Agenda

DAY ONE, TUESDAY, NOVEMBER 10, 2020

Sessions will be aired in Eastern Time in the U.S.

10:55 AM

CHAIRPERSONS’ OPENING REMARKS & KEYNOTE ADDRESS: PATIENT DATA SHARING – NOT HOARDING – IS THE NEW NORMAL

Looking in the rear view mirror, many healthcare providers have viewed patient data as “their asset”, something to be controlled–not shared.

In a previous THCB article, we described 7 reasons why hoarding is a poor business strategy:

  1. Data Hoarding Doesn’t Work — It Doesn’t Lock-In Patients or Build Affinity
  2. Convenience is King in Patient Selection of Providers
  3. Loyalty is Declining, Shopping is Increasing
  4. Providers Have a Decreasingly Small “Share” of Patient Data
  5. Providers Don’t Want to Become a Lightning Rod in the “Techlash” Backlash
  6. Hoarding Works Against Public Policy and the Law
  7. Providers, Don’t Fly Blind with Value-Based Care

In this presentation, we will recap, update, and extend our rationale. We’ll also take a view out the windshield, explaining why generous data sharing is a highly leveraged clinical and business strategy.

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


11:30 AM

KEYNOTE ADDRESS: INTEROPERABILITY IN THE NEW “NORMAL”

Over the past several months, health data exchange has focused on assuring that relevant COVID-19-related data is transmitted to public health and health oversight authorities. But new data sharing requirements from CMS and ONC will soon go into effect and begin to be enforced. What are some of these new requirements, who is impacted by them, and when will they take effect? This presentation will hit the highlights of the new interoperability rules and consider how they could change healthcare during the pandemic and beyond.

Deven McGraw, JD, General Counsel & Chief Regulatory Officer, Ciitizen


12:00 PM

PANEL DISCUSSION: LEGAL/REGULATORY ISSUES PERTAINING TO INTEROPERABILITY & DATA SHARING

  • The latest on the HIPAA Right of Access, APIs, and Apps
  • Implications of the ONC and CMS interoperability and information blocking rules
  • Privacy frameworks and approaches for non-HIPAA-regulated apps
  • Global privacy issues
  • The ONC Trusted Exchange Framework and Common Agreement
  • FDA regulation of digital health tools and apps

MODERATOR:
Mark Segal, PhD, FHIMSS, Principal, Digital Health Policy Advisors, LLC

PANELISTS:
Jodi Daniel, Partner, Health Care Group, Crowell & Moring LLP
Alice Leiter, Vice President & Senior Counsel, eHealth Initiative and Foundation
Kirk Nahra, Partner & Co-Chair, Cybersecurity and Privacy Practice, WilmerHale
Lucia Savage, JD, Chief Privacy & Regulatory Officer, Omada Health


1:00 PM

KEYNOTE ADDRESS: A CONTRARIAN VIEW ON DATA SHARING

Matthew Holt, Founder/Author, The Health Care Blog, President, SMACK.health & Co-Chairman, Catalyst Health 2.0

1:30 PM

Networking Break

2:00 PM

PANEL DISCUSSION: COVID-19, EHRs & PUBLIC HEALTH DATA SHARING

  • Two big things happened: COVID-19 of course, and barely noticeable but still important, the 21st Century Cures Act going into effect, gradually, starting November 1st and more going forward. What do you see happening in Interoperability?
  • COVID-19 has suddenly ramped up the need for Public Health agencies to use clinical data – fast, accurate, real-time. Can you tell us about some of the projects you’re working on where Public Health Agencies are connected to their area healthcare providers?
  • Are EHR vendors on top of the COVID-19 pandemic? Do healthcare providers feel that their EHR has prepared them for a pandemic, to help them internally manage the pandemic but also to work with their community to battle pandemic? If not – what was missing, what do we need to add?
  • I’m a big fan of interoperability standards – HL7, LOINC, ICD10, FHIR – to name a few. Did they do what they needed to do, in response to this pandemic? Do you see a shift in direction or urgency in the standards organization, or in standards adoption?
  • What do healthcare providers need to learn, and how can they prepare for on-going COVID-19 management, and for future outbreaks, particularly in their collaboration with Public Health agencies? What do we need to work on, not postpone, not wait until the next one?
  • For EHR vendors, what items suddenly went to the top of the roadmap?

