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Health Care Information Technology

Health Care Information Technology. A Look at How Technology is Shaping our Future…. 1950. 2009. 1978 – IBM Mainframe. 1983 – IBM Personal Computer . 2010 – Medical Grade Tablet Computer. 2010 – Apple iPad. Knowledge Management today. Clinical Knowledge Management

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Health Care Information Technology

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  1. Health Care Information Technology A Look at How Technology is Shaping our Future…

  2. 1950

  3. 2009

  4. 1978 – IBM Mainframe

  5. 1983 – IBM Personal Computer

  6. 2010 – Medical Grade Tablet Computer

  7. 2010 – Apple iPad

  8. Knowledge Management today • Clinical Knowledge Management • 20,000 biomedical journals • 500,000 indexed in PubMed annually* • >150,000 articles per month • 6,000 articles a day • 2,618 active performance measures • 231 active P4P measures • 100,000 genetic tests over next few years • “More data over the last 3 years than previous 40,000 years combined” Medical References Services Quarterly A Roadmap for National Action on Clinical Decision Support Deloitte Consulting Report

  9. It’s only a matter of time… At 10 per hour… 627hours per month (there are only 720 hours in a month!) If a Physician, Nurse, or Researcher focused on reading only articles highly relevant to their clinical specialty they would need to read 7,200 articles…

  10. Our Changing Model of Patient Care Today • Characteristics • Unit Clerk Order Entry • Care is documented throughout the process, inconsistent and paper-based • Challenges • Inefficient processes for meds management, documentation and orders • Patient safety risks from fragmented data • Challenging communications Tomorrow • Characteristics • Critical information delivered to the clinician via state of the art technology • Clinical model of care built by clinicians leveraging clinical research and evidence • Improvements • Elevated patient care standards • Improved consistency and communication • Integrated clinical decision support • Improved patient outcomes

  11. Proposed Approach to Tomorrow’s EMR Agree upon the New Model of Care Vision • In order to improve Patient Outcomes: • Transform Patient Care Standards • Adopt Evidence-Based Best Practices for Patient Plans of Care and Order Sets • Integrated Decision Support leveraging Technology, Research and Experience • Electronic Medical Record: available anytime – always up to date • Access to all clinical information fully supporting our mobile care-givers • Quality alerts, reminders, and clinical references to support our processes and advance our commitment to care quality • Timely and efficient recording of clinical information - available everywhere The Clinical Vision and Transformation will not be realized until all of these elements are implemented!

  12. Building a Leadership Alliance • How would you describe your Clinical System Initiatives? • A Clinical Transformation Project that uses advanced information technology to achieve improved clinical care, quality outcomes, and a better patient experience • An Information Technology Project that uses Clinicians

  13. CMIO Role and Key Success Factors • The CIO must take a twist on servant leadership in their relationship with the CMIO… • It’s not about the technology… • The CMIO must own the success of the clinical transformation • Ability to inspire doctors towards the vision • Collaborator – excellent at bringing groups together and building consensus • Unwilling to sacrifice #1 for #2 • Ultimate communicator

  14. Do Organizations Need A CMIO? • If the CIO is not a doctor what else can we say about him/her… • They are not knowledgeable in clinical practices • They will never be mistaken for a doctor • They are not influential in the ways of the doctor • They will have limited success in telling doctors what to do… • Only in the best of situations will they every be even slightly trusted by doctors (from the physician’s viewpoint)

  15. Resources The Dale Sanders Blog CIO of the Cayman Islands National Health System http://callitanything.blogspot.com/ Nuepert on Health Blog Peter Nuepert Corporate Vice President, Health Solutions Group, Microsoft http://blogs.technet.com/b/neupertonhealth/ Healthcare Informatics IT strategy for CIOs, clinical informaticists, and other healthcare information technology leaders. Healthcare Informatics provides insight on and analysis ...www.healthcare-informatics.com/ Modern Healthcare Healthcare business news from Modern Healthcare www.modernhealthcare.com Life as a Healthcare CIO Blog John Halamka, MD http://geekdoctor.blogspot.com/

  16. Questions?

  17. My Lessons Learned and Not So Famous Quotations • If you stick to your core values you will be self correcting. There is no greater strength than to be self correcting. • Never forget who the customer is. If you cannot demonstrate commitment to your customers goals – if you put your goals first they will know it and you will not be their partner. If you commit to their success , your success will be an inevitable outcome. • We are not in the technology business, we are in the healthcare business. The best we can do is be a great support organization. If you cannot gain fulfillment be being great at supporting the true stars of our organization you need to work someplace else.

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