HIMSS Physician Community Podcast

Short audio interviews on issues of interest to physicians involved in healthcare IT and management systems in hospital health system settings. From evolving EHR components to e-Prescribing – there is something of interest to everyone.

Latest Episodes:

The Nuts and Bolts of Achieving HIPAA Security Rule Compliance through Effective Risk Assessment


Episode #46 - February 1, 2014

Dr. Salvatore Volpe, a solo physician practitioner, and Lee Kim, BS, JD, Director, Privacy and Security, with HIMSS, discuss risk assessments, which will not only help your organization achieve compliance with the HIPAA Security Rule, but also, help improve its security posture and mitigate risks.

Approved for 1.0 AMA PRA Category 1 Credit.™
AMA/HIMSS have produced an audio podcast and written materials on HIPAA privacy, security, and breach notification rules. This activity is intended for all practicing physicians and their office staff. The enduring material format enables physicians to participate when time allows. A mixed medium also allows for various types of learning styles and for the participant to repeat the activity if needed. The written materials, used in conjunction with the podcast, will help participants determine their current compliance and provide strategies to implement changes in their practice to ensure full compliance with HIPAA regulations. To access this free CME activity, which includes the podcast and additional materials, visit the AMA Online Learning Center.

Download Episode #46



Past Episodes:

Driving HIE Adoption with Independent Practice Physicians


Episode #45 - April 19, 2012

Dr. C. Christopher Pittman shares his experiences with physician-led healthcare information exchange (HIE) in Florida and strategies to drive HIE adoption. This interview was conducted by Dr. Douglas Dew, Chief of Staff for Flagler Hospital in Florida.

Download Episode #45



HIMSS Davies Award Program: Writing a Winning Application


Episode #44 - February 17, 2012

Since 1994, the HIMSS Davies Awards of Excellence has recognized outstanding achievement in the implementation and value from health information technology, specifically EHRs. In this episode, Dr. Eric Hartz, acts as moderator and guest and is joined by Dr. Daniel Griffin and Mr. Greg Wolverton as they discuss the Davies application process, why organizations should apply and tips for writing a winning application.

Speakers:

Eric Hartz, MD
Oncologist and Chief Medical Informatics Officer
Eastern Maine Medical Center
Chair - Davies Enterprise Committee

Daniel Griffin, MD
Elmezzi Scholar
Feinstein Institute for Molecular Medicine
Chair - Davies Ambulatory Committee

Greg Wolverton
Chief Information Officer
ARcare
Chair - Davies Community Health Organization Committee

To learn more visit www.himss.org/davies

Download Episode #44


 

Stories of Success

Episode #43 - January 20, 2012

Dr. Louis H. Diamond, President, Quality in Health Care (QHC) Advisory Group, provides an overview of the HIMSS Stories of Success project. Through a case study format, this project recognizes healthcare organizations that have leveraged HIT to support the Joint Commission Safety Goals, the National Quality Strategy and the National Priorities Partnership recommendations. Stories of Success is co-sponsored by the American Society for Quality (ASQ), National Committee for Quality Assurance (NCQA) and National Patient Safety Foundation (NPSF). Dr. Diamond discusses the Standards for Quality Improvement Reporting Excellence methodology (SQUIRE) that was used for the submission of case studies and shares the process for case study selection. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.

View slides from presentation >

Learn more about Stories of Success >

Download Episode #43




Leveraging Healthcare Intelligence to Improve Outcomes


Episode #42 - December 16, 2011

Dr. Daniel Rosenthal, an Internist and Director of Healthcare Intelligence at Inova Health System and Clinical Instructor at George Washington University, shares his perspective on healthcare intelligence to:

  • Examine the scope
  • Identify stakeholders
  • Explore the benefits and challenges
  • Appraise the future of healthcare IT

This interview was conducted by Dr. Geeta Nayyar, Chief Medical Information Officer at AT&T.

Download Episode #42




The Legal Implications of Mobile Medical Applications

Episode #41 - November 16, 2011

Dr. Marlowe Schaeffer-Polk, attorney, physician and founder of Medlawguard, and Mr. John Steinbach, Chief Technical Officer and co-founder of Medlawguard, a healthcare risk mitigation firm, discuss the recent Draft Guidance on Mobile Medical Applications.

