Physicians’ & IT Leadership Symposium

Clinical Data Management and Decision Support

Tuesday, 24 February 2009, 9.00 – 16.30
(Registration opens at 8.30)
Hospital Serdang
(Shuttle Bus to Hospital Serdang available from KLCC Main Entrance at 7.30am and 7.45am)

Programme Outline

08.30	Registration
09.00	Opening Remarks by Chairman Professor Dr Jai Mohan
09.10	Welcome Address by Director of Serdang Hospital, Dr Mohd Norzi bin Ghazali
09.20	Collaborating on Evidence Based Order-sets to Improve Care Quality and Value Dr Jeffrey Rose, MD This presentation will recount the experience with the design and deployment of collaboratively authored order-sets within the Ascension Health 67 Hospital system and in a cross system project with 3 other large hospital enterprises.
10.05	Leveraging Semantic Interoperability in a Clinical Data Repository for Data Management and Decision Support Dr LAU Lee Min PhD Physician, 3M Health Information Systems, Inc, USA Efficient and effective clinical data management and decision support requires planning and implementation of appropriately structured and coded data. This session describes how semantic interoperability achieved in a clinical data repository can be leveraged to improve health care delivery and outcomes.
10.50	Medication Decision Support – The Next Steps Ms Sau-Chu Chiang Senior Pharmacist, Hospital Authority of Hong Kong Traditionally, medication decision support (e.g. allergy, drug interaction) is often more authoritarian than supporting. This session discusses how we can put the “support” back in decision support.
11.35	Converting Primary Care Clinical Data into Clinical Knowledge Dr Nathan Pinskier MBBS, Dip Prac Man, FAAPM, FAAQHC Director, Global Health Ltd Board, Australia The once omnipresent clinical paper record is slowly being supplanted by its electronic counterpart creating significant opportunities in terms of data collection, interrogation, sharing, and decision support.
12.20	Lunch
13.00	Case-mix and Evidence-Based Management Professor Dato’ Dr Syed Mohamed Aljunid MD, MSc, PhD, FAMM Professor of Health Economics & Consultant Public Health Medicine Senior Research Fellow, United Nations University-International Institute of Global Health (UNU-IIGH), Malaysia Case-mix system is an advance disease classification system which is used in many developed and developing countries since the last three decades. Case-mix presents a combination of diagnoses, procedures, cost and outcome of care. This session will provide an in-depth discussion on the use of case-mix system as a reliable and effective tool to enhance quality and efficiency of health care services.
13.45	Terminology, Ontology and Semantic Interoperability: the values and implications to Clinicians Prof Dr Stephen Chu BAppSc, MB ChB, Grad Dip Computing, MB(IT), PhD, FACS Vice Chair, HL7 New Zealand Prof of Health Informatics, Multi Media University of Malaysia Head, Health Informatics, Metamorphous Consulting The informatics community has promised/predicted that eHealth will produce significant benefits and return on investments to the health care industry. Such promise is predicated on the widespread adoption of standards, achievement of full semantic interoperability in electronic information interchange and decision support applications. Producing semantically rich and interoperable clinical information requires significant investments by the health care industry and efforts from the clinicians. Yet there still lacks robust systems and applications to effectively consume the rich information to produce the benefits or ROI demanded by clinicians. Terminology and ontology are small components of the eHealth infrastructure but critically important to ensure semantic interoperability and knowledge management for decision support. Until recently investments, and capability building on these important components are generally lacking. Clinician support is still lacking. To deliver the promised benefits of eHealth, it is important to understand the power and constraints of terminology and ontology, and the enabling technologies required to win over the support of clinicians.
14.30	Integration of Personal Health Records in EMR: Focus on Medication Safety Dr Bobbie Byrne MD, MBA Vice President and General Manager, Clinical Solutions The Personal health Record is an electronic medical record that is created and maintained by the patient. Because PHRs could be a rich source of data about the patient, integration between EMRs and PHRs is of particular interest to care providers. Discussion of the use care for integrating the patient’s home medication list from the PHR into the EMR is discussed.
15.15	Medical Decision Support Systems – a life saving and economic tool of modern medicine Prof Dr Stefan Winter (invited)
16.00	Visit to Specific Departments in Serdang Hospital to review HIS implementation
16.45	Bus Leaves Hospital Serdang to KLCC

Featured Speakers

Dr Nathan PINSKIER MBBS, Dip Prac Man, FAAPM, FAAQHC
Director, Global Health Ltd Board
Australia

Dr Nathan Pinskier is a Melbourne general practitioner who graduated from Monash University in 1983. He has an extensive involvement in the health IT/IM and quality movements and is a board member of Global Health Ltd, a clinical lead with the National E-Health Transition Authority (NEHTA), a member of the Medicare Australia stakeholder representative group and a surveyor with Australian General Practice Accreditation (AGPAL). He also acts as a e-health advisor to the Royal Australian College of General Practitioners.

