Collaboration for Health Information Technology

As a community of practice in dental medicine, we work together to guide ICE Health Systems to advance education, health and research through the use of state-of-the-art technology. We now also work together to take full advantage of this technology in new and exciting ways that improve student learning, research and patient care.

In doing so, we are committed to accomplishing the following for our profession:

  • Efficient clinical experience
  • Support learning
  • Dynamic data access
  • Support research standards
  • Enhance collaboration and communication
  • Exceed security regulations
  • Foremost software engineering practices
  • Robust interoperability

To develop the next generation health record system, we spent more than two years defining and documenting a recommended standard for our profession. While continuously updated, this is the summary document from which ICE has been created.

Recognizing the importance of protecting health information combined with increasing regulations, we agreed to demonstrate a new standard of security and compliance for healthcare. The Collaboration members agreed that external security audits conducted annually would be a requirement for success. In November, 2015 and 2016 the first such audits were completed by the information security team at the University of Michigan, School of Dentistry. Michigan’s work with ICE to continually improve security continues. Please see Dr. Lynn Johnson to discuss this process and the audit reports further. ICE is now working toward ISO 27001 certification.

Our work has resulted in an extensive Enterprise Customer Agreement (ECA) that protects the schools, their students and their patients. Important elements of the ECA include:

  • Business Associates Agreement
  • Service Level Agreement
  • Security commitment
  • Transparent pricing
  • Protection of data
  • Opportunity for Governance to ensure the system continuously evolves with or ahead of the profession’s requirements

Faculty and staff collaborate through working groups to continually refine ICE:

  • Overall collaboration met numerous times over the course of approximately 15 months to establish core requirements, on which the committees are now expanding.
  • Charting and treatment planning (patient care deans have met approximately 25 times and continue to meet)
  • Finance (5 representatives have met approximately 50 times and continue to do so)
  • Standards: e.g., Caries classification and management system, SNODDS, International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH), ISO 27001 (working towards)
  • Documenting and updating requirements on an ongoing basis
  • Data migration and implementation strategies
  • Innovation working groups such as Telehealth are leading the technology forward to another generation
  • As part of their final decision making process, the University of Michigan conducted a detailed cost analysis comparing the costs of the Collaboration’s ICE solution to those of their current EHR. Please see Dr. Lynn Johnson to discuss the results of their analysis.

To move our efforts forward we have started to publish our work and look forward to much more. Publications emanating from our collaboration include:

  • C. Luz. Cloud Computing Comes to Dental School and Your Future Practice ASDA News. Mar. 2013. online digital publishing
  • Spallek, H., Johnson, L.A., Kerr, J., Rankin, D. Costs of Health IT: Beginning to Understand the Financial Impact of a Dental School EHR. Journal of Dental Education. 2014; 78:1542-1551. jdentaled
  • Spallek, H., Converting Data Cemeteries into Sources of Knowledge: Is Dentistry a Computable Industry? Journal of the Academy of Distinguished Editors. 2016; 11: 20-24: jade_v4_spallek.pdf

We have delivered numerous presentations at conferences such as:

  • ADEE: 2016, 2017
  • ADEA: 2014, 2015, 2016, 2017
  • Internet2 Global Summit: 2014, 2015, 2016
  • Association of American Medical Colleges: 2013
  • IADR: 2015, 2016, 2017
  • EDUCAUSE: 2014, 2015

In addition to these efforts, we have been refining our collaboration structure in order to welcome more schools to participate. We hope you will consider joining our effort.

For more information see:

  • About the Collaboration
  • Oral Health education and research
  • Collaboration Bylaws (adopted in 2016):
  • About ICE Health Systems
  • Costs of Health IT (video)
  • Dentistry in the cloud: Molding electronic health records to research and education
  • Collaboration Vision and Strategic Goals
  • Three Things That The University of Michigan School of Dentistry LOVES about ICE
  • Continuous Learning Health System
  • Dentistry Schools Move Forward with New Health Record System