a New York State Center for Advanced Technology at Columbia University

Medical Informatics Update 2013:

Analytics and Tools for Care Coordination

Wednesday, October 16, 2013

8:15 AM to 4:30 PM
IBM Thomas J Watson Research Center
1101 Kitchawan Rd, Yorktown Heights, NY 19598

A one-day meeting for local and regional healthcare specialists to discuss advances,problems, and solutions in various medical informatics venues. The session will provide an opportunity to meet and talk with leading specialists at the forefront of care coordination. The event is organized by the Center for Advanced Information Management* at Columbia University and the IBM Health Informatics Research Department.

* The Center for Advanced Information Management at Columbia University is a New York State Center for Advanced Technology (CAT) sponsored by Empire State Developments Division of Science, Technology and Innovation (NYSTAR).

WWW.CAT.CO LU M BIA.EDU 650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196

Medical Informatics Update 2013

Time Event

8:15am 8:45am

Registration
Workshop Co-Chairs Welcome and Introductory Remarks
Shahram Ebadollahi, PhD; IBM George Hripcsak, MD, MS; Columbia University

9:00am

Care Coordination IBM Viewpoints

Guruduth Banavar, PhD; IBM Research Robert Merkel; IBM Healthcare and Life Sciences Karen Parrish, MBA; IBM Industry Solutions, Software Group

9:30am

SESSION A: Patient Centered Care Coordination Moderator: Martin Kohn, MD

Smarter Care Karen Parrish, MBA; IBM Serving our Veterans Virtually: Perspectives on VA Telehealth Technology and Policy Cathy Cruise, MD; Veterans Integrated Service Network
10:30am KEYNOTE: The Role of Health IT in Integrated Care (remote) Moderator: Michael OBoyle Nirav R. Shah, MD, MPH; NYS Department of Health COFFEE BREAK SESSION B: Impact of Care Coordination on Cost
Moderator: Adler Perotte, MD, MA

11:00am 11:30am

Cost Considerations in Care Coordination Rainu Kaushal, MD, MPH; Weill Cornell Medical College Care Coordination in the Era of Value Based Care Delivery Peter N. Bowers, MD; Anthem Blue Cross/Blue Shield in Connecticut
12:30pm 1:45pm

LUNCH / DEMOS / POSTERS

SESSION C: Metrics and Analytics in Care Coordination Moderator: Robert Sorrentino, MD

Data Quality and Metrics for Care Coordination Craig A. Jones, MD; Vermont Blueprint for Health Improving Care Coordination with Big Data, Analytics, and Technology Paul Contino; New York City Health and Hospitals Corporation
2:45pm PANEL: Care Coordination in the Region: Clinical Organizations Using Technology to Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University Panelists: Holly Miller, MD; MedAllies/Taconic IPA Susan Northover, RN, MPA; Visiting Nurse Service of New York

Walter Sedlazek; IBM Cram Simeon Schwartz, MD; WESTMED Medical Group
4:00pm

Adjourn to coffee and mixer

Medical Informatics Update 2013

Abstracts
The Role of Health IT in Integrated Care
Nirav R. Shah, MD, MPH New York State Department of Health. Health technology plays a significant role in the evolving health care delivery model, which demands more clinical integration for better care. Dr. Shah will discuss Health IT innovations in New York, and how health IT will improve patient care and support the patient-centered medical home. He will also discuss the State Innovation Model Plan and the federal funds that are helping the state test six new models of care.

Abstracts (cont.)
Cost Considerations in Care Coordination
Rainu Kaushal, MD, MPH Center for Healthcare Informatics and Policy, Weill Cornell Medical College With expertise in quality, patient safety, and health information technology, the speaker will discuss measuring the effects of health IT on health care quality and costs with a view toward optimizing the value of health care in the current environment. Examples will be presented from recent empirical studies of different technologies and models of healthcare delivery, including EHRs, HIE, and PCMH.