Dr LAU Lee Min PhD
Physician, 3M Health Information Systems, Inc
USA

Lau Lee Min received her medical training from the National University of Singapore and her PhD in Medical Informatics from the University of Utah. She leads the Medical Informatics department for 3M Health Information Systems, Inc. Prior to joining 3M in 1995, Lee Min was the Chief of Quality Assurance and Outcomes Research at the University of Utah Hospital. That experience instilled in her a passion for high quality data to enable improvement in health care delivery and outcome, and led to her current focus on the implementation and operational use of medical terminologies and standards. Lee Min is on the faculty of the Department of Biomedical Informatics at the University of Utah. She co-teaches a course on vocabulary and standards and has shared her knowledge through publications, presentations and participation in various standards committees.

Professor Dato’ Dr Syed Mohamed Aljunid MD, MSc, PhD, FAMM
Professor of Health Economics & Consultant Public Health Medicine
Senior Research Fellow, United Nations University-International Institute of Global Health (UNU-IIGH)
Malaysia

Dr Syed Mohamed Aljunid is a Professor of Health Economics and Senior Research Fellow in United Nations University-International Institute for Global Health. Prior to this he served as a Professor of Health Economics and Consultant in Public Health Medicine and Head of Department of Community Health, Faculty of Medicine, National University of Malaysia (UKM).

Currently he is Consultant and Advisor to Ministry of Health Indonesia on the implementation of Case-mix System in a number of public and teaching hospitals in the country. He has also served as Consultant and Advisor to international agencies such as World Health Organisations, UN-AIDS, UNDP, UNICEF, GAVI, Asian Development Bank and the World Bank.

Prof Dr Stephen Chu BAppSc, MB ChB, Grad Dip Computing, MB(IT), PhD, FACS
Vice Chair, HL7 New Zealand
Prof of Health Informatics, Multi Media University of Malaysia
Head, Health Informatics, Metamorphous Consulting

Prof Stephen Chu is a leading health informatician with over 20 years of clinical experiences and 15 years of health informatics practice, particularly in the domains of EHR, Clinical Information Systems, and Standards development and implementation. He has lead and contributed significantly to the development of referral, discharge summary diagnostic imaging reporting standard specifications in Australia and New Zealand. He is also involved in the development and implementation of electronic medication management programs in both countries.As Head of Health Informatics at Metamorphous Consulting, he is the clinical and technical lead of a number of health IT implementation activities in Malaysia. He also takes on a leading role in health management strategies and services planning development and implementation.

Bobbie Byrne MD, MBA
Vice-President and General Manager, Clinical Solutions
Eclipsys Corporation

Bobbie Byrne is Eclipsys’ Vice-President and General Manager of Clinical Solutions. In that role, Dr Byrne is responsible for managing the growth of the Eclipsys advanced clinical solution set, including business growth and market planning, and coordination of functional leadership to drive solution outcomes and customer satisfaction. She is also a practising pediatrician.

Dr Byrne was previously Eclipsys’ Vice President of Clinical Solutions, Emergency and Ambulatory, where she guided those solutions’ direction and development as well as working with clients in all stages of implementation and optimization.

In mid-2008, she was named co-chair of the Child Health Work Group of CCHIT, the Certification Commission for Healthcare Information Technology in the United States. The work group fosters the development of electronic health records (EHR) certification criteria for children’s medicine.

Prior to joining Eclipsys, Dr Byrne performed business transformation and healthcare information technology consulting for Cap Gemini Ernst and Young. She completed medical school at Northwestern University in Chicago and received her Master in Business Administration from Kellogg Graduate School of Management with concentrations in Healthcare, Marketing and Finance.

Dr Jeffrey Rose
Vice President, Clinical Excellence, Informatics
Ascension Health

Jeffery S. Rose is Vice-President of clinical excellence and medical informatics at Ascension Health. He served as a Director of clinical information systems (CIS) for the Rocky Mountain Division of Kaiser Permanente for nearly a decade during the nineties. An interventional radiologist by training, he has also been a case reviewer and expert resource for the Colorado State Board of Medical Examiners. He is currently active with the American College of Physician Executives as a writer, instructor of informatics and distance learning course professor. He is the author of Medicine and the Information Age, which focus on critical issues in medical practice relating to information technology.

Ms Sau-Chu Chiang
Senior Pharmacist, Hospital Authority of Hong Kong

Ms Chiang leads the Pharmacy Informatics Unit at the Head Office of the Hospital Authority. She has engaged herself leading the development of all the pharmacy systems in the public hospitals as well as the Medication Order Entry System (MOE) for use by clinicians in out-patients clinics in the public hospitals. Her vast experience has seen her leading the Unit to develop with successful implementation of various clinical decision support features in the MOE systems overcoming the challenges presented.

Having worked in Hong Kong in the public organisation of the hospital services for more than 20 years, Ms Chiang has gained in depth experience and thorough knowledge about the operation of the health care service delivery in the public sector as well as the pharmacy practiced in Hong Kong.