Tracks at Digital Quality Summit 2022

 

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Track 1: Health Informatics and Intersectionality

Race, social environment, sexual orientation, religion and gender identity interact to create health inequity.

How can technology overcome these problems?

Dynamic breakout sessions will explore how new IT and digital standards can fight inequities to help patients of all backgrounds.

  1. Session 1: Health Equity

    July 12, 1:00pm EST
    Clinical, Community and Advocacy Stakeholders Committed to Action: Tactics to raise awareness, strengthen leadership, improve health outcomes for underserved populations while integrating cultural balance and data strategies.

    How do you prioritize strategies to advance health equity? Underserved populations and communities do not have a voice in the conversation about what they want and need from health care. Many organizations are doing good work, but it’s not penetrating the communities they want to serve. This session will examine how organizations are looking to connect with underserved communities, and how to design solutions that provide whole-person care.

    During this session, participants will:

    • Identify factors that contribute to the idea of care for the “whole person.”
    • Assess new tools and techniques for effectively engaging individuals, families and communities.
    • Compare and contrast issues surrounding specific clinical protocols, like colorectal or breast cancer screening, that can engage the community.

    • Dawn Johnson, MSN, RN, CEO (DHJ Services)
    • Jasmaine McClain, PhD, Principal (The Health Management Academy)
    • Tomi Ogundimu, VP (The Health Management Academy)
    • Stephen Rosenthal, SVP (Montefiore Health System)
    • Jessica Subramamian (Guardant Health)

  2. Session 2: Technology Solutions

    July 12, 3:10pm EST
    Enabling Health Equity Through Technology and Enterprise Growth: Beyond “screen and connect” strategies

    How do we assess the effectiveness of digital health solutions? How do we balance the need to reach patients with the push for privacy, standardization and interoperability? Technology needs to be fully embedded in the care team’s workflow. For some populations, this might mean also engaging patients’ families and caregivers. During this session, you’ll hear from organizations that are leveraging technology to meet the needs of underserved populations while prioritizing provider adoption.

    During this session, participants will:

    • Expand their understanding of the strengths and limitations of technological solutions.
    • Examine “appropriate access” from multiple perspectives.
    • Review emerging technologies and functionalities that encourage patient and provider empowerment.
    • Identify technologies that can improve digital literacy and reduce disparity.
    • Review examples of technology solutions.

    • Kerry Amato (MDisrupt)
    • Aditi Joshi, MD (MDisrupt)
    • Jaffer Traish (Find Help)
    • Thomas Tsang, MD (Valera Health)

  3. Session 3: Public Policy

    July 13, 11:30am EST
    Influencing Public Policy: Building commitment to advancing health equity by supporting healthy behaviors and care delivery that promote equitable access to care.

    As we aim to integrate health equity into care delivery models, what is the trajectory for creating public health policy? How do we ensure that public policy has a place in the implementation of new technologies? How do we balance the needs of regulators, payers and patients? Regulators play role as they attempt to address reading and digital literacy gaps. Public policy directs budgets and resources. Payers can drive priorities through provider reimbursement. Patients want a choice about technology and data use, which can put them at odds with regulators and payers.

    During this session, participants will:

    • Understand how social factors (e.g., race, gender, ethnicity) frame policies to achieve health equity.
    • Discover policies that shape standardization, interoperability and data use.
    • Analyze how organizations can advocate for downstream interventions such as technology, implementation, budgeting and community engagement.

    • Hope Glassberg, President (HG Consulting)
    • Elisabeth Myers (Deputy Director, Office of Policy, Office of the National Coordinator for Health IT (ONC))

  4. Session 4: Data and Analytics

    July 13, 1:45pm EST
    Telling a Story with Data to Improve Health Equity: Using data to work effectively toward health equity.

