Innovations in Service Delivery in the Age of Genomics Workshop Summary (2009) / Chapter Skim
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5 Brainstorming on a Service Delivery Model for the Future
5 Brainstorming on a Service Delivery Model for the Future
Pages 41-50
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From page 41... ...
Primary care physicians, according to Chen, are undertaking a renovation of the medical home. Elements such as information management, information technology, and the use of electronic health records are driving major change in primary care practice.
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From page 42... ...
Despite their rare occurrence, an increasing number of diagnoses are possible, and new interventions are being developed for individuals with these kinds of conditions. Newborn screening, in particular, is having a significant effect on the incorporation of genetics into primary care.
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From page 43... ...
Health communication messages aren't always about complex diseases and treatments; the importance of helping people do very basic, yet difficult, things cannot be overlooked. Levin noted that research, data collection, and helping providers use new technologies are all important components of moving genomics into health care.
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From page 44... ...
Shields added that when health information technology is put in place, the most critical element needed is a method for tracking the use of genomic medicine and collecting adequate clinical detail to assess its effect on health, both in real time and over time. EMRs can and must be made more clinically rich to be useful in genomic medicine, structured so that they can be used for research, medical practice, and public health.
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From page 45... ...
Companies such as Microsoft and Google are capable of grasping the complexity of health care, which some health information technology vendors tend to underestimate.
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From page 46... ...
Another participant noted that there is a major disadvantage to collecting data through clinical practice, which is that because medical practice is fairly standardized, there would be no standard "control" group. Rather than answering an experimental question, the data would simply reflect current medical practice.
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From page 47... ...
Innovations that meet a certain standard of evidence can be moved into practice and studied in a postmarketing environment. Large health care providers such as the VA are capable of performing this sort of research and practice along with informed consent.
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From page 48... ...
Eye injuries decreased significantly when new, more attractive goggles were designed. Catheter infections were reduced to nearly zero with the implementation of a checklist for health care providers.
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From page 49... ...
Another participant observed that much of the discussion has focused on money, that is, on reimbursement policy, laws about Medicaid and Medicare, and money for research. He suggested that universal health care is a way to save money, keep people moving out of the intensive care unit and toward preventive care, and increase the amount of time and energy that could be focused on making health care better.
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