challenges for large hospitals/health systems
DESCRIPTION
Response by Alexander M. Nason, MBA, MHA, Program Director, Office of Telehealth and Interactive Learning, Johns Hopkins MedicineTRANSCRIPT
Challenges to Telehealth in Academic Medicine
Alex NasonProgram Director
Office of Telehealth and Interactive Learning
Historic Billings Building
New Clinical Building
Expanding Our Global Presence
IT @ JHM - Critical Juncture
• ‘Entity centric’ to ‘Patient centered’
• Single tightly integrated solution
• Patient centered care requires coordination of care across JHM
• Enable operational efficiencies, cost controls, and productivity
• Achieve quality and patient safety well beyond meaningful use
• Requires careful TCO and ROI analysis
• Require redesign of care
The Origins of JHM
ResearchClinical Care
Education
Consumerism in Health
Challenges
• Human Factors and Culture
• Acceptance by Physicians/Patients/Users
• IT Department
• BYOD/Security
• Reimbursement
• Costs
• License / Regulatory
• Evaluation and Research
Challenges
• Business Planning – Sustainability
• Training
• Communication
• Cultural Considerations
• Environment
• Local Legal Issues
• Time Zones (DST)
Real World Problems
• Acute Care Response
• Stroke
• Chronic Disease Management
• Diabetes, Obesity, CHF
• Physician Shortages
• i.e. Intensivists
• Global Issues
• Pandemic Flu
• SARS
• Hurricane Katrina - Asian Earthquake
• Bio-terrorism
• Global Economics
Things to Consider
• Social Networks / Social Media
• Wisdom of Crowds
• Education / Training
• Security/Theft
• Accountable Care Organizations
• Patient Protection and Affordable Care Act
• Research….Research…Research
• Clear question
• Documented approach
• Efforts to ensure VALIDITY
A Whole New Mind – Daniel Pink
Right Brain• Holistic• Intuitive• Non-Linear
Left Brain• Sequential• Logical• Textual