information technology in the healthcare system of the...
TRANSCRIPT
Information Technology in the
Information Technology in the
Healthcare System of the Future
Healthcare System of the Future
Steven E. Locke, MDSteven E. Locke, MD
Course DirectorCourse Director
Bryan Bergeron, MDBryan Bergeron, MD
CoCo--DirectorDirector
Jeffrey Blander, MSJeffrey Blander, MS
CoCo--DirectorDirector
Daniel Sands, MDDaniel Sands, MD
CoCo--DirectorDirector
HST921 HST922 HST923 HST924
Spring, 2003
AgendaAgenda
�� Welcome and introductions Welcome and introductions
�� Mission statementMission statement
�� StudentsStudents
�� FacultyFaculty
�� Lecture topics Lecture topics
�� Tutorial sessionsTutorial sessions
�� Practicum Practicum –– ProjectsProjects
�� Final presentationsFinal presentations
�� PapersPapers
Mission StatementMission Statement
The mission of this course is to empower The mission of this course is to empower
students to critically analyze a current students to critically analyze a current ---- or or
future future ---- problem in health care, and problem in health care, and
working in teams, to develop a novel working in teams, to develop a novel
solution using information technologies.solution using information technologies.
StudentsStudents
�� HMSHMS
�� HSPHHSPH
�� HBSHBS
�� KSGKSG
�� HGSEHGSE
�� FASFAS
�� HLSHLS
�� Affiliated hospitalsAffiliated hospitals
Harvard MIT
�� HSTHST
�� Computer ScienceComputer Science
�� Electrical EngineeringElectrical Engineering
�� Biomedical EngineeringBiomedical Engineering
�� Media LabMedia Lab
�� Sloan SchoolSloan School
FacultyFaculty
��Steven Locke, MD (HST)Steven Locke, MD (HST)
��Bryan Bergeron, MD (MGH & MLC)Bryan Bergeron, MD (MGH & MLC)
�� Jeffrey Blander, M.S. (Ardais & HSPH)Jeffrey Blander, M.S. (Ardais & HSPH)
��Daniel Sands, MD (BIDMC)Daniel Sands, MD (BIDMC)
EMREMR
TechnologTechnologyy
OCR
WEB
Wireless
Speech recognition
ASP
PDAs
Security
Cable Modems
Printers
Laptops
LCDs
Home Monitoring
ePrescribing
Cell Phones
DNA Mapping
Custom Drugs
Perception vs. RealityPerception vs. Reality
Venture Capital Deal FlowFlow
Projects Funded
Business Plans Received
Projects
Evaluated
Many of our economy’s greatestgreatest companies
began as disruptive innovators
IntelIntel
Sun Sun MicrosystemsMicrosystems
CompaqCompaq
DellDell
EMCEMC
MicrosoftMicrosoft
NucorNucor
Merrill LynchMerrill Lynch
Charles Charles SchwabSchwab
BloombergBloomberg
AT&TAT&T
CiscoCisco
Sprint PCSSprint PCS
NokiaNokia
ToyotaToyota
HondaHonda
SonySony
Barnes & Barnes & NobleNoble
AmazonAmazon
SearsSears
WalWal--MartMart
Source: Christensen CM.
