Electronic Health RecordSupporting Paradigm Shifts

in Healthcare

Patient Centric Care

The patient has better access to their healthcare information allowing decisions based on better knowledge.

Tools available to assist the patient in making healthier choices and communicating better with their provider.

Perceived quality of care and patient satisfaction are improved.

Patient Centric

The patient is now an interactive part of the healthcare team, actively involved in decisions regarding his/her own healthcare plan.

Patient involvement up front leads to a safer healing environment.

Team Based Care

Multiple caregivers having access to the patient’s information simultaneously.

Patient information more readily available between healthcare entities to enhance collaboration of care.

Ability to enhance patient safety by capturing data and providing tools such as conflict checking.

Quality of care increases significantly.

Team Based Care

Provider workflow supported – having information access leads to quicker better informed decisions.

Coordination of care supports a model of best-practice healthcare.

Personal Health Record

Ease of access to personal health information (by patient or caregiver).

Ease of transport (patient can carry an electronic version of relevant parts of his/her medical record.

Enhanced communication between the patient and their healthcare providers.

Personal Health Record

Access to your personal health information from anywhere.

Ability to update your health record as things change in your life.

Active patient review of their health information will result in a more accurate health picture.

Dominance of Technology

Elimination (or at least minimization) of paper as the source of the record.

Access to a more complete patient history can aid in the diagnosis and treatment.

Technology advancements streamlining information gathering, storage, system integration and electronic transfer.

Dominance of Technology

Walls and borders of care removed – electronic access is virtual.

Real-time patient information. Enhanced billing and income capturing

providing a more stable cash flow.

Evidence Based Medicine

Data capture – what do we do with it?› Risk factor detection› Best practice treatments› Identification of safety issues› Financial modeling› Program development, modification, or

discontinue

HEA

LTH

CA

RE S

ETTIN

GS

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Health Care Settings

Sole proprietorship outpatient clinic – not as common today – why?

Group practice – several physicians in the same building – advantages?

Corporate group practice model – physicians are employees – advantages? Disadvantages?

Individual practice association – physicians remain independent – advantages?

Healthcare Settings

Federal clinics – examples? Urgent/immediate care clinics – their

function? Multispecialty clinics – structure? Point of service arrangements –

capitation – advantages/disadvantages?

Healthcare Settings

Community hospitals Critical access hospitals Long-term hospitals Psychiatric hospitals Specialty hospitals Private hospital Multi-hospital systems

Healthcare Settings

Rehabilitation centers School-based health centers Day hospitals

Summary

“Contrary to the popular belief that there is no national healthcare in the U.S., the federal government spends billions of dollars providing ‘free’ healthcare to specific populations.”