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January 21, 2016, 12:00 pm – 1:30 pm CT / 1:00 pm – 2:30 pm ET

Health Information Technology Safety Community of Practice

Session Overview

TMIT is delighted to have Ross Koppel, PhD, Adjunct Professor of Sociology, University of Pennsylvania in Philadelphia. His presentation is “From MU to MUch less? What is CMS telling us?” We are also delighted to have Christopher Peabody, MD, MPH, Assistant Clinical Professor of the Department of Emergency Medicine, University of California in San Francisco, leading the launch of our Community of Practice. He will be presenting “Health IT: Front-line Problems and Solutions.” John Nance, a world-class speaker, will join these presenters covering “HIT Accidents and Cybercrime Issues,” along with Dan Ford, one of our nation’s leading patient advocates, giving his talk on “Reflections on Visioning E.H.R. Vendor Transition and Including Patient Advocates.” We will have our first Board Brief, a recorded presentation by Sharon Rossmark, Chairman of the Board of Directors for the National Children’s Center in Washington, DC, and Terry Wheat, Director of Patient Care Services & Chief Nursing Officer at Shriners Hospital for Children, and a trustee of another major medical center and safety-net hospital. The topic will be “Nurses on Governance Boards.” Our reactor panel of national patient advocates includes Jennifer Dingman, Founder, Persons United Limiting Substandards and Errors in Healthcare (PULSE), Colorado Division, and the other speakers.

We offer these online webinars at no cost to our participants.

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Webinar Video, and Downloads


Webinar Video:

National Survey Results:

Click here to download the National Survey Results.

Speaker Slide Set:

Click here to download the combined speakers’ slide set in PDF format – one (1) slide per page. 
Click here to download the combined speakers’ slide set in PDF format – four (4) slides per page. 

To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose “Save Target As.” (In some browsers it might say “Save Link As.”)

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Registration Information and CE Credit Information

Register:  The webinar has previously taken place. See webinar video above.

 Webinar date:   January 21, 2016

      Time:

  • 01:00 PM to 2:30 PM Eastern Daylight Time
  • 12:00 PM to 1:30 PM  Central Daylight Time
  • 11:00 AM to 12:30 PM  Mountain Daylight Time
  • 10:00 AM to a1:30 AM  Pacific Daylight Time

We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.

  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.


Learning Objectives:

  • Awareness: Participants will learn about improvement issues of leadership, best practice, and technology pertaining to H.I.T. patient safety.
  • Accountability: Participants will learn about the accountability issues for governance, administration, clinical, and patient safety leaders.
  • Ability: Participants will learn best practices topics pertaining to safe adoption, safe use, and use for safety of H.I.T.
  • Action: Participants will have a clear understanding of the checklist Items that they can take on following the training.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

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Session Speakers and Panelists

Ross Koppel, PhD, FACMI
Ross Koppel, PhD, FACMI From MU to MUch less? What is CMS telling us?
Bio
Christopher R. Peabody, MD, MPH
Christopher R. Peabody, MD, MPH Health IT: Front-line Problems and Solutions
Bio
John Nance, JD
John Nance, JDAccountability and Leadership
Bio
Dan Ford, MBA, LFACHE
Dan Ford, MBA, LFACHEReflections on Visioning E.H.R. Vendor Transition AND Including Patient Advocates
Bio
Sharon Rossmark, MBA
Sharon Rossmark, MBA Board Brief – Nurses on Governance Boards
Bio
Terry Wheat, RN, MPH
Terry Wheat, RN, MPH Board Brief – Nurses on Governance Boards
Bio
Jennifer Dingman
Jennifer DingmanDiscussion and Reaction to Presentation AND the Voice of Patient and Family
Bio
C. R. Denham, II, MD
C. R. Denham, II, MDIn the News and Recent Polling
Bio

