Since the inception of eHealth Initiative nearly 20 years ago, we have convened healthcare stakeholders to collaborate at the intersection of health and technology. Over the last few years, eHI has organized many notable roundtables.
- Current Efforts to Improve Price Transparency in Healthcare. The key themes that emerged in the Current Efforts to Improve Price Transparency in Healthcare Executive Roundtable included increasing patient access to relevant billing data, health literacy; understanding the financial costs associated with clinical decisions for the consumers; defining what is appropriate care in all healthcare settings; increasing coordinating between various stakeholders; the effect of the administration's recent Executive Order on price transparency, and the role that Prior Authorization has in price transparency efforts. 10.23.19. In conjunction with United HealthCare.
Straight from the Field: Collaborations to Improve the Patient Experience. This roundtable discussed the use of data to improve patient experience. Topics included the impact of care and wellness on patient experience and using data and analytics to lower cost, determine appropriate pharmaceutical interventions for patients, and personalize patient experience at the payer level. 7.30.19. In conjunction with Google Cloud.
ICD-10 Coding for Social Determinants of Health. Organizations are ramping up efforts to address Social Determinants of Health (SDOH) within their communities with proactive approaches that help identify members in need and to assist them with referrals to social and governmental services. This roundtable sought to develop a consistent and consolidated approach to communicate and assist providers and coders in utilizing existing ICD-10 SDOH codes. It also sought to formulate a strategy and unified approach for providers and coders to adopt and utilize proposed SDOH codes once approved. Read our materials on SDOH and understanding ICD-10-CM Codes. 7.17.19. In conjunction with United HealthCare.
Demonstrating the Impact of Wearables in Research: Supporting Wellness & Patient Care. This roundtable focused on the use of wearable devices to support wellness. It specifically discussed the positive impact of wearables on care; using wearables to monitor and predict disease, manage chronic conditions, and affect behavior change; and the use of wearables for older adults with chronic conditions. 7.10.19. In conjunction with Fitbit.
Cyber Readiness and Medical Devices: The Future of Healthcare Depends on a Cybersecure Ecosystem. This roundtable is a multi-disciplinary discussion on the challenges and solutions of cyber readiness and medical device protection. Medical devices can be vulnerable to security breaches, impacting the safety and effectiveness of the device. Healthcare stakeholders need to be vigilant about cybersecurity over the lifetime of a device, ensuring patient efficacy discussions include cybersecurity risks. 5.30.19. In conjunction with Booz Allen Hamilton.
Beyond Healthcare: Social Determinants of Health Roundtable Series. This two-part roundtable gathering established a collaborative group to define and publish guiding principles for the use of SDOH. Stakeholders identified innovative policy and process approaches to help policy makers understand the value of SDOH. Participants aided in the composition and public promotion of a set of principles based on the industry guidelines, policy recommendations, and process approaches to support efforts to utilize SDOH to its full potential while addressing privacy and security concerns. eHI hosted a policy breakfast on June 27, 2019 to celebrate the release of the principles. 4.24.19 and 5.22.19. In conjunction with LexisNexis Healthcare.
Concurrent Roundtable Sessions at eHI's Executive Leadership Summit. 3.14.19
- Interoperability for Non-Techie Execs. This initiative will assist non-technical payer and provider executives understand and adopt FHIR and DaVinci over the next 36 months.
- Privacy and Security: Protection vs. Access. This initiative will develop policy recommendations regarding healthcare privacy for state and federal laws that negatively impact consumer access to their healthcare data.
- Value Based Care and Payment Solutions: Focus on Transparency. This initiative will develop and disseminate guidelines and recommendations for healthcare executives to promote technical solutions that will improve cost transparency.
- Use of Non-traditional Sources of Data for Patient Care (SDOH). This initiative will provide guidelines for healthcare stakeholders on the use of social determinants of health (SDOH) data to improve patient and population outcomes.
The second Simplifying Prior Authorization Executive Roundtable meeting was the final in-person gathering of stakeholders in eHI's Prior Authorization Collaborative Project. 01.31.19. In conjunction with United HealthCare. This initiative included four roundtables sponsored by United and athenahealth (formely GE's Health Group), executive interviews, and remote workgroup meetings. The project ultimately lead to the development of the Considerations for Improving Prior Authorization Document.