Partners Network InfrastructurePartners Network Infrastructure
OC-3
OC-3
DS-3
OC-3
OC-3
cisco Syste ms
Lig htStre am
10 10
BWH
OC-3
100MBS
DS-3
cisco Syste ms
Lig htStre am
10 10
CNY
cisco Syste ms
Lig htStre am
10 10
MGH
2 T1s
T1
T1T1 T1
T1 T1 T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
Cisc o 700 0
CWAN
101 Merrimac
Building 38
850 Boylston
151 Merrimac
Spaulding
EB HC
Chelsea HC 151
North End HC
Bunker Hil HCRevere HDCChelsea HCMcLeanHarvard Gardens
Everett HC
AMR
CRP
SBI
North End HC
BE MC
Burlington MC
Building 120
Spaulding
Remotes
T1
T1
T1
T1
T1
T12 T1s T1
T1 T1 T1 T1
T1
T1
T1
T1
T1
T1
T1
4 T1s
Cisc o 700 0
BWAN
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1
T1 T1 T1 T1
T1
2 T1s
2 T1s
T1 T1T1 T1
Cisc o 700 0
PWAN
116 Huntington
Brookhouse
English HS
Hawthorn
Waltham
Melrose
Martha Elliot
333 Longwood
1223 Beacon
Lown
111 Cypress
110 Cypress Crown Colony Quincy Emerson Pru 900 Comm
Brookside1 Brookline
20 Kent
319 Longwood1101 Beacon62 Harvard
233 Natick
Lexington
67 Natick
1400 Center
Alewife571 Fram Norwood Cape Ann Whitman Faulkner Carney Weston
NSMC
272 Centre
Needham Int
Spence Braintree
Spence Wellesley
SJP
BCBS
PCHI Needham
CNY Data Center
BWH Data Center
DFCI Data Center
ComputerComputer--assisted careassisted care
•• Interactive informed consentInteractive informed consent
•• ComputerComputer--based self assessment toolsbased self assessment tools
•• EvidenceEvidence--based decision support toolsbased decision support tools
•• GuidelineGuideline--driven treatment algorithmsdriven treatment algorithms
•• Multimedia patient education at time of diagnosisMultimedia patient education at time of diagnosis
•• HomeHome--based monitoring of treatment responsebased monitoring of treatment response
•• HomeHome--based monitoring of side effectsbased monitoring of side effects
•• PatientPatient--clinician eclinician e--mailmail
ComputerComputer--assisted care 2assisted care 2
•• ComputerComputer--assisted selfassisted self--help Rx via IVRhelp Rx via IVR
•• Graphic reports to case managers and PCPsGraphic reports to case managers and PCPs
•• Automated alerts for adverse eventsAutomated alerts for adverse events
•• Automated alerts for suicide riskAutomated alerts for suicide risk
•• Automated pharmacy reportsAutomated pharmacy reports
•• Interactive patient education Interactive patient education
•• Tailored, patient education materialsTailored, patient education materials
•• Interactive advanced directivesInteractive advanced directives
LecturersLecturers
Bryan BergeronBryan Bergeron (MGH, KTI)(MGH, KTI)
The Black eThe Black e--BagBag
LecturersLecturers
John Glaser (Partners)John Glaser (Partners)
The Future of Healthcare Enterprise The Future of Healthcare Enterprise
ComputingComputing
LecturersLecturers
Daniel Sands (Daniel Sands (CareGroupCareGroup))
The Future of the EPR and the eThe Future of the EPR and the e--
Empowered PatientEmpowered Patient
LecturersLecturers
Keith Strier (CGEY)Keith Strier (CGEY)
Innovation and the Power of Disruptive Innovation and the Power of Disruptive
TechnologyTechnology
LecturersLecturers
John Halamka (John Halamka (CareGroupCareGroup, HMS), HMS)
The Future of Academic Computing in The Future of Academic Computing in
Health CareHealth Care
LecturersLecturers
Eugene Hill (Schroeder Ventures)Eugene Hill (Schroeder Ventures)
The Future of Healthcare IT VenturesThe Future of Healthcare IT Ventures
LecturersLecturers
Isaac Kohane (CHMC)Isaac Kohane (CHMC)
The Future of Genomics and InformaticsThe Future of Genomics and Informatics
LecturersLecturers
Jeffrey Blander (Ardais, HSPH)Jeffrey Blander (Ardais, HSPH)
Challenges in Implementing Bioinformatics Challenges in Implementing Bioinformatics
SolutionsSolutions
LecturersLecturers
Kenneth Mandl (CHMC)Kenneth Mandl (CHMC)
The Future of Biodefense and ITThe Future of Biodefense and IT
LecturersLecturers
Steven Locke (HST, BIDMC)Steven Locke (HST, BIDMC)
The Future of Disease ManagementThe Future of Disease Management
May 8, 15May 8, 15
Final Student Project Presentations
Final Student Project Presentations
–– Faculty Faculty
–– Invited GuestsInvited Guests
Reception to follow on the 15th
Reception to follow on the 15th
March 13March 13
Field trips (3:30 to 6:00)
Field trips (3:30 to 6:00)
(To be arranged)(To be arranged)
Previous years:Previous years:
�� Simulation laboratory at HMS (Locke)Simulation laboratory at HMS (Locke)
�� Shapiro Institute (Sands)Shapiro Institute (Sands)
�� Suggestions?Suggestions?