Marlowe and John:

  • Examine the scope of the guidance, and highlight what are/are not regulated by FDA
  • Distinguish between Medical Devices and Mobile Medical Applications
  • Clarify the three categories of Mobile Medical Applications
  • Share some potential risks they pose to patients and providers

This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.



Download Episode #41

 

ICD-10 Risk Mitigation

Episode #40 - October 21, 2011

Dr. Joe Nichols, Principal for Health Data Consulting, explores the physician’s role in ICD-10 implementation and shares sage advice on what physicians need to know to be ready for a successful rollout. This interview was conducted by Juliet Santos, MSN, CCRN, FNP-BC, Sr. Director of HIMSS Business Centered Systems and the Medical Banking Project.

For more information on ICD-10, review the ICD-10 Playbook.



Download Episode #40

 

Episode #39: Clinical Informatics Certification - October 20, 2011

Dr. Charles Safran, Chief of Clinical Informatics at Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center and Associate Professor of Medicine at Harvard Medical School, discusses the recent addition of Clinical Informatics as a sub-specialty of the American Board of Preventive Medicine (ABPM). Dr. Safran provides the past and current situation of Clinical Informatics Certification and shares his perspective on what this means for clinicians going forward.

This interview was conducted by Dr. William Bria, Chief Medical Information Officer (CMIO) for Shriners Hospital for Children and President of the Board for the Association of Medical Directors of Information Systems (AMDIS).



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Episode #38: Physician Documentation - the Move from Paper to Electronic - September 9, 2011

Dr. Paul Manicone, Associate Chief in the Division of Pediatric Hospital Medicine at Children's National Medical Center and Assistant Professor of Pediatrics at the George Washington University Medical Center, provides insightful tips on how to make the most of electronic physician notes and shares his research findings when comparing paper documentation to electronic documentation. This interview was conducted by Dr. Brian Jacobs, Vice President and Chief Medical Information Officer and Executive Director of the Center for Pediatric Informatics at Children's National Medical Center.

Review Paul's Poster Session from HIMSS11.



Download Episode #38

 

Episode #37: CPOE and Risk Stratification - August 18, 2011

Dr. C. William Hanson III, Chief Medical Information Officer and Vice President of the University of Pennsylvania Health System, discusses real-time risk scoring approaches using electronic data and rules-based analytics versus alternative algorithms. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.



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Episode #36: A Retrospective and Prospective Review: Physician Community and Medical Informatics - July 05, 2011

Dr. Howard Landa, Chief Medical Information Officer at Alameda County Medical Center; Pediatric Urologist and Director of Medical Informatics for Hawaii Permanente; and incoming chair of the HIMSS/AMDIS Physician Leadership Committee, discusses the future activities that the Physician Leadership Committee will focus on for the year, as well as a look at the evolution of medical informatics.

Listen to this podcast to hear a discussion of the challenges facing medical informaticists in the coming years and advice to those relatively new to medical informatics. This interview was conducted by Dr. Brian Jacobs, Vice President and Chief Medical Information Officer and Executive Director of the Center for Pediatric Informatics at Children's National Medical Center and outgoing chair of the Physician Leadership Committee.

To learn more about the mentioned book, The CMIO Survival Guide.



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Episode #35: Learning  from HIT Failures - June 16, 2011

Dr. Larry Ozeran, Physician Informaticist, addresses several different types of health care information technology (HIT) failures and points out the most common ones. Dr. Ozeran also provides several ways to minimize the risk of HIT failure. This interview was conducted by Dr. Geeta Nayar, Principal Medical Officer at Vangent.

To learn more about the book, H.I.T. or Miss: Lessons Learned

Want to be part of the next book? You can share an example of HIT Failure to be included in the next volume of "H.I.T. or Miss", by contacting Dr. Ozeran at lozeran@clinicalinformatics.com. All cases are presented anonymously and authors may choose to be credited (at the end of the book, not with the case) or not.



