Beyond our Reach is Now – Healthcare on Broadway

Last Thursday, the New York State HIMSS chapter gathered at New World Stages for its miniHIMSS 2018 conference. The event provided for insights and strategies to be shared, collaborative panel discussions, and networking. The theme of the conference was “Beyond our Reach is Now,” and topics for the day included:

• Keynote: “What is Possible” By Peter Fleischut, CMIO, NY Presbyterian
• ACT I: Interactive debate with NYS Healthcare Leaders on the current regulatory environment and the impact on improving care in NYS. Stacey Gulick, Garfunkel Wild, Vicki Tiglias, CHC, NYS, Valerie Grey, New York eHealth Collaborative, Joyce Nolasco, Nassau University Medical Center, John Halamka, CIO of Beth Israel Deaconess
• ACT II: Interactive debate with some of the top Leaders in NYS with regards to the challenges of inoperability, security and the leveraging of innovation to position NYS as a Best-in-class environment. Jordan T. Cohen, Attorney, Mintz Levin Cohn Ferris Glovsky and Popeo PC. Kris Kusche, Albany Medical Center, Rob Zeglen, NYSTEC, Victoria Tiase, New York Prebyterian, Jill Eisenstein, GRRHIO, Grace Barry, FSI-LI, Michael Kanerallis, Wolf & Co
• ACT III: A dynamic debate of the real applicability of technologies e.g. AI, Telehealth, predictive modeling & mobility solutions and where they can or have made a difference. Peter Tibbett, CEO, Healthcelerate, Lisa Latts, IBM Watson Healthcare,Graeme Ossey, New York Prebyterian. Rikki Jennings, Zebra Technologies, Jamie Nelson, Hospital for Special Surgery, MaryAnn Connor, Memorial Sloan Kettering Cancer Center, Nick VanDuyne, NYCIG. Dr. Saurah Chandra, Northwell Health
• ACT IV: The last debate features both State and National speakers discussing and challenging each other on the future of Healthcare and the role of innovation. Luis Taveras, Former CIO, Retired, Thomas Check, CEO, HealthIx, Nader Mherabi, CIO, NYU Langone Medical Center, Dr. Raj Lakhanpal, CEO, SpectraMedix, Rosemary Ventura, NY Presbyterian Hospital

Below are the top takeaways and impressions from the event:

Machine process automation can have substantial impact on hospital back room efficiency

#Chatbots and machine process automation being deployed at @nyphospital as help desk fields >1MM calls/year and 60 employees managing timekeeping; via @PeterFleischut at #NYSHIMSS #miniHIMSS @HIMSSNYS pic.twitter.com/NL5tEVa4Uc

— Justin Campbell (@tjustincampbell) June 13, 2018

Application portfolio rationalization yields substantial savings which can be re-allocated to innovation

Most large health systems have 250 to 5K IT apps installed across enterprise. Depending on the size of the org, #TCO can range between $5MM & $500MM per year. This frequently adds annual IT operating spend of 40%-60%, on top of licensing spend. https://t.co/W8tTTd3uxZ #nyshimss https://t.co/n4B5JWnqJA

— Galen Healthcare (@GalenHealthcare) June 13, 2018

More HIE use cases exist than CCD delivery. Clinical event notifications, advanced directives delivery, medication reconciliation and many others.

There are many more use cases for an #HIE than just #CCD. New York Care Information Gateway intervened with 585 out of 12k patients to eliminate duplicate testing with ha1c levels – Nick VanDuyne, Executive Director #nyshimss @HIMSSNYS

— Justin Campbell (@tjustincampbell) June 13, 2018

Health IT security is all about layers, breadth and depth. Multi-factor authentication, and pen testing are imperative to hardening security.

15% of #HCO emmployees will respond to #phishing emails. $300 device can take down $2MM application. #WannaCry should have been a wake up call. #security panel at #nyshimss @HIMSSNYS

— Justin Campbell (@tjustincampbell) June 13, 2018

Every 7s, @BIDMChealth deals with an attempted hack or security threat, often state sponsored; spend $8MM a year on defending. Financial industry has much higher security budget than healthcare; hence the hackers go after healthcare as a target @jhalamka #nyshimss @HIMSSNYS

— Justin Campbell (@tjustincampbell) June 13, 2018

Do your vendor contracts ensure you keep the hard drives from #biomed devices & copy machines? They better, if you want to keep data safe, says Kris Kusche of @AlbanyMed #cybersecurity #HealthIT #cybersecuritytraining @HIMSSNYS

— Kate Huvane Gamble (@khgamble) June 13, 2018

Politics is regional and trust is local. National HIE not a technology problem, a psychology problem

Politics is regional and trust is local. Barriers to national #HIE in US; Not a technology problem, a psychology problem @jhalamka #nyshimss @HIMSSNYS

— Justin Campbell (@tjustincampbell) June 13, 2018

BIDMC increased operating room capacity by 30% by using Amazon to schedule

Wow. @jhalamka has seen a 30% increase in OR capacity/scheduling efficiency by using @amazon to schedule using AI. Would love to hear more details on that. Think about the revenue potential there. @HIMSSNYS #NYSHIMSS

— Melissa Skolnik (@MelissaSkolnik) June 13, 2018

Critical to leverage artificial intelligence and machine learning to reduce clinician burden

7 petabytes of data for clinicians to wade through at @BIDMChealth; critical to leverage #AI and #ML to reduce clinician burden – @jhalamka via #nyshimss #miniHIMSS panel on current regulatory environment and impact on improving care in NY @HIMSSNYS

— Justin Campbell (@tjustincampbell) June 13, 2018

‘We’ve got to save our physicians,’ says Lisa Latts. ‘We have to pull out unstructured data & make it available to them.’ @IBMWatsonHealth @HIMSSNYS #physicians #HealthIT #usability #nyhimss18

— Kate Huvane Gamble (@khgamble) June 13, 2018

In summary, the event proved to be invaluable in fostering collaboration and thought leadership to tackle and discuss the areas of challenge for health information technology. It’s clear that clinicians are feeling increasingly burdened instead of empowered by healthcare information technology. Not to mention the additional regulatory requirements and emerging security threats faced. The importance of continued innovation cannot be underscored enough.