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The ‘business viability’ of HIE/EHR?
Another viewpoint of the work around generic process models in healthcare is what value will it provide and to whom!
“Knowing is not enough; we must apply. Willing is not enough; we must do.”—Goethe
The National Board of Health and Welfare in Sweden have formulated these bullets in the context of “Good care” inspired of the report from Institute of Medicine.
• Goals:
Safety, effectiveness,
patient-centeredness,
timeliness, efficiency, quality and equity
• Three guiding strategies:
Patient-centred, knowledge-based and care-flow based systems
• Quality as a system feature
Is quality a kind of “silver bullet” in this context? Making the care providers able to estimate result, measure result and do a follow up compared to quality index perhaps stimulate the willingness to enter data even for others to see. A kind of quality process inspiring the academic talent and competition. In Israel, Clalit Kaplan Medical Center , I saw a quality process like this but with quality index instead of estimates starting the process. The results were astonishing! If the process and information models integrate estimates, measures, follow up and show the gaps to quality indexes in an as automated way as possible it will heavily improve the cost – benefit ratio as I see it. What do you think?
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