This document provides an overview of a presentation on health IT for Vichaiyut Hospital's 17th Conference in 2018. It was presented by Nawanan Theera-Ampornpunt, an assistant dean for informatics and lecturer at Mahidol University. The presentation discusses how healthcare differs from manufacturing and banking in its complexity, and argues that healthcare can still benefit from technology by focusing on information and process improvement rather than just implementing technology. It also summarizes landmark reports calling for healthcare reform and the role health IT can play in improving quality and patient safety.
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Health IT for All Conference
1. Health IT for All
For Vichaiyut Hospital’s 17th Conference 2018
Nawanan Theera-Ampornpunt
August 9, 2018
2. 2
2003 Doctor of Medicine (First-Class Honors)
2011 Ph.D. (Health Informatics), Univ. of Minnesota
Assistant Dean for Informatics
Lecturer, Department of Community Medicine
Faculty of Medicine Ramathibodi Hospital,
Mahidol University
Interests: Health IT for Quality of Care,
IT Management, Security & Privacy
nawanan.the@mahidol.ac.th
SlideShare.net/Nawanan
Introduction
9. 9
• Life-or-Death
• Difficult to automate human decisions
– Nature of business
– Many & varied stakeholders
– Evolving standards of care
• Fragmented, poorly-coordinated systems
• Large, ever-growing & changing body of
knowledge
• High volume, low resources, little time
Why Healthcare Isn’t (Yet) “Smart”?
11. 11
Input Process Output
Patient Care
Health care
Sick Patient Well Patient
Value-Add
- Technology & medications
- Clinical knowledge & skilled providers
- Quality of care; process improvement
- Customer service
- Information
But...Are We That Different?
12. 12
• Large variations & contextual dependence
Input Process Output
Patient
Presentation
Decision-
Making
Biological
Responses
Standardizing Healthcare
15. 15
• “Don’t implement technology just for
technology’s sake.”
• “Don’t make use of excellent technology.
Make excellent use of technology.”
• “Health care IT is not a panacea for all that
ails medicine.” (Hersh, 2004)
Some “Smart” Quotes
23. 23
To treat & to care
for their patients
to their best
abilities, given
limited time &
resources
Image Source: http://en.wikipedia.org/wiki/File:Newborn_Examination_1967.jpg (Nevit Dilmen)
What Clinicians Want?
24. 24
• Safe
• Timely
• Effective
• Patient-Centered
• Efficient
• Equitable
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality
chasm: a new health system for the 21st century. Washington, DC: National Academy
Press; 2001. 337 p.
High Quality Care
28. 28
Summary of These Reports
• Humans are not perfect and are bound to
make errors
• Highlight problems in U.S. health care
system that systematically contributes to
medical errors and poor quality
• Recommends reform
• Health IT plays a role in improving patient
safety
30. 30
External Memory
Knowledge Data
Long Term Memory
Knowledge Data
Inference
DECISION
PATIENT
Perception
Attention
Working
Memory
CLINICIAN
Elson, Faughnan & Connelly (1997)
Clinical Decision Making
32. 32
Documented Values of Health IT
• Guideline adherence
• Better documentation
• Practitioner decision making or
process of care
• Medication safety
• Patient surveillance &
monitoring
• Patient education/reminder
35. 35
Hospital Information System (HIS) Computerized Physician Order Entry (CPOE)
Electronic
Health
Records
(EHRs)
Picture Archiving and
Communication System
(PACS)
Various Forms of Health IT
44. 44
Clinical Decision Support Systems
• CDSS as a replacement or supplement of
clinicians?
– The demise of the “Greek Oracle” model (Miller & Masarie, 1990)
The “Greek Oracle” Model
The “Fundamental Theorem” Model
Friedman (2009)
Wrong Assumption
Correct Assumption