Mind the Gap - Hacking Health - July 30 2014

Transcript

1. MIND THE GAP Dr. Brady Bouchard Hacking Health Saskatoon // July 30, 2014 Failures of EHR
 in Primary Care
2. PRIMARY CARE IS BEHIND (THE EIGHT BALL)
3. Little or no improvement to: ★ health outcomes ★ performance indicators ★ process & patient flow ★ $$$ We’re using EHRs for technology’s sake
4. Why? Lack of incentive for physicians
5. Why? Government + $$$ ! ! Incentivized physicians ↓
6. Why? “Enterprise” a.k.a. “check the box” Software Development for Certification & Funding
10. Start with No. https://gettingreal.37signals.com/ch05_Start_With_No.php
11. Canada Health Infoway The emerging benefits of electronic medical record use in community-based care April 2013
12. ★ save physicians time & $ ★ save patients time & $ ★ improve health outcomes!! Well designed EHRs:
13. ★ 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:
14. Performance Indicators (Key)
15. PROCESS PATIENT FLOW & KPIs around
16. KPIs around Improving Health Outcomes
18. Uninterested physicians → discouraged developers Current Roadblocks: Physicians ★ Inertia ★ Lack of incentives ($$$) ★ The McKinsey Maxim ★ Legislation (PHI)
19. Current Roadblocks: Government Billing codes
20. ★ 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