- Risky Business? Sharing Data In and Outside of the Healthcare System. (Part II) The rise of consumer-facing health care websites, mHealth apps, and genetic testing and sequencing for both commercial use and research has raised new privacy and security challenges regarding the collection and sharing health data. The power of data provides many promising opportunities for the advancement of medicine. However, the privacy and security risks of collecting and sharing health data must be weighed against this potential progress. Various types of data are particularly challenging to protect because of the number and diversity of involved stakeholders: healthcare organizations, sequencing facilities, insurance companies, direct-to-consumer genomic companies, ancestry-related online social networks, patients, and patients' relatives. This roundtable continues the discussion that began during the September Roundtable. 12.11.18. In conjunction with Manatt, Phelps and Phillips, LLP.
- Putting Social Determinants of Health (SDOH) into Action. While the healthcare industry increasingly recognizes the importance of SDOH data in impacting health outcomes and costs, it is less clear how to define, measure, collect, and share the data. In the wake of healthcare reform and further integration of value-based and population health payment models, organizations are searching for innovative policy and process approaches that will help facilitate quality and efficient clinical care. 12.4.18. In conjunction with LexisNexis Healthcare.
- The first roundtable in the Simplifying Prior Authorization Executive Roundtable Series brought stakeholders together to discuss strategies that might improve the prior authorization process. It is crucial that employers, payers, providers, and patients come together to outline challenges across the clinical spectrum and work together to address these challenges with achievable solutions with a focus on quality of care. Over two in-person meetings and a series of workgroup sessions, we explored existing standards and common business processes to simplify prior authorization; outlined challenges across clinical and technical domains; and laid the groundwork for potential demonstration projects to test hypotheses suggested by attendees. 11.28.18. In conjunction with United HealthCare.
- The Effects of Prior Authorization in Healthcare roundtables addressed the challenges prior authorizations (PA) pose and the work being done to change the system. In efforts to prevent gaps in care and enable better medication adherence, providers are calling for changes to payers’ prior authorization protocols and seek to reduce the overall volume of prior authorizations, increase transparency on requirements, and promote automation. Through the use of big data, mHealth, and other health IT tools, electronic prior authorization could help providers identify and generally reduce the negative effects of prior authorization. This roundtable series focused on finding practical solutions to fix PA. 09.26.18 and 10.31.18. In conjunction with GE Health (now athenahealth).
- Risky Business? Sharing Data In and Outside of the Healthcare System. HIPAA Regulations were the result of many years of public and private sector collaboration. Industry workgroups were formed and reports written with recommendations on how to better manage and protect health information. New technologies that are collecting patient generated health data, like wearables and mobile apps, may not be subject to HIPPA but are raising enough privacy and security to concerns that their regulation is imminent. This roundtable explored the next frontier in privacy and security, including the legal considerations, federal regulations, and data ethics outside of HIPAA, that need to be addressed as data sharing within and outside of the healthcare system increases. 09.20.18. In conjunction with Manatt, Phelps and Phillips, LLP.
- The Artificial Intelligence and Machine Learning roundtable convened senior executives from provider, government, technology, pharmaceutical, clinical research, and professional organizations, representing radiology, pathology, cardiology, and other groups to discuss how artificial intelligence (AI) and machine learning (ML) can improve patient care, create more effective drugs, reduce costs and eventually re-shape healthcare in the United States. The group also discussed the challenges and opportunities for AI/ML in healthcare and their perspectives on how this technology is currently impacting their organizations. eHI produced an issue brief, The Machines are Here & are Improving Healthcare, about the roundtable that addresses the state of the field and includes examples of how AI and ML are being used within the industry; the challenges and barriers to the adoption of AI; current federal government initiatives; and where AI and ML may be headed in healthcare’s future. 09.06.18. In conjunction with Booz Allen Hamilton.
- The Value of Data Governance in Healthcare roundtable was the first in a series of roundtable meetings on topic. The roundtable convened senior executives from stakeholder groups, including payer, provider, professional organizations, health information exchanges (HIEs), research, public health, laboratory, and pharmaceuticals. The goal was to gather expert opinions on how to make data accessible, close quality gaps, turn insight into action, and protect sensitive patient information. eHI produced an issue brief about the roundtable, which covered topics such as the value of data governance in healthcare, existing challenges related to data governance, and key takeaways from the meeting. 05.03.18. In conjunction with LexisNexis Healthcare.
- The Sharing Behavioral Health Information in Light of the Opioid Epidemic roundtable meeting explored the role of privacy and security in the context of the opioid crisis. Much of the discussion focused on the impact of policies and regulations that hinder the sharing of sensitive patient data and affects health outcomes. Experts and industry leaders from Walgreens, Surescripts, CRISP, OhioHealth, Senator Shelley Moore Capito’s office, and the Substance Abuse and Mental Health Services Administration (SAMHSA) provided information on the policies and technologies that affect the use of behavioral health information in patient care and discussed ways to address challenges. eHI produced an issue brief about the roundtable that aims to provide potential solutions for tackling the opioid crisis and addresses the role of electronic prescribing of controlled substances (EPCS), regulatory and legislative obstacles, including 42 Code of Federal Regulations Part 2 (42 CFR Part 2), the Health Insurance Portability and Accountability Act (HIPAA), and the Prescription Drug Monitoring Program (PDMP). 05.01.18. In conjunction with Manatt, Phelps and Phillips, LLP.
