QUESTIONS AND ANSWERS
Medical Technology - Answer- a. The practical application of the scientific body of
knowledge for the purpose of improving health and creating efficiencies in the
delivery of healthcare
b. Any technology used for medical purposes:
i. Health information technology
ii. Telehealth
iii. Prosthetics
iv. Robotic surgery
v. Laboratories
vi. Pacemaker
vii. Drug/drug development
1. Health information technology - Answer- a. Health IT
b. Broad concept that encompasses an array of technologies to store, share and
analyze health information
c. Includes: Electronic health records (EHR), electronic medical records (EMR),
personal medical records (MR)
EMR - Answer- electronic medical record, individual patient, accessed by those
within a single organization
PMR - Answer- a. personal medical record, data drawn by multiple sources but
controlled by the patient
EHR - Answer- a. APTA advocates this type of record to enable sharing of
individual's health information across multiple organizations for optimal health care
delivery
Electronic Health Record (EHR) - Answer- a. Defined - IT applications designed to
process stored information to deliver health care services
i. Integrate all medical records
a. Components
i. Collection and storage
ii. Immediate access to information by authorized users
iii. Provision of knowledge, evidence-based decision support tools
iv. Support of processes for the delivery of services
v. KEY: ability to share within and outside an organization
a. How did we get to EHR: - Answer- i. Health Information Technology for Economic
and Clinical Health as part of the American Recovery and Reinvestment Act (2009)
1. Included 19 billion dollars to support EHR implementation
2. Medicare and Medicaid incentives given to meaningful users
, a. Meaningful user - users purpose is to: improve quality, improve safety and
efficiency of services, reduce disparities in healthcare, provide coordination and
medical advancement, secure and keep records safe
b. If hospitals and physician offices don't meet the criteria for meaningful user by
2015 will be fined
3. Regional extension centers - tech support
4. Research center
Goals of EHR - Answer- i. Reduce errors, less waste, decreased variation in
practice, provide coordination of care, faster payment for services, decreased time
for documentation, assure regulatory compliance
ii. Have come a long way but still a long way to go - improving the quality and
efficiency of care
1. Medical Technology (internet, telemedicine, telehealth) - Answer- a. Internet -
instant resource
i. E-health - healthcare delivered over internet
ii. M-health - use of wireless communication devices
iii. E-therapy - provided by mental health professionals
b. Telemedicine
i. Distance medicine via telecommunications systems
c. Telehealth
i. Includes above plus research, education, administration, etc.
ii. Synchronous - real time communication (video, etc.)
iii. Asynchronous - able to access information at different times
d. Impact to providers and patients
a. Innovation in technology - Answer- i. What drives it?
1. Beliefs and values - highest level of care, high technology and innovation
2. Increased specialization in medicine
3. Financing and payment
4. Competition in the marketplace
5. Spending on research and development (ARRA 2009)
6. Rationing
7. Government policies - regulation (medical devices/equipment, drugs/FDA,
biologics)
Impact on healthcare (care, QOL, cost, access, healthcare delivery, global medical
practice, bioethics) - Answer- i. Quality of care
1. Advancements in imaging, surgical techniques, etc.
ii. Quality of life
1. Ability to cure diseases previously incurable
2. Ability to relieve pain through devices like joint replacements
3. Alternatives to injecting insulin
iii. Costs