MODERATOR:
Harm Scherpbier, MD, MS, Advisor, StarBridge Advisors

PANELISTS:
Dave Cassel, Executive Director, Carequality
Samit Desai, MD, Chief Medical Officer, Audacious Inquiry
Andrea Sorensen, CEO, Liiingo

Jason Vogt, Technical Project Manager, MEDITECH


3:00 PM

KEYNOTE ADDRESS: BRINGING DIGITAL HEALTH HOME FOR CONSUMERS

For many people, the COVID-19 pandemic is reshaping almost every aspect of daily life, including food, entertainment, social life, exercise, and work. In addition to mask-wearing and social distancing, everyday activities are more digital and virtual than ever before.

In healthcare, the pandemic catalyzed an almost overnight adoption of telehealth. But that’s just the start. A surge in the use of digital tools by consumers and providers (including new types of healthcare competitors) is coming together with a growing understanding that health happens everywhere, including at home.

There are critical implications for healthcare providers, both established and new, including: strengthening personal relationships with consumers, adopting new models for data sharing, and finding ways to incorporate the social determinants of health and the widening inequality gap exacerbated by the pandemic.

Lygeia Ricciardi, President, Clear Voice Consulting


3:30 PM

CHAIRPERSONS’ RECAP OF DAY ONE

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


3:45 PM

Day One Concludes

DAY TWO, WEDNESDAY, NOVEMBER 11, 2020

Sessions will be aired in Eastern Time in the U.S.

10:50 AM

CHAIRPERSONS’ OPENING REMARKS

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


11:00 AM

PANEL DISCUSSION: THE ROLE OF HEALTH INFORMATION EXCHANGES

  • Innovation in the COVID-19 Era
  • What role do HIEs play in SDOH?
  • How do HIEs see their role in a multi-modal exchange world?
  • Many HIEs have been providing value added services and functionality beyond data exchange. What’s the experience of HIEs with this — are customers interested? What services/functionality are most valuable for HIE customers? What services are most valuable (profitable) for HIEs?
  • How do value based payment models affect HIEs and their customers?
  • From the HIE perspective, where are provider mindsets re: data hoarding vs. data sharing? What’s changing?
  • What are the three things that can be done to improve interoperability in this space?

MODERATOR:
Scott Stuewe, President & CEO, DirectTrust

PANELISTS:
Ryan Bramble, Executive Director, CRISP DC
Dan Paoletti, CEO, Ohio Health Information Partnership
Anne Santifer, Health Information Technology Director, Arkansas Department of Health
Micky Tripathi, PhD, MPP, Chief Alliance Officer, Arcadia


12:00 PM

PANEL DISCUSSION: PAYER-PROVIDER COLLABORATION & DATA SHARING TO IMPROVE OUTCOMES & REDUCE COSTS

  • Why payer and provider interoperability is good for business for both
  • What payers can learn from providers in successful digital strategies
  • What providers can learn from payers in successful digital strategies
  • How are payers working with EHR vendors, providers and others to advance data sharing?
  • How can payers incentivize data sharing? Are there barriers/disincentives to payers participating in data sharing?
  • How will election results influence payers and their interests/abilities to share data?

MODERATOR:
Jody Ranck, PhD, EVP of Global Strategy, Ram Group & Senior Analyst, Chilmark Research

PANELISTS:
Nancy Beavin, Director, Program Delivery, Humana Inc.

Steven R. Lane, MD, MPH, FAAFP, Clinical Informatics Director, Privacy, Information Security & Interoperability, Sutter Health
Micky Tripathi, PhD, MPP, Chief Alliance Officer, Arcadia

1:00 PM

Networking Break

1:30 PM

INNOVATION WITH INTEROPERABILITY…GOING BEYOND TRADITIONAL USE CASES

In this session, we will focus on pushing and innovating on interoperability beyond traditional use cases, such as transitions of care. Scenarios will include the application of interoperability to tie together all the ancillary platforms that may be used for solving discrete needs and workflows in health systems and clinical offices with their EHR.

