Implementing Collaborative Technology for Healthcare: Lessons Learned
| Jack Corley, ATI |
Problem as we saw it in 1992 ...
| Today's healthcare information is paper-based, fragmented, and trapped within closed systems. | ||
| Paperwork is 20-25% of total healthcare costs. | ||
| Nurses spend over 40% of their time on paperwork. | ||
| 15-20% of diagnostic tests are performed because records of prior tests are unavailable. | ||
| Administrative costs account for almost a third of total health care spending ($400 Billion). | ||
| A health care transaction costs as much as $25. | ||
| A bank transaction costs less than a penny - by using information technology. | ||
| Reducing health care administrative costs to that of other industries would save enough to finance universal health care several times over. | ||
“Top 10” costs
of
paper medical records
| Physician time spent on paperwork: 38% | |
| Nurse time spent on paperwork: 50% | |
| Charts missing: 30% of encounters | |
| Tests duplicated: 11% because results lost | |
| Cost to find and file a chart: $5-$25 | |
| Cost of transcription: > $10,000/yr/MD | |
| Paper forms to fill in: > 20,000/yr/MD | |
| Errors: illegible prescriptions, miscommunication with patients, incomplete data for consultants | |
| Privacy risks: no audit trail of accesses, entire chart copied on request |
Integrated Multimedia
Internet-Based, Workflow Enabled Tools
Delivering Best Practice Knowledge Where and When Needed
Internet-based Healthcare Collaboration
| Clinician transition from: | ||
| “Omniscient” data source to data processor and decision maker | ||
| Physical presence to virtual presence | ||
| Interdisciplinary team expanding: | ||
| Informed patient | ||
| Information resources | ||
| Healthcare transitioning from: | ||
| Treating illness to promoting wellness and preventing illness | ||
| Treatment specialized by functional area to patient-centered, population-based disease management | ||
| Pressing Emphasis on Emergency Response | ||
| Consumer | ||
| educators | ||
| Healthcare providers | ||
| hospital, clinics, labs | ||
| First responders | ||
| Clinicians | ||
| Payers | ||
| Government | ||
| Employers | ||
| Insurance companies | ||
| Employers | ||
| Community | ||
| Vendors/suppliers | ||