2020 Vision Health in the 21st Century (1996) / Chapter Skim
Currently Skimming:
Information and Communications
Information and Communications
Pages 24-36
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From page 24... ...
As Bela Bartok put it, "What is new and significant must always be connected with old roots, the truly vital roots that are chosen with great care from the ones that merely survive." "Bite by bite and bit by bit," as Robert Kahn said, "eventually adds up to quite a bit." Today, computers can store and retrieve a thousand-trillion bits of data, and the expectation is that there will be performance at the 1 million-trillion level by the end of this deca(le. Petabytes and etabytes are quite a bitt 2020 VISION: HEALTH ~ N TH E 2 I ST CENTURY I 24
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From page 25... ...
The major message for health professionals using a telematic medium will relate to managed care (cavitation) , biomedical research and innovation, public accountability, and the technology itself, including the computerbased patient record as envisioned in the 1991 IOM report, The ComputerBasedt Patient Record: An Essential Technology for Health Care.
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From page 26... ...
We need more leaders such as Don Lindberg, Jan H Van Bemmel in the Netherlands, and Marion Ball, who recently completed an outstanding term as president of the International Medical Informatics Association.
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From page 27... ...
Early experience suggests that substantial dollar savings are realized by better triage decisions regarding transfer of patients to higher level care facilities. Virtual surgery is also in the wings.
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From page 28... ...
The first is to mature the health evaluation sciences: biomedical science, biotechnical sciences, ethics, biostatistics, clinical epidemiology, health services research, and telematics. The second part of this grand challenge is to integrate the health evaluation sciences with the evolving biological and the psychosocial science base.
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From page 29... ...
Over the past 70 years, the basic sciences of medicine have developed. Medicine's success in the next 70 years will come from developing the health evaluation sciences and integrating them with the continually developing biological and psychosocial science bases.
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From page 30... ...
The proposed IOM study on assuring clinical proficiency is very timely in this regard. The Institute's 1991 report on computer-based patient records laid out a vision that included a primary recommendation that such records become the health records of choice.
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From page 31... ...
This is real accountability at the point of delivery of care. William Knaus and I have recently discussed how this might be done to improve the care and decision support for dying patients, a need highlighted by the Robert Wood Johnson Foundation-funded study that he codirected, which was recently reported in the Journal of the American Medical Asso 2 canton.
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From page 32... ...
Our information technology policies need to reinforce the most vital roots of our moral phiTosophy. It is now self-evident that the marriage of information ancl communication technologies to health will force the IOM, government, business, journalists, and citizens to consider issues and policies that previously have been ignored, as well as to engage newly emerging realities.
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From page 33... ...
By the way, I think Reed Gardner and the people at the LDS hospital are convinced increasingly that the very best quality care happens also to be the least expensive care. Clearly, physicians, in order to change their behavior, must fee!
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From page 34... ...
I think we can go a long way toward this, but some of it is where we as a society choose to come down on essentially respecting one another more. PARTTCiPANT: How will advances in information technology affect continuing medical education in the fixture?
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From page 35... ...
DR. DETMER: ~ would hope that some of the private foundations would see this as an absolutely essential investment opportunity and need, because it is part of the grand challenge.
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From page 36... ...
So as we scale up in information technology, there is absolutely no question in my mind that it will have a profound impact on how we organize ourselves. However, I really have not taken sufficient time to look at more of its organizational implications.
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