2. Key Long-Term Healthcare Issues:
Access, Cost and Quality
• Global Economic Crisis increasing focus on cost
of healthcare
• Burgeoning older populations
- Chronic diseases: diabetes, hypertension, heart failure
- Cancer
- Orthopedic issues
• Concern over quality issues
• Clinical shortages
3. The practice of medicine and delivery
of healthcare services will undergo
profound transformation during the
coming decade. Principles, operating
models, and process will be changed
to resulting in a trust-but-verify
ecosystem.
The transformation is triggered as
much by information as by reform.
4. Topics
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
5. Agenda
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
6. Healthcare Reform:
The Preferred Model of Care Is Revealed
Value-based
Centered Care Continuous Care
"Net present value of health … "The doctor is in …
locally." you."
Physically Present Virtual
Activity-based
Herky-Jerky Care Convenient Care
"When illness "Your e-doctor will
overcomes inconvenience." see you now."
7. Agenda
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
8. The RTHS Provides Visibility to
Critical Events
Alerts
Sensors &
Notifications
Administrative
Systems
Event-Handling
Systems
Business
Processes Filtering
Correlation Business
Aggregation Activity
Dissemination Monitoring
Building
Systems
Process &
Outcomes
Point-of-Care Analysis
Systems
Communications BI/Data
Systems Warehouse
9. Agenda
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
10. Changing Clinical Arena
• Greater pressure to control costs and improve quality
• Increased transparency of value
• A risk-sharing payment model distributed across
the entire delivery system and tied to value
• Reconfiguration of the delivery system to a more
patient-centric model that includes prevention,
wellness and disease management
• Increased meaningful use of technology
• Demand for coordinated care across all venues
• Greater emphasis on personalized medicine
11. Agenda
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
12. Clinical Content Management and
Analytics Are the Keys for Success
Fully
Connected Wellness
EHRs Future
Integration and Automation
Coordinated
Predictive
Proactive
Presymptomatic Personalized
Treatment
Today
Isolated
Episodic
Reactive
Isolated Generalized
Mounds
of Paper Analytics
Data Information
13. Powerful Clinical Decision Support is
Required and is Not Only for Physicians
Workflows need to encompass a team approach and may
eventually need to cross organizational boundaries.
Scientific
Discovery
Order Sets
Alerts, Reminders
Guidelines
Intelligent Templates
Analytics
EHR
14. Agenda
1. What are the most-significant forces driving
change for health systems?
2. What are the key characteristics of the
"real-time health system“ and how will IT change
as a result?
3. What is collaborative care, and what are the IT
requirements?
4. What is the future of electronic healthcare
record systems?
5. What is the current and future stake of
healthcare technologies and applications?
Hinweis der Redaktion
With the possible exception of the turn of the last century, following the publication of the Flexner report (calling for more standardization of medical education based on the fundamentals of science), healthcare has never been more poised for significant change than in the current decade. Governments have recognized that the current situation of ever-escalating healthcare costs and demands, along with questionable quality, is untenable, as is one likely alternative — rationing. Instead, we are seeing greater demands for cost control, but with the added feature of demonstrable improvements in quality. This fundamental shift includes a focus on increasing transparency of value — what benefits we're getting and we should be getting for the money spent. Furthermore, healthcare providers and, to a lesser extent, healthcare consumers are increasingly being asked to participate in risk sharing. Isolated, episodic, generalized and reactive care is changing to become care that is more coordinated, predictive, proactive and personalized. This requires much greater use of clinical IT and more-collaborative care across all care venues. The train is coming, and HDOs and clinicians must be prepared to be onboard with the concept, rather than getting run over.
