North Carolina State University Health Care IT Forum

Events

Second North Carolina State University Health Care IT Forum

November 24, 2009
12:00 - 2:00 (Pizza at 11:30)
Engineering Building 2, Room 3211 [directions]

In May, we had a very successful Healthcare IT Forum at NCSU bringing together researchers, academics, and practitioners in healthcare. Laurie Williams is scheduling the second such meeting, hoping to form even more partnerships and collaborations.

Preliminary Schedule:

	All	Pizza
	Laurie Williams, NCSU Mladen Vouk, NCSU	Welcome
	Laurie Williams, NCSU	Aiding Rural Medical Practices through Open Source Software and Virtual Computing Recently, North Carolina State University and UNC-Chapel Hill was awarded a grant by the Agency for Healthcare Research and Quality for a study of the Electronic Medical Records (EMR) application needs of rural and small-practice ambulatory health care providers. Specifically, we are investigating if their needs could be satisfied via open source EMR applications that are reliable, secure, privacy-preserving, standards/regulations-based, and able to be integrated with other health care systems. Additionally, these applications would be housed in a virtual computing environment. Through this solution, both hardware and software installation, usage, and maintenance are securely optimized to improve affordability. Laurie Williams is an associate professor in the computer science department at NCSU. At NCSU, she is the director of Center for Open Software Engineering, the technical director of the Center for Advanced Computing and Communications, and an area director of the Secure Open Systems Initiative. Her research interests include security, reliability, testing, and software process.
	Robin Wright, NCHICA	North Carolina Consumer Acceptance & Adoption of Health Information Exchange, Electronic Medical Records, and Personal Health Records The North Carolina Consumer Advisory Council for Healthcare Information (NC CACHI) is a unique health care consumer group formed by the North Carolina Health Information and Communications Alliance (NCHICA) in 2006 for grassroots input and participation to explore ideas and issues surrounding health information, such as privacy and electronic health records. This presentation will explore current NC CACHI's projects for engaging and educating consumers about health information exchange, electronic medical records, and personal health records. Our goal is not only to increase their acceptance and adoption of these changes, but also to help them understand their new health care rights and responsibilities. Robin Wright is an active volunteer of the North Carolina Health Information and Communications Alliance (NCHICA). This nationally recognized nonprofit consortium is dedicated to "improving health and care in North Carolina by accelerating the adoption of information technology and enabling policies". As a member of NCHICAÕS North Carolina Consumer Advisory Council on Health Information (NC CACHI) she lead the development and implementation of a consumer electronic prescription education document, Get to know The Facts About Electronic Prescribing. As a result of her efforts, in August 2009, Kerr Drug conducted a pilot to use this information to educate their prescription customers about the benefits of electronic prescribing. Her diverse 25 years of pharmaceutical company experience spans various disciplines including 14 years in multiple research and development roles and 11 years of leading customer care center operations. As an expert in developing integrated customer relationship management operations she delivered high customer engagement and loyalty results. Robin holds a bachelor's degree from the University of Richmond. Additionally she a certified Gallup Strengths Coach and is certified as a Six Sigma Green Belt.
	Andrew Weniger, NCHICA	North Carolina HIT is Stimulated! North Carolina providers are on the cusp of receiving an extraordinary level of financial and operational support from the ARRA Stimulus funds. Between 2011 and 2015 over $1 billion of incentive payments may be earned by the physicians, dentists, other clinicians and hospitals of North Carolina for achieving Meaningful Use. Alternatively, penalties may be incurred if North Carolina doesn't implement the needed technical and policy infrastructure. The North Carolina Healthcare Information and Communications Alliance (NCHICA) has been preparing for this moment for 15 years. Join us as we explore next steps. Andrew Weniger, CPA, is employed by the North Carolina Healthcare Information and Communications Alliance, Inc. NCHICA is a nationally recognized nonprofit consortium that serves as an open, effective and neutral forum for health information technology (HIT) initiatives improving health and care in North Carolina. NCHICA is made up of over 210 dues paying members including leading organizations in healthcare, research and information technology. Andrew is responsible for several major federal contracts including the Nationwide Health Information Network contract with the Office of National Coordinator for HIT. Working closely with its members, NCHICA has the unique ability to convene and form partnerships to advance HIT adoption. NCHICA's leadership in conducting demonstration projects, hosting educational sessions and fostering collective efforts within North Carolina helps position the state at the vanguard of national HIT acceleration efforts.
	Sam Averitt, NCSU	NCB-Prepared NCB-Prepared is a big idea project in a space of well funded big idea projects that have universally suffered chronic and systemicÊ underperformance. With approval of the 2009 federal budget, which includes a $5M year one NCB-Prepared appropriation, NCB-Prepared becomes the latest entrant in the quest to resolve early queuing, situational awareness and decision support deficiencies that severely limit state and national bio-preparedness capability . This undertaking begs the question of how NCB-Prepared can be expected to achieve a different outcome than that of previous equally or better funded and good intentioned projects. It also begs the question of how NCB-Prepared will orchestrate the level of operational efficiency and effectiveness necessary to execute a project of this scope and complexity. The presentation will address these questions in the context of the NCB-Prepared architecture and project plan. Sam Averitt is currently Director of the Center for the Virtual Computing Lab (VCL) at NC State University. His activities include the development of a sustainable open source cloud computing solution based on VCL technology and addressing public domain access and affordability issues, and the NCB-Prepared project that seeks to leverage a suite of North Carolina innovations and accomplishments to address national priority goals in education, research, health, and security. Averitt was Vice Provost for Information Technology at NC State University from 1999 to September 2008 where he directed academic and research computing at NC State University and lead various campus and regional technology initiatives including development of the VCL. Ê A native of North Carolina, Averitt earned his BS and MS in electrical engineering from NC State. He has worked his entire career at the university, joining the Computing Center (now OIT) in 1976 when "a few dozen research faculty wanted better access to the Triangle University Computation Center (TUCC) mainframe." Since then, Averitt has led efforts to keep the NC State campus consistently at the forefront of IT theory and practice.
		Open Discussion on Collaboration and/or proposal opportunities
		Networking

