
• Test suite, continuing education
• Bake-Off
• Conformance validation
• Promotion and education
• Model RFPs
• ACMI convenes stakeholders

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Policy

• Educate administration
• Key individuals
• Doug Badger - White House Domestic Policy
• Alan Gilbert - HHS liaison
• Rex Cowdry, MD - Council of Economic Advisors
• Congress
• Hillary Clinton
• Christiana
• Frist
• Johnson
• Support for legislation

Messages InformaticsNHII Journal
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Policy

• Government-wide coordination
• Office -gtSecretary
• Community of Practice Consortium
• Coordinated LHII
• Open Standards
• Data Elements
• Knowledge Reports
• NHII Services
• Financial Incentives