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Mind the Gap - Hacking Health - July 30 2014
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Brady
July 30, 2014
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Mind the Gap - Hacking Health - July 30 2014
Brady
July 30, 2014
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Transcript
MIND THE GAP Dr. Brady Bouchard Hacking Health Saskatoon //
July 30, 2014 Failures of EHR in Primary Care
PRIMARY CARE IS BEHIND (THE EIGHT BALL)
Little or no improvement to: ★ health outcomes ★ performance
indicators ★ process & patient flow ★ $$$ We’re using EHRs for technology’s sake
Why? Lack of incentive for physicians
Why? Government + $$$ ! ! Incentivized physicians ↓
Why? “Enterprise” a.k.a. “check the box” Software Development for Certification
& Funding
None
None
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Start with No. https://gettingreal.37signals.com/ch05_Start_With_No.php
Canada Health Infoway The emerging benefits of electronic medical record
use in community-based care April 2013
★ save physicians time & $ ★ save patients time
& $ ★ improve health outcomes!! Well designed EHRs:
★ solve a real world problem ★ built from the
“coalface” up: design based on real world user interaction studies and tested relentlessly ★ measure and report (shh!) Well designed EHRs:
Performance Indicators (Key)
PROCESS PATIENT FLOW & KPIs around
KPIs around Improving Health Outcomes
None
Uninterested physicians → discouraged developers Current Roadblocks: Physicians ★ Inertia
★ Lack of incentives ($$$) ★ The McKinsey Maxim ★ Legislation (PHI)
Current Roadblocks: Government Billing codes
★ build something where value is obvious to physicians (end
user test relentlessly; start with No.; hire a UX designer and give them control) ★ measure everything and develop KPIs to help physicians, patients, and the system Where do we go from here? Huge potential for well designed EHRs in PHC
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