2023-10-17 8:00:00
Golf (learn more)
Registration
Networking Reception
Registration
Breakfast and Networking
Opening Remarks & Keynote Presentation
Tech That Cares: Meeting Patients Where They Are
Speaker: Edward Marx, Chief Executive Officer of Marx Advisory Group
Mini Break
CIO Panel
Embark on a transformative journey with our Chief Information Officer (CIO) Panel as they delve into the dynamic realm of healthcare technology, exploring groundbreaking innovations and areas ripe for improvement. These seasoned leaders will unravel the strategies employed to navigate disruptions, addressing current challenges like workforce and staffing shortages. Gain insights into how these CIOs effectively communicate with colleagues seeking technology solutions, bridging the gap between tech implementation and its foundational understanding.
Looking to the future, the panel explores the critical topic of interoperability within their region and how care models must evolve to incorporate technology and AI while ensuring a human touch during the patient experience. The CIOs will share their vision for the future role of a CIO in the healthcare landscape. Join us for an illuminating discussion that bridges the gap between cutting-edge technology and the compassionate core of healthcare delivery.
Panelists:
Luis Taveras, PhD, Senior Vice President and Chief Information Officer, Lehigh Valley Health Network
Shakeeb Akhter, Senior Vice President, Chief Digital & Information Officer, Children’s Hospital of Philadelphia
Edmund Siy, Senior Vice President, Chief Digital & Information Officer, Hunterdon Health
Tom Gordon, Senior Vice President & Chief Information Officer, Virtua Health
Break and Networking
Breakout Sessions | Technology and Innovation in Healthcare Delivery
From 50 to 500 Patients Daily: Successfully Scaling Virtual Care
The nursing shortage impacts patient care and care delivery and is forecasted to be a consistent threat to the industry until after the year 2030. Throughout the country, strategic and innovative nursing care delivery models are being developed, piloted, and implemented to achieve high quality care that patients deserve while reducing the burden on clinical nurses. The implementation of a Virtual Acute Care Nurse (VACN) model has improved nursing workflow and satisfaction, patient experience, and other organizational outcomes. The VACN model allows experienced nurses to work in innovative ways, by using a bedside tablet with bidirectional communication capabilities. Beginning in July 2022, ChristianaCare created a roadmap to success by piloting VACNs to care for 50 medical and surgical patients, Monday through Friday, from 0700-1900. By June 2023, ChristianaCare had expanded this new technology and innovative care delivery model to impact over 500 patients, Monday through Friday, from 0700-1900 with further goals for scaling within the next year.
Speakers: Maria Brown, MSN, RN, PCCN, CNL, ChristianaCare and Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, ChristianaCare
Breakout Sessions | Healthcare Access and Equity
Is AI Helping or Hurting Health Equity? Yes, Let’s Discuss.
Purpose: This presentation serves as an introduction to health equity issues framed in examples relevant
to healthcare and patient care, intended to inspire attendees to care, provide links for further research, as
well as give a handful of concrete recommendations they can take home and do in their day jobs. It’s
intended for people new to the topic of health equity and new to AI/ML.
Summary: AI- and ML-enabled technologies are only as smart as the training and validation data they’re
built upon and the experience and internal biases of the researchers developing them. Historically, many
clinical care algorithms and decision tools included race as a determinant or as a factor to be “corrected
for”, often based on junk science, and often guiding decisions in ways that directed more attention and
resources to white patients. Unsurprisingly, AI algorithms developed and trained on biased care reflect
these biases in their results. But we’re getting better at questioning the science behind historical clinical
care algorithms and harnessing AI and ML-enabled tools to identify and mitigate health inequities and
disparities. We’re starting to know better, and it’s time to do better.
