Title: Clinical Leadership and Health Information Technology: I just want to be a doctor
1Clinical Leadership and Health Information
Technology I just want to be a doctor
- Robert Red Schiller, MD
- Institute for Family Health
2HIT and Transformation of Care
- System in Crisis- no clear solution
- Changing Role of Physician/Provider
- Changing Role of Patient/Consumer
- Fragmentation of Care and Data
- Healing?
3HIT and Transformation of Care
- Mission/Vision
- Leader/Champion
- Overcoming Barriers
- Historical Precedents
- Opportunities for Improvement
- Transform Care
- Health Care Reform
4HIT and Transformation of Care
- EHR is not just an electronic chart
- EHR is a new technology to provide care
- New Challenges Problems
- Innovative Solutions
- Implementation New Role for most Providers
- Social Networking, Self Care
5Introducing Technology A Few Examples
- New world opens
- New explanations
- New challenges
6Causes Lethal Epidemics
7Prevention and Treatment
8Transformative Technology
9Technology Enhancements
10Nearly Perfect
11Early Attempts
12Current Status
13Not There Yet
14Understanding ResistanceNYT March 6, 2009 Op-Ed
15Understanding ResistanceMotivational Interviewing
- Reframe Resistance
- What do you like about patient care
- What do you do well
- What would make care easier
- Overcoming bad habits what does this behavior
help you do or feel
16Implementation
- Leadership Vision Motivation Goals
- Changing Role of Providers Clinicians
- Choosing EHR Templates
- Training/Abstracting
17Implementation
- Go Live/Scheduling
- Importance of Lab Interface
- Provider Autonomy v Care Standards
- Collaboration IT, Practice Managers, Billing,
Regulators
18HIT and the Office Visit Work Flow Re-Design
- Rethinking Office Visit/Communication
- Revise Work Flow
- Electronic References (Look it up)
- Patient Portals/Access
- Specialty Access
19HIT and the Office Visit Office Re-Design
20Decision Support Alerts, Documentation
21Registries/Data Management
22Lessons Learned
- Identify Clinical Champions
- May not be Usual Suspects
- Involve Clinicians Early and Often
- Commit to Ongoing Training
- Prioritize Clinicians Concerns
- Clear Transition Date
- No More Documentation in Paper Chart
23New Ethical Dilemmas
- Privacy Whose Information is it anyway!
- Quality Abnormal Results a Click Away
- Safety
- Drug Alerts Vioxx
- Drug Interactions
- Health Advisory/Disease Outbreaks
- H1N1
- Measles
24HIT and Transformation of Care Vision of the
Future
- Health Care Reform
- Seamless Data Sharing (?Privacy)
- Care without walls
- Prevention
- Healing
- Collaboration
- Public/Personal Health