Usability is the Key to Healthcare Innovation
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This document discusses the importance of usability in healthcare innovation. It notes that primary care doctors are overwhelmed with paperwork and only 50% of patients receive needed care, despite high healthcare spending. Electronic medical records (EMRs) aim to help but often just digitize paper processes instead of improving workflows. The document argues for moving away from paper-based EMRs, focusing on basic functionality, and leveraging other medical staff to improve efficiency. Examples show how refill requests and protocol-based care could benefit from better team-enabled EMR design.
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The document discusses quality management in anesthesia practices. It introduces the Anesthesia Incident Reporting System (AIRS), which allows providers to anonymously report unintended events or "near misses" that did not harm patients but had potential to. Near misses provide teaching opportunities at morbidity and mortality conferences. Mature practices encourage self-reporting of near misses through online forms or other methods. Reported cases are reviewed to identify those with educational value for discussing key decision points with the goal of improving patient safety.
Healthcare 2.0 - The State of Healthcare, Trends and Future Developments
The document discusses current problems in healthcare including physician burnout and challenges delivering high quality care due to complexity and workload. It also discusses trends in healthcare including use of electronic health records, healthcare reform, and social networking. Finally, it discusses potential future directions for healthcare including improved data sharing between patients and providers through technologies like medical record banking and patient communities.
Fall 2014 Communique by Anesthesia Business Consultants (ABC)
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
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1) The document discusses how healthcare culture must change to effectively adopt electronic health records (EHRs) and personal health records (PHRs).
2) Migrating from paper-based to electronic records is a "wicked problem" due to differing views among stakeholders and changing constraints.
3) An iterative approach considering people, processes, and platforms together is needed to solve complex problems in healthcare and drive innovation through technology.
Blatt e collaborative himss 2012 final
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ADDRESSING PHYSICIAN BURNOUT: IS IT THE ENVIRONMENT OR LACK OF RESILIENCY?
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1) Former HHS Secretary Kathleen Sebelius called mHealth "the biggest technology breakthrough of our time" to address healthcare challenges. However, most supporting data is in pilot studies and definitive clinical trials are needed.
2) It can take an average of 17 years for clinical research to change the majority of clinical practice. New technologies also require changes to existing healthcare systems and processes.
3) While mHealth shows promise, high quality studies measuring objective clinical outcomes are still needed to demonstrate benefits over current standards of care. Researchers must focus on optimizing interventions and addressing limitations in current evidence.The true cost of healthcare Printable copy
This document discusses the hidden costs of healthcare in the United States. It explains that healthcare costs are obscured because doctors, hospitals, and other providers do not know the prices of tests, procedures, and medications they order or perform. This lack of price transparency has allowed costs to rise unchecked. The document aims to uncover healthcare pricing information and explain why costs are so high, with chapters addressing the costs of medications, office visits, hospital stays, diagnostic tests, and health insurance. It seeks to help consumers avoid overpaying for healthcare services.
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Telehealth offers convenient virtual care that can reduce costs while improving outcomes. It allows patients to access care remotely through video or phone instead of visiting physical offices. This saves money by reducing unnecessary emergency room visits and tests. It also improves productivity and wellness by making care more accessible. Telehealth is highly satisfactory to patients and can help prevent medical issues by facilitating preventative care. Its 24/7 availability makes telehealth a valuable option for employers and insurers to include in health plans.
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This document provides a literature review on no-show appointments in healthcare. It begins by defining no-show appointments as those that are neither kept nor cancelled in advance. Rates of no-shows range from 5-55% in the US and 3-12% in the UK. No-shows result in lost productivity, revenue, and higher healthcare costs. Studies show telephone and mailed reminders can help reduce no-show rates. One study found a single telephone reminder increased adolescent appointment attendance by nearly 48%. The literature review examines no-show causes and various methods to reduce rates.
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Usability is the Key to Healthcare Innovation
- 1. USABILITY IS THE TO HEALTHCARE INNOVATION JONATHAN BARAN, MS HealthFinch, LLC @jonathanbaran
- 2. not I’m a physician. But, Dr. Lyle is.
- 3. I’m a designer and co- founder at HealthFinch 3
- 4. THIS IS A USUAL DAY OF A PCP. .....24 telephone calls .....24 prescription refills .....17 emails .....20 laboratory results .....11 imaging reports .....14 consultation reports PLUS, 25 PATIENTS PER DAY
- 5. PRIMARY CARE DOCS ARE OVERWHELMED WITH “PAPERWORK”.