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Episode #34: Impact of ARRA Incentives and EHR Adoption - May 23, 2011

Dr. Larry Ozeran, Physician Informaticist, highlights the impacts of American Recovery and Reinvestment Act (ARRA) incentives on electronic health record (EHR) adoption. Dr. Ozeran discusses factors to think about before making the strategic decision to obtain an EHR, even if providers don’t qualify for incentives. He also gives his perspective on how ARRA incentives could be modified and what the vendor community can contribute to better support adoption. Dr. Ozeran provided more detailed comments on the challenges in the ARRA incentives in his response to the ONC Health IT Strategic Plan for 2011-2015, here: www.healthit.gov/buzz-blog/from-the-onc-desk/hit-strat-plan/. The document is quite lengthy and Dr. Ozeran posted three responses. Once on the page, search for "Ozeran" (Ctrl-F in most browsers) and view the May 4, 2011 comment. This interview was conducted by Dr. Geeta Nayar, Principal Medical Officer at Vangent.



Download Episode #34

 

Episode #33: Healthcare Information Exchange (HIE) in a Community Based Setting - April 5, 2011

Dr. Todd Rowland, Executive Director at HealthLINC HIE, provides an overview of how HIE can help community based physicians. Dr. Rowland addresses the importance of office managers in HIE adoption and tactics to increase adoption of EMR and HIE technologies by rural healthcare providers. Listen to this podcast to learn ways to use data standards to enhance revenue cycles and how to obtain optimal use of federal dollars to obtain meaningful use of EMR and HIE technologies. Dr. Rowland also provides his insight on ingredients to ensure that technology helps providers improve direct patient care and investments that should be made by the private and public sector to ensure that this more widespread. This interview was conducted by Dr. Jack Varga, Physician Informaticist, Veterans Health Administration.



Download Episode #33 - February 28, 2011

 

Episode #32: Electronic Health Record Implementation

Dr. Geeta Nayyar, Principal Medical Officer at Vangent provides her expertise on implementing electronic health records (EHRs). Listen to this podcast to learn essential components of a successful implementation and the future of healthcare technology 2012 and beyond. This interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.

To learn more visit: http://www.vangent.com/WP-EHR.php



Download Episode #32

 

Episode #31: Quality 101 - January 31, 2011

Dr. Louis H. Diamond, Vice President and Medical Director at Thomson Reuters Healthcare and President, Performance Excellence Associates discusses Quality 101 including the basic framework and building blocks of quality measurement. Dr. Diamond speaks to the National Quality Measurement Enterprise and the evolution, development and adoption of measures for public reporting. Dr. Diamond helps you understand how meaningful use under ARRA intersects with quality measurement and improvement. The interview was conducted by Pam Brewer, Coordinator, Healthcare Information Systems, HIMSS.

To learn more visit http://www.himss.org/storiesofsuccess/index.asp
For other tools and resources visit /files/HIMSSorg/content/files/Quality101Resources.pdf



Download Episode #31

 

Episode #30: ICD-10 - January 30, 2011

Dr. Glen Mitchell, Chief Medical Officer at Sisters of Mercy Health System in St. Louis, discusses the transition from ICD-9 to ICD-10. The United States has put off this migration a few times before, but this time it looks certain that we begin to use this improved system in 2013. The changes are far-reaching enough that it will take that long to successfully perform the planning and execution needed for success. Dr. Mitchell addresses the benefits of ICD-10 and steps that should be taken for efficient and effective implementation of this new disease and procedure coding process.  The interview was conducted by Dr. Kevin W. McEnery, Associate Division Head and Board Certified Diagnostic Radiologist at the M.D. Anderson Cancer Center in Houston, TX.



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Episode #29: National Priorities Partnership - October 14, 2010

Dr. Louis H. Diamond, Vice President and Medical Director at Thomson Reuters Healthcare and President, Performance Excellence Associates provides an overview of the National Priorities Partnership (NPP). Convened by the National Quality Forum, the NPP has a vision for world-class, affordable health care and transformation of the US health care system. The NPP consists of twenty-eight organizations that are committed to improving health care and have collaboratively developed National Priority Goals targeted at proven ways to eliminate harm, waste, and disparities in care. Learn about the six priorities established by the NPP and why they are so important, as we move forward with ARRA and meaningful use of EHR’s. Understand what the “market drivers” are behind these goals and their impact on healthcare. The interview was conducted by Pam Brewer, Coordinator, Healthcare Information Systems, HIMSS.

