Transcript Presentation Template

Session #12 – User Group Kickoff &
Product Roadmap
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Session #12 User Group Kickoff
Eric Just, Vice President, Technology,
Health Catalyst
Eric Just is the Vice President of Technology at Health Catalyst and the
Engagement Lead at Indiana University Health. Prior to joining Health
Catalyst, he led the research arm of a late binding data warehouse that
served to integrate clinical, operational, financial, and research data at
Northwestern University.
Eric has served in a number roles at Health Catalyst including product
development, business development, and client operations. He is a
dedicated husband and dad, involved in school and sports, and he
enjoys outdoor life in his adopted home town of Salt Lake City.
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Why do we see ads like this?
Source: Delta Sky Magazine
3
But never like this??
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THE BEST
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Lunar
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Each pilot has
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New York
Intercontinental
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Lindburgh
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All pilots are
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Military
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Capt. Jimmy Kirk
Intergalactic
Orbital
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Cross Atlantic
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Pilots chosen for New
York magazine’s
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selected by Preferred
Pilots Ltd. The
nation’s leading
provider of
information on top
pilots
River Landings
Capt. Chesley
Sullengerger
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Process Management Evolution
System of
Production
“Manual”
System
Airline Industry
Healthcare Industry
“Craftsmanship”
No System
5
If …
"Every system is
perfectly designed
to get the results it
gets.”
>
- Dr. Paul Batalden
Then …
“Design your
system to get better
results”
>
- Health Catalyst
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How to you design your care delivery system
to achieve better Outcomes:
Become experts
in three key
systems
Standard
“Measurement”
Work
Analytic
System
Standard
“Organizational”
Work
Deployment
System
Content
System
Standard
“Knowledge”
Work
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How is Health Catalyst
Organized and Why?
• Content System Knowledge– Holly
Designs and builds starter set knowledge assets
which deliver evidence based guidelines and
standard work to accelerate change
• Deployment System Methodologies – Steve
Designs, trains and implements the Heath Catalyst
improvement methodology to accelerate our
customers ability to achieve Outcomes
• Analytics System Products – Tom
Designs and builds the Catalyst Analytics Platform
and Analytical Applications which provide insight into
cared delivery and a feedback loop to teams
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Health Catalyst’s
top operating principle
is to help our partners
Improve Outcomes
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Population Health Improvement AIM
Sepsis Outcome Improvement Example
Decrease Sepsis Mortality Rate from 24% to less than 10% by 1/1/2015
Content System
Deployment System
Analytic System
Knowledge Asset Starter
Sets:
Permanent Improvement
Team:
Advanced Analytic
Application:
Sepsis Bundle
- Sequence and importance
of key clinical interventions
- Under what circumstances
interventions should be
applied
- Sepsis and Severe Sepsis
cohort inclusion and
exclusion criteria
- Predictive & Prescriptive
Models & Algorithms
-
-
-
Role definitions and training
Team charters
Improvement methodology
Fingerprinting/Ownership
strategy training
Agile/Iterative
implementation strategy
-
-
-
Outcome metrics (improved
Mortality Rate)
Process Metrics (improved
compliance to 11 bundle
components)
Balanced Metrics
(monitoring change in cost
with Code Sepsis team
investment)
Advanced analytic
visualizations
Subject Area Mart Designer
Catalyst Platform
Infrastructure
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What are you trying to improve?
