11:00 a.m.

Complexity of data and metadata for querying across heterogeneous databases, especially for translational research

Geoff Manley

Site Visit on January 14, 2008 (PAMF, Palo Alto, California)

12:35 p.m.

Palo Alto Medical Foundation

Welcome and introductions (including working lunch)

Paul Tang

1:00 p.m.

Walk-through of ambulatory care setting

Steve Hansen

1:30 p.m.

Discussion of physician workflow challenges in EHR implementation

Paul Tang, Albert Chan, Charlotte Mitchell

2:30 p.m.

Pitfalls of deriving quality measures from EHRs

Paul Tang, Tomas Moran

3:45 p.m.

Billing and administrative costs from care

Gil Radtke, Neil Knutsen

4:15 p.m.

General discussion

4:45 p.m.

Adjourn information-gathering portion of meeting


For each site visit, the committee sought to:

  • Observe the best of what the site had been able to achieve.

  • Ask about what the site needed but did not have.

  • Obtain site input on the gap between needs and the state of the art of the health care information technology industry.

  • Identify, clarify, and categorize “pain points” for the site.

  • Identify where improvement is possible through application of existing knowledge and where further research is needed.

To preserve face time for interactive questions and answers, each site host was asked to provide as much background as possible as pre-visit reading material. Hosts were requested to limit formal presentations to a

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