Therasa Bell, Cofounder, President & CTO, Kno2
Jon Brilliant, CEO, Celéri Health
Peter Urbain, Global Director – Partner Ecosystem, DocuSign


2:00 PM

PANEL DISCUSSION: OPPORTUNITIES AND CHALLENGES IN SHARING PATIENT GENERATED HEALTH DATA

  • Why PGHD is good for your business
  • Why PGHD prepares you for the future
  • Why PGHD has helped in crisis
  • Recent CMS/ONC rules guarantee patient access to their health records. FHIR APIs are becoming an enabling technology. How will these play out in the marketplace?
  • One of the potential risks of recent ONC/CMS rules is that patients could lose HIPAA protection of health records (e.g., where remote monitoring is ordered by an MD but the patient chooses to share that data with a 3rd party app). These rules also do not affect PGHD that is not protected by HIPAA. How will this play out in the marketplace?

MODERATOR
Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE

PANELISTS:
Grace Cordovano, PhD, BCPA, CEO, Enlightening Results, LLC
Ryan Howells, Principal, Leavitt Partners & Program Manager, Carin Alliance
Harlan Krumholz, MD, SM, Harold H. Hines, Jr. Professor of Medicine & Director, Center for Outcomes Research and Evaluation, Yale University
Mark Savage, Director, Center for Digital Health Innovation, University of California, San Francisco
David Schoolcraft, Partner, Ogden Murphy Wallace PLLC


3:15 PM

CHAIRPERSONS’ RECAP OF DAY TWO

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


3:30 PM

Day Two Concludes

DAY THREE, THURSDAY, NOVEMBER 12, 2020

Sessions will be aired in Eastern Time in the U.S.

10:50 AM

CHAIRPERSONS’ OPENING REMARKS

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


11:00 AM

KEYNOTE ADDRESS: HOW COVID-19 RE-SHAPED HEALTH CONSUMERS INTO HEALTH CITIZENS AND THE HOME AS THE HEALTH HUB

The coronavirus pandemic forced new behaviors and life-flows on households, re-shaping patients into health consumers beyond seeking hygiene and mobile apps for home gym workouts. Jane will discuss this evolving health consumer, increasingly aware of the importance for and power of their health citizenship: access to health care services, digital citizenship, trust, and ultimately, a new social contract for health and wellbeing: Love (#WearTheMask).

Jane Sarasohn-Kahn, MA (Econ.), MHSA, Health Economist, Advisor, Trend Weaver, THINK-Health and Health Populi blog


11:30 AM

PANEL DISCUSSION: TELEHEALTH, INTEROPERABILITY & DATA SHARING

Telehealth is not a new technology, but one that has, to date, not been effectively leveraged as a necessary component of the US healthcare delivery system or considered as part of the data sharing needs for this system. As we stand at a turning point to meaningfully expand our virtual care delivery, these panelists will:

  • Review the expansion of telehealth uses and reimbursements since the start of the COVID-19 pandemic and explore policy and regulatory needs to sustain telehealth’s use and scalability moving forward
  • Discuss the importance of re-thinking and reimagining the healthcare experience for digital delivery
  • Recognize the technical and workflow requirements needed to shift traditional processes and systems to a patient-centric and integrated virtual environment
  • Consider the specific interoperability needs for telehealth for organizations to optimize their virtual care delivery
  • Highlight how rapidly developing direct-to-consumer telemedicine companies are expanding their services

MODERATOR:
Katie Crenshaw, MPA, Senior Manager, Informatics, HIMSS

PANELISTS:
Therasa Bell, Cofounder, President & CTO, Kno2
Robert Havasy, Senior Director, Connected Health, HIMSS
Michael Hodgkins, MD, MPH, Chief Medical Information Officer, American Medical Association


12:30 PM

KEYNOTE ADDRESS: INTEROPERABILITY – WHERE DO WE STAND AND WHAT’S NEXT?