 Outcomes Improvement
- Population Health/Quality Improvement
- Workflow/Efficiency Improvement
- Patient Injury Prevention Improvement
 Shared Risk/Financial Improvement
- Leveraging appropriate payment models
 Technical Efficiency Improvement
- Streamlining data gathering/provisioning
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Improvement Lines
Outcomes Improvement
Shared Risk / Financial Improvement
Technology Improvement
Readiness
Assessment and
Strategic Plan
Payer Market
Evaluation
Shared Risk
Strategic Plan
Infrastructure
Data Driven
Prioritization
(KPA)
Population Health
Improvement
Advanced Risk
Evaluation
Improved
Financial
Monitoring
Automated Data
Provisioning
Pragmatic Data
Integration
Workflow/Operatio
nal Improvement
Network
Optimization
Activity Based
Costing
Data Capture
Augmentation
(IDEA)
Adaptive Data
Governance
Patient Injury
Prevention
Improvement
Improved Member
Engagement
Predictive Staffing
Models
Shared
Framework
Infrastructure
Data Capture
Quality
Awareness
Advanced
Governance
Improved Care
Management
Leakage
Reduction
Comparative
Analytics
Infrastructure
Efficient
Information
Distribution
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All paths lead to improvement
Start with
Population
Improvement
Path
Automating
Data
Provisioning
Pop Health
Improvement
Efficiency
Improvement
Patient Injury
Prevention
Improvement
Efficient
Information
Distribution
Shared Risk
Improvement
Efficient
Information
Distribution
Efficiency
Improvement
Patient Injury
Prevention
Improvement
Pop Health
Improvement
Patient Injury
Prevention
Improvement
Shared Risk
Improvement
Time
Start with
Shared
Risk Path
Automating
Data
Provisioning
Shared Risk
Improvement
Pop Health
Improvement
Time
Start with
Technology
Path
Automating
Data
Provisioning
Efficient
Information
Distribution
Efficiency
Improvement
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Session 12
Top Priorities Survey, Q1
While all three of these improvement areas are
important, what is your organization most
focused on improving first?
a) Outcomes Improvement
b) Shared Risk/Financial Improvement
c) Technology Improvement
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Session 12
Top Priorities, Q2
What is your organization’s 2nd priority
improvement area?
a) Outcomes Improvement
b) Shared Risk/Financial Improvement
c) Technology Improvement
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Session 12
Top Priorities, Q3
What other priorities does your organization
have that are higher than outcomes
improvement, shared risk/financial improvement
or technology improvement?
(If no other higher priorities – answer “None”)
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Review
Improvement Priority
Survey
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Improvement Lines Survey
Outcomes Improvement
Shared Risk / Financial Improvement
Technology Improvement
Readiness
Assessment and
Strategic Plan
Payer Market
Evaluation
Shared Risk
Strategic Plan
Infrastructure
Data Driven
Prioritization
(KPA)
Population Health
Improvement
Advanced Risk
Evaluation
Improved
Financial
Monitoring
Automated Data
Provisioning
Pragmatic Data
Integration
Workflow/Operatio
nal Improvement
Network
Optimization
Activity Based
Costing
Data Capture
Augmentation
(IDEA)
Adaptive Data
Governance
Patient Injury
Prevention
Improvement
Improved Member
Engagement
Predictive Staffing
Models
Shared
Framework
Infrastructure
Data Capture
Quality
Awareness
Advanced
Governance
Improved Care
Management
Leakage
Reduction
Comparative
Analytics
Infrastructure
Efficient
Information
Distribution
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Readiness
Assessment and
Strategic Plan
Measure the care delivery organizations
readiness for outcomes improvement including
evaluation of “Three Systems” readiness and
Analytics Adoption Model maturity; Includes key
process analysis of high volume high variation
processes
Analytic Products
Key Process Analysis
Assessment Survey Tool
Select Session 12
Select Outcomes Improvement Survey
Answer Question 1
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Population
Health
Improvement
Establishment of permanent improvement teams
which leverage starter set AIMs, metrics and
analytic models based on evidence based clinical
guidelines to achieve and sustain clinical and
quality improvement for the health of a population
Population Health
Content Starter Sets
Pediatrics Specialty
Mental Health
Respiratory
Deployment Templates
Primary Care
Cardiovascular
Women & Children
GI
Neuroscience
Musculoskeletal
Surgery
Answer Q2
Session 12
Outcomes Improvement Survey
Oncology
Analytic Products
Subject Area Mart Designer
Population Shared Frameworks
Readmission Predictor
Population Explorer
Readmission Explorer
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Workflow/Operat
ional
Improvement