To learn more visit http://www.nationalprioritiespartnership.org/Home.aspx
For other tools and resources visit /files/HIMSSorg/content/files/Quality101Resources.pdf



Download Episode #29

 

Episode #28: CPOE and Hospital Mortality Rates - October 12, 2010

Dr. Christopher Longhurst, a board-certified hospitalist at Lucile Packard Children’s Hospital (LPCH) and Clinical Assistant Professor of Pediatrics at the Stanford University School of Medicine, discusses the association between CPOE and hospital mortality rates.  In 2003, a white paper from the Institute for Healthcare Improvement identified remarkable variability in standardized mortality rates across US hospitals. Seven years later, Dr. Longhurst and fellow physicians published a peer-reviewed paper showing that their computerized physician order entry (CPOE) rollout was significantly associated with decreased mortality rates.

Health information technology has been widely touted as a tool to help improve quality and patient safety, and while a retrospective correlation does not prove causation, this is one more piece of evidence suggesting that CPOE is the best way to provide high-quality care for our inpatients.

To learn more about this topic:

Decrease in Hospital-wide Mortality Rate after Implementation of a Commercially Sold Computerized Physician Order Entry System - Christopher A. Longhurst, MD, MS; Layla Parast, MS; Christy I. Sandborg, MD; Eric Widen, MHA; Jill Sullivan, RN, MSN; Jin S. Hahn, MD; Christopher G. Dawes, MBA; Paul J. Sharek, MD, MPH.

Mixed Results in the Safety Performance of Computerized Physician Order Entry - Jane Metzger; Emily Welebob; David W. Bates; Stuart Lipsitz; David C. Classen.



Download Episode #28

 

Episode #27: Stories of Success - July 15, 2010

Episode #27 have been removed. For newer information related to Stories of Success please listen to episode #43.

 

Episode #26: Association of Medical Directors of Information Systems (AMDIS) - July 1, 2010

Dr. William Bria, shares the history of AMDIS, benefits of membership and information on the 19th Annual Physician-Computer Connection Symposium, July 14-16th at the Ojai Valley Inn, Ojai, CA.  Dr. Bria currently serves as the Chief Medical Information Officer (CMIO) for Shriners Hospitals for Children, a 22-hospital health system headquartered in Tampa, Fl. He was named as one of Modern Healthcare’s 50 Most Powerful Physician Executives in 2008 and 2009. Dr. Bria currently serves as chairman of the AMDIS Board and was past chair of the HIMSS/AMDIS Physician Community. He was selected as the HIMSS Physician IT Leader of the Year for 2009. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.

Learn more about AMDIS or register for the 19th Annual Physician-Computer Connection Symposium.



Download Episode #26 - June 30, 2010

 

Episode #25: Federal Funding for Healthcare

Mr. Christopher LaPage, Grants Development Consultant for Grants Office, LLC provides an in-depth overview of available federal funding for the adoption and implementation of healthcare IT.  Historically over 400 Billion dollars are available in grant programs every year with a significant portion going to the health sector. ARRA added an additional 50 Billion for healthcare information technology in the areas of EHR’s, HIE’s and Telehealth.  Chris discusses the financial impact of ARRA and the requirements to qualify for funds.  Chris also provides information on the Distance Learning and Telemedicine Grant Program and Agency for Healthcare Research and Quality (AHRQ) Grants. The interview was conducted by Pam Brewer, Coordinator, Healthcare Information Systems, HIMSS.

HIMSS Grants Advantage subscription service provides information on identifying funding initiatives, the steps needed to apply and succeed in the entire grants life cycle, including identification, submission, award receipt, reporting and closure. To learn more visit http://www.himss.org/ASP/grantsadvantage.asp.