Speaker: Erin Sparnon, Senior Engineering Manager, Device Evaluation, ECRI
Breakout Sessions | Patient-Centered Care
Reviving the Code Narrator: Enhancing Patient Safety Through Streamlined Documentation
Accurate documentation of cardiopulmonary resuscitations is key from both a clinical quality perspective and medical legal liability perspective. Noting the importance of nurses documenting code events in the electronic medical record, Hackensack Meridian Health set out to improve the usability of the Code Narrator tool in their clinical documentation system. The team achieved a more streamlined and cohesive workflow by incorporating the feedback and perspective of their informatics and frontline nurses. As a method of tracking compliance and utilization, code events in the EHR monitored and areas of low compliance were reinforced with targeted educational interventions.
Speakers: Eric Jones, Director of Clinical Informatics for Hackensack Meridian Health; Stew Roberts, Epic Consultant for Hackensack Meridian Health; Lori Benedetti, Resuscitation Nurse Specialist, The Life Support Training Center at Jersey Shore University Medical Center and Keith Brigley, Team Lead Supervisor for the Epic ASAP team, Hackensack Meridian Health
Breakout Sessions | Future of Healthcare
The Future Of Healthcare Is Right Now And We Must Embrace It Urgently
The planet and its human population are facing polymathic challenges, be it war, climate change, prevalence of disease, or more. Consequently, there is an unprecedented opportunity to address both health and care. To do so, we must better understand the challenges so we can optimize the opportunities and deliver sustainable results.
Let us begin by identifying specific challenges that need to be prioritized. The 21st century has brought both critical challenges but also options to address those challenges.
So let us begin to explore our options to address these challenges.
Speakers: Rohan Kulkarni, Practice Leader Healthcare and Life Sciences, HFS Research
Lunch and Networking
Breakout Sessions | Technology and Innovation in Healthcare Delivery
Balancing Health IT Innovation, Information Blocking & Patient Privacy
As the healthcare industry marches rapidly forward to allowing more ‘open’ APIs with EMRs, custodians of PHI will lose even more control over who is gaining access to confidential patient data and where it is going. While privacy laws and security frameworks continue to offer guardrails to try and prevent misuse and breaches of health information, the cold, hard truth is that its increased prevalence in an electronic medium and being shared more openly and easily makes it inherently more vulnerable. Hacking incidents may result in sensitive information of individuals being obtained by the hacker and potentially ‘sold’ to other third parties. Breaches caused by use of online tracking technologies have led to patients’ individually identifiable data being ‘scraped’ up and shared with or even sold to third parties like Google and Meta. Finally, the impact of ChatGPT and how such AI will impact and even disrupt healthcare and privacy even further is just beginning.
A “share-don’t share” dichotomy has arisen with privacy law and health data. On the one hand, federal laws, such as HIPAA and 42 CFR Part 2, and state laws continue to require health care providers to maintain the confidentiality of health information and under many circumstances continue to not permit it to be shared with third parties without the prior written consent of the patient. On the other hand, the CURES Act, Information Blocking Rule and Interoperability Rules make it impermissible to “interfere with” the sharing of health data and can result in monetary penalties and other enforcement for violations.
This session will delve into how relevant privacy laws impact Health IT and health information sharing, and touch on “best practices” for common data sharing use cases. Attendees will have a better understanding of:
Privacy Laws & Confidentiality:
Required Information Sharing:
Use Cases:
Mobile Apps:
Can we use ChatGPT? Creating Privacy Policies, Terms of Use, and HIPAA considerations.
Speakers: Helen Oscislawski, Esq., Health Care Attorney
Breakout Sessions | Healthcare Access and Equity
Community Outreach – Helping Those Who Help Others
Lehigh Valley Health Network was recently awarded a grant to provide analytics to help community partners with the development/expansion of community programs. The Pool Center for Health Analytics was formed to provide analytics tools for community leaders to use. The Strategic Vision for this initiative includes the following:
Speaker: Lori Yackanicz, Vice President – Knowledge Management – Technology Division, Lehigh Valley Health System
Breakout Sessions | Patient-Centered Care
Implementing Sex, Gender and Names Functionality in an EMR
Numerous studies and healthcare equity initiatives have identified health disparities that exist within the
lesbian, gay, bisexual, transgender, queer, intersex and asexual + (LGBTQIA+) community. These
disparities have resulted in increases in the rate of certain medical and behavioral health conditions in
this population. Many LGBTQIA+ patients also express dissatisfaction and distrust of healthcare
organizations and workers. Virtua’s strategic goals and key missions include a focus on health equity, best
patient experience based on personalized care and improved patient outcomes.
