Procurement and the Patient: The World of eTechnology

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Procurement and the Patient The World of
eTechnology
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The Broader Picture

• Technologies that work
• Technologies in use
• Learning from other settings
• The future

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Telemedicine

• More pilots than British Airways
• Impeded by the lack of scientific evidence for
  its clinical and cost effectiveness. (Wootton,
  2001)
• Exceptions Teleradiology, teledermatology, home
  care

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Home Care

• Potential to effect cost savings when used to
  substitute some in-person visits and improve
  access to home health care staff for patients and
  caregivers. Johnston, B. Wheeler, L. Deuser, J.
  Sousa, KH, (2000).
• We live every minute and this device allows us
  to do that. Wife of a CHD patient.

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Electronic Records

• Risk reduction
• Improved Care
• Better information for patients
• The electronic record saves nurses having to ask
  the patient to reel off their details over and
  over again

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E-Booking

• Direct GP booking for plain films 500 patients
  Zero DNA rate
• Manchester contact centre
• www.modern.nhs.uk/bookedadmissions

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Constraints

• It is much harder to change attitudes and
  organisations than simply to deliver new
  equipment, Wootton (2001)
• We lack a vocabulary to discuss other ways of
  investing in health gain Black (2002)

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Putts Law

• Technology is dominated by two types of people
  those who understand what they do not manage, and
  those who manage what they do not understand.

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Future Directions

• Painful lessons learned from other sectors
• The revolution is over, the barriers are down,
  now for evolutionand thats much more
  difficult. Ricky Richardson, chair UK eHealth
  Association
• Teleconsultation, eCPD, public health
  applications, lifetime EHRs, e-health services