Improving Management Strategies to Success of IT in Health Care

Category: Education

Presentation Description

This presentation was prepared as part of the course 6196 Information Systems in Health Care Management taught by Farrokh Alemi, Ph.D. at University of South Florida Department of Health Policy and Management.


Presentation Transcript

Improving Management Strategies to Success of IT in Health Care:

Presented by Gediminas Pakalnis Based on : Alemi F.  “Management matters: technology succeeds when management innovates”. Front Health Serv Manage. 2000 Fall;17(1): 17-30 Improving Management Strategies to Success of IT in Health Care


What is IT in Health Care and why it is important What IT can bring to Health Care Why IT has not been successful in Health Care What needs to be changed for IT success Outline 2

IT in Health Care:

Online health education Online support groups Virtual Managed Care Organization 3 s Electronic medical records Etc. Why IT to Health Care: success of computer-based businesses almost everybody has access to a computer health services can be delivered to patients online What IT will do for health care: Reduction of cost of care Improvement of the quality of services IT in Health Care 3

When does IT work? :

Three factors have been shown to catalyze the positive impact of IT on health care: Social support groups Patient-tailored health education and interactive communications Frequent and sustained use of online services. Need to learn from instances where IT has been effective in changing patients’ health to organize health care delivery systems that work When does IT work? 4

Impact of IT on cost of care:

Health education can reduce medical visits Electronic support groups could lead to drastic reductions in cost of care. Online services to patients reduce cost of care without adversely affecting their health status. Other forms of interactive health communications such as scheduled phone communications can also reduce the cost of care. Impact of IT on cost of care 5

Why commercial failure? :

Problems: IT has not been widely adopted in health care No changes to the delivery of health services to patients Lack of use of electronic medical records. Large-scale problems using IT Why commercial failure? 6

What must change?:

Policies for a Virtual Managed Care Organization (VMCO) Stay small Focus and specialize on a single disease Target carve-outs Customer-tailoring Flexibility of services Use information on patients to improve quality of care Capital purchases must change High capital cost for information technology Reduce the need for real estate What must change? 7

What must change?:

Recruitment and training Computer assisted collection of history, signs, and symptoms Computer assisted triage of patients to appropriate laboratories Distributed electronic medical record system Online or phone-based advising of patients, prescription of medicine Computer assisted and automated follow-up visits with the patient Automated home monitoring and assessment Physician’s role changes from delivering the services to remote management Clinicians need training for making accountable decision regarding patient health on the basis of data What must change? 8

What must change?:

Gatekeeper – Health Educators Refer patients Make triage decisions Online specialists for chronic illnesses Same plan for patients from diverse geographical settings Better quality care Electronic Medical records Coordination of fragmented care Always up to date Added functionality Improved patient care What must change? 9


IT reduces the cost of and improves patient care Non-technological challenges prevent IT success Reorganizing health care systems Management innovations Organizational changes to the health delivery system Summary 10


Changes patients' attitudes More knowledgeable New expectations Demand for more services Organized health care customers Patient advocacy groups Outcome 11

The End :

The End 12

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