09.00 - 13.00 ワークショップA：公衆衛生の改善を目的としたEMR情報の利用

Aims:

The advantages that EMR data have to offer to improve the efficient management of patient care are not restricted to the hospital setting. As has been demonstrated in both public and private healthcare systems around the globe, case mix applications contribute to improved delivery across the entire health care system.

These include the ability to:

• Predict high-risk individuals for inclusion in care management
• Equitably allocate resources across regions, clinics or programs
• Set capitation payments for provider groups
• Evaluate access to care
• Assess the efficiency of provider practices (primary & secondary care)

The aim of this workshop is to provide an insight into the numerous applications of case-mix in the ambulatory health care sector, from integrated care networks to primary care clinics and, finally at the individual provider level.

Methods:

The workshop will open with an introductory presentation on the numerous applications of case mix within the integrated and ambulatory care sectors. The workshop will continue by addressing real world scenarios demonstrating three applications:

• Population management /resource allocation / population profiling
• Performance management / provider profiling
• Case management / patient identification

Each session will comprise of presentations illustrating real world case-mix applications. The workshop will conclude with a session summarising the take home messages of the groups and will include a discussion on the future of case-mix in the ambulatory care setting.

Audience:

The workshop is intended for policy decision makers, payer organisations, health care managers, health care consultants, and all those interested in improving the delivery of primary care.

Your workshop leaders:

Dr. Karen Kinder
Executive Director

and

Dr Peter F.S. Lee
Senior Consultant

ACG International, Bloomberg School of Public Health, Johns Hopkins University

Dr. Karen Kinder is an associate faculty member of the Health Policy and Management Department at Johns Hopkins University where she received her doctorate. Through both her experience, Dr. Kinder has accumulated in-depth knowledge of international health care systems through numerous research projects. She has expertise in structural, financial and managerial aspects of the reform of health care systems. Specific areas include the impact of the financing system and the organization of the delivery of care on a population’s access to quality health care, the measurement of morbidity within that population and the effective coordination of primary and specialty care.

Dr Peter F.S. Lee has been actively involved in Public Health management and the implementation of the Information and Communication Technologies (ICT) initiatives in health sectors for the last 15 years. He was first appointed as the Head of Medical Department in Kapit Division, Sarawak handling a 200 bed hospital and 21 Government clinics, subsequently Assistant Principal Director to assist in the implementation of the Malaysian clinical information solution - Tele Primary Care (TPC) within the Ministry of Health, Malaysia for 3 years and was promoted as Senior Assistant Principal within a year. In July 2009, Peter joined ACG-International, John Hopkins University. He is currently assigned to support the emerging Asia market for the application of the Johns Hopkins ACG® Case-Mix System, the most widely used population-based case-mix system in the world.

14.00-18.00ワークショップB：医療データ管理が関連組織にもたらすメリット

Learning Objectives:

• To understand what data governance is in practical terms
• To understand what problems data governance is attempting to solve
• To examine some examples of data governance programs and approaches
• To walk away with sufficient knowledge of data governance to know how to go about applying DG principles to their own organisations

Your workshop leader:

Chris Bain
Director, Health Informatics
Alfred Health

Dr. Chris Bain is a Health Informatician with a background in medicine; as a clinician for 10 years in a range of settings, then in IT for the last 10 years, during which time he has achieved professional accreditation with the Australian Computer Society and the Association for Computing Machinery (US). Dr. Bain’s interest is in the use of IT and information systems for the better management of healthcare services (healthcare management informatics), and he has published and spoken in a range of forums on this subject. Dr. Bain is currently completing a PhD on this topic. Dr. Bain also collaborates with Victoria University School of Mathematics and Computer Science and has supervised a number of Master’s students from VU in a range of related projects. Dr. Bain has previously sat on a number of state and federal government expert groups in relation to data and IT issues in healthcare. In early 2008 he established the first international group dedicated to healthcare management informatics - this is now the health-mic SIG of HISA. He is currently the Manager for Performance Analysis and Data Governance.