Post on 22-Oct-2014
description
transcript
Risks and Opportunities Map
Health Related Information
Ancient map makers drew whatthey knew and then noted:Beyond here there be dragons!This map acknowledges that there are, to this day, dragons.
Medical information is rapidly moving from paper records to electronic formats and new sources of information are being added. The electronic formats provide opportunities to capture, store, share and use information in new ways. These new ways create risks and opportunities.
Most of the elements identified and discussed here have been identified and discussed by others. What is new, is a broader view of more elements at the same time and their interdependencies.
It is these interdependencies that pose risks and create opportunities.
Agenda:• A Large and Growing Market• The Historic Simple Map• The Near Term Complex Map• Risks: Litigation• Risks: Data Sharing• Opportunities: Better Needles &
Haystacks• Opportunities: More & Better Data• Opportunities: The Power of Large
Numbers
Health Information: A large and evolving market
• Part of $19 billion for Medicare and Medicaid Health IT funded by the American Recovery and Reinvestment Act of 2009
• Hundreds of independently developed electronic medical records systems being offered in the market place; scope ranges from single practitioner systems to systems for hospital groups
• One vendor claims 30,000 doctors; their system is free and revenue from the health information is part of their business model*
• There are evolving changes in provider/patient interfaces § and new, non-traditional formats for routine delivery of health care
• There are “captive” and independent information systems for participants: Google Health and Microsoft Health Vault dominate
• Telemedicine, a major source of data is now a $3.9 billion category
The Historic Simple Map
Structure: Near-Future Complex Map
Dozens of providers share data (not files) about a participant.Participants have data too.
Major Elements: Near Future Model
Beyond here
there be dragons
HistoricSimple
Near FutureComplex
Increased Complexity
=Increased Risk
LitigationThe threat of litigation will continue but the form will be different:• Fewer errors. • Better
standards for care – what is required?
• Better records about what happened.
• Easier identification of parties
Increased Risk
Data Sharing
A lab report is sent to the doctor with a link back to the lab. If that link is not removed by the doctor it could be passed to a social network thereby creating a risk to records in the lab and along the entire path.
Controls need to be in place to assure that required sensitive date is properly cared for.
Increased Risk
Increased Participation,
Connectivity, &
Database Size
=Increased
Opportunity
Increased Opportunity
Better ways to findneedles of information …
Increased Opportunity
… in more large haystacks of data because of large populations andcentralized databases.
Increased Opportunity
Link to information from non-traditional sources:• iPhone apps• Telemedicine• Urgent care facilities• Intel’s studies on ageing• PatientsLikeMe.com
Increased Opportunity
Access to more history as time passes to providebaseline for research
Increased Opportunity
Track large percentages ofparticipants of new medsand procedures:• Earlier assessment of risk• Identification of variables
Increased Opportunity
Track procedure and drugInteractions across larger populations allowinganalysis of variables
Increased Opportunity
Increased sharing ofInformation among participants, e.g., PatientsLike Me: better informed andbroader choices
Increased Opportunity,
Better data to set standardsof care for management, insurance and litigation
Increased Opportunity
The power of large numbers:Search for 1 patient in 1,000Database of 30,000 doctors250 patients per doctorFind 7,500 candidates
Increased Complexity
Increased RiskIncreased Opportunity
… and dragons
Healthcare Information
• Practice Fusion: Free EMRs http://practicefusion.com/• How Can Healthcare Software be Free? http
://goo.gl/r9BP• PatientsLikeMe : Patients Helping Patients Live Better
Every Day – sharing personal health information: http://www.patientslikeme.com/
• Patients Like Me Partners: With PatientsLikeMe, you get instant access to structured, real-world patient data — reported via clinically validated outcome management tools — as well as large, engaged patient communities. And you get it now, without the red tape.
• http://partners.patientslikeme.com/products/• Take health care off the mainframe A TEDMED
presentation about Intel’s research using the way older people use their telephone to track changes in health. http://goo.gl/vALK
• Online Care: Internet links for doctors and patients http://americanwell.com/products.html
Contacts:• LinkedIn• EMRnet (blog: Exploring the value and complexity
of networked electronic medical records) • hal9007@gmail.com
References