Category Archives: current events

Global PHAT 2010 Videos Online!

All the videos and presentations from Global PHAT 2010 have now been posted in the online resources at http://www.globalphat.com. This includes presentations on ICT Failures, Effective EMR, and mHealth Solutions for Community Health Workers by:

  • Hamish Fraser, Director of Informatics & Telemedicine, Partners in Health
  • Mike McKay, Former Country Director, Baobab Health Malawi
  • Bobby Jefferson, Senior Health Informatics Advisor, Futures Group
  • Jonathan Jackson, Co-Founder, President, CEO, Dimagi
  • Josh Nesbit, Co-Founder & Executive Director, Frontline SMS
  • Donald Yansen, Chief Operating Officer & Co-Founder, ClickDiagnostics
  • Alvin Marcelo, Director, National Telehealth Center, University of the Philippines, Manila
  • Jessica Haberer, Harvard Initiative for Global Health

In addition, PHAT has partnered with GHDonline.org, an online platform of communities developed by the Global Health Delivery Project, to provide a forum for continuing the dialogue about the topics discussed at the event. I have just posted the content from the session titled Effective EMR: Moving Beyond the Technology, along with discussion questions in the GHDonline.org Health IT Community. You can access the discussion here: What non-technological factors make EMR effective?. If you are not already a member of GHDonline.org, I encourage you to join! It is a fantastic resource for engaging others with similar interests across the globe.

HHS Just Announced Beacon Awards of $220 million

Surprised not to see Massachusetts on the list, but exciting nonetheless… Here they are:

Community Services Council of Tulsa, Tulsa, Okla. – $12,043,948

Leverage broad community partnerships with hospitals, providers, payers, and government agencies  to expand a community-wide care coordination system, which will increase appropriate referrals for cancer screenings, decrease unnecessary specialist visits and (with telemedicine) increase access to care for patients with diabetes.

Delta Health Alliance, Inc., Stoneville, Miss. – $14,666,156

Focus on achieving improvements for diabetic patients by electronically linking isolated systems and practices for care management, medication therapy management and patient education.

Eastern Maine Healthcare Systems, Brewer Maine – $12,749,740.

Expand community connectivity, including long-term care, primary care and specialist providers, to existing Health Information Exchange and promote the use of telemedicine and patient self-management in order to improve care for elderly patients and individuals needing long-term or home care.

Geisinger Clinic, Danville, Pa. – $16,069,110

Enhance care for patients with pulmonary disease and congestive heart failure by creating a community-wide medical home, promoting Health Information Exchange and extending Geisinger’s proven model for practice redesign  to independent healthcare organizations throughout region.

HealthInsight, Salt Lake City, Utah – $15,790,181

Improve Diabetes management performance measures by increasing availability, accuracy and transparency of quality reporting, leverage Intermountain Healthcare’s strategies to reduce health systems costs throughout the region, and improve public health reporting.

Indiana Health Information Exchange, INC., Indianapolis, Ind. – $16,008,431

Expand the country’s largest Health Information Exchange to new community providers in order to improve cholesterol and blood sugar control for diabetic patients and reduce preventable re-admissions through telemonitoring of high risk chronic disease patients after hospital discharge.

Inland Northwest Health Services, Spokane, Wash. – $15,702,479

Focus on increasing preventive services for diabetic patients in rural areas by extending Health Information Exchange and establishing anchor institutions in close proximity to remote clinics that will promulgate successes in health IT supported care coordination.

Louisiana Public Health Institute, New Orleans, La. – $13,525,434

Reduce racial health disparities and improve control of diabetes and smoking cessation rates by linking technically isolated health systems, providers, and hospitals; and empower patients by increasing their access to Personal Health Records.

Mayo Clinic Rochester, d/b/a Mayo Clinic College of Medicine, Rochester, Minn. – $12,284,770

Enhance patient management and, reduce costs associated with hospitalization and emergency services for patients with diabetes and childhood asthma and address reduce health disparities for underserved populations and rural communities.

Rocky Mountain Health Maintenance Organization, Grand Junction, Colo. – $11, 878, 279

Enable robust collection of clinical data from health systems, providers, and hospitals in order to inform practice redesign to improve blood pressure control in patients with diabetes and hypertension, increase smoking cessation counseling, and reduce unnecessary emergency department utilization and hospital re-admissions.

