The Use on New Technologies to Improve Patient Experience ACHPE June 2015 Larry Friedman, M.D....
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The Use on New Technologies to Improve Patient Experience ACHPE June 2015 Larry Friedman, M.D. Associate Dean for Clinical Affairs Professor of Medicine
The Use on New Technologies to Improve Patient Experience ACHPE
June 2015 Larry Friedman, M.D. Associate Dean for Clinical Affairs
Professor of Medicine and Pediatrics University of San Diego, San
Diego
Slide 2
Defining A Great Patient Experience Patients Assume Doctors
Make the Right Decisions Access Right Time and Right Place
Information Involvement in Care By Providers Internet Learning
Convenience One-Stop Shopping Choice Offered Options and
Participation in Care Slide 2 of 15
Slide 3
Home Telemedicine: Convergence with EHR and Mobile Monitoring
Slide 3 of 15
Slide 4
Once logged in, patients can: View test results Read messages
from physician & clinic View upcoming appointment details &
cancel appointments View past appointments & After Visit
Summaries Send non-urgent messages to physician & clinic View
preventive health reminders View current and historical information
in the health record Slide 4 of 15
Slide 5
Practical Telemedicine Understand the Evolving Technology
Integrated Into Electronic Records within Two Years Understand Why
You Are Doing It Distant Site Perspective Expert Site Perspective
Understand Your Business Model (if any) How Will You Get Paid and
By Whom Understand the Alternatives Are There Better Ways to
Provide the Care Understand the Legal Implications American Doctors
Are Very Sensitive About This Meyer and Friedman, Closing the
Distance in Medicine, San Diego Physician, July 2010, 36-39. Meyer,
Clarke, Troke and Friedman, Essentials of Telemedicine for
Connecting the Academic Health Center and Remote Providers to
Enhance Patient Care, Academic Medicine 87(8), 2012. Slide 5 of
15
Slide 6
Decision-Making Metrics How Will it Integrate With Your
Practice How Does it Affect Work Flow How Will you Assess
Satisfaction How Will You Decide and Negotiate Contracts Is It
Value-Added Will Your Patients Use It How Does it Compare to the
Alternatives Who Will Do the Work Telemedicine Work Flow E-Health
Work Flow Home Monitoring Work Flow What Are the Potential Revenues
What Are the Potential Expenses Slide 6 of 15
Slide 7
Key Success Factors Physician and Administrative Leader They
Need to own the program IT Capability and IT Leader Fiber
OpticsPreferred More Stable Satellite Understanding all Billing and
Legal Issues Doctor to Doctor Less Complicated Slide 7 of 15
Slide 8
Satellite Satellite Slide 8 of 15
Slide 9
Satellite Success Satellite Success Slide 9 of 15
Slide 10
Practical Applications Synchronous: Real Time Doctor to Doctor
Acute and Chronic Care Acute Strokes Post-Operative Care Specialty
Consultations Asynchronous: Time Delayed Imaging Pathology
Dermatology Slide 10 of 15
Slide 11
BLOOD PRESSURE CONTINUOUS GLUCOSE MONITORING WEIGHT & BODY
COMPOSITION SLEEP OPTIMIZATION ACTIVITY EXERCISE AND HEART RATE
Slide 11 of 15
Slide 12
Smart Band-Aids 4G Wireless Data Network Body Area Network
Peripheral Sensors Gateway Mobile Health Technology Slide 12 of
15
Slide 13
Practical Mobile Health Monitoring Advantages Patients
Participate in their Own HealthCare Can Interface With Electronic
Health Records Adds to Clinical Information for Decision-Making
Challenges Potential Flood of Clinical Data: Who Will Monitor Not
Clear Who Will Pay If Doctors Monitor Quickly Evolving Technology
Rapidly evolving interface needs Slide 13 of 15
Slide 14
UCSD Jacobs Medical Center (2016) 245 New Inpatient Beds and
Outpatient Pavilion Hospital for Advanced Surgery The Pauline and
Stanley Foster Hospital for Cancer Care Hospital for Women and
Infants Thornton Hospital (existing) Sulpizio Cardiovascular Center
(existing) Outpatient Pavilion (planning phase) Slide 14 of 15