Clinical Leadership and Health Information Technology: I just want to be a doctor - PowerPoint PPT Presentation

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Clinical Leadership and Health Information Technology: I just want to be a doctor

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Robert 'Red' Schiller, MD. Institute for Family Health. HIT and Transformation of Care ... EHR is not just an electronic chart. EHR is a new technology to provide care ... – PowerPoint PPT presentation

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Title: Clinical Leadership and Health Information Technology: I just want to be a doctor


1
Clinical Leadership and Health Information
Technology I just want to be a doctor
  • Robert Red Schiller, MD
  • Institute for Family Health

2
HIT 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?

3
HIT and Transformation of Care
  • Mission/Vision
  • Leader/Champion
  • Overcoming Barriers
  • Historical Precedents
  • Opportunities for Improvement
  • Transform Care
  • Health Care Reform

4
HIT 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

5
Introducing Technology A Few Examples
  • New world opens
  • New explanations
  • New challenges

6
Causes Lethal Epidemics
7
Prevention and Treatment
8
Transformative Technology
9
Technology Enhancements
10
Nearly Perfect
11
Early Attempts
12
Current Status
13
Not There Yet
14
Understanding ResistanceNYT March 6, 2009 Op-Ed
15
Understanding 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

16
Implementation
  • Leadership Vision Motivation Goals
  • Changing Role of Providers Clinicians
  • Choosing EHR Templates
  • Training/Abstracting

17
Implementation
  • Go Live/Scheduling
  • Importance of Lab Interface
  • Provider Autonomy v Care Standards
  • Collaboration IT, Practice Managers, Billing,
    Regulators

18
HIT 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

19
HIT and the Office Visit Office Re-Design
20
Decision Support Alerts, Documentation
21
Registries/Data Management
22
Lessons 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

23
New 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

24
HIT and Transformation of Care Vision of the
Future
  • Health Care Reform
  • Seamless Data Sharing (?Privacy)
  • Care without walls
  • Prevention
  • Healing
  • Collaboration
  • Public/Personal Health
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