2022
INTELLIGENT HEALTH DATA SYMPOSIUM
Agenda
Thank you for another great year. This event is now closed.
Jayn and Her Care Team in a Post Interoperability World
OPENING KEYNOTE
Duncan Weatherston | Smile CDR Inc., Chief Executive Officer
FHIR adoption has garnered sufficient momentum that the question of whether we will achieve interoperability in healthcare has been replaced by the question of when. Implementation Guides are being built for meaningful aspects of the healthcare journey and there are more to come. And broad adoption of terminology services and standards are further accelerating the shift to interoperability. Assuming that this trajectory plays itself out and we actually achieve robust global FHIR implementation, what is on the schedule for the post interoperability world in which interoperability is a given - fully realized and mature? How do Health Information Systems behave in that world? What opportunities become available to us? And what does this mean for how patients and their care teams experience health care? We will discuss considerations for the post-interoperability landscape as we take you through Jayn's journey as a pregnant woman with diabetes.
Healing Healthcare’s Ills Using Open Standard, Event-Driven Data Fabrics
THOUGHT LEADERSHIP SESSION
Dr. Shane McNamee | Smile CDR Inc., Chief Medical Information Officer
Fragmented, old, dirty healthcare data has served as a major barrier to realizing cost and quality gains in value-based care programs at scale. Disconnected HealthIT products built with proprietary data models have created massive inefficiencies, increased burden in clinical workflows and restricted patient flow across boundaries. Event driven architectures in scalable data fabrics are one critical key to unlock cost and quality outcomes. This talk will focus on the transformational efficiencies and quality improvements possible using Smile CDRs open standard data & knowledge fabric. Together we’ll explore these and other #smileinside topics as:
- Using data & knowledge automations to remedy the crippling, healthIT inefficiencies cluttering clinical workflows.
- The critical importance of open data, knowledge and process standards to accelerate and stabilize interoperability initiatives.
- Best practices for implementing near real-time streaming digital quality metrics in value based care efforts.
- Stabilizing and accelerating quality purchased care flow across existing IT boundaries.
#ChooseOpen #BetterGlobalHealth #SmileInside
How the HL7 Da Vinci Project Advances Interoperability
THOUGHT LEADERSHIP SESSIONS
Alix Goss | Imprado, Vice President and Senior Consultant
The use of HL7® FHIR® by all parts of Health IT is on the rise, and the HL7 Da Vinci Project is poised to accelerate data exchange and reduce burden between provider and payers and fuel clinical data needed for patient applications. Learn about the real-world progress of the dozen FHIR Implementation Guides available for use between you and your partners. Focus areas include standardizing provider, payer and patient clinical data exchange, improving information equity about benefits, automating prior authorization workflows, and leveraging FHIR to improve collection and sharing of data to support quality and risk programs. As a key to meeting existing and proposed federal rules, Da Vinci’s growing community provides a way for organizations to understand APIs required to transform healthcare for value-based care. See how to get involved, learn more about upcoming education and implementation opportunities and access all of the HL7 Accelerators’ free resources.
Smile CDR Tips and Tricks: Insight from Implementations
TRAINING SESSION
Chris Stoten | Smile CDR Inc., Director, Enterprise Architecture
With successful implementations around the world, there are nonetheless some useful features within Smile that aren't used as often as they could be. Tune in to learn about some useful deployment patterns that will benefit many customers, both today and in the future.
Combatting Sepsis with AI automation at the edge
THOUGHT LEADERSHIP SESSION
Ben Cushing | Red Hat, Director, Federal Health and Science
No technology is better poised to transform Healthcare as AI, EDA, and Business Process Automation. Coupled with an Edge Architecture, these continuous monitoring and detection systems can scale to provide early warning intervention and measurable process improvements, anywhere. For example, Sepsis is a costly and life threatening condition that can result in multi-organ failure. Beating conditions like sepsis requires rapid detection and mitigation of risks. With the immune system compromised, recovery at home is often preferred to minimize the risk for cross-infections, yet medical teams often lack the capability to perform constant surveillance for emerging risks across their patient cohorts, especially in rural settings. In this session, we will follow a vulnerable, post-operative patient, Alani, as she recovers from surgery in her home setting. We will demonstrate an early warning system driven by Clinical AI at the Edge, fed by at-home post-operative monitoring and automated Clinical care escalation and coordination processes.
