HealthCare Information Technology

David Haselwood, MBA, MPH, serves as the Head of Business and Corporate Development at Gradalis, Inc. Mr. Haselwood is the Senior Associate of Burrill & Company and Business Development Executive at Physician's Online, LLC.

David Haselwood

Overview

• What is Health IT?• How Does Health IT impact

healthcare?• What is the Evidence-base for HIT?• What is the Promise of HIT?• Where do we stand on HIT Adoption?• What is the Potential Value of HIT?• How is Health IT Policy Derived

Today?• What are Policy Options to Stimulate

HIT?• Possible focus areas to move the ball

David Haselwood

What is Health IT?

• Hospital – many systems– Computer-based Provider Order Entry (CPOE)– Electronic Medication Administration Record (eMAR)– Clinical Data Repositories– Ancillary Systems (Lab-chemistry, Lab-micro, Blood Bank, Radiology, Pharmacy,

Pathology, etc.– Devices: Smart Pumps, Ventilators, EKG, ABGs…– Financial: Revenue-cycle Management

• Clinic– Electronic Health Records (Electronic Medical Records)– Practice Management System

• Patient– Personal Health Records

• Payors – also may have PHRs• Free-standing (community): any of the above

David Haselwood

How Does Health IT impact healthcare?• Information management and processing

– Making the bill– Processing specimens (ancillary departments)

• Information access– Hospital information systems, EMRs

• Data analysis -- financial• Data analysis – clinical operations/research• Clinical Decision Support• Information exchange

David Haselwood

How Does HIT Improve Healthcare

• Clinical Processes– Streamline, structure order process– Ensure completeness, correctness– Supply patient data– Charge display – Redundant test reminders – Structured ordering with counter-detailing– Consequent or corollary orders

• Other EMR Process Benefits– Reduced transcription costs– Reduced chart pulls– Improved clinical messaging and workflow– Improved charge capture and accounts

receivable– Improved referral coordination– Improved patient communication and

service

Medication UtilizationPerform drug interaction checksCheck for duplicate medicationsBrand to generic substitutionsCalculate and adjust doses based upon age, weight, renal functionAlternative cost-effective therapiesFormulary complianceIndication-based

David Haselwood

How does healthcare information exchange impact the bottom line?

• Largely, TBD…• Expected effects

– Reduced healthcare information management labor costs

– Reduced duplicative tests and procedures

– Reduced fraud and abuse– Improved service delivery

efficiency– Improved patient

convenience– Reduced medical error

David Haselwood

THANKS YOU

David Haselwood