patients P r o g r a m A g e n d a IT workforce integration technology

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1 P r o g r a m A g e n d a? October 20-21, 2010 Austin, TX Westin Austin at The Domain ` quality roadmap connectivity architecture CDR vocabulary network backup exchange practice management contract alerts ARRA authentication Evidence-based transformation IHE portal access PHR personal ID protection point of care clinical ROI healthcare priorities patients ONC documentation medicine e-prescribing insurance databases 2015 interoperability benefits services Medicare hospitals rural CAHs guidance transparency SOA specifications efficiency CMS 2011 adoption HITECH Act incentive transformation funding clinics HIE physicians information virtualization web data RAC cost of ownership EPs meaningful use cost cloud computing integration design eligibility electronic reform certification standards harmonization computerized CCR EHR negotiation paperless care coordination value records Medicaid interface applications vendors decision support measures MA functionalities audit rules HIT messaging REC CPOE sustainability technology IT workforce change management transition reporting privacy consent governance processes improvement SaaS integration payment workflow providers ICD-10 performance HL7 empi health medication outcomes EMR HIPAA investment DICOM W3C OASIS open source community public health families selection implementation best practice coding diagnosis safety compliance penalty security policies encryption privacy What is the meaning of IT all? 1 Hosted by The TORCH Foundation is a 501(c)(3) non-profit affiliate of TORCH. Founded originally for the purpose of developing a statewide rural telecommunications infrastructure and hospital network in Texas, the TORCH Foundation has expanded its focus over the years to meet the various needs, priorities and challenges of our members. Today, the TORCH Foundation provides programs and services on health IT, hospital network support, performance improvement, grant assistance, workforce development, leadership training, and education. Founded in 1990, the mission of the Texas Organization of Rural & Community Hospitals (TORCH) is to be the principal advocate, voice and leadership organization to address the needs and priorities of rural and community hospitals in Texas. TORCH is a nationally-recognized rural hospital association providing a fullrange of quality services, programs and education to a broad constituency that includes over 150 rural & community hospitals, 137 rural health clinics, 100 provider-based home health agencies, and 150 corporate members.

2 Conference Information I n vit a t i o n & Confere nc e T he me The TORCH Foundation and the Texas Organization of Rural & Community Hospitals (TORCH) are pleased to host the 6th Annual Rural Hospital Information Technology Conference (HITCON/10). This is an extremely challenging time for the healthcare industry. With an unprecedented convergence of factors national health reform, economic recovery, health information technology and the meaningful use requirements hospitals and healthcare providers are faced with a multitude of compounding challenges. Through the passage of the HITECH provisions of the American Recovery and Reinvestment Act (ARRA), a unique opportunity has been created to accelerate healthcare transformation through automation, secure electronic exchanges and interoperability across the continuum of care. Now that the Centers for Medicare and Medicaid Services (CMS), along with the Office of the National Coordinator for Health Information Technology (ONC), have released the Final Rule covering the Electronic Health Record (EHR) Incentive Program and the Meaningful Use (MU) criteria, the time to act is NOW and the place to be is HERE! When IT matters most, be where the pros are! Exhibitor/Sponsor Registration This registration form is for hospitals and healthcare organizations ONLY. All other participants may attend the conference only as an exhibitor and/or sponsor. To help us plan properly and ensure optimal processing of conference materials, please complete and submit your registration as early as possible. Complete the enclosed Hospital Registration Form and return with payment to: P.O. Box 14547, Austin, TX (make check payable to TORCH). If paying by credit card, complete the form on the back of the application form. Your registration cannot be processed without payment. Hotel Information The conference will be held at The Westin Austin at the Domain, located at Domain Drive, Austin, TX A block of rooms at the special conference rate of $129 per night (single/double) is reserved for HITCON/10 participants. Reserve your room before October 13, 2010 for the special rate. For reservations, call the hotel directly at (512) Electronic Health Records. Meaningful Use. Incentive Payment. Quality Improvement. Data Analytics. Reporting Requirements. Health Information Exchange These are complex, powerful and loaded requirements for rural hospitals. This year s conference theme What is the Meaning of IT All? revolves around the concepts, challenges, interconnections and imperative of achieving and maintaining Meaningful Use of certified EHR systems. Educational sessions are designed specifically for rural hospitals and will be delivered by nationally recognized experts from around the country. We invite you to attend this unique education conference and tradeshow on rural hospital information technology, designed specifically to maximize your learning and networking opportunities. Don t miss this chance to learn the latest information, regulations and developments on health IT; make new, valuable contracts; interact with peers, policy experts and industry IT professionals; and visit with a variety of vendors showcasing their quality products, services and solutions all in one place. Register Today! Contact Information For questions regarding registration, confirmation or cancellation, contact Rose Valenzuela at (512) or rose@torchnet.org. For all other questions regarding the conference, contact Dawn Haberkorn at dawn@torchnet.org or Quang Ngo at quang.ngo@torchnet.org. IMPORTANT DATES Exhibitor/Sponsor Registration Deadline: Oct. 12, 2010 (while spaces are available) Hotel Reservation Deadline: Oct. 13, 2010

