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Roundtable on Next Generation IT in Health Care

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Each Forum Roundtable strikes a balance between near-term COVID-related challenges and long-term impact on major issues in the post-pandemic world through professional facilitation and deep subject matter expertise. The groups will develop and widely disseminate recommendations that will make an impact on provider, payer and life sciences CEOs, policymakers and thought leaders collaborating for industry-wide change.

This Roundtable supports partnerships between payer, provider, life sciences and technology companies that support a new level of IT deployment in health care, including digital health, interoperability, new forms of data, integrated clinical trials and AI/ML, that can drive better and more equitable patient outcomes through modernization and implementation of consumer engagement, population health and care delivery, during and after COVID. Special attention will be paid to cybersecurity and privacy. The goal of this Roundtable is to set a new foundation for care that is longitudinal, fully integrated and patient centered while considering the impact of changes on physician burnout.

Co-Chairs

  • Amy Abernethy, MD, PhD, Principal Deputy Commissioner, FDA

  • Aneesh Chopra, President, CareJourney

  • Steve Klasko, MD, President & CEO, Thomas Jefferson University and Jefferson Health

  • Peter Neupert, Lead Director, Adaptive Biotechnologies Corp.; Former VP, Microsoft Health Solutions

  • Steve Udvarhelyi, MD, President & CEO, Blue Cross and Blue Shield of Louisiana

Roundtable Fellows

Amy Abernethy, MD, PhD, FDA

Nancy Howell Agee, Carilion Clinic

Lisa Alderson, Genome Medical

Michael Blum, UCSF

Bruce Bodaken, Blue Shield of California

Sam Brasch, Kaiser Permanente Ventures

David Braza, Premera Blue Cross

Niall Brennan, Health Care Cost Institute

Brandon Cady, AIM Specialty Health

Hernando Celada, ChenMed

Aneesh Chopra, CareJourney

Dale Cook, Learn to Live

Molly Coye, MD, AVIA

Christopher Del Vecchio, MVP Health Care

Ellen Duffield, Gateway Health Plan

Drew Fennell, ChristianaCare

Laura Forese, MD, NewYork-Presbyterian

Ryan Fukushima, Tempus

Patrick Gilligan, Zaffre Investments

Josh Goode, SCAN Health Plan

Lucio Gordan, MD, Florida Cancer Specialists

Jon Gordon, Commonwealth Care Alliance

Gary Guthart, PhD, Intuitive Surgical, Inc.

Amanda Hammel, Memorial Hermann

David Horrocks, Chesapeake Regional Information System for Patients

Jeff Huber, GRAIL

Charles Jaffe, HL7

Ricardo Johnson, CareFirst BlueCross BlueShield

Steve Klasko, MD, MD, Thomas Jefferson University Hospital

Chini Krishnan, GetInsured

Aaron Martin, Providence St. Joseph Health

Steve Martin, Paxton Advisors, LLC

James Mault, MD, BioIntelliSense

Steve Miff, PhD, Parkland Center for Clinical Innovation

Laura Mosqueda, MD, University of Southern California Keck School of Medicine

Karen Murphy, PhD, Geisinger Health System

Kirti Mutatkar, UnitedAg

Brian Nester, DO, Lehigh Valley Health Network

Peter Neupert, Adaptive Biotechnologies

David Ricks, Eli Lilly and Company

Rajeev Ronanki, Anthem, Inc.

Cris Ross, Mayo Clinic

Tom Schenk, MD, HealthNow New York, BlueCross BlueShield of Western New York

Mario Schlosser, Oscar Health

Sukanya Soderland, Blue Cross Blue Shield of Massachusetts

Tom Stanis, Story Health

Catherine Szyman, Edwards Lifesciences LLC

Robin Thomashauer, Council For Affordable Quality Healthcare, Inc.

Steve Udvarhelyi, MD, Blue Cross and Blue Shield of Louisiana

Michael Ugwueke, DHA, Methodist Healthcare (TN)

Richard Vance, Foundation Radiology Group

Andrea Walsh, HealthPartners

Scott Weingarten, MD, Stanson Health

Ron Williams, RW2 Enterprises

Patrick Yung, Independence Blue Cross

Work Groups

Work Groups are chartered by Roundtables to go deep on a key issue over a three-year period, and to make recommendations to Roundtable Fellows for pronouncements or actions that should be taken by the Roundtable, the Forum or by all CEOs. Work Groups are focused on:

  • Developing specific mechanisms that advance access to high-quality, affordable health care for all people
  • Identifying best practices and developing strategies for wide dissemination so observable results can be realized within 3 years
  • Addressing issues that CEOs and boards of payer, provider and life science companies would consider top priorities
  • Driving changes where the voice of payer, provider and life science CEOs and their actions matter, where private sector leaders can make progress without regulatory change and which do not require endorsement of specific products or solutions

Chartered Work Groups

Governance and Use of Patient Data in Health IT Products

There has been huge growth and large expectations for the use of patient data in health care, particularly as an adjuvant to clinical decision-making. From image interpretation to diagnosis, payer, provider and life science companies are forming partnerships with technology and data analytics companies to develop new tools and capabilities. However, payer, provider and life science companies face potential public backlash and regulatory scrutiny over data privacy concerns when engaging outside partners to analyze PHI and non-PHI data, and use of patient data in new ways may create health disparities and pose other ethical challenges for payer, provider and life science companies. While the FDA regulates AI tools that are used in diagnosis or treatment, the lack of guidelines for how AI should be developed, how patient data should be used, how AI is applied to various populations (e.g., across races or age groups) and how AI intellectual property is handled puts payer, provider and life science companies at risk. The goal of this Work Group is to articulate standards for responsible innovation to shape the partnerships between payer, provider and life science companies and developers of AI and other analytics and to guide the product development process of data tools for the clinical setting.

Digital Health and App Experience

There are hundreds of thousands of health care apps that influence the health of people who are otherwise patients of health systems and members of health plans. These organizations have no way of knowing which apps people are using or whether they are appropriate for their health status. Likewise, many health systems and health plans have digital strategies that, while thoughtful, result in a piecemeal, arbitrary and fragmented set of apps that patients use. The goal of this Work Group is to identify the best practices for rationalizing patient/member app and digital health experience and to widely disseminate these practices.

Automation and Clinician Burnout

Although clinician burnout has been a longstanding feature of health care, and challenges around COVID-19 have accelerated these trends, the adoption of IT by clinicians has remained the largest ongoing factor in their ability to perform their jobs sustainably and productively. The goal of this Work Group is to reduce the contribution of technology to clinician burnout by identifying technology, workflow and organizational factors that drive burnout and evaluating technology strategies and best practices for reducing the role of these factors.

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