CLOUD COMPUTING FORUM: A HIMSS EVENT

HIMSS18 Annual Conference
Wynn Las Vegas
Mar. 5, 2018

Schedule

8:00am - 8:30am
Breakfast
Mouton 2

Breakfast will be served in the ballroom.

8:30am - 8:35am
Welcome Remarks
Mouton 2

Gus
Venditto
Vice President of Content and Product Development
HIMSS Media

8:35am - 9:00am

Keynote

Healthcare's Digital Evolution: The Road Forward Leads to the Cloud
Mouton 2

While hospitals and health systems have historically been somewhat tentative about mass migrations to the cloud, industry luminaries like our event host, Beth Israel Deaconess System CIO John Halamka, MD, have been making bold predictions of late about datacenters vanishing as hospitals go the cloud for analytics, EHRs and clinical decision support. Halamka, for one, has backed up that claim by placing 7 petabytes of Beth Israel's data in the cloud.

In this opening keynote session, Halamka sets the stage for the speakers to come, recounting Beth Israel's ongoing cloud journey, and explaining why going forward cloud computing holds the key to innovation, customer service, high reliability, robust geographically distributed disaster recovery, security best practices, lower cost, and enhanced scalability. Oh, yes, and for freeing up existing IT FTEs for new work.

In short, as Halamka will explain, the road to healthcare’s future – a road fraught with new reimbursement models, consumerism, increased competition, and many other challenges – runs through the cloud. And as our event host, he’ll be here all day to answer questions and elaborate on that perspective.

John
Halamka
Chief Information Officer
Beth Israel Deaconess System

9:00am - 9:30am

Cloud 101

Debunking Myths and Establishing a Foundational Understanding
Mouton 2

The cloud is relatively new in healthcare and not everyone fully understands the capabilities nor the value that can be achieved by moving to the cloud. At the same time, there are various considerations that should be addressed as you embark upon your cloud journey. This session will establish a foundational understanding of cloud concepts and services as well as explore how various organizations are adopting cloud services to accelerate business transformation and innovation.

From this session, you will learn:

  • Key foundational cloud concepts and services.
  • What to consider for your cloud journey.
  • How you might apply these services in various areas of your healthcare enterprise or solution development.
Mark
Johnston
Director, Global Business Development, Healthcare, Life Sciences, and Agriculture Technology
Amazon Web Services

9:30am - 9:45am

Industry Snapshot

Cloud Usage in Healthcare
Mouton 2

In November 2017, HIMSS Media conducted its inaugural healthcare Cloud Computing Survey. The survey’s goal: To give a snapshot that shows where healthcare organizations are in their journey to the cloud.

A key takeaway, and there were many, is that of the 151 qualified respondents, 75% agreed with the statement: “I feel optimistic that cloud technology will lead to improved point-of-care decision making.”

In this session, HIMSS Media’s Janet King, senior director, market insights, gives a quick overview of the survey’s findings. Janet will address:

  • How fast cloud computing is accelerating in healthcare.
  • Cloud models in use today by percentage: public, hybrid, private.
  • Leading strategic use case.
  • The percentage of providers that plan to use cloud-based EHRs in the next two years.
  • Security and other leading concerns, such as integration, compliance and lack of in-house expertise.

Janet’s presentation will provide attendees with a great perspective in how their cloud journey compares to their peers.

Janet
King
Senior Director, Market Insights
HIMSS Analytics and HIMSS Media

9:45am - 10:10am

Rethinking Health IT

Planning Your Cloud Journey
Mouton 2

As you plan your journey to the cloud, always keep in mind that it is a multi-pronged, iterative process that takes time, planning, and patience - and with good reason. The cloud disrupts the way IT is delivered and consumed. So as you move to the cloud, it’s important that you take time to scrutinize and rethink the way IT operates in your organization, all with the ultimate goal of enabling strategic objectives.

In this session, IT veteran Steve Crusenberry, who has guided dozens of healthcare organizations to the cloud, outlines and explains the three stages of planning your journey to the cloud. They are:

  • Evaluate your success criteria: What do you want to accomplish related to cost savings, technology agility, and enhanced organization capabilities?
  • Understand your capability: Do you have the necessary experience on staff? What’s the status of your existing technology contracts? What’s already virtualized? What resources can you devote to the journey? Etc.
  • Identify timing and approach: When should you start new initiatives in the cloud? How do you get executive buy-in for the duration of the project? Do you start with a one-cloud or multi-cloud approach?

