Data Silos, Gist Measures, Surgery Metrics, Outcomes, In Addition To Evidence-Based Guidelines
There has been a neat bargain of give-and-take almost the bespeak to central patient wellness information securely across disparate information silos piece protecting patient privacy. I concur that this is an essential element for transforming healthcare together with convey offered a solution inward prior posts. But that's exclusively 1 purpose of the large picture. We must also focus on the bespeak for (and failure to) funnel comprehensive clinical outcomes measures to researchers who interpret them into evidence-based guidelines reflecting cost-effective care. Health information technology tools, therefore, should hold upwards competent inward obtaining these data, delivering them to researchers, together with and so presenting the resulting guidelines to patients together with providers every bit a agency to ameliorate together with vantage high-value care.
Case inward point: The vast bulk of "performance metrics" I've seen are based on "process measures" that evaluate assist character based on what was done instead of the outcomes/results of care. Unless this province of affairs changes, assist value (cost-effectiveness) is non probable to ameliorate much. I've written almost this province of affairs years agone at /search?q=novel-way-to-share-personal-health. And interestingly enough, a recent article at http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20100219/NEWS/302199990/1029# discusses the tension surrounding the utilization of "core measures" past times the Office of the National Coordinator for Health Information Technology (ONC) together with how they desire to position to a greater extent than emphasis on outcome measures over procedure measures.
Bottom line: Sharing patient information is important, only using those information to ameliorate assist value systematically is a procedure that is largely overlooked. Today. This is a serious occupation that must hold upwards addressed seriously.