3 Conference Agenda - Wednesday, Oct 20 th This is a critical year for health IT. Don t miss this great learning opportunity to stay current on what s happening. Be in the know. Don t be left behind. 7 am - 9 am Exhibitor Registration & Setup 9 am - 10 am Hospital/Sponsor Registration 9 am - 10 am Exhibit Hall Opens (Pre-conference) Take advantage of this great opportunity to visit our conference exhibitors and sponsors, learn about quality products and services, make important contacts, and network with peers and industry experts. Refreshments served. 10:00 am - 10:15 am Opening Remarks James Vanek, CEO, Lavaca Medical Center, Hallettsville, TX Quang Ngo, President/CEO, TORCH Foundation, Austin, TX David Pearson, MPA, FACHE, President/CEO, TORCH, Austin, TX 10:15 am - 11:15 am Keynote: What is the Meaning of IT All? Kevin Fickenscher, MD, CPE, FACPE, FAAFP, Chief Medical Officer & Executive Vice President of Healthcare Transformation, Perot Systems, Austin, TX Electronic Health Records. Meaningful Use. Incentive Payment. Quality Improvement. Data Reporting. Health Information Exchange These are complex, powerful and loaded requirements. What, indeed, is the meaning of IT all? This keynote address, delivered by one of the nation s visionary leaders in healthcare, will explain the major concepts, challenges and imperatives of achieving and maintaining the meaningful use of qualified electronic health records. With the passage of the HITECH provisions of the American Recovery and Reinvestment Act (ARRA), a once in a generation opportunity has emerged to accelerate healthcare transformation through automation, secure electronic exchange and interoperability across the continuum of care. Yet, along with these enormous incentives are stringent, multifaceted requirements. This is a fast-moving and challenging time. Don t miss a beat. Learn from a foremost expert on the latest health information developments. 11:15 am - 12:15 pm Meaningful Use Final Rules: Impact on Rural Hospitals & Healthcare Providers Centers of Medicare and Medicaid Services, Dallas, TX (Invited) In July 2010, the Centers for Medicare and Medicaid Services (CMS) along with the Office of the National Coordinator (ONC) released the Final Rule covering the Electronic Health Record (EHR) Incentive Program and the Meaningful Use (MU) criteria. Attend this session to learn about the latest MU requirements, including: key definitions and staging methodology; eligibility for hospitals and professionals under the Medicare fee-for-service, Medicare Advantage and Medicaid EHR Incentive Programs; requirements for end-user adoption and clinical quality measures reporting; as well as reimbursement thresholds and payment periods. Your knowledge and clear understanding of the MU criteria is requisite to your ability to maximize the HITECH Act incentives and avoid penalties. Don t miss out on this timely and critical information. 12:15 pm - 1:30 pm Awards Luncheon Rural Hospital IT Award of Excellence and Rural Health IT Leadership Awards 1:30 pm - 2:30 pm Show Me the Money! Calculating EHR Incentive Payments for Hospitals & Eligible Professionals Tom Watson, CPA, FHFMA Partner, BKD, LLC, Houston, TX EHR adoption is not easy or inexpensive, but there has never been a better opportunity to recover the high costs of your hardware and software. You have made (or soon will make) a significant investment. Either way, one thing is clear: you need to recoup your money. In this session, learn the latest information on the payment eligibilities and methodologies for hospitals and eligible professionals under the Medicare, Medicaid and Medicare Advantage incentive programs. In particular, learn about the rules for calculating factors for charity care and Medicare share; depreciation; documentation requirements; payment schedule; payment qualifications and attestation process; as well as the conditions, qualifications and analyses that need to be evaluated and monitored over the duration of the program in order to be eligible for continued payment. You can t afford to miss this session. CONTINUING EDUCATION UNITS: A certificate of attendance will be provided to all participants, which can be used to claim CE credits from professional associations and state licensing boards. This program provides: 10 hours of CE units for CPAs from the Texas State Board of Public Accountancy: sponsor # 04763; and 10 hours of pre-approved Category II (non-ache) continuing education for this program toward advancement or recertification in the American College of Healthcare Executives (ACHE). Participants in this program wishing to have the continuing education hours applied toward Category II credits should indicate their attendance when submitting application to the ACHE for advancement or recertification.

