Value (Business Strategy and Financial Management)

ePoster Presentations

EP-148 - Telemedicine Data Liberation

Sunday, April 29
4:05 PM - 4:20 PM
Location: Education Zone, Booth 2416, Screen 5

Our academic health system was one of the first in the country to adopt an electronic patient record (EMR), even winning an award for its efforts in the mid-1990s. Since then, our health system has developed a robust IT infrastructure and governing data trust. Centralization of telemedicine programs, however, has occurred only recently with the inauguration of an office of telemedicine in 2016.

One of the leading priorities of this office was to create a dedicated, centralized dashboard to communicate the value and impact of its projects within and beyond the institution. The framework below describes the process of building this dashboard.

Substantively, our health system has the following environmental characteristics with regards to data infrastructure and development of its telemedicine programs:

1. Decentralized operations with centralized IT
2. Heavy consolidation of IT under its EMR system
3. Highly prioritized data security within its data bureaucracy
4. Decentralized, clinically driven development of telemedicine programs
5. Limited consumer assessment surveys available for telemedicine
6. Degrees of socioeconomic determinants of health in target populations
7. Scalable relationships with third-party vendors for application development
8. Multi-hospital system in several states, a significant international division, and two major EMR vendors

Within this environment, the office attempted to develop its dashboard with the following milestones:
1. Data needs assessment
2. Resource assessment
3. Operationalization
4. Determination of KPIs
5. Test environment with use cases

Across the following value dimensions:
1. Access
2. Effectiveness
3. Experience
4. Financial Impact/Cost
5. Carbon Emission Reduction
6. The joy of medicine

The presentation will describe the lessons learned and achieve its learning objectives by examining the interactions between these three categories of environment, milestones, and dimensions and how they affect the liberation of data.

The findings discussed in the presentation will be useful for entities seeking practical information on large-scale, centralized telemedicine data collection in decentralized environments. It will also compare consequences of engagement with third-party data collection versus "home-grown" apparatuses and generally, the difficulties in collecting telemedicine data in modern, large health systems.

It will also provide mini-cases and examples demonstrating these interactions with specific emphasis on data liberation for large academic institutions.

Learning Objectives:

Noah Chang

Administrative Resident
Johns Hopkins Health System

Having graduated from UC Irvine with majors in criminology and psychology, Noah has a distinct socio-legal register to his perspectives—perspectives that have colored his experiences in the California Workers' Compensation System and operations management in psychiatric clinical practice. While working in healthcare, Noah has led sustainable telemedical transformations. He is currently a second-year Masters of Health Administration Administrative Resident with the Clinical Practice Association of the Johns Hopkins University School of Medicine working with the Office of Telemedicine. Here, Noah is developing a central dashboard dedicated to communicating the value of telemedicine throughout the institution. Noah understands the value of telemedicine and its ability to create access and enhance the value for and experience of both clinicans and patients.


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Irene Neequaye

Project Manager
Johns Hopkins University, School of Medicine

Irene Neequaye is a dedicated, results-oriented project manager with several years of clinical, healthcare management, and public health experience. She earned her bachelor’s degree from the University of North Carolina at Chapel Hill and her Master’s in Public Health from George Washington University. Irene has worked as a health policy research assistant and currently works as a project manager at Johns Hopkins Medicine (JHM). At JHM, she works with the Office of Johns Hopkins Physicians to manage the due diligence and onboarding process for new enterprise-wide mergers and acquisitions, facilitate management training programs, and has made significant efforts to improve and centralize the provider credentialing and onboarding processes. She also provides financial and administrative oversight for Executive Health and Prevention – establishing a physical program in the National Capital Region, redesigning the current billing process to ensure accounting, and sustaining contractual relationships with a myriad of corporate companies. For the JHM Office of Telemedicine, Irene serves as a point person for regulatory policies and billing compliance-related concerns for internal/external project teams regarding ever developing world of telemedicine. Irene prides in making sense of data and believes telemedicine is the way forward. She is currently developing a value dashboard for JHM telemedicine projects, utilizing operational data and key performance indicators (KPIs) to highlight revenue generation and cost savings opportunities through telemedicine.


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EP-148 - Telemedicine Data Liberation

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