SUMMIT | 2024 Clinical Informatics – Charting the Future: The Role of AI in the EHR and Clinician Well Being

Location: UTSW, 5323 Harry Hines Blvd, Dallas, TX 75390

3:00 pm

Location: Conference Room: G-9 102

Welcome: Janet Guptill, FACHE, CPHIMS, President & CEO, Scottsdale Institute
Ferdinand Velasco, MD, SVP, Chief Health Informatics Officer, Texas Health Resources
Mujeeb Basit, MD, MMSc, Associate Chief Medical Informatics Officer and Associate
Director of the Clinical Informatics, UT Southwestern Medical Center

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3:15 pm

3:45 pm

Moderator: Brad Morrison, Vice President, Customer Partner Experience, Microsoft

Special Moderator: M. Michael Shabot, MD, FACS, FCCM, FACMI, Executive in Residence,
Scottsdale Institute

3:45 pm

5:00 pm

Discussion Hosts: Katherine (Katie) Maddox, MD, Asst. Professor, Dept of Pediatrics, UTSW
Medical Center; Jeff Mincher, Revenue Cycle SVP, Debbie Robinson, ITS Director, Texas
Health Resources

Questions to consider:

• Define the problem: Who is impacted by EMR documentation, how and why? (e.g., capture
  more information/note bloat, interoperability/integration of providers and payors)
• Interoperability and Meaningful Use (now Information Blocking) are helpful but have
  resulted in unintended complexity. Can LLMs simplify the information and improve the
  clarity of the data in the medical record?
• How do we look at the information we collect and “reality-check” its usefulness? Then, how
  do we remove the data that is not useful?
• How can simplifying the EMR interface help providers prioritize patient care and safety?
• Which clinical informatics tactics are being deployed now to optimize EHR integration and
  minimize disruptions and unintended consequences?
• Which strategies enhance EHR usability to prevent burnout, ensuring healthcare providers effectively utilize technology in clinical settings?

5:00 pm

5:15 pm

Moderator: Brad Morrison, Vice President, Customer Partner Experience, Microsoft

5:45 pm

7:45 pm

Location: UTSW, 5323 Harry Hines Blvd, Dallas, TX 75390

Conference Room: G-9 102

8:00 am

8:30 am

8:45 am

8:45 am

10:00 am

Discussion Host(s): Todd Richwine, MD, Physician Group CMIO; Janie Sanders, MD, FACEP,
Facility Medical Director, Texas Health Resources; Jawahar Jagarapu, MD, Professor of
Pediatrics, UT Southwestern Medical Center; Chase Webber, MD, Internal Medicine;
Vanderbilt University Medical Center, and Ruben Amarsingham, MD, CEO, Pieces
Technology

Questions to consider:

• Clarifying the process, what are examples of interventions underway to simplify EHR
  documentation and what have we learned to date?
• How are we preparing our clinicians for AI-assisted EHR management?
• In which settings has AI-assisted EHR technology achieved the most benefit? What were the
  results?
• How is ambient listening, AI and related tech being used to optimize EHR usage and
  streamline clinical workflows in healthcare?
• What measures are we deploying to ensure ethical implementation of ambient listening and
  AI in EHRs, balancing efficiency with patient privacy?
• How can healthcare providers successfully adopt ambient listening and AI in EHRs,
  overcoming challenges for seamless integration into routine practices?

10:00 am

10:30 am

10:30 am

12:00 pm

Discussion Hosts: Chase Webber, DO, FACP, Asst Professor of Medicine and Biomedical
Informatics, Vanderbilt University Medical Center; and Jawahar Jagarapu, MD, MS,
Associate Professor of Pediatrics, UT Southwestern Medical Center

Questions to consider:

• How have patients and their families been impacted by greater EHR transparency and
  knowledge sharing?
• What are examples of communication strategies to explain the use of AI technologies?
• Where are we seeing the most effective examples of AI use (e.g., Children’s Hospitals,
  etc.)?
• How are you leveraging the clinical informatics role to actively involve patients in their care journey and decision-making? (e.g., using LLMs in a gaming way to interpret test results)
• In which ways do EHR data transparency initiatives enhance patient engagement and communication, and how can informatics teams maximize these benefits?
• Which measures and innovations should be implemented to address potential barriers and ensure that patients feel confident in the security and confidentiality of their health information amidst increased EHR data transparency?

12:00 pm

AI—A Collegial Debate
Brett Moran, MD, SVP, Associate Chief Medical Officer and Chief Medical Information
Officer and Nainesh Shah, M.D, Deputy Medical Information Officer & Hospital System and
Medical Director of Innovation, Technology, and Design in the Division of Hospital
Medicine, Parkland Health

1:00 pm

2:30 pm

• How have you operationalized AI oversight in your organization? As models become
  more complex, they’re even harder to monitor (e.g., no shows vs arrival rates).
• How do we make sure it is working correctly to deliver results? How are you measuring
  that on an ongoing basis?
• Which specific measures are you taking to ensure trustworthy, responsible and ethical
  deployment of AI, ensuring patient safety and privacy? How do you know you are
  avoiding bias in the models you are using?
• What are other technologies (future state) that could help monitor a “safe” environment?
  (e.g., Black Box video monitoring + event feed from Epic, ambient documentation, Multi-
  modal AI)
• Which additional steps are you taking to build and maintain public trust?
• In the context of clinical informatics, what roles do ongoing education and training play in fostering a culture of responsible and ethical AI use among healthcare professionals?

2:30 pm