dr sajjad yacoob - 'physicians (clinicians) without borders
TRANSCRIPT
Sajjad A. Yacoob, MDChief Medical Information Officer
Children’s Hospital Los AngelesAssistant Dean for Student Affairs
Keck School of Medicine of the University of Southern California
Physicians (Clinicians) Without BordersThe evolving role of the CMIO/CCIO
The empires of the future are empires of the mind.
Sir Winston Churchill
Healthcare is evolving
Healthcare is evolving
Healthcare in the 21st Century
Electronic Health Record
Manage disease populations
Bio-connectivity
Medicine in the cloud
Device intelligence
Personal health records
Focus on patient safety
Transparency
Data analytics
Managing cost/variations
Bar Coding and RFID
Customer service
Healthcare IT is evolving
CMIOThe role of the CMIO has always been a delicate, high wire balancing act
The role of the CMIO, along with healthcare, is evolving
R E
T
LI
A
Y
To know where we are going we need to see where we have been.
Healthcare is evolving
1. Heart Disease (724,269)
2. Cancer (538,947)
3. Cerebrovascular Dz (158,060)
4. Pulmonary Dz (114,381)
5. Medical Errors (98,000 est.)
6. Pneumonia (94,828)
7. Diabetes (64,574)
8. MVA (41,826)
9. Suicide (29,264)
10. Renal Disease (24,295)
The role of CMIO is evolving…
Data
Information
Knowledge
Reliability
Understanding relations
Understanding practices
Understanding patterns
From Crisis to Confidence
Creating High Reliability in HealthCare
Joseph I. Bormel, MD, MPH
We want healthcare to be R E L I A B L E
Data
Information
Understanding relations
CPOEPhysician Champion
Physician Champion
Physician champion a bridge and translatorFocused on developing and implementing the technologyLimited scope – primarily physician adoptionCPOE a big driver – a violin solo
C P O E
?LAB
PHARMACYeMAR
CHARTING
RAD
ICU
PHYSICIANNOTES
C P O E LAB
PHARMACYeMAR
CHARTING
RAD
ICU
PHYSICIANNOTES
EMR
That it will ever come into general use, notwithstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations
London Times 1834
Data
Information
Knowledge
Understanding relations
Understanding patterns
EMRCMIO
Data
Information
Knowledge
Understanding relations
Understanding patterns
CMIO
Adoption across all disciplines Position now strategicFocused on developing and implementing solutionsExpanded scopeRequires more skills – playing multiple instruments
CMIO must understand the interplay between technology,
process and PEOPLE
People
Process
Technology
Ultimately, people define and work the processes which utilize the technology
CommunicationCMIOCredibility
Committed
Clinician
CaptainCollaborative
Confluent
The Physicians Voice in IT: Defining CMIO Roles & Responsibilities – Bob MitchellClinical Innovation and Technologyhttp://www.clinical-innovation.com/index.php?option=com_articles&view=article&id=29728:the-physicians-voice-in-it-defining-cmio-roles-a-responsibilities
CMIO as an executive
EMREven as a CMIO strategically builds the EMR structures, there are forces over the wall that are pushing the boundaries of the role
CPOE
eMAR
RAD
CHARTING
LAB
PAT I E N T C O N S U M E R I S M
News
Entertainment
On-line banking
Travel booking
Social networking
PATIENT CONSUMERISM
You've got to think about big things while you're doing small things, so that all the small things go in the right direction
Alvin Toffler
The CMIO now has to look beyond the initial “picture” and see the relationships and transformative nature of each piece of technology…see the mosaic that is improved patient safety and quality
Data
Information
Knowledge
Reliability
Understanding relations
Understanding practices
Understanding patterns
EHR – HIER e l i a b l e h e a l t h c a r e
CMIO 2.0
Data
Information
Knowledge
Reliability
Understanding relations
Understanding practices
Understanding patterns
CMIO 2.0
Now conducting a symphonyVISIONRecognizes how to position solutions as strategicPatient engagementData analyticsOutcomesTransformational
Physician Champion
CMIO
CMIO 2.0
CMIO 2.0
Make HEALTHCARE reliable
Improve population health outcomes
Data analytics - predictive
Physician Champion
CMIO
C M I O 2 . 0
Extraordinary clinicians make great stories, but they don’t make great healthcare. Our goal should be to make
healthcare reliable not heroicDon Berwick, IHI
High Reliability Organization
Genomics
Data analytics
Patient consumerismThe CMIO evolution
moves from facilitator to leader to
transformational visionary
Reactive Preventive Predictive
We will be known forever by the tracks we leave….
American Indian proverb
QUESTIONS