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Sunday, February 6, 2000
9:00 am
-12:00 pm
Optional Session: Legal and Ethical Issues in the Healthcare Internet and E-Commerce
Keith Korenchuk, Esq.
Partner, Davis Wright Tremaine
Washington, D.C. and Charlotte, North Carolina

Gerry Hinkley, JD
Partner, Davis Wright Tremaine
San Francisco, CA

Reece Hirsch, JD
Partner, Davis Wright Tremaine
San Francisco, CA



Monday, February 7, 2000
7:00 am Continental Breakfast
8:00 am Welcome & Introductions
John D. Cochrane, M.H.A. (Moderator)
Editor, E-Healthcare Connections
San Diego, CA
jcochrane@ehealthcareconnections.com
www.ehealthcareconnections.com

Peter N. Grant, Ph.D., JD (Co-Director)
Partner, Davis Wright Tremaine
San Francisco, CA and Seattle, WA
Petergrant@dwt.com
www.dwt.com
8:15 am 21st Century Technology Solutions for Physicians, Hospitals, & Integrated Delivery Systems
Russell J. Ricci, MD
General Manager Global Healthcare, IBM Corporation
Atlanta, GA

IBM is a global leader in technology and has committed its substantial resources to encouraging the advancement of Web-enabled healthcare. Dr. Ricci is a well known authority and frequent speaker on the impact of 21st century technology on the shape of the healthcare delivery systems in America. Russell J. Ricci, M.D. General Manager, IBM Healthcare Industry, leads the IBM team whose mission is to deliver information technology solutions to healthcare payors, providers, pharmaceutical companies and other related orgniazations that will use information to help improve the delivery of healthcare to populations worldwide.
9:00 am Dilemmas & Opportunities in the Internet Transforamation of American Healthcare
Donald Hackett
President and CEO
drkoop.com, Inc.

Mr. Hackett is replacing C. Everett Koop, MD, ScD as speaker for this Discussion Topic, as was originally printed in the Symposium brochure.

Don Hackett is the founder, president and CEO of drkoop.com, Inc., a consistent market leader in the growing Internet healthcare industry. Mr. Hackett is also one of the founding rnembers of the Hi-Ethics Alliance, an alliance of competing Internet healthcare companies pledged to developing standards for on line health Information. Mr. Hackett is currently chairman of the Hi-Ethics Alliance Advertising Committee which develops editorial and advertising guidelines for health Web sites. He also serves on Texas Lieutenant Governor Rick Perry's Technology Advisory Council, a group of two dozen leaders from the slate's technology industry that advises Perry on issues such as privacy and consumer protection on the Internet, high-tech work force development and improving math and science education.
9:45 am Coffee Break & Exhibits
10:15 am Building Physician & Hospital Success Strategies for the Emerging E-Health Environment
Graham Pallett
Principal, Deloitte Consulting Health Care Practice
Boston, MA

Thaddeus Grimes-Gruczka, EVP
Cyber Dialogue
New York, NY

Research compiled by Deloitte and Cyber Dialogue, a leading Internet market research company, reveal the five key forces accelerating the evolution of a new e-health consumer. Based on the findings they predict that only those companies acknowledging the new demands for information, customization and convenience will emerge as winners. Their report on this and subsequent research will help physicians and hospitals to better understand the new breed of e-healthcare consumer. This will provide a knowledge base for building success strategies for the emerging e-health environment.
11:00 am Case Study: What Happens When Patients Have Online Access to their Health Records?
Richard Gibson, MD
Chief Medical Information Officer,
Providence Health System
Portland, OR

Richard Skinner
Chief Information Officer, Providence Health System
Portland, OR

Mark Leavitt, MD, Ph.D.
President & CEO, Medicalogic
Hillsborough, OR

MedicaLogic and the Providence Health Systems have a pilot project underway that allows patients to access their medical records and provide input in Portland, OR. This remarkable program dovetails with a practice EMR program offered by the company. Mark Leavitt founded MedicaLogic in 1985. He holds a doctorate from Stanford University in electrical engineering and a doctor of medicine from the University of Miami. Board-certified in internal medicine and geriatrics, Dr. Leavitt practiced full-time for 10 years, then served as medical director of information systems at Providence Health System for two years.
12:15 pm Lunch (Provided)

Luncheon Speaker:
What Do Internet-Savvy Consumers Expect of Hospitals & Physicians?
Dean Edell, MD
Syndicated Radio Talk Show Host