Smarter Care
Karen Parrish, MBA Software Group, IBM As the journey for improved quality of care and lower cost of care continues, IBM has been side by side with its clients helping to lead the way to new business models and a greater focus on community wellness. Smarter Care is IBMs point of view on how to embrace the ecosystem of providers, payers and recipients of care into communities of care focused on the clinical, social and lifestyle aspects of that care. The huge impact that data has on our ability to know, understand and engage with individuals is a challenge that all payers and providers face. IBM is armed with the capabilities to address these challenges. This talk is designed to highlight the cause of this data deluge, suggestions on how to address it, and to share the work IBM and its clients are doing to leverage it.

Care Coordination in the Era of Value Based Care Delivery

Peter N. Bowers, MD Anthem Blue Cross and Blue Shield in Connecticut Care coordination is a necessary, but not sufficient element of value based care delivery. Value based care delivery is defined as higher quality at lower cost and is enabled by care coordination, payment redesign, enhanced access and actionable data at the point of care. The future of accountable care delivery will support team based care with real time data that will shape practice transformation. Our quality measures will advance from process to outcomes measures while simultaneous affordability and sustainability pressures will drive lower cost through greater adoption of transparency tools coupled with value based benefit design. Patient- and family-centered, assessment-driven, team-based activity designed to meet the needs of patients and their families or care givers that addresses interrelated medical, social, developmental, behavioral, educational, and financial needs in order to realize the promise of value based care delivery.

Serving our Veterans Virtually: Perspectives on VA Telehealth

Cathy Cruise, MD VISN 3 Virtual Health and Rehabilitation Programs, Veterans Administration Dr. Cruise will explain how the VA Telehealth Services uses health informatics, disease management and telehealth technologies to target care and case management to improve access to care, improving the health of veterans. Telehealth changes the location where health care services are routinely provided. The value VA derives from telehealth is not in implementing telehealth technologies alone, but how VA uses health informatics, disease management and telehealth technologies to coordinate and manage care, facilitate access to care and improve the health of veterans.

Data Quality and Metrics for Care Coordination [tentative]

Craig Jones, MD Vermont Blueprint for Health

Improving Care Coordination with Big Data, Analytics and Technology

Paul Brian Contino New York City Health and Hospital Corporation As we rapidly move toward a healthcare landscape with increased EHR adoption and interoperability standards for clinical data exchange, how do we leverage technology and data to effectively impact care coordination and patient engagement.

Medical Informatics Update 2013

Panel Presentations
Care Coordination in the Region: Clinical Organizations Using Technology to Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University
Four representatives from practice areas will focus on how clinical information systems are being used in their organizations to address coordination: 1) Within care teams 2) Across care teams 3) Between care teams and community resources 4) For continuous familiarity with patient across time 5) For continuous proactive and responsive action between visits 6) For supporting providers consider the needs, preferences, of patient 7) For shared responsibility-between patient and caregivers The panel will comment on how their organization has handled barriers to effective use of technology, data exchange and/or availability of important information. There will also be opportunity for the audience to ask questions.

Speaker Profiles
Nirav R. Shah, MD, MPH
Commissioner New York State Department of Health Dr. Shah has been the 15th Commissioner of the New York State Department of Health since 2011. A native of Buffalo, he graduated with honors from Harvard College. He has an M.D. and M.P.H. in medicine and chronic disease epidemiology from Yale University. He is board certified in Internal Medicine. Dr. Shah heads one of the worlds leading public health agencies with an annual budget of more than $58 billion. During his tenure, the Department led the transformation of the states Medicaid program, which resulted in more than $4 billion in savings in just the first year while improving population health and quality of care. The Department also spearheaded the creation of a health benefit exchange that will give 1.1 million New Yorkers health insurance coverage and drafted an evidencebased Prevention Agenda for improving the health of all New Yorkers.

