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Cite colegio 2012

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Cite colegio 2012

  1. 1. Salud, Información y Tecnologías…..¿ hacia dónde vamos ? Dr. José Sánchez Lugo Escuela Graduada de Ciencias y Tecnologías de Información
  2. 2. Agenda temática… Servicios de SALUD HIT, HIE, y otras… Información Competencia tecnológica E -salud …. M-salud
  3. 3. Datos sobre la salud en PR • Deterioro notable en la salud pública • Costos crecen sin control • Limitaciones, exigencias y potencial • Necesidad e importancia de la información sobre salud
  4. 4. Deterioro en la salud pública * • Al inicio de la década Puerto Rico gastaba $3,324.00 per cápita en servicios de salud. • La expectativa de vida era de 78.5 años. * Alameda y Ramírez, 2012
  5. 5. Con esa inversión…* Puerto Rico debia tener una expectativa de vida de 81 años. Paraguay tenia una expectativa de vida de 75.8 años pero invierte sólo $159.00 per cápita… * Alameda y Ramírez, 2012
  6. 6. Los costos son demasiados y siguen subiendo
  7. 7. Pero la calidad no… - Los retos en el área de los servicios de salud se debaten diariamente en el país. - Se anuncian nuevas iniciativas…
  8. 8. Health Information Technology for Economic and Clinical Health
  9. 9. Administración e Intercambio Electrónico de Información de Salud de Puerto Rico Ley Núm. 40 del año 2012 - cumplir con la ley federal - El objetivo del IEIS es facilitar el acceso a y la recuperación de datos sobre el cuidado del paciente de una manera más segura, oportuna y eficiente.
  10. 10. Propósito de un sistema de IEIS • “ Utilización significativa” (meaningful use). • Coordinador de Informática Médica de Puerto Rico. • Permite una mayor y mas profunda estructura para la información médica • Establece una verdadera mirada sistémica a los servicios de salud desde la prevención hasta la intervención.
  11. 11. Propósito de un sistema de IEIS Mayor seguridad Mayor eficiencia Mejor servicio
  12. 12. Meaningful Use The meaningful use of health information technology provides the potential for greatly increasing the health of our citizens more than ever before. It offers the potential of greater efficiency, accuracy, and lower costs through the effective use of health IT. This includes maintaining and sharing patient information, electronic invoicing, home-based health monitoring for early detection and consistent treatment, and interoperable, global data exchange for tracking of contagious diseases. Olga Rodriguez de Arzola, MD, FAAP Interim President & Dean Ponce School of Medicine
  13. 13. Meaningful Use The meaningful use of health information technology provides the potential for greatly increasing the health of our citizens more than ever before. It offers the potential of greater efficiency, accuracy, and lower costs through the effective use of health IT. This includes maintaining and sharing patient information, electronic invoicing, home-based health monitoring for early detection and consistent treatment, and interoperable, global data exchange for tracking of contagious diseases. Olga Rodriguez de Arzola, MD, FAAP Interim President & Dean Ponce School of Medicine
  14. 14. Health Information Exchange Patient Care Resolution MPI and Record Locator Transformation & Translation Business / Sector Rules State and Federal Healthcare-related Agencies Hospitals / IDNs CDC FDA SSA DoH Medicare / Medicaid Labs. Pharmacies Hosted or On-Site EHRs PHR’s Payers / Health Plans State, Nationwide and International HIE Networks
  15. 15. Clinical Encounter Index of Where Patients Have Records Temporary Aggregation of Patient History Patient Authorized Inquiry Hospital Record Laboratory Results Specialist Record Patient Data Delivered to Physician PR-HIO Records Returned Requests for Records Community
  16. 16. ¿ Qué les exige estos desarrollos…? • Colaboración, interdisciplinariedad • Eficiencia y sensibilidad • Etica • Competencia tecnológica
  17. 17. ¿ Qué pueden aportar las enfermeras? In its 2010 report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine emphasizes the importance of nurses being a part of the selection, implementation, and execution of technology solutions for patient care.7
  18. 18. “Meaningful use” vinculado a la enfermería… “the type of patient documentation required of the EHR for Stage 1 meaningful use is what the staff and nurses capture when the patients come into the office for a visit (demographics, biometrics, current meds, smoking status, etc). Patient engagement, administration, public health reporting, quality reporting, and analytics are primarily staff functions. Exchanging information is also the domain of nurses and staff, from completing and sending orders, to collecting results, to processing prescriptions, to coordinating referrals. So, if an EHR were provided that met Stage 1 meaningful use only – it would be a nursing tool.” http://www.medicity.com/thehieblog/2010/04/meaningful-use-and-the-nursing-centric-ehr- model/
  19. 19. Es beneficioso para enfermeras y pacientes… A University of Pennsylvania study found that nurses working with EHRs consistently reported more improvements to nursing care and better health outcomes for patients than nurses working in hospitals without this technology. http://scienceofcaring.ucsf.edu/future -nursing/nurses-adopt-electronic- health-records
  20. 20. De e-salud… El impacto de las tecnologías en la salud continuarán…y se incementarán mas rápidamente.
  21. 21. La sociedad digital puertorriqueña 1 Dic 2001 Dic 2002 Dic 2003 Dic 2004 Dic 2005 Dic 2006 Dic 2007 Dic 2008 Dic 2009 Dic 2010 Dic 2011 Agosto 2012 Líneas Fijas 1,379,464 1,378,697 1,305,316 1,261,399 1,232,954 1,139,963 1,012,909 949,377 905,049 890,820 826,145 787,667 Celulares 1,628,161 1,646,932 1,709,062 1,847,927 1,993,465 2,198,845 2,431,512 2,543,587 2,712,220 2,933,988 3,108,372 3,119,206 Gran Total Fijas y Celulares 3,007,625 3,025,629 3,014,378 3,109,326 3,226,419 3,338,808 3,444,421 3,492,964 3,617,269 3,824,808 3,934,517 3,906,873 - 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 4,000,000 4,500,000 TotaldeLíneasAlámbricaseInalámbricas Líneas Alámbricas e Inalámbricas (Celulares) Diciembre 2001 - Agosto 2012 Fuente de Información: TRB 200 M Preparado por : Carlos H. Vázquez
  22. 22. …a m-salud
  23. 23. ¿ El futuro…..?
  24. 24. Navegamos mares de incertidumbre pero vivimos en islas de certeza. (E. Morin)
  25. 25. GRACIAS….. jose.sanchez18@upr.edu

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