Patient data resides in many systems and in multiple locations, which requires adept coordination and collaboration to deliver quality healthcare. However, sometimes pertinent data slips through the cracks – as demonstrated at Texas Health Presbyterian Hospital in Dallas.
Dr. Daniel Vargi of Texas Health Resources explained the breakdown in EHR miscommunication in a recent CNN interview: “While we had all of the elements of information that were critical to understand a potential diagnosis of Ebola, the way we built them into our clinical process – not only the process of gathering the information but then communicating the information between caregivers – was not as front-of-mind as it should have been.”
This gap in information sharing needs to be bridged, especially to mitigate risk when dealing with significant diseases such as Ebola. It is critical that healthcare systems obtain a 360-degree view of patients, and achieve EHR interoperability.
Providers wrestle with EHR technology to enter patient information that is often never reconciled with patient history or existing data on countless other data sources including ancillary services, and other healthcare organization’s electronic medical record (EMR) system.
The HITECH Act (2009) initiated governmental incentives and penalties designed to nudge healthcare to adopt certified EHR technology for better patient outcomes. As of 2013, 59 percent of acute care hospitals (non-federal) have adopted at least a basic EHR system with clinician noted.
Once again, HIMSS is asking for perspective about the value of Health IT. The organization asked members of the social media and blogging community to respond to this very question last year for its second year celebrating National Health IT Week. It’s doing so again in preparation of #HIMSS14.
As I pointed out last year, even though it seems like a simple question, there still don’t appear to be any simple answers. There remains different answers depending on who you ask. So, again, instead of offering my lone opinion, I’ve asked a variety of folks to respond to the question, “What is the value of health IT,” based on their insight and experience serving the space.
The value of health IT lies in its ability to address three of the major, although competing, forces of change in healthcare. The need to standardize care, personalize care, and reduce costs requires the synthesis of vast amounts of data as well as dramatic changes to workflow and process. I can conceive of no way to go about pursuing these changes without technology. The old adage “you cannot improve what you cannot measure” tells us that improving health care requires us to leverage our data, turning it into knowledge and to then build the new workflows that will change the way we deliver care.
Health IT is the means for providing the best possible data at the point of care. It addresses the who, what, when and where of a patient’s care, which helps healthcare providers enhance the patient experience and deliver high-quality of care to improve health and well-being, preserve privacy and ensure security. Health IT facilitates innovation and overcomes interoperability challenges that gives providers transparency for the patient pathway to improve quality of care and minimize clinical and financial costs by eliminating duplicate patient records, incomplete medical histories, incorrect medications, clinical errors, billing mistakes, and avoidable readmissions, as well as correcting the overuse, underuse, and misuse of beneficial care. Adopting health IT is the one strategy healthcare organizations can take to enter a golden age of patient care.