Care Transitions in a Patient Centered Medical Neighborhood

Holly Miller, MD, MBA, FHIMSS MedAllies/Taconic Independent Practice Association
A brief overview of new technologies for managing care coordination and transitions of care across a patient centered medical neighborhood.

Driving Improved Outcomes through Informatics

Susan Northover, RN, MPA Visiting Nurse Service of New York
VNSNY Strategy and Care Coordination Current and Future State: Post-Acute care strategies and associated case studies, and using Care Coordination technology platforms to manage patients and populations to improve quality outcomes

Programs of Care
Walter Sedlazek, MBA IBM, Cram
The discussion will highlight a human centered HIT platform approach to integrating medical, behavioral, and social care and enabling community-based teams to deliver programs of care for vulnerable populations.

TBA
Simeon Schwartz, MD WestMed Medical Group

Medical Informatics Update 2013

Speaker Profiles (cont.)

Peter N. Bowers, MD
Chief Medical Officer Anthem Blue Cross and Blue Shield in Connecticut Peter is Chief Medical Officer at Anthem Blue Cross and Blue Shield in Connecticut. He is responsible for development and execution of medical management, cost of quality care and clinical support for sales in the Connecticut marketplace. Additionally, he has served as the Medical Director for Anthem National Accounts and WellPoints Payment Innovation. He joined Anthem Blue Cross and Blue Shield in 2006 from the faculty of the Yale University School of Medicine where he was active in teaching, clinical practice and biomedical research. He directed the fellowship training program in pediatric cardiology and won the pediatric resident teaching award in addition to an active clinical practice in both the outpatient and inpatient settings. With continuous funding from the National Institute of Health and the Howard Hughes Medical Institute, he investigated embryonic cardiovascular development and identified genetic causes of SIDS and congenital heart disease. He is widely published and has received awards from the Society of Pediatric Research, the American Academy of Pediatrics, the American College of Cardiology and the American Heart Association. A native of Connecticut, Dr. Bowers is a cum laude graduate of Colby College and the University of Connecticut School of Medicine. His post graduate medical training in pediatrics is from the University of Rochester and his fellowship training in pediatric cardiology and human molecular genetics is from Yale University. He lives in Guilford, CT with his wife, an obstetrician/gynecologist and two daughters.

Speaker Profiles (cont.)

Paul Brian Contino
Corporate Chief Technology Officer New York City Health and Hospitals Corporation Paul is Corporate Chief Technology Officer at the New York City Health & Hospitals Corporation. He is an accomplished healthcare IT executive with over 20 years of experience in technology development and management. He has held numerous leadership roles in healthcare, education and academic medicine. At the New York City Health and Hospitals Corporation (HHC), Paul is responsible for strategic direction in the areas of enterprise architecture, business intelligence and data warehousing, interoperability and health information exchange. He provides technology leadership for many of HHCs key patient care initiatives including PCMH, Health Home, Medical Home, ACO and EMR/PHR (patient portal) HHC is a $6.7 billion integrated healthcare delivery system with its own 385,000 member health plan, MetroPlus, and is the largest municipal healthcare organization in the USA. HHC serves 1.4 million New Yorkers every year of which more than 475,000 are uninsured. HHC provides medical, mental health and substance abuse services through its 11 acute care hospitals, four skilled nursing facilities, six large diagnostic and treatment centers and more than 70 community based clinics. HHC Health and Home Care also provides in-home services for New Yorkers. HHC was the 2008 recipient of the National Quality Forum and The Joint Commissions John M. Eisenberg Award for Innovation in Patient Safety and Quality.

Cathy Cruise, MD
Director Veterans Integrated Service Network Cathy is Director, of the Veterans Integrated Service Networks (VISN), Virtual Health and Rehabilitation Programs. A psychiatrist, she graduated from the New York University School of Medicine and completed a residency in Physical Medicine and Rehabilitation at the Rusk Institute of Rehabilitation, New York University. She is responsible for the development and implementation of the Health and Rehabilitation Programs in Veterans Integrated Service Network #3, which encompasses New York City, Long Island, Westchester, the Hudson Valley and New Jersey. In this capacity, she embraces a culture in which access to care is facilitated through the use of telehealth technology. Dr. Cruise works closely with Telehealth Services in VA Central Office.