Download Episode #25 - June 29, 2010

 

Episode #24: Training the Allied Health Professional

Dr. Barry Newman, an expert in the medical education of allied health professionals, shares his thoughts on how physicians can ease the transition to electronic health records. The Consortia for Education, ARRA HITECH Section 3016, states that the purpose of this grant proposal is to establish or expand health IT education programs.  Learn why this is so important and why physicians should reach out to educational institutions and make their preferences known. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.



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Episode #23: Red Flags Rule - Purpose, Requirements and Compliance in Healthcare - June 18, 2010

Dr. Marlowe Schaeffer-Polk, attorney, physician and founder of Medlawguard, and Mr. John Steinbach, CPHIMS and co-founder of Medlawguard, a healthcare risk mitigation firm, bring their practical experience and extensive training to the subject of the Federal Red Flags Rule in healthcare. What is the Red Flags Rule?  Who must comply?  How does it relate to HIPAA? You'll know all of this and more after you listen. Dr. Schaeffer-Polk and Mr. Steinbach also provide specific examples of healthcare related "red flags." The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.

UPDATE:

  • The Red Flags Rule was scheduled to take effect 06/01/2010 but the FTC has extended the enforcement deadline through 12/31/2010. 
  • However, the information in this podcast is very valuable to protect both you and your patients from the threat of identity theft.
  • Sens. John Thune (R-S.D.) and Mark Begich (D-Alaska) have introduced legislation to exempt certain small businesses--including physician, dental and veterinary offices--from the Federal Trade Commission's Red Flags Rule, scheduled to be effective on June 1.
  • May 21, 2010, CHICAGO – The American Medical Association (AMA), American Osteopathic Association (AOA) and the Medical Society of the District of Columbia (MSDC) today filed a suit in federal court seeking to prevent the Federal Trade Commission (FTC) from extending identity theft regulations to physicians. The complaint, prepared by the Litigation Center of the AMA and State Medical Societies, targets the contentious “red flags rule,” which requires creditors to implement safeguards against identity theft. The medical societies charge that the FTC’s rule exceeds the powers delegated to it by Congress and that its application to physicians is “arbitrary, capricious and contrary to the law.”

More information on the Red Flags Rule.



Download Episode #23

 

Episode #22: Management Engineering and Process Improvement (ME-PI) Toolkit - May 20, 2010

Ms. Pauline Hogan, Performance Improvement Engineer with Franciscan Skemp-Mayo Health System in La Crosse, Wisconsin and Chair of the ME-PI Tools and Topics Work Group provides an overview of the ME-PI Toolkit. Learn the meaning of management engineering and process improvement and the role they play in ambulatory practices and hospital settings. Ms. Hogan shares how the ME-PI Community began and discusses some of the more than 200 tools that would be of interest to physicians. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.

The ME-PI Toolkit is an evolving dynamic body of knowledge provided by HIMSS members. We invite the use of these tools and topics within your organization to educate your staff, improve your processes and promote effective, efficient use of Health Information Technology that improves patient care.



Download Episode #22

 

Episode #21: The HIE Ready Community - Part 2 of 2 - March 25, 2010

Lynn Witherspoon, MD, System Vice President and Chief Medical Information Officer for the Ochsner Health System, discusses the critical challenges faced by physicians in the aftermath of Hurricane Katrina in 2005, how far they have progressed in breaking down silos within the stakeholder community, and what he sees in the future for Louisiana's Healthcare Information Exchange.

In Part Two, Dr. Witherspoon shares his perspectives on how this disaster impacted Louisiana's forward progress in the on-going development of their Healthcare Information Exchange. Learn about the value and power of the EHR, the importance of building relationships and trust, and the factors that enable a successful community exchange. Dr. Witherspoon also discusses the establishment of the Louisiana Health Care Quality Forum and the important role this organization has played and will continue to play in the further expansion of a statewide HIE. The interview was conducted by Linda Christmann, MD, VPMA/Regional CMO of CHRISTUS Central Louisiana, Arlington, LA.

Learn more about the Louisiana Health Care Quality Forum



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Episode #20: The HIE Ready Community - Part 1 of 2 - March 24, 2010

Lynn Witherspoon, MD, System Vice President and Chief Medical Information Officer for the Ochsner Health System, discusses the critical challenges faced by physicians in the aftermath of Hurricane Katrina in 2005, how far they have progressed in breaking down silos within the stakeholder community, and what he sees in the future for Louisiana's Healthcare Information Exchange.

