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
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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
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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
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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
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