Advancing technology, changes in healthcare payment models, the 21st Century Cures Act, and new diseases are all driving the health data ecosystem toward greater interoperability. 2020 has been a year of tremendous change with the finalization of the ONC and CMS interoperability rules, the rapid advancement of public health interoperability, innovative offerings from tech companies, new use cases for regional health information exchange and progress toward a national Trusted Exchange Framework and Common Agreement. Dr. Steven Lane, a practicing primary care physician and clinical informaticist at Sutter Health in Northern California, will share his perspectives as an end user, a system implementer, a member of the ONC’s Health IT Advisory Committee, and key committees at HL7, HIMSS, The Sequoia Project, DirectTrust and Carequality.

Steven R. Lane, MD, MPH, FAAFP, Clinical Informatics Director, Privacy, Information Security & Interoperability, Sutter Health

1:00 PM

Networking Break

1:30 PM

2020 ELECTIONS AND IMPACT ON HEALTH IT POLICY

Shifting power dynamics in Washington, DC will certainly impact the future of health IT and digital health in the country. This discussion will include an overview of election results, the impact on health IT and digital health policy, and an outlook for the 117th Congress.

Catherine Pugh, Assistant Vice President, Policy, eHealth Initiative and Foundation


2:00 PM

PAVE THE WAY TOGETHER: TACKLING COVID-19 VACCINE ACCESS, DISTRIBUTION AND EDUCATION THROUGH PATIENT COMMUNICATION AND SELF-MANAGEMENT

COVID-19 Vaccine distribution, tracking and monitoring presents an unprecedented logistical and patient communication challenge. Andrea will discuss how Public Access and Vaccine Education (PAVE), a network of organizations that helps those who need, give, and support COVID vaccinations; helps navigate these challenges by providing trusted and accurate information, establishing simple patient communication, and empowering patients with a self-management framework. (#pavethewaytogether)

Andrea Sorensen, CEO, Liiingo


2:30 PM

PANEL DISCUSSION: HOW WILL PATIENTS SECURELY CONNECT 3RD PARTY APPS TO THEIR DATA ONCE PATIENT ACCESS RULES KICK IN?

Healthcare’s vision of becoming Patient Centric is closer to become a reality starting next year, with ONC FAST and CMS Final rule providing a statutory framework for interoperability and patient access of data. Patients and members will have the ability to access their healthcare data through any preferred App that can meet the requirements for interoperability within the Regulatory Framework like HIPAA from OCR and FTC privacy rules.

But there is a lot of work still to be done to achieve Ubiquity for 3rd party access of patient data. It starts with discovery and follows with a comprehensive trust framework, that is repeatable, scalable and efficiently reduced friction and blocking without compromising on security and privacy. We have HL7 FHIR standards that provide the technical framework, and the healthcare industry is now collaborating on an operational framework.

This session will share ideas and approaches for a cross-industry framework to discover apps and endpoints, common Privacy Attestations and their scoring, Identity verification, authentication and conformance to interoperability standards and security frameworks. We will talk about the education that plans and providers need to offer to Third-party apps and patients or members.

We can learn from what’s working in the financial services industry and what’s different for healthcare, taking the most efficient approach to build a trust framework that removes the friction for patient access. We will cover this with some industrywide initiatives and ideas in play to build these multi-stakeholder operational workflows.

MODERATOR:
Shahid Shah, Cofounder & Chairman of the Board, Citus Health & Publisher, Netspective Media

PANELISTS:
Andrew Adrian-Karlin, Director of Business Platform-Product, Highmark Health
Gunjan Siroya, Principal Partner & Sr. Vice President, Netspective
Ron Urwongse, Director of Strategy and Innovation, CAQH


3:15 PM

CHAIRPERSONS’ CONCLUDING REMARKS

Leslie Kelly Hall, Founder, Engaging Patient Strategy & Vice President of Health System Integration, LifeWIRE
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC


3:30 PM

Conference Concludes