Session Descriptions
Accounts Receivable
The Accounts Receivable session will provide an update to the A/R package, process and how recent UFMS changes have affected your collections staff.
Bar Code Medication Administration (BCMA)
Bar Code Medication Administration (BCMA) uses modern technology to address the serious issue of inpatient medication errors. It does
this by electronically validating and documenting medications for patients. BCMA ensures the each patient receives the correct
medication, in the correct does, at the correct time, and visually alerts clinicians when the proper conditions are not met.
At the end of the presentation, participants should be able to:
- Delineate the clinical and business processes that impact the implementation of BCMA
- Examine the business and clinical processes necessary for successful implementation and utilization of BCMA
- Describe the experience and "lessons learned" of two "BCMA" sites.
BMXNet
BMXNet is a set of software utilities that enable client/web applications written using the Microsoft .NET framework to exchange data with RPMS. Data is passed bi-directionally using standard ADO.NET tables or strings/arrays generated by FileMan Remote Procedure Calls.
The intended audience is site managers and RPMS developers. Session attendees will learn about the functionality and use of of BMXNet utilities and classes - as well as the installation, configuration and maintenance of the BMXNet broker.
BMXNet Lab
The BMXNet is a set of software utilities that enable client/web applications written using the Microsoft .NET framework to exchange data with RPMS. Data is passed bi-directionally using standard ADO.NET tables or strings/arrays generated by FileMan Remote Procedure Calls.
The intended audience is site managers and RPMS developers. Session attendees will receive hands on experience building BMXNet schemas and simple .Net applications to view/update RPMS. They will also learn how to link common ADO-compliant programs - like Crystal Reports and Excel
- with RPMS using BMXNet.
Session objectives:
- Participants will be able to identify the aims of the Chronic Care Initiative.
- Participants will identify at least two practical ways to optimize their delivery of care utilizing RPMS
- Participants will identify at least one approach to assessing performance in the provision of care for chronic illness
Computer & Communications Room Design
This session will provide a broad overview of issues to be considered and addressed during the design of IT Telecommunication and Server rooms. Issues to be discussed include Physical Security, Layout, HVAC, Power, and Fire Protection Systems.
Creating Effective Customer Oriented Websites: The IHS Quality of Care Site Case Study
Session objectives:
- Identify the requirements of the Executive Order to share clinical performance measure data with patients.
- Demonstrate an understanding of user-centered website design principles and practices.
- Navigate the IHS Quality of Care website and understand its content.
EHR for Inpatient
DEC Proposal - Explore I.T. implications of proposals to significantly adapt the IHS model. (Not security related)
I.T. implications of Director's Executive Council proposals to change IHS' model so that:
- Every IHS beneficiary would have access to, at least, a baseline package of Clinical and Public Health Services.
- The Indian Health System would function as a network of care, with rational and just allocation of resources to provide the maximum good for the largest number of people, with incentives toward the efficient delivery of high quality primary care and disincentives for waste and inefficiency in care.
- Care purchased inside (IHS referral) and outside (private sector referral) of the Indian Health System would be managed in ways to reach the goal of improved population health for Indian people.
Diabetes Audit: from paper to web
History of the annual audit - how it used to be done on paper.
- Role, responsibilities, and contributions of data manager.
- Importance of accurate and timely data and outcomes for planning, reporting, accountability, etc.
Evolution of DDTP data processes from paper to Excel to databases to web applications.
- Advantages/disadvantages of automating data and analysis processes.
- WebAudit - How and why it came about, development process (good and bad aspects), user response, future direction
Discipline Specific HIE: e-Prescribing; Reference Lab; Immunizations
Some EHR modules depend on the exchange of patient health information to be effective; three will be discussed: Ms. Schweitzer - e-prescribing; Ms. Town - Immunizations; Mr. Smiley - Reference Lab. The Reference Laboratory software is a component of the IHS Laboratory module of the RPMS system. The primary purpose is to facilitate the exchange of laboratory orders and results that are sent to a reference laboratory (i.e. Quest Diagnostics) located outside an IHS facility. The use of this interface facilitates:
- Electronic placement of orders to an external reference laboratory,
- Review and verification of results returned electronically from an external reference laboratory,
- Reporting of results for clinical health care treatment,
- Providing clinical data for local and national management needs such as the Government Performance Results Act (GPRA).
