The Health Care Delivery System

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