2023 Agenda

Golf  (learn more)

Registration

Networking Reception

Registration

Breakfast and Networking

Opening Remarks & Keynote Presentation

Mini Break

CIO Panel

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, 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 

Speakers: Maria Brown, MSN, RN, PCCN, CNL, ChristianaCare and Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, ChristianaCare

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.

Breakout Sessions | Healthcare Access and Equity

Is AI Helping or Hurting Health Equity? Yes, Let’s Discuss.

Speaker: Erin Sparnon, Senior Engineering Manager, Device Evaluation, ECRI

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.

Breakout Sessions | Patient-Centered Care

Reviving the Code Narrator: Enhancing Patient Safety Through Streamlined Documentation

Speakers: Eric Jones, Stew Roberts, Lori Benedetti & Keith Brigley

Breakout Sessions | Future of Healthcare

The Future Of Healthcare Is Right Now And We Must Embrace It Urgently

Speakers: Rohan Kulkarni, Practice Leader Healthcare and Life Sciences, HFS Research

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.

1. Climate change: Irrespective of one’s views on the cause, there is little denying that climate is changing. We see it in the seasonal schedule being upended, climate events like hurricanes, floods, famine, etc. becoming even more severe, and parts of the planet beginning to become unlivable either because they are sinking, or it has become too hot.
2. Prevalence of diseases: According to the CDC, 6 in 10 in the US suffer from a chronic condition. In addition, lifestyle choices and overall declining levels of nutritional value in foods we consume are going to continue to put our health in jeopardy.
3. Shortage of clinicians: Multiple estimates indicate that the US will see a shortage of hundreds of thousands of clinicians over the next decade. There could not be a more perfect storm as the country’s senior population grows while the prevalence of chronic conditions increases.
4. Increasing costs: The costs of staying healthy and treating disease continues to grow faster than inflation. Insurance benefits continue to dilute and or, co-pays increase as a gimmick to reduce monthly premiums. All these challenges are a present and clear danger to human health. The urgency to address these challenges has never been greater because one cannot wait for tomorrow, for tomorrow these challenges are only going to be exacerbated.

So let us begin to explore our options to address these challenges.

1. Evangelize health and preventing disease: We need to frame a fresh paradigm that is biased on health. This includes starting early in school with both education and a healthy school lunch. Enterprises must drive innovation and expand programs that reward its employee for the number of steps they take per day which lowers pollution and drives health.
2. Hail to the kale eaters: There must be a public-private effort in remediating food deserts. Clinicians must consider prescribing food as part of their therapy as done at Geisinger, in Allentown, PA. While cultural bias towards high cholesterol and high-sugar foods cannot be eliminated in the near term, there must a conscious effort to moderate them. Such efforts can begin to address the prevention of disease as much as maintaining health.
3. Smart technology enablement: Consider the expanded use of consumer wearables to drive “need-based care” vs. “want-based care”. Those with chronic conditions can be helped with better management while ensuring the limited clinical resource pool is optimized.
4. Lastly but perhaps more important is how we pay for the solutions being considered.

Lunch and Networking

Breakout Sessions | Technology and Innovation in Healthcare Delivery

Balancing Health IT Innovation, Information Blocking & Patient Privacy

Speakers: Helen Oscislawski, Esq.

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:

• The current state of the HIPAA Privacy Rule and 42 CFR Part 2, including recent proposed & enacted amendments to such laws.
• Relevant HIPAA enforcement and guidance, including risks associated with the implementation and
• use of online tracking in technologies and how they can be managed.
• FTC regulation of and enforcement against mobile App vendors and vendors of “Personal Health
• Records” — should health care organizations be concerned?
• CCPA and beyond – the current state of data privacy laws in 50 states and why health organizations
• that use Health IT must be aware of these laws in other states.

Required Information Sharing:

• How the Information Blocking Rule requires sharing of electronic health information (EHI), and the
• status of enforcement for noncompliance.
• How the EHI Export deadline will require data sharing by December 31, 2023 (and are you ready?).
• Other impacts of the CURES Act and Interoperability Rule on required data sharing.
• Status of TEFCA and QHINs – are health organizations required to join?

Use Cases:

• Patient Portals
• Consent Required: how to decline a request for EHI on privacy grounds

Mobile Apps:

• Differences between patient-facing, provider-facing and third-parties
• Vetting mobile Apps for privacy practices & security – what is allowed?

Can we use ChatGPT? Creating Privacy Policies, Terms of Use, and HIPAA considerations.

Breakout Sessions | Healthcare Access and Equity

Community Outreach – Helping Those Who Help Others

Speaker: Lori Yackanicz, Vice President – Knowledge Management – Technology Division, Lehigh Valley Health System

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:

• Focus on community issues, including social determinants of health (SDOH) to understand and drive measurable improvements in the health of the community
• Build the technology foundation to define, collect, analyze, and share relevant community data to support improvements in the health of the community
• Apply modern analytics tools and approaches to define and integrate community data relevant to SDOH and related issues in an evergreen analytics foundation
• Engage and partner with community organizations to design leading-edge analytics capabilities that delivers actionable data and analytics at a community-level

Breakout Sessions | Patient-Centered Care

Implementing Sex, Gender and Names Functionality in an EMR

Speakers: Dawna Benanchietti, Joesph Pettit and Claire Walton

Breakout Sessions |Future of Healthcare

The Promise and Pitfalls of Virtual Reality Training

Speakers: Carol Okupniak, DNP, RN, BC-NI, Director of Simulation at the Center for Advanced Education, Simulation, and Innovation (CAESI), Thomas Jefferson University

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.

Mini Break

Breakout Sessions | Technology and Innovation in Healthcare Delivery

Prior Authorization for Burden Reduction CMS Regulation – Payer Provider Collaboration

Speakers: Rakesh Mathew & Dinil Devassey

Breakout Sessions | Healthcare Access and Equity

Addressing SDOH Using an Innovative Data Strategy, AI and Machine Learning

Speakers: Ishani Ved, Director Transformational Population Health and Outcomes, Saint Peter’s University Hospital

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.

Breakout Sessions | Patient-Centered Care

Implementation of a HIPAA Compliant Messaging Service for Clinicians and Non-Clinicians

Speakers: Meaghan Harper

Breakout Sessions | Future of Healthcare

Speakers:Katherine A. Collard, MS, RN-BC, NP (NYS), Chief Nursing Information Officer Information Technology, ChristianaCare

Break and Networking

Keynote Session

Reception and Networking

Registration

Breakfast and Networking

CNIO RoundTable

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, AVP IT Enterprise Clinicals & CNIO, Virtua Health
Mary Jo Louglin, Chief Nursing Officer & Senior Vice President of Patient Care Services, Hunterdon Health

General Session

Keynote Session

Closing Remarks and Giveaways