Part One provides an overview of what worked, what didn't and what work-arounds were developed to provide medical care for patients in the days, weeks and months following Katrina.

Learn more about the Louisiana Health Care Quality Forum



Download Episode #20

 

Episode #19: Auto-ID and Bar Coding - What's Now, What's New and What's Coming - March 23, 2010

Mr. Ned Simpson, HIMSS Life Fellow, past HIMSS Chairman and a Principal at CSC Consulting, shares his expertise in the field of Auto-ID and Bar Coding and discusses top-of-mind healthcare IT issues related to HITECH and Meaningful Use, benefits of this technology, breakthroughs in this area and what the future holds. Mr. Simpson established and for many years chaired the HIMSS Auto-ID and Bar Code Task Force. Along with Ken Kleinberg, Mr. Simpsonedited the contributions of a number of Task Force members to for the book, Implementation Guide to Bar Coding and Auto-ID in Healthcare: Improving Quality and Patient Safety, which was published by HIMSS in 2009. The interview was conducted by Pat Wise, HIMSS, Vice President, Healthcare Information Systems.

Learn more about the book, Implementation Guide to Bar Coding and Auto-ID in Healthcare: Improving Quality and Patient Safety



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Episode #18: Going Mobile in a Hospital Setting - December 15, 2009

Michael Blum, MD, cardiologist, Professor of Medicine and CMIO at University of California, San Francisco (UCSF) Medical Center, and Seth Bokser, MD, pediatric hospitalist, Assistant Clinical Professor, and Medical Director for IT at UCSF Children’s Hospital, share the implementation process and benefits of mobile technology in a hospital setting. This discussion covers the importance of mobile solutions, care processes, clinician workflows, the Mobility Ecosystem and the challenges associated with mobile technology. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.



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Episode #17: EHR Usability - The What, Why and How of Applying Usability to EHR Design - November 12, 2009

Robert M. Schumacher, PhD, Managing Director at User Centric, Inc., a leading global user research firm, and Lyle Berkowitz, MD, Medical Director of Clinical Information Systems for Northwestern Memorial Physicians Group, discuss how EHR usability impacts EHR adoption. Topics include the "paper paradigm," why and how physicians and vendors need to re-think the design process, factors to consider, and how to fine-tune current EHRs.  Hear their thoughts on the white paper created by the HIMSS EHR Usability Task Force (reporting to the HIMSS Enterprise Information Systems Steering Committee): "Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating." The interview is moderated by Steve Arnold, CMO of Virginia Premier Health Plan and Chair of the HIMSS/AMDIS Physician Community.

Download the EHR Usability White Paper



Download Episode #17

 

Episode #16: The Health Record Banking Model - September 21, 2009

Jack Varga, MD, physician informaticist and consultant to federal agencies, provides an overview of Health Record Banking. Emulating commercial banking and described as a central repository, the health record banking service provides a private and secure location for each person to store his/her medical records from all sources via a deposit/withdrawal process. Learn about this patient-centric approach, privacy and security issues and current pilot projects. Please visit http://www.healthbanking.org/ to learn more. The interview is moderated by Linda Christmann, MD, a member of the HIMSS/AMDIS Physician Community Leadership Committee.



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Episode #15: TIGER Initiative - Technology Informatics Guiding Education Reform - July 2, 2009

Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS Vice President, Informatics at HIMSS, discusses the Technology Informatics Guiding Education Reform (TIGER) initiative which aims to enable practicing nurses and nursing students to fully engage in the unfolding digital electronic era in healthcare. The purpose of the initiative is to identify information/knowledge management best practices and effective technology capabilities for nurses. Learn about why TIGER was created, organizations involved, accomplishments to date and future plans. Please visit www.thetigerinitiative.org to learn more. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.

