Your Health, Your Health Care: Where Are Your Health Data and Who Controls Them?

Transcription

1 Cick to edit Master tite stye Second eve Fifth eve Your Heath, Your Heath Care: Where Are Your Heath Data and Who Contros Them? Jay Wofson, DrPH, JD Distinguished Service Professor Pubic Heath and Medicine Associate Vice President USF Heath 7/27/2011 1

2 Cick to edit Master tite stye WHAT S IN IT FOR ME FOR US? Second eve Fifth INDIVIDUALS eve AND COMMUNITIES TAKING CONTROL TO ENHANCE INDIVIDUAL VALUE 7/27/2011 2

3 Cick to edit Master tite stye Second eve Fifth eve 7/27/2011 3

4 Cick to edit Master tite stye Second eve FUNCTIONALITY The purpose that something is designed or expected to fufi Fifth eve Practicaity concerned with actua use rather than theoretica possibiities 7/27/2011 4

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6 Cick to edit Master tite stye Second eve Fifth eve EXPECTATIONS 7/27/2011 6

7 Cick to edit Master tite stye Second eve Fifth eve 7/27/ Jay Wofson USF Heath

8 Cick to edit Master tite stye Second eve Fifth eve 7/27/ Jay Wofson USF Heath

9 Cick to edit Master tite stye Where Are Your Heath Data? Second Internisteve Famiy physician Cardioogist Aergist Fifth eve Orthopedist Neuroogist Dermatoogist Ophthamoogist Psychiatrist Endocrinoogist Podiatrist i Dentist Chiropractor Pharmacist 7/27/2011 9

10 Cick to edit Master tite stye S Other Second eve Docs Fifth eve Speciaists Primary Care MD Speciaists Speciaists Where Are Your Heath Data? 229 other docs in 117 other paces 7/27/

11 Your Medica Records in Various Locations Cick to edit Master tite stye Second eve Fifth eve 7/27/

12 Cick No to Chance edit Master for Error? tite stye Second eve Fifth eve 7/27/

13 Cick to edit Master tite stye Second eve Fifth eve 7/27/ Jay Wofson USF Heath

14 Cick to edit Master tite stye In some settings, up to 40 percent of autopsies revea that the hospita diagnosis was incorrect. For criticay i patients in a University of Pennsyvania study, one in four of the hospita diagnoses were incorrect indicating that a different treatment may have resuted in a different resut. Second eve Fifth eve Doautopsies ofcriticay i patients revea importantfindings thatwere cinicay undetected? Bosser, Sandraee A. MD, FCCM; Zimmerman, Heen E. RN, MSN; Stauffer, John L. MD, FCCP Critica Care Medicine: August 1998 Voume 26 Issue 8 pp /27/

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16 Cick to edit Master tite stye 4 Second eve 3.5 Mean number of repo orts per hospita 2.5 Fifth eve Annua Trend in Average Number of Code 15 Reports Per Hospita Forida, /27/ Jay Wofson USF Heath

17 Cick to edit Master tite stye The Occurrence of Foreign Body Left During Procedure Among the Top Most Frequent Hospitas for This Event for a Given Year in Forida. Second eve Fifth eve Number of Foreign Body Left during Procedure (PSI #5) Number of Code 15 reports for Foreign body eft during procedure Hospita A 7 2 Hospita B 6 0 Hospita C 5 0 Hospita D 4 0 Hospita E 4 1 Tota 26 3 Tota number (a hospitas) of Code 15s reports for a foreign body eft during procedure: 15 Tota number of foreign body eft during procedure per PSI #5: 85 Note: none of the hospitas in this tabe had the highest rate of foreign bodyeft duringprocedure. 7/27/ Jay Wofson USF Heath

18 Cick to edit Master tite stye The Occurrence of Postoperative Hip Fractures Among the Top Most Frequent Hospitas for This Event for a Given Year in Forida. Number of Second eve postoperative hip fractures (PSI #8) Fifth eve Number of Code 15 reports for postoperative hip fractures Hospita A 4 2 Hospita B 3 0 Hospita C 3 0 Hospita D 3 0 Hospita E 3 0 Tota 16 2 Tota number (a hospitas) of Code 15s reports for a foreign body eft during procedure: N/A Tota number of foreign body eft during gprocedure per PSI #8: 7/27/ Note: none of the hospitas in this tabe had the highest rate of postoperative hip fractures. Jay Wofson USF Heath 18

19 Cick to Reasonabe edit Master Goas tite stye Cick Patient to Proofreading edit Master text styes Second Exit print outs/downoads eve of Third Wh eve t h What happened What was said What next steps are What to do if there are adverse events Fifth eve Direct access to your ab tests and resuts, fim reads, Rx, etc. 7/27/

20 Cick to Reasonabe edit Master Goas tite stye Cick p yto edit Master text styes A physicians offices wi have eectronic heath record systems (EHRs) Second eve These EHRs wi be abe to speak with and share cinica data Third with eve each other, with the hospitas, abs, pharmacies AND with you Your tests, images and other data wi be in standardized, digitized Fifth eve form, accessibe from remote ocations with your permission to reduce oss of tests, images, records You wi have direct, on ine access to a of your medica records 7/27/

21 Where we are going Cick to edit Master tite stye Large databank for outcome/quaity assessment Second eve De-identified information for retrospective study of outcomes Pubished, competitive outcome information about providers Dynamic, patient-centric standards for evauating quaity Personaized cinica care systems Immediate updating of critica information Fifth eve New medication vs new warning updated instanty on nationa scae protection for patients and providers Personaized, rea-time interactive heath care management of chronic diseases 7/27/

22 Cick to edit Master tite stye Second eve Fifth eve 7/27/ Jay Wofson USF Heath

23 GET CONNECTED TODAY! Cick to Log edit on and Master Sign Up at: tite stye Viages.heath.usf.edu Second eve Fifth eve Listening and Learning Tours Monthy Lecture Series The Heath Survey 7/27/