leveraging telehealth and health information exchange to improve
TRANSCRIPT
Leveraging Telehealth and Health Information Exchange to Improve Care
Telehealth Summit, Napa, CA
Katherine Kim April 16, 2013
Disclosures • This work was supported in by part by funding through the
University of California Davis under award No. 06-43-B10584 from the National Institute of Standards and Technology (NIST), U.S. Department of Commerce. The statements, findings, conclusions, and recommendations are those of the presenter(s) and do not necessarily reflect the views of NIST or the U.S. Department of Commerce.
• Paid consultant to CalHIPSO and UC Davis. • No financial relationship with companies mentioned in this
presentation
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Definitions Health Information Exchange: The electronic
movement of health-related information among unrelated organizations according to nationally recognized standards in an authorized and secure manner
Interoperability
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Definitions Integrated Care Coordination Framework • Coordinated within care team • Coordinated across care teams • Coordinated between care teams and community
resources • Continuous familiarity with patient across time • Continuous proactive and responsive action
between visits • Patient centered • Shared responsibility (Singer 2011)
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Care Coordination Challenge
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Health System
Community Resources
Care Team
Care Team
Patient and Family
Caregiver
Many touchpoints Silos of information
Unclear accountability
Care Coordinator
Patient-Centered Technology Ecosystem
Community Resources
Care Coordinator
Care Coordination Platform
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Patient and Family
Health System
Caregivers
Care Team
Care Team
Telehealth Universe
11/28/12 7
Patient-Use Telehealth Technology
Do Not Distribute 8
eIntensivist, eICU,
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Video Consults and Remote Monitoring
Honeywell
Your House is Calling
• Caregiver Alerts • Voice Prompts • Floor Sensors • Safety Features • Smart Beds • Video Monitors • Vital Sign Monitoring • Medical Condition Monitoring
Self-Tracking
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TheCarrot.com Funded by Robert Wood Johnson Foundation Project HealthDesign www.projecthealthdesign.org
13 Do Not Distribute
Viewed in EHR or in web portal
Patient-Centered Micro-Social Network
Do Not Distribute 14
tiatros
Health Information Exchange
Do Not Distribute 15
Death By 1000 Apps
Health Information Exchange • Collect data from many sources • Populate the EHR for analysis • EHR to EHR data sharing • Access to EHR data for decision making at
point of care and real life • Community-wide care plan • Comprehensive coordination of tasks,
workflow 16
Challenges • Optimization of EHRs • Educating providers, patients, families and
communities • Availability of HIE services • Ready availability of easy to use broadband
access • Upfront investment for equipment and
software • New cost of business
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Patient-Centered Medical Home
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HIE for Accountable Care Organizations
IDN
Captive HIE
Regional HIE
National HIE
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Learning Health Care System
Value = Superior Care at Lower Cost