Southern Piedmont Community Care Plan, Inc., Concord, N.C. – $15,907,622

Improve care coordination for patients with diabetes, heart disease, hypertension, and asthma by engaging patients and providers in bidirectional data sharing through a Health Record Bank, empowering patients and family members to participate in self-management through patient portals, and expanding access to care managers to facilitate post-discharge planning.

The Regents of the University of California, San Diego, San Diego, Calif. – $15,275,115

Expand pre-hospital emergency field care and electronic information transmission to improve outcomes for cardiovascular and cerebrovascular disease, empower patients to engage in their own health management through web portal and cellular telephone technology, and improve continuity of care for veterans and military personnel through the Veterans Affairs/Department of Defense Virtual Lifetime Electronic Record initiative.

University of Hawaii at Hilo, Hilo, Hawaii – $16,091, 390

Implement a region-wide Health Information Exchange and Patient Health Record solution and utilize secure, internet-based care coordination and tele-monitoring tools to increase access to specialty care for patients with chronic diseases such as diabetes, hypertension, and obesity in this rural, health-professional shortage area .

Western New York Clinical Information Exchange, Inc., Buffalo, N.Y. – $16,092,485

Utilize clinical decision support tools such as registries and point-of-care alerts and reminders and innovative telemedicine solutions to improve primary and specialty care for diabetic patients, decrease preventable emergency room visits, hospitalizations and re-admissions for patients with diabetes and congestive heart failure or pneumonia, and improve immunization rates among diabetic patients.

Summary of Massachusetts Health IT Plan

Overview

The Massachusetts Health IT Draft Plan was released for public comment in January 2010 and the commenting period is now closed. The plan outlines high-level statewide goals and strategies for achieving improved health outcomes and reduced costs through the use of interoperable EHR systems and health information exchange (HIE). The document sets up governance structures and policy priorities for the planning for use and implementation of federal HI-TECH funds. Currently MA has been awarded ~$25mil, $14mil to MeHI for regional extension centers (RECs) and $10mil to MeHI for HIE. After the MA HIT Plan is adopted, the HIT Council is responsible for the governance structure and MeHI is the Project Management Office (PMO).

The HIT Plan was created in response to a number of MA statutes, including Chapter 305, MA 201 CMR 17:00, and Executive Order 504. The original plan was publicly announced in Jan 2009, but withdrawn due to the announcement of the HITECH Act portion of ARRA. The HIT Council and MeHI contracted Deloitte to update the plan to correspond with the HITECH Act and Meaningful Use regulations.

The tentative milestones lay out an aggressive plan in line with federal meaningful use requirements.

Tentative Milestones

Target Year Key Milestone Examples
2010
  • Develop HIT Strategic Plan
  • Establish PMO
  • Develop Governance structure with decision-making processes
  • Convene Ad-Hoc Workgroups
  • Produce Program communication plan
  • Initiate Vendor Management and contractual agreements
  • Submit the HIE operational plan including sustainability, privacy and security, etc.
  • Develop Certification Program IOO
  • Provider funding alternatives
  • Oversee the REC Operational Plan
  • Establish Medicaid Partnership
  • Recruit approximately 25% Priority Providers for REC
  • Coordinate Workforce development activities
  • Select HIE Vendor(s)
2011
  • Recruit approximately75% priority providers for REC
  • Establish Patient Engagement baseline
  • Provide Certification Program statewide HIE
  • Pilot Operational HIE (clinical)
  • Ensure REC Priority Providers achieve stage 1 meaningful use
  • Provide Initial Population Health Reporting (local)
2012
  • Ensure Operational HIE comleted with governance structure in place
  • Provide Consumer Engagement survey
  • Ensure the Integration of EHRs to operational HIE
2013
  • Ensure REC Priority Providers achieve stage 2 meaningful use
  • Develop Expansive Population Health Reporting (local, state, national)
2014
  • Pilot Interstate HIE Interoperability
  • Re-Certify IOOs
  • Perform Privacy and Security Audit
2015
  • Meet Chapter 305 requirement of implementing EHR systems in all provider settings and integrating those systems through a robust HIE Interstate
  • Complete HIE Interoperability
  • REC Priority Providers achieve stage 3 meangingful use
  • Provide Consumer Engagement survey
  • NHIN pilot if available