- 6. E M B L RO P E T H “There is only so much doctoring you can do in a single day.” flickr.com/photos/david_gray/459804826/sizes/o/in/photostream/
- 7. U LT E S R E T H 50% OF PATIENTS do not get the care they need. 7
- 8. S T CO E T H The United States spends over 20% of its GDP on healthcare.
- 9. G E E N L L A CH E T H How can we fix this?
- 10. The US government is putting up to $40 billion dollars into electronic medical records.
- 11. WHAT IS AN ELECTRONIC MEDICAL RECORD? Finances Billing Radiology systems Call Management e-prescribing Anesthesia Practice Management Emergency Room PHR Health Informatio Reporting Laboratory systems Exchanges Scheduling
- 14. It’s no wonder only 10.1 percent of physicians use an “advanced” EMR. - 2010 CDC Survey
- 15. Let’s start a Health IT design revolution. .... 1 Move away from “paper-based” software. .... 2 Getting back to the basics. .... 3 Improve workflow usability by leveraging the team.
- 16. .... 1 Let’s look at a paper medical record.
- 17. 17
- 18. When real world analogies go too far. 18
- 19. PAPER IS... Efficient Easy-to-use Flexible
- 20. THE EMR IS... Not Efficient Not Easy-to-use Not Flexible
- 21. Electronic medical records m i m i c the functionality of paper. They don’t expand upon it. 21
- 22. HAVE WE DIGITIZED THE RECORD JUST TO PL ICATE RE THE FUNCTIONALITY OF PAPER? 22
- 23. hAp://www.flickr.com/photos/zacky8/861947377/sizes/m/in/photostream/ FUNCTIONALITY DIGITIZATION LEADS TO 23 An example from banking...
- 24. .... 2 Getting back to the basics. - From the HIMSS EHR Usability Task Force
- 25. An application of these principles, to the problem list.
- 29. .... 3 Improve workflow usability by leveraging the team. “We train, hire, and pay doctors to be cowboys. But it’s pit crews people need.” - Atul Gawande
- 30. CARE FALLS INTO TWO CATEGORIES: Protocol-based care High level consulting hAp://www.flickr.com/photos/smenzel/93523557/
- 31. We can lower healthcare costs by delegating work from the physician to other members of the team.
- 32. We have tried this on paper. We NEED software to facilitate this.
- 33. An example from
- 34. Drilling down into refill requests. flickr.com/photos/nvinacco/4725385380/
- 35. Med Refill Message PaJent Message -‐ Create Phone Encounter SOURCE: [ x ] Phone [ ] VM [ ] RelayHealth FROM: [ ] PaJent [ ] Mother [ ] Father [ ] Pharmacy Other: daughter CONTACT INFO PaJent Phone: Other Contact Info: daughter xxx [ ] Do NOT leave message in voice mail [ ] Only call paJent during special Jme (please specify): **** Pt told to expect response within 1 business day unless otherwise noted: [ ] Today [ ] Other: PHARMACY INFO Name/Phone: Walgreens xxx APPOINTMENT INFO LAST Appt with Prescriber: NEXT Appt with Prescriber: Other Relevant Appointment Info: For OB Call Center Use Only [ ] PaJent is pregnant, EDC : ********************************************************************************* MEDICATION INFORMATION Name and Dosage QuanJty Other InformaJon -‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐ 1. ZOCOR 20MG 1 A DAY 2. 3. 4.
- 36. You decide: Refill or not?
- 37. How can we use software to make this process better?
- 38. It starts with an UNDERSTANDING of the system.
- 39. THE REFILL PROCESS VARIES HIGHLY ACROSS INSTITUTIONS.
- 40. NO GROUP IS EXACTLY THE SAME.
- 41. PROCESSES CAN BE AGGREGATED.
- 42. PROTOCOLS CAN BE CAPTURED IN SOFTWARE
- 43. AND ACCESSED BY OTHER MEMBERS OF THE TEAM.
- 44. Let’s start a Health IT design revolution. .... 1 Move away from “paper-based” software. .... 2 Getting back to the basics. .... 3 Improve workflow usability by leveraging the team.
- 45. USABILITY IS THE KEY TO HEALTHCARE INNOVATION JONATHAN BARAN, MS HealthFinch, LLC @jonathanbaran, jon.baran@healthfinch.com