Huge problem, no identity management in healthcare
“When you’ve seen one hospital, you’ve seen one hospital.” Little standardization between hospitals.
Healthcare information is all personal. Information known about you regarding health does not change over time for employment, insurance, etc. Once disclosed, it is gone forever. Your reputation can be fundamentally affected.
Economics of Personal Healthcare
» All I want – full access
» Others should pay for it – Insurance
» I’m not paying for others – Medicare
The healthcare triangle is the relationship between the provider, the patient, and the payor (insurer). This leads to complexity in the way the information systems are constructed.
We all outsource healthcare which means information must be shared in order to get good care.
Information must be shared for exams, diagnostics, etc.
All this information exists in paper but paper tends not to move around: (Lab, Doctor’s office, hospital, nursing home) – Labs tend to do the best job.
Electronic in the healthcare industry means you faxed something.
30 years ago you had a family doctor, only hospital when near death. But today there are specialists, distributed care, and much more sophisticated information. (Static X-Ray vs. 64-slice CT)
Healthcare is desperately in need of tools to manage this info.
Rand did a big study: “Healthcare is the nation’s largest, most inefficient information enterprise.”
Access, Errors, Quality, Efficiency
Access:
Kaiser Family Foundation puts 16% of the population: 44 million people as uninsured. Highest rate of spending per capita and lowest rate of access.
Errors:
We kill 98,000 people a year in victims of healthcare. 250,000 doctors – (doctor’s always deny they killed anyone)
Thinks part of the cause is bad information systems