Medical Informatics Update 2013

Speaker Profiles (cont.)

Craig A. Jones, MD
Director Vermont Blueprint for Health Craig is the Director of the Vermont Blueprint for Health, a program established by the State of Vermont, under the leadership of its Governor, Legislature and the bi-partisan Health Care Reform Commission. The Blueprint is intended to guide statewide transformation of the way that health care and health services are delivered in Vermont. Currently, Craig serves on several committees and workgroups including the Institute of Medicines Consensus Committee on the Learning Healthcare System in America, and the Roundtable on Value and Science Driven Healthcare. Prior to this, he was an Assistant Professor in the Department of Pediatrics at the Keck School of Medicine at the University of Southern California, and Director of the Division of Allergy/Immunology and Director of the Allergy/ Immunology Residency Training Program in the Department of Pediatrics at the Los Angeles County + University of Southern California (LAC+USC) Medical Center. He was Director, in charge of the design, implementation, and management, of the Breathmobile Program, a program where mobile clinics deliver ongoing care to inner city children in at their schools and at County clinics. He was an Executive Committee and Board Member for the California Chapter of the Asthma & Allergy Foundation of America, as well the chapter President. He is a past president of the Los Angeles Society of Allergy Asthma & Immunology, and a past President and a member of the Board of Directors for the California Society of Allergy Asthma & Immunology. He received his undergraduate degree at the University of California at San Diego and MD degree at the University of Texas Health Science Center in San Antonio, Texas. He completed his internship and residency in pediatrics at LAC + USC Medical Center, where he also completed his fellowship in allergy and clinical immunology.

Speaker Profiles (cont.)

Rainu Kaushal, MD, MPH
Director, Center for Healthcare Informatics and Policy Weill Cornell Medical College Rainu is the Director of the Center for Healthcare Informatics and Policy; the Frances and John L. Loeb Professor of Medical Informatics at Weill Cornell Medical College, the Director of Pediatric Quality for the Komansky Center for Childrens Health at New York-Presbyterian Hospital, and the Executive Director of the Health Information Technology Evaluation Collaborative (HITEC) for New York State. She is an international expert on the effectiveness, cost-effectiveness and comparative effectiveness of health information technology, health information exchange and novel health care delivery models. She has published more than 80 scholarly publications, has served on numerous national advisory committees, has formally consulted with other researchers as well as with policy makers, and has served on editorial boards for health care journals as well as on several study sections for the Agency for Healthcare Research and Quality. She is a frequent invited national and international speaker. Rainu is an expert in quality, patient safety and health information technology. She has particular expertise in pediatric medication safety and in measuring the effects of health IT on health care quality and costs. She is engaged in research, patient care, management and operations activities at Weill Cornell Medical College and New York-Presbyterian Hospital, all geared toward using health IT to optimize the value of health care today. She attended Harvard Medical School, and then completed her residency at Brigham and Womens Hospital and Childrens Hospital in Boston, attaining double board certification in Internal Medicine and Pediatrics. She then completed the Harvard Clinical Effectiveness Fellowship while obtaining a Masters in Public Health from Harvard School of Public Health. She joined and remained on the faculty at Harvard Medical School until 2006 when she joined the faculty of Weill Cornell Medical College.

Medical Informatics Update 2013

Speaker Profiles (cont.)

