This document discusses improving healthcare IT systems to focus on person-centered care rather than patient-centered care. It notes that current EHR systems are designed for provider-centered care and can result in multiple patient identities for a single person across different providers. The document introduces SyntraNet as a system designed for person-centered care. It outlines the 5Cs of connecting, communicating, collaborating, coordinating, and calculating as key to achieving person-centered care through an advanced healthcare IT system.

1. some thoughts on improving
healthcare IT systems
wayne pan, md, mba
chief medical officer
thrasys, inc.

2. or
“life after
EHRs”

3. consider
person-centered
care

4. versus patient-centered care

5. why?

6. patient = person treated by a provider

7. patient = person treated by a provider

8. EHRs are designed for
provider-centered patient care

9. Each provider has an EHR to
document notes about
their patient

10. typical care system for a particular
person results in multiple patient
identities over several providers

11. typical care system for a particular
person results in multiple patient
identities over several providers

12. many patients are
associated with the
same person

13. many patients are
associated with the
same person

14. SyntraNet is designed for
person-centered care

15. across the entire

16. the road to person-centered care

17. 5C’sconsider the

18. connection

19. in order to achieve the
goals of EHRs, we need to
connect
everybody with everybody
- payers, hospitals, physician practices,
laboratories, radiology facilities,
ancillary providers,
patients & family caregivers

20. but it’s more than just laying pipes

21. it’s about making the collected data actionable,
smarter and available in the workflow of providers

22. clinical data from different sources must be
patient-matched and normalized,
creating a community-wide, longitudinal patient record

23. communication

24. in order for a care team to work efficiently together,
they all need to be on the same page and be able to easily
and securely communicate with one another

25. collaboration

26. one on one communicationis just the first level

27. delivering healthcare services requires a virtual
collaborative platform - one where the entire
care team is able to effectively operate from one care plan

28. coordination

29. PCPs
Specialists
Patients
Case
Managers
working off of a
common care plan,
care managers and other licensed and unlicensed
paraprofessionals are able to provide the wrap-
around services between provider visits, which is
critical to improving personal health outcomes

30. calculation

31. measuring and reporting outcomes
should be an embedded function of any advanced healthcare
IT system supporting the new model of care delivery
© Getty Images

32. understanding not only how,
but whyyour
healthcare delivery system
is working the way it is

33. moving from reactive care to predictivecare

34. 3managing
buckets of risk

35. to achieve better
personal health outcomes

36. personal risk

37. what makes up personalrisk?
genetics
behavior (diet, activity, lifestyle)
environment
social
spiritual

38. provider risk

39. what makes up providerrisk?
training
behavior (referrals, utilization)
practice environment
patient satisfaction
quality measures

40. benefit risk

41. what makes up benefitrisk?
covered services
co-payments
member engagement
provider network
care coordination

42. how do we get there
marshall goldsmith

43. how do we get there
from here?
marshall goldsmith

45. KEEP
CALM
and
LET US
SHOW
YOU

46. moving healthcare forward

47. www.thrasys.com