    We should understand how geographic considerations affect population and community needs. How do we use data to inform, monitor and evaluate digital and social solutions and interventions? What frameworks should help we models that reinforce or promote communication, care planning and delivery? Data inform strategy and enable monitoring of interventions and evaluation of their impact over time. This session will examine insights and tactics for leveraging data to advance engagement and model design.

    During this session, participants will:

    • Discover how organizations are collaborating to promote data collection and health for underserved and high-risk populations.
    • Review recommended frameworks on how to build effective data structures that promote care for understand and high-risk populations.
    • Understand the intersection between clinical and community data to help organizations build capacity for health equity.

    • Ryan Bosch, CEO (Socially Determined)
    • Jillian Rose LCSW, MPH, Vice President, Community Engagement, Diversity and Research (Hospital for Special Surgery)
    • Khushboo Shah, Director of Data Solutions, (Innovative Management Solutions)
    • Julia Skapik, MD, CMIO (National Association of Community Health Centers)

Track Leads

Shara Cohen, JD
Chief Executive Officer
Carallel

Vanessa Guzman, MS
Chief Executive Officer
SmartRise Health

Track 2: An Innovative Digital Quality Ecosystem

What does digital quality innovation mean for health care? Many people talk about “reaching digital health’s true potential.” What does that look like?

Learn how to build a measurement-based value framework that is digitally enhanced and positively disruptive.

Of special interest in this track: Defining interoperability standards in knowledge discovery; using existing frameworks to build a value-based digital health environment.

  1. Session 1: Modeling NextGen dQMs

    July 12, 1:00pm EST
    Evolving to a person-focused, clinical guideline-based digital quality measure using FHIR, CQL and BPM+

    Everyone is talking about the Next Generation of digital quality measures, but what do these measures look like? What are person-centered digital quality measures and how are they better aligned with clinical guidelines than the current measure portfolio?

    Using colorectal cancer screening as an example, during this session, participants will:

    1. Learn how the evolving science of quality measurement is enabled by digital standards.
    2. Get a visual tour of the proposed future of quality using a revised version of the COL-E measure.
    3. Learn about the standards enabling the move to a fully digital quality ecosystem

    • Ben Hamlin (NCQA, moderator)
    • Gini McGlothin (BCBS AL)
    • Michael Ryan (NCQA)
    • John Svirbely (Trisotech)

  2. Session 2: The Intersection of Digital Standards

    July 12, 3:10pm EST
    Conjoined with Track 4, Session 2:

    Traditional quality measure specifications have been digitally expressed using FHIR and CQL. But NextGen measurement concepts require a more nuanced reasoning model to enable standard representation of complex clinical decision pathways that will align quality measure specifications with clinical decision support. An expert panel with extensive implementation experience will discuss a quality use case for reusing data, inferences, and computable knowledge for clinically related subjects (e.g., conditions, interventions, etc.). The debate will be focused on the strengths, challenges, and alignment of BPM+ and the FHIR® Clinical Reasoning Module. The session will discuss further opportunities to strengthen these standards through collaboration.


    • Matt Burton (Holistic Healthcare Solutions)
    • Denis Gagne (Trisotech)
    • Maria Michaels (CDC, moderator)
    • Linda Michaelsen (Optum)
    • Bryn Rhodes (Alphora)
    • Davide Sottara (Mayo Clinic)

  3. Session 3: S3 Data Quality Frameworks

    July 13, 11:30am EST
    The focus of this discussion is enabling trust in information needed to power the next generation of quality measures.

    Reproducibility, reliability and validity are all major considerations for anyone working in the digital quality ecosystem, but most quality measurement validation procedures are manual. These analytic processes would be greatly enhanced by standard data quality evaluation procedures that highlight potential inconsistencies in the data.

    To enable efficient technology-augmented validation, end-user expectations for data fitness and its use in generating quality reports must be transparent and standardized.


    • Clair Blacketer (Janssen)
    • Matt Flores (Advent)
    • Ben Hamlin (NCQA)
    • Liz Marshall (Smile CDR, moderator)
    • Shane McNamee (SmileCDR)

  4. Session 4: OMOP on FHIR

    July 13, 1:45pm EST
    Harmonizing models to address the synergistic needs of the quality and research communities.