Karen Parrish, MBA
VP of Industry Solutions for the Public Sector IBM Karen is the IBM Vice President of Industry Solutions for the Public Sector which includes Healthcare, Life Sciences, Education, Government, Defense and Smarter Cities. In this IBM Software Group role, she is responsible for the cross brand and cross divisional strategy and execution for industry specific solutions across these industries worldwide. Karen accepted this position in January of 2011. In 2007, she was appointed Vice President of Industry Solutions and Frameworks in Software Group where she focused on incubating new industry offerings across seventeen industries for the Smarter Planet initiative. Prior to this, Karen led the Business Intelligence and Data Warehousing business for seven years. During her tenure, she and her team delivered significant growth across the IBM portfolio of products and services in this space. In June of 2000, Karen was appointed Executive Assistant to the General Manager of Pervasive Computing where she played a key role managing the operational and customer relationship activities for IBMs emerging business, Pervasive Computing. In previous IBM positions, she was the Manager of Solutions Development in IBMs Sales and Distribution division, responsible for the deployment of their Investment Business Management System and the replication of Business to Business solutions across key industries such as Distribution, Finance and Communications. She joined IBM in 1986 and spent her first ten years in IBMs sales force as a Client Executive in the Distribution Sector servicing customers such as Kmart and Melville. Karen attended Fordham University where she earned a BS degree. She later obtained her MBA from Pace University. She was recently named Executive in Residence for Fordham University, focusing on Smarter Healthcare Analytics and Smarter Cities

Panelists
Holly Miller, MD, MBA, FHIMSS
Chief Medical Officer MedAllies, Taconic Independent Practice Association Holly currently has two roles: She is the Chief Medical Officer of MedAllies, providing operational, tactical, and strategic collaborative leadership on all MedAllies projects. She is also the medical director of the Taconic Independent Physicians Association (IPA), where she works to optimize strategic implementations of certified EHR systems to improve patient quality and outcomes, support PCMH transformation and enhance care coordination. She was formerly a Vice President and CMIO of University Hospitals and Health Systems, in Northern Ohio. Prior to joining UH, she worked as an HIT Managing Director for the Cleveland Clinic where she also maintained a clinical practice in General Internal Medicine. She has been active in healthcare informatics research, and has been a co-investigator on multiple grants. A member of HIMSS since 1999, Dr. Miller was on the HIMSS US Board for 4 years, and served as a Vice Chair of the HIMSS Board. She is also an immediate past inaugural member of the HIMSS World Wide Board. She is active in a variety of current and previous S&I ONC committees, and other State and Government HIT committees.

Susan Northover, RN, MPA

Vice President Visiting Nurse Service of New York Susan is currently the Vice President of Intake Services, Enterprise Market Development for VNSNY, the countrys largest not for profit organization providing in-home nursing care, therapy, hospice and palliative services and managed health plan services to New Yorkers. Ms. Northover supports the growth of business across the organization by promoting optimal solutions; including innovative care delivery models to meet the needs of integrated health systems, physician organizations, nursing facilities and community based organizations. Previously, as Vice President for Amedisys Home Health Care, she led operational and sales efforts for homecare in multiple locations throughout the northeast. She led program and resource development to address market trends, including implementation of a Transitional Care model to improve Care Coordination from facility to home. Prior to Amedisys Ms. Northover was General Manager for Tender Loving Care offices in Connecticut. She was responsible for all operational, clinical, regulatory and sales efforts for the organization. Ms Northover is a graduate of the Memorial University of Newfoundland School of Nursing and is a Registered Nurse. She also holds a Masters Degree in Health Care Administration from the University of New Haven.

Medical Informatics Update 2013

Panelists (cont.)
Walter Sedlazek, MBA
Product Strategy IBM Cram Walt heads Product Strategy at IBM Cram. He reports to the Cram brand CTO and helps to define future product plans and innovation initiatives, including joint research activities with IBMs Watson research labs and IBMs Smarter Care development programs. Walt has been with Cram for eight years and has supported the launch of multiple major new products for its health and human services clients and has participated in health information technology standards work for the US government. He brings over 20 years of experience in managing COTS-based enterprise software solutions for clients in the public sector as well industries such as insurance, retail, telecommunications, and manufacturing. Prior to joining Cram, Walt led product management and strategy teams at Oracle for ten years developing CRM, case management, customer service and call center applications and government vertical applications. In addition, he has led quality management and business process reengineering initiatives using lean manufacturing and six sigma techniques while working for system integration and product vendors supplying solutions to the public sector and telecommunications industries. He has a BSEE from Georgia Tech and a MBA from the University of Virginia, Darden School.

