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Ramesh K. Shukla, Ph.D. Professor and Director

Information Technology Vision and Value for the 21 st Century: BRP Perspective. Ramesh K. Shukla, Ph.D. Professor and Director Williamson Institute for Health Information Technology and Leadership. Technology .

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Ramesh K. Shukla, Ph.D. Professor and Director

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  1. Information Technology Vision and Value for the 21st Century: BRP Perspective Ramesh K. Shukla, Ph.D. Professor and Director Williamson Institute for Health Information Technology and Leadership

  2. Technology Technology has been a major force behind major social, political, and economic transformation in the United States

  3. Transformation of a Society • Agrarian society: • 65% of the workforce in 1800s to 3% in 2000 • Industrial age: • 45% of the workforce in 1900s to 22% in 2000 • Information age: • Driving engine for the 21st century

  4. Performance in Health Care: Present Status • We have lot of work to do • We spend 14% -15% of GNP in healthcare in US as compared to 6% - 10% in most EU, GB, and Canada • We have the highest % uninsured among western nations (40 million) • One of the lowest life expectancy among western nations • One of the highest infant mortality rates

  5. Healthcare System (Cont’d) • Hospital employment has doubled in 25 years • Use of RNs has increase 2.5 times in 25 years • Nurses still spend less than 20% time in Professional-Direct Care • About 1 Million Adverse Events in Hospitals • 44,000 - 98,000 deaths in hospitals due to Adverse Events • Turnaround time for meds : 3-4 hours • Turnaround time for lab tests:4-6 hours

  6. Healthcare Transformation with IT “Electronic Medical Record can integrate fragmented health care delivery and improve efficiency and reduce cost by 20%” President George W.Bush October 12, 2004 Presidential Debate

  7. Failed Leadership in Health IT “50% of ALL Healthcare IT projects Fail – but Not Through Vendor Fault” David Brailer, MD National Coordinator for Healthcare IT

  8. Examples of Failed IT • 300 Million write-off by HCA on Accounts Receivable Project • 400 Million write-off by Kaiser Permanente on EMR project before switching vendor • Cedars-Sinai pulling plug on CPOE implementation after 8-weeks

  9. Health Care Transformation with Technology: Future • Broadband Connectivity • Community-based Information Infrastructure • Secured Wireless Networks • Web-enabled Clinical Information Systems • AI Intelligent based Clinical DSS • Robotic Applications in Surgery • Global Health Care Markets

  10. New Leadership ModelTo Fill the Gap Leadership that: • Understands the Power of Technologies, • Resource Allocation for IT based on Strategic Plan • Organizational Values Guide IT Deployment • Proper Selection and Deployment of IT Infrastructure and Clinical Applications • Integration of IT and Organizational Culture • Creating new Organizational Forms with IT • IT Leads the Re-engineering effort

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