Risks and Opportunities Map <br />Health Related Information<br />Ancient map makers drew whatthey knew and then noted:<br...
Agenda:<br />A Large and Growing Market<br />The Historic Simple Map<br />The Near Term Complex Map<br />Risks: Litigation...
Health Information: A large and evolving market<br />Part of  $19 billion for Medicare and Medicaid Health IT funded by th...
The Historic Simple Map<br />
Structure: Near-Future Complex Map<br />Dozens of providers share data (not files) about a participant.<br />Participants ...
Major Elements: Near Future  Model<br />
HistoricSimple<br />Near FutureComplex<br />Beyond herethere be <br />dragons<br />
Increased Complexity<br />=<br />Increased Risk<br />
                Litigation<br />Increased Risk<br />The threat of litigation will continue but the form will be different:...
Better standards for care – what is required?
Better records about what happened.
Easier identification of parties</li></li></ul><li>                       Data Sharing<br />Increased Risk<br />A lab repo...
Increased Participation,<br />Connectivity, &<br />Database Size<br />=<br />Increased<br />Opportunity<br />
Increased Opportunity<br />Better ways to findneedles of information …<br />
Increased Opportunity<br />… in more large haystacks <br />of data because of large populations and<br />centralized datab...
Increased Opportunity<br />Link to information from non-traditional sources:<br /><ul><li>iPhone apps
Telemedicine
Urgent care facilities
Intel’s studies on ageing
PatientsLikeMe.com </li></li></ul><li>Increased Opportunity<br />Access to more history <br />as time passes to providebas...
Increased Opportunity<br />Track large percentages ofparticipants of new medsand procedures:<br /><ul><li>Earlier assessme...
Identification of variables</li></li></ul><li>Increased Opportunity<br />Track procedure and drug<br />Interactions across...
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Risk &amp; Opportunities: Healthcare Information

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

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  • http://www.google.com/search?sourceid=chrome&amp;ie=UTF-8&amp;q=Fact+Sheet:+Information+Storage+Trends Information Storage trends
  • 1.EMR Experts list 210 vendors, Jan 2010: http://www.emrexperts.com/emr-ebook/emr.php2. Practice Fusion http://www.practicefusion.com/pages/who_is_using_practice_fusion.html3. New York Times: http://www.nytimes.com/2010/05/30/business/30telemed.html?src=me&amp;ref=homepage4. There is a data explosion occurring in healthcare. Frost &amp; Sullivan&apos;s &quot;2004 Healthcare Storage Report&quot; 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. http://findarticles.com/p/articles/mi_m0DUD/is_2_29/ai_n24265681/
  • Risk &amp; Opportunities: Healthcare Information

    1. 1. Risks and Opportunities Map <br />Health Related Information<br />Ancient map makers drew whatthey knew and then noted:<br />Beyond here there be dragons!<br />This map acknowledges that <br />there are, to this day, dragons.<br />
    2. 2. Agenda:<br />A Large and Growing Market<br />The Historic Simple Map<br />The Near Term Complex Map<br />Risks: Litigation<br />Risks: Data Sharing<br />Opportunities: Better Needles & Haystacks<br />Opportunities: More & Better Data<br />Opportunities: The Power of Large Numbers<br />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. <br />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.<br />It is these interdependencies that pose risks and create opportunities.<br />
    3. 3. Health Information: A large and evolving market<br />Part of  $19 billion for Medicare and Medicaid Health IT funded by the American Recovery and Reinvestment Act of 2009<br />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<br />One vendor claims 30,000 doctors; their system is free and revenue from the health information is part of their business model*<br />There are evolving changes in provider/patient interfaces § and new, non-traditional formats for routine delivery of health care<br />There are “captive” and independent information systems for participants: Google Health and Microsoft Health Vault dominate<br />Telemedicine, a major source of data is now a $3.9 billion category<br />
    4. 4. The Historic Simple Map<br />
    5. 5. Structure: Near-Future Complex Map<br />Dozens of providers share data (not files) about a participant.<br />Participants have data too.<br />
    6. 6. Major Elements: Near Future Model<br />
    7. 7. HistoricSimple<br />Near FutureComplex<br />Beyond herethere be <br />dragons<br />
    8. 8. Increased Complexity<br />=<br />Increased Risk<br />
    9. 9. Litigation<br />Increased Risk<br />The threat of litigation will continue but the form will be different:<br /><ul><li>Fewer errors.
    10. 10. Better standards for care – what is required?
    11. 11. Better records about what happened.
    12. 12. Easier identification of parties</li></li></ul><li> Data Sharing<br />Increased Risk<br />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.<br />Controls need to be in place to assure that required sensitive date is properly cared for.<br />
    13. 13. Increased Participation,<br />Connectivity, &<br />Database Size<br />=<br />Increased<br />Opportunity<br />
    14. 14. Increased Opportunity<br />Better ways to findneedles of information …<br />
    15. 15. Increased Opportunity<br />… in more large haystacks <br />of data because of large populations and<br />centralized databases.<br />
    16. 16. Increased Opportunity<br />Link to information from non-traditional sources:<br /><ul><li>iPhone apps
    17. 17. Telemedicine
    18. 18. Urgent care facilities
    19. 19. Intel’s studies on ageing
    20. 20. PatientsLikeMe.com </li></li></ul><li>Increased Opportunity<br />Access to more history <br />as time passes to providebaseline for research <br />
    21. 21. Increased Opportunity<br />Track large percentages ofparticipants of new medsand procedures:<br /><ul><li>Earlier assessment of risk
    22. 22. Identification of variables</li></li></ul><li>Increased Opportunity<br />Track procedure and drug<br />Interactions across larger populations allowinganalysis of variables<br />
    23. 23. Increased Opportunity<br />Increased sharing of<br />Information among<br /> participants, e.g., PatientsLike Me: better informed andbroader choices<br />
    24. 24. Increased Opportunity,<br />Better data to set standardsof care for<br /> management, insurance and <br />litigation<br />
    25. 25. Increased Opportunity<br />The power of large numbers:<br />Search for 1 patient in 1,000<br />Database of 30,000 doctors<br />250 patients per doctor<br />Find 7,500 candidates<br />
    26. 26. Healthcare Information<br />Increased Complexity<br />Increased Risk<br />Increased Opportunity<br />… and dragons <br />
    27. 27. Practice Fusion: Free EMRs http://practicefusion.com/<br />How Can Healthcare Software be Free? http://goo.gl/r9BP<br />PatientsLikeMe : Patients Helping Patients Live Better Every Day – sharing personal health information: http://www.patientslikeme.com/<br />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. <br />http://partners.patientslikeme.com/products/<br />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. http://goo.gl/vALK<br />Online Care: Internet links for doctors and patients http://americanwell.com/products.html<br />References<br />Contacts:<br />LinkedIn<br />EMRnet(blog: Exploring the value and complexity of networked electronic medical records) <br />hal9007@gmail.com<br />

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