fall Class 3 Health_IT[1]

fall Class 3 Health_IT[1] - Health Information Technology...

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Health Information Technology and Privacy Protection Class #3 Dave Wanser, Ph.D. david.wanser@austin.utexas.edu 512-471-2567
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Challenge: How do your values about the health care system influence your perspective on the risks and benefit of HIT? How would you manage a change project involving HIT?
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HIT impacts on traditional healthcare models What is your philosophy about healthcare? What are the risks and benefits of Electronic health records? How can EHRS make patient care safer? What are the risks of using EHRS? What skills are required to manage change?
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Issue: How is an individual’s health determined? Theory X: Whether a person is healthy or sick is determined randomly Theory Y: Whether a person is sick or healthy depends on lifestyle choices
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Issue: What is your view of medical practice? Theory X: Medicine is a science and experts will ultimately discover the best mean for treating every illness Theory Y Medicine is an art and there will never be one best way to treat every illness because illnesses are often patient specific and because there will always be a demand for lower cost and less invasive treatments
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Issue: Your view of medical care Theory X: Medical care is a unique commodity Theory Y: medical care is similar to every other good or service
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Issue: What is government’s role in health care? Theory X: Government regulations are necessary to protect this unique commodity, to control profiteering at the cost of patient care, to control the resources spent on health care and to improve information sharing Theory Y Government regulations are not necessary, technological advances and more services are desirable and competition, not regulation, should drive the market
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Risks and Benefits of EHRS Unauthorized access to patient information Privacy and security of data - access control by patient and providers Inaccurate patient information if records are not updated in real- time Greater patient access to medical history data Unavailability of EHR system due to technical problems (downtime) Increased quality of care -notes about your care are easier to read and reduce risk of errors Potential malpractice liability (data loss or destruction, inappropriate corrections to the record, inaccurate data entry, errors related to problems that arise during the transition to EHRs) Improved efficiency and time management of medical staff Over reliance by staff on EHR system resulting in health care Efficient use of physical space - elimination of paper records and charts
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How safe is medical care in paper based systems?
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Institute of Medicine The Status Quo is Unacceptable “In its current form, habits, and environment, American health care is incapable of providing the public with the quality health care it expects and deserves.” IOM, Quality Chasm report, 2001
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Scope of Problem Medical errors have been cited as the fifth leading cause of death in the
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This note was uploaded on 10/07/2010 for the course BIO 49593 taught by Professor Wanser during the Fall '10 term at University of Texas at Austin.

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fall Class 3 Health_IT[1] - Health Information Technology...

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