Fall HIT class 1 - Health Information Technology and...

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Health Information Technology and Privacy Class #1 Dave Wanser, Ph.D. david.wanser@austin.utexas.edu 512-471-2567
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Direction setting This class will reflect the intersecting influences of Medical practice Law Policy Technology
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Housekeeping Details Objectives: broad grounding in healthcare, health information technology and the privacy and security regulatory framework Office hours: 2-4:00 TU-TH, tentative office number PAI1.48C, or by appointment Attendance Grading 3 Exams 200 points each 75% Terminology test 10% Team project(s) 10% Class participation 5% Readings Team based learning
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Starting off Where is healthcare provided? What are the roles in healthcare? How is healthcare paid for?
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10/8/10 The Challenge What is/should our healthcare system be designed to do? What does it do? What is the history…how did we get here? Priorities: Access, Cost, Quality What are the components? Role of HIT
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Overview of the healthcare system Health care domain = access, quality, cost Public health domain = how does government regulate private individuals in the pursuit of protecting health, safety and welfare Bioethics domain = ethical issues raised in the context of medical practice or research
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10/8/10 Four Health Policy Eras Era I: Pre/Emerging System Period Pre-1910s Minimal licensure and professional standards  No health insurance as we know today Minimal public investments No standards for medical education Infectious disease leading cause of death Life expectancy ~46 years See  The Social Transformation of American Medicine  –  Paul Starr Source: John McDonough, DrPH, MPA
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10/8/10 8Source: John Four Health Policy Eras Era II: Professionalization and Growth 1910s to 1960s Scientific breakthroughs Widespread licensure, professional  standards, public sector regulation Development of modern health insurance and  insurance regulation Federal Support: medical education, facilities,  research Emergence of chronic disease as leading 
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Where did health insurance come Modeled after “social insurance movement in Europe circa 1880 – 1912 First hospital plan established by Blue Cross in 1929. Guess where? Blue Shield was physician based insurance begun
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Fall HIT class 1 - Health Information Technology and...

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