Conference Chairs
Shahram Ebadollahi, PhD
Program Director, Health Informatics Research IBM Research

George Hripcsak, MD, MS

Chair and Vivian Beaumont Allen Professor of Biomedical Informatics Director, Center for Advanced Information Management, Columbia University

Organizing Committee
Paul Goldfarb, MBA
CAIM Director of Business Development

Joseph Jasinski, PhD

IBM Distinguished Engineer and Global Industry Executive, Healthcare and Life Sciences

Simeon A. Schwartz, MD
President and CEO WESTMED Medical Group Simeon is founding President and CEO of WESTMED Medical Group and the CEO of WESTMED Practice Partners (WPP). The group is a 250+ physician primary care focused multi-specialty practice. He has been committed to improving both operational and clinical efficiency with a focus on quality. To accomplish this, Dr. Schwartz and WESTMED have been early adopters of healthcare IT and have worked with many IT vendors with process and system redesign to improve care. WESTMED Practice Partners, established in 2011, is a management services company that has evolved from the success of the WESTMED Medical Group. The mission of WPP is to provide comprehensive, turnkey solutions for advanced ambulatory care sites. Dr. Schwartz is a hematologist and oncologist. He received his undergraduate degree from the Massachusetts Institute of Technology and his medical degree from Yale University School of Medicine in New Haven. Dr. Schwartz then completed his internship and residency at The New York Hospital-Cornell Medical Center and a fellowship in hematology and medical oncology at Memorial Sloan Kettering Cancer Center.

Shilpa Mahatma, MS
Senior Research Engineer, IBM T. J. Watson Research Center

Jacqueline Merrill, PhD, MPH, RN

Associate Professor of Nursing (In Biomedical Informatics), CAIM Clinical Director

Adler J. Perotte, MD, MA

Associate Research Scientist, Biomedical Informatics CAIM Assistant Director for Technology

Daby M. Sow, PhD

Research Staff Member IBM T. J. Watson Research Center

Vincent Tomaselli, PhD

CAIM Executive Director

Medical Informatics Update 2013

Demonstrations

Automating Big-Data Analysis for the ICU of the Future

Daby Sow with Alain Biem Peter Kirchner Raju Pavuluri Robert Saccone Deepak Turaga

Care Plan Workbench for Evidence Driven Coordinated Care

Jianying Hu Guo Tong Xie

Cervical Cancer Solution

Michal Rosen-Zvi

Cram
Abha Keshava

Patient Care and Insights

David Gotz Kenny NG

Patient Centric Analytics for Enhanced Care Coordination and Management

Nirmal Mukhi David Gotz Jianying Hu

Watson EMR Application - Patient Record Summarization

Marty Kohn Murthy V Devarakonda

Medical Informatics Update 2013

Posters
Targeting and Refining Health Challenges to Improve Medical Adherence
Robert Farrell1, Catalina Danis1, Shih Ping (Kerry) Chang2 IBM, TJ Watson Research Center1 and Carnegie Mellon University2
Medical providers are increasingly managing patients with chronic disease by applying risk analysis methods to determine the best course of treatment. However, adherence to long-term treatment plans is low (averaging 50% for prescribed medications and 30% for lifestyle changes.) Our approach is to improve adherence through improved patient engagement in health care processes. We are developing a software solution for mounting engaging Health Challenges that help participants set a goal, track their behavior, monitor their progress towards the goal and evaluate the result. Challenges can be targeted to individuals or to groups in a particular demographic or with a particular risk factor. We will use data analytics to refine the mechanics of the challenge to respond better to each individuals performance. We present observations from a first deployment of the solution in a wellness setting and describe a planned deployment to chronic patients who have been advised to lose weight.