    • Floyd Eisenberg (iParsimony)
    • Davera Gabriel (JHU)
    • Tom White (MedStar)

Track Leads

Michael Barr, MD, MBA
President
MEDIS, LLC

Benjamin Hamlin, DrPH
Senior Research Informaticist
NCQA

Track 3: Digitally Enabled Care Innovation for Clinicians and Patients

What does digitally enabled care mean for patients and the clinicians who treat them?

Find out how members of the care team experience the move to digital and how digital transformation improves outcomes.

  1. Session 1: Is the Juice Worth the Squeeze?: Why Interoperability is Overdue and Foundational to Progress

    July 12, 1:00pm EST
    The interoperability rules and standards will change digital quality. During this session we will consider what it will take to align stakeholders around this objective and support the quadruple aim in healthcare.

    As a result of this session, participants will be able to:

    1. Recognize the standards and rules and how they support care and quality.
    2. Articulate the pitfalls of data exchanges.
    3. Project the impact of digital quality measures for the short-term and long-term health of organizations and the industry.
    4. Understand the intersection between true interoperability, clinical workflow and optimization.

    • Michael Barr (MEDIS, moderator)
    • Michael Klotz (MK Advisory)
    • Rick Howard

  2. Session 2: Digital Solutions Improving Clinical Practice

    July 12, 3:10pm EST
    So much has changed in healthcare and clinical practice in the past 2 years. Providers needed to pivot and find solutions to keep treating their patients. This session will look at new workflows, innovations and technologies that have gotten us through a pandemic and will highlight what has staying power and what won’t be around for the long-term.


    • Veronica Sander (Omada)
    • Eric Schneider (NCQA)
    • Rasu Shrestha (Atrium)
    • Sebastian Seiguer (emocha)

  3. Session 3: Digital Equity and Inclusion in Practice

    July 13, 11:30am EST
    Digital tools and innovations are exciting, but how can we incorporate them into our own areas of influence and make an informed decision about which tools or innovations to pursue? What barriers exist for underserved communities?

    This session will focus on how digital tools and innovations are helping providers deliver high-quality care, particularly to those in underserved communities and those challenged by the digital divide.

    Participants will:

    1. Review the main challenges facing people in underserved communities and explore modalities available to bridge the digital divide.
    2. Examine the benefits and drawback of each modality.
    3. Construct their own understanding about how they might use these modalities to help underserved people in their own communities.

    • Kristen Azar (Sutter Health)
    • Tosan Boyo (John Muir Health, moderator)
    • Teresa McArthur (Cecelia Health)
    • Julia Skapik (NACHC)

  4. Session 4: Using Digital Tools to Support Patient Care and Create Value: The Policies We Need to Promote Continued Innovation

    July 13, 1:45pm EST
    Digitally enabled clinical services and tools for patients and health care teams replaced in-person encounters and helped during Covid 19-related staffing shortages. Access to care was redefined. This session will highlight key insights from innovative approaches to care and lessons learned during the pandemic. We will discuss the implications for the future of health care and how health care policy must evolve to support innovation.

    As a result of this session, participants will be able to:

    • Recognize the role that digital tools play in providing quality care.
    • Consider innovative approaches to care and their potential for the future.
    • Understand current health policy issues related to these innovations

    • Michael Barr (MEDIS, moderator)
    • Onil Bhattacharyya (Women’s College Hospital)
    • Patrick Higley (AVIA)
    • Thomas Tsang (Valera)

Track Leads

Onil Bhattacharyya, MD, PhD
Frigon Blau Chair in Family Medicine Research
Women’s College Hospital

Laura Howard
Director, Quality Solutions Group
NCQA

Michael Klotz
Managing Consultant
MK Advisory Services, LLC

Track 4: Real World Evidence, Digital Quality Measurement and the Virtuous Circle of the Learning Health System

Find out how real-world evidence, digital quality measures and the learning health system reflect and reinforce each other.