Related Resources

  1. ECRI Institute. Top 10 Patient Safety Concerns for Healthcare Organizations. Plymouth Meeting (PA): ECRI Institute; 2015 Apr. Available at https://www.ecri.org/Pages/Top-10-Patient-Safety-Concerns.aspx.
  2. ECRI Institute. Top 10 Health Technology Hazards for 2015. Plymouth Meeting (PA): ECRI Institute; 2014 Nov. Available at https://www.ecri.org/Pages/2015-Hazards.aspx.
  3. Davidson NE, Rimm DL. Expertise vs evidence in assessment of breast biopsies: an atypical science. JAMA 2015 Mar 17;313(11):1109-10. Available at http://jama.jamanetwork.com/article.aspx?articleid=2203783   
  4. Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA2015 Mar 17;313(11):1122-32. Available at http://jama.jamanetwork.com/article.aspx?articleid=2203798.  
  5. Landro L. New ways doctors reach agreement on patient diagnoses. The Wall Street Journal June 9, 2015. Available at http://jama.jamanetwork.com/article.aspx?articleid=2203798.  
  6. Zheng K, Ciemins E, Lanham H, et al. Using Health IT in Practice Redesign: Impact of Health IT on Workflow. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. AHRQ Publication No. 15-0058-EF. Rockville (MD): Agency for Healthcare Research and Quality; 2015 Jul. Available at http://healthit.ahrq.gov/sites/default/files/docs/citation/examining-the-relationship-between-health-it-and-ambulatory-care-workflow-redesign-final-report.pdf.  
  7. Tahir D. Feds criticized for lax oversight of health IT. Modern Healthcare 2015 Apr 4. Available at http://www.modernhealthcare.com/article/20150404/MAGAZINE/304049988.  
  8. Koppel R, Soumerai SB. Personal health records and medical care use. JAMA 2013 Feb 27;309(8):767. Available at http://jama.jamanetwork.com/article.aspx?articleid=1656244.  
  9. [No authors listed.] Healthcare IT is ‘like the plane that doesn’t crash.’ Boston (MA): Harvard T. H. Chan School of Public Health Executive and Continuing Professional Education; No date. Available at https://ecpe.sph.harvard.edu/newsstory.cfm?story=Healthcare-IT-A-Plane-That-Doesnt-Crash.  
  10. Denham CR, Classen DC, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf 2013 Dec;9(4):177-89. Available at www.safetyleaders.org.  
  11. IOM (Institute of Medicine). Health IT and Patient Safety: Building Safer Systems for Better Care. Washington, DC: The National Academies Press; 2012. Available at http://www.nap.edu/download.php?record_id=13269.  
  12. IOM (Institute of Medicine). Balogh EP, Miller BT, Ball JR, eds. Improving Diagnosis in Health Care: Resources for Patients, Families, and Health Care Professionals. Washington, DC: The National Academies Press; 2015 Sep 22. Available at http://www.nap.edu/download.php?record_id=21794.  
  13. [No authors listed.] Health Information Technology Patient Safety Action & Surveillance Plan. Washington, DC: The Office of the National Coordinator for Health Information Technology; 2013 Jul 2. Available at www.healthit.gov/sites/default/files/safety_plan_master.pdf.  
  14. [No authors listed.] Health IT Safety Center Roadmap. Prepared by RTI International, Research Triangle Park (NC). Contract Number HH51:123320095651WC_HH5P23337047T. Washington, DC: Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services; 2015 Jul 17. Available at http://www.healthitsafety.org/uploads/4/3/6/4/43647387/roadmap.pdf.  
  15. [No authors listed.] Smokers prescribed Viagra to quit. BBC News website 2006 Dec 13. Available at http://news.bbc.co.uk/2/hi/uk_news/scotland/glasgow_and_west/6175271.stm.  
  16. “2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications,” 45 Federal Register 170 (30 Mar 2015), pp. 16804-16921. Available at https://federalregister.gov/a/2015-06612.  
  17. Belden J, Patel J, Lowrance N, et al. Inspired EHRs: Designing for Clinicians. Columbia (MO): The Curators of the University of Missouri; 2014 Aug 5. Available at http://inspiredehrs.org/Inspired_EHRs_Designing_for_Clinicians.pdf.  
  18. Benda NC, Meadors ML, Hettinger AZ, et al. Emergency physician task switching increases with the introduction of a commercial electronic health record. Ann Emerg Med 2015 Sep 10. pii: S0196-0644(15)01104-X. doi: 10.1016/j.annemergmed.2015.07.514. [Epub ahead of print] Available at http://www.annemergmed.com/article/S0196-0644(15)01104-X/pdf.  
  19. Castillo M. Too many electronic health record alerts may be leading doctors to skip them. CBS News website 2013 Mar 5. Available at http://www.cbsnews.com/news/too-many-electronic-health-record-alerts-may-be-leading-doctors-to-skip-them/.  
  20. Fong A, Ratwani R. An evaluation of patient safety event report categories using unsupervised topic modeling. Methods Inf Med 2015 Aug 4;54(4):338-45. Available at http://www.schattauer.de/index.php?id=1268&L=1&pii=me15-01-0010&no_cache=1.  
  21. Joint Commission. Safe use of health information technology: Sentinel Event Alert #54. Oakbrook Terrace (IL): The Joint Commission; 2015 Mar 31. Available at http://www.jointcommission.org/assets/1/18/SEA_54.pdf.  
