Wednesday, October 11

8:20am Chairperson’s Remarks
Alan Boucher, Director of Worldwide Healthcare Architecture, Strategy and Platform Development, Digital Health Group, Intel Corp.

 

KEYNOTE PRESENTATION

8:30 Medical Device Interoperability: Enabling Improvements in Safety and Efficiency in Support of the National HIT Mission Julian M. Goldman, M.D., Program Director, Medical Device “Plug-and-Play” Interoperability Program at CIMIT and Massachusetts General Hospital, and Physician Advisor to Partners HealthCare Biomedical Engineering  Medical devices are essential to the practice of modern medicine. Physiologic measurements of blood pressure, oxygen level, and body weight; acquisition of x-ray and ultrasound images; and support of breathing and heart rate, are all routine procedures that require the use of medical devices. However, despite our growing reliance on sophisticated medical devices, each device stands alone as an island making it difficult to bring together multiple devices into interoperable systems to improve patient care and to avoid unnecessary accidents. An open interoperability framework to support medical device data communication and device control is necessary to create accurate and complete electronic health records, error-resistant medical device systems with safety interlocks, effective clinical decision support tools, and decrease the total cost of ownership of networked medical systems.

Speaker Discussion

9:00 Medical Device Interoperability and Acute Instrument Control • Why do we need this? How can medical device interoperability and acute         instrument control improve the quality and efficiency of healthcare? • Where is the greatest bang for the buck? What is the priority order of     interoperability and control-related problems for the healthcare industry to     tackle?  • How do you see vendors and healthcare institutions collaborating to develop and     support interoperability standards? (Is it in vendors’ interests to work together to     make interoperability a reality?) • What can the users of medical devices do today and how can they be agents of     change? Panelists: David Whitlinger, Director of Health Device Standards and Interoperability, Intel Corp. and Continua Health Alliance Ken Fuchs, Director of Clinical and Systems Engineering, Dräger Medical, Inc. Jeff Robbins, Chief Executive Officer, LiveData, Inc.

Speaker Discussion

9:45 Health Care Interoperability & Integration: Challenges and Issues • Managing competing standards • Role of web services and XML in interoperability • Linking private vs. public processes • Leveraging new technology with legacy operations Panelists: David A. Epstein, Director, Public Sector Solutions, IBM Software Group  John S. Celi, Senior Architect, Accenture  Rey Currie, Vice President, Product Management, Integration Solutions Quovadx  Gurujeet Khalsa, Federal Healthcare Architect, Microsoft Corporation  Tom Jones, Chief Medical Officer, Tolvenhealth

10:30 Coffee Break, Poster & Exhibit Viewing (Sponsorship Available)

11:15 Chairperson’s Remarks
Glen Vaughn, D.B.A., Chief Technologist, Medtronic Microelectronics Center 

11:20 Patient Centric Healthcare as a Catalyst for New Business Models
Dr. Joseph Jasinski, Senior Manager, Compuational Biology Center, IBM TJ Watson Research Center 
Financial considerations along with regulatory, health and consumer-driven goals are driving the healthcare industry toward adoption of electronic information with easy secure access. The first benefits to be reaped from this transformation will be improved healthcare, increased patient safety and decreased costs. And we are certain to see additional benefits. Markets of health information will develop from the availability and mining of health information in curative, preventive and wellness activities across traditional and nontraditional ecosystem participants. The emergence of new businesses with new business models is already evident both in the United States and elsewhere. We can expect that additional innovation in business models will form around electronic health records and other health information as consumers use this information in as yet unanticipated ways. There are major opportunities for secure IT infrastructure providers and new services in this field. 

11:50 Ethical Challenges with Global Digital Healthcare
Jerry C. Collins, Ph.D., Research Associate Professor of Biomedical Engineering, Vanderbilt University 
Digital health is a promising, challenging frontier. Access to RFID, monitoring and databasing technology holds promise to the individual for more comprehensive medical knowledge, possibility of preventive and earlier interventions, and lower-cost health care, and in general freer, healthier, more carefree living. These technological advances also raise fears of loss of privacy, less free living, discovery of uninsurable disease and genetic conditions. Challenges to the emerging digital health industry involve educating the public and the health care community about the benefits and risks of digital health and charting a course that maximizes the risk/benefit ratio in a way that generates enthusiasm and eventual adoption by public and private sectors.

