Download - World ia-day-stratasan
Current Macro IA Trends • Explosion of new informa0on from EMR and only about half are at Stage II MU
• Shi=ing and Evapora0on of Pa0ents • Care Management is Rapidly Changing • You have to Care for Community, Not Just Pa0ents (I think this makes it easier, not harder for IA)
Our Shared Language • Hierarchy of Data: Figure out what goes where and why and what you should do first
• Taxonomy, First Not Last – Cross Walks
• Curated Views, Last (you need experience) • Interface Engines, Connec0ng to the world
– (SeeBeyond, CloverLeaf)
What Needs to be Captured NOW!
Hospitaliza4ons -‐ 40,692,505 (.13) Outpa4ent -‐ 96,404,868 (.308) Emergency Dept -‐ 136,176,760 (.4355) Physician Office Visits -‐ 1,045,262,266 (3.343)
Health Expenditure Projec4ons
0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Na4onal Health Expenditures Billions
US Health Expenditures
Hospital Care, 827.3
Physician and Clinical Srvc, 556.1
Other Prof Services, 74.6
Dental Services, 111.8
Other Personal Health Care, 90.3
Home Health Care, 82.8
Nursing Home Care, 156.2
Prescrip4on Drugs, 274.5
Other Medical Products, 70.9
DME, 28.1
Other Non-‐DME, 42.8
Insurance, 189.5
Public Health, 84.6
Research, 54.2
Structures, 130
2011
The Real Physician Story • 985,375 Total Physicians • 752,572 Pa0ent Care Focused • 125,928 Inac0ve • 64,153 Not Classified • 9,458 Unspecified Physician Specialty • 432 Address Unknown
Coding MDC Major Diagnos4c Codes DRG Diagnos4c Related Groupings ICD9 à ICD10 2014 – Interna4onal Classifica4on of Diseases HCPCS – Healthcare Common Procedural Coding System CPT4 – Clinical Procedural Terminology SnowMed -‐ Systema4zed Nomenclature of Medicine