The Next Revolution: The Role of Informatics in Improving Health Care
Informatics and the New Healthcare System
Slide Presentation by Bruce Bagley (Text Version)
On July 25, 2001, Bruce Bagley, M.D., made a presentation during the Web-assisted teleconference, The Next Revolution: The Role of Informatics in Improving Health Care entitled "Informatics and the New Healthcare System."
This is the text version of Dr. Bagley's slide presentation. Select to access the PowerPoint® slides (2.3 MB).
Slide 1
Informatics and the New Healthcare System
Information Technology Will Provide the Platform for Quality
Improvement in Healthcare for the 21st Century
Bruce Bagley
July 25, 2001
Slide 2
"Informatics in Medicine"
"The Integration of Computer Technology
and Support Into Every Aspect of the Art, Science and Business of Medicine"
Slide 3
What Does the New Environment
Look Like?
- Cost conscious.
- Customer driven.
- Web connected.
- Information rich.
- Best practices known by all.
- Patients will become informed purchasers.
- Safety, quality and accountability expected.
Slide 4
We Simply Will Not Be Able To Provide High Quality Cost
Effective Care Without Information Technology Support!
Slide 5
Information Technology
Support for Clinicians Should:
- Improve system consistency and reliability.
- Assure precision in medication prescribing and distribution:
- Avoid
prescribing meds for allergic patients.
- Alert
clinicians to potential drug interactions.
- Reliably
transfer Rx information to pharmacy
- Support appropriate patient education.
Slide 6
Barriers
To Acceptance of Redesign Ideas
- Most physicians are currently overwhelmed.
- Change takes new or reallocation of resources.
- Long rather than short return on investment (ROI).
- Often will require significant "culture change" within
the organization.
- Requires information technology (IT) support often not
available
Slide 7
Barriers to Acceptance
of Information Technology
- Lack of organization and systems thinking in the current
practice of medicine.
- Fear of reduced productivity in a narrow margin business.
- No apparent financial incentive to change.
- Financial barriers—no capital.
Slide 8
Electronic Medical Records
(EMR)
- Add to office efficiency.
- Reduce errors and miscommunication.
- Allow population management.
- Automate protocols and reminders.
- Offer just in time education.
- Provide decision support.
- Have the potential to test competence.
Slide 9
Practice Management
Software
- Accounting and billing.
- Scheduling.
- Practice management reports.
- Electronic claims submission.
Slide 10
EMR Functionalities
- Intra-office messaging.
- Prescription writing.
- Order entry.
- Lab result reporting.
- Referral generation.
- Super-bill/coding.
Slide 11
EMR Functionalities
Office visit entry:
- Nursing note (visit agenda).
- Vital signs.
- Medication list:
- Drug interactions.
- Allergies.
- Formulary compliance.
- Physician's note:
- Dictated, voice
recognition, pick lists, keyboard.
Slide 12
Bonus EMR Functions
- Genograms.
- Flow sheets and graphing.
- Consults and imaging reports.
- Patient photographs.
Slide 13
The Role of The Internet
in the Future Practice of Medicine
- Patient access to providers: E-mail to your primary care physician.
- Patients using the Internet to learn about their own symptoms or disease.
- Physicians accessing the latest evidence-based information related to diagnosis
and treatment.
- Community-based EMRs and data warehousing.
- Ongoing patient education and monitoring.
Slide 14
Using The EMR To Document
Performance Measures
- Relational data base allows data extraction.
- Disease registries already in the system.
- Physician specific data.
- Outcomes measures.
- Clinical research.
- True test of competence.
Slide 15
"Crossing The Chasm"
This slide displays a picture of the Institute of Medicine Report entitled
Crossing the Quality Chasm: A New Health System for the 21st Century.
Slide 16
Institute of Medicine
(IOM) Report
"Crossing The Quality
Chasm"
The Care should be:
- Safe.
- Effective.
- Patient-centered.
- Timely.
- Efficient.
- Equitable.
Slide 17
Flock Of Birds
This slide displays a flock of birds.
Slide 18
IOM's Ten Principles
- Based on continuous relationships.
- Customized to patients' needs and values.
- Control resides with the patient.
- Sharing knowledge with the patient.
- Clinical decisions should be evidence based.
Slide 19
IOM's Ten Principles (continued)
- The care system should be safe.
- The health system should be transparent.
- The system should anticipate patient needs.
- The system should not waste resources or patients' time.
- Cooperation to ensure exchange of information and coordination of care.
Slide 20
Primary Care Business Model
- Seldom has business plan or future strategy.
- No contribution to capital reserves.
- Narrow margin business.
- Risk averse.
- Little motivation to change.
- Physicians try to provide management while maintaining full clinical responsibilities.
Current as of August 2001
Internet Citation:
Bagley, B. Informatics and the New Healthcare System. Slide Presentation (Text Version) presented at The Next Revolution: The Role of Informatics in Improving Health Care, Web-Assisted teleconference, July 25, 2001. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/news/ulp/informat/bagleytxt.htm
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