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The value of health care information technology
University of Southern California HMGT601 FALL 2018
Why we need HIT
Healthcare Reform Requirements ⬜ ARRA (2009)- Meaningful Use ⬜ HITECH Act as part of ARRA ⬜ PPACA (2010)
Patient satisfaction and safety improvement ⬜ HIT can build patient trust and conOidence ⬜ Saves lives
Quality and costs improvement
Why we need HIT (cont.)
InefOicient processes/ lost productivity ⬜ IT “silo” processes generate inefOiciencies
Lack of system interoperability ⬜ Drives rework (decreases productivity) ⬜ Increases data communication risks
Innovative growth drives market share growth ⬜ Telemedicine/remote monitoring opens new markets
BeneOits of HIT
Better/faster access to patient records ⬜ Provides interoperability ⬜ Instant access during visit ⬜ Order and schedule treatments real-time
Improved quality and documentation of patient records ⬜ Typed records improves legibility ⬜ Patient and physician feedback captured real-time
Reduced cost of care ⬜ Better record keeping/ avoids rework ⬜ Improved billing processes/ increased accuracy of billing
Administrative costs savings ⬜ Manual processes reduced/eliminated such as Oiling, storage
BeneOits of HIT (cont.)
Security of records ⬜ Log-on requirements, encryption, access authorities all provide better security
Patient safety and empowerment ⬜ Treatment algorithms, bar-coding, and built in reminders have improved patient safety
⬜ Patients can receive copies of their medical records to enable better management of their health
Improved efOiciencies ⬜ Automation, search capabilities, and built-in checkpoints
Meet the requirements of legal and regulatory agencies such as JCAHO, CMS, and reforms.
Case Study Pro8ile: Humana Cares, a division of Humana, provides support and customized coaching for more than 160,000 older adults with chronic illnesses, their families, and caregivers across the country.
Need: Humana searched for the best way to reduce hospital readmission rates and the associated costs for congestive heart failure (CHF) patients. Humana needed to increase member self-management of CHF
Solution: Humana Cares developed an extensive support program for CHF patients in 33 states, which included daily biometric monitoring and education with the Intel-GE Care Innovations Guide platform. The program was designed to affect behavior change and create lifelong habits
Short-Term Impact (<12 mo): ⬜ 80% adherence rate by members who opted to have daily biometric monitoring ⬜ 94% of members said the Guide was easy to use, 90% said they felt more connected to
their nurse, and 93% would recommend it to their friends ⬜ Positive anecdotal feedback from members that the Guide has helped them develop
positive lifelong habits and better manage their chronic conditions ⬜ Enabled Humana to reach CHF patients in remote areas that may have otherwise gone
unmonitored for long periods of time The Future: Humana Cares plans to evaluate the success of the program by measuring ROI, admission and readmission rates for members with CHF, as well as ER visits for members with CHF.
Overview of HIT Platform Humana used
KPI/ Dashboard Metrics
Several dashboards are needed ⬜ Clinical:
■ Outcome results ■ Safety Olags (wrong meds, falls, etc)
⬜ Patient: ■ Satisfaction ■ # new patients ■ Readmissions/ walkaways
⬜ Financial ■ Revenues / Billings / unbilled revenue ■ Costs per patient per treatment ■ % of CMS billings paid
NOTE: This is very dependent on type of
healthcare organization as well as management level.
Dashboards should be developed for
relevancy and to drive behavior
Gartner research
Gartner research
Barriers still facing HIT
High start-up costs can be signiOicant barrier to small/mid-level organizations
Loss of productivity as organization manages through the implementation, training, and new system
Lack of knowledge of “best-Oit” systems may drive hesitancy to move forward
Organizational culture slow to adopt change
Questions
What do you think the future is for health care information technology? What are some ways augmented reality can be used in health care? How can health care organizations sustain the learning curve for their employees on HIT?