North Carolina State University Health Care IT Forum

May 15, 2009
9:30 - 2:30 (Lunch Provided)
Engineering Building 2, Room 3211 [directions]

Heath care IT is a national priority. However, health care IT presents its challenges as software must be secure, privacy-preserving, reliable, and interoperable.

This meeting is gathering at North Carolina State University (NCSU) in which we can discuss these challenges. Professors/researchers will make short presentation on their work in security, privacy, reliability, and interoperability that may help you. Practitioners will make short presentations on their organization, products, and challenges. The meeting will also provide networking time for informal discussion. Ultimately, our goal is to form partnerships and to establish a group that would be interested in meeting periodically to discuss challenges, new results, and collaborative research proposals related to Health Care IT.

Confirmed attendees to date include professors from NCSU and representatives from the Chillarege, Duke University, Health Decisions, Field2Base, IBM, Mayo Clinic [remote participation], MediClick, MedGuard AV, NCHICA, North Carolina Department of Health and Human Services, Patagonia Health, PINPOINT Resource Group, Red Hat, Thompson Reuters, University of North Carolina Chapel Hill, US Department of Commerce, WakeMed Health and Hospitals.

Please email Laurie Williams if you would like to attend. Anyone is welcome!

If you are interested in participating remotely and have access to a video conferencing system that operates on the h.323 protocol (Polycom is a popular brand system), we are able to link in a limited number of connections. Please let Laurie Williams know if you are interested.

Preliminary Schedule:

9:30	Laurie Williams, NCSU Mladen Vouk, NCSU	Welcome
9:40	Laurie Williams, NCSU	An Evaluation of Open Source Health Care IT Software Open source health care IT software has the potential for providing affordable applications to the medical community. However, are these applications reliable, secure, and privacy preserving? This talk will describe work-in-process of a process for selecting and evaluating open source health care IT software. The presentation will include undergraduate students Ted Lowery and Andrew Austin who have worked with Laurie Williams on an initial selection process and an evaluation of the open source OpenMRS electronic medical records application. Laurie Williams is an associate professor in the computer science department at NCSU. At NCSU, she is the director of Center for Open Software Engineering, the technical director of the Cener for Advanced Computing and Communications, and an area director of the Secure Open Systems Initiative. Her research interests include security, reliability, testing, and software process.
10:00	Joanne Rohde, Axial Project	The American Recovery Act-- How The Government Plans To Change Health IT and How it Affects You Some of the most ambitious legislation since Medicare is taking place as we speak. It will affect every doctor and patient in this country. We review the main parts of the bill, and discuss some of the political and practical implications of the legislation. Joanne Rohde, CEO and Founder of Axial Project, former COO of Red Hat and former CIO of UBS Investment Banking IT, brings 30 years of relevant experience growing companies using disruptive business models. She was part of the early generation who defined and solved the standards and models that led to the growth of the derivatives markets. At Red Hat, she was part of the only publicly traded company executive team to bring a profitable corporate business model to market using Open Source. Joanne was responsible for developing Red Hat’s Health IT strategy, that led to key Health IT industry partners building and redeploying their legacy systems on Open Source technologies. Axial Project seeks to bring commercial open source practices to connect Health IT in this country.
10:20	Anthony Verdone, MediClick	*MediClick's Software as a Service (SaaS) Model* MediClick is a provider of Supply Chain, Financials and Contract Management systems for healthcare organizations. This presentation will discuss how MediClick utilizes the SaaS model to provide value to its hospital customers. The focus will be on an overview of MediClick and its applications, the SaaS technology platform, interfacing to external systems and IT governances. Tony Verdone is Vice President of Development and Operations at MediClick. Drawing on his strong technical background, Tony guides development of new products and ensures that MediClick's Internet-based applications are at optimum performance and available to the users who rely on them daily.
10:40	Frank Mueller, NCSU	Designing Medical Devices under Real-time Constraints Medical devices are often critical systems with real-time constraints essential to sustained health of a patient. Yet, software and hardware design for such systems lacks methods to ensure real-time deadlines and guarantee system security in increasingly networked environments. We mitigate these problems by contributing (a) analysis techniques to systematically ensure deadlines and (b) inherent timing checkpoints to enhance system security. Our intent is to demonstrate the viability of these techniques though specialization in the domain of medical devices. Frank Mueller is an Associate Professor in Computer Science and a member of the Center for Efficient, Secure and Reliable Computing (CESR) and High Performance Simulations (CHiPS) at North Carolina State University. He has published papers in the areas of embedded and real-time systems, compilers and parallel and distributed systems. He is a member of ACM SIGPLAN, ACM SIGBED, the IEEE Computer Society and a Senior Member of the ACM and the IEEE. He is a recipient of an NSF Career Award, an IBM Faculty Award and a Fellowship from the Humboldt Foundation.
11:00		Break
11:10	James Murphy, NC DHHS	*Can you Trust your Electronic Health Record?* There are aspects of the Electronic Health Record effort beyond technology that affect the reliability and the trustworthiness of the overall exchange process. Ultimate confidence in the environment will require diligence from all participants, the providers, the custodians, as well as the owners. James C. Murphy has been an IT professional for nearly 30 years, mostly within healthcare environments, and with an increasing emphasis on information security planning and management. He works for the North Carolina Department of Health and Human Services in the Office of MMIS Services, where he is the Information Security Official and the Information Security Team Lead on the Replacement Medicaid Management Information System development project. In the recent past, Jim has worked with the North Carolina Healthcare Information and Communications Alliance (NCHICA) on various Health Information Network project teams.
11:30	Tao Xie, NCSU	*Quality Assurance of Access Control Policies in Heathcare Systems* Access control is one of the most fundamental and widely-used privacy and security mechanisms, especially in healthcare systems where sensitive patient information is unavoidably shared within or even across healthcare organizations. Access control policies dictate which users or roles have access to which resources in a system. This presentation highlights recent research achievements in policy verification and testing for quality assurance of access control policies. Tao Xie is an Assistant Professor in the Department of Computer Science at North Carolina State University. His research interests are in software engineering, with an emphasis on automated software testing (including security policy testing) and mining software engineering data. He received a 2008 IBM Faculty Award and a 2008 IBM Jazz Innovation Award.