The successful implementation of SGN functionality in the EMR greatly enhances the health system’s
ability to provide comprehensive, high quality and compassionate care to this population. The
functionality for supporting sex, gender, and sexual orientation across our Epic system creates an
opportunity to start an open and trusting relationship between providers and patients that will flow
through to every setting the patient enters throughout their course of treatment.
By consistently asking patients about their sex and gender-related information and by clearly recording
this information in the electronic medical record, Virtua will improve the care being provided to LGBTQ+
patients by ensuring that what is documented in the medical record matches the patient’s reality and by
creating a relationship of open sharing and respect where complete and accurate patient information is
consistently documented. This will also give providers and clinicians more information as part of their
standard workflows to utilize when interacting with and caring for patients, and on which to base clinical
decisions.
Speakers: Dawna Benanchietti, MSN, RN, Senior Clinical Informaticist, Virtua Health; Joesph Pettit and Claire Walton, Project Manager, Virtua Health
Breakout Sessions |Future of Healthcare
The Promise and Pitfalls of Virtual Reality Training
Virtual Reality (VR) has seen increasing interest in education and healthcare to simulate medical procedures and generate realistic patients. Integrating VR into the training of nurses is becoming more popular with a litany of commercial products available, or one can create custom-made VR productions to meet specific program objectives. Thomas Jefferson University’s Jefferson College of Nursing (JCN) prepares tomorrow’s nursing workforce. Merging VR into JCN’s well-established nursing simulation program was a logical alliance. Simulation principles can easily be adapted to VR. Real-life settings created for healthcare simulation can be recreated for VR virtual worlds. Filming a scenario using a 360-degree camera and viewing that film using a VR head-mounted display (HMD) creates an observational simulation for the learner. VR can also use live-action film with augmented reality overlays, making a 360-degree video interactive. By embedding objects or computer-generated images into a video or computer-generated image (CGI), objects can be manipulated with hand-held controllers or the participant’s hands during the simulation. Completely computer-generated VR is improving in realism and expanding its offering in all areas of healthcare education.
Jefferson College of Nursing acquired 50 Oculus Quest 2 head-mounted displays to kickstart a VR program for nursing education. An Insta Titan 360-degree camera was acquired to film high-definition video. The In the United States, incidents of mass casualty shootings have increased. The Gun Violence archives (GVA) reported a record 690 mass casualty shootings in 2021 and 647 in 2022. A mass casualty shooting is defined by the GVA as an incident that results in the shooting or death or 4 or more individuals not including the shooter(s). A mass casualty shooting can be considered a high-risk low- frequency event. After the Pulse Nightclub shooting it was determined that mass casualty events require extensive hospital resources, and recommends that all hospitals institute a plan to respond to these events. In this study, JCN created a series of 360 high-definition virtual reality videos for learners to observe a hospital’s response to a mass casualty shooting. A research study was conducted to determine if VR can improve knowledge acquisition of concepts related to a hospital’s response to a mass casualty disaster using a pretest/posttest strategy. Scores from these tests were compared to student satisfaction scores from a survey, the Simulation Effectiveness Tool – Modified (SET-M). The study was conducted with 97 nursing students over one semester in the student’s Population Health course. Data was collected over six days at the end of each simulation. Data analysis was completed during the following semester.
Speakers: Carol Okupniak, DNP, RN, BC-NI, Director of Simulation at the Center for Advanced Education, Simulation, and Innovation (CAESI), Thomas Jefferson University
Mini Break
Breakout Sessions | Technology and Innovation in Healthcare Delivery
Prior Authorization for Burden Reduction CMS Regulation – Payer Provider Collaboration
Jefferson Health Plans is an integrated health plan and a part of Jefferson Health System with 300K members spread
across NJ, DE and PA.
