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Cite colegio 2012
This document discusses health information technologies and their direction in Puerto Rico. It notes the deterioration of public health on the island and rising healthcare costs. It introduces concepts like health information exchange (HIE), meaningful use of electronic health records, and telehealth/m-health. Nurses are emphasized as important players in selecting and using new technologies. Charts show growing cell phone and internet usage, demonstrating Puerto Rico's increasing digital society. While the future remains uncertain, new technologies offer potential for improved health outcomes and more efficient, coordinated care.
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Cite colegio 2012
- 1. Salud, Información y Tecnologías…..¿hacia dónde vamos ? Dr. José Sánchez Lugo Escuela Graduada de Ciencias y Tecnologías de Información
- 2. Agenda temática… Servicios de SALUD HIT, HIE,y otras… Información Competencia tecnológica E -salud …. M-salud
- 3. Datos sobre lasalud 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. Deterioro en lasalud 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. Con esa inversión…* PuertoRico 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. Los costos sondemasiados y siguen subiendo
- 7. Pero la calidadno… - Los retos en el área de los servicios de salud se debaten diariamente en el país. - Se anuncian nuevas iniciativas…
- 8. Health Information Technologyfor Economic and Clinical Health
- 9. Administración e IntercambioElectrónico 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. Propósito de unsistema 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. Propósito de unsistema de IEIS Mayor seguridad Mayor eficiencia Mejor servicio
- 12. Meaningful Use The meaningfuluse 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. Meaningful Use The meaningfuluse 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. Health Information Exchange PatientCare 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. Clinical Encounter Index ofWhere 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. ¿ Qué lesexige estos desarrollos…? • Colaboración, interdisciplinariedad • Eficiencia y sensibilidad • Etica • Competencia tecnológica
- 17. ¿ Qué puedenaportar 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. “Meaningful use” vinculadoa 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. Es beneficioso paraenfermeras 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. De e-salud… El impactode las tecnologías en la salud continuarán…y se incementarán mas rápidamente.
- 21. La sociedad digitalpuertorriqueña 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
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- 24. Navegamos mares deincertidumbre pero vivimos en islas de certeza. (E. Morin)
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Editor's Notes
- #10 Intercambio Electrónico de Información de Salud ( “IEIS”)
- #16 15
- #24 If you’re presenting to an audience, the final slide should include: Your contact information. Publications relevant to your presentation and of interest to the audience. Other relevant information for the audience to follow up if interested. Keep this slide on screen while the audience disperses.