(Spring break for HMS)(Spring break for HMS)
March 20March 20 (Spring break)(Spring break)
No class
No class
AssignmentsAssignments
�� Week 2: Project Proposals DueWeek 2: Project Proposals Due
�� Week 3: Project Selections DueWeek 3: Project Selections Due
�� Week 5: Stakeholder Analysis DueWeek 5: Stakeholder Analysis Due
�� Week 8: Event Diagram and Porter Analysis DueWeek 8: Event Diagram and Porter Analysis Due
�� Week 10: Project Track Review PresentationsWeek 10: Project Track Review Presentations
�� Week 13 and 14: Final PresentationsWeek 13 and 14: Final Presentations
�� Final Papers Due Monday May 19thFinal Papers Due Monday May 19th
Group Design ProjectsGroup Design Projects
��Student, faculty or corporate sponsor drivenStudent, faculty or corporate sponsor driven
��Common elements for each projectCommon elements for each project
��Track selectionTrack selection
��Group final presentations and paperGroup final presentations and paper
Common ElementsCommon Elements
1.1. Objective of the group projectObjective of the group project
2.2. Proposed product or service solutionProposed product or service solution
3.3. Industry summaryIndustry summary
4.4. Competitive analysis; Porter model; evaluation Competitive analysis; Porter model; evaluation
of macroof macro--industry forces; barriers to entryindustry forces; barriers to entry
5.5. MicroMicro--stakeholder analysisstakeholder analysis
6.6. Universal problems with current solutionsUniversal problems with current solutions
7.7. Interaction diagrams existing vs. new proposed Interaction diagrams existing vs. new proposed
solution solution
8.8. Reflection on cost, quality, and accessReflection on cost, quality, and access
Project Track SelectionProject Track Selection
��Track 1: Marketing PlanTrack 1: Marketing Plan
��Track 2: Business PlanTrack 2: Business Plan
��Track 3: Product Design PlanTrack 3: Product Design Plan
��Track 4: Clinical Trial/Product EvaluationTrack 4: Clinical Trial/Product Evaluation
Each team chooses two our of fourEach team chooses two our of four
Example ProjectsExample Projects
�� KurzweilKurzweil technologies, Inc.: technologies, Inc.: Creating a Web Creating a Web
Presence for Specialty PracticesPresence for Specialty Practices
�� Institute of Cybermedicine/ABCD/HSPH: Institute of Cybermedicine/ABCD/HSPH:
Development of Virtual Social Support Development of Virtual Social Support
CommunitiesCommunities
�� Institute of Cybermedicine: Institute of Cybermedicine: On line delivery of On line delivery of
programs for parenting and/or child abuseprograms for parenting and/or child abuse
�� MGH Anesthesia: MGH Anesthesia: WebWeb--Based SpecialtyBased Specialty--Specific Specific
Residency Clearing HouseResidency Clearing House
�� Pfizer Health Solutions: Pfizer Health Solutions: WebWeb--enabling a enabling a
mind/body program to manage high utilizing mind/body program to manage high utilizing
somatizing patientssomatizing patients
Example ProjectsExample Projects
�� Johnson and Johnson: Johnson and Johnson: Breast Center manager Breast Center manager
Market Research/RollMarket Research/Roll--out in Europeout in Europe
�� Radiology.comRadiology.com PatientexpressPatientexpress(TM): (TM): -- An internet An internet
service for personal management (storage & service for personal management (storage &
access) of medical imagesaccess) of medical images
�� Harvard Vanguard Medical Associates: Harvard Vanguard Medical Associates:
Techniques for Decreasing Medication Morbidity Techniques for Decreasing Medication Morbidity
in the Patient with Sensory or Cognitive in the Patient with Sensory or Cognitive
ImpairmentsImpairments
�� Emerald Solutions/IOC: Emerald Solutions/IOC: Development of Strategy Development of Strategy
for a Secure Clinical Web Environmentfor a Secure Clinical Web Environment
Handouts and WebsiteHandouts and Website
��SyllabusSyllabus
–– Lecture topics and readingsLecture topics and readings
–– Tutorial topics, readings and assignmentsTutorial topics, readings and assignments
–– Mostly onlineMostly online
��Group design project tracksGroup design project tracks
��Website: http://web.mit.edu/hst.921/wwwWebsite: http://web.mit.edu/hst.921/www
Registration and CreditsRegistration and Credits
FAQ’sFAQ’s
��Office hoursOffice hours
��Required readingsRequired readings
��Required paperRequired paper
��Project selectionProject selection
��Work loadWork load
��AttendanceAttendance
��How can you help?How can you help?