TIGER Executive Summary Report



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Episode #14: Complexities of e-Prescribing: Physician and Pharmacist Viewpoints - June 2, 2009

Patricia Hale, MD, PhD, Deputy Director, Office of Health Information Technology Transformation New York State Department of Health, Albany, NY and Mr. Kevin Marvin, RPh, Principal, Kevin Marvin Consulting LLC, Burlington, VT discuss e-Prescribing from several perspectives including physician, pharmacist and patient. Physicians and pharmacists have unique challenges in implementing and using e-Prescribing effectively and Dr. Hale and Mr. Marvin speak to these differences and offer suggestions on how to overcome them through careful project planning and collaboration. They also provide valuable insight on patient issues that will arise during the transition to e-prescribing and how to deal effectively with patient education and communication. They also provide a wealth of information on available resources to assist in your implementation. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.

Visit the HIMSS E-Prescribing Wiki



Download Episode #14

 

Episode #13: The "Meaningful EHR": Insight from the HIMSS Davies Awards of Excellence - May 27, 2009

Eric Hartz, MD, CMIO at Eastern Maine Medical Center (EMMC), and Catherine Bruno, FACHE, Vice President and CIO at Eastern Maine Healthcare Systems, join us for a discussion about implementing a "meaningful EHR." EMMC was the recipient of the 2008 Nicholas E. Davies Organizational Award of Excellence. Dr. Hartz and Ms. Bruno provide valuable and candid insight into key components of a large-scale successful EHR implementation including project management, communication, leadership and lessons learned. Learn about the significant benefits their organization has realized from their EHR. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.



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Episode #12: An Overview of the GRADE System (Grades of Recommendation, Assessment, Development, and Evaluation) - May 26, 2009

Gordon Guyatt, MD, MSc, is a physician and Professor of Clinical Epidemiology & Biostatistics and of Medicine at McMaster University in Hamilton, Ontario. Dr. Guyatt has been a leading exponent of evidence-based approaches to clinical practice, having coined the term “evidence-based medicine” in 1990. He has published over 650 peer-reviewed articles in medical journals and has also written extensively on health care policy in the popular press. In this podcast, he provides information on the sequential assessment of the quality of evidence, followed by assessment of the balance between benefits versus downsides and subsequent judgment about the strength of recommendations. This grading system – developed by the GRADE working group - allows clinicians to interpret the recommendations of clinical practice guidelines (CPGs) and apply them for the management of their own patients. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



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Episode #11: An Overview of Public Health Informatics - May 19, 2009

Dr. Ray Aller, Senior Physician and Director of the Automated Disease Surveillance Section of the Los Angeles County Department of Public Health, provides an overview of Public Health Informatics. Utilizing his deep public health background, he provides an historical perspective on Public Health. He also offers suggestions on how clinicians can do a better job of protecting the public's health using informatics. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



Download Episode #11

 

Episode #10: Achieving EHR Excellence, Deriving Value: HIMSS Nicholas E. Davies Award of Excellence - May 18, 2009

This is the first in a series of Davies Award podcasts. David Collins, HIMSS Director, Healthcare Information Systems, is responsible for the oversight of the four Nicholas E. Davies Awards. In this podcast, Mr. Collins provides an overview of this nationally coveted Awards program, including purpose, benefits, and program value, highly relevant for the industry's new emphasis on the meaningful use of EHRs. Learn about the value of applying and the tools and resources that are available on the Davies website - www.himss.org/davies. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.



Download Episode #10

 

Episode #9: The Medical Home Model - April 14, 2009

Episode #9 have been removed.

 

Episode #8: One-on-One with William Bria, MD, CMIO, Shriners Hospitals for Children System - February 10, 2009

Dr. Bria has been a leader in applied medical informatics for over 25 years. He was selected as one of Modern Healthcare’s 50 Most Powerful Physician Executives in 2008. He currently serves as chairman of the Association of Medical Directors of Information Systems (AMDIS) Board and chair of the AMDIS/HIMSS Physician Community. Dr. Bria discusses his career in medical informatics and the role that HIT plays at Shriners Hospitals for Children System. He shares background on the collaboration between AMDIS and HIMSS and current Physician Community projects. Learn about the annual AMDIS Physician Computer Connection and their major focus in the coming year. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.