Statutory Overview

  • Chapter 2008 passed in August 2008
  • MA Legislation Chapter 305 formed the HIT Council
  • The HIT Council was charged with creating a statewide HIT Plan and updating it annually. Plans must be approved by the council and the MA Technology Collaborative Board
  • HIT Council Members – (look this up), includes Karen Bell
  • Background – contracted BCG to create plan which was completed by Jan 2009, right when the Stimulus bill & HITECH Act were released, so plan was pulled back. Deloitte was contracted to create updated plan which was released Jan 2010
  • “Community-Based Approach” – inspired by Mass eHealth Collaborative’s 2004 EHR deployment in 3 communities with attempted interoperability, supported by $50mil MA BCBS grant
  • MA Plan adopts opt-in HIE and anytime opt-out (which is different than many other states which are opt-out)

MA HIT Plan – Table of Contents

  • Executive Summary
  • Introduction
  • Establish Multi-stakeholder governance
  • Establish a Privacy Framework to Guide the Development of a secure HIT environment
  • Implement interoperable electronic health records in all clinical settings and assure they are used to optimize care
  • Create a local workforce to support HIT related initiatives
  • Monitoring success
  • Path forward

Discussion

  • ARRA
    • Regional Extension Centers (RECs): Provided ~$14mil to MeHI (the MA regional extension center) for implementation of regional extension centers in MA ($625mil total, and ~$100mil given out so far)
    • Health Information Exchange (HIE): Provided $10.6mil for HIE funds to MeHI (again, the state-selected entity), to create the plan (and no one knows where the plan will take us)
  • Carol Rodenstein, MeHI Program Director
  • HIT Council Members
    • JudyAnn Bigby, MD, Secretary of HHS Massachusetts
    • Deborah A. Adair, Director of Health Information Services and Privacy Officer, MGH
    • Meg Aranow, VP & CIO, Boston Medical Center
    • Karen Bell, MD, Sr. VP of HIT Services, Masspro
    • Lisa Fenichel, MPH, eHealth Consumer Advocate
    • Jay Gonzales, Secretary of Administration and Finance, Massachusetts
  • Median practice size in MA is 3 physicians
  • Masspro has a lot of experience with small practices and workflow issues associated with EHR implementation
  • End of April, governor is inviting governors from entire country, all 50 HIT coordinators, all 50 Medicare reps, all 50 Mecaid reps, and others to bang heads re: conference
  • Health care is the largest employer in Mass, employing ~450k workers with $29bil in revenue in 2005.
  • Small practices aren’t going away…will lead to the rise of the IPAs
  • Health delivery will look a lot different in 2015

High Level Policy Goals:

  • Goal 1: Improve access to comprehensive, coordinated, person-focused health care through widespread provider adoption and meaningful use of certified EHRs
  • Goal 2: Demonstrably improve the quality and safety of health care across all providers through HIT that enables better coordinated care, provides useful evidence-based decision support applications, and can report out data elements to support quality measurement.
  • Goal 3: Slow the growth of health care spending through efficiencies realized from the use of HIT.
  • Goal 4: Improve te health and wellness of the Commonwealth’s population through public health programs, research, and quality improvement efforts enabled through efficient, reliable and secure health information exchange processes.

Strategies to Accomplish these  Goals:

  1. Establish multi-stakeholder governance
    1. The components of the proposed governance structure are:
      1. These organizations: HIT Council, MTC, MeHI
      2. 6 Ad Hoc workgroups: Clinical Quality and Public health, consumer engagement, education, and outreach, Privacy and security, regional extension center, HIE, workforce development
    2. Estimated that this will be >= 90% private funded
    3. HIT Council oversees governance structure
    4. MeHI is acting Project Management Office
  2. Establish a privacy framework to guide the development of a secure HIT environment
    1. ONC’s 6 Privacy Principles: Individual Access, Correction, Openness and Transparency, Individual Choice, Collection, Use and Disclosure Limitation, Data Quality and Integrity
    2. Commonwealth’s privacy and security framework will focus on four key areas: Compliance with policies and standards, Secure HIE technology, Process for certification, Consent management
    3. Privacy/Security rules based on the following previous rulings:
      1. Federal: HIPAA, HITECH Act, FISMA, MITA, HITSP, NIST 800 Series, Privacy Act of 1974
      2. State: Chapter 305, MA 201 CMR 17:00, and Executive Order 504
  3. Implement interoperable health records in all clinical settings and assure they are used to optimize care
    1. MA  has officially adopted the goal of meaningfully used EHR in all physician practices by January 1, 2015
    2. MA will provide direct assistance to ~2500 providers to achieve Meaningful Use by contracting with Implementation Optimization Organizations (IOOs)
    3. To ensure adequate funding – 1) promote a loan program, 2) endorse use of state funds, 3) provide support to providers to receive Medicare incentives
    4. Build an effective REC program for the Commonwealth focusing on: individual & small group practices, public and critical access hospitals, community health centers and rural health clinics, other clinics serving the underserved
  4. Develop and implement a statewide HIE infrastructure to support care coordination, patient engagement, and population health
    1. HIE Priorities: administrative simplification, e-prescribing, electronic laboratory ordering, electronic public health reporting, quality reporting, prescription status, coordination of care/clinical summary exchange
    2. Will continue to support PHR’S currently supported by MA providers and payers
    3. This effort will be lead by MeHI
    4. Existing HIE Initiatives in MA: Northern Berkshire eHealth Collaborative, Newburyport, SAFEHealth, CHAPS, and NEHEN
    5. MeHI has selected a hybrid HIE model (as opposed to centralized or federated) which will use both centralized and distributed data repositories, allowing the majority of the data to stay at the site of collection
  5. Create a local workforce to support HIT related initiatives
    1. High demand and low supply right now for health IT employees
    2. Estimated through 2016 that 64k new health care jobs will be created in the Commonwealth
    3. Development of training programs using federal dollars focusing on implementation, project management, practice management, and data management. Programs will intentionally seek out unemployed persons.
  6. Monitor success
    1. Quality measurement program for REC, HIE, and Workforce Development programs
    2. Indicators selected for reporting will fit into the objectives of the high-level goals of the MA HIT Plan
    3. The HIT Council is responsible for selecting the indicators

HIT Policy and Standards Committees Convene

Over the past 2 weeks, David Blumenthal, the National Coordinator for Health IT and HHS announced members of the Health IT Policy and Standards Committees. Dr. John Halamka, author of Life as a Healthcare CIO and member of the policy committee, wrote about the committee’s first meeting on May 12, 2009.

The committee will focus on 6 priority areas:

  • Meaningful Use
  • Certification
  • Infrastructure
  • Privacy and Security
  • Health Information Exchange
  • Public Health

Of note, Blumenthal stated:

“This is the first time in history that Congress has acted to correct some of the market errors in the healthcare information technology industry.”

Blumenthal is referring to the fact that most people agree health IT can improve quality, but adoption remains low in part due to market failure. The major payers in healthcare, insurers, stand to save a lot of money but providers have to pay for the implementation of EHR, CPOE, etc.

The million dollar question is “What is meaningful use?” Under the ARRA, the federal government will increase Medicare/Medicaid reimbursement for providers with EHR implementations that meat meaningful use criteria. The National Committee on Vital and Health Statistics (NCVHS) convened a Hearing on Meaningful Use of HIT on April 28.  Entire agenda, transcript and slides are available online, including Dr. Blumenthal’s opening remarks. Blumenthal outlined 5 action points for the HIT Policy Committee to follow the NCVHS hearing:

  1. Define meaningful use. This is an unprecedented task. The HIT Policy Committee will need to pick-up where NCVHS left off. ONC also has an internal group working on this.
  2. Review certification, which is tied to meaningful use.
  3. Infrastructure. Congress has allocated billions to accelerate industry adoption including extension centers, money to support information exchanges, training workers, training health professionals who will use these technologies and funding to states to help providers not eligible for Medicare/Medicaid payments.
  4. Privacy and security. ONC will appoint a privacy officer
  5. Public health and disease surveillance

The HIT Standards Committee also met on May 15. Whereas the Policy committee’s role is to define what standards are needed and how those standards will be implemented, the Standards Committee will actually cover certification criteria and specifications for information exchange and use of health information. The committee’s “8 guiding principles”:

  • Technologies that protect the privacy of health information
  • A nationwide health information technology infrastructure
  • The utilization of a certified electronic record for each person in the US by 2014
  • Technologies that support accounting of disclosures made by a covered entity
  • The use of electronic records to improve quality
  • Technologies that enable identifiable health information to be rendered unusable/unreadable
  • Demographic data collection including race, ethnicity, primary language, and gender
  • Technologies that address the needs of children and other vulnerable populations

Dr. John Halamka is the vice-chair of the HIT Standards Committee and posted an excellent summary of the meeting in his blog post: The First Meeting of the HIT Standards Committee.

