Challenges for Large Hospitals/Health Systems

Challenges for Large Hospitals/Health Systems

• 1.
  Challenges to Telehealthin Academic Medicine Alex Nason Program Director Office of Telehealth and Interactive Learning
• 2.
  Historic Billings Building
• 3.
  New Clinical Building
• 4.
  Expanding Our GlobalPresence
• 5.
  IT @ JHM- Critical Juncture • ‘Entity centric’ to ‘Patient centered’ • Single tightly integrated solution • Patient centered care requires coordination of care across JHM • Enable operational efficiencies, cost controls, and productivity • Achieve quality and patient safety well beyond meaningful use • Requires careful TCO and ROI analysis • Require redesign of care
• 6.
  The Origins ofJHM Education Research Clinical Care
• 7.
  Consumerism in Health
• 8.
  Challenges • Human Factorsand Culture • Acceptance by Physicians/Patients/Users • IT Department • BYOD/Security • Reimbursement • Costs • License / Regulatory • Evaluation and Research
• 9.
  Challenges • Business Planning– Sustainability • Training • Communication • Cultural Considerations • Environment • Local Legal Issues • Time Zones (DST)
• 10.
  Real World Problems •Acute Care Response • Stroke • Chronic Disease Management • Diabetes, Obesity, CHF • Physician Shortages • i.e. Intensivists • Global Issues • Pandemic Flu • SARS • Hurricane Katrina - Asian Earthquake • Bio-terrorism • Global Economics
• 11.
  Things to Consider •Social Networks / Social Media • Wisdom of Crowds • Research….Research …Research • Clear question • Education / Training • Documented approach • Security/Theft • Efforts to ensure VALIDITY • Accountable Care Organizations • Patient Protection and Affordable Care Act
• 15.
  A Whole NewMind – Daniel Pink Left Brain • Sequential • Logical • Textual Right Brain • Holistic • Intuitive • Non-Linear