Clinical Scheduling in FHIR
TRAINING SESSION
Neil Hsieh |Smile CDR Inc., Software Developer
Taha Attari |Smile CDR Inc., Associate Front-End Developer
Learn about the Smile CDR Clinical Scheduler built using Angular and FHIR, why it's important, and how to use it.
Integrating Care & Clinical Research of Paediatric Diabetes
VENDOR SHOWCASE
Alec Laws | IDENTOS, Chief Technology Officer
Join this presentation, to learn how the IDENTOS and Smile CDR have developed a single access platform that enables children and their guardians to integrate their care team, health services, devices, and much more as they manage type 1 diabetes - while also enabling data for research on the disease.
Enabling Digital Transformation for the Payer Community for Better Health Outcomes
THOUGHT LEARDERSHIP SESSION
Christopher Ford | Smile CDR Inc., Associate Vice President, Payer Solutions
Payers are being presented the opportunity to enrich their business and play a pivotal role in the transformation of health data interoperability, and it's disguised as compliance. But the path of following the rules leads to a vast opportunity to be at the nexus of health information and empowering the entire ecosystem of stakeholders, be they your members, providers, or the innovators bringing new solutions to market. This talk will focus on Smile CDR’s vision and strategy to enable the digital transformation for Payers and how they can seize this opportunity. Together we’ll explore such topics as:
- Moving beyond compliance
- How embracing the CMS rules creates a foundation for innovation and connected health
- Empowering the Data Fabric to bring transformative change
- The role the Payer Community can play in enabling digital marketplaces and the value that brings
Using UX to Achieve Better Outcomes for You and Your Patients
TRAINING SESSION
Anu Kuga and Meagan Peat | Senior UX Designer and UI/UX Designer, Smile CDR Inc.
Learn about User Experience (UX) what it is and how to save development time, resources and frustration while achieving better outcomes for your patients with improved UX.
The Digital Future of Healthcare Quality Measurement
THOUGHT LEADERSHIP SESSION
Dr. Rebecca Jacobson | Astrata, Inc., President
In this session I will unpack what is currently so problematic about how healthcare quality is measured. I'll also show you how FHIR, interoperability and natural language processing (NLP) can help move us towards truly digital health care quality measurement - an important step towards value based care.
International Patient Summary and Canada’s Role in It
THOUGHT LEADERSHIP SESSION
Attila Farkas | Canada Health Infoway, Sr. Director Solution Management and Advisory Services
There is a concerted international effort to create a Patient Summary document to hold a point in time state of a patient's health status. Canada is actively participating in these efforts. This session will explore the topic in further detail.
Testing Your Federated OIDC setup with Swiss on FHIR
AWS for Health
VENDOR SHOWCASE
Umair Khalid | Amazon Web Services, Partner Solution Architect - Healthcare and Life Sciences
Healthcare and life science organizations are reinventing how they collaborate, make data driven clinical and operational decisions, enable precision medicine, and decrease the cost of care. Join us to learn more about AWS for Health, an offering of AWS services and AWS Partner Network solutions used by thousands of healthcare and life sciences customers globally. AWS for Health provides proven and easily accessible capabilities that help organizations increase the pace of innovation, unlock the potential of health data, and develop more personalized approaches to therapeutic development and care.
Defining Teledermatology
THOUGHT LEADERSHIP SESSION
Dr. Paul Ziemer | MedX Health, General Manager
Naman Demaghlatrous | MedX Health, CEO
Dariush Zomorrodi | Blanc Labs, CIO
In this presentation, you will hear how multi-disciplinary teams of design, engineering, and product at MedX and Blanc Labs embarked on a journey to develop an AI-based teledermatology screening platform leveraging Smile CDR’s high performance and secure FHIR-based clinical data repository. This is an outstanding example of close collaboration and innovation between thought leaders of tech and healthcare to develop a solution for detecting disorganization of a suspicious skin mole or lesion allow
Implementation Grit: Testing and Certification of Interoperability Rules
THOUGHT LEADERSHIP SESSION
Timothy Bennett | Drummond Group, Director of Strategic Healthcare Initiatives
Sandy Vance | Counterpoint Solutions, President and Founder
Lorraine Doo | Senior Policy Advisor, Centers for Medicare and Medicaid Services
The Center for Medicare and Medicaid Services (CMS) included guidance in their interoperability rules to advance implementation guides for payer and patient access to healthcare data. The roadmap, which started in 2019 has required an army of support to meet the mission, and there is more work to be done.