Official HHS communication of committee posts is below.

——————————————————————————-

FOR IMMEDIATE RELEASE
Contact:  HHS Press Office
Friday, May 8, 2009
(202) 690-6343

HHS Announces Members of Committees That Will Advise on Implementation of Health IT Policy and Standards Committees Will Meet Next Week

The Department of Health and Human Services today announced the appointment of three members to the Health Information Technology (HIT) Policy Committee as well as members of the HIT Standards Committee. The two new federal advisory committees were established by the American Recovery & Reinvestment Act of 2009. The first meeting of the Health IT Policy Committee will be held on Monday, May 11 in Washington, D. C.

“The Policy and Standards committees bring together a wide diversity of key stakeholders to help guide the advancement of health IT as an integral part of health reform,” stated Dr. David Blumenthal, National Coordinator for Health Information Technology at HHS and Chairman of the Policy Committee.  “It is an honor to lead one of these committees, and I am confident that these committees will provide valuable insight to help develop important health IT policy in the next few years.”

The HIT Policy Committee will make recommendations to the National Coordinator for Health Information Technology on a policy framework for the development and adoption of a nationwide interoperable health information infrastructure, including standards for the secure and private exchange of patient medical information.

The HHS appointees to the Policy Committee are:

David Blumenthal, MD, MPP,
National Coordinator for Health Information Technology, U.S. Department of Health and Human Services.

Michael J. Klag, MD, MPH
Dean, Johns Hopkins Bloomberg School of Public Health.

Deven C. McGraw, JD, MPH, Director
Health Privacy Project, Center for Democracy & Technology.

An additional 13 members were appointed by the Acting Comptroller General of the United States, and four members appointed by the Majority and Minority Leaders of the Senate and the Speaker and Minority Leader of the House of Representatives. A complete list of the Policy Committee members and information about the May 11th meeting can be found at http://healthit.hhs.gov/. The Presidential appointments from relevant federal agencies are expected to be announced prior to the HIT Policy Committee’s second meeting in June.

In addition, appointments were made to the HIT Standards Committee, also a federal advisory body, which is charged with making recommendations to the National Coordinator on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information.  The first meeting of this committee is scheduled for Friday, May 15, 2009.

Members appointed by HHS are:

Jonathan Perlin, MD, Chair
Healthcare Corporation of America

John Halamka, MD. Co-Chair
Harvard Medical School

Dixie Baker, PhD
Science Applications International Corporation

Anne Castro
BlueCross BlueShield of South Carolina

Christopher Chute, MD
Mayo Clinic College of Medicine

Janet Corrigan, PhD
National Quality Forum

John Derr, R.Ph.
Golden Living, LLC

Linda Dillman
Wal-Mart Stores, Inc.

James Ferguson
Kaiser Permanente

Steven Findlay, MPH
Consumers Union

Douglas Fridsma, MD, PhD
Arizona Biomedical Collaborataive 1

C. Martin Harris, MD, MBA
Cleveland Clinic Foundation

Stanley M. Huff, MD
Intermountain Healthcare

Kevin Hutchinson
Prematics, Inc.

Elizabeth O. Johnson, RN
Tenet Health

John Klimek, R.Ph.
National Council for Prescription Drug Programs

David McCallie, Jr., MD
Cerner Corporation

Judy Murphy, RN
Aurora Health Care

J. Marc Overhage, MD, PhD
Regenstrief Institute

Gina Perez, MPA
Delaware Health Information Network

Wes Rishel
Gartner, Inc.

Sharon Terry, MA
Genetic Alliance

James Walker, MD
Geisinger Health System

Representatives from relevant federal agencies will be named separately.
For more information about these committees, meeting dates and preliminary agendas please visit http://healthit.hhs.gov

May 1 Public Health & Technology Conference Postponed Due to Public Health Threat

Oh, the irony. The first PHAT Conference postponed due to the H1N1 virus.