- At the eHealth Initiative Annual Summit on February 7-8, 2018, three 2-day roundtables were held to explore organizational priority areas over the course of the year. Workgroups have been created for each priority area:
- The conversation in the Value & Reimbursement Roundtable began by looking at value-based care through the lens of accelerators and barriers. Pre-authorizations are perceived as a barrier to care because many physicians find that the process slows downs their clinical workflow, is costly, and burdensome. Participants also thought the term ‘pre-authorization’ was inherently flawed, stating that the name of the process should more accurately reflect its purpose. Pre-authorizations represent an evidence-based review of coverage determination.
- The goal of the Technology & Analytics Roundtable was to recommend 3-5 practical, patient-centric outcomes that would improve care for patients with chronic conditions through technology, analytics, and interoperability. Preliminary discussions revolved around closing gaps in data, removing barriers to sharing information, educating patients and providers about consent around data sharing, potential uses for labs and lab data, incentivizing patients and providers to share data, remote patient monitoring, and patient engagement.
- The key themes that emerged in the Workflows to Improve Patient Experience Roundtable were enabling relationships through technology; building relationships between stakeholders; appropriate care in all healthcare settings; navigation and coordination that solicits input from patients; and value across the spectrum (economic, quality of care and life, efficiency in relationships, support groups, self-care, shared decision making, parity).
- Electronic Medication Adherence Collaborative (eMAC) Executive Roundtable Meeting. “Medication adherence is a process, not one thing.” eHealth Initiative’s Electronic Medication Adherence Collaborative (eMAC) continued to convene multiple stakeholders to identify effective innovation and best practices that improve patient outcomes and save money, through medication adherence. This eMAC roundtable focused on the potential to create an adherence “vital sign,” which providers might use to track patient compliance with treatment plans; tools used to measure adherence; attitudes and beliefs that impact safety and adherence; supporting treatment compliance and collaborating approaches at point of care; and sharing information across the care continuum. Tuesday 12.12.17.
- Privacy and Security Information Sharing: A Public-Private Partnership. eHealth Initiative and PwC held an invitation-only, roundtable meeting for privacy and security executives from the healthcare industry and government agencies. The purpose of the meeting was to discuss public-private partnerships, share information, and foster collaborations among attendees. Executives addressed the current privacy and security landscape, ways to improve data sharing, cyber threat mitigation, and industry best practices. Thursday 11.02.17. In conjunction with PwC.
- Creating a Continuum of Seamless Care in Heart Health. Twenty executive leaders, representing multiple industries and organizations, engaged in an enlightening discussion on the number one killer of all Americans, heart disease. This roundtable delved into the nuances faced by physicians and hospitals in their attempts to achieve seamless care, through reliable delivery of patient needs. The roundtable addressed improving patient outcomes, addressing fragmented care, and finding collaboration at the intersection of cardiology and radiology. Tuesday 10.17.17.
- Medication Adherence: Moving the Needle Forward. eHealth Initiative (eHI) convened more than 20 healthcare executives from payer, provider, academic, and pharmaceutical organizations for a roundtable discussion on medication adherence—a patient’s ability to take medication exactly as prescribed. The roundtable was the first in-person meeting of eHI’s Electronic Medication Adherence Collaborative (eMAC)., which brings together stakeholders who use analytical and behavioral interventions to address adherence. Through this initiative, eHI is capturing best practice data to move healthcare closer to a culture of medication adherence. Tuesday 09.19.17.
- Privacy & Security Roundtable. May 2017. In conjunction with PwC.
- The executive roundtable, Value-Based Partnership for a Healthier Society: What’s Working and Why? was an hosted by eHI and Philips North America. Executives from around the country gathered at CAQH, to hear success stories about value-based care and ask questions such as, “Should the American healthcare system be federated or centralized?” and “How can we adequately fund and encourage innovation efforts?” September 2016. In conjunction with Philips North America.
- Value-Based Care Roundtable
- New Care Delivery Models and Patient Control of their Data. 03.03.15.
- Coordinating Care Across the Continuum in a Value-based Environment. January 2014.
- HIT Exports Roundtable. 06.24.2013.