4 Conference Agenda Wednesday, Oct. 20 th Agenda, Cont. 2:30 pm - 3:30 pm The Art of the Deal: Negotiating a Winning EHR Contract Diana J.P. McKenzie, JD, Partner and Chair, Information Technology & Outsourcing Practice Group, Hunter, Maclean, Exley & Dunn, P.C., Savannah, GA (Invited) The hospital-vendor relationship is the key to a successful EHR implementation. It is not uncommon for issues to arise, especially for contracts of this size. How those issues are handled and resolved (and preferably prevented ahead of time) makes all the difference. In this session, learn how you can achieve a truly winning contract. Participants will learn about the crucial elements of a successful vendor agreement, including provisions for global and specific (hardware, software and legal) warrantees, scope of work, measurable vendor performance benchmarks for its products or services, pre- and post-live testing and acceptance criteria, issue escalation, apportioning liability, and indemnification by the vendor in circumstances where the purchaser should not bear the risk. Be here to learn helpful tips to negotiate the best contract possible! 3:30 pm - 4:00 pm Break in the Exhibit Hall 4:00 pm - 5:00 pm Your Roadmap to Achieving Meaningful Use Jack Walker, National Meditech Practice Director, maxit Healthcare, Westfield, IN Tom Herring, Engagement Director, maxit Healthcare, Westfield, IN Now that the bar has been set and the clock is ticking, do you know where you are and how or when you will achieve meaningful use? Are you on track to qualify for your incentive payments? Because the investment in an EHR system is one of the most significant (and expensive) undertakings you have made (or will make), it is essential that you can demonstrate, measure and validate your progress towards MU. In this session, learn how you can use an assessment tool to audit the status and readiness of your organization s IT infrastructure, clinical systems, adoption threshold and performance baselines. Also, learn how you can implement a MU roadmap to meet the timelines detailed in the latest MU requirements. Achieving and maintaining meaningful use is among the biggest challenges facing rural and community hospitals today. Don t miss the chance to learn how you can develop a strategy and roadmap to ensure that you recoup your EHR investment. 5:00 pm - 6:00 pm Networking Reception in the Exhibit Hall Network with peers and industry experts, make important contacts, and visit with a variety of health IT companies showcasing their quality products, services and solutions - all in one place! 7:30 am - 8:30 am Breakfast in Exhibit Hall Thursday, Oct. 21 st Agenda 8:30 am - 9:30 am A Mighty Band of Small Hospitals Dianne Mandernach, FACHE, Chief Executive Officer, SISU Medical Systems, Duluth, MN Community-based strategic partnerships are likely to become increasingly compelling to hospitals and providers, especially with the growing requirements for the electronic exchange of health information. This is a tale of a successful joint venture among a consortium of rural hospitals that shares IT resources. Learn firsthand how these providers teamed up to realize cost savings, efficiencies and clinical excellence, while aggregating buying powers and sharing resources, technical expertise and network support services. Learn also about the leadership and business requirements involved, how they conduct a solid financial pro forma, question the assumptions from the start, clarify decision-making powers, facilitate information sharing and handle complex legal and governance issues. Attend to learn more. 9:30 am - 10:30 am Healthcare IT Workforce: Filling in the Gaps Leanne Field, PhD, Director, Public Health and Medical Laboratory Science Programs, University of Texas, Austin, TX An emerging challenge facing the healthcare industry today and in the near future is the escalating workforce shortages of HIT professionals. The demand for qualified health IT workers is evident and continues to grow as hospitals and healthcare providers everywhere aim to expand their adoption and use of EHR technologies. Estimates from the Bureau of Labor Statistics, HIMSS Analytics and the ONC show a projected need for as many as 50,000 more HIT workers by 2015 (this represents a 50% increase in the current estimated HIT workforce). The ONC has awarded $84M (of the $118M budgeted) to community college consortia and universities to initiate workforce development programs. Here at home, the University of Texas has received ARRA funding to develop an IT certification training program. In this session learn how this training program can help to fill in the workforce gaps and what you can do to leverage these resources to assist you in achieving and maintaining your meaningful use status. DEDICATED EXHIBIT HALL HOURS Wednesday, October 20th 9:00-10:00 am Pre-Conference 3:30-4:00 pm Afternoon Break 5:00-6:00 pm Networking Reception Thursday, October 21st 7:30-8:30 am Breakfast 10:30-11:00 am Morning Break

