Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care (2018)
Chapter: Appendix B: NAM Stakeholder Meeting Agenda and Participants
Appendix B
NAM STAKEHOLDER MEETING AGENDA AND PARTICIPANTS
PROCURING DIGITAL INTEROPERABILITY IN HEALTH CARE
A meeting of the Executive Leadership Network for a Continuously Learning Health System NAM Leadership Consortium for a Value & Science-Driven Health System
Sponsored by the Gordon and Betty Moore Foundation
January 30, 2018
National Academy of Sciences Building
Lecture Room
2101 Constitution Ave. NW
Washington, DC 20418
Meeting focus: Driving health care interoperability through collaborative procurement strategies
Context: Consideration of the NAM Special Publication: “Procuring Interoperability: Achieving High-Quality, Connected, and Patient-Centered Care Through Strategic Acquisition Specifications”
Key discussion questions:
- Core elements. What are the core elements of digital interoperability in health and health care?
- Status and consequences. What is the status of digital interoperability in HIT, and what are the health outcomes and efficiency consequences of the shortfalls?
- Approaches and barriers. What are the primary approaches to advancing interoperability at the organizational and system levels, and the primary barriers to success?
- Procurement strategy. How have digital procurement strategies worked in other industries, and how can systematic and collaborative strategies by health care organizations drive transformative interoperability for the benefit of their patients?
- CEO and CIO leadership opportunities. What intra-organizational and system-wide collaborative activities can turn HIT purchasing strategies into a transformative tool for advancing health care safety, outcomes, and value?
| 8:30 AM | Welcome, opening remarks, and introductions |
Welcome and call to order
Michael McGinnis, National Academy of Medicine
Opening remarks
Victor Dzau, President, National Academy of Medicine
Harvey Fineberg, President, Gordon and Betty Moore Foundation
Review of the flow of the day
Claire Wang, National Academy of Medicine
Brief remarks from the US Secretary of Veterans Affairs
David Shulkin, Department of Veterans Affairs
| 8:45 AM | Interoperability in health and health care: an overview |
- Definitions and core elements of interoperability in health and health care
- Current status of digital interoperability in health
- Roles and status of standards
- Existing initiatives promoting interoperability
- Barriers and rate-limiting factors, including demand- and supply-side forces
Moderator: Michael McGinnis, National Academy of Medicine
Presentations:
Federal interoperability road map and the 21st Century Cures Act
Don Rucker, Office of the National Coordinator for Health IT, HHS
Features and status of interoperability in US health care
Julia Adler-Milstein, University of California, San Francisco
Leveraging health IT for patient care: practical considerations
Christopher Ross, Mayo Clinic
Policy and marketplace drivers for digital interoperability
Chantal Worzala, American Hospital Association
Interoperability: progress, barriers, and key initiatives
Micky Tripathi, Massachusetts eHealth Collaborative
Open Discussion
| 10:00 AM | Break |
| 10:15 AM | Procuring interoperability: the NAM Special Publication |
- Background to the project and organization of the activities
- Current profile of technology procurement in health and health care
- Opportunities and strategies identified in the project
- Technical components and starting points
- Interoperability procurement experiences from sectors outside health
Report background, organization, and action priorities
Peter Pronovost, Johns Hopkins Medicine
Discussants:
Sezin Palmer, Johns Hopkins University, Applied Physics Laboratory
Meredith Karney, Center for Medical Interoperability
Oscar Marcia, Eonti
Bill Johnson, US Navy (former)
Open Discussion
| 11:30 AM | Procuring interoperability: system-wide strategic considerations |
- System-level view of comprehensive interoperability
- Technology and infrastructure requirements
- Platform development approaches: build and license versus open-source
- Partnerships, consortia, and industry support
Panel discussion, with introductory reflections by each panelist on
- Interoperable health IT infrastructure at points of care: key clinical scenarios
- Path toward data liquidity and plug-and-play commercial solutions
- Technical infrastructure: common platforms, reference architectures, certification
- Standard development and stewardship priorities
Moderator: Michael Johns, Emory University
Panelists:
Julian Goldman, Partners Healthcare
Laurie McGraw, American Medical Association
Ed Miller, Center for Medical Interoperability
Andy Gettinger, Office of the National Coordinator for Health IT
Open Discussion
| 12:45 PM | Lunch panel: Accelerating marketplace contributions to interoperability |
Panel discussion, with introductory reflections by each panelist on their company and their industry’s contributions to interoperability and what accelerants they recommend.
Moderator: Wendy Nilsen, National Science Foundation
Panelists:
Bram Stolk, General Electric
David McCallie, Cerner
Rob Klootwyk, Epic
Chuck Martel, Anthem
Eyal Oren, Google
Open Discussion
| 1:45 PM | Procuring interoperability: strategic priorities for health care system leaders |
Panel discussion among health care organization leaders on the match of the action priorities—Commit, Identify, Collaborate, Specify, and Assess—with their experience, and the most important steps toward implementation. Moderator: Karen Guice, Ernst and Young
Panelists:
VADM Raquel Bono, Defense Health Agency, Department of Defense
Jim Jirjis, HCA Healthcare
Charles N. Kahn III, Federation of American Hospitals
Open Discussion
| 2:45 PM | Break |
| 3:00 PM | Health care CEO perspectives |
- Conditions for success
- Internal leadership opportunities
- Collaborative leadership opportunities
- How the NAM might be facilitative
Moderator: Aneesh Chopra, CareJourney
Reflections and recommendations:
Toby Cosgrove, Cleveland Clinic
Steve Safyer, Montefiore Medicine
Christopher Ross, Mayo Clinic
Stephanie Reel, Johns Hopkins Medicine
Rene Cabral-Daniels, Community Care Network of Virginia
Open Discussion
| 4:20 PM | Immediate priority steps—facilitated discussion |
Moderator: Peter Pronovost, Johns Hopkins Medicine
Open Discussion
| 4:50 PM | Summary comments, thanks, and adjournment |
Peter Pronovost, Johns Hopkins Medicine
Michael McGinnis, National Academy of Medicine
MEETING PARTICIPANTS
NAM Staff
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