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Tendències actuals en la utilització de les
         TIC al entorn sanitari
     Josep M Picas. President European Association
                Healthcare IT Managers
http://www.ihealthtran.com/
PREPUBLICATION COPY: UNCORRECTED PROOFS
http://nejm200.nejm.org/explore/medical-documentary-video/
20 0TH ANNIVERSARY ARTICLE
              The Burden of Disease and the Changing Task of Medicine
David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D.




                                                n engl j med 366;25 nejm.org june 21, 2012
Tackling Rising Health Care Costs in Massachusetts
John Z. Ayanian, M.D., M.P.P., and Philip J. Van der Wees, Ph.D.




                                  n engl j med 367;9 nejm.org august 30, 2012
Two Hundred Years of Hospital Costs and Mortality — MGH
          and Four Eras of Value in Medicine
   Gregg S. Meyer, M.D., Akinluwa A. Demehin, M.P.H., Xiu Liu, M.S., and Duncan Neuhauser, Ph.D.




                                                         n engl j med 366;23 nejm.org june 7, 2012
When the Cost Curve Bent — Pre-Recession Moderation
                             in Health Care Spending
Charles Roehrig, Ph.D., Ani Turner, B.A., Paul Hughes-Cromwick, M.A., and George
                                    Miller, Ph.D.
FIGURE S-2 Schematic of the health care system today.
………opportunities that did not exist even a decade ago

                                (with associated sophistication of information technology)
has become affordable and widely available. This capability makes it possible to
harvest useful information from actual patient care (as opposed to one-time studies),
something that previously was impossible.

• ·                allows that power to be accessed in real time virtually anywhere by
professionals and patients, permitting unprecedented diffusion of information
cheaply, quickly, and on demand.

• · Progress in human and                                                          can
improve the reliability and efficiency of care, permitting more scientific deployment
of human and technical resources to match the complexity of systems and institutions.

• · Increasing                              unleashes the potential for their participation, in
concert with clinicians, in the prevention and treatment of disease—tasks that
increasingly depend on personal behavior change.
Value-Based Purchasing — National Programs to Move
               from Volume to Value
 Jordan M. VanLare, A.B., and Patrick H. Conway, M.D.




                               n engl j med 367;4 nejm.292 org july 26, 2012
Escaping the EHR Trap — The Future of Health IT
 Kenneth D. Mandl, M.D., M.P.H., and Isaac S. Kohane, M.D., Ph.D.




Only a small subset of loosely coupled
Information technologies need to be
highly specific to health care.
Many components can be generic.




                                      n engl j med 366;24 nejm.2240 org june 14, 2012
Unraveling the IT Productivity Paradox — Lessons
                                  for Health Care
Spencer S. Jones, Ph.D., Paul S. Heaton, Ph.D., Robert S. Rudin, Ph.D., and Eric C.
                                 Schneider, M.D.



       Studies of the IT productivity paradox
       suggested
       that the productivity payoff
       of an IT investment did not follow quickly
       but required periods of intensive process
       reengineering




                                               n engl j med 366;24 nejm.org june 14, 2012
(http://www.pcori.org/survey/methodology-report)




                                 This article was published on July 25, 2012,at NEJM.org.   DOI: 10.1056/NEJMp1207437
This article was published on July 25, 2012,at NEJM.org.   DOI: 10.1056/NEJMp1207437
This article was published on July 25, 2012,at NEJM.org.   DOI: 10.1056/NEJMp1207437
http://www.predixionsoftware.com/predixion/
http://vimeo.com/12175855
Resumint:
• Adaptive systems to complexity
  – Hospitals & Primary care role
  – PPP
• Patient-centered
  – Value versus volume
• The empowered patient role (engaging patients,
  families & community)
• The continuous learning organizations approach
• ICT + BPM + DSS
• Big data
Gràcies !!




             jmpicas@gmail.com

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Tendències actuals en la utilització de les TIC al entorn sanitari

  • 1. Tendències actuals en la utilització de les TIC al entorn sanitari Josep M Picas. President European Association Healthcare IT Managers
  • 3.
  • 6. 20 0TH ANNIVERSARY ARTICLE The Burden of Disease and the Changing Task of Medicine David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D. n engl j med 366;25 nejm.org june 21, 2012
  • 7. Tackling Rising Health Care Costs in Massachusetts John Z. Ayanian, M.D., M.P.P., and Philip J. Van der Wees, Ph.D. n engl j med 367;9 nejm.org august 30, 2012
  • 8. Two Hundred Years of Hospital Costs and Mortality — MGH and Four Eras of Value in Medicine Gregg S. Meyer, M.D., Akinluwa A. Demehin, M.P.H., Xiu Liu, M.S., and Duncan Neuhauser, Ph.D. n engl j med 366;23 nejm.org june 7, 2012
  • 9. When the Cost Curve Bent — Pre-Recession Moderation in Health Care Spending Charles Roehrig, Ph.D., Ani Turner, B.A., Paul Hughes-Cromwick, M.A., and George Miller, Ph.D.
  • 10.
  • 11. FIGURE S-2 Schematic of the health care system today.
  • 12.
  • 13. ………opportunities that did not exist even a decade ago (with associated sophistication of information technology) has become affordable and widely available. This capability makes it possible to harvest useful information from actual patient care (as opposed to one-time studies), something that previously was impossible. • · allows that power to be accessed in real time virtually anywhere by professionals and patients, permitting unprecedented diffusion of information cheaply, quickly, and on demand. • · Progress in human and can improve the reliability and efficiency of care, permitting more scientific deployment of human and technical resources to match the complexity of systems and institutions. • · Increasing unleashes the potential for their participation, in concert with clinicians, in the prevention and treatment of disease—tasks that increasingly depend on personal behavior change.
  • 14. Value-Based Purchasing — National Programs to Move from Volume to Value Jordan M. VanLare, A.B., and Patrick H. Conway, M.D. n engl j med 367;4 nejm.292 org july 26, 2012
  • 15. Escaping the EHR Trap — The Future of Health IT Kenneth D. Mandl, M.D., M.P.H., and Isaac S. Kohane, M.D., Ph.D. Only a small subset of loosely coupled Information technologies need to be highly specific to health care. Many components can be generic. n engl j med 366;24 nejm.2240 org june 14, 2012
  • 16. Unraveling the IT Productivity Paradox — Lessons for Health Care Spencer S. Jones, Ph.D., Paul S. Heaton, Ph.D., Robert S. Rudin, Ph.D., and Eric C. Schneider, M.D. Studies of the IT productivity paradox suggested that the productivity payoff of an IT investment did not follow quickly but required periods of intensive process reengineering n engl j med 366;24 nejm.org june 14, 2012
  • 17. (http://www.pcori.org/survey/methodology-report) This article was published on July 25, 2012,at NEJM.org. DOI: 10.1056/NEJMp1207437
  • 18. This article was published on July 25, 2012,at NEJM.org. DOI: 10.1056/NEJMp1207437
  • 19. This article was published on July 25, 2012,at NEJM.org. DOI: 10.1056/NEJMp1207437
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  • 32. Resumint: • Adaptive systems to complexity – Hospitals & Primary care role – PPP • Patient-centered – Value versus volume • The empowered patient role (engaging patients, families & community) • The continuous learning organizations approach • ICT + BPM + DSS • Big data
  • 33. Gràcies !! jmpicas@gmail.com