5 Conference Agenda Thursday, Oct. 21 st Agenda, Cont. 10:30 am - 11:00 am Break in the Exhibit Hall 11:00 pm - 12:00 pm Achieving Interoperable HIE in the White Space Tony Gilman, Chief Executive Officer, Texas Health Services Authority, Austin, TX Taylor Cox, Director, Office of e-health Coordination, Texas Health & Human Services Commission, Austin, TX Over the next five years, healthcare providers must achieve, demonstrate and maintain meaningful use status through a phased approach that aims towards complete automation, interoperability and electronic health information exchanges (HIEs) across disparate systems and care settings. The Texas Health Services Authority (THSA) was created as a public-private partnership focused on supporting and coordinating HIE statewide. Texas has received $28.8 M to develop a strategic and operational plan to guide the establishment and operations of electronic health information networks in Texas over the next four years. In this session, learn how THSA and HHSC are managing a statewide collaborative efforts to establish an electronic HIE infrastructure for Texas, how funding will be used and dispersed and who is eligible to benefit. Also, attend this session to understand the framework for oversight and accountability, as well as the requirements for program coordination, technology infrastructure, privacy and security, consumer engagement and governance. Meeting HIE requirements will be a critical part of maintaining your meaningful use status in the future. Don t miss this session to learn more! 12:00 pm - 1:00 pm Luncheon 1:00 pm - 2:30 pm Virtually Different: Partnerships for Innovation Andre Vovan, MD, MBA, FCCM, President & CEO of Mitochon Systems, Newport Beach, CA Caper English, Chief Technical Officer, Holon Solutions, Atlanta, GA Mike McGuire, Vice President, Holon Solutions, Atlanta, GA 2:30 pm - 3:30 pm Texas Regional Extension Centers (REC): Technical Assistance, Programs and Services Billy Phillips, Jr., PhD, Vice President and Director of the F. Marie Hall Institute for Rural and Community Health, Texas Tech health Sciences Center, Lubbock, TX Kathy Mechler, MS, RN, CPHQ, Co-Director and COO, CentrEast Regional Extension Center, Rural & Community Health Institute, Texas A&M Health Science Center, College Station, TX Finally, there is help! Authorized by the HITECH Act, the Health Information Technology (HIT) Regional Extension Centers (RECs) are designated to offer technical assistance, guidance and information on best practices to support and accelerate the efforts of healthcare providers to become meaningful users of certified EHRs. The U.S. Department of Health and Human Services awarded over $35.7 M to four Texas RECS to assist physicians and healthcare professionals to implement statewide EHRs. Of the four federally funded Texas RECs, the West Texas Regional Extension Center at the Texas Tech University Health Sciences Center and the CentrEast Regional Extension Center at the Rural and Community Health Institute, a component of the Texas A&M Health Science Center, have a strong rural focus. In this session, learn about the services of these RECs and how federal funding is used to assist with outreach and education, EHR selection and implementation, practice and workflow redesign, privacy and security, interoperability and health information exchange, meaningful use, and much more! 3:30 pm Closing Remarks Join Us! This session presents two innovative frameworks that can yield significant impact, cost savings and revenue potential for rural hospitals and providers. The first part of the session will focus on how a virtual medical community platform, using virtualization or cloud computing technology, can create community-based HIE that supports the secure exchange of patient clinical data among providers and patients, while meeting future meaningful use status. The second presentation will focus on how hospitals and providers can leverage a Process Adaptive Integration Framework to build and manage complex workflows and provider preferences, simplify and enhance existing business processes, as well as enable and automate new and more efficient business systems. Attend this session to learn more about these business value propositions.

6 RETURN SERVICE REQUESTED An Affiliate of Texas Organization of Rural & Community Hospitals P.O. Box Austin, TX E. Huntland Drive, Suite 150 Austin, TX fax OCTOBER 20 21, 2010 Westin Austin at the Domain Hosted by IMPORTANT DATES: Registration Deadline, October 12, Hotel Reservation Deadline, October 13, 2010