Ramesh K' Shukla, Ph'D'

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Information Technology Vision and Value for the
21st Century BRP Perspective

• Ramesh K. Shukla, Ph.D.
• Professor and Director
• Williamson Institute for Health Information
  Technology and Leadership

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Technology

• Technology has been a major force behind major
  social, political, and economic transformation in
  the United States

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Transformation of a Society

• Agrarian society
• 65 of the workforce in 1800s to 3 in 2000
• Industrial age
• 45 of the workforce in 1900s to 22 in 2000
• Information age
• Driving engine for the 21st century

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Performance in Health Care Present Status

• We have lot of work to do
• We spend 14 -15 of GNP in healthcare in US as
  compared to 6 - 10 in most EU, GB, and Canada
• We have the highest uninsured among western
  nations (40 million)
• One of the lowest life expectancy among western
  nations
• One of the highest infant mortality rates

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Healthcare System (Contd)

• Hospital employment has doubled in 25 years
• Use of RNs has increase 2.5 times in 25 years
• Nurses still spend less than 20 time in
  Professional-Direct Care
• About 1 Million Adverse Events in Hospitals
• 44,000 - 98,000 deaths in hospitals due to
  Adverse Events
• Turnaround time for meds 3-4 hours
• Turnaround time for lab tests4-6 hours

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Healthcare Transformation with IT

• Electronic Medical Record can integrate
  fragmented health care delivery and improve
  efficiency and reduce cost by 20
• President George W.Bush
• October 12, 2004
• Presidential Debate

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Failed Leadership in Health IT

• 50 of ALL Healthcare IT projects Fail but Not
  Through Vendor Fault
• David Brailer, MD
• National Coordinator for Healthcare IT

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Examples of Failed IT

• 300 Million write-off by HCA on Accounts
  Receivable Project
• 400 Million write-off by Kaiser Permanente on EMR
  project before switching vendor
• Cedars-Sinai pulling plug on CPOE implementation
  after 8-weeks

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Health Care Transformation with Technology
Future

• Broadband Connectivity
• Community-based Information Infrastructure
• Secured Wireless Networks
• Web-enabled Clinical Information Systems
• AI Intelligent based Clinical DSS
• Robotic Applications in Surgery
• Global Health Care Markets

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New Leadership ModelTo Fill the Gap

• Leadership that
• Understands the Power of Technologies,
• Resource Allocation for IT based on Strategic
  Plan
• Organizational Values Guide IT Deployment
• Proper Selection and Deployment of IT
  Infrastructure and Clinical Applications
• Integration of IT and Organizational Culture
• Creating new Organizational Forms with IT
• IT Leads the Re-engineering effort

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