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Medical Informatics and the C-Suite: Aligning Forces to Positively Affect Patient Care
Session #63, February 21, 2017
• Richard Gibson, MD, Executive Director, Health Record Banking Alliance @RichardGibsonMD
• Howard Landa, MD, Chief Medical Information Officer, Alameda Health System @cmio_Landa
• Luke Webster, MD, Chief Medical Officer, JVION @LukeWebsterATL
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Speaker Introduction
Richard Gibson, MD @RichardGibsonMD
Exec Director-Health Record Banking Alliance
• Family physician and emergency physician
• Medical Informatics PhD – Univ of Utah & Intermountain Healthcare
• CMIO 11 years – Providence Health System, Oregon Region, Portland
• CIO 3 years – Legacy Health, Portland
• Chief of Healthcare Intelligence 3 years – Providence Health & Services, Renton WA
• Analyst 1 year – Gartner Inc.
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Conflict of Interest
Richard Gibson, MD
Has no real or apparent conflicts of interest to report.
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Speaker Introduction
Howard Landa, MD @cmio_Landa
Chief Medical Information Officer
Alameda Health System
• Physician, Board Certified Pediatric Urologist
• Medical Informatics/CMIO roles since 1995
– Loma Linda University, Kaiser Hawaii, Alameda Health System
• Association of Medical Directors of Information Systems (AMDIS)
– Vice Chair and Annual program director 1998-present
• AMDIS/HIMSS Physician Community Chairman 2011-13
• Vendor Advisory Boards (KLAS, Imprivata, First Data Bank, Nuance, etc.)
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Conflict of Interest
Howard Landa, MD
Has no real or apparent conflicts of interest to report.
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Speaker Introduction
Luke Webster, MD @LukeWebsterATL
Chief Medical Officer
JVION [email protected]
• Physician, trained and board certified as adult psychiatrist
• Kaiser Permanente Clinical and Informatics leadership 11 years
• Informatics Consulting 3 years
• CMIO 6.5 years CHRISTUS Health
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Conflict of Interest
Luke Webster, MD
Has no real or apparent conflicts of interest to report.
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Agenda
• HIT and Modern Healthcare
• How has the role of CMIO evolved?
• Why you should have a clinical informatics leader in the C-Suite
• Strategic benefits of having a Clinical Informaticist in the C-Suite
• Tactical benefits of having a Clinical Informaticist in the C-Suite
• Clinical informatics and organizational size and structure
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Learning Objectives
• Discuss the ways the medical informatics profession has evolved
• Identify how medical informatics professionals and organizational leadership can work together to support and advance organizational goals
• Describe the importance of medical informatics in achieving the changing care delivery paradigm
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Medical Informatics and the C-Suite: Aligning Forces to Positively Affect Patient Care
Health Information Technology has evolved from billing and scheduling systems to those that support clinical operations and improve the quality and safety of Healthcare. In that process, medical informatics is key to delivering on the value promise of HIT by supporting the quality and safety of clinical evaluation and treatment and engaging populations of people in their care by providing secure and timely information.
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HIT and Modern Healthcare
• Cross sectional imaging
• Digital radiology and PACS
• Physiologic monitoring
• EHR
• Data and analytics
• Mobile healthcare (both patient and clinician)
• Precision medicine
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How has the role of CMIO evolved?• What’s in a name
– Physician Champion
– Medical Director of Informatics or Medical Director of Information Services
– Chief Medical Information (or Informatics) Officer (CMIO)
– Chief Health Information (or Informatics) Officer (CHIO)
– Chief Clinical Information (or Informatics) Officer (CCIO)
• Role Evolution
– Chief Data Officer
– Chief Innovation Officer
• Organizational Needs Evolution
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Why you should have a clinical informatics leader in the C-Suite
• The art and science of medicine
• A provider’s judgment AND intuition
• Face-to-face clinical interaction with patients
• Quadruple Aim
– Improving population health
– Improving patient experience
– Decreasing the per capita cost of care
– Improving clinician experience
• Workflow knowledge
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Strategic benefits of having a Clinical Informaticist in the C-Suite• Planning for value-based payment
• Relationships with accountable care organizations
• Data analytics: quality and cost outcome metrics
• Enhancing patient engagement and empowerment
• Overseeing the benefits realization from EHR investment
• Managing down unwarranted clinical practice variation
• Understanding clinical and financial risk, and setting expectations on practice change
• Strategic planning
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Tactical benefits of having a Clinical Informaticist in the C-Suite
• System optimization for quality and safety
• Enhancing provider engagement and satisfaction
• A second (after CMO) emissary to clinical staff
• Ambassador to private physician partners
• Assuring interoperability
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Clinical Informatics and organizational size and structure
• Ambulatory vs. inpatient
• Single facility vs. integrated delivery system
• Fee-for-service vs. value-based payment
• Academic / Safety-net / For-profit
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Health Information Technology has evolved from billing and scheduling systems to those that support clinical operations and improve the quality and safety of Healthcare. In that process, medical informatics is key to delivering on the value promise of HIT by supporting the quality and safety of clinical evaluation and treatment and engaging populations of people in their care by providing secure and timely information.
Medical Informatics and the C-Suite: Aligning Forces to Positively Affect Patient Care
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Questions?
Richard Gibson, MD, Executive Director, Health Record Banking Alliance @RichardGibsonMD <[email protected]>
• Howard Landa, MD, CMIO, Alameda Health System @cmio_Landa<[email protected]>
• Luke Webster, MD, CMO, JVION @LukeWebsterATL<[email protected]>
Please remember to complete the online session evaluation. Thank you!