Change Healthcare: How Will Price Transparency Engage Consumers?Dec 7, 2021Key Speakers: Sheryl Zarozny, VP Consulting, and Miles Karro, Product Manager, Change HealthcareOnly in healthcare do we routinely make purchases with no idea what we are actually going to pay. That’s why pressure for price transparency for consumers is rapidly intensifying. The rule requires group health plans and health insurance issuers in the individual and group markets to provide easy-to-understand personalized information on enrollee cost-sharing for healthcare services and to publicly disclose the rates they pay healthcare providers for specific services. In other words, we are quickly moving to a market where people can and will make informed healthcare choices based on price as one of several factors. Far from being just a burden—transparency is actually a tremendous opportunity to differentiate yourself as a healthcare leader in the 21st century. Under this final rule, about 200 million Americans will gain access to real-time price information, enabling them to know how much their healthcare will cost them before going in for treatment. In this session, we will start with an overview of the Payer Price Transparency rules. We will cover the basics of each of the requirements, data required to be available and key dates. Key points include:
Presentation Slides: Change Healthcare - Payer Price Transparency - Dec 2021 (pdf) Nth Party: Unlocking Insights Without Sharing Data - The future of patient privacy through privacy enhancing technologyDec 2, 2021Key Speakers: Shereen Shermak, Chief Executive Officer & Co-Founder and Andrei Lapets, Chief Science Officer & Co-Founder, Nth PartyChallenges with patient health data privacy are many; however, new technologies are emerging which unlock the potential for partners to share insights without sharing the underlying data. Use cases such as small groups of hospitals unlocking insights without sharing the underlying patient data, which remains encrypted while the analysis is performed, are possible today. Data clean rooms have been a start in this process, but modern privacy enhancing technologies make traditional data clean rooms - almost outdated. Imagine a future where many more questions can be answered, leveraging most of the data that is already available, while preserving patient privacy. Key points include:
Community Care Cooperative: Journey from Start-Up to Industry LeaderNov 2, 2021Key Speaker: Christina Severin, Chief Interoperability Architect and Fellow, HumanaDuring this webinar, you will hear about how a group of Federally Qualified Health Centers (FQHCs) joined together to start a new MassHealth Accountable Care Organization, including how they figured out how to bring together the finance needed to take ACO financial risk and how to create & operationalize a model of care. Furthermore, you will also hear about current efforts the organization is now undertaking, including efforts to address White Supremacy and institutionalized racism, partnering with other community-based organizations to improve patient care and starting new lines of business. Key points include:
Presentation Slides: C3ACO - Journey from start-up - Christina Severin Nov 2021 (pdf) Humana: Moving Integrated Care Delivery Forward with FHIROct 27, 2021Key Speaker: Patrick Murta, Chief Interoperability Architect and Fellow, HumanaIn this session, we will start with an overview of contemporary health care interoperability. We will cover the basics of APIs, FHIR, and complementary technologies and the operational capabilities they bring. Examples of how other industries have used similar technologies and approaches will be high-lighted. Once the foundation is set, we will then proceed into how the health care space is adopting the technology. We will cover how the HL7 FHIR accelerators use the FHIR ‘building blocks’ to create use cases and implementation guides. We will walk through several practical examples of using these technologies to help with real world problem such as prior authorization. Key points include:
Presentation Slides: Humana - Patrick Murta FHIR Webinar October 2021 (pdf) Pictal Health: How Visual Health Histories Optimize and Humanize Healthcare CommunicationOct 13, 2021Key Speaker: Katie McCurdy, Founder and Designer, Pitcal HealthThe culture of healthcare is built on words: spoken, written, and typed. But in many cases, words don’t work. They can’t efficiently explain bodily sensations or lifetime journeys; they can’t sufficiently show emotions or trauma. As a result, patients and doctors often don’t understand each other, many patients aren’t getting the right diagnosis and treatment, and doctors are burning out. Visuals can help. Pictal Health, founded by patient and designer Katie McCurdy, is the first company to help people with rare, complex, and mysterious health issues tell their stories visually – helping them be heard and understood as they work with their doctors. In this session Katie will share surprising insights about what she has gained from helping over 55 patients visualize their health history and symptoms. She’ll detail the unique types of data she collects and visualizes – data that isn’t found in our health records today – and she’ll discuss how these visuals have helped clinicians and patients alike. Learn more at katiemccurdy.com and pictalhealth.com. Key points include:
Imprado: A Comprehensive Approach to Health Care Transformation: A Framework for SuccessOct 7, 2021Key Speaker: Alix Goss, Vice President and Senior Consultant, ImpradoIn this webinar, Alix Goss will share her insight and expertise acquired from her 30+ years as a leader in the industry. Her leadership roles include developing national health care standards, implementing and complying with federal and state regulations, and aligning business strategies, systems integration and operations management in both private and public sectors. Alix is passionate about enabling healthier and more productive people by strengthening organizations, public policy and national standards. She was appointed to and served on the National Committee on Vital and Health Statistics, the public advisory body to the Secretary of Health and Human Services for health data, statistics, privacy, and national health information policy and the Health Insurance Portability and Accountability Act. Recognized for her involvement and leadership of game-changing initiatives to improve the United States health care system’s efficiency and outcomes, Alix received WEDI’s Louis Sullivan Award honoring individuals who have distinguished themselves through their leadership, vision and achievements in advancing the efficiency of health care. Alix will present the Imprado health care transformation framework for success, comprised of five categories: business, technology, policy, process & governance, and culture & environment. The framework provides context for: 1) organizations to mindfully design and iterate plans post-COVID to address policy and technology opportunities resulting from 21st Century Cures-related regulations, public health modernization and equity barriers and 2) innovating approaches to patient, caregiver and community engagement essential to improving health care outcomes. Key points include:
The CARIN Alliance: Advancing Digital Identity, Authentication and Federation Sept 30, 2021Key Speaker: Ryan Howells, Principal at Leavitt PartnersThe only constant in health care is the individual enrolling in coverage or receiving care. Therefore, CARIN supports “person-centric” digital identity credentials, where an individual has a portable, high-assurance digital credential they can use to control when and how their personal information is shared across systems. The individual person becomes the “single source of truth,” and regardless of whether the information is out of date, it’s still unique to the individual and the individual can use that same digital identity credential whenever they log in to a new system. The CARIN Alliance seeks to advance an equitable and more efficient health care experience by allowing individuals the ability to create, manage, and use their own digital identity, and then voluntarily use that digital identity across multiple systems to provide a more seamless and robust experience for themselves and their families. CARIN has worked with HHS, CMS, and the ONC along with multiple trust framework organizations over the last couple of years to create a digital federated trust agreement that allows for a marketplace of trust framework organizations to support a common policy framework so multiple identity providers can be trusted by multiple relying parties. We believe federating digital identity is a many-to-many problem, needs a marketplace of solutions, and requires a public/private partnership to help it scale. Presentation slides: CARIN_Digital_ID_09302021 (pdf) HealthDataViz: Design Thinking for Health and Healthcare Data VisualizationsSept 14, 2021Key Speaker: Kathy Rowell, Co-Founder, HealthDataVizApproaching a data visualization project can feel like being trapped in a carnival house of mirrors—those maze-like puzzles that are designed to confuse people in unusual, humorous, sometimes frightening, even paralyzing ways that visually distort and cloak the unobstructed path through and out. But creating data