Federal Wellness It Strategic Excogitation For 2011-2015: Comments
The Office of the National Coordinator for Health Information Technology (ONC) is seeking populace comment on the Federal wellness information technology strategic innovation for 2011-2015. On their Health information technology Buzz blog, they listed 5 goals that they hope volition "unlock the vast hope of electronic wellness information to improve conclusion making, help individuals ameliorate acquire by their health, as well as improve the wellness system’s capacity for rapid learning. Following is a comment I posted there.
As a healthcare clinician (psychologist), researcher as well as wellness information technology inventor/developer who has been focused on such issues for thirty years, the ONC goals, inward general, are acceptable to me. Assuming, however, that providing always to a greater extent than cost-effective (i.e., high-value) aid to the patient/consumer is—or at to the lowest degree it should be—the overarching objective of the ONC strategy, as well as thus the next issues ought to endure clearly addressed, imo.
One number is the quest for clinicians to collaborate amongst researchers as well as information technology technicians via loosely coupled social networks (that cross professional, regional as well as organizational boundaries). The clinicians should primary aid physicians as well as specialists across all settings, from inward solo practise to large hospitals as well as integrated aid organizations. They should deliver all types of healthcare, including conventional as well as CAM “sick care,” equally good equally “well care” (focused on prevention, wellness optimization as well as self-maintenance). These various groups of professionals would correspond a “whole-person integrated care” approach that addresses biomedical, psychological as well as mind-body (biopsychosocial) factors/problems/conditions.
The clinicians inward these collaborative networks would produce 2 of import things:
1) They would locomote wellness information technology tools that prepare a query information warehouse amongst procedure as well as outcomes data, equally good equally lessons learned. This information central must endure done securely as well as protect patient privacy.
2) They would also percentage as well as hash out ideas to direct the development of wellness information technology by, for example, defining:
The researchers as well as clinicians would as well as thus collaborate to transform the results into patient-specific recommendation inward the sort of preferred practise guidelines, protocols as well as clinical pathways. These recommendations ought to become beyond comparative effectiveness as well as focus on toll effectiveness [Reference]. This means, inward part, changing the payment model to i that incentivizes clinicians who focus on delivering high value (cost-effective) aid to their patients past times paying to a greater extent than to clinicians who convey the fourth dimension to locomote EHRs, CDDS, participate inward the social networks discussed above, as well as focus on demonstrating continuous improvement inward both character as well as efficiency.
As a healthcare clinician (psychologist), researcher as well as wellness information technology inventor/developer who has been focused on such issues for thirty years, the ONC goals, inward general, are acceptable to me. Assuming, however, that providing always to a greater extent than cost-effective (i.e., high-value) aid to the patient/consumer is—or at to the lowest degree it should be—the overarching objective of the ONC strategy, as well as thus the next issues ought to endure clearly addressed, imo.
One number is the quest for clinicians to collaborate amongst researchers as well as information technology technicians via loosely coupled social networks (that cross professional, regional as well as organizational boundaries). The clinicians should primary aid physicians as well as specialists across all settings, from inward solo practise to large hospitals as well as integrated aid organizations. They should deliver all types of healthcare, including conventional as well as CAM “sick care,” equally good equally “well care” (focused on prevention, wellness optimization as well as self-maintenance). These various groups of professionals would correspond a “whole-person integrated care” approach that addresses biomedical, psychological as well as mind-body (biopsychosocial) factors/problems/conditions.
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The clinicians inward these collaborative networks would produce 2 of import things:
1) They would locomote wellness information technology tools that prepare a query information warehouse amongst procedure as well as outcomes data, equally good equally lessons learned. This information central must endure done securely as well as protect patient privacy.
2) They would also percentage as well as hash out ideas to direct the development of wellness information technology by, for example, defining:
- Information models that clitoris what quest to know as well as how they quest the information presented;
- Where the information comes from (e.g., input past times the clinician/office staff or received straight from the patient via a PHR);
- Ways to locomote the information technology tools thus they jibe it into clinical workflows; and
- The variety of conclusion back upwardly they would desire to have (such equally “patient-centered cognitive support,” [Reference].
The researchers as well as clinicians would as well as thus collaborate to transform the results into patient-specific recommendation inward the sort of preferred practise guidelines, protocols as well as clinical pathways. These recommendations ought to become beyond comparative effectiveness as well as focus on toll effectiveness [Reference]. This means, inward part, changing the payment model to i that incentivizes clinicians who focus on delivering high value (cost-effective) aid to their patients past times paying to a greater extent than to clinicians who convey the fourth dimension to locomote EHRs, CDDS, participate inward the social networks discussed above, as well as focus on demonstrating continuous improvement inward both character as well as efficiency.