1. Issues fac- 6. Physician Prac-
ing healthcare tice types (2)
providers (7)
2. Providers of
care (7)
3. Hospital
charac-
teristics (5)
4. Ambulatory
cen-
ters/clinics
5. Long Term
Care Services
(4)
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-Costs Rising Services withOUT overnight stay
-Quality variations in clinical
care
-safety (patient) 30+ days
-evidence decision making -Nursing Home
-administrative process -Rehab
complexity -Mental Health
-consumerish/heightened -Home Health
expectations
-research & tech advances -Group practices
-Solo practices
-Hospitals
-Ambulatory centers/clinics
-Long term care providers
(30+ days)
-Public health agencies
-Community health programs
-physician practices
-pharmacies
-Level of care provided
(primary, secondary, tertiary,
sub-acute)
-Ownership (profit / non)
-Geographic location
(urban/metropolitan MSA
50k+ / rural)
-Payor mix (Govt, private)
-Teaching status (teaching
hosp, academic med cntr,
non-teaching hosp)
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7. CPOE Computerized Practitioner Order Entry (used at pharmacies)
8. Integrated Variety of providers organized to provide a continuum of care (with integrated
De- livery administration and information sharing)
Network
(IDN) Formed through
-Merger/Acquisition
-Joint venture
-Alliance
-Network (e.g. virtual organization... IPA)
9. Key factors -Physician involvement
to IDN -Interoperable info systems
success (2)
Private Financing
10. Payment -private insurance
Sys- -out of pocket (fee for service)
tems (2)
Public financing
-National Health Insurance System.. private providers (Canada)
-National HEAlth system (Britain) govt providers
11. Healthcare Work- Physicians
force (4) -Primary care
-Specialists
Mid-Level practitioners
-Physician Assistants
-Advanced practice nurses
Nurses
-RNs
-Nursing Informatics
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Other
-Administration
-Board members
-Government/payor organizations
-Vendors
-Consultants
-Informatics
12. Functions of -Operations & tech support
IT -Applications
Department -Specialized groups (e.g. process improvement)
(4) -IT Administration (oversee, governance, strategy, staflng, budget)
CIO (Manages dept, leadership)
CTO (guides tech architecture, tracks new
13. IT technologies) CSO (security)
Professionals
CMIO (Represents physicians in system design)
(Executive)
-Analysts
-Programmers
-Database admins
14. IT
Professionals -Network admins
(Mid-mgmt -Telecom specialists
and Staff) -"Management Engineers"
-Provider of care (Veterans Attairs)
-Payor
15. Role of National Health Insurance
Govern- 1) Medicare
ment (3) 2) ontario health insurance plan OHIP
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