visualizations does not have to feel that way. Establishing a process grounded in user-centered requirements gathering and design thinking concepts and methods helps illuminate the path toward useful, understandable, visually pleasing data displays. In this webinar Kathy will describe the design-thinking process for creative problem-solving that is human-centered, empathetic, collaborative, experimental, and optimistic. She will also use relevant health and healthcare data visualization projects to demonstrate how the five-design thinking foundational concepts – empathize, define, ideate, prototype and test -- provide the structure teams need to create clear and compelling dashboards, reports and multidimensional exploratory displays (MEDS™) that people love to use. CMS: CMS Interoperability UpdatesAug 24, 2021Key Speaker: Alexandra (Alex) Mugge, MPH, Director and Deputy Chief Health Informatics Officer, CMSLack of seamless data exchange in healthcare has historically detracted from patient care, leading to poor health outcomes, and higher costs. The Centers for Medicare and Medicaid Services (CMS) has established policies that break down barriers in the nation’s health system to enable better patient access to their health information, improve interoperability and unleash innovation, while reducing burden on payers and providers. Through these regulations, patients and their healthcare providers will have the opportunity to be more informed, which can lead to better care and improved patient outcomes, while at the same time reducing burden. In a future where data flows freely and securely between payers, providers, and patients, we can achieve truly coordinated care, improved health outcomes, and reduced costs. Key points include:
Presentation slides: Alex Mugge - CMS Interoperability Updates (pdf) Cambridge Health Alliance: Granular Data Segmentation to Protect Privacy and Promote Equitable InteroperabilityAug 17, 2021Key Speaker: Hannah K. Galvin, MD, FAAP, FAMIA, Chief Medical Information Officer, Cambridge Health AllianceOur discussion focuses around the ability to share patient information between clinical providers, family members/caregivers and other entities meaningfully improve the care of individuals and the health of communities. When a patient has data they consider to be sensitive in their medical record, they may wish to control how such data gets shared; state and/or federal law may also protect the sharing of specific sensitive data as a means to preserve the integrity of the patient-provider relationship. Key points include:
Presentation slides: Dr Galvin (CHA) - Granular Data Segmentation (pdf) Hooper, Lundy & Bookman: Owning an Opportunity - Digital Health Developments for 2021Jun 10, 2021Key Speaker: Amy Joseph, Co-Founder, and Jeremy Sherer, Chairman Digital Health Practice, Hooper, Lundy & Bookman, PCThe COVID-19 pandemic initiated unprecedented growth across the digital health space from patient utilization to regulatory progress to outside investment and beyond. This confluence of events created a unique window of opportunity for digital health stakeholders to innovate in ways that will shape a new digital health landscape for years to come. This presentation will explore the legal developments underpinning some of the important trends that will impact digital health companies and healthcare providers alike. Key points include:
Presentation slides: Hooper, Lundy & Bookman: Owning an Opportunity (pdf) Intersystems: Why Maintaining Provider Information Shouldn't Be So HardMay 11, 2021Key Speaker: Jessica Jowdy, Lead Sales Engineer, and Lynda Rowe, Senior Advisor for Value-Based Markets, IntersystemsEveryone involved in maintaining provider information probably knows how challenging it can be. However, when you look at the numbers, 25% of provider data changes annually, the real complexity can be daunting. Yet poor data can lead to operational inefficiency, problems with revenue collection, and more importantly patient dissatisfaction. Key points include:
Presentation slides: Intersystems: Maintaining Provider Information Presentation (pdf) 3Analytics: COVID Vaccine Safety: Allaying Safety Concerns, Reducing Vaccine Hesitancy, and Saving Lives With Real-time Analytics and Risk CommunicationMay 11, 2021Key Speaker: Dr. Dharani Gokul Munirathinam, Co-Founder & Chief Scientific Officer, 3AnalyticsWhile COVID vaccinations are ramping up across the globe, no active surveillance of COVID Vaccine Adverse Events (AEs) exists. This lack of real-time surveillance increases vaccine hesitancy and mistrust. Even the World Health Organization is in search of a solution for multiple countries. 3 Analytics has been shortlisted by WHO for a global roll out of Active Surveillance for COVID Vaccine AEFI. Key points include:
Presentation slides: 3Analytics: COVID Vaccine Safety (pdf) Mettle Solutions: Increasing Standardization in the Prior Authorization ProcessMay 6, 2021Speaker: Melanie Combs-Dyer, Director of Innovation, Mettle SolutionsIn its Fall 2020 proposed interoperability regulation, the Centers for Medicare & Medicaid Services (CMS) proposed to require several types of payers to develop and maintain a Documentation Requirement Lookup Service (DRLS) using a format called Fast Healthcare Interoperability Resources (FHIR). In addition, CMS proposed to require certain payers to accept prior authorization requests in FHIR format. A group of payer and IT vendor volunteers has formed an HL7 workgroup called the Uniform Elements for Prior Authorization. Chaired by Melanie Combs-Dyer, the Director of Innovation at Mettle Solutions, the workgroup meets weekly in an attempt to increase standardization across payers’ prior authorization elements. Melanie Combs-Dyer, who spent 30 years working at CMS, will gives a talk describing the DRLS vision and discussing the activities of the Uniform Elements for Prior Authorization workgroup. Key points include:
Presentation slides: Mettle Solutions: Increasing Standardization in the Prior Authorization Process (pdf) Build or Buy - Delivering Acute Care at Home (Purpose-Built: Bringing the Virtual Hospital to the Home)April 8, 2021Speaker: Raphael Rakowski, Executive Chairman, Medically HomeIn this presentation, we explore the change management required to adopt Acute Care at Home and the critical components needed to expand the model to multiple use cases and populations. Key points will include:
Presentation slides: Medically Home: Build or Buy - Raphael Rakowski (pdf)
Interoperability: Going Beyond Compliance; A Consumer Centric ApproachMarch 31, 2021Speakers: Tammy Graves, Principal, Point B and Susan Yeazel, Customer Director, Point BIn this presentation, Tammy Graves and Susan Yeazel will discuss how payers and providers can move beyond “checking the box” to be compliant with this new regulation and accelerate their organizations customer experience consistent with the spirit of the regulation. Key points will include:
Presentation slides: Point B - Interoperability Solution (pdf) The Accelerating Shift to Value Based CareMarch 18, 2021Speaker: David P. Terry, MBA, Co-founder, Chief Executive Officer, Archway HealthThe shift from volume to value is about to accelerate significantly due 4 major drivers. This webinar will describe each of these drivers and discuss the impact they will have on providers, payers and patients over the next few years. Key points will include:
Presentation slides: Archway Health - The Accelerating Shift to Value Based Care (pdf) A Patient Safety "Early Warning" System: Getting the Complete PictureMarch 11, 2021Speaker: Robert Hanscom, Vice President of Risk Management and Analytics, CoverysThis presentation will highlight a methodology whereby the ‘signals’ from malpractice can pose critical questions, and then drive responsive actions. Additionally, we will explore how the integration of malpractice insights into a central core of intel has the potential of transforming how healthcare can better predict – and proactively prevent – medical errors and poor outcomes. Presentation slides: Coverys - Patient Safety "Early Warning" System (pdf)Tackling the Operational and Cultural Challenges of the Information Blocking RuleFebruary 23, 2021Speaker: Adam Greene, Partner in Washington, D.C., Davis Wright Tremaine, LLP.Key discussion points:
Presentation slides: Tackling the Operational and Cultural Challenges of the Information Blocking Rule (pdf)ACT | The App Association: Shifting Privacy Laws and Health Data: An OverviewFebruary 2, 2021Speaker: Graham Dufault, Senior Director for Public Policy, ACT | The App AssociationFrom new federal Department of Health and Human Services rules to recently-enacted state laws, privacy mandates are imposing a shifting set of requirements on companies that collect and process healthcare data. And the development of data-driven tools to target COVID-19 and mitigate its spread has intensified the spotlight on the nexus between how traditional healthcare companies are regulated versus the activities of tech-driven firms outside the “HIPAA umbrella.” This presentation will cover three main topics: 1) the state of federal privacy laws and their relationship to healthcare data 2) state level privacy activities (California, mostly) 3) federal proposals and congressional activity Presentation slides: Shifting Privacy Laws and Health Data: An Overview (pdf)Change Healthcare: Information Security Risk Management in the Face of a CrisisJanuary 21, 2021Presenters:John Zuziak, Cyber Security Practice Director, Change Healthcare |
