Engineering a Learning Healthcare System A Look at the Future: Workshop Summary (2011) / Chapter Skim
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6 Next Steps: Aligning Policies with Leadership Opportunities
6 Next Steps: Aligning Policies with Leadership Opportunities
Pages 271-282
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From page 271... ...
Cortese, president and chief executive officer of the Mayo Clinic; Mary Jane Koren, assistant vice president of The Commonwealth Fund; Louise L Liang, senior vice president of quality and clinical systems support for Kaiser Foundation Health Plan and Kaiser Foundation Hospitals; and Douglas W
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From page 272... ...
Cortese also indicated that engineering schools can play an important role in integrating health information training into engineering curriculums and master's and postgraduate programs through relationships developed with academic medical centers. The Regenstrief Institute at Purdue has one such program; other examples can be found at Georgia Tech, the University of Wisconsin, and North Carolina State.
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From page 273... ...
Reflecting on the intersection of engineering and healthcare delivery and on the kind of policies needed to help increase value, Conlon proposed using technology to hardwire some best clinical practices. For example, if a patient anywhere in a system is identified as being at risk for ulcers or falling, the act of entering that information in the electronic health record (EHR)
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From page 274... ...
In light of the recent challenges experienced by other institutions, she said, legitimate privacy concerns need to be clarified in order to allow and support full leverage of the significant information becoming available to the healthcare community. LEVERAGING PEOPLE FOR HEALTHCARE IMPROVEMENT Culture and the Learning Process Culture is generally the most important barrier to change, Cortese observed, and this is especially true with health care.
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From page 275... ...
This is a great opportunity to automate that data capture -- and correspondingly shift the culture -- so that practitioners can devote more of their time directly to patient care. Conlon noted that EHR implementation is about more than simply documenting health information in EHRs; it can serve as a catalyst to really transform how we deliver care.
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From page 276... ...
Privacy remains a barrier to knowledge generation from patient data, yet the concerns are largely perceptual in nature. Research is an opportunity to shift the culture in health care through getting people to understand that research in the name of patient care improvement is legitimate, publishable, hypothesistesting research.
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From page 277... ...
In health care, establishing practices from the best available evidence and building them as routines into practice patterns, as well as de veloping systems to document results and update best practices as the evidence evolves, will integrate some of the best elements from the engineering disciplines into healthcare issues. Participants often cited the need for better integration of the development and com munication of best practices in healthcare systems, as well as the need for process systems to track care details and outcomes, with feedback for practice refinement and better patient outcomes.
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From page 278... ...
P erformance, transparency, and feedback sere as the engine for • improement. Continuous learning and improvement in patient care requires transparency in processes and outcomes as well as the ability to capture feedback and make adjustments.
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From page 279... ...
AREAS FOR INNOVATION AND COLLABORATIVE ACTION Presentations and discussions during the workshop offered insight into the opportunities for Roundtable members to consider possible follow-up actions for ongoing multi-stakeholder involvement to advance the integration of engineering sciences into healthcare systems improvement. Discussions during the breakout sessions provided the opportunity for workshop attendees, in both the health and engineering fields, to engage with each other and identify novel opportunities for innovative work that might yield breakthroughs that capture more value in health care.
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From page 280... ...
3. Explore health professions education change: In the face of a rap idly changing environment in health care -- expanding diagnostic and treatment options, much greater knowledge available, move ment beyond the point at which any one individual can person ally hold all the information necessary, and IT that opens new capabilities -- changes to the education of health professionals can advance caregiver skills in knowledge navigation, teamwork, patient–provider partnership, and process awareness.
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From page 281... ...
The discussions summarized in this report highlight engineering's potential contribution to progress toward the Roundtable membership's concept of a learning health system with a stated goal: that by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information and will reflect the best available evidence.
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From page 282... ...
282 ENGINEERING A LEARNING HEALTHCARE SYSTEM REFERENCE Heifetz, R
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