Steve’s approach will provide a practical guide for attendees as they plan their own journey to the cloud.

Steve
Crusenberry
Senior Vice President & General Manager, SaaS
Orion Health

10:10am - 10:35am

Low-Hanging Fruit

Enabling Pop Health and Data Sharing
Mouton 2

Accountable Health Partners (AHP) is an accountable care organization (ACO) that includes a large urban academic medical center and 48 independent community primary care practices that care for more than one million patients in the greater Rochester region of New York. As AHP's director of information management, LaRon Rowe knows first-hand the power of a cloud-based data repository and analytics platform to support population health management initiatives.

AHP uses the cloud to consolidate and aggregate millions of data points. AHP’s cloud-based population health platform analyzes the data to calculate hundreds of clinical quality measures, cost utilization, risk scores and clinical gaps. Ultimately, this intelligence helps AHP’s physicians make better decisions and support stronger collaborations with health plans on risk based contracts and pay for performance quality programs. 

LaRon is the lead for AHP’s IT strategy, and in this session, he’ll discuss how cloud computing enables IT solutions across disparate organizations and vendors, and breaks down data silos. Additionally, as he’ll explain, this is an “easy win” and faster compared to migrating to a single EMR platform. 

Key discussion points:

  • Cloud-based technologies can support aggregation to a single source of truth that enables success across disparate practices.
  • Physician focus on value-based contracts improves when data is shared and presented in a transparent, workflow-relevant format. AHP’s investment in data quality ensures physicians trust the patient information seen at the point of care.
  • Common platforms can unite care teams across geographic areas, create competition, and foster a community of success.
LaRon
Rowe
Director of Information Management
Accountable Health Partners (ACO) - University of Rochester Medical Center

10:35am - 11:00am
Networking Break
Mouton 2

Take this opportunity to mingle with your peers in a relaxed setting to build relationships and establish future partnerships. Coffee will be served in the ballroom area.

11:00am - 11:30am

Lessons from an Early Adopter

Leverage the Cloud to Accelerate Your Technology Strategy
Mouton 2

Cambia Health Solutions was an early adopter of storing and processing HIPAA data in the cloud. Having built its first cloud applications in 2010, Cambia today runs hundreds of workloads in the cloud supporting its Consumer Solutions and Health Plans businesses. Vice President and Chief Technology Officer Kirk Anderson drives the organization’s aggressive cloud-first strategy for its six health plans.

In this session, Kirk shares hard-won insights into how to develop an enterprise cloud strategy that makes sense for your organization.   

Key discussion points:

  • Realizing the security benefits of the cloud.
  • Selling the value of the cloud to executives and board members.
  • Applying enterprise governance without stifling cloud innovation.
Kirk
Anderson
Vice President and CTO
Cambia Heath Solutions

11:30am - 12:00pm

Case Study in Cloud Economics

Why Atrium Health has Embraced the Cloud
Mouton 2

With 900+ locations, Atrium Health is one of the largest and most progressive providers on the East Coast. It is the only healthcare system in North and South Carolina to achieve HIMSS EMR Adoption Model Stage 7 for both acute and ambulatory care. It has been named a “Most Wired” hospital for 13 consecutive years. It is a leader in data analytics strategy. And, in 2015, Senior Vice President Craig Richardville was named the CIO of the Year by CHIME and HIMSS.

Carolinas also plans to be fully in the cloud by 2019.

In this session, we sit down with Atrium Health Vice President of Information Services Pam Landis to find out why.

As Pam will discuss, it just made sense: “We were always asking, ‘Why are we buying boxes?’ We are not buying boxes and cables anymore.”