At 10:58pm on Thursday, April 30, the Harvard School of Public Health sent the following notice:

Classes are cancelled Friday May 1 for HSPH and HMS students while public health authorities continue their investigation of student interactions on the Longwood Campus following the discovery of a possible case of H1N1 flu in a student at Harvard School of Dental Medicine where classes are also cancelled. Students are asked to minimize social contact on the campus until more is known.

The decision to postpone the conference did not come until 9am the morning of May 1. The delay was due to uncertainty as to whether events attended by non-HSPH people should also be cancelled. In the end, all events were also cancelled due to safety concerns.

We are grateful for the tremendous amount of interest in the conference and for the help of all our volunteers. We plan to reschedule the conference as soon as possible. I will post updates about the conference at www.hsph.harvard.edu/phat and on this blog.

Julio Frenk, former Mexican Minister of Health and HSPH Dean, submitted a NY Times op-ed on April 30 entitled Mexico’s Fast Diagnosis stating that approximately 10,000 Mexicans die each year due to the flu. There have now been 140 confirmed cases of swine flu in the US.

By the end of Friday, May 1, there were 2 confirmed cases among dental students and 7 probable cases. All are recovering well.

Ashish Jha on Digitization of Health Records in the US

Ashish Jha, Assistant Professor of Health Policy & Management at the Harvard School of Public Health and practicing physician at the VA, discussed the digitization of health records on NPR’s OnPoint on Wednesday, April 22. You can hear the entire episode here at OnPoint Radio’s site: http://www.onpointradio.org/2009/04/tracking-electronic-medical-records. My favorite quote, in response to why automate a broken system rather than fix the fundamental problem:

“We can’t fix the healthcare system without IT, but IT alone can’t fix it.”

Dr. Ashish Jha also recently published an excellent article entitled Use of Electronic Health Records in U.S. Hospitals in the New England Journal of Medicine. Dr. Jha and colleagues found that only 1.5% of hospitals have comprehensive electronic medical record (EMR) systems and an additional 7.6% have basic EMR systems. Hospitals cited capital costs and high maintenance costs as primary obstacles to adoption. President Obama’s plan for every American to have an electronic health record by 2014 appears even more ambitious in light of these numbers.

Dr. Ashish Jha will be speaking at the Public Health & Technology Conference on Friday, May 1 at the Harvard School of Public Health. Details of the conference and free registration are available here: www.hsph.harvard.edu/phat.

PHAT Conference Schedule – May 1

The Public Health & Technology on May 1, 2009 schedule is below. It’s not too late to register: www.hsph.harvard.edu/phat. I will post all the video on this blog as soon as it is available.

10:00 am, Kresge Ground Floor
Registration Begins

10:30 am, Kresge G-2
Introduction – Health Information Technology: Where are we in 2009?

Ashish Jha, MD, MPH, Professor, Health Policy & Management, Harvard School of Public Health


11:00 am, Kresge G-2
Panel – Health Information Exchange

  • ModeratorBlackford Middleton, MD, MPH, MSc; Director of Clinical Informatics Research & Development; Chairman of the Center for Information Technology Leadership (CITL); Partners Healthcare System
  • Ray Campbell; Executive Director & CEO, Massachusetts Health Data Consortium
  • David Cerino, MBA; General Manager, Consumer Health Solutions Group, Microsoft Corporation
  • John Loonsk, MD; Vice President, CGI Federal, Inc.
  • John Moore; Founder and Managing Director, Chilmark Research

12:30 pm, Kresge G-1
Keynote – Connecting Patients, Providers, and Payers

John Halamka, MD, MS; Chief Information Officer, CareGroup Health System; Dean for Technology, Harvard Medical School; Chairman, New England Health Electronic Data Interchange Network; CEO, MA-SHARE; Chair, US Healthcare Information Technology Standards Panel (HITSP)


1:30 pm, FXB Atrium
Networking Lunch with Speakers and Invited Guests

2:30 pm, Kresge G-1
Panel – Health Information Technology & the Stimulus Bill

  • ModeratorKaren Bell, MD, MMS; Sr. Vice President, Health Information Technology Services
  • Jonathan Bush, MBA; CEO, President, & Chairman, AthenaHealth
  • Sharona Hoffman, JD, LLM; Professor of Law and Senior Associate Dean, Case Western School of Law; Co-Director, Law-Medicine Center
  • Isaac Kohane, MD, PhD; Director, Boston Children’s Hospital Informatics Program; Professor, Pediatrics and Health Sciences & Technology, Harvard Medical School