1. TRUST 2 nd Year Site Visit, March 19 th, 2007 TRUST Knowledge Transfer EMR Project Vanderbilt (Sztipanovits, Karsai, Ledeczi, Xue) Stanford (Mitchell, Datta, Barth, Sundaram) Berkeley (Bajcsy, Sastry, McCormick) Cornell (Wicker, Gerkhe, Machanavajjhala)

2. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis22 Project Structure EMR is an integrative project that includes the following organizations: – Participating TRUST teams Vanderbilt Stanford Berkeley Cornell – Department of Biomedical Informatics, Vanderbilt Medical School Researchers and graduate students – Biomedical Informatics Institute Software engineering staff and systems developers (MHAV Patient Portal) – Vanderbilt Medical Center Physicians Security Officer Privacy Officer

3. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis3 Knowledge Flow 3 Patient Centered Health Information Systems (DBMI-VU) abstractions policies abstractions policies Policy Languages Policy Composition (Stanford) Modeling Model Integration Design Tools (ISIS-VU) modeling languages integrated design tools policy languages verification tools Model-based System Integration (ISIS-VU) simulation system Ethical and Legal Analysis (UC Berkeley) Patient Centered Health Information Systems (VUMC) experimental evaluation EMR is a relatively small project compared to the magnitude of the problem.

4. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis4 Forums for Knowledge Transfer – Patient Portal Privacy Working Group Meeting Vanderbilt Medical Center and ISIS, September 12, 2006, Nashville Participants: Vanderbilt Medical School, Cornell, Stanford, Vanderbilt-ISIS, – Privacy and Confidentiality Workshop Vanderbilt Center for Better Health, September 13- 14, 2006, Nashville TRUST Participants: Cornell, Stanford, Vanderbilt- ISIS, – Biweekly Modeling Working Group meetings Participants: ISIS, Vanderbilt Medical School, Vanderbilt Medical Center 4

5. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis5 TRUST Meeting at the Vanderbilt Center for Better Health 5

6. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis66 Another Effective Form of Knowledge Transfer

7. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis7 Healthcare Industry Outreach The Nashville area is home to nearly 300 health care companies operating on a multi- state, national, or international basis, with more than 250 professional service firms (e.g., accounting, architecture, banking, legal) with expertise in the health care industry. Nashville-based health care companies account for more than $62 billion in annual revenue and 336,000 jobs globally. 7

8. TRUST 2 nd Year Site Visit, March 19 th, 2007"KT-EMR Project", G. Karsai, J. Sztipanovtis8 Vanderbilt HealthTech Laboratory VU announced the formation of the industry focused Vanderbilt HealthTech Laboratory with expected starting date in June 2007. The TRUST EMR project is part of the planned technology portfolio. We expect a strong industry transitioning activity in SOA-based Health Information Systems and In-Home Patient Monitoring Yuan Xue started working with Vanderbilt Home Care Services 8