Documenting Behavioral Health Services Using RPMS
Session objectives:
- Understand the behavioral health functionality available in RPMS.
- Describe how the RPMS Electronic Health Record can be used to support the integration of mental health and primary care.
- Recognize the importance of the RPMS Suicide Reporting Form and how it is utilized to support suicide prevention efforts.
EHR Templates
The TIU component of IHS-EHR allows both users and CACs the ability to template TIU notes. This session will review the basic elements of TIU template and dialog creation. Approach to design with consideration of clinician workflow and keyboarding skill level will be discussed. Instruction will include creating template fields and the following template objects: lab, medication, health summary and flow sheet.This session will provide hands on training for use of the TIU Template editor and will include parameter set up, creation of TIU fields and objects, creation of TIU Templates and Dialog Templates.
EHR Coding Queue and Reports
This session will provide participants with an overview of the Patient Care Component (PCC) Coding Queue and how reports can be generated that can be used to monitor and audit encounters. The coding queue captures all electronically created visits and paperless refills into a holding queue and prevents visits not reviewed by data entry staff and coders from passing directly to the third party billing package and/or exporting to the National Data Warehouse.
EHR Consults
The IHS-EHR is comprised of 4 main components- TIU for Notes, CPRS for Orders, Reminders for Clinical Health Reminders, and Consults. The Consults Package is used by providers to request a service or make a referral to another provider. Generally these Consults are for in-house requests; i.e. Ortho, Podiatry, Diabetes Education, etc, but they can also be used for outside Referrals in conjunction with the RCIS package.This session will provide hands on training for the Consults component of the EHR. The student will learn how to setup a new Consult Service, Consult note titles and templates. The training will also cover how to close and track Consults.
EHR "CSI" Scenarios Demo
Have an EHR criminal error occurring at your facility? Come to the EHR "CSI" lab and we'll attempt to assist you in solving the mystery behind the error.
Objectives:
- Provide an interactive, hand on class to troubleshoot common errors currently reported with EHR.
- Allow you the opportunity to bring to the table new issues for our Crime Scene Investigation Team to solve.
EHR for Inpatient
Implementation of an electronic health record (EHR) within the inpatient setting is a complex and lengthy process, requiring
preparation and changes in essentially all areas of a medical facility. This presentation will provide an overview of implementing
RPMS EHR within the Inpatient Setting as well as share "lessons learned" from experienced Inpatient facilities.
At the end of the presentation, participants should be able to:
- Delineate the clinical and business processes that impact the implementation of RPMS EHR within the Inpatient Setting
- Conduct a “gap analysis”
- Examine the core capabilities necessary for successful EHR Inpatient utilization
- Describe the experience and "lessons learned" of two "EHR for Inpatient" sites.
EHR Version 1.1 Tips & Tricks
Looking for ways to make EHR v1.1 more efficient at your facility? Join us for hands on interactive course of short-cuts, new features, and many more options to improve EHR utilization at your facility.
Objectives:
- Review some basic key board short-cuts to control EHR
- Discuss simple changes in design mode to enhance access various components of EHR
- Learn how to manipulate the medication profile
- Discover various options in improving note documentation
Electronic Health Management
Mr. Runyon, from Gartner Research, will utilize the "hype cycle" analytical technique to present hot and upcoming US health information exchange technologies.
Health Information Exchange: Legal aspects; IHS plans; Alaska plans
Implementing HIE throughout the IHS will not be a simple task. The legal ramifications of exchanging health care data and necessary tasks for making this happen will be presented Mr. Hall will describe the experience, high points and low points of 30 years of managing HIE in Alaska.
HEAT Helpdesk Implementation
This session will provide a broad overview of issues to be considered and addressed during the design of IT Telecommunication and
Server rooms. Issues to be discussed include Physical Security, Layout, HVAC, Power, and Fire Protection Systems.
