ellen andrews, phd 4.20.09 for the ehealth privacy and security forum, state capitol, hartford ...
TRANSCRIPT
![Page 1: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/1.jpg)
Ellen Andrews, PhD4.20.09For the eHealth Privacy and Security Forum, State Capitol, Hartfordwww.cthealthpolicy.org
eHealth
Why consumers should care
![Page 2: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/2.jpg)
The problem:Costs are out of control
• 12.1 cents of every dollar spent in CT goes to health care
• CT’s health care spending up 5.2% annual avg. from 1991 to 2004
• CT family health insurance premiums grew 8.2X faster than CT median family income from 2000 to 2007
• Doesn’t count increasing copays, co-insurance, deductibles and eroding benefits
![Page 3: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/3.jpg)
Are we getting what we pay for?
Life Expectancy at Birth, 2003
70
75
80
85
US
Canad
a
Germ
any
Fran
ce
Austra
lia
Irelan
d
OECD med
ian UK
Japa
n
yea
rs Females
Males
![Page 4: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/4.jpg)
The problem: information
• 17% of Americans report that in the last two years test results or medical records were not available at the time of an appointment – the rate is 22% among sicker adults– the rate is twice as high among low-income
than higher income patients• Only 39% of American adults are confident
that they can get safe, effective care when needed
![Page 5: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/5.jpg)
The problem: quality• Less than half of CT adults over age 50 receive
recommended screenings and preventive care• 17% of CT residents with asthma had an ER or
urgent care visit in the past year• From July 2004 to Sept 2008 and there were 967
adverse events in CT hospitals, 97 of those patients died
• 7,000 Americans die each year due to adverse drug events
• In 2006, there were 47,640 hospitalizations in CT that could have been prevented with better access to coordinated primary care
![Page 6: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/6.jpg)
The problem: chronic disease
• 21% of CT adults were obese in 2007, that rate grew by 20% in five years
• Obesity cost CT $856 million in 2003, over half of that paid by Medicaid
• 9.3% of CT adults had asthma in 2007, that rate grew by 9% in five years
• 7.3% of CT adults had diabetes in 2007, that rate grew by 24% in five years
• People with chronic disease accounted for 78% of all US health care spending in 1998
![Page 7: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/7.jpg)
The problem: Summary
![Page 8: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/8.jpg)
How old is paper?
![Page 9: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/9.jpg)
The answer
Invented in China in 105 AD
![Page 10: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/10.jpg)
Institute of Medicine Response
• Institute of Medicine published “To Err is Human: Building a Safer Health System” in 2000
• 98,000 people die in any given year from medical errors that occur in hospitals
• Examples– Overdose on heparin (blood thinner)– Incorrect IV Drip– Medication given to the wrong patient
• Health Information Technology
![Page 11: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/11.jpg)
Federal Response
• Office of the National Coordinator formed in 2004 to promote electronic medical records and health information technology adoption
• Goal: Most Americans to have access to an interoperable electronic medical record by 2014.
![Page 12: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/12.jpg)
What is an Electronic Medical Record?
![Page 13: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/13.jpg)
What is an Electronic Medical Record?
![Page 14: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/14.jpg)
What is an Electronic Medical Record?
![Page 15: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/15.jpg)
What is an Electronic Medical Record?
![Page 16: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/16.jpg)
What is an Electronic Medical Record?
![Page 17: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/17.jpg)
Federal Response
![Page 18: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/18.jpg)
Federal Response
![Page 19: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/19.jpg)
Federal Response
![Page 20: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/20.jpg)
eHealth: the promise
• Coordinate care• Save money
– $86.8 billion possible• Improve quality
– 54% of Americans are dissatisfied with the quality of health care in the US
– Could prevent 2 million adverse drug events• Shift to patient-centered care
– Medical home– Patient self-management of disease
![Page 21: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/21.jpg)
eHealth: the risks
• Loss of information• Inaccurate information• Inappropriate release• Sale of data for commercial purposes
![Page 22: Ellen Andrews, PhD 4.20.09 For the eHealth Privacy and Security Forum, State Capitol, Hartford eHealth Why consumers should care](https://reader035.vdocument.in/reader035/viewer/2022070306/551686f65503469d698b6045/html5/thumbnails/22.jpg)
eHealth: status
• Buckets of federal money coming• Rare piece of health reform that
virtually everyone agrees on regardless of party or philosophy
• Lots of good people working on it now
• Clear understanding of need to protect privacy
• Broad recognition that consumers need to be at the table, are welcomed