Download Episode #8

 

Episode #7: Electronic Prescribing - Ready, Set, Help! - December 18, 2008

Patricia L. Hale, MD, PhD, FACP, Clinical Assistant Professor of Medicine at New York Medical College and Deputy Director of the Office of Health Information Technology Transformation, New York State Department of Health, discusses the recent focus on and interest in e-prescribing. Dr. Hale is also the author of the book, Electronic Prescribing for the Medical Practice: Everything You Wanted to Know but Were Afraid to Ask. She addresses the current state of implementation, the advantages of electronic prescribing, and stand-alone e-prescribing versus a full EHR. She provides an overview of the various incentives and multitude of resources available to physicians considering adoption. Dr. Hale also suggests ways to overcome some of the challenges practices may face when implementing an electronic prescribing system. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



Download Episode #7

Electronic Prescribing for the Medical Practice: Everything You Wanted to Know But Were Afraid to Ask by Patricia L. Hale, PhD, MD, FACP, Editor

Additional Electronic Prescribing Tools and Resources:
Medicare’s Practical Guide to the E-prescribing Incentive Program (CMS - November 2008)
Electronic Prescribing Incentive Fact Sheet (CMS - October 2008)
E-Prescribing Fundamentals (HIMSS Website)
Implementation Challenges and Solutions (HIMSS Website)
Quick Tips (HIMSS Website)

 

Episode #6: Medical Informatics: An Executive Primer - November 14, 2008

Ken Ong, MD, Director, Clinical Information Systems, North Shore - Long Island Jewish Health System discusses pearls from several chapters in the HIMSS 2007 Book of the Year titled Medical Informatics: An Executive Primer. Dr. Ong addresses what the CMIO should do to get an organization ready for implementation of an electronic health record; the role of the CMIO in helping to prevent the failure of an HIT project; and his thoughts on how the results of the recent presidential election may change the landscape of healthcare as it relates to the EHR. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



Download Episode #6 - October 23, 2008

 

Episode #5: The Importance of the CIO/CMIO Relationship

Lac Van Tran, MD, CIO, and Julio C. Silva, MD, CMIO at Rush University Medical Center in Chicago, discuss the benefits of a strong partnership between the CIO and CMIO of a medical facility. They share how their collaboration has enabled more effective medical informatics education, technology implementation and integration in the clinical practice and the migration from a paper-based environment to an automated environment. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



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Episode #4: Automated Adverse Event Detection - September 15, 2008

Dr. David C. Stockwell, Medical Director of Patient Safety and Dr. Brian Jacobs, CMIO ;at Children's National Hospital in Washington, DC discuss their innovative Automated Adverse Event Detection Consortium and it use in early or near "real-time" capture, analysis and prevention of adverse patient events. The interview was conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



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Episode #3: Using Business Intelligence to Support Better Patient Care - August 20, 2008

Dr. George Reynolds, CMIO and pediatric intensivist at Children’s Hospital of Omaha, discusses the hospital’s visionary approach clinical decision support that uses business intelligence and clinical analytics to support better patient care. The interview was conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



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Episode #2: Medical Documentation in Advance of CPOE - July 24, 2008

From the University of California San Francisco, Dr. Michael Blum, CMIO, and Dr. Russell Cucina, Associate Medical Director of IT, discuss UCSF’s employment of clinical documentation in advance of computerized practitioner order entry (CPOE). Dr. Blum and Cucina describe the initial requirements, success criteria, challenges and lessons learned of establishing clinical documentation prior to CPOE. The interview is conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.



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Episode #1: Dr. C. Martin Harris on the “Google-Cleveland Clinic Story” - July 8, 2008

In this 14-minute inaugural interview, C. Martin Harris, MD, MBA, FHIMSS, provides a description of the “Google-Cleveland Clinic Story,” a joint program that gives patients control over their electronic health records. This new service, according to Dr. Harris, “provides the opportunity of relieving them (patients) of being their own medical librarians.” Dr. Harris, Chief Information Officer and Chairman, IT Division of the Cleveland Clinic Foundation, describes how the program works, and the myriad benefits to both patients and healthcare providers.



Download Episode #1

 

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