Join this interactive panel discussion to hear how testing and certification for the Da Vinci and other implementation guides helps organizations implement the interoperability rules, ensures best practices, and save a lot of cost and effort.
Elasticsearch and High Volume FHIR
TRAINING SESSION
Michael Buckley | Smile CDR Inc., Staff Software Developer
Learn about new search and storage directions for FHIR.
Smile CDR as a Service: Simplified Management of Smile CDR on Kubernetes Using Operators
VENDOR SHOWCASE
Aaron Aston | Telus Health, Head of Engineering
Tim Sweet | Omara Health Exchange, Lead Architect
Over the last three years, TELUS Health has built the Omara Health Exchange as the foundational digital health platform in our ecosystem. At the centre of the Omara Health Exchange is the Clinical Core which includes the Omara Health Data Services and Omara Identity modules. TELUS Health selected the Smile CDR to be central to these modules and has developed unique capabilities that simplifies the design, deploy and management of a digital health ecosystem.
Technically, Omara integrates software packages from a number of vendors into a cohesive toolkit that may be applied to solve a wide range of healthcare IT problems. Each Omara module functions “as-a-Service”. This allows operators to deploy fit-for-purpose solutions on demand, possibly integrated with online portals with on demand provisioning capabilities. The “as-a-Service” features of Omara are implemented using Kubernetes Operators. A Kubernetes Operator is Kubernetes-native software that ‘knows’ how to deploy and manage other software on the cluster.
This session will provide an overview of Kubernetes Operators, discuss the TELUS Omara (Smile CDR) operator, discuss and demonstrate the use of the Smile CDR operator, and discuss the operational benefits and challenges of operators.
Let’s Be Transparent Understanding Price Transparency: What We Know and What We Don’t
THOUGHT LEADERSHIP SESSION
Dr. Cait O'Donnell | Smile CDR Inc., Manager of Research and Insights
In the past few years, there has been a seismic shift in attitudes around the need to enable patients to understand the cost of their healthcare better. Concerned about the lack of price transparency and rising costs of healthcare, as well as the crippling medical debt that resulted from surprise medical bills, legislators realized a need to enact legislation to promote greater transparency around the cost of healthcare services. Subsequently, several laws have been enacted to promote "Price Transparency" in the United States. Confusion around "Price Transparency" comes from it not being a single solution, product, act, or piece of legislation. The term Price Transparency does not refer to a specific piece of legislation; instead, the term Price Transparency is an umbrella term that refers to a series of different laws and acts intended to achieve the legislative goal of making healthcare prices more transparent. This talk seeks to mitigate some of the confusion around "Price Transparency" by disentangling the laws and providing detailed insights into the aims and requirements of each piece of legislation. In this talk, Cait will discuss the specific laws enacted to achieve Price Transparency in the United States, focusing on the known requirements unique to each and highlighting where uncertainties remain. Cait will shine a light on the importance of these laws and their relevance to stakeholders, including patients, providers, payors, vendors, and solution developers.
FHIR Subscriptions 101
TRAINING SESSION
Mark Iantorno | Smile CDR Inc., Director of Strategic Healthcare Initiatives
Learn about FHIR subscriptions, what they are, why they are important, and the best practices Smile CDR uses.
Major Trends and Opportunities in Digital Health
VENDOR SHOWCASE
Dr. David C. Rhew | Microsoft, Global Chief Medical Officer (CMO) and VP of Healthcare
Major trends in healthcare will determine which digital innovations are here to stay. Dr. Rhew will describe four (4) major trends in healthcare: (1) Health equity, (2) Consumerism, (3) AI/ML, and (4) Virtual care (next generation). He will then provide clinical examples of how each of these major trends create new opportunities for digital innovations that will transform healthcare.
FHIR in the Spotlight of Federal Regulations
THOUGHT LEADERSHIP SESSION
Timothy Bennett | Drummond Group, Director of Strategic Healthcare Initiatives
This session will be an in-depth discussion about what both CMS and ONC has already set forth in federal regulations with FHIR, what CMS and ONC have signaled is coming, and peering into the crystal ball of the future of FHIR that could be transformative for payer, provider, and patient users.
International Patient Summary Implementation Guide
TRAINING SESSION
Florin Negoita | Smile CDR, Technical Implementation Lead
International Patient Summary represents an electronic health record containing essential healthcare information intended for use in unscheduled, cross-border care scenarios. An overview of Canadian and international landscape, with a focus on Ontario.