Workflow / Efficiency
Content Starter Sets
Establishment of permanent improvement teams
which leverage starter set AIMs, metrics and
analytic models based on standard work and
operational guidelines to achieve and sustain
efficiency improvement for clinics and hospital
departments
Diagnostic (Lab, Path)
Therapeutic (Rx, Resp)
Ambulatory
Acute Medical
Invasive
Practice Management
External & Regulatory
Ohio Collaborative
US News
Specialty Clinics
A3/Value Stream Maps
Answer Q3
Analytic Products
Subject Area Mart Designer
Workflow Shared Frameworks
Session 12
Outcomes Improvement Survey
Labor Management Explorer
Patient Flow Explorer
Patient Satisfaction Explorer
Supply Chain Explorer
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Patient Injury
Prevention
Improvement
Patient Injury Prevention
Content Starter Sets
Substances
Establishment of permanent improvement teams
which leverage starter set AIMs, metrics and
analytic models based on patient safety and
operational guidelines to achieve and sustain
patient injury prevention improvement
RX: Medications
RX: Fluids
RX: Electrolytes
Parenteral Nutrition TPN)
Transfusion
Venous Thromboembolism
Patient/Procedure Control
Falls (S, A, C)
Glucose Management
Pressure Injury
Infections
VAP
CAUTI
Answer Q4
Surgical Site Infections
CLABSI
A3/Value Stream Maps
Session 12
Outcomes Improvement Survey
Analytic Products
Subject Area Mart Designer
Patient Safety Explorer
Patient Injury Prevention
Shared Framework
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Advanced
Governance
Implement appropriate roles, councils and
steering committees which are data driven and
triage/prioritize opportunities, allocate resources
and approve, monitor and actively market quality,
efficiency and safety outcome improvement
results.
Analytic Products
Key Process Analysis
Executive Dashboard
Integration Tool
Analytics Successes Portal
Answer Q5
Session 12
Outcomes Improvement Survey
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Review
Outcomes Improvement
Survey
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Payer Market
Evaluation
Evaluate each payer in your market and prioritize
the most important payer contracts to evaluate
and re-negotiate for risk sharing opportunities or
alternative payment methods
Analytic Products
Payer Market Analyzer
Select Session 12
Select Shared Risk Survey
Answer Question 1
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Advanced Risk
Evaluation
Profile risk of patients based on episodic cohort
definitions. Evaluate disease density and severity
to predict Per Member Per Month (PMPM) costs.
Evaluate alternative risk/reward models including
reinsurance thresholds.
Analytic Products
Population Risk Evaluation Tool
Advanced Content
PMPM Predictive Models
Answer Q2
Session 12
Shared Risk Survey
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Network
Optimization
Optimize network design by evaluating defensible
geographic service area, central place theory
trade areas, network coverage using patient and
provider geocoded addresses. Predict leakage
with potential network adjustments. Draft
Participating Provider Service Agreements.
Analytic Products
Network Optimization Tool
Advanced Content
Predictive Leakage Models
Reference Content
Dartmouth Atlas Referral Regions
Answer Q3
Central Place Theory Trade Areas
Geographic Coverage Areas (State
Health Benefit Program Filings)
Geocoded Addresses
Session 12
Shared Risk Survey
Participating Provider Service
Agreement Templates
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Improved
Member
Engagement
Design better methods for patient/member
engagement including enhanced member selfreported health data, employer engagement,
member plan design, community outreach, family
engagement, etc.
Analytic Products
Members Satisfaction Explorer
Employer Wellness Designer
Member Engagement Portal
Reference Content
Health Plan design templates
Wellness plan design templates
Answer Q4
Community engagement templates
Family engagement templates
Session 12
Shared Risk Survey
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Improved Care
Management
Improve outlier care management for high risk,
high cost patients combining claims, EMR clinical
observations and patient demographic data to
predict potentially preventable adverse events and
prescribe prioritized actions and interventions.
Analytic Products
Care Management Planner
Care Management Analytics
Advanced Content
Prescriptive Models
Preventable Events Predictor
Answer Q5
Session 12
Shared Risk Survey
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Shared Risk
Strategic Plan
Design a multi-year strategic organizational plan
for provider network acquisitions and divestitures,
wholesale contract network access agreements
negotiation plans with payers, prioritized care
delivery improvement initiatives, etc.