12:20 Reliability Assessment of Life Sustaining Medical Electronics
Anthony Primavera, Ph.D., Senior Advisor, Advanced Process Development, Boston Scientific - Cardiac Rhythm Management
While military, aerospace and automotive electronics must endure extreme end use conditions, few applications require a more robust overall product reliability than life sustaining medical products. Life sustaining medical / implantable devices have extremely high demands placed on them for very obvious reasons: They sustain a person’s life. Therefore, the products must work consistently for long periods of time (in many cases > 10 years) without the benefit of downtime, battery recharging, or repair. In addition, the products should not cause patients adverse effects under any circumstances. While the implantable electronics device enjoys one of the most benign end use environments (37C)+/- 2 degrees, the overall reliability concerns are extremely high. Patients expect and deserve to lead a healthy and active life after receiving an implanted device. To further complicate matters, each patient provides a unique set of needs and requirements. Examples of unique needs includes product therapy, patient age, weight, activity level, living environment, and regional / country regulatory requirements. In an attempt to ensure a robust product, extreme reliability and process testing is required to prove long term reliability. This presentation discusses reliability requirements and approaches to assess long term robustness of implantable medical devices.

12:50 Lunch on Your Own (Luncheon Workshop Sponsorship Available)

2:00 Mobile Device Selection and Methodology
Ken Bobis, Ph.D., Chief Technology Officer and Director, Development & Software Engineering, Mayo Clinic 
The Arizona campus of Mayo Clinic is implementing Computerized Provider Order Entry (CPOE) in the summer of 2006. In preparation for this implementation, we have conducted a project to select mobile devices for the hospital stall. This included a usability lab and field test, supported by user requirements and participant surveys. The project culminated in the selection of two mobile devices which will be offered to staff. Due to the rate of change, this decision will be reviewed periodically to ensure the best device for this critical health care function. 

2:30 Medical Records in your Pocket: Integrating Personal Health Information with Electronic Medical Records using an iPod®
David Kibbe, M.D., M.B.A., Director, Center for Health Information Technology, American Academy of Family Physicians
We will present a scenario where patients can better manage their own care and providers can eliminate unnecessary treatment by using PHR and EMR applications with standard file formats and making medical information available for transport on a patients iPod. This example will demonstrate the need to adhere to standards for data interchange and push the limits of integrating (and gaining control over) patient information from the home to the office and beyond. Using accepted standards and readily available technology, we believe this integration concept can improve patient compliance in the management of their own conditions and give practitioners more actionable information to improve patient care.

3:00 Refreshment Break, Poster & Exhibit Viewing (Sponsorship Available)

3:30 Chairperson’s Remarks
Mark N. Blatt M.D., M.B.A., Director of Global Healthcare Strategies, Digital Health Group, Intel Corporation

KEYNOTE PRESENTATION

3:35 Extending Chronic Patient Care to the Home Joseph C. Kvedar, M.D., Director, Telemedicine, Partners HealthCare System, Inc., and Vice Chair, Dermatology, Harvard Medical School “Connected health” is imperative for adopting connected health strategies today. Connected Health focuses on patient-centric care, delivering quality healthcare where and when it is needed. Best practices in this nascent industry will be discussed, including some at Partners, and how they are fundamentally changing the way care is delivered. In addition to best practices, an overview will be given of most significant barriers to adoption, and what is being done to mitigate those barriers.

4:50 Integrating Consumers as Executives into the Decision Making Process and as Key Drivers in Healthcare Decisions
M. Carolina Hinestrosa, M.A., M.P.H., Executive Vice President for Programs and Planning, National Breast Cancer Coalition, Philadelphia 
Describe a model of consumer advocate involvement that has sparkled significant increases in federal funding of research, successfully challenged traditional mechanisms of funding and decision making, and improved public policy to guarantee access to cancer care for thousands of uninsured.

5:20 Conference-Wrap Up
Celeste Null

5:35 Close of Conference