Intervention While the Patient Is Still Healthy
First Published Friday, 18th May 2012 02:31 pm from TIBCO Software : Chris Taylor
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alt="" width="300" height="180" />New-to-healthcare
technology brings significant disruption to the traditional
healthcare technology market for one simple reason, laid out in a
Healthcare: "By definition, the
legacy HealthIT vendors have optimized their
solutions around the legacy reimbursement and
delivery models that have created the hyperinflation in
healthcare crushing family, business, and government
Lean and Six Sigma techniques, data
analytics, business events and process technology will be used to
break the reimbursement model and its attendant software
This is a veritable sea change. What
was locked into paper records is now being captured for the first
time in electronic medical records (EMRs). By itself, this is
simply shifting from paper to an electronic record. That won't be
enough. Smart healthcare will go further and manage
many data sources simultaneously. It will be able
to sort through this new avalanche of data to find the
information, often a combination of data from multiple systems,
which can predict problems and allow for intervention before an
expensive crisis occurs. This borrows from the way banks detect
credit card fraud and is easily applied to avoiding healthcare
mistakes and intervening early.
technology also underpins the collaboration necessary for
cross-network accountable care described by Seattle Children's
Dr. Jeffries in href="http://www.thetibcoblog.com/2012/05/08/healthcare-you-cant-improve-what-you-cant-measure/">Healthcare,
You Can't Improve What You Don't Measure.
The rise of social media means that what has progressed from
paper to fax to email is now moving to href="http://www.tibbr.com/">enterprise social
networks as the most secure and effective
way to draw together the patient and a network of healthcare
providers, or to connect health insurance to
healthcare delivery. While reform was designed to reward
cooperation, Medicare, Medicaid and insurers have the power to
incent this to continue, even without
Howard Landa, Chief Medical Information Officer at Alameda County
Medical Center, and href="http://www.amdis.org">Association of Medical Directors
of Information Systems President calls it,
"…looking at the entire population and their health rather
than focusing on the provision of clinical care." Landa forecasts
that, "…clinical decision support will extend beyond alerts
and reminders to presenting information in a more efficient,
timely and usable manner so that we can do the
right things with the right information in the right
moments that matter."
technology, there have historically been limited methods for
advances in process, treatment or technology in one healthcare
organization to be readily compared, understood, and adopted
elsewhere. Analytics performed for both improvement projects and
patient care need to be "attached" to
standardized healthcare work. This has been done in other
industries through the use of frameworks like href="http://www.itil-officialsite.com/"> ITIL for
information technology, href="http://supply-chain.org/scor">SCOR for supply
chain management and href="http://www.apqc.org/PCF">APQC's PCF for
enterprise-level process management. A healthcare
framework is the key ingredient for communication.
Responding to this, the latest href="http://www.healthit.gov/buzz-blog/from-the-onc-desk/2012-year-meaningful/">requirements
put out by the Federal Government's National Coordinator, Dr.
Farzad Mostashari, make it clear that collaboration must be
available across organizational boundaries.
"The framework opens the door to process improvement, a
structure for social conversations, and managing metrics and
events. The organizations that understand this will be the
leaders of the future," says APQC's Executive Director of
Research Services Ron Webb. Webb is actively engaging healthcare
professionals to bring about such a framework.
All of these changes go far beyond legislated reform and
relate more to the healthcare dynamics that, as Dr. Landa says,
"…are driven by an aging population, provider shortages and
a burning need to align payment with quality."
Digitization is the reality of
healthcare that has little to do with
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