Hello Health IT Philippines. I am a new member, invited by Teska Q. I am a clinician who is also a believer that IT is invaluable in improving health worldwide, especially in the Philippines. I would like to contribute to the advancement of health IT in whatever way I can. I would like to share with you this email from a member of the Society for Participatory Medicine--a group I also joined 2 years ago and have learned so much from since then. You may want to check it out and join too. It is definitely worth it. This post has an AMerican angle to it--heavy on insurance, etc-- but I have always sensed the author is a well balanced, well meaning person. ANyway, here goes: From Casey Quinlan--In my direct experience of all sorts of tech/IT initiatives in the business world - as an end-user on the eval team, not as a front-end designer of the system - over a number of decades, I can say that the issues being wrestled in the healthcare industry regarding IT system design and adoption are very common to all business-system tech engineering. Designing a process without the input from ALL process-chain touch points is a pathway to frustration, wasted resources, and not much in the way of useable [anything]. The only winner is the vendor who builds the process/system, since getting paid is baked into their development contract. Theyve only got skin in the game if the buyer has very smart peeps on their contract team, which is not the case in the majority of IT projects that Ive had direct involvement in. Carlys mention of the I dont get paid to do that pushback from the clinician/provider side is one outcome of what you get when you take a billing process and try to turn it into a manufacturing process - which is what EHR tech is, at root, trying to do. So, taken as a whole, health IT is itself a litter of chasms, or of silos - pick your metaphor. Patient value, along with value to every other part of the health delivery system, will only come to fruition when we stop paying only for sick and start rewarding for healthy - Im not talking about wellness programs, Im talking about monetary rewards for clinicians who demonstrate health improvement (and not just readmission #s, either) in their patient panels, and revenue rewards in the form of tax breaks, or premium reductions, or both, for patients. I define patient value in health IT as: 100% access to my data The ability to interact with it, and my clinical team, within the IT system without having to be in the room with them (the office visit thing) Clear outcome metrics visible within the care plan that I can upload data to, reporting progress from my side Some form of atta-boy in $$ form delivered for attaining outcome goals based on the data reported Casey Quinlan the Mighty Mouth Mighty Casey Media LLC Tel: 804-467-5716 mightycasey cancerforchristmas
Posted on: Wed, 12 Mar 2014 02:16:54 +0000
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