Posters (cont.)
This study explores the impact of electronic based patient engagement tools (kiosks, portals, mobile phones, and clinical decision support alerts) on decision-making, adherence to care plans, and clinical, and financial outcomes. We explore adoption rates, workflow implications, and analytic approaches to predict which tools work best with various populations. Engaging patients to take action through meaningful use of technology is an integral part of health care transformation, contributing to better health, better healthcare, and lower costs.

Ginger: Conquering Complex Industry Models with Dictionary Tooling

John Timm, Peter Schwarz, Joshua Hui, Sarah Knoop
IBM Research Almaden Information models used in healthcare IT data standards are often quite complex. This presents a challenge to implementers who need to efficiently build applications that produce and consume data according to these models but are not themselves expert in the specific standard used. In this poster, we discuss an approach to bridge this gap. We combine a methodology with software tooling to facilitate the creation of sets of clinical data abstractions that insulate application developers from the inherent complexities and steep learning curve posed by the standards.

Towards Greater Care Coordination: Automatically Identifying Primary Care Providers

Hojjat Salmasian, Rimma Pivovarov, Gregory W. Hruby, Daniel G. Fort, Nancy Chang, and David J. Vawdrey
Department of Biomedical Informatics, Columbia University Primary care providers (PCPs) can contribute historical context to the hospital team, enhancing continuity of care, if they are notified when their patients are hospitalized. This notification seldom happens, because the PCP is not often identified in the electronic health record. A medical logic module was created to assign PCP status to the author of a PCP-specific encounter note. We interviewed a 15% subset of providers about accuracy of the PCP status for a sample of patients attributed to them. The intervention increased the percentage of clinic visits where a PCP was assigned from approximately 10% to 90%. Among the 22/34 physicians who agreed to be interviewed, PCP status was correct for 408/414 of their patients. An automated method for identifying PCPs based on clinicians electronic documentation is the first step in determining which physician to contact for future automated care coordination efforts.

IBM Big Data Platform for Wellness

Haim Nelken
IBM Research The estimated global wellness market is 1.9 trillion. In particular, the workplace wellness market is estimated by 2.7-8.2 billion per year. IBMs mature Big Data, Cloud and Mobile technologies provide the scale and robustness required by wellness solutions. The proposed Wellness platform combines several IBM Big Data products (Big Insights, Streams, Netezza) and Cognos, with innovative wellness accelerators developed by IBM Research.

Aging Well Speeding the Adoption of Ambient Assisted Living Services Patient Engagement: Measuring Technology Impact on Care Outcomes
CPP (M Minniti, D Freed, S Cashon, T Blue); IBM (C Danis, M Ball, R Farrell); Jefferson School of Nursing (R Kennedy, I Hilghman, B Thomas, C Dolan, S Nevins; NSIM (M Miller, S Ballen, A Crimm, Z Font)
IBM, Care Partners Plus (CPP) and NSIM (Ninth Street Internal Medicine Associate) It is estimated that patient adherence to long-term medication therapies is in the 40% to 50% range, while estimated rates of adherence to lifestyle-based prescriptions such as increasing exercise and adopting a low-fat diet, range 20% to 30%. Increasingly technology is being used to engage patients; however, there is a paucity of research showing the impact of such technology on patient engagement, adherence to treatment plans and clinical and financial outcomes.

Haim Nelken
IBM Research The increase in life expectancy reinforces the need for smart and innovative services that help elderly people to be self-sustaining as long as possible and maintain a satisfactory quality of life. This emerging market of smart services, known in Europe as Ambient Assisted Living (AAL) services, offers many solutions for disease management, support in daily life activities, wellness and social interactions. AAL services are usually a non-trivial composition of software, hardware and human resources. One of the impediments to the adoption of AAL services is the lack of an economically viable market place for the provisioning of such services.

