I've worked in the Health IT space for 15 years and agree with you that it's a mess. But your POC site doesn't really show anything or explain how you're going to solve the problems you described. How is this information shared with physicians? How is it made available when a patient shows up to the Emergency Dept? All of the information you displayed should be condensed to one page. What is the point of knowing if a patient missed their meds three weeks ago? You can't berate a 75 year old for missing their meds. What you're recording isn't as useful as you think.
The problem population today is elderly patients with chronic conditions, either landing them in the hospital constantly or requiring regular visits to specialists, labs and pharmacies. This population does not use smart phones. So the burden is on the physicians and hospitals to track the information and coordinate care.
The whole idea of Accountable Care Organizations (What you described as "The New Model") is to coordinate care. ACOs are pilot projects, most just barely starting up. So the reality is only a fraction of the population in the US will be affected by these organizations. The big workflow change is really for the nurses who gather the information, not the physicians. The goal of ACOs is to improve outcomes. ACOs receive bonuses if the can improve outcomes for the same cost or less that is being paid for the same population today.
Also as a FYI, everything you described as Obamacare (ACOs / EHRs) was actually developed and funded in 2009 by ARRA, not last year in the ACA / Obamacare.
Comments
I've worked in the Health IT space for 15 years and agree with you that it's a mess. But your POC site doesn't really show anything or explain how you're going to solve the problems you described. How is this information shared with physicians? How is it made available when a patient shows up to the Emergency Dept? All of the information you displayed should be condensed to one page. What is the point of knowing if a patient missed their meds three weeks ago? You can't berate a 75 year old for missing their meds. What you're recording isn't as useful as you think.
The problem population today is elderly patients with chronic conditions, either landing them in the hospital constantly or requiring regular visits to specialists, labs and pharmacies. This population does not use smart phones. So the burden is on the physicians and hospitals to track the information and coordinate care.
The whole idea of Accountable Care Organizations (What you described as "The New Model") is to coordinate care. ACOs are pilot projects, most just barely starting up. So the reality is only a fraction of the population in the US will be affected by these organizations. The big workflow change is really for the nurses who gather the information, not the physicians. The goal of ACOs is to improve outcomes. ACOs receive bonuses if the can improve outcomes for the same cost or less that is being paid for the same population today.
Also as a FYI, everything you described as Obamacare (ACOs / EHRs) was actually developed and funded in 2009 by ARRA, not last year in the ACA / Obamacare.