John Halamka描述meaningful use后的医疗未来

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A History of Our Healthcare Future

from Life as a Healthcare CIO by John Halamka

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When Stage III of Meaningful Use is fully implemented in2015, what will our healthcare system look like? Here's my future forward lookat the changes in the provider, patient, payer, and researcher experience fiveyears from now:

*Clinicians will become healthcare coordinators, workingin partnership with patients to manage wellness using a shared lifetimeelectronic health record.

*Clinicians will produce a record that is designed to beshared with the patient, instead of just supporting the billing process.

*Hospitals will compete based on the results they achieverather than the grandeur of their buildings. Transparency in the reporting ofquality and outcomes will transform the healthcare marketplace. Patients willhave a much better understanding of quality, cost, and outcomes.

*Patients will undergo fewer tests and take fewermedications because redundant and inappropriate care will be reduced.Healthcare value will improve - higher quality for less costs, since less careis often the right answer.

*Patients will have much more choice as consumers. Accessto the electronic records including their genomes will enable personalizedmedicine - selecting the treatments that best align with their carepreferences, risk taking thresholds, and physiology.

*Payers will reimburse providers for quality rather thanquantity since electronic health records will document the care given and notgiven.

*Researchers will have access to novel data sources (withpatient consent) and be able to discover which treatments are the mosteffective. This knowledge will be integrated into electronic health records andpersonal health records so that providers and patients can make the optimalcare decisions. Today, there is more literature published every year than aclinician can read in a lifetime, so best current evidence is not rapidlyincorporated into practice.

Change is hard, technology is easy. As we navigate thestages of meaningful use in the years ahead, be prepared for amazing shifts inworkflow, process, and behavior that will accompany them. Let's hope we cantell our children the history of how we did it!