How Does Technology Affect Healthcare – Guest blog post from content provided by Dr. Scot Morris, OD, FAAO Colorado Ophthalmologist, from the Eyemaginations Premium Webcast Series
We don’t always want to see technology that we think is useful or that can’t help us in some way, but this thought process is dangerous. It’s sad because when we think about the technology of fifty years ago, we realize that many things are now obsolete.
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How Does Technology Affect Healthcare
Many of the technologies we’re going to talk about here, and probably the ones you’re seeing right now, will be gone in the next few decades.
The Impact Of Technology On Health Care
Our world – the world of optics and ophthalmology, what we do and how we do it – is changing. Our businesses are now facing new healthcare reforms, and our survival depends on our ability to adapt, adjust and survive.
So let’s talk about a paradigm shift in the history of optometry, a profession that has gone through many changes over the years. We started as an anti-aging society, but have evolved into a society that diagnoses and treats a wide range of eye diseases. In some cases, the optometrist is currently performing the surgery.
Where we used to treat all patients, we now focus on imaging, including non-imaging. We have changed to using IOP, Visual Fields and RNFL scans compared to 15 years ago when it was just a digital meter and a flat screen. It’s not that these technologies don’t work, it’s just that we now have a lot of data.
We look at the EHR the same way. Those with paper work are wondering “how do we move to EHR,” but those with EHRs are wondering “how do we go back to paper.”
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I hope and pray that you leave the question of “how can we do it alone in EHR” as the world moves to storing data in the cloud rather than on hard drives in your office. Soon, all your data will be accessible online.
The reality is that our system doesn’t work, and it’s getting worse. While costs are rising, the capacity of our delivery system is shrinking, and in America we still have one of the worst healthcare systems in the world. It is an indisputable fact that we are the only people in the intelligent world.
In 2008, the average per capita cost of health care was $7,439, and in 2006, our spending exceeded $2 billion. That means 19 cents for every dollar the government spends on health care! Currently, health care costs are growing at a rate of 6.7% – well above inflation. Of course, that has to change.
The United States spends more on health care than any other industrialized nation, despite nearly 46 million people being uninsured. People without insurance often get care, but end up using expensive facilities like hospital emergency rooms. Therefore, these costs are passed on to other costs, increasing health care costs. Since 1999, occupational health insurance premiums have increased 120%, inflation has increased 44%, and costs have increased 29%.
Effect Of Technology On Health
Here are some surprising statistics. In the United States, we rank 37th in the world in health care and 24th in life expectancy, yet we rank first in per capita income. We have the highest obesity rate of any developed nation, the highest death rate for white men between the ages of 20 and 55, and the highest infant mortality rate of any developed nation. Yet we spend more than everyone else — mostly out of pocket.
In the 1980s, health professionals began to develop strategies to implement patient-centered care within the then existing fee-for-service system. And since there is no evidence-based medicine and no way to report it, technology has become an important part of the process.
HIPAA was the first step in EBM, establishing protocols to protect patient privacy and standardize electronic data transmission. Once private rights are in place, governments can test incentives with small samples. This is known as the Property Quality and Improvement Reporting Program, or PQRI for short. Health quality reporting is only possible through the use of EHR systems, allowing the government to test incentives based on results.
The next step for EBM is to consolidate our terminology or implement ICD-10. With ICD-10, the number of codes will increase, which will drive the demand for EHRs. Although the United States is the only developing country where we have not yet implemented ICD-10, we decided to change on October 1, 2013. When this happens, we get our words in sync with the rest of the world.
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The US government is also working to complete EHR regulation. This agency will provide various databases in the future. A final step would be to expand this database globally to allow for global health monitoring and tracking.
One of the ways that EHRs can help support clinical decisions is through electronic prescribing. Most of you are e-tagged, and if you’re like me, you can’t imagine training without it these days. In the future, we will also have the opportunity to track and analyze results. This means that we will all be judged on some criteria for our ability to best treat the average patient who walks in the door.
There is still a long way to go in standardizing clinical decision support and current best practices. As we have seen, EHR and EBM may change what these best practices are. In particular, clinical decision support capabilities are a direct complement to EHR systems and are critical to meaningful use.
Another capability of EHRs is to facilitate patient communication between health departments, government agencies, and public health agencies. In accordance with HIPAA guidelines, we are able to connect to all medical facilities, allowing doctors to review medical data from anywhere in the world.
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EHR affects not only clinical knowledge but also business knowledge. With this new data collection, you can better manage your business and analyze data to see what’s working and what’s not. You may find that some tests and methods work better than others.
There are business intelligence systems in the market today that can help you track your business activities. My favorite
. The software pulls data from your EHR system every night at midnight and runs analytical reports. It also provides data such as the average revenue per frame sold, the profit per eye technique per eye, the number of prescriptions a doctor writes and fills, or the percentage of consumers who opt for anti-blinking. A mystery
There are also examples of eye care and other healthcare industries. This future scenario includes an evidence-based assessment system. Today, you can research how your friends and customers rate you on many websites, but this new system goes beyond that and drives customer choice. In the future.
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Consider this situation: A patient can choose Doctor X with a $20 copay and a higher price for wound care or X with a lower price and a $40 copay. Who do you think the patient should choose?
So, how does that patient decision-making process affect us as providers? A lot depends on which side of the ladder you are on. If you really don’t like treating colon problems but see a lot of skin patients, your rates will drop.
Ultimately, the goal of using EHR for EBM is to save lives. We track outcomes and see improved levels of care when using different medications and treatments through the EHR. I think all of us who work today know that there are many drugs out there that are thought to be the best, but they don’t actually work. Likewise, there are many medications out there that are not approved but work well for other conditions. Now, you start sifting through the information in many different ways to find out which drugs and treatments are most effective.
What is the best way to treat a diabetic person with facial swelling? Are some types of omega-3s better than others? This is the type of information that we rely on at this time from drug companies or device companies. Once this national health database is established, the information will be made available to the public, thereby providing information
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