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Appendix B: Meeting and Site Visit Agendas and Site Visit Methodology
Pages 80-92

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From page 80...
... Lindberg, Director, National Library of Medicine 11:00 a.m. Panel 1: Health Care IT Industry •  Industry overview -- Greg Walton, Senior VP of HIMSS and HIMSS Analytics 80
From page 81...
... Bradford, Office of the National Coordinator for Health Information Technology •  Commission on Systemic Interoperability recommendations and status -- Scott Wallace, National Coalition for Health Care IT •  Standards initiatives -- Betsy Humphreys, National Library of Medicine 2:45 p.m. Panel 3: Visions for Health Care •  Vision for evidence based personalized medicine -- IOM EBM Roundtable -- Denis Cortese, Mayo Clinic [via videoconference]
From page 82...
... Mandl Assistant Professor of Pediatrics, Harvard Medical School Affiliated Faculty, Harvard-MIT Division of Health Sciences and Technology B.1.6  Site Visit on September 12-13, 2007 (University of Pittsburgh Medical Center, Pittsburgh) September 12, 2007 6:20 a.m.
From page 83...
... Informal chat session with physicians Robert Kormos Vivek Reddy 7:30 a.m. Overview of quality initiatives and Theradoc Tami Merryman 9:00 a.m.
From page 84...
... VistA's information technology architecture  Joaquin Martinez, Director, Software Engineering and Integration  Tracie Loving, Acting Portfolio Management Officer, Management, Enrollment, and Financial Systems 5:00 p.m. Break and debriefing October 11, 2007 8:00 a.m.
From page 85...
... Welcome and overview of HCA Kimberly Lewis, CIO, TriStar Division 9:00 a.m. HCA information technology systems  General information on the number and different types of IT systems in use (e.g., clinical support systems, inventory management, medication management, etc.)
From page 86...
... Observe workflow at a central nursing station 3:30 p.m. Discussion with chief quality/safety officer Ruth Westcott, Vice President of Quality, TriStar Division 4:15 p.m.
From page 87...
... Evidence-based content Jack Starmer, Assistant Professor of Biomedical Informatics 6:45 p.m. Nursing shift change Sara Hutchison, Manager, Trauma Unit November 17, 2007 8:30 a.m.
From page 88...
... Massachusetts General Hospital  Henry Chueh, Director, Laboratory of Computer Science  Challenges and opportunities for information technology -- what has worked at MGH 1:30 p.m. Ambulatory care practice -- Internal Medical Associates Blair Fosburgh, Internist, IMA  What are important issues and opportunities for information technology in the practice of medicine?
From page 89...
... Welcome and overview of Intermountain Healthcare, Marc Probst, VP and Chief Information Office 9:00 a.m. Intermountain Healthcare information technology systems  General information on the number and different types of IT systems in use (e.g., clinical support systems, inventory management, medication management)
From page 90...
... Regulatory overhead in clinical research Jon Showstack • Extent and complexity of regulatory overhead of clinical research • Clinical health research considerations (Sharon Friend, Deborah Yano-Fong)
From page 91...
... • 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.
From page 92...
... • Health care organization's organizational chart • Health care organization's strategic plan • IT organization chart • Information management or IT strategic plan • Information system inventory • Information technology architecture or standards specifications • Most recent wired survey responses • Last joint commission visit report During each visit, the committee visitors sought to see or to hear about as many of the following facility components as possible: • Enterprise overview • IT/systems overview • Question and answer sessions -- Chief quality/safety officer -- Risk management • Observation points -- Transition points –Bed control, transfer center, life flight – mergency room to inpatient, outpatient to operating room to E intensive care unit to intermediate care –���������������������������������������������������������������� Medication reconciliation, outpatient to inpatient to outpatient –Nursing shift change, house officer signout • Settings -- Shadow a nurse during medication administration -- Shadow a doctor on morning rounds -- Pharmacy -- Inventory management -- Eligibility/billing • Content management -- Charge master, reimbursement contracts -- Formulary, drug-drug interactions -- Order sets, pathways


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