Dr. Dean Edell is a physician broadcaster, author, and host of the nationally syndicated radio talk show, "The Dr. Dean Edell Show." He is also the anchor of "Medical Minutes" and host of the daily "Medical Report." Dr. Edell has been active in the media since 1978. Prior to his career as a media doctor, he was an ophthalmologist and surgeon in private practice, as well as an instructor at the Department of Surgery for the University of California, San Diego, School of Medicine. He earned his M.D. at Cornell University Medical School.
1:15 pm Why Should Physicians & Hospitals be Concerned About the Quality of Health Information on the Net? What Can We Do About it? Should Physicians Exchange E-Mail with Patients?
Helga Rippen, MD, Ph.D., MPH
Director of Medical Informatics
Pfizer Health Solutions
Dr Rippen is leading an effort to develop an Internet-based tool to help consumers assess the quality of health information on the Internet. This tool will be based on the recommendations of the Health Summit Group whose mission is to develop criteria to assess the quality of health information on the Internet. Dr Rippen is Chairperson of the Health Education Subcommittee of IEEE's Medical Technology Policy Committee, External Liaison to HHS's Science Panel on Interactive Communications and Health, and Board chairperson of the Internet Healthcare Coalition. Dr. Rippen is boarded in Public Health and Preventive Medicine. She received her Ph.D. in biomedical engineering from Duke University, a M.D. with honors from the University of Florida, and a M.P.H. from the Johns Hopkins School of Hygiene and Public Health.
2:00 pm Preparing for HIPAA: What You Have to Do to Assure Privacy of Patient Information
Presenting a "HIPAA Tool Kit"
Ted Cooper, MD
National Director of Security & Privacy,
Kaiser Permanente
Oakland, CA

Bruce Patterson
Director of 3Com Healthcare Worldwide
Winston Salem, NC

Jeff Collmann, Ph.D.
Department of Radiology,
Georgetown University Medical Center
Washington, D.C.

As healthcare enters a new era with the emergence of eCommerce, the risk of violating patient privacy has never been greater. The Health Insurance Portability & Accountability Act (HIPAA) is being heralded at Y2K II. In a recent Healthcare Informatics survey, nearly 60% of respondents said that they haven't even began working on HIPAA compliance. Yet, the new privacy rules impose both requirements and sanctions on hospitals and physicians. It will be one of the top challenges in 2000 and this team will present a solution.
2:45 pm Afternoon Break
3:00 pm Case Study: View from the Office of a Wired Family Practitioner in a Saturated Managed Care Market
Robert Rowley, MD
Family Practice Physician & Hill Physicians IPA Member
Hayward, CA
Dr. Rowley is the other end of the Healtheon/WebMD deal with Hill Physicians. As a busy 3 physician primary care office in Hayward, Dr. Rowley addresses the issue of just how "wired" is it practical to become. Information from a vast array of sources flows into the practice by phone, paper, fax and Internet. It flows out of the practice in similar form. What can be done to electronicize all this? What is Dr. Rowley's future on the Net?
3:45 pm Case Study: A Day in the Life of a Wired Internist
David Litoff, MD
Internist, Harbor Medical Group
Chicago, IL
Dr. Litoff is an internist with a concentration on gerontology at the Harbor Medical Group in Chicago. He first became interested in computers to help organize his nursing home practice. Beginning with an old 386 he has graduated to using palmtops (PDAs) extensively. Whether it's keeping patient records, writing prescriptions, communicating with patients by e-mail, keeping track of charges, or looking up information on the Net, Dr. Litoff is not only "wired" - he is "wired-less."
4:30 pm The Race to Find and Keep "Cyber-Talent": Can Hospitals Compete, or Should They Outsource? Where will Tomorrow's E-Health Technical & Management Leadership Come From? Should Physicians be Looking to Hospitals, Medical Groups, IPAs, MSOs or Dot-Com Companies to Support Their Web Strategies?
Heidrick & Struggles Issues Discussion Panel

Heidrick & Struggles is an international executive search firm with heavy involvement in placing e-healthcare executive leaders. They will be moderating a panel of provider and e-healthcare executives discussing issues that go to the core of developing effective e-healthcare strategies. How do you attract and retain both technical and management talent in this turbulent, high-velocity arena? Major health systems throughout the country are wrestling with these questions.
5:30 pm Adjournment
6:30 pm Hosted Reception



Tuesday, February 8, 2000
7:00 am Continental Breakfast
8:00 am Introduction & Opening Remarks
Hank Golembesky, MD (Moderator)
Medical Editor, E-Healthcare Connections
hgolembesky@ehealthcareconnections.com
www.ehealthcareconnections.com
8:15 am Health System Case Study: An Advanced Web-Based Model for Integrated Healthcare
Stan Pappelbaum, MD
President & CEO, Scripps Health
La Jolla, CA
Stan Pappelbaum, MD is the president and CEO of Scripps Health in San Diego, a large hospital system with multiple affiliated physician groups that is in the process of developing an extensive intranet, extranet, and internet market presence.
9:00 am IPA/Medical Group Case Study: The Internet is a Survival Strategy In Managed Care Markets
Steve McDermott
President/CEO Hill Physicians
San Ramon, CA