Key discussion points:

  • The cost of hosting and storage has come down and “people don’t care where the data sits.”
  • The cloud provides great disaster recovery and high availability.
  • Cloud computing cuts down on the need to constantly replace equipment and frees up staff to focus on other work.
  • Security concerns have been addressed.
Pam
DeSalvo Landis
Vice President, Information and Analytics Services
Atrium Health

12:00pm - 12:30pm
Developing New Services to Leverage the Value of Data
Mouton 2

The amount of data available to health care organizations has grown exponentially. All types of organizations from provider organizations to health plans and employers are seeking out ways to manage petabytes of data, and to normalize that data so it can be used in a meaningful way. Cloud-based strategies give organizations a way to more effectively manage their data, but before embarking on cloud-based strategies, organizations should map out their cloud approach by doing the following:

  • Identifying the business problem your cloud strategy will solve.
  • Acquiring and managing your data.
  • Applying intelligence effectively.
  • Delivering results to key stakeholders.
Ryan
Hamilton
Senior Vice President, Population Health
Cerner

12:30pm - 1:00pm

Morning Wrap-up

Audience Q&A with Speakers and Key Takeaways
Mouton 2

After a full morning of sessions and thought-leadership focused on Cloud 101 - practical, foundational information healthcare organizations need to migrated data and operations to the cloud - we assemble speakers to share key takeaways and take questions from the audience. It’s a great way to segue into lunch and to set the stage for the afternoon’s presentations on privacy & security and innovation or “the art of the possible” that the cloud enables.

Kirk
Anderson
Vice President and CTO
Cambia Heath Solutions
LaRon
Rowe
Director of Information Management
Accountable Health Partners (ACO) - University of Rochester Medical Center
Pam
DeSalvo Landis
Vice President, Information and Analytics Services
Atrium Health
John
Halamka
Chief Information Officer
Beth Israel Deaconess System

1:00pm - 2:00pm
Networking Lunch
Mouton 2

Take this opportunity to mingle with your peers in a relaxed setting to build relationships and establish future partnerships.

2:00pm - 2:25pm

Managing Change

How to Operationalize a Cloud-First Strategy for Healthcare
Mouton 2

Anyone can claim, “We’re a cloud-first organization.” The question is whether a healthcare provider, as it develops new products and enhances existing products and services, continually ask, “Will this work in the cloud?”

David Chou, the vice president, CIO, and chief digital officer of Children’s Mercy Hospital, has been asking that question since he joined the highly respected, 367-bed organization in May 2016.

From the start, David implemented a cloud-first strategy and began moving back-ups to the cloud. Today, almost all of the organization’s core applications are in the cloud, its security tools are cloud based, and David and his team are moving more and more way from on-premise data centers.

In this session, David shares his experience operationalizing a cloud-first strategy – and the critical information attendees must know before kicking off this journey. As David, will explain, it’s a big change with lots to consider.

Key discussion points:

  • Cloud-first strategy: What is it and how to do you execute strategically?
  • Negotiating with cloud vendors: What are the must haves? It’s not just pricing. How do you protect yourself, and what are you protecting yourself from?
  • Culture change: What is your organization's current culture and how must it change to accommodate a cloud-first strategy?
  • Creating a team:  What skills does your IT team have, and what skills must it acquire?
David
Chou
Vice President, Chief Information and Digital Officer
Children's Mercy Hospital

2:25pm - 2:50pm
Architecting for HIPAA
Mouton 2

With the proliferation and widespread adoption of cloud computing solutions, it’s critical that HIPAA covered entities understand how they can take advantage of cloud computing while complying with regulations protecting the privacy and security of electronic protected health information (ePHI). 

Key takeaways from this session:

  • Clarity on HIPAA and the BAA on the cloud.
  • Architectural principles to make sure that data is secure.
  • How does a customer get started? What other partners are available to assist?
  • What should you look for when evaluating partners to help?
Pat
Combes
Global Technical Leader - Healthcare and Life Sciences
Amazon Web Services

2:50pm - 3:15pm
Implementing Security Best Practices for Cloud Computing
Mouton 2

To better control healthcare’s mounting cost pressures, more and more, healthcare vendors are turning to the cloud to leverage efficiencies and to keep expenses in check. As a result, healthcare organizations often have no choice but to do the same; they’re being pushed by vendor partners.

This means that knowingly or unknowingly, healthcare organizations are moving more patient health information to cloud infrastructures.