  22. Joint Commission. Safely implementing health information and converging technologies. Sentinel Event Alert #42. Oakbrook Terrace (IL): The Joint Commission; 2008 Dec 11. Available at http://www.jointcommission.org/assets/1/18/SEA_42.PDF.  
  23. Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014 nov-Dec;21(6):1053-9. Available at http://jamia.oxfordjournals.org/content/21/6/1053.full-text.pdf.  
  24. Menon S, Singh H, Meyer AN, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag 2014 Jul;34(1):14-26. Available at http://www.ncbi.nlm.nih.gov/pubmed/25070253.  
  25. Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf 2014 Jan;23(1):8-16. Available at http://qualitysafety.bmj.com/content/23/1/8.full.pdf.  
  26. Murphy DR, Thomas EJ, Meyer AN, et al. Development and validation of electronic health record-based triggers to detect delays in follow-up of abnormal lung imaging findings. Radiology 2015 Oct;277(1):81-87. Epub 2015 May 11. Available at http://www.ncbi.nlm.nih.gov/pubmed/25961634.  
  27. ONC. SAFER Guides. HealthIT.gov website. No date. Available at http://www.healthit.gov/safer/.  
  28. Ratwani RM, Benda NC, Hettinger AZ, et al. Electronic health record vendor adherence to usability certification requirements and testing standards. JAMA 2015 Sep 8;314(10):1070-1. Available at http://jama.jamanetwork.com/article.aspx?articleid=2434673.  
  29. Ratwani RM, Fairbanks RJ, Hettinger AZ, et al. Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors. J Am Med Inform Assoc 2015 Jun 6. Available at http://www.ncbi.nlm.nih.gov/pubmed/26049532.  
  30. Singh H, Ash JS, Sittig DF. Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol. BMC Med Inform Decis Mak 2013 Apr 12;13:46. Available at http://www.biomedcentral.com/content/pdf/1472-6947-13-46.pdf.  
  31. Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf 2015 Sep 14. Available at http://qualitysafety.bmj.com/content/early/2015/09/13/bmjqs-2015-004486.full.pdf.  
  32. Sittig DF, Ash JS, Singh H. The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records. Am J Manag Care 2014 May;20(5):418-23. Available at http://www.ajmc.com/journals/issue/2014/2014-vol20-n5/The-SAFER-Guides-Empowering-Organizations-to-Improve-the-Safety-and-Effectiveness-of-Electronic-Health-Records/.  
  33. Sittig DF, Classen DC, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc 2015 Mar;22(2):472-8. Available at http://www.ncbi.nlm.nih.gov/pubmed/25332353.  
  34. Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care 2010 Oct;19 Suppl 3:i68-74. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120130/pdf/nihms297306.pdf.  
  35. Sittig DF, Singh H. Electronic health records and national patient-safety goals. N Engl J Med 2012 Nov 8;367(19):1854-60. Available at http://www.nejm.org/doi/pdf/10.1056/NEJMsb1205420.  
  36. Sittig D, Singh H. The Health IT Safety Center Roadmap: What’s next? Health Affairs 2015 Jul 21. Available at http://healthaffairs.org/blog/2015/07/21/the-health-it-safety-center-roadmap-whats-next/.  
  37. Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Available at http://www.degruyter.com/view/j/dx.ahead-of-print/dx-2014-0064/dx-2014-0064.xmlz.  
  38. [No authors listed.] Health IT Safety Center Roadmap. Prepared by RTI International, Research Triangle Park (NC). Contract Number HH51:123320095651WC_HH5P23337047T. Washington, DC: Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services; 2015 Jul 17. Available at http://www.healthitsafety.org/uploads/4/3/6/4/43647387/roadmap.pdf.  
  39. [No authors listed.] Smokers prescribed Viagra to quit. BBC News website 2006 Dec 13. Available at http://news.bbc.co.uk/2/hi/uk_news/scotland/glasgow_and_west/6175271.stm.  
  40. Benda NC, Meadors ML, Hettinger AZ, et al. Emergency physician task switching increases with the introduction of a commercial electronic health record. Ann Emerg Med 2015 Sep 10. Available at http://www.annemergmed.com/article/S0196-0644(15)01104-X/pdf.  
  41. Caspi H. End of MU brings celebration, speculation. HealthcareDIVE website 2016 Jan 14. Available at http://www.healthcaredive.com/news/end-of-mu-brings-celebration-speculation/412105/.  
  42. Castillo M. Too many electronic health record alerts may be leading doctors to skip them. CBS News website 2013 Mar 5. Available at http://www.cbsnews.com/news/too-many-electronic-health-record-alerts-may-be-leading-doctors-to-skip-them/.  
  43. Farouk A. CMS chief vows to replace meaningful use with better policy. AMA Wire website 2016 Jan 13. Available at http://www.ama-assn.org/ama/ama-wire/post/cms-chief-vows-replace-meaningful-use-better-policy.  
  44. Gur-Arie M. Meaningful Use is dead. Long live something better! The Health Care Blog website 2016 Jan 13. Available at http://thehealthcareblog.com/blog/2016/01/13/meaningful-use-is-dead-long-live-something-better/.  
