Challenges for Large Hospitals/Health Systems

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Response by Alexander M. Nason, MBA, MHA, Program Director, Office of Telehealth and Interactive Learning, Johns Hopkins Medicine

Published in: Health & Medicine, Technology
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Challenges for Large Hospitals/Health Systems

  1. 1. Challenges to Telehealth in Academic Medicine Alex Nason Program Director Office of Telehealth and Interactive Learning
  2. 2. Historic Billings Building
  3. 3. New Clinical Building
  4. 4. Expanding Our Global Presence
  5. 5. IT @ JHM - Critical Juncture • ‘Entity centric’ to ‘Patient centered’ • Single tightly integrated solution • Patient centered care requires coordination of care across JHM • Enable operational efficiencies, cost controls, and productivity • Achieve quality and patient safety well beyond meaningful use • Requires careful TCO and ROI analysis • Require redesign of care
  6. 6. The Origins of JHM Education Research Clinical Care
  7. 7. Consumerism in Health
  8. 8. Challenges • Human Factors and Culture • Acceptance by Physicians/Patients/Users • IT Department • BYOD/Security • Reimbursement • Costs • License / Regulatory • Evaluation and Research
  9. 9. Challenges • Business Planning – Sustainability • Training • Communication • Cultural Considerations • Environment • Local Legal Issues • Time Zones (DST)
  10. 10. Real World Problems • Acute Care Response • Stroke • Chronic Disease Management • Diabetes, Obesity, CHF • Physician Shortages • i.e. Intensivists • Global Issues • Pandemic Flu • SARS • Hurricane Katrina - Asian Earthquake • Bio-terrorism • Global Economics
  11. 11. Things to Consider • Social Networks / Social Media • Wisdom of Crowds • Research….Research …Research • Clear question • Education / Training • Documented approach • Security/Theft • Efforts to ensure VALIDITY • Accountable Care Organizations • Patient Protection and Affordable Care Act
  12. 12. A Whole New Mind – Daniel Pink Left Brain • Sequential • Logical • Textual Right Brain • Holistic • Intuitive • Non-Linear

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