Beacon Community Program: Improving Health Through Health Technology

Uploaded by HHSONC on 16.11.2010

THOMAS TSANG: Health care is one of the few industries
that are 20 years behind every other industry
using technology to improve quality.
MELANIE MASTANDUNO: There's just reams of paper
that is almost impossible to analyze.
GAURAV NAGRATH: There is so much work to be done in health care.
It is in dire need of a leap in the way it functions.
AARON MCKETHAN: We have well-intentioned physicians,
well-intentioned hospitals,
but we have a poorly designed system.
DAVID KENDRICK: Patients had to deliver this data manually
over and over and over
to other people in the health care system.
LAURA ADAMS: I got interested in improvement because I nearly took the life
of a 7-year-old child.
I gave that child a 10 times overdose
of the drug scopolamine.
She survived my care that night, but just barely.
And it made me start thinking
about the design of care, when that order
was hand-transcribed six times
before it reached me as the nurse --
when it can be death by decimal point.
I began to look at the design of systems and say,
"Why is it structured this way?"
It's not about incompetence.
It's not about commitment.
This was about system design.
So I got interested in improvement.
CRAIG BRAMMER: These Beacon Communities, from Maine to Hawaii,
are an amazing opportunity,
using health information technology
for some really dramatic change.
MCKETHAN: This is a program about
finding ways of using I.T. to improve patient care.
We want to see that spill over into the rest of the country.
CHRISTOPHER CHUTE: Our goal for this is really to ensure that we can
generate a community of collaborating partners
who can learn from each other
about what is working, what isn't working,
so that we can really deliver health care more efficiently.
JULIE SCHILZ: That saves the system in so many ways -- it saves
the patient if they have a co-pay.
It saves the employer from having their employee
not being at work because they're having
a duplicative test.
It saves our payor system from paying for something
that's already happened.
MIKE SAYAMA: The technology lets information
flow back to the personal physician,
in the context of a Patient-Centered Medical Home.
JANET TOMCAVAGE: Medical Home is really the essence that you establish
a center of coordination and care for a patient.
CHRISTIE NORTH: A lot of this project is all about education, because
consumers need to be empowered, they need to be engaged,
they need to care about their own care.
JOHN GRAHAM: Our hope is that we'll be able
to encourage better lifestyle choices
and introduce more prevention.
KAREN FOX: It's really going to help the patients
make a better decision, because they're
getting better information.
JAC DAVIES: Whether the person received an eye exam here or a foot exam
there or had their lab tests done somewhere else,
all that information is available
to whoever needs it for that patient's treatment.
CATHERINE BRUNO: We have experts in intensive care medicine
in a central place that are monitoring patients
in their intensive care rooms
at the smaller hospitals where they don't have
24-hour-a-day intensivists available.
DAN PORRECA: If you end up in an emergency room and you're unconscious,
your electronic medical record becomes your voice.
That could literally save your life.
TED CHAN: I've seen cases where patients have come in late
with a heart attack -- they end up not doing well
because it took too long to get them the care that they needed.
There's a lot of things that
technology can do to shorten that time.
We can now transmit wirelessly from the field to the hospital
so the cardiologist can get ready,
even before the patient arrives at the hospital.
ANUPAM GOEL: The technological part is actually the easiest part.
The hardest part is saying, "Are we willing to share,
are we willing to play in the same sandbox?"
It's not dangerous to share information.
There's actually a benefit for all of us.
TSANG: There are definitely safeguards
that ensure that privacy is maintained.
The softwares actually have the capacity
to actually show the fingerprints of who signed on
and who looked at the chart.
You can't do that with a paper chart.
A paper chart is lying around in the hallway,
and you just grab it, open it,
look at it, and put it right back.
J. MARC OVERHAGE: We want to make a real impact on health care quality and safety
and efficiency across the country.
SAYAMA: People's idea of health care
has to shift from health care as treating disease
to health care as taking care of health.
TSANG: At this moment in history, I think we have
all the forces aligned to make this happen quickly.
PORRECA: We can learn from others, and I think others can learn from us.
I think every one of our communities
have something to offer, and I think that's the whole
premise behind the Beacon, is to give the rest of the nation
something to look at.