HHS Department-wide IT Security Program: Requirements, Priorities, and Challenges
Secure One HHS, the Department's Information Security and Privacy Program, was created to foster an enterprise-wide secure and trusted environment in support of HHS' commitment to better the health and well-being of the American people. This session will give an overview of the Program and its priorities, as well as discuss current challenges facing the Department.
HHS Department-wide Security Operations Center (SOC) - Computer Emergency Response Team (CERT) Stand-up
An overview of the Security Operations Center (SOC) and the standing up of the Computer Emergency Response Team (CERT) and their roles as it pertains to HHS and IHS.
HIT Project Management & Earned Value
This session will describe the Capital Planning and Investment Control (CPIC) processes for Information Technology investments that IHS has implemented in response to the Clinger-Cohen Act. Embedded within the CPIC process are requirements for a formalized project management structure and earned value management. The presenters will discuss the concept of Earned Value Management and the application of Project Management principles to the RPMS software development life cycle.
HSPD-12 Logical Access Implementation and HHS Identity
- Strategy and Architecture for HHS Identity
- Repository Proxy for Authoritative source for identity attributes HHS-wide
- Service-based integration
- Federation
- Support of the full life cycle of identity attributes
- PIV card provides department-wide encryption and digital signature services
IHS.GOV: Current State & the Future
This presentation is meant to inform the audience as to:
- Who we are (Team composition)
- How the entire website creation process works (who's involved and what's involved)
- Types of sites available to be made
- Review of various websites small to large. Will look at applications/static to demonstrate the what can be made
- Future/recent changes to IHS.gov
- Questions
IT Acquisitions
By today’s standards, it is no longer simple as providing a quote and a requisition order for your IT project. Understanding what your
IT need is and spending a little time and effort in planning is the payoff to project success. Conveying your message to the acquisition
staff can be challenging but rewarding. Working with your acquisition counterparts is after all part of project success. Unlocking the
mystery of acquisition requirements for IT purchases does require a cooperative effort. Clarifying your project in terms of
requirements, you will have met the procurement staff half way. Through this discussion, NAIHS IT will describe its successes in
meeting IT acquisition requirements for achieving project success.
Topics:
- IT Micro Purchases (Less Than $3,000)
- Acquisition Planning Essentials
- Simplified Acquisitions: NAIHS IT Project Proposal Form and the IHS Business Case
- Interconnect Service Agreements (ISAs) & Potential Associated Security Requirements
- Business Associate Agreements (BAAs)
- IT Project Management: Lessons Learned
- Large NAIHS IT Acquisitions and the CPIC process: Lessons Learned
IT Security and PII Incident Response in HHS and IHS
Proper handling of personally identifiable information (PII) is integral to the mission of every agency. This session will review the methods behind PII incident response procedures at the Department level and the Operating Division (OPDIV) level, as well as provide an overview as to how the two entities interact during these situations.
Legal Health Record & e-discovery
Session objectives:
- Participants will be able to identify elements of the legal health record in a hybrid paper and electronic system
- Participants will be able to describe current health information management regulations as they apply to the electronic environment
- Participants will be able to cite sources for HIM regulations
Master Patient Index: Theory, VA experience, IHS plans
The key to certainty that records at multiple facilities are really for the same patient revolves around the Master Patient Index (MPI). Dr. Curtis will describe the MPI experience plans at the VA. Mr. Danielson will outline the planned direction for creating an MPI for the IHS.
National and State HIE and EHR Initiatives
ONC, the Office of the National Coordinator for Health Information Technology, is the spearhead for implementation of HIE nationally. Dr. Hunt will present the latest status of this initiative. IHS will present the role of Indian Health in ONC activities.
Networx / General Telecomm
In this session, we will take a look at the history of the government’s telco contracts. Also, an overview of the Networx contract as
it relates to IHS will be discussed. In addition, we will preview some of the steps necessary to make the transition from the FTS
contracts to Networx effortless and efficient.
Overview of the IHS NOSC (Network Operations and Security Center), future plans and demonstration of online tools.
