Healthcare IT Megatrends and Workforce Implications Christopher A. - PowerPoint PPT Presentation

Healthcare IT Megatrends and Workforce Implications Christopher A. Longhurst, MD, MS, FACMI Chief Information Officer, UC San Diego Health Clinical Professor of Medicine and Pediatrics, UCSD School of Medicine @calonghurst

What skills will the Australian health IT workforce need in 2030? 2

The Rapidly Evolving Healthcare Landscape Healthcare Trends Health IT Implications • Precision medicine • The value of data • Consumers take charge • Patient engagement • Healthcare everywhere • Monitoring, telehealth • More with less: from • Interoperability and volume to value analytics • Consolidation of • Consolidation of EMR healthcare systems instances 3

The Rapidly Evolving Landscape Healthcare Trends Health IT Implications • Precision medicine • The value of data • Consumers take charge • Patient engagement • Healthcare everywhere • Monitoring, telehealth • More with less: from • Interoperability and volume to value analytics • Consolidation of • Consolidation of EMR healthcare systems instances 4

New England Journal of Medicine , Nov 2011

Health Affairs , July 2014

Figure 1 – The Green Button in Action

Combining healthcare data from across the six UC medical schools and systems Clinical Data Warehouse Atul Butte, MD, PhD A UC Healthcare Big Data Analytics Platform

10

The Rapidly Evolving Landscape Healthcare Trends Health IT Implications • Precision medicine • The value of data • Consumers take charge • Patient engagement • Healthcare everywhere • Monitoring, telehealth • More with less: from • Interoperability and volume to value analytics • Consolidation of • Consolidation of EMR healthcare systems instances 11

People using the EMR at UC San Diego Health

Patient Portal at UC San Diego Health 13

OpenNotes is live at UC San Diego Health 14

Direct and Open Scheduling @ UCSD Health

16

Clinical Trials Recruiting @ UC San Diego Health

Jacobs Medical Center at UC San Diego Health

Jacobs Medical Center at UC San Diego Health Bedside tablets control lighting, blinds, temperature, entertainment system, and “smart” portal with care team photos, medical record access, education videos

Health Record Data Banks? 20

The Rapidly Evolving Landscape Healthcare Trends Health IT Implications • Precision medicine • The value of data • Consumers take charge • Patient engagement • Healthcare everywhere • Monitoring, telehealth • More with less: from • Interoperability and volume to value analytics • Consolidation of • Consolidation of EMR healthcare systems instances 21

Is EMR Interoperability Solved in the USA? “190 million, or some 54% of patients in the U.S. are now served by Epic products .” - Judy Faul kner , Epic

JAMIA , 2016 23

The Rapidly Evolving Landscape Healthcare Trends Health IT Implications • Precision medicine • The value of data • Consumers take charge • Patient engagement • Healthcare everywhere • Monitoring, telehealth • More with less: from • Interoperability and volume to value analytics • Consolidation of • Consolidation of EMR healthcare systems instances 24

25

UC Health CIOs Tom Andriola UCOP Will Showalter UC Davis Mike Pfeffer, MD UCLA Joe Bengfort UCSF Chuck Podesta UC Irvine Chris Longhurst, MD UC San Diego

A Single EMR

UC San Diego Health and UC Irvine Health IS Today FY18/FY19 FY20+ Expansion Of Shared Services Shared Epic Support Model Sharing Roles Bending the IT cost curve…

The 2030 health IT workforce should ensure we learn from every patient, at every visit, every time

Thank you! Chris Longhurst, MD, MS clonghurst@ucsd.edu 30