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1University of Cincinnati Medical Center and University Hospital.
Summary
Healthcare reform necessitates new patient-centered information systems. These systems require robust networks and integrated data to manage care across multiple providers under new healthcare models.
Area of Science:
- Health Informatics
- Healthcare Management
- Information Systems
Background:
- Healthcare reform initiatives are significantly altering the healthcare system.
- Providers are consolidating into larger organizations like accountable health plans (AHPs).
- Existing information systems are misaligned with the evolving healthcare landscape.
Purpose of the Study:
- To outline the requirements for new healthcare information systems.
- To address the impact of healthcare reform on information technology infrastructure.
- To prepare for a patient-centered, managed care environment.
Main Methods:
- Analysis of healthcare reform drivers (JCAHO, WEDI, ANSI, HCFA, Clinton Administration task force).
- Evaluation of current information system limitations.
- Identification of future information system needs.
Main Results:
- New information systems must be patient-centered and support managed care.
- Systems need to manage patient care across a continuum and multiple providers.
- Significant upgrades to network infrastructure, data integration, and IS consolidation are required.
Conclusions:
- Current information systems are inadequate for the reformed healthcare environment.
- Future systems demand high-speed networks, broad integration, and consolidated data.
- Healthcare reform will fundamentally transform information system requirements.