Medical Informatics Update 2013

Organizational Profiles
Center for Advanced Information Management
650 West 168th Street, B-130, New York NY 10032 Telephone: 212 305-2944

www.cat.columbia.edu
In 1983, New York State established a Center for Advanced Technology (CAT) Program to promote the collaboration between its industry base and its major research institutions. The goal was to facilitate technology transfer and commercialization using the expertise and resources in academia to benefit companies economically.

The Health Informatics Research Department at IBM is a multi-disciplinary team of scientists with diverse set of skills conducting research in the broad area of health informatics. Its mission is to provide the scientific underpinnings and thought leadership for IBMs active presence in the area of health informatics. Main focus areas are: Analytics and Big Data in Healthcare and Life Sciences Visualization and Decision Support for Healthcare and Life Sciences Insights-driven Wellness Management Services Data Integration and Platforms We conduct our research in collaboration with external organizations and are active participants in the scientific community. Our research in the above areas has applications in Care Coordination (providers, payers, governments) and Real World Evidence (pharma) among many others. In Care Coordination we are interested in using advanced analytics and technologies to enable identification of patients/members at risk, devising management plans, identifying the collaborative team to support the patient/member, addressing adherence and compliance with the suggested plans. In the area of Real World Evidence, we use our advanced analytics tools and visual analytics to better explain variation in the population (responders vs. non-responders), exploring hypotheses, and design of adjacent services (insights-driven services health and wellness service design). There are a number of commercial software and services offerings by IBM based on our research. For example see IBM Patient Care and Insights: http://www-01.ibm.com/software/ecm/patient-care/

Currently, the program continues with 15 CATs at 13 institutions located around the state. Each CAT has a specific technology focus (http://www.nystar.state.ny.us/cats.htm) and approach to helping its partner companies. The CAT program is supported by NYSTAR, the New York State Foundation for Science, Technology and Innovation. NYSTAR currently offers a range of programs to help promote the states technology base. Columbia Universitys Center for Advanced Information Management has been a participant in the CAT program since its inception. CAIMs focus is at the intersection of biomedical science, information technology, and biomedical imaging, with the occasional inclusion of other areas of biomedicine and information processing. Its main contributing units are the Department of Biomedical Informatics and the Center for Computational Biology and Bioinformatics, both at the medical center (College of Physicians and Surgeons), and the Computer Science Department and imaging group of the Department of Biomedical Engineering, both in the School of Engineering and Applied Science. This broad range of expertise serves CAIM well in allowing for innovative interdisciplinary projects involving specialists from both schools and campuses. A few of CAIMs industry-focused activities and offerings are: Grant program for industry co-sponsored research projects Specialized workforce training courses and seminars Technology Forums featuring informative programs focusing on areas of industry interest External Advisory Board with members from a wide range of companies Access to other NYSTAR development programs (funding, technology/legal services, etc.)

Department of Biomedical Informatics

622 West 168th St. VC5, New York, NY 10032 Tel: 212 305-5334

www.dbmi.columbia.edu
The Columbia University Department of Biomedical Informatics is among the oldest in the nation. Its goals are to discover new information methods, to augment the biomedical knowledge base, and to improve the health of the population. DBMIs 30 faculty members and 60 students work in a highly collaborative environment, applying informatics from the atomic level to global populations. Areas of application include: CLINICAL CARE. Design clinical information systems and mine the electronic health record. BIOLOGY. Includes systems biology, structural biology, and virology, on studies in partnership with the Center for Computational Biology and Bioinformatics. PUBLIC HEALTH. Design systems to promote and protect the health of communities, improve public health systems, and deploy information technology internationally. TRANSLATIONAL RESEARCH. Integrate biological and clinical knowledge and facilitate multidisciplinary science.

Medical Informatics Update 2013

650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196
WWW.CA T.CO LU M BIA .EDU