Analytic Products
Key Process Analysis
(Risk Sharing Opportunity
Pareto – Bundled Payment)
Shared Accountability
Executive Dashboard
Reference Content
Wholesale Contract Network
Access Agreement Template
Accountable Care
Organizational Plan Template
Answer Q6
Session 12
Shared Risk Survey
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Leakage
Reduction
Identify out-of-network leakage or higher cost care
delivery by specialty, by attributed provider, by
high risk patient, or by procedure and estimate
potential saving from leakage reduction.
Analytic Products
Shared Accountability
Executive Dashboard
Patient Leakage Analyzer
Advanced Content
Attribution Models
Answer Q7
Session 12
Shared Risk Survey
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Improved
Financial
Monitoring
Improve financial monitoring by identifying
correlations in clinical and financial data, stratify
financial performance by unit, department, clinical
program, care process family, etc.
Analytic Products
Financial Management Explorer
Revenue Cycle Explorer
General Ledger Explorer
Answer Q8
Session 12
Shared Risk Survey
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Activity Based
Costing
Evaluate true cost of care delivery with clinically
driven activity based costing.
Analytic Products
Activity Based Costing Tool
Clinically Driven Revenue
Cycle Explorer
Real Time Location Services
Integration
Advanced Content
Answer Q9
Activity Based Terminology
Session 12
Shared Risk Survey
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Predictive
Staffing Models
Staff operational units based on predictive models
based on historical care delivery activity rather
than imputed acuities from administrative data
Analytic Products
Activity Based Staffing
Advanced Content
Activity Based Terminology
Predictive Staffing Models
Answer Q10
Session 12
Shared Risk Survey
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Review
Shared Risk
Survey
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Infrastructure
Procure, configure and test infrastructure
environments to support analytics including
on-premise and and now available secure hosted
environments
Analytic Products
Hosting Infrastructure
Select Session 12
Select Technology Survey
Q1
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Automated Data
Provisioning
Automation of provisioning data from transactional
source system into source mart within the
Enterprise Data Warehouse using a metadata
driven approach using portable source maps (.SM
files) (Newly added support for flat files, XML)
Analytic Products
Source Mart Designer & Patterns
Metadata Core
Atlas
Security and Auditing
EDW Console
Source Mart GAP Analyzer
Content Mapping
EMR (6), Patient Billing (6),
Costing (4), General Ledger (2),
Patient Satisfaction (3)
Answer Q2
Session 12
Technology Improvement Survey
Ambulatory EMR (2), Professional
Billing (3), Time Card (2), Human
Resources (2), Accounts
Receivable (2) , Supply Chain (2),
Claims (1)
Additional Source Marts (30+)
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Data Capture
Augmentation
(IDEA)
Instant Data Entry Application
Analytic Products
IDEA
Easily create web-based applications to augment
data capture; Adding native mobile application
(iOS and Android) versions.
IDEA Mobile
Answer Q3
Session 12
Technology Improvement Survey
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Shared
Framework
Infrastructure
Reusable tools that accelerate outcomes
improvement and advanced application
development (SAMs)
Analytic Products
Workflow Framework
Population Health Framework
Comorbidity Analyzer & Content
Patient-Provider Attribution
Modeler
Statistical/Metric Correlation
Framework
EDIT—Executive Dashboard
Integration Tool
Patient Injury Prevention
Framework
Visualization & Architectural
Frameworks
Answer Q4
Advanced Content
Severity Risk/Comorbidity
Models
Session 12
Technology Improvement Survey
Clinical Hierarchies
Attribution Models
Predictive Models
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Comparative
Analytics
Infrastructure
Comparable foundational analytics across care
delivery organizations – a framework to share
comparative benchmarks.
Answer Q5
Session 12
Technology Improvement Survey
Analytic Products
*CAFE—Comparative Analytics
Framework and Exchange
CAFÉ De-identification
Infrastructure
Advanced Content
Essentials Layer Mapping
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Data Driven
Prioritization
(KPA)
Prioritization of opportunities derived from care
process size and variability based on clinically and
operational defined mappings (e.g. ICD9, ICD10,
CPT, APRDRG, etc.)