How To Make Your FHIR Data Ingestion Smooth Like Butter
TRAINING SESSION
Laurie MacDougall Sookraj | Smile CDR Inc., Staff Software Developer
Sophie Tekeste | Smile CDR Inc., Product Developer and Data Modeller
Lessons learned and cautionary tales about data ingestion dos and don'ts. This session will cover topics related to data modelling, testing, and ingestion methods.
Building a Data Integration Center with FHIR
VENDOR SHOWCASE
Stoyan Halkaliev | NursIT Institute GmbH, CEO
Danny Ammon | Jena University Hospital, Head of Data Integration Centre
A low-code development platform (LCDP) provides a development environment used to create application software through a graphical user interface instead of traditional hand-coded computer programming. A low-coded platform may produce entirely operational applications, or require additional coding for specific situations. Low-code development platforms reduce the amount of traditional hand coding, enabling accelerated delivery of business applications. A common benefit is that a wider range of people can contribute to the application's development—not only those with coding skills. LCDPs can also lower the initial cost of setup, training, deployment and maintenance. Low code is already being hyped as the solution to the future increased need for IT specialists. Just google "low code" on the web to see that it is not just a trend, but a focused effort.
Optimizing Preoperative Assessments: From Rules to Decisions. From Decisions to Value.
THOUGHT LEADERSHIP SESSION
Denis Gagné | Trisotech, CEO and CTO
John Svirbely, MD | Trisotech, CMIO
A patient undergoing surgery may have to undergo many preoperative assessments, which are often manual and time-consuming. Preauthorization has become synonymous with endless forms and delays and with the occasional denial of care that the provider had deemed appropriate. A payer organization must balance quality of care, reimbursement and patient satisfaction, while being compliant with ever changing rules and regulations. In an era of digital transformation, it is possible to completely automate low-risk preauthorizations. This can be done using processes and decisions using visual low-code models that are easily changed to meet changing requirements. The same models can be used to risk stratify patients, to prepare dashboards to quickly visualize data and to prepare data for predictive analytics (AI). Automated BPM+ visual models can help to achieve these goals, with Smile CDR providing and collecting the standardized data. In this session, we will introduce and demonstrate visual modeling and automation for preauthorization based on a set of international open standards called BPM+. We will show how changes to compliance rules can be rapidly and easily traced to modify automation services accordingly, using an example in orthopedic surgery. Take aways :
- Automation of preauthorization is feasible and can meet the challenge of keeping decisions up to date with rules and regulations.
- Process models to risk stratify patients with comorbidities can help to identify patients at risk for postoperative complications.
- Standardized data in context provides better (real time) data for big data predictive analytics.
The Era of Physician Designated Apps
THOUGHT LEADERSHIP SESSION
Aneesh Chopra | CareJourney, President
Physicians are increasingly taking on "total cost of care" risk, including responsibility for many traditional payer functions via accountable care organizations. These "ACOs" are buying / building technology on the provider side to reduce burdens, and thanks to the CURES Act, are building "SMART on FHIR" apps that natively integrate with EHRs and payers. As we fully implement the CURES Act, I've called this the "era of physician-designated apps.
Smart Health Cards Initiative
TRAINING SESSION
Igor Sirkovich | Smile CDR Inc., Senior FHIR Implementation Consultant and Senior Integration and Solution Architect
Learn about the SMART Health Cards Framework and Vaccine Credentials Initiative. We will discuss the main aspects of the Vaccination & Testing FHIR Implementation Guide, and use of Smart Health Cards in Canada.
Connected Medication Management
VENDOR SHOWCASE
Nick Zamora | Healthchain Inc., CEO
Nick will speak on the Medication Reconciliation project that is live at Southlake Regional Health Centre. HealthChain utilizes Smile CDR/FHIR as its core data orchestration engine that facilitates the collection and distribution of medication data. The HealthChain’s platform connects pharmacies and hospitals to enable medication reconciliation and other clinical services to address patient safety risks during transitions of care.
Blazing a Trail Towards the Internet of Health
CLOSING KEYNOTE
James Agnew | Smile CDR Inc., Chief Technology Officer
Our industry is on a collective journey to transform healthcare data, and ultimately to transform healthcare as a whole. Join Smile CDR’s Head Geek and CTO as he recaps the event, talks about the future of intelligent health data, and discusses how Smile CDR plans to keep pushing forward on this mission.