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University of Miami School of Medicine

Industrial Engineering’s Role in Health Care

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Future HealthCare Model

                                                                                

Objective:Objective: Lead the transition of the Clinical Care Process from a primarily manual system to a technology-driven paperless solution.

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• Recognizing the value of information

• Access to information

• Simultaneous access

• Online, real-time best practice protocols and alerts

• Managing interactions AND transactions

• Eliminate/reduce paper

• Eliminate manual processes to support the paper

• Time costs

• Creating a collaborative business environment

• Integrating business process and data

What are the Issues?

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Challenges for Physicians

• Concern re: time sink for on-line interactions• Solutions must decrease physicians’

time or increase revenue

• Legal liability concerns• Confidentiality requirements• HIPAA regulations

• Critical mass of connected patients

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Challenges for Patients

• Engaging, understandable, useful functionality

• Security (both real and perceived)• Confidentiality, authenticity

• Data sharing• Lack of universal identifiers• Lack of standard lexicon• Translation into lay language

• Need to provide tools to enable patients to make safe decisions regarding access, integration

• Functionality requires physician/health care provider connectivity

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Trends to Watch• By 2005, more than half of U.S. consumers will have

high household incomes, some college education, and access to a computer at home or work.

• Health care consumers of the future will be more actively involved in making decisions about the health care they receive. They will expect:

• high levels of choice • control • consumer service • interaction with health care providers, and • access to information

• They will use the Internet to help meet those expectations.

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•Single point of clinical integration (patient centric)

•Document management, imaging and image enabling

•Computer generated report processing (COLD)

•Automation of business processes

•Provides automated data storage management

•Closed loop emergency room

•Foundation for Enterprise Resource Management (ERM)

•Add value to our applications

UM Electronic Medical Records Strategy

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UM Information Integration Strategy

EDI/XML

Standardized

Forms

On-line ApplicationProcess driven

Data/Info

Customized Views

Paper/Image/FAX

Capture/Archive

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UM Information Management Vision

Create/capture Create/capture any data once any data once

and at the sourceand at the source

Manage andManage andsecuresecure

informationinformation

Distribute toDistribute toany user atany user atany locationany location

Store and retainStore and retaininformationinformation

Retrieve anyRetrieve anyinformationinformation

related to needrelated to need

Present/viewPresent/viewanyany

informationinformation

Patient InformationTransactional DataInternet IntelligencePatient AccessBusiness DocumentsEnterprise Information

Medical RecordsBilling/Collections

Managed CareAdministrative Decision

MakingEnterprise Intelligence

Data Warehouse

Clinical Management

Workflow

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UM Clinical Integration Vision

Clinical Data, Business Data, Forms, Paper,

Documents, EDI, Phone, FAX,

Web

Registration

Appointment

ClinicalMgmt.

Pharmacy

Decision Support

Lab

Radiology

EMPI

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UM - Systems Integration Model

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University of Miami School of Medicine

Industrial Engineering’s Role in Health Care

•Automate the care process•Connect the health care professional

•Structure the knowledge•Close the loop