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A Complimentary Webinar From healthsystemCIO.com

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Housekeeping

Moderator Anthony Guerra, editor-in-chief, healthsystemCIO.com

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Agenda 45 Minutes

25 minutes: David Miller, Vice Chancellor/CIO, University of Arkansas for Medical Sciences

20 minutes: Q&A w/David Miller

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Genomics & the EMR:The Difficulties and The Dream

May 19, 2014

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Clinician (3 years)Registered Medical Technologist

Hospital Operations (3 years)Lead operations for hospital-based diabetes treatment centers

IT Vendor (4 years) Financial decision support, cost accounting, budgeting, EIS, BI

IT and Management Consulting (15 years)IT, process redesign/improvement, clinical transformation, strategic planning

Healthcare IT Leadership (9 years)Lead 300-bed hospital, then #2 at one of the top academic medical centers in the nation

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CHIME

CHIME national liaison to AHIMA (September 2013 Present)

CHCIO Panel Reviewer (2011 Present)

HIMSS

Committee Member, National HIE Committee - HIMSS (July 2013Present)

President-elect, Arkansas HIMSS (July 2012Present)

Board Member and HIE Chair, Arkansas HIMSS (May 2011Present)

AAMC

Chair, Group on Information Resources - AAMC (June 2013Present)

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Other

Chair, HIE Council - Arkansas Office of Health Information Technology (June 2011 Present)

Advisory Board Member - Pivot Point Consulting, LLC (October 2013Present)

Academic Medical Centers Advisory Council Expert - Next Wave Connect (October 2013 Present)

Member, Information Technology Task Force - Novation (January 2013Present)

Member, CIO Council University Healthcare Consortium (August 2012Present)

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Sequencing the Human GenomeThe Human Genome Project

15 years (1985-2000)$3 Billion

Created the first draft sequence

Dr. James WatsonFirst human to be fully sequenced - 20072 months

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Precision Medicine

-of-the-art molecular profiling to create diagnostic, prognostic, and therapeutic strategies precisely tailored to each patient's

success of precision medicine will depend on establishing frameworks for the influx of information that can keep pace with rapid scientific

N Engl J Med 2012; 366:489-491, 2/ 9/2012

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The Vision

We can now identify molecular and clinical biomarkers for health conditions that individuals either have or are susceptible to.

Pharmacogenomics

Drug developmentAvoid drugs that are ineffective or less effective

Avoid drugs likely to cause side effects

Re- -

Develop entirely new drugs targeting disease processes

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The Promise: Imagine

Predict Disease pre-symptomatically with simple testing

Prevent Disease by identifying risks, early interventions

Diagnose Conditionsless invasively, more accurately

Select Drugs that maximize benefits and minimize risks

Calibrate Treatments to heighten efficacy and recovery

Treat/Cure Disease using our own genes

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The Value Proposition Elevated Risk

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The Value Proposition Drug Response

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The Value Proposition Carrier Status

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