  45. Joint Commission. Safe use of health information technology: Sentinel Event Alert #54. Oakbrook Terrace (IL): The Joint Commission; 2015 Mar 31. Available at href=”http://www.jointcommission.org/assets/1/18/SEA_54.pdf.  
  46. Joint Commission. Safely implementing health information and converging technologies. Sentinel Event Alert #42. Oakbrook Terrace (IL): The Joint Commission; 2008 Dec 11. Available at http://www.jointcommission.org/assets/1/18/SEA_42.PDF.  
  47. Koppel R. The health information technology safety framework: building great structures on vast voids. BMJ Qual Saf 2015 Nov 19. Available at http://qualitysafety.bmj.com/content/early/2015/12/04/bmjqs-2015-004746.full.pdf.  
  48. Koppel R. What do we know about medical errors associated with electronic medical records? The Health Care Blog website 2016 Jan 11. Available at http://thehealthcareblog.com/blog/2016/01/11/what-do-we-know-about-medical-errors-associated-with-electronic-medical-records/.  
  49. Kriegstein L. Is Meaningful Use ending as we know it? Healthcare Informatics website 2016 Jan 19. Available at http://www.healthcare-informatics.com/article/meaningful-use-ending-we-know-it.  
  50. Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014 nov-Dec;21(6):1053-9. Available at http://jamia.oxfordjournals.org/content/21/6/1053.full-text.pdf.  
  51. Menon S, Singh H, Meyer AN, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag 2014 Jul;34(1):14-26. Available at http://onlinelibrary.wiley.com/doi/10.1002/jhrm.21146/abstract.  
  52. Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf 2014 Jan;23(1):8-16. Available at http://qualitysafety.bmj.com/content/23/1/8.full.pdf.  
  53. Murphy DR, Thomas EJ, Meyer AN, et al. Development and validation of electronic health record-based triggers to detect delays in follow-up of abnormal lung imaging findings. Radiology 2015 Oct;277(1):81-7. Available at http://pubs.rsna.org/doi/10.1148/radiol.2015142530.  
  54. Singh H, Ash JS, Sittig DF. Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol. BMC Med Inform Decis Mak 2013 Apr 12;13:46. Available at http://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-13-46.  
  55. Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf 2015 Sep 14. Available at http://qualitysafety.bmj.com/content/early/2015/09/13/bmjqs-2015-004486.full.pdf.  
  56. Sittig DF, Ash JS, Singh H. The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records. Am J Manag Care 2014 May;20(5):418-23. Available at http://www.ajmc.com/journals/issue/2014/2014-vol20-n5/The-SAFER-Guides-Empowering-Organizations-to-Improve-the-Safety-and-Effectiveness-of-Electronic-Health-Records/.  
  57. Sittig DF, Classen DC, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc 2015 Mar;22(2):472-8. Available at http://jamia.oxfordjournals.org/content/22/2/472.long.  
  58. Sittig DF, Singh H. Electronic health records and national patient-safety goals. N Engl J Med 2012 Nov 8;367(19):1854-60. Available at http://www.nejm.org/doi/full/10.1056/NEJMsb1205420.  
  59. Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care 2010 Oct;19 Suppl 3:i68-74. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120130/.  
  60. Sittig D, Singh H. The Health IT Safety Center Roadmap: what’s next? Health Affairs Blog 2015 Jul 21. Available at http://healthaffairs.org/blog/2015/07/21/the-health-it-safety-center-roadmap-whats-next/.  
  61. Slavitt A, DeSalvo K. EHR incentive programs: where we go from here. The Health Care Blog website 2016 Jan 19. Available at http://thehealthcareblog.com/blog/2016/01/19/ehr-incentive-programs-where-we-go-from-here/.  
  62. Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl) 2014;1(4):283. Epub 2014 Oct 23. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687403/pdf/nihms729539.pdf.  
  63. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org.   
  64. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  65. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  66. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  67. National Quality Forum. Safe Practice 12: Patient Care Information. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  68. National Quality Forum. Safe Practice 13: Order Read-Back and Abbreviations. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  69. National Quality Forum. Safe Practice 14: Labeling Diagnostic Studies. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  70. National Quality Forum. Safe Practice 15: Discharge Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  71. National Quality Forum. Safe Practice 16: Safe Adoption of Computerized Prescriber Order Entry. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  72. National Quality Forum. Safe Practice 17: Medication Reconciliation. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  73. National Quality Forum. Safe Practice 18: Pharmacist Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.   
  74. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications.