Recent talks (OK, some are not so recent)
Project Heatlh Design. August 17, 2011
Battling the Odds: Medical Care During the American Civil War
St. Louis, August 4, 2011
Medical Banking Institute
State of Missouri: Senate Healthy Missourians 2020 Committee
AHRQ National Meeting (16-September-2009)
California eHealth Collaborative (18-May-2009)
A Report on Long-Term Care in the State of New York
My colleagues and I worked for several months with a remarkable cadre of leaders in New York State to summarize the care of those with progressive, intermittent frailty. We addressed long-term care from the perspective of housing, culture, personnel, and financing.
Cumberland Pediatrics: Kids
BMIF 300: Foundations of biomedical informatics and evidence-based practice course: November 18, 2008
These are some notes and links for a lecture given to biomedical informatics graduate students.
AMIA: November 10, 2008
This is a brief overview of the MidSouth eHealth Alliance Exchange
California Privacy and Security Advisory Board Symposium Keynote
On October 28, I gave a keynote for the California Privacy and Security
Advisory Board's "Cornerstones for Information Exchange" symposium. The title is: Fear, Greed, and Consequences, and our Privacy.
Institute of Federal Health Care (e-prescribing)
On October 24, I participated in a roundtable discussion sponsored by the Institute of Federal Health Care. Participants included a number of individuals responsible for military (TriCare), Indian Health, Veterans Health Administration, ONC, SureScripts-RxHub and Aetna. The session was moderated by Dr. Rick Erdtmann of the Institute of Medicine.
Vanderbilt noon seminar presentation: September 1, 2008
have recently given a broad overview of the regional informatics
initiative in Memphis. It is high-level with little detail. There is
some overlap with my Medicaid MMIS keynote.
Nashville MMIS Conference
I had the pleasure of delivering a keynote address to the Medicaid MMIS Conference held in Nashville the week of September 15.
Memphis Health Information Exchange enters third year (May, 2008)
Secure, Personal Health Information Access for 750,000
May 3, 2008, our Memphis-based health information exchange has been in
clinical operation for two years. Funded by AHRQ, the State of
Vanderbilt and governed by the non-profit MidSouth eHealth Alliance,
the Exchange has come a long way
Exchange currently has 356 people using the system for clinical care.
- Physician / Provider roles - 199
- Nurse roles - 109
- Registrars and unit clerk functions - 48
These numbers will change as the last major system goes "near real
time" in the next few weeks and as more ambulatory care providers are
introduced to the program. The number of clinicians will increase and
the number of registrars and unit clerks will decrease dramatically.
Data come from
approximately 30 sites. Use is in all major emergency departments,
several ambulatory clinics, and among some hospitalists. Access is only
through secure ID. 100% of accesses undergo some form of audit. Use is
restricted to clinical settings. No aggregate data or metrics are kept.
Patients may "opt out" at the institutional level.
The Exchange grants secure
access to almost 3 million patient encounters.
- Total number of unique individuals - 1,050,000
- Total number of unique individuals with clinical data (not
just claims) - 809,000
We are still working on the latest
inventory of specific data elements.
From our February estimates, the
system has over 300,000 procedures codes, 2.6 million diagnostic
codes. On a daily basis, the system adds approximately 33,000
encounters, 850 microbiology tests, 1,200 chest x-ray reports and
some 80,000 laboratory test results. (Follow
this link to a February 2008 update)
More data and implications will be
soon be found on my policy blog and
at our Regional