The session will look to present a comprehensive introduction to the topic of Burden Reduction Regulation, with a
specific focus on the usage of Coverage Requirements Discovery (CRD), Data Requirement Lookup (DTR), and Prior
Authorization Support (PAS). We’ll look to delve into the issues with the traditional burden-laden systems in healthcare,
the regulatory requirements, and the emerging needs for more efficient processes. It will set the context of the
complexities involved in prior authorizations, the problem of interoperability, and the consequent need for more
streamlined, automated processes.
Ultimately we’ll cover specific data points that expand on how these methods could result in reduced administrative
costs, increased provider satisfaction, faster turnaround times for prior authorization approvals, and overall improved
efficiency. We’ll hope attendees walk away understanding the significance of these innovations for the healthcare sector,
and how the automation of prior authorizations using CQL, CRD, DTR, and PAS has the potential to redefine industry
standards.
Speakers: Rakesh Mathew & Dinil Devassey
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Breakout Sessions | Healthcare Access and Equity
Addressing SDOH Using an Innovative Data Strategy, AI and Machine Learning
A stand-alone 400 bed teaching hospital, driven by the Catholic ministry serves to address the social determinants of health in its most vulnerable patient population. 60% of the health outcomes of individuals are attributable to social and environmental factors, and individual behavior compared to 10% which is attributed to healthcare interventions. The main problem is being able to screen and help patients with limited time and resources. Due to high volume in the adult clinic, screeners are unable tosee every patient between clinical workup and provider intervention, so a tool was needed to better risk stratify these patients, to prioritize those who needed social services the most. The tool, called Jvion Individual level insights is powered by datasets from the US Census Bureau, Dept of Agriculture, Dept of Housing and Urban Development, the EPA, CDC and National Provider Identifier.
The hospital screened 2400 individuals in 12 months using the PRAPARE screening tool in the outpatient EMR to better identify those that would benefit from connecting with local social support organizations. In addition, the organization partnered with an AI driven tool that leverages large publicly available datasets in order to risk stratify patients in to high and medium risk categories, who may benefit from further screening and intervention with social support services. The organization also may benefit from further screening and intervention with social support services. The organization also leveraged other IT solutions to help this population including Roundtrip and Uber Health, to facilitate patient transportation, used ride data to advocate for augmentation of county transportation services. Simultaneously decision support helped identify areas of focus to reduce the percentage of individuals who select “other” or declined to answer race and ethnicity questions at registration. Getting clean, digestible data by 2024 has been a key driver in our population health strategy. The large dataset generated also gives administration a bird’s eye view of issues faced by the population that can be focused on for future improvements. CMS is also working towards changing reimbursement of hospitals based on identified social determinants of health, using z-codes. We hope to be ahead of the curve by the time that policy change occurs.
Speakers: Ishani Ved, Director Transformational Population Health and Outcomes, Saint Peter’s University Hospital
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Breakout Sessions | Patient-Centered Care
Implementation of a HIPAA Compliant Messaging Service for Clinicians and Non-Clinicians
Penn Medicine- A large, multi-hospital healthcare system including inpatient, outpatient, and home care service lines
Chester County Hospital (CCH)- A part of Penn Medicine, CCH is a 329-bed inpatient complex with on-site outpatient
services like OB-GYN clinic, radiology, and pre-admission testing.
In May 2023, our health system sunsetted our third-party vendor secure text messaging software and implemented our
EHR’s HIPAA compliant secure text messaging functionality. Prior to this transition, each hospital within our health
system of hospitals utilized varying applications or processes for text communications with varying frequency.
Recognizing the need for consolidation of resources and standardization of tools used to support both patient safety and
efficiency, and while harnessing the capabilities of our robust EHR, our health system migrated to this new service with a
few key considerations. As the landscape of healthcare grows more technically advanced, we must remember that the
needs of our patients are not solely provided at the bedside. As our CEO frequently states – “We all work in one
department – The Department of Patient Care”.
