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Risk & Opportunities: Healthcare Information
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Risk & Opportunities: Healthcare Information


Risks and Opportunities: Healthcare Information …

Risks and Opportunities: Healthcare Information
The big picture of electronic medical records

Published in Health & Medicine , Business
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  • Information Storage trends
  • 1.EMR Experts list 210 vendors, Jan 2010: Practice Fusion New York Times: There is a data explosion occurring in healthcare. Frost & Sullivan's "2004 Healthcare Storage Report" predicts that by 2010, medical centers will need to be equipped to hold almost 1 billion terabytes of data, or the equivalent of 2 trillion file cabinets worth of information.


  • 1. 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.
  • 2. 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
    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.
  • 3. 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
  • 4. The Historic Simple Map
  • 5. Structure: Near-Future Complex Map
    Dozens of providers share data (not files) about a participant.
    Participants have data too.
  • 6. Major Elements: Near Future Model
  • 7. HistoricSimple
    Near FutureComplex
    Beyond herethere be
  • 8. Increased Complexity
    Increased Risk
  • 9. Litigation
    Increased Risk
    The threat of litigation will continue but the form will be different:
    • Fewer errors.
    • 10. Better standards for care – what is required?
    • 11. Better records about what happened.
    • 12. Easier identification of parties
  • Data Sharing
    Increased Risk
    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.
  • 13. Increased Participation,
    Connectivity, &
    Database Size
  • 14. Increased Opportunity
    Better ways to findneedles of information …
  • 15. Increased Opportunity
    … in more large haystacks
    of data because of large populations and
    centralized databases.
  • 16. Increased Opportunity
    Link to information from non-traditional sources:
    • iPhone apps
    • 17. Telemedicine
    • 18. Urgent care facilities
    • 19. Intel’s studies on ageing
    • 20.
  • Increased Opportunity
    Access to more history
    as time passes to providebaseline for research
  • 21. Increased Opportunity
    Track large percentages ofparticipants of new medsand procedures:
    • Earlier assessment of risk
    • 22. Identification of variables
  • Increased Opportunity
    Track procedure and drug
    Interactions across larger populations allowinganalysis of variables
  • 23. Increased Opportunity
    Increased sharing of
    Information among
    participants, e.g., PatientsLike Me: better informed andbroader choices
  • 24. Increased Opportunity,
    Better data to set standardsof care for
    management, insurance and
  • 25. Increased Opportunity
    The power of large numbers:
    Search for 1 patient in 1,000
    Database of 30,000 doctors
    250 patients per doctor
    Find 7,500 candidates
  • 26. Healthcare Information
    Increased Complexity
    Increased Risk
    Increased Opportunity
    … and dragons
  • 27. Practice Fusion: Free EMRs
    How Can Healthcare Software be Free?
    PatientsLikeMe : Patients Helping Patients Live Better Every Day – sharing personal health information:
    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.
    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.
    Online Care: Internet links for doctors and patients
    EMRnet(blog: Exploring the value and complexity of networked electronic medical records)