3. Some Categories of “Health IT”
Providers
Patients &
Consumers
Electronic Health
Records (EHRs/EMRs)
Hospital Information
Systems (HIS)
mHealth
Management Information
Systems (such as Enterprise
Resource Planning)
Personal Health Records
(PHRs)
Telemedicine
Wearable Devices
“Smart Homes” IoT
mHealthWeb & Social Media
“Consumer Health
Informatics”
“Clinical Informatics”
Health Information
Exchange (HIE)
4. Health Information Exchange (HIE)
Hospital A Hospital B
Clinic D
Policymakers
Patient at Home
Hospital C
HIE Broker
6. Some Quotes
• “Don’t implement technology just for
technology’s sake.”
• “Don’t make use of excellent
technology. Make excellent use of
technology.”
7. • Safe (ปลอดภัย)
• Timely (ทันเวลา)
• Effective (มีประสิทธิผล)
• Patient-Centered
(ยึดผู้ป่วยเป็นศูนย์กลาง)
• Efficient (มีประสิทธิภาพ)
• Equitable (เป็นธรรม)
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.
Quality of Care
9. • Current Trends
–Change from using telehealth to increase access to
health care to providing convenience and reducing
cost
–Expansion of telehealth to chronic conditions
–Migration of telehealth from hospitals and clinics to
home and mobile devices
State of TeleHealth
Dorsey & Topol (2015)
10. • Limitations of Telehealth
–Reimbursement
• Limited & fragmented insurance coverage of telehealth
• Potential for excess health care utilization
–Clinical issues
• Patient-physician relationship
• Quality of physical examination
• Quality of care with remote visits than with in-person
visits
State of TeleHealth
Dorsey & Topol (2015)
11. Dorsey & Topol (2015)
• Limitations of Telehealth
–Clinical issues (continued)
•Potential for abuse (e.g. overprescribing of
narcotics)
•Fragmentation of care among multiple providers
–Legal issues (e.g., state licensure, liability)
–Social issues (digital divide)
State of TeleHealth
15. ...
What I may see or hear in the course of
treatment or even outside of the treatment in
regard to the life of men, which on no
account one must spread abroad, I will keep
myself holding such things shameful to be
spoken about.
...
http://en.wikipedia.org/wiki/Hippocratic_Oath
Hippocratic Oath
22. • Health IT 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
Proper Roles of Health IT