Steve McDermott leads one of the nation's largest and most successful IPAs in a marketplace that is completely saturated with managed care. They have developed an interesting relationship with Healtheon that employs the web to improve practice efficiency and achieve savings that are essential in a managed care environment.
10:00 am The Future of Medical Practice on the Internet
George D. Lundberg, MD
Editor in Chief, CBS/Medscape.com
George D. Lundberg, M.D., Editor in Chief. Prior to joining Medscape in February 1999, Dr. Lundberg served as Editor of the Journal of the American Medical Association for 17 years. Dr. Lundberg also served as the Editor in Chief of Scientific Information and Multimedia, a publication of the American Medical Association, from 1982 until 1999. Dr. Lundberg holds an MS degree from Baylor University and BS and MD degrees from the University of Alabama. Dr. Lundberg holds honorary degrees from four U.S. universities.
11:00 am How to Develop a Comprehensive Integrated Healthcare "Net" Strategy
David Pryor, MD
System Vice President & Information Officer
(& Practicing Cardiologist), Allina Health System
Minneapolis, MN

David Pryor, MD is the system vice president and information officer for Allina, a major statewide integrated healthcare system in Minneapolis, MN. Over the years this $2.6 billion health system has grown to 19 hospitals, 7 nursing homes, several thousand physicians and one of the largest health plans in Minnesota. Dr. Pryor has been the point person in unifying many disparate, proprietary information systems that could not communicate with each other. He also has overall responsibility for the aggressive, consumer-oriented, multi-pronged Internet strategy the system has adopted. They recently launched a new consumer portal called MedFormation.com, which has exciting and greatly expanded options for consumer interaction. Dr. Pryor is also a practicing Cardiologist.
11:45 am Morning Faculty Q & A (Audience Participation)
12:00 pm Lunch (Provided)

Luncheon Speaker:
Patient Consultation on the Web; Risk and Rewards
Scott Rifkin, MD
President, AmericasDoctors.com

AmericasDoctor.com is a consumer health portal that allows anyone in the world to log on and "talk" with physicians 24 hours a day. Its founder, Dr. Scott Rifkin, will be demonstrating how it works and the issues and experience's they have encountered. Who calls in? What questions do they ask? How do the physicians handle it without exposting themselves to malpractice? How is privacy assured? The web site also has affiliated with a large number of major hospital systems throughout the country.
1:00 pm Disease Management: Can the Internet Improve Health Status?
David E. Goodman, MD
Founder, Lifemasters
South San Francisco, CA

Dr. Goodman founded LifeMasters Supported SelfCare, Inc., in 1994. This company provides both web-based and offline programs focused on helping patients better control their chronic health problems while under the supervise of their physicians. He is the inventor of technology that employs wireless networks and handheld devices in a unique disease management program. He is also a Clinical Associate in the Department of Medicine at UC San Francisco School of Medicine. LifeMaster's has been testing their monitoring approach in the SF Bay Area.
1:45 pm Case Study: Practicing Psychiatry & Managing "Psycho-Babble" on the Net
Robert Hsiung, MD
Department of Psychiatry, University of Chicago
Chicago, IL
http://dr-bob.uchicago.edu

Robert C. Hsiung, MD, aka Dr. Bob, is an Assistant Professor of Clinical Psychiatry at the University of Chicago and an active Internet psychiatrist. He develops innovative web resources such as Psychopharmacology Tips, netcasts the Department of Psychiatry Grand Rounds, and has a grant to explore the use of desktop Internet videoconferencing for psychotherapy. He has presented his work and taught courses at national and regional meetings. He serves on the editorial boards of Psychiatry On-Line and CyberPsychology & Behavior. He has been a peer reviewer for JAMA and Applied & Preventative Psychology. He is a Founding Member and the current Secretary-Treasurer of the International Society for Mental Health Online and is on the steering committee of the Psychiatric Society for Informatics. He is also a member of the Associate Faculty of the MacLean Center for Clinical Medical Ethics at the University of Chicago. He chaired the Internet committee and serves on the Ethics Committee of the Illinois Psychiatric Society.
2:30 pm Afternoon Break
2:45 pm Enabling the Mobile Healers: An Orthopedic Surgeon on the Move
Lloyd Hey, MD
Department of Orthopedic Surgery, Duke University
Health System, (President, ClinEffect Systems)
Durham, NC
www.clineffect.com

Dr. Lloyd Hey is a practicing Orthopedic Surgeon at Duke University Medical Center. In 1995 Dr. Hey founded ClinEffect to develop point of care software as a commercial product and to provide support for large-scale implementations of CSI Stations (handheld computer terminals) in group practices. CSI Station is installed at several major group practices across the country, and in 1998 Duke University Medical Center contracted to take CSI Station enterprise-wide. Designed to provide ease of use, speed and portability, CSI automates charge capture using handheld devices and the Internet.
3:30 pm Case Study: A Day in the Life of a Wired Gastroenterologist
Phillip Grossman, MD
Gastroenterologist
Miami, FL
Dr. Grossman is a gastroenterologist in Miami who describes himself as a totally "wired" gastroenterologist.
4:15 pm Spinning the "Web": What it Means to be Wired?
Dr. Pardeep Nijawan, MD
Mayo Clinic
5:00 pm Adjournment