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Monday, June 26, 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
8:15 am What Consumer Internet Empowerment Means to Physicians & Hospitals
Tom Ferguson, MD
Editor & Publisher, The Ferguson Report
Austin, TX

Dr. Ferguson is editor and publisher of "The Ferguson Report," the industry newsletter of on-line health. He is a senior associate at Boston's Center for Clinical Computing, a medical computing think-tank associated with Harvard Medical School. He is Adjunct Associate Professor of Health Informatics at the University of Texas Health Science Center in Houston. Tom received his M.D. from the Yale University School of Medicine. He founded the influential journal "Medical SelfCare and the SelfCare Catalog," a direct-mail company specializing in tools which help people take care of their health. He has received the National Educational Press Association's Distinguished Achievement Award. He served for many years as medical editor of "The Whole Earth Catalog." He wrote a chapter on the empowered medical consumer for the book that accompanied the Bill Moyers series on "Mind/Body Medicine." He is the author of a dozen books on consumer health, including "The No-Nag, No-Guilt, Do-It-Your-Own-Way Guide to Quit Smoking" and "Health On-line: How to Find Health Information, Support Groups and Self-Help Communities in Cyberspace." He lives and works in Austin, Texas.
9:00 am How Can Physicians Benefit by Incorporating the Internet in their Practice in Today's Managed Care Environment?
Charles E. Saunders, MD, F.A.C.E.P., F.A.C.P.
Chief Medical Officer, Healtheon/WebMD
Santa Clara, CA

Dr. Saunders is Chief Medical Officer for Healtheon/WebMD. Before the merger, he was Vice President Strategic Planning and Medical Director for Healtheon Corporation. Prior to joining Healtheon, Dr. Saunders was a principal with A.T. Kearney, served as executive director of managed care services at an integrated health care delivery system and directed emergency medical and the 9-1-1 medical call center for the City and County of San Francisco. Dr. Saunders served on the faculty at UCSF and Vanderbilt University School of Medicine, and was the director of emergency services at the University of Colorado Health Sciences Center. Dr. Saunders is board-certified in both internal and emergency medicine. He is currently an active practitioner in emergency medicine. He received his Bachelor of Science degree from the University of Southern California and his M.D. from Johns Hopkins University School of Medicine.
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
VP, Cyber Dialogue
New York, NY

Research compiled by Deloitte and Cyber Dialogue, a leading Internet market research company, reveal the 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 On-line Access to their Health Records?
Richard Gibson, MD, Ph.D.
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. Dr. Gibson has an M.D. from Case Western University and a Ph.D. in Medical Informatics from LDS Hospital and the University of Utah in Salt Lake City. He came to Providence Health System in 1996 and is responsible for planning and implementing clinical information systems in both the hospital and office arenas.
12:15 pm Lunch (Provided)

Luncheon Speaker:
Healthcare Beyond 2000: Where is Technology Taking Physicians & Hospitals?
Richard Noffsinger
Worldwide Healthcare Group Manager
Business Solutions Group, Microsoft

Founded in 1975, Microsoft (Nasdaq "MSFT") is the worldwide leader in software for personal computers. The company offers a wide range of products and services for business and personal use, each designed with the mission of making it easier and more enjoyable for people to take advantage of the full power of personal computing every day. On many fronts Microsoft has also taken the lead in assisting physicians and hospitals to transition to the era of the Internet.

