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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
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Appendix B

Workshop Agenda

DIGITAL DATA PRIORITIES FOR CONTINUOUS LEARNING IN HEALTH AND HEALTH CARE

An Institute of Medicine Workshop Sponsored by the Office of the National Coordinator for Health Information Technology

MARCH 23, 2012

KECK CENTER 500 FIFTH STREET NW, WASHINGTON DC 20001

A LEARNING HEALTH SYSTEM ACTIVITY IOM ROUNDTABLE ON VALUE & SCIENCE-DRIVEN HEALTH CARE

Meeting objectives

1.  Discuss the current quality status of digital health data.

2.  Explore challenges, and identify key questions related to data quality in the use of EHRs, patient registries, administrative data, and public health sources for learning—continuous and episodic—and for system operational and improvement purposes.

3.  Engage individuals and organizations leading the way in improving the reliability, availability, and usability of digital health data for real-time knowledge generation and health improvement in a continuously learning health system.

4.  Identify and characterize the current deficiencies and consider strategies, priorities, and responsibilities to address the deficiencies.

5.  Initiate the development of a strategic framework for integrated and networked stewardship of efforts to continuously increase digital data utility.

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
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Agenda

7:30 am Coffee and light breakfast available
 
8:00 am Welcome, introductions, and overview
Welcome, framing of the meeting and agenda overview

image  J. Michael McGinnis (Institute of Medicine)

image  Farzad Mostashari (Office of the National Coordinator)

image  James Walker (Planning Committee Chair)

 
8:15 am Characteristics, challenges, and determinants of data quality
 

image  Session Description: This session includes brief comments on the data quality challenges that lie ahead and a longer discussion of the characteristics and determinants of digital health data quality.

 

image  Key Topics:

image  Challenges on the horizon Doug Fridsma (ONC)

image  Characteristics and determinants of data quality Marc Overhage (Siemens)

 
  OPEN DISCUSSION
 
9:00 am Performance assessment
 

image  Session Description: This session focuses on the quality of digital health data needed to evaluate clinical care delivery, population management and the business and operating processes that make up a learning health system.

 

image  Key Topics:

image  Assessing value Carol McCall (GNS)

image  Managing populations and processes Mark Leenay (OptumHealth)

 
  OPEN DISCUSSION
 
10:00 am Break
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
10:15 am Enabling research
 

image  Session Description: This session focuses on the quality of digital health data needed to enable research.

 

image  Key Topics:

image  Clinical research Rebecca Kush (Clinical Data Interchange Standards Consortium)

image  Translational informatics Mia Levy (Vanderbilt)

 
  OPEN DISCUSSION
 
11:15 am Supporting public health and surveillance
 

image  Session Description: This session focuses on the quality of digital health data needed to support of public health functions, including surveillance.

 

image  Key Topics:

image  Public health surveillance and management James Buehler (CDC)

image  State-level perspective Martin LaVenture (Minnesota Department of Health)

 
  OPEN DISCUSSION
 
12:15 pm Lunch keynote
 
  Who is your customer?
James Heywood, PatientsLikeMe
 
1:00 pm Approaches to continuous improvement using large-scale datasets
 

image  Session Description: Session presentations will focus on the implications of digital health data quality on the potential for learning from large amounts of health data.

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
 

image  Key Topics:

image  Using distributed data/Query Health Rich Platt (Harvard) and Rich Elmore (ONC)

image  Data analysis and discovery of significant patterns David Madigan (OMOP/Columbia)

 
  OPEN DISCUSSION
 
2:00 pm Innovative approaches to addressing data challenges
 

image  Session Description: This session will focus on innovative approaches to overcoming some prominent challenges associated with using health data.

 

image  Topics:

image  Data harmonization Chris Chute (Mayo)

image  Linking data across time and sources Vik Kheterpal (CareEvolution Inc.)

 
  OPEN DISCUSSION
 
3:00 pm Strategies going forward
 

image  Session Description: This session will include a rapid-fire, moderated discussion to identify the top 10 actions necessary for progress discussed during the course of the meeting.

 
 

1.  Identification of potential action steps—20 min. (45 seconds each)

2.  Rapid identification of pros and cons—15 min.

3.  Identification of top ten leading action steps—25 min.

 
  OPEN DISCUSSION
 
4:00 pm Next steps
 

image  Session Description: This session will build off of the 10 action steps identified in the previous session and outline options to move forward.

5:00 pm Adjourn
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
Page 57
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
Page 58
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
Page 59
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13424.
×
Page 60
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 Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary
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Digital health data are the lifeblood of a continuous learning health system. A steady flow of reliable data is necessary to coordinate and monitor patient care, analyze and improve systems of care, conduct research to develop new products and approaches, assess the effectiveness of medical interventions, and advance population health. The totality of available health data is a crucial resource that should be considered an invaluable public asset in the pursuit of better care, improved health, and lower health care costs.

The ability to collect, share, and use digital health data is rapidly evolving. Increasing adoption of electronic health records (EHRs) is being driven by the implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which pays hospitals and individuals incentives if they can demonstrate that they use basic EHRs in 2011. Only a third had access to the basic features necessary to leverage this information for improvement, such as the ability to view laboratory results, maintain problem lists, or manage prescription ordering.

In addition to increased data collection, more organizations are sharing digital health data. Data collected to meet federal reporting requirements or for administrative purposes are becoming more accessible. Efforts such as Health.Data.gov provide access to government datasets for the development of insights and software applications with the goal of improving health. Within the private sector, at least one pharmaceutical company is actively exploring release of some of its clinical trial data for research by others. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary summarizes discussions at the March 2012 Institute of Medicine (2012) workshop to identify and characterize the current deficiencies in the reliability, availability, and usability of digital health data and consider strategies, priorities, and responsibilities to address such deficiencies.

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