As Intermountain Healthcare CISO Karl West will address, whether voluntarily or not, moving healthcare data to the cloud requires healthcare organizations to address four areas to bolster cybersecurity:

  • Identify where your data resides.
  • Understand appropriate controls to manage cloud data.
  • Strategies to manage risk: transfer, mitigate, accept or avoid?
  • Strategies to protect data.
Karl
West
AVP, Chief Information Security Officer
Intermountain Healthcare

3:15pm - 3:45pm
Data Governance in the Cloud
Mouton 2

Information governance and privacy are at the forefront of business, consumer and patient concerns. New technologies enable businesses and governments to collect and analyze exponentially greater quantities of information.  Meanwhile, privacy laws greatly restrict the sharing of individually identifiable health information, which prevents researchers around the world from accessing data and collaborating.

A governance framework that includes data-risk benefit analysis and evidence-based practices can enable an organization to obtain the right tools to achieve and sustain demonstrable data governance and unlock data. 

Key takeaways from this presentation:

  • Responsible data stewardship: Builds and maintains patient and consumer trust.
  • Risk benefits analysis: Unlocks the value of data for broader uses and knowledge building by design.
  • Cloud enablement: Technologies that support centralized data-driven transformation.
Leslie
Trout
Privacy Officer, Data Governance and Management
Philips HealthSuite Digital Platform

3:45pm - 4:10pm

Art of the Possible

Building New Consumer Models: Smarter, Faster, Safer
Mouton 2

Zocdoc is an online healthcare scheduling service that receives 6 million patient visits a month. In less than 12 months, Zocdoc became a cloud-first organization to meet their business goals. This digital transformation allowed for rapid innovation and the ability to deliver products that align with demands of the 21st century patient.  

The cloud has provided Zocdoc with the ablility to eliminate friction and complexities that patients experience when interacting with the healthcare system. From easily booking doctor appointments to deciphering complex insurance plans, Zocdoc gives power back to the patient to take control of their healthcare needs.

In this session, Zocdoc will explain how healthcare organizations also can leverage the cloud to become more agile and better meet the demands and expectations of a changing market.

Key discussion points

  • Using technology to deliver new and relevant consumer models. 
  • Eliminating friction and complexity in the healthcare experience.
  • Securely managing healthcare data within the cloud. 
Serkan
Kutan
Chief Technology Officer
Zocdoc
Brian
Lozada
Chief Information Security Officer
Zocdoc

4:10pm - 4:35pm

The Future is Now

How the Cloud Enables Machine Learning and Personalized Medicine
Mouton 2

Personalized medicine and machine learning are two of the hottest topics in healthcare, and no event at HIMSS would be complete without offering a perspective on their potential to transform healthcare. In this session, attendees will learn how the cloud offers a great opportunity to maximize their combined potential to drive value by improving outcomes.

Zeeshan Syed, founder of Health at Scale and director and clinical associate professor at Stanford Medicine, will discuss the use of the public cloud's development capabilities for iterative design of powerful machine learning systems and the execution of massive-scale experiments for machine-based learning.

As a case study, Zahoor Elahi, senior vice president of Optum, will discuss how UnitedHealthcare leveraged Health at Scale's machine-learning cloud platform to coordinate care for 40 million members and proactively refer patients to individually-optimal providers within complex care networks.

Key takeaways:

  • As more clinical and claims data becomes available, cloud-based machine learning allows for continuous refinement of predictive algorithms.
  • Cloud deployment allows modular machine learning algorithms to be updated and improved via input from a multi-disciplinary team of stakeholders.
  • Cloud computing democratizes machine learning and makes it accessible to different stakeholders in the health care system.
  • Running parallel experiments at scale allows machine learning to iteratively get smarter about predicting optimal providers for specific patients.
Zeeshan
Syed
Director of the Clinical Inference and Algorithms Program
Stanford Health Care
Zahoor
Elahi
Senior Vice President of Strategic Product Management
Optum

4:35pm - 4:45pm
The Road Forward & Key Takeaways
Mouton 2

Host John Halamka wraps up the day, recapping key insights, best practices, lessons learned, and sending attendees home with action items to take their own cloud initiatives to the next level.

John
Halamka
Chief Information Officer
Beth Israel Deaconess System

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