Afternoon Moderator:
Peter N. Grant, Ph.D., JD (Co-Director)
Partner, Davis Wright Tremaine
San Francisco, CA and Seattle, WA
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., M.P.H.
Chairperson, Internet Healthcare Coalition
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 member 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 & Confidentiality of Patient Information (Regulations Due from HHS in June)
Ted Cooper, MD
National Director of Security & Privacy,
Kaiser Permanente
Oakland, CA

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 begun 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 solutions.
2:45 pm Afternoon Break
3:00 pm Enabling the Mobile Healers: An Orthopedic Surgeon on the Move
Lloyd A. Hey, MD, MS
Assistant Professor, Division of Orthopedic Surgery
Duke University Health System
Founder/Chairman MDeverywhere
Durham, NC

Dr. Lloyd Hey is a busy practicing orthopedic spine surgeon at Duke University Medical Center. For the past 11 years, he has worked toward bringing process control to healthcare through point of care information systems used by directly physicians. In addition to his outcomes research as Director of the Center for Clinical Effectiveness at Duke, and participation with performance improvement efforts for the Duke Health System, Dr. Hey is the Founder and Chairman of MDeverywhere, in RTP, NC, where he continues to play a "bridge" role to the real world of doctors in the trench. MDeverywhere provides an entire suite of ASP services to physicians via PDA's and the Internet which improve physician productivity. Dr. Hey will share how to successfully get physicians to change their behavior through proper vision, application development, implementation and support. He will also share some of the qualifiable returns on investment that can be obtained through such physician culture change, using new eHealth technology as an "enabling" tool.
3:45 pm Case Study: A Day in the Life of a Wired Internist
Peter Basch, MD
Internist
Washington, D.C.

Peter Basch, MD says, "My life as a wired internist is a compelling story with real bottom line and patient satisfaction returns...In the three years since I started using EMR, my overhead has been reduced, and my productivity has increased by as much as 30%. I am also a WebMD daily user, and my interactions with my patients reflects my willingness to partner with them, and embrace their use of e-healthcare. I freely give my e-mail address to patients, and answer e-mail throughout the day."
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?
Al Greene
Chief Executive Officer, Health Central.com

Ken Graham
Chief Executive Officer, Overlake Hospital

Lauren Doliva
Global Leader e-Business Practice,
Heidrick & Struggles

Sage Givens
Managing General Partner, Acacia Venture Partners

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? Is the only answer to outsource? Do you compete with major consumer health portals?
5:15 pm Adjournment
6:00 pm Hosted Reception



Tuesday, June 27, 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 The Future of Medical Practice on the Internet
George Lundberg, MD
Editor in Chief, Medscape.com

Prior to joining Medscape in February 1999, Dr. Lundberg served as Editor of the Journal of the American Medical Association for 17 years. He also served as Editor in Chief of Scientific Information and Multimedia with responsibility for its 39 medical journals, American Medical News and various electronic products. Dr. Lundberg is Adjunct Professor of Health Policy at Harvard and a member of the Institute of Medicine of the National Academy of Sciences. 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.
9:00 am Dilemmas & Opportunities in the Internet Transfermation of American Healthcare
Donald Hackett
President & CEO, DrKoop.com
Austin, TX

Boasting more than 1 million registered users, the DrKoop.com website offers 15 interactive communities with information on topics ranging from addiction to children's health. The site also features interactive health tools (polls, questionnaires) and more than 100 health related chat support groups. DrKoop.com garners revenue through hospital affiliations, advertising, content syndication, and e-commerce. DrKoop.com is also the largest health information provider to AOL. Chairman Koop, VC John Zaccaro, and president and CEO Donald Hackett founded DrKoop.com in 1997.
9:45 am Coffee Break & Exhibits
10:15 am IPA/Medical Group Case Study: The Internet is a Survival Strategy in Managed Care-Intensive 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 - the San Francisco Bay Area. They have developed an interesting relationship with Healtheon that employs the web to improve practice efficiency and achieve savings that are essential to survival in a capitated environment. (www.hillphysicians.com)
11:00 am How to Develop a Comprehensive Integrated Healthcare "Net" Strategy
David Pryor, MD System Vice President & Information Officer, Allina Health System Minneapolis, MN

David Pryor, M.D. is the system vice president & 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 wit each other. He also has overall responsibility for the aggressive, consumer portal called MedFormation.com, which has exciting and greatly expanded options for consumer interaction. Dr. Pryor is also practicing Cardiologist. (www.allina.org)
11:45 am Morning Faculty Q & A (Audience Participation)
12:00 pm Lunch (Provided)
Luncheon Speaker:

The Human Side of Technology & Medicine
"Patch" Adams, MD (The Real Patch Adams)
Founder & Director, Gesundheit! Institute
West Virginia

America's "Clown-Doctor" with a belief in the healing power of laughter and a dream to build hospital providing free treatment. You saw the movie - now meet the man.

