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Unique Characteristics of Healthcare: An Information Business

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Unique characteristics of healthcare. Healthcare an information business ... We all outsource healthcare. Information must be shared. DigitalIDWorld 2006. 4 ... – PowerPoint PPT presentation

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Title: Unique Characteristics of Healthcare: An Information Business


1
Unique Characteristics of Healthcare An
Information Business
2
Overview
  • Unique characteristics of healthcare
  • Healthcare an information business
  • Obstacles to information flow
  • Identity issues

DigitalIDWorld 2006
2
3
It is ALL Personal
DigitalIDWorld 2006
1
4
Cant Fix a Leak
  • Unauthorized access can cause irreparable damage
  • Employment
  • Insurance
  • Reputation

DigitalIDWorld 2006
5
5
Economics of Personal Health
  • All I want
  • Others should pay for it
  • Im not paying for others

DigitalIDWorld 2006
2
6
The Healthcare Triangle
Patient
Provider
Payor
DigitalIDWorld 2006
3
7
We all outsource healthcare
Information must be shared
DigitalIDWorld 2006
4
8
Healthcare Its Different
  • Innately personal
  • Economics of demand and payment affect public
    policy
  • Triangulated relationships

But information must be shared
DigitalIDWorld 2006
2
9
Healthcare An Information Business
DigitalIDWorld 2006
6
10
Sharing Healthcare Information
  • Exams
  • Diagnostics
  • Consultations

DigitalIDWorld 2006
6
11
Paper-based systems Silos of Information
DigitalIDWorld 2006
10
12
Managing Health Information
  • Specialization
  • Sophistication
  • Distributed care
  • Healthcare needs information management tools

DigitalIDWorld 2006
8
13
Healthcare is the nations largest, most
inefficient information enterprise.
-Richard Hillestad
DigitalIDWorld 2006
6
14
Healthcares hurts
  • Access
  • Errors
  • Quality
  • Efficiency

DigitalIDWorld 2006
8
15
Problems are in the information flow
DigitalIDWorld 2006
9
16
Obstacles to Information Flow
DigitalIDWorld 2006
6
17
Paper-based systems Silos of Information
DigitalIDWorld 2006
10
18
Why still paper based?
  • Systems
  • Economics
  • Security and Identity

DigitalIDWorld 2006
11
19
Opportunities for Innovators
DigitalIDWorld 2006
12
20
Economics of Change
  • Purchasers arent beneficiaries
  • 10 goes to providers
  • Fee for service
  • No quality differential
  • No efficiency reward

DigitalIDWorld 2006
13
21
Security and Identity
  • Classic Problem Controlling Access
  • Identity in healthcare

DigitalIDWorld 2006
16
22
Which is it?
Privacy?
Confidentiality?
DigitalIDWorld 2006
7
23
Some Identity Issues
  • Policy
  • Stakeholder Engagement
  • Technology and Clinical Practice

DigitalIDWorld 2006
14
24
ID Policy Issues
  • Identity links to confidentiality
  • HIPAA Babelling Tower of State Laws
  • Legislation to block unique ID
  • Regional or national system
  • Appropriate protections and sanctions

DigitalIDWorld 2006
15
25
Stakeholder Engagement
  • Consumers benefits and risks
  • My doctor already knows
  • Convenience Benefit
  • Banking online
  • Clinicians
  • Accuracy and completeness
  • False positives/negatives

DigitalIDWorld 2006
15
26
ID Technology Issues
  • Unique or algorithmic?
  • Inform the policy debate
  • Must defer to the policy consensus

DigitalIDWorld 2006
15
27
  • SWallace_at_NAHIT.org
  • Website NAHIT.org

DigitalIDWorld 2006
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