The Health Care Delivery System
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Current Scenario
Growing demands Fewer new workers Aging workforce More competition for work More stress in health work place Different resources Segmented specialization Insurance
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Current Drivers in Health Care
• Total system costs are a huge burden
Cost
Variation
• Enormous range in definition of quality • Over/under supply of care providers, hospitals, insurers. • Substitutable inputs
Capacity
Duplication
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Generic Vision of the Health Care Delivery System
Lab Patient
HOME
Imaging Ambulatory Surgery Bed/OR/ICU
Financial Engineering/ Productivity
JCAHO/NCQA/NQF
Personnel Mgt
Facility Optimization Supply Chain Mgt
OFFICE
Front Line Team
HOSPITAL
ENVIRONMENT
Predictive Modeling Translational Genomics
FDA/CDC/CMS/AARCQ INSURERS
REGULATION AND OVERSIGHT
RESEARCH CHRIST COLLEGE, BANGALORE
HEALTH CARE TEAM
The Information Aspects of Health Care
Patient Information Patient Status Decision Support Action Plan
P R O C E S S
E N T E R P R I S E
Health Care Information
Generic Support System Mgt Information Systems
• Business process reengineering • Personnel machines • Supply chain mgt • Knowledge mgt • Financial mgt
M G T
M G T S Y S
Customer Relationship Management CHRIST COLLEGE, BANGALORE
HEALTH CARE TEAM
Services that can be used in health care
Systems Engineering
Systems Design Tools - concurrent
engineering/quality function deployment, human factors tools, failure analysis tools
Computer Science
• Applying lessons learned from advances in other fields • Increased coordination of research and development supported through the Networking and Information Technology Research and Development Program
Systems Analysis Tools
• Modeling and Simulation - queuing methods, discrete event simulation
• Enterprise Management – supply chain management, game theory/contracts, systemsdynamics models, productivity measuring/monitoring
Communication
• Engineering research focused on defining an architecture to incorporate data from microsystems into the wider health network and developing interface standards/protocols to implement this larger network
• Financial Engineering and Risk Analysis – stochastic analysis, value-at-risk, optimization tools for individual decision making, distributed decision making market models/agency theory • Knowledge Discovery in Databases – data mining, predictive modeling, neural networks
Micro Sensors
• Public/private sector support for research on development of very small, low-power, bicompatible devices essential for improving healthcare delivery
Systems Control Tools – statistical process
control, scheduling
Source: Building a Better Delivery System
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Use of technology in Health care
Secure, dispersed, multiagent databases meeting the needs of providers and patients. Human information technology system. Voice recognition systems. Software for improving connectivity among systems from different vendors. Communication system. Use of RFID and Barcoding.
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Integration, packaging and miniaturization of the medical devices. Noninvasive devices for measuring a broad range of physiological parameters. Systems that can transform data reliably and accurately into information and information into knowledge as a basis for treatment decisions. E.g. sensors on patients body to detect any inordinate change which will remotely alert physician to take appropriate action.
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Cont…….
Develop support physician software. Development of payment system to support the quality service.
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Characteristics' of good health delivery system
Enhance patient safety, health and satisfaction. Reduce medical errors. Improve profitability. Lower cost. Improve clinical decision making. Improve compliance. Create CHRIST COLLEGE, BANGALORE efficiencies.
HEALTH CARE TEAM
Guidelines for good health care delivery system
Cultivate leadership support and involvement. Track data and redesign appointment grid. Use of new methods of communication. Doing today’s work today. Balance supply and demand daily. Reduce the backlog. CHRIST COLLEGE, BANGALORE
HEALTH CARE TEAM
Continued
Manage appointments time. Contingency planning. Reduce demands for visits. Provider delegates specialized tasks to experts.
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM
Thank you
CHRIST COLLEGE, BANGALORE HEALTH CARE TEAM