In order to provide the highest quality of patient care, we must consider the unique needs for all who impact the
environment of the patient. Hence, prior to the conversion, our hospital had adopted one HIPAA compliant secure text
messaging application that was accessible for both clinicians and non-clinicians. Our goals were to ensure that this
philosophy remained intact throughout the transition, that non-clinicians would be able to access the EHR embedded
tool (i.e. Environmental Services, Plant Operations, Security, Dietary, Interpreter Services, etc.), and to retain one single
tool for all secure text communication across the hospital. To meet this goal, our team advocated for comprehensive
access for all users, with tiered levels of security access to the EHR based on their role.
As we’ll discuss, Informatics plays an integral role in the implementation and transition to an EHR-integrated secure
messaging system. Our team served as liaison between all departments, whether clinical and non-clinical, and the build
and project management team. We identified the need to include non-clinical staff, to provide role-specific education,
and to create accessible information, like single page tip sheets and physical posters. We identified discrepancies
between the expected security access need and the actual security access need and facilitated changes in access for
entire departments.
Speakers: Meaghan Harper, PT, DPT, GCS, Clinical Informaticist, Penn Medicine; Patti Montella, BSN, RN-BC, EPIC Certified Clinical Informaticist, Penn Medicine
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Breakout Sessions | Future of Healthcare
Moxi
We are at a crossroads in healthcare seeking ways of doing the work of providing excellent care to our patients.
We can all agree we should be looking out of the box to solutions that are innovative and progressive, saving time
and our most valuable resource, our staff. We know nurses spend over 30% of their time hunting and gathering
supplies and equipment, this is the main function of a cobot. How can a cobot do this in the most streamlined
fashion? This is the question the project team set out to develop and why the ANF awarded the group $1.5M to
study this method.
Taking these ideas and applying technological solutions such as API to communicate from the electronic record to
a cobot is this type of innovative solution. How can we keep nurses at the bedside caring for our patients. We
know from research patient outcomes are better when the nurses are close and have their eyes on the patient, so
it only makes sense we deploy a cobot to do those errands and allow the nurse to work at the top of their license.
Speakers: Katherine A. Collard, MS, RN-BC, NP (NYS), Chief Nursing Information Officer Information Technology, ChristianaCare
Break and Networking
Keynote Session
Healthcare’s New Promise: Generative AI
As healthcare continues to evolve, organizations are investing in new frontiers through the power of generative AI. The explosive growth of foundation and large language models, such as OpenAI’s GPT-4, points to a future in which clinicians, patients and other personas are empowered with personalized medicine, clinical decision support, increased patient access, and workforce optimization. But while the overarching promise for the future of generative AI in healthcare is clear, the applications in our current workflows are far less understood.
During this session, Jake shares the evolution of this new class of AI, and a number of “Co-Pilot” cases in use today where context-aware, learning AI models are generating solutions to healthcare’s biggest problems.
Speaker: Jake O’Leary, CVP Healthcare Solutions, Azure Cloud & AI, Microsoft
Reception and Networking
Registration
Breakfast and Networking
Nursing Leadership Panel
Immerse yourself in a dynamic and insightful Nursing Leadership Panel that confronts the current challenges in healthcare with a keen focus on the pivotal role of Nursing Leadership with both Clinical Operations and Technology. Delving into the intricacies of healthcare today, the panel explores workforce challenges and unveils innovative solutions driven by both technology and dynamic strategies that seek to answer today’s current challenges. The discussion will span topics such as budgetary constraints faced by smaller organizations, Inpatient Virtual Nurse Programs, Hospital at Home Programs, and Enhanced Discharge Programs as well as the rapid pace of technological advancements and how to enhance staff adaptability.
With an alarming trend of nurses leaving or retiring early post-Pandemic, the panel addresses the pressing need for 8.4 million nurses by 2030. Explore how our local leaders are creating opportunities to address challenges in nursing while also seeking to meet patients where they are!
