“Health Information Technology for dummies: what I wish I had known before implementing HIT in a rural region”

Chia sẻ: Rose_12 Rose_12 | Ngày: | Loại File: PPT | Số trang:33

Thêm vào BST

Báo xấu

62
lượt xem 4
download

Download Vui lòng tải xuống để xem tài liệu đầy đủ

Health information technology (HIT) provides the umbrella framework to describe the comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, government and quality entities, and insurers. Health information technology (HIT) is in general increasingly viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system (Chaudhry et al., 2006). Broad and consistent utilization of HIT will:...

Chủ đề:

Bình luận(0) Đăng nhập để gửi bình luận!

Lưu

Nội dung Text: “Health Information Technology for dummies: what I wish I had known before implementing HIT in a rural region”

“Health Information Technology for dummies: what I wish I had known before implementing HIT in a rural region” Kiki C. Nocella, PhD, MHA University of Southern California June 5, 2006
Rural California
Rural Medical Service Study Areas Frontier – less than 7 persons per square mile Rural – less than 250 persons per square mile Non-Rural 80% of land mass 14% (and growing) of population live in rural California 4.9 million residents Source: 2000 census data
Market Area (Tehachapi, Mojave, California City)
Crossing the Quality Chasm in Southeast Kern County Population Centers in Southeast Kern County are: Tehachapi (population 34,383) ¹ • California City (population 8,385)² • Mojave (population 3,836)² • Boron (population 2,025)² • North Edwards (population 1,227)² • 1. Tehachapi Chamber of Commerce (2006 projected) 2. 2000 U.S. Census
The Basics….vital statistics of SE Kern • Second worst county in State for rates of Chlamydia (57th out of 58) • 3rd largest and the 7th poorest of California’s 58 counties. • Deaths due to diabetes, 47th out of 58 • Deaths due to coronary artery disease, 56th out of 58
98.7% outward migration for inpatient care Hospital Discharges of Patients living in southeast Kern 1.9% 0.8% 2.3% 1.2% 1.8% 1.3% 0.7% 3.9% 0.7% TVHD 0.5% 0.5% 7.2% 9.7% 9.5% 10.0% 47.0%
Our Project Infrastructure • Telemedicine • EHRs and CHIE • PHRs • Diabetes Education • Health professions training • EHealth Alerts •
What we knew going in…. There would be uglies under the carpet • There was no trust • Unknown capacity • It’s “perfect” •
Successes Collaboration • Communication • Network expansion • Process vs. Task •
Lessons learned….and still learning
Let’s start with the basics Does anyone have a 3pronged outlet?
Why does it have to be so difficult? Teleopthalmology….4 reimbursement models EHRs and HIE – from a layperson’s perspective Or…..am I an idiot?
You’re going to need more than one item on the menu…. And a chef who can cook it all!
Can anyone spell “CPT Code”? ….let alone get one? • K.I.S.S.
I AAFP Price Quote Price Quote Willingness Server Ranking t’s 1st Provider Additional Maintenance Fee Training Fee to Partner / Placement Score (Software) Providers Notes (n) A Yes lo Additional $4,500/mid-level cost to 18%/year of Encounter Pro $6,500/provider $1000/medical ~$100/hr/day In-house/ASP interface-- 3.72 (10) Software license t o assistants_practice depends on software license/applica f W tion MedAppz Free Free
Follow the energy…. Even if it means not issuing and RFP. SUCCESS!!