Josep M Picas. President European Association Healthcare IT Managers

Tendències actuals en la utilització de les TIC al entorn sanitari

http://www.ihealthtran.com/

PREPUBLICATION COPY: UNCORRECTED PROOFS

http://nejm200.nejm.org/explore/medical-documentary-video/

20 0TH ANNIVERSARY ARTICLE The Burden of Disease and the Changing Task of Medicine

David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D.

n engl j med 366;25 nejm.org june 21, 2012

Tackling Rising Health Care Costs in Massachusetts John Z. Ayanian, M.D., M.P.P., and Philip J. Van der Wees, Ph.D.

n engl j med 367;9 nejm.org august 30, 2012

Two Hundred Years of Hospital Costs and Mortality — MGH and Four Eras of Value in Medicine

Gregg S. Meyer, M.D., Akinluwa A. Demehin, M.P.H., Xiu Liu, M.S., and Duncan Neuhauser, Ph.D.

n engl j med 366;23 nejm.org june 7, 2012

When the Cost Curve Bent — Pre-Recession Moderation in Health Care Spending

Charles Roehrig, Ph.D., Ani Turner, B.A., Paul Hughes-Cromwick, M.A., and George Miller, Ph.D.

FIGURE S-2 Schematic of the health care system today.

………opportunities that did not exist even a decade ago

(with associated sophistication of information technology)

has become affordable and widely available. This capability makes it possible to harvest useful information from actual patient care (as opposed to one-time studies), something that previously was impossible. • · allows that power to be accessed in real time virtually anywhere by professionals and patients, permitting unprecedented diffusion of information cheaply, quickly, and on demand.

• · Progress in human and can improve the reliability and efficiency of care, permitting more scientific deployment of human and technical resources to match the complexity of systems and institutions. • · Increasing unleashes the potential for their participation, in concert with clinicians, in the prevention and treatment of disease—tasks that increasingly depend on personal behavior change.

Value-Based Purchasing — National Programs to Move from Volume to Value

Jordan M. VanLare, A.B., and Patrick H. Conway, M.D.

n engl j med 367;4 nejm.292 org july 26, 2012

Escaping the EHR Trap — The Future of Health IT Kenneth D. Mandl, M.D., M.P.H., and Isaac S. Kohane, M.D., Ph.D.

n engl j med 366;24 nejm.2240 org june 14, 2012

Only a small subset of loosely coupled Information technologies need to be highly specific to health care. Many components can be generic.

Unraveling the IT Productivity Paradox — Lessons for Health Care

Spencer S. Jones, Ph.D., Paul S. Heaton, Ph.D., Robert S. Rudin, Ph.D., and Eric C. Schneider, M.D.

n engl j med 366;24 nejm.org june 14, 2012

Studies of the IT productivity paradox suggested that the productivity payoff of an IT investment did not follow quickly but required periods of intensive process reengineering

(http://www.pcori.org/survey/methodology-report)

DOI: 10.1056/NEJMp1207437 This article was published on July 25, 2012,at NEJM.org.

DOI: 10.1056/NEJMp1207437 This article was published on July 25, 2012,at NEJM.org.

DOI: 10.1056/NEJMp1207437 This article was published on July 25, 2012,at NEJM.org.

http://www.predixionsoftware.com/predixion/

http://vimeo.com/12175855

Resumint:

• Adaptive systems to complexity – Hospitals & Primary care role – PPP

• Patient-centered – Value versus volume

• The empowered patient role (engaging patients, families & community)

• The continuous learning organizations approach • ICT + BPM + DSS • Big data

Gràcies !!

jmpicas@gmail.com