Discussion of the overall IHS Core data network, current network improvements, future plans for 2009. Overview on upcoming security changes that will be coming up. Discussion on the Tribal 638 segmentation and how this will affect tribal managed sites
Overview of Security in IHS; Demo of New ITAC Form; and Threats to IHS Networks and 10 holes that you can easily fix
The presentation will be comprised of a brief overview of the IHS Division of Information Security vision, priorities, and current projects. The IG will focus on intrusions into IHS and within HHS. Information will also be shared that can be easily applied which will significantly decrease an attackers ability to break into IHS computer systems The presentation will then end with a demonstration by Jim Beyer on the upcoming online ITAC program
Personal HIE: My Health eVet; IHS plans; public; Coordination of Care: RCIS/CHS; patient education
One of the new buzzwords in HIE is the PHR (Personal Health Record). In fact there are many ways that HIE can support individual patients. Four presentations will address this topic: Ms. Nazi - My Health eVet; Ms. Solomon - IHS PHR; Ms. Kompkoff - RCIS/CHS; Ms. Wachacha - Patient Wellness Handout.
Population HIE: HEDIS; iCare; GPRA
Support of population health initiatives requires the existence of a composite population health database such as RPMS. Ms. Ray and Ms. Klepacki will present two RPMS population health applications, iCare and GPRA respectively.
Population HIE: NPIRS /NDW
NPIRS provides aggregated, population-level healthcare information used for program management, epidemiology, outcomes analysis, performance assessment, healthcare services and clinical research, etc. Dr. Griffith and Mr. Gomez will explain the many facets of NDW use.
Practical Use of iCare
iCare is a Population Management clinical application that facilitates management of patient groups. The ability to create multiple
panels of patients with common characteristics (e.g age, diagnosis, community) allows the user to personalize views of patient data.
iCare is a Windows-based, client-server graphical user interface (GUI) to the IHS Resource and Patient Management System (RPMS). iCare retrieves important patient information from various components of the RPMS database and brings it together under a single, user-friendly interface.
At the end of this hands on presentation, participants should be able to:
- Create and modify a Panel
- Customize patient views
- Examine the practical use of iCare for population management and improvement of clinical care at the (a) Cherokee Indian Hospital, (b) Parker Indian Hospital, and (c) Sells Service Unit.
RPMS Reference Laboratory Interface
The reference laboratory interface project was a joint effort by Cimarron Medical Informatics and the IHS Office of Information
Technology (OIT) to develop a non-hardware or commercial software dependent interface between commercial reference laboratories and the
RPMS laboratory package.
The interface may be operated in either unidirectional or bi-directional mode. A unidirectional interface passes laboratory data from the Reference Laboratory to the Patient Care Component (PCC) database, if it meets all criteria of patient and test identification. The laboratory data transmitted to PCC via the interface is designed as a replacement for PCC data entry and provides an abstracted view of laboratory results suitable for health summary display, database searches, and CRS reports.
Bi-directional interfaces allow facilities to electronically transmit orders and receive lab results through the IHS laboratory package. Laboratory test orders may be placed via the RPMS laboratory package or Electronic Health Record (EHR). Test results that are transmitted via bi-directional interfaces are available in all normal laboratory report options as well as from the PCC database and are viewable in the Electronic Health Record (EHR).
- This session will provide an overview of:
- Software and network components required for setting up and maintaining a reference laboratory interface
- RPMS tasks and bulletins associated with the interface.
- HL7 message structure for order and result messages
- Interface issues and troubleshooting techniques
- Development in process
System Conversion Roundtable
This roundtable will discuss some of the myriad considerations and actions required when a health facility in Indian Country converts from one health information system to another. Subjects suggested include: How many files/fields/applications; how many data entry operators support any function; what data needs to move into/out of the system to support billing, clinical data exchanges, interfaces with IHS accounting/reporting systems; what would be the cost of licenses, support, maintenance, change requests? The participants will be responsive to questions from the audience.
Telehealth: An Update on Programs and Activities
The use of telehealth technology to support and replace face-to-face patient encounters, documentation, and administration has grown rapidly in recent years. Dr. Carroll, Phoenix Area; Dr. Patricoski, AFHCAN/Alaska Area; and Peter Stuart, Psychiatry/Navajo Area, will present their professional experience with telehealth.
