The Future of Health Care: Electronic Health Records

Uploaded by HHSONC on 18.07.2011

VIEIRA: So I had to go to the ER
and the two medical students there argued with me
about giving me 10 units an hour of insulin
plus 20 units as an immediate bolus
and I knew that 15 and, you know, 125 pounds,
that was way too much insulin for me.
But, because I don't have a medical background
and I was just some teenager, they didn't take me seriously
and, sure enough, two hours later,
I was crashing and they were pumping me full of sugar
to counteract all the insulin they just gave me.
JAIN: My father's a diabetic with, you know,
bad coronary artery disease, who's gotten care
at three different hospitals.
When the folks at hospital X don't know what happened
at hospital Y, they're not giving him really good care.
SELLERS: If your records are in Boston
and you're in North Carolina or you're in California,
there's no way to bring it all together.
PARK: You get subjected to multiple X-rays
that you didn't need multiple of.
There are exams that you needed,
tests that you needed, things you needed to do,
that, they actually didn't happen
because people didn't realize that that hadn't been done.
McCANNON: Not only does that mean
that there's waste, in terms of money,
and a burden on the health care system, generally,
it means my mom gets hurt.
If I could snap my finger and have one thing transform
the quality of care in the country,
it would be that everyone would have an electronic health record
that would be universally accessible.
BERWICK: In health care, doctors and nurses,
technicians, managers, they want to help patients,
but they may find themselves
in systems of work that just confound their best efforts.
MOSTASHARI: With medicine, we feel like we have
a responsibility and a bond to every patient who we care for.
The problem is,
with a paper chart sitting in front of you,
it doesn't give you information that's up-to-date,
it doesn't help you make connections, it doesn't
help remind you of things that is buried in the chart.
COCHRAN: The current system means
that the information that's required
is frozen in glaciers,
so you need to go and chip it out of a glacier
to find what you need to make good decisions.
Our goal, with this work, is to have the information
that's been delivered to your patient liquid, available,
there when you need it, so that you make
better decisions with your patient for their care.
PARK: The health system has to change
and that it actually has to move toward one
that actually coordinates care for a patient,
one that actually understands what's going on
with a patient or a population of patients.
BLUMENTHAL: It's about getting rid of the clipboard
that you, annoyingly, have to fill out every time
you go see even your own physician, who should know you.
BECHTEL: Collect information from multiple parts
of the health care system, put it in one place,
that makes it easier for families to manage.
MACK: The record follows the patient, so when
the provider sees the patient, they can see the total record.
VIEIRA: It would put me in a safer situation,
as a patient, and it would give me support and backup
when I'm speaking with a physician or a new physician.
JAIN: You've seen every other sector of the economy
use information technology to drive massive improvements:
efficiency, quality, service delivery.
Health care hasn't yet had that opportunity.
BERWICK: It's almost a historic convergence right now
and maybe we can get the job done,
if we just really all do that together.
AVRAM: So the opportunity is better care,
better health outcomes, better coordination of care,
and, with luck, reduced cost and improved efficiency.
FERNANDEZ: If you have the ability
to do something good now,
why wait until later,
why not take advantage of this opportunity?