Analytic Products
Key Process Analysis
(Pareto Tool)
Answer Q6
Advanced Content
Session 12
Technology Improvement Survey
Clinical Hierarchies
Operational Hierarchies
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Pragmatic Data
Integration
Pragmatic Master Data Management including
common linkable identifiers (e.g. Patient, Provider,
Location) and Common Components (e.g. Meds,
Labs, Encounters) which integrate data from
multiple sources of the same source type (e.g.
multiple EMRs)
Analytic Products
Common Linkable Identifiers
(pragmatic master data
management - e.g. PatientID,
ProviderID, LocationID,
Vocabulary)
Answer Q7
Advanced Content
Session 12
Technology Improvement Survey
Matching Algorithms
(with Threshold Settings)
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Adaptive Data
Governance
Tools and processes to guide organizations in the
three pillars of data governance: data exploitation,
data literacy and data stewardship.
Answer Q8
Session 12
Technology Improvement Survey
Analytic Products
Security and Auditing (EDW
Console & IDERA)
ATLAS: Data Stewardship
Module
Reference Content
Starter Set Standard
Definitions/Calculations
Analytics Services Triage
Group Charter
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Data Capture
Quality
Awareness
Tools to profile data capture quality including
timeliness, accuracy and completeness of data
capture
Analytic Products
Data Profiling Tool
Answer Q9
Session 12
Technology Improvement Survey
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Efficient
Information
Distribution
Tools to inventory report and analytic usage to
identify wasteful practices and pruning
opportunities (e.g. replace 10 manual reports with
1 self service dashboard)
Analytic Products
Report Queue Analyzer
Advanced Content
Common/Global metrics
repository (e.g. Case count,
LOS, Readmission counts and
rate, cost center definitions)
Answer Q10
Session 12
Technology Improvement Survey
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Review
Technology Improvement
Survey
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Catalyst Coming Attractions
• Detailed Comparative Analytics
• Mobile IDEA (Instant Data Entry Application)
• Geospatial Analytics – Network Optimization
• Activity Based Costing
• Prescriptive and Predictive Modeling Framework
• Anatomy of Healthcare SAM Designer support
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User Group Design Survey
1.
What is the most important thing you expect to get out of a User Group?
2.
Would you prefer the User Group be done in conjunction with HAS?
3.
How frequently would you like the User Group to be held in person?
4.
On a scale from 1 to 5, how interested would you be in more frequent User Group
tele-conferences between in-person user group meetings?
5.
How frequently would you prefer the incremental user group tele-conferences?
6.
How would you prefer the User Group be organized?
7.
What have you seen work well with other user groups?
8.
On a scale from 1 to 5, how interested are you in learning about new
features/content in the Outcomes Improvement Line?
9.
On a scale from 1 to 5, how interested are you in learning about new
features/content in the Shared Risk / Financial Improvement Line?
10.
On a scale from 1 to 5, how interested are you in learning about new
features/content in the Technology Improvement Line?
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Analytic
Insights
Questions &
Answers
A
Session Feedback Survey
1. On a scale of 1-5, how satisfied were you overall with
this session?
1) Not at all satisfied
2) Somewhat satisfied
3) Moderately satisfied
4) Very satisfied
5) Extremely satisfied
2. What feedback or suggestions do you have?
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Upcoming Keynote Sessions
3:45 PM – 4:40 PM
Location
13. Healthcare Reform 2.0: Anticipating What’s Next
Governor Mike Leavitt
Main Ballroom
Founder and Chairman of Leavitt Partners
Former Secretary of the Department of HHS
4:45PM – 5:15PM - Speakers Corner
5:15PM – 6:00 PM - Reception
6:00PM – 7:00 PM - Dinner
7:00PM – 8:00 PM
14. The Acceleration of Technology In The 21st Century:
Impacts on Healthcare and
Ray Kurzweil
Chairman, Kurzweil Technologies
Director of Engineering, Google
8:15 – 9:00 PM - Entertainment
51