* A portion of Dr. Patch Adam's fee will be donated to the Gesundheit! Institute.
1:15 pm What do Internet-Savvy Consumers Expect of Hospitals & Physicians
Dean Edell, MD
Syndicated Radio Talk Show Host
HealthCentral.com

Dr. Dean Edell is a physician broadcaster, author, and host of the nationally syndicated radio talk show, "The Dr. Dean Edell Show." He also the author 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 opthalmologist 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. (www.HealthCentral.com)
1:45 pm Overlake Hospital: Medicine in Cyberspace, Welcome to the "Virtual Clinic" Web-Based Hospital-Patient Interactivity and a Microsoft Employee Portal
Bill Crounse, MD
Vice President, Overlake Venture Center
Bellevue, WA

Welcome to a hospital web site that let's you complete pre-admission forms, E-mail a physician, connect with vast information resources. Welcome to the "virtual clinic" - futuristic employee health care site that soon may be available to the 13,800 Microsoft workers in Bellevue, WA from their desktops. Vice president Bill Crounse, M.D. is spearheading an innovative program to connect patients, employees, companies, physicians and a community hospital. With Microsoft as a partner, they are doing some remarkable things. Bill Crounse, MD, a board certified family physician, is vice president of Medical Technology for the Overlake Venture Center in Bellevue, WA. He is also Senior Vice President and founder of DrGoodwell.com, and Internet start-up that is working in partnership with Microsoft to provide health information and "virtual clinic" medical services to employees in high-tech industries. (www.OverlakeHospital.org)
2:30 pm Afternoon Break
2:45 pm Concurrent Panel Discussions
PANEL A Hospital CEOs, CIOs, Chief Medical Information Officers, Planning & Marketing
How Should Hospitals & Health Systems Approach the Development of an Internet Strategy? Will the Internet Strategy Improve Quality, Reduce Variability in Outcomes, Streamline costs, Increase Access to Services? Will it Improve Service to the Community? Will it Increase Efficiency & Productivity? Will it Improve Coordination & Communication with Physicians? Competitive Position? Payroll Relations? How Do You Demonstrate an ROI? Do You Need to Demonstrate an ROI?

Harvey Price (Moderator)
Contributing Editor, E-Healthcare Connections
Boca Raton, FL

Jean Balgrosky
Chief Information Officer, Scripps Health
La Jolla, CA

Jean Balgrosky is the Chief Information Officer 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. She plays a pivotal role in orchestrating the health system's Internet strategy.


Dave Dawson
President, V-ONE (Internet Confidentiality & Security)
Germantown, MD

Mr. Dawson is the president and CEO of V-ONE Corporation, located in Germantown, Maryland. The company develops and markets the SmartGate VPN suite of network security products for government and commercial customers worldwide. V-ONE provides an electronic commerce Virtual Private Network solution. SmartGate VPN offers encryption, authentication, and access control and interfaces with leading certificate authorities (CA). (www.v-one.com)


Peter Dysert, MD
Chief of Staff & Chief Information Officer,
Baylor University Medical Center
Dallas, TX

Dr. Dysert has the impressive dual role of chief of staff and chief medical information officer at one of the country's largest health systems. As such, he has played a central role in coordinating the development of the health system's Internet strategy. (www.baylorhealth.com)


Harry R. Jacobson, MD
Vice Chancellor for Health Affairs,
Vanderbilt University Medical Center
Nashville, TN