Panelists:
Katherine A. Collard, MS, RN-BC, NP (NYS), Chief Nursing Information Officer Information Technology, ChristianaCare
Elizabeth (Betty) Craig, DNP, RN, FACHE, Senior Vice President and Chief Nursing Officer, Main Line Health
Marianne Everett, DNP, RN, NEA-BC, AVP IT Enterprise Clinicals & CNIO, Virtua Health
Mary Jo Louglin, DNP, RN, NEA-BC, Chief Nursing Officer & Senior Vice President of Patient Care Services, Hunterdon Health
General Session
Interoperability in NJ: A Roadmap
This presentation is a joint effort between three organizations: NJII, NJDOH, and NJDHS DMAHS. New Jersey Innovation Institute (NJII) was founded in 2014 and combines the vast resources of NJIT, strong industry and government relationships, and proven methods to drive innovation and deliver transformative products and services. NJHIN is managed by the healthcare division, one of four divisions within our organization.
The New Jersey Department of Health (DOH) oversees numerous types of health facilities in the state including hospitals, family planning facilities, drug abuse treatment centers, and more. The New Jersey Department of Human Services (NJDHS) Division of Medical Assistance and Health Services (DMAHS) administers the state-and federally- funded Medicaid program for certain groups of low to moderate income people. While these three organizations all play a different part in providing healthcare to the people of New Jersey, we all have the same goals in mind: Enhance interoperability, reduce healthcare costs, and expand the accessibility and ease of use of healthcare programs to benefit both providers and patients. NJII, NJDOH, and NJDHS DMAHS collaborate to support and continue developing the NJHIN. The NJ Department of Health sets the strategic direction for the state for healthcare interoperability, provides funding for NJHIN initiatives and provides overall oversight of the NJHIN.
The Department of Human Services develops and funds NJHIN initiatives which promote interoperability and improve the health of residents of the state focusing on those in the Medicaid population.
NJII is the State Designated Entity to carry out initiatives and support the NJHIN on behalf of the State of NJ. In 2018, Governor Murphy highlighted the NJHIN as a priority, accelerated expansion throughout the state, and mandated ADTs for hospitals, Long Term Care facilities (LTCs), and childcare funding. The following two years involved increased funding for the network, increased use-cases due to COVID-19, and mandatory ADTs and CCDAs for long-term care facilities. In 2022, NJII and its key implemented systems received HITRUST Risk-based, 2-year (r2) certification – the highest certified assurance status available for information security by HITRUST – allowing for increased funding and an acceleration of provider/facility uptake.
Most recently this year, the division also achieved Centers for Medicare & Medicaid Services (CMS) Medicaid Enterprise System (MES) certification, qualifying NJII the potential to receive Medicaid cost allocated federal matching dollars to continue funding for the Health Information Network and ensure that services and operations continue.
As we move into the years ahead, our main goal is to continue to build and expand the NJHIN through multiple methods including but not limited to connecting bi-directionally to the NJHIN, which will allow for a faster and more efficient transfer of PHI between entities. We also plan on expanding Acute Care Facility access to include CCD and MPI, and we are working on connecting 120 ancillary facilities to the network. The NJHIN will also continue to grow as we add more LTC facilities, Acute Care Facilities, and hospitals to the network, and continue to provide new use cases and enhance functionality. NJII is closely following the evolution of TEFCA and will assess the appropriateness of participating with a QHIN, which could offer NJ providers the option to access the TEFCA national network as a sub-participant of NJHIN.
Speakers: Jennifer D’Angelo, General Manager & Senior Vice President of New Jersey Innovation Institute; Carrie Ivler, State of NJ HIN Director; Herminio Navia, Program Director of Medicaid Enterprise Systems
Keynote Session
Healthcare Strategy in a Digital World: A Systems Perspective
Speaker: Michael Apkon, MBA, MD, PhD, President, Sand Street Advisors
Closing Remarks and Giveaways
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