Tracer Methodology thru EHR
This session will provide and overview and description of “Tracer Methodology” for individual and system tracers through
the utilization of Health Information Technology and RPMS applications to meet accreditation and regulatory requirements for Quality
Assurance, Performance Improvement, and CMS payment update requirements (RHQDAPU).
At the then of this hands on session, participants should be able to:
- Conduct mock surveys utilizing the RPMS EHR
- Assess throughout the organization, priority focus areas and compliance with Joint Commission and professional healthcare standards
- Interpret and utilize data from “tracers”
- Incorporate tracer activities into ongoing improvement activities
UFMS iProcurement
This section will discuss what is iProcurement and how it is changing the requisition landscape at IHS. It is one of the modules of
within UFMS which allows, for the first time, real-time funds checking when submitting a requisition. It will provide an overview
iProcurement, the improvements brought upon by the upcoming Oracle 11.5.10 upgrade, and will discuss its adoption at IHS and how its
full capabilities can be leverage in the future.
UFMS Overview
This section will discuss the UFMS implementation at IHS from “stovepipe” legacy systems to present day, integrated financial system, and beyond. It will explain the unique challenges IHS faced during this first year of implementation and stabilization, and the corresponding lessons learned. Finally, it will cover how IHS is leveraging UFMS to improve its operations, decision making capabilities, and to meet the ever changing healthcare support needs of the American Indian and Alaska People.
Universal Service Fund and the Universal Service Administrative Company
An overview of the purpose and source of the Universal Service Fund, and how to submit applications to the Universal Service
Administrative Company.
Updates on RPMS: Clinical Reporting System, New Developments in EHR, iCare, PCC+: Well Child and Prenatal Form; BH key components
Session objectives:
- Describe the new Clinical Reporting System (CRS) measures
- Describe ongoing development in the RPMS Electronic Health Record including features required for CCHIT certification
- Identify ways in which iCare can be used to improve patient and population outcomes, including the new procedure workflow tracking capabilities
- Identify the various components of the PCC+ Well Child and Prenatal Forms
- Identify clinical functions for Behavioral Health that can be used in everyday PC practice
Session objectives:
- Understand the process to plan for and implement VistA Imaging as the multimedia complement to the RPMS EHR.
- Identify the leading activities and challenges specific to integration of VistA Imaging with the RPMS EHR.
- Understand the steps required to implement VistA Imaging as a PACS solution. Learn about the major plans for VistA Imaging and its implications for HIM processes and planning.
Vulnerability Management, Endpoint Security, and the HHS Security Tools Suite
The ability to effectively mitigate threats related to vulnerabilities, improperly configured devices, and end point security concerns are critical in protecting HHS' infrastructure. This session will outline the tools available from the Department that help address some of the changing and emerging cyber threats facing our environment today. The overview will cover each of the tools and their relationship to vulnerability management, data protection, compliance verification, and end point security.
WebEx
Practice Management track is putting structure around how organizations align IT strategy with business strategy.
Founded in 1996, WebEx has grown into the worldwide leader in online meeting applications, with 64% market share. More than 3.5 million people use WebEx every month to communicate and collaborate online. Every day WebEx assists Indian Health Service is allowing employees to communicate and collaborate more effectively and to promote healthy American Indian and Alaska Native people, communities, and cultures. In this session we will discuss how IHS and other government agencies use WebEx to help accomplish their missions.
What is Informatics & How do you recruit Them? Succession Planning…
What's New in Caché and Ensemble
Anyone interested in learning about the new management utilities in Ensemble and those interested in learning about embedded RPMS
Business Intelligence.
This topic will provide an overview and question and answer period about what is Ensemble. It will cover the tools and utilities and the difference between Cache 5.0 and Ensemble 2008.2. The following items will be touched upon and followed up in the hands on lab to later in the afternoon. 1) Web based Systems Management Portal 2) Ensemble Management Portal 3) How to create RPMS Business Intelligence dashboards with the new InterSystems add-on (DeepSee).
Wireless in 2008: Threats; Security Considerations; and Best Practices
An increasing number of modern day residential neighborhoods, hospitals, coffee shops, college campuses, and some metropolitan areas
offer wireless access to the public. We will look at the threats these points of access present, as well as some best practices in
utilizing wireless networks.