You’ll learn how standardized, computable artifacts are the lifeblood of a learning health system—an improvement cycle where data creates knowledge and insight, resulting in better measures, better care and better health.

  1. Session 1: Aligning the Learning Health System & Continuous Quality Improvement Lifecycle

    July 12, 1:00pm EST
    An expert panel will discuss the challenges facing the health care industry, individual ecosystem participants and—most important—patients, and will connect these challenges with the activities of the Learning Health System and the lack of alignment with the continuous quality improvement lifecycle.

    The panel will discuss opportunities to align treatments, data, best practices, evidence and patients, and the motivations, opportunities, value propositions and requirements for standards, content, and implementation examples discussed in the sessions of Track 4.


    • Matt Burton (Holistic Healthcare Solutions, moderator)
    • Helen Burstin (Council of Medical Specialty Societies)
    • Genevieve Melton-Meaux (University of Minnesota/ MHealth Fairview)
    • Eric Schneider (NCQA)

  2. Session 2: The Intersection of Digital Standards

    July 12, 3:10pm EST
    Conjoined with Track 2, Session 2:

    Traditional quality measure specifications have been digitally expressed using FHIR and CQL. But NextGen measurement concepts require a more nuanced reasoning model to enable standard representation of complex clinical decision pathways that will align quality measure specifications with clinical decision support. An expert panel with extensive implementation experience will discuss a quality use case for reusing data, inferences, and computable knowledge for clinically related subjects (e.g., conditions, interventions, etc.). The debate will be focused on the strengths, challenges, and alignment of BPM+ and the FHIR® Clinical Reasoning Module. The session will discuss further opportunities to strengthen these standards through collaboration.


    • Matt Burton (Holistic Healthcare Solutions)
    • Denis Gagne (Trisotech)
    • Maria Michaels (CDC, moderator)
    • Linda Michaelsen (Optum)
    • Davide Sottara (Mayo Clinic)

  3. Session 3: Interoperable, Reusable Content—Case Example from a Content Producer: Cervical Cancer Screening and Management Computable Guidelines

    July 13, 11:30am EST
    Demonstrating interoperable, reusable content from the perspective of a content producer, the panel will present a CDC-sponsored project to develop cervical cancer screening and management computable guidelines based on CPG-on-FHIR®.
    The panel will show how the computable guideline content was reused for clinical decision support (CDS) and electronic clinical quality measures (eCQMs). Challenges for CDS and eCQM implementation related to unstructured data from external systems (e.g., pathology information systems); opportunities for future improvements will also be addressed.


    • Rose Almonte (MITRE)
    • Matt Burton (Holistic Healthcare Solutions, co-moderator)
    • Matt Tiller (MITRE)
    • Mona Saraiya (CDC)
    • David Winters (MITRE)

  4. Session 4: Interoperable, Reusable Content—Case Example from a Provider: Reusability in the Implementation of Multiple Related Use Cases

    July 13, 1:45pm EST
    Demonstrating interoperable, reusable content from the perspective of a provider, the panel will present the use of CPG-on-FHIR® and other approaches to drive continuous quality improvement in patient care that also provide value in alternative payment models. The panel will describe implementation of multiple related use cases for the same guideline, highlighting reusability across use cases.


    • Matt Burton (Holistic Healthcare Solutions, co-moderator)
    • Hank Head (Optum Health)
    • Brian Kaney (Vermonster)
    • Maria Michaels (CDC, co-moderator)
    • Rob Reynolds (Alphora)
    • Keith Toussaint (Optum Health)

Track Leads

Matthew Burton, MD
Principal Clinical Informatician and Knowledge Architect
Holistic Healthcare Solutions

Maria Michaels, MBA
Public Health Advisor
Centers for Disease Control and Prevention
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