11:50	Ram Chillarege, Chillarege	Rapid root cause analysis using ODC A perpetual challenge in any process is to find effective ways for organizational learning using incident data. Orthogonal Defect Classification extracts semantic information from the incident stream to provide a "CAT scan" of the process. The multi-dimensional measurement speeds diagnosis and continuously build process models. ODC thus becomes the foundation to tighten process, ensure standards conformance and control cost. Practitioners often get addicted to the data and analysis, in a positive way, taking greater ownership and reducing the organizational change challenge. Ram Chillarege was awarded the IEEE technical achievement award for the invention of Orthogonal Defect Classification (ODC). Prior to starting Chillarege Inc. he was Executive VP for Software at Opus360, and had spent 14 years at IBM where he founded and headed the IBM Center for Software Engineering. He is an IEEE fellow and chairs the steering committee for Software Reliability Engineering.
12:10		Break/Grab Your Lunch
12:20	Scott de Deugd, IBM	Open Health Tools and IBM's open source projects for healthcare We'll provide an overview of an exciting open source healthcare software organization called Open Health Tools. We will describe three current projects. The IHE Profiles project for healthcare information exchanges, the Stepstone project for remote patient monitoring, and the healthcare oriented modeling environment project for creation of modeling, development, and run-time tools for developers of healthcare systems. Rich Rogers leads the Healthcare Standards team for IBM Software Group in Research Triangle Park, NC. He co-chairs the HL7 SOA working group, and is IBM's representative to Open Health Tools. He has 20+ years experience in the IT industry.
12:40	Brian Bouterse, NCSU	The Virtual Computing Laboratory Brian will provide an overview of the Virtual Computing Laboratory (VCL) at NCSU. Development of The Virtual Computing Lab (VCL) started in 2004 as a joint venture of the NCSU College of Engineering and the Office of Information Technology to efficently use hardware investments and to provide remote access to a wide range of advanced compute requirements by both NCSU students, faculty, and researchers. Brian Bouterseis a computer science doctoral student at NCSU and a recipient of an IBM PhD Fellowship.
12:55	Bill Hoyes, MedGuard AV	*A synopsis of healthcares best kept secret; the global pandemic of preventable medical errors* An overview of need, the product (Archangel); the application of the Aviation Safety Model to the healthcare industry and a brief description of the Business Plan. The organization of multi-university talent and technology in development of the first standardized assault on preventable errors occurring in our nation's hospitals. Bill is the author of the 'OSHA Compliance Manual for Healthcare Facilities" Aspen Publishers and has worked in over half of our nation's hospitals in various fields such as anesthesia, injectables, pharmaceuticals, employee and patient safety and compliance with environmental regulations. Bill has had long management tenures with two of the largest pharmaceutical companies of the world; Ohio Medical Products (Ohmeda / BOC) and Wyeth Labs. This experience included global introduction of the two leading general anesthetic agents, responsibility for physician continuing education and hospital marketing of full line pharmaceuticals. Bill commenced his own successful company (GMI) and enjoyed environmental control contracts (patient and employee safety) with over half of all hospitals in America.
1:15	Andrew Weniger, NCHICA	North Carolina Health Information Exchange Council North Carolina is preparing for the next generation of Health Information Exchange. Key quality, sustainability, policy, communication and technical elements are being addressed by over 280 volunteers from the NCHICA membership. This presentation will provide an overview of the progress and plans of the NC HIE Council, and put those efforts within the context of the Governor's recently announced HIT Strategic Planning Task Force. Andrew Weniger, CPA, is employed by the North Carolina Healthcare Information and Communications Alliance, Inc. NCHICA is a nationally recognized nonprofit consortium that serves as an open, effective and neutral forum for health information technology (HIT) initiatives improving health and care in North Carolina. NCHICA is made up of over 210 dues paying members including leading organizations in healthcare, research and information technology. Andrew is responsible for several major federal contracts including the Nationwide Health Information Network contract with the Office of National Coordinator for HIT. Working closely with its members, NCHICA has the unique ability to convene and form partnerships to advance HIT adoption. NCHICA's leadership in conducting demonstration projects, hosting educational sessions and fostering collective efforts within North Carolina helps position the state at the vanguard of national HIT acceleration efforts.
1:35		Break
1:45	Sam Averitt, NCSU	NC Bio-Preparedness Proposal Sam Averitt is the Vice Provost for Information Technology at North Carolina State University.
2:05	Mitzi Montoya, NCSU	*Organizing for Impact* Over the past three years, NC State University has been inventorying its health and well-being capability. The conclusion of this analysis is that NC State has considerable strength in three major domains of health and well-being: (1) Health Sciences, (2) Healthy Living, and (3) Medical Treatment and Tools. All 10 colleges at NC State have some engagement in the Health and Well-Being (HWB) area. In order to better connect the broad range of efforts across the university, NC State is developing an HWB Gateway. The Gateway will enhance the university's capacity to create opportunities for collaboration among colleagues and with other institutions, produce interdisciplinary teams engaged in Health and Well-Being efforts, and achieve economic and societal impacts. This presentation will provide an overview of the progress and plans for the HWB Gateway at NC State within the context of the Health IT Forum. Mitzi Montoya is the Zelnak Professor of Marketing & Innovation and Assistant Dean of Research in the College of Management at NCSU. She is the co-director of the Innovation Management and Service Management concentrations in the MBA program, the marketing area coordinator for the Business Management Department, and the coordinator for NCSU's Health and Well-Being Initiative. Her research interests include virtual teaming, virtual organizations, collaboration in virtual worlds, and innovation processes.
2:25	Laurie Williams, NCSU Moderator	Open Forum: What Now? How Can We Work Together?
2:40		Ice Cream Social