Dr. Harry Jacobson represents Vanderbilt University in a consortium of five of the country's top academic medical centers who have joined WebEBM to author and write evidence-based clinical guidelines that are presentable in both clinical and consumer language. The consortium includes Duke University Medical Center, Washington University School of Medicine, Oregon Health Sciences University, Emery University Woodruff Health Sciences Center and Vanderbilt University Medical Center. These EBM guidelines will help hospitals and integrated health systems reduce the variability in care provided by their medical staff while providing content and connectivity for the hospital with its patient base. (www.WebEBM.com)
2:45 pm Concurrent Panel Discussions
PANEL B Practicing Physicians

Wellikson
How Should Physicians Incorporate the Internet in their Practices? What's Possible? What's Desirable and Practical? How Do I Deal with Patients who Come to Me with Internet Material? Should Physicians Establish an Interactive Web-Site? What are the Pros and cons of Going with a Dot Com Company? Should I Exchange E-mail with Patients? What are the Malpractice Implications? What are the HIPAA Implications? How can it be Structured to Enhance Practice Income, Reduce Costs, and Increase Productivity? Will it Improve My Life-style?
Denton


Rowley
Lawrence Welikson, MD (Moderator)
Contributing Editor, E-Healthcare Connections
Board of Regents of the American College of Physicians & American Society of Internal Medicine

Ira C. Denton Jr., MD
Founder, CapMed Corporation
Huntsville, AL

Dr. Denton is a board-certified neurosurgeon who trained in Boston, Minneapolis, Memphis, and, as the Van Wagenen Neurosurgical Fellow, Zurich, Switzerland. He practiced in academic and private situations until June 1999 when he and Judith S. Denton, Ph.D., co-founded a company to develop a computer-based patient record (CPR), an effort that began the long march toward an "electronic medical office." Dr. Denton is also President of he HealthDirections group of CapMed Corporation. In that capacity he promoted PHR, CapMed's electronic personal health record, as a tool that can advance shared decision making among doctors and patients.


Brad Bowman, MD
Founder/Chief Science Officer, Wellmed, Inc.

Dr. Bowman founded WellMed in 1993 with the mission to simplify the way people access the information they need to better manage and improve their overall health. A pioneer in the rapidly evolving health media industry, WellMed has created proprietary software tools - WellQuotient, WellRecord, and WellTIPs - which are components of its Personal Health Manager. These tools identify personal health status, outline steps that can be taken to prevent serious medical problems, store individual and family medical history on-line and facilitate the delivery of personalized health information and tutorials.


Robert Rowley, MD
Family Practice Physician & Member,
Hill Physicians IPA
Hayward, CA

Dr. Rowley is a member of the large Hill Physicians IPA in the San Francisco Bay Area and has a perspective on the relationship between Hill and Healtheon/WebMD. He considers himself to be a "wired" physician but acknowledges practical limits. In their pressurized managed care environment, his busy 3 physician primary care office in Hayward, CA, can't afford not to be wired.


Francine Gaillour, MD
President & CEO, Ki Health
Bellevue, WA

Dr. Gaillour is a consultant who specializes in assisting healthcare technology vendors and e-health companies refine their market and clinical product strategies to better meet the needs of their customers.
2:45 pm Concurrent Panel Discussions
PANEL C The Road Ahead for E-Healthcare Commerce
What do Venture Capitalists Look for in New Internet Healthcare Ventures? What is the Prognosis for B2B and B2C E-Healthcare Commerce? What are the Marketplace Trends? How Should Would-Be Entrepreneurs & DotCom Doctors Approach the Marketplace? Where are the Key Success Factors? What are the Sustainable Business Models? What Should Physicians & Hospitals Look for Outsourcing Portions of their Internet Strategy? Will Wall Street Capital Continue to Flow into these Companies with out a Bottom Line?

William B. Hanlon, III (Moderator)
Founding Principal, Shattuck Hammond Partners
Atlanta, GA
5:00 pm Adjournment






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