Imprivata: Positive Patient Identification in Today’s Healthcare Environment 5 November, 2020Presenter: Sean Kelly M.D., Chief Medical Officer, Imprivata Imprivata - Patient Identification Presentation Slides (pdf) |
Beth Israel Deaconess Medical Center, Center for Healthcare Delivery Science: Forecasting in time of uncertainty: One hyperlocal approach to modeling COVID-19 hospitalizations using machine learning approaches13 October, 2020Presenters: Jennifer P. Stevens, MD MS, Director of the Center for Healthcare Delivery Science Steven Horng, MD, Clinical Lead for Machine Learning at the Center for Healthcare Delivery Science Ashley O’Donoghue, PhD, Economist at the Center for Healthcare Delivery Science Presentation slides will be posted here when available The Lown Hospitals Index: Measuring What Matters to Drive Meaningful Change30 September, 2020Dr. Vikas Saini, President, Lown Institute Shannon Brownlee, MSc, Senior Vice President, Lown Institute
The Lown Hospitals Index: Measuring What Matters to Drive Meaningful Change Presentation Slides (pdf) hPass: Innovation to Support Reopening Safely Post-COVID26 June, 2020Shai Kivity, CEO, hPass Dr. Raphael Yahalom, CTO, hPass Dr. Michael Sherman, MD, Chief Medical Officer, hPass
hPass Innovation to Support Reopening Safely Post-COVID Presentation (pdf) |
HealthNET Systems: Are You Prepared For a Ransom Attack?19 November, 2019Joy Bauer, Directors, HealthNET Systems Sandra Murray, Directors, HealthNET Systems HealthNET Systems - Ransom Attack Webinar Presentation (pdf) |
Optum: Successful Strategies for Aligning Payment Innovation to Value-Based Contracts29 October, 2019Sri Vangala, General Manager, Network Payment Innovation, Optum Ron Myers, Vice President, Network Payment Innovation, Optum
Mass Health Data Consortium_Successful Payment Strategies Presentation (pdf) |
Imprivata: Why Purpose-Built Identity and Access Management is Critical24 October, 2019Dan Borgasano, Vice President of Product Marketing, Imprivata Imprivata Identity and Access Management Webinar Presentation (pdf) |
Covered Security: It's Cybersecurity Awareness Month... Do You Know What Your Users Are Doing?16 October, 2019Chris Zannetos, CEO, Covered Security |
HealthDataViz: Better Data for Better Health: Enhancing Community Data in New York City9 October, 2019Dan Benevento, Principal, HealthDataViz Cambria Brown, Consultant, HealthDataViz HealthDataViz MA Data Consortium NYC Presentation (pdf) |
Pointb: Insights Generator: Improve Strategic Performance with Accelerated Insights1 October, 2019Alex Chang, Technology Principal, Pointb Greg Gardner, New England Practice Director, Pointb Kurt Knaub, Healthcare & Analytics Principal, Pointb Pointb Insights Generator Presentation (pdf) |
MindLeaf: Employing Medical Scribing to Increase Revenue and Decrease Physician Burnout24 September, 2019Andrea Caliri, M.D., Medical Consultant, MindLeaf John Kemp, M.D., Subject Matter Expert & CMO, SkywriterMD Amanda Stacy, DoS, Contracting, & PM, SkywriterMD |
MEDITECH: Population Health and Interoperability: At the Crossroads of Both - Your Patient's Chart5 September, 2019Scott Godbout, Marketing Solutions Manager, MEDITECH |
Information Builders: Data Orchestration and Governance11 June, 2019Shawn Sutherland, CPHIMS Manager, Patient and Member Outcomes, Information Builders |
Informatica & Commonwealth Care Alliance: How Data Quality Drives Value Across the Healthcare Enterprise4 June, 2019Richard Cramer, Chief Healthcare Strategist, InformaticaSean McAuley, EDW Manager, Commonwealth Care AllianceInformatica & Commonwealth Care Alliance: How Data Quality Drives Value Presentation (pdf) |
Macadamian: The Role of Voice Assistants in Healthcare26 March 2019David Box, Director Business Development, MacadamianMacadamian: The Role of Voice Assistance in Healthcare (pdf) |
Logan Data: Data Governance in Healthcare6 March, 2019 Barbara Nichols, Partner, Logan Data Data Governance in Healthcare - Mass Health Data Consortium (pdf) |
InterSystems: Crossing the Payer-Provider Chasm - Collaboration in the Journey to Value Based Care7 February, 2019Lynda Rowe, Senior Advisor, Value-Based Markets, InterSystemsInterSystems: Crossing the Payer-Provider Chasm Presentation (pdf) InterSystems: Crossing the Chasm - Article by Lynda Rowe (pdf) |
Optum: Tackling Provider Directories - Sharing and Managing Change Across the Blockchain17 January 2019Lorraine Frias, Senior Director of Strategic Initiatives, OptumOptum: Applying Blockchain to Health care (pdf) |
