ANewVisionfortheEHR-HL7.pptVIP

A New Vision for the EHR Sam Brandt, MD Chief Medical Informatics Officer Siemens Health Solutions How Tall is K2? How Tall is K2? What Toxin is in the Skin of Poison Dart Frogs? What Toxin is in the Skin of Poison Dart Frogs? A pet store employee presents in the ER with rapid onset of confusion, hypotension, and decreased respiratory rate?? The Place for Calculators in 1974? Pros Faster Easier to use More significant places Eliminates decimal point transposition errors Cons Requires electricity Floating point errors Fosters “Laziness” The Place for EHR’s in 2009? Pros Faster remote access to information Easier to find data Helps avoid double entry Can help with billing Cons Requires electricity Less portable Doesn’t allow random data entry ? Fosters laziness But….We Didn’t Stop with Calculators! Spreadsheet programs allowed for “modeling” of financial data, with “what if” scenarios Word processors eliminated retyping for corrections, and added spell checking And then…We Pushed the Envelope Computers opened new possibilities Expressing complexity Simulating scenarios Exploration and recognition Solving exhaustive computions So…How Will EHR’s Push the Envelope? Changing delivery system models Point of care decision support Personalized medicine – Genomics/Proteomics Patient-centric delivery models Impacts Bundled payments for hospitals and providers Efficacy standards imposed with controls on utilization variance Emphasis on healthcare delegation to most cost-effective venues with incentive alignments Impacts EHR Contributions Bundled payments for hospitals and providers Efficacy standards imposed with controls on utilization variance Emphasis on healthcare delegation to most cost-effective venues with incentive alignments Increased connectivity supports “Virtual” delivery systems Point of care decision support Enterprise research scheduling and process management Genomics Personalized Medicine Numerous Genotype/Phenotype correlation efforts Potentially tho