Our Health System: Making it Better

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Health Informatics New Zealand

Presented by Nigel Millar Chief Medical Officer, Canterbury District Health Board

Health & Medicine Business

Making it better
Collaboration to towards and
integrated system ...
HINZ Rotorua 2013
Anon

Nigel Millar

What is a system?
. . A system is a set of activities with a
common aim,

How To Build Healthcare Systems (J.A. Muir Gray)

What is a system?
. . A system is a set of activities with a
common aim, a common set of objectives,

How To Build Healthcare Systems (J.A. Muir Gray)

What is a system?
. . A system is a set of activities with a
common aim, a common set of objectives,
and a set of criteria against which
progress towards the objectives can be
measured
How To Build Healthcare Systems (J.A. Muir Gray)

Who?

Genesis of eSCRV

Chris Dever
Sheree East
Peter Fear
Ian McCrae
Graham McGeoch
Symon McHerron
Nigel Millar
Graeme Osbourne
Wayne Oxenham
Tony Cooke
Jeff Wilkinson
Martin Wilson

CDHB
Nurse Maude
Pharmacist
Orion Health
Canterbury Initiative
Pegasus Health
CDHB
Health IT Board
Orion Health
Health IT Board
Orion Health
Wainoni medical Centre

What?
. . support health system recovery
. . toward the CDHB 2020 Vision
. . with an integrated health record

Genesis of eSCRV

Goals
. . support health system transformation
. . rapid implementation of key elements
. . protect the people from the adverse
health effects of the earthquake
Genesis of eSCRV

Information model
. . person
. . conditions or groups
. . provider
. . population
Genesis of eSCRV

Outcome:
. . eSCRV
. . better understanding
. . stronger health community
. . community engagement
Hacking Healthcare: A Guide to Standards, Workflows, and Meaningful
Use (Fred Trotter and David Uhlman)

Data the water of life:
. . Tracking health data; and tracking health data
in a way compatible with other health data are
very different things.
. . Ensuring that health data is liquid is much
more complex than just gathering it together.
Hacking Healthcare: A Guide to Standards, Workflows, and Meaningful
Use (Fred Trotter and David Uhlman)

. . safer
. . a better experience
. . more effective
. . more efficient
. . more engaged with the person

The patient owns the record:
. . to read
. . to annotate
. . to correct
. . to control

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Module 1 Module 2 Module 3 Module 4 MHA506 - Health Care System Organization X X X MHA507 - Health Care Delivery Systems X X X MHM525 - Marketing in Healthcare X MHM502 - Health Care Finance X MHM514 - Health Information Systems X MHM522 - Legal Aspects of Health Administration X Title: Organizational Structure and Functions Common services or functions they can share Blood banks; same blood banks can be used, in GAH, and in community clinic. The pharmacy can also be one area that will be shared because they will need to bring the medicines that will be required (DeCoske, Tryon & White, 2011). Operating rooms can also be shared between both sectors, and these will save money and resources. Explain the organizational relationships between the structure blocks Horizontal linkages; in these linkages, every person in the organization has an equal relationship (Talbot & Verrinder, 2010). They are most needed when there is a need for coordination that is close in all the organization segments. Vertical linkages; these linkages tie subordinates and supervisors together. The supervisor is in charge of evaluating and providing guidance towards any improvement necessary. How (if appropriate) will you integrate the services of physicians whose specialty is in geriatric treatment within the GAH /CC? Geriatrics is a specialty that has its focus on older adults' health care with aim of promoting their health (Talbot & Verrinder, 2010). There is no specific age for a patient to be under the care of a geriatric physician. The first thing will be published on the hospital website about geriatrics. The second thing will be researching the best geriatrics in California. Define the mission statement for the GAH and Community Clinic The mission statement for Golden Age Hospital and the Community Clinic is a specialized facility for geriatric and education offers (Andrews, Jelley & Jelley, 2013). It will also be focused on compassionate delivery of care that is client-cantered to the elderly population and the caregivers. It is also aimed at expanding services according to the seniors at their residential places. Prepare a simple organizational diagram, depicting the organizational structure (blocks) of the existing Mission Hospital (MVH), Children’s Hospital (CHOC), and the proposed Golden Age Hospital (GAH), and the community clinic (CC) (Harris, 2015). C.E.O Public Health Officer Doctors Workers Nurses Pharmaceuticals Surgeons Geriatrics What is the recommended hospital size (number of beds)? Taking into consideration the Orange County and its branches, the elderly population takes about 40 percent of the overall population (Epting, 2011). This means that out of the people of 122, they represent 48.8. This data depicts that, on average, Golden Age Hospital is recommended to have fifty beds. What significant services/treatments will be offered based on your survey results at the ...

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As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.

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Alycia Albers CTU Phase 4 IP Healing Hands Hospital’s Future Future Health care Trends Reform Realities:-Pay-for-performance systems are set to be implemented. IT upgrades:- better care delivery is accompanied by offering patients technology which supports that care. Involves the introduction of electronic medical records. It’s now shifting to ORs. Introducing patients to personalized medicine. Reform Realities-Pay-for-performance systems are set to be implemented meaning hospitals along with health systems will have to be more accountable than they have been. Every hospital facility has to come up with better strategies of tracking performance and the manner in which it provides its services. IT upgrades-making better care delivery is accompanied by offering patients technology which supports that care. This has already begun with the introduction of electronic medical records and it’s now shifting to hybrid ORs. Besides, hospitals have to introduce patients to personalized medicine such as using their smart phones in tracking their heart rate and sending the data to their care providers’ mobile devices (In Geisler, In Krabbendam & In Schuring, 2003). 2 Contd. Billing will shift to value from volume-in future. New payment mechanisms:-risk sharing, capitation agreement, bundling agreements. Health systems super-size- consolidation of various health care units. Billing will shift to value from volume-in future, healthcare systems will have to focus on high quality, improved outcomes, as well as, greater satisfaction. There will be new payment mechanisms which will include risk sharing along with capitation agreement, as well as, bundling agreements. Health systems super-size-it is projected that as a result of the lower costs, increased efficiencies and better quality; the hospitals, pharmaceutical suppliers, health systems and other participants within the health care are set to consolidate within the next decade. The resultant mega-sized entities are set to cause the end of stand-alone hospitals (Spekowius & Wendler, 2007). 3 Technologies Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future. This is due to the fact that technology is not only cheaper but also much easier to utilize. Electronic health data evolution- it is now possible to work with outside apps. The easy accessibility of medical data makes greater the knowledge depth. Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future. This is due to the fact that technology is not only cheaper but also much easier to utilize and various options are becoming available for every patient. Medical staff can connect with their patients through the internet by utilizing webcams. Electronic health data evolution-as health records become electronic, it is now possible to work with outside apps, which play a significant role in cap.

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