Association for Behavioral Healthcare: "Community Behavioral Health and Accountable Care: Six Months into MassHealth’s Redesign, What We Know and What We Have Yet to Learn" - 15 November 2018Vic DiGravio, President/CEO, Association for Behavioral Healthcare Community Behavioral Health and Accountable Care: Six Months into MassHealth’s Redesign, What We Know and What We Have Yet to Learn (PDF) |
HealthNET Systems Consulting: "Health Systems Mergers & Acquisitions: Considerations for IT" - 24 October 2018
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HBI Solutions: "3 Steps Critical to ACO Success" - 18 October 2018
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Edifecs: "Machine Learning and Artificial Intelligence for Payer and Provider Organizations" - 10 October 2018 |
MindLeaf: "Employing Medical Scribing to Increase Revenue and Decrease Physician Burnout" - 2 October 2018Andrea Caliri, M.D., Medical Consultant, MindLeaf |
MEDITECH: "Embracing Technology to Improve Patient Engagement and Patient Experience" - 25 September 2018Maureen Williams, Marketing Solutions Manager, MeditechMEDITECH: Embracing Technology to Improve Patient Engagement and Patient Experience (PDF) |
Algorex: "Social Determinants of Health and Population Health - How Do I Get Started?" - 18 September 2018Jacob Luria, Managing Director, Algorex Healthcare Technologies![]() |
Imprivata: "The Internet of Medical Things Optimizing Security and Effectiveness" - 12 September 2018Sean Kelly, M.D., Chief Medical Officer, Imprivata |
Washburn House: "Challenges in Continuity of Care - A Case Study in Behavioral Health" - 23-May-2018 Neil Gaer, Chief Executive Officer, Washburn House"Washburn House: Applying Technology for Better Treatment" (pdf) |
AHIMA: "One in Two Out: Impact of Trump Administration on HIPAA Privacy and Security" - 8-May-2018Katherine Downing, MA, RHIA, CHPS PMP, Vice President, AHIMA Governance and IGA Advisors Consulting |
point B: "Why Data Governance is the Hottest Topic in Healthcare" (pdf) - 25-Apr-2018 |
Locke Lord: "Does US Healthcare Need GDPR?" (pdf) - 24-Apr-2018
Andrew Shindler, Partner, Locke Lord London
Thomas Smeddinghoff, Of Counsel, Locke Lord Chicago
David Szabo, Partner & Co-chair Health Practice Locke Lord Boston, Chairman of the Board ex-officio, Massachusetts Health Data Consortium
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The JASON Report: "Artificial Intelligence for Health and Health Care" (pdf) - 4-Apr-2018
Dr. Sallie Ann Keller, Director and Professor of Statistics for the Social and Decision Analytics Laboratory within the Virginia Bioinformatics Institute at Virginia Tech University.
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InterSystems: "Leveraging Natural Language Processing in Technology to improve Mental Health Population Management" (pdf) - 3-Apr-2018
Qi Li, Physician Executive, Product Innovation, InterSystems
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Brigham Innovation Hub (iHub): "Treating and Preventing Opioid Abuse with Digital Pills" (pdf) - 29-Mar-2018 Edward W. Boyer, MD, PhD
Peter Chai, MD, MMS
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Harvard Business School: "EHR in the Post-HI-TECH Era" (pdf) - 20-Mar-2018
A. Jay Holmgren, Doctoral Student, Health Policy Management |
Ariadne Labs: "System Complexity and the Challenge of Too Much Medicine" (pdf) - 15-Mar-2018
Neel Shah, MD, MPP, Assistant Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School; Director, Delivery Decisions Initiative, Ariadne Labs
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Keely Macmillan, MPH, General Manager of BPCI Advanced, Archway Health
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4Medica: "Getting to 100%: Using Big Data to Match Patients Precisely and Cost-Effectively" (pdf) - 28-Feb-2018
Speakers: Brian Wikle, Sr. Client Executive
Gretchen Cole, Senior Software Support & Training |
Cyft: "National Academy of Medicine Exports on AI: Here's What They Said" (pdf) - 15-Feb-2018
Speaker: Leonard D'Avolio, PhD, Founder & CEO, Cyft; Assistant Professor, Harvard Medical School and Brigham and Women's Hospital
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NEHEN & Cognizant: "Trizetto Touchless Automation Process (TTAP)" (pdf) - 8-Feb-2018 |
Logan Data: "Cloud Data Integration in Healthcare" (PDF) - 24-Jan-2018 Krishna Kodeboyena, Data Integration Expert, Logan Data
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John Halamka MD: "Emerging Healthcare Technologies: 2018" (video) - 10-Jan-2018 John Halamka, MD, Chief Information Officer, Beth Israel Deaconness Medical Center
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