Unique Characteristics of Healthcare: An Information Business

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Unique Characteristics of HealthcareAn
Information Business
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Overview

• Unique characteristics of healthcare
• Healthcare an information business
• Obstacles to information flow
• Identity issues

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It is ALL Personal
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Cant Fix a Leak

• Unauthorized access can cause irreparable damage
• Employment
• Insurance
• Reputation

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Economics of Personal Health

• All I want
• Others should pay for it
• Im not paying for others

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The Healthcare Triangle
Patient
Provider
Payor
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We all outsource healthcare
Information must be shared
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Healthcare Its Different

• Innately personal
• Economics of demand and payment affect public
  policy
• Triangulated relationships

But information must be shared
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Healthcare An Information Business
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Sharing Healthcare Information

• Exams
• Diagnostics
• Consultations

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Paper-based systems Silos of Information
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Managing Health Information

• Specialization
• Sophistication
• Distributed care

• Healthcare needs information management tools

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Healthcare is the nations largest, most
inefficient information enterprise.
-Richard Hillestad
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Healthcares hurts

• Access
• Errors
• Quality
• Efficiency

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Problems are in the information flow
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Obstacles to Information Flow
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Paper-based systems Silos of Information
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Why still paper based?

• Systems
• Economics
• Security and Identity

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Opportunities for Innovators
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Economics of Change

• Purchasers arent beneficiaries
• 10 goes to providers
• Fee for service
• No quality differential
• No efficiency reward

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Security and Identity

• Classic Problem Controlling Access
• Identity in healthcare

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Which is it?
Privacy?
Confidentiality?
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Some Identity Issues

• Policy
• Stakeholder Engagement
• Technology and Clinical Practice

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ID Policy Issues

• Identity links to confidentiality
• HIPAA Babelling Tower of State Laws
• Legislation to block unique ID
• Regional or national system
• Appropriate protections and sanctions

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Stakeholder Engagement

• Consumers benefits and risks
• My doctor already knows
• Convenience Benefit
• Banking online
• Clinicians
• Accuracy and completeness
• False positives/negatives

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ID Technology Issues

• Unique or algorithmic?
• Inform the policy debate
• Must defer to the policy consensus

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• SWallace_at_NAHIT.org
• Website NAHIT.org

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