.
Electronic
Healthcare Continuum and Information Delivery Subject: Fw: Web Based Health
Continuum and E.I.S.
First draft on the MD ~ RX system we've discussed. About 60 days (or less) I could have a "PHASE ONE" operating. It would be a little rough around the edges, but functional.
1. I would want the MD to design the medial intake form sections, the C. Ped to do the foot / fitting area, and I could do the billing area. After collecting this data, 1 day to build the input apps on the web. 2. Then, the data mine: Each patient would have a patient number assigned that would indicate the C Ped. and maybe last 4 of the pat's SSAN. This would stop others from seeing data for someone else's patient once they got past the firewall, and make it easy for me to "channel" the C Ped's data for reporting and analysis. 3. The MD's data would be based on Pat's that he is the attending physician for (regardless of the C Ped or RPH), and they would be able to review all their patients, and analyses results and run reports 4. the C Ped, Therapist and MD would be able to send updates to the patient medical history , protocol and SOAP (HSP ?) This area would become the actual data mine and enable centralized processing of patient's continuum of care, as well as future analysis 5. The patient would be able
to review their own case history, link to the care partners,
and proceed to ordering modules (RX, RETAIL, SELECT MERCHANDISE).
because they go thru a firewall, we know the "who"
and that makes all subsequent processing simpler. 6. When servicing the patient, the therapist or C. Ped would collect data, identify trouble areas, shoot the video, snap pictures of the trouble areas, record information about their assessment, then go to the web, go into a secure area for downloading data, send the required data, and indicate if they need professional assistance before proceeding or if the data is just for processing and archive. If they need a C Ped or the MD to respond before their next patient visit, a HIGH-PRIORITY message is sent to the professional. They would review the data and respond, giving the therapist instructions on how to proceed. 7. And electronic SOAP NOTE would be utilized for each member of the continuum team to update the patient's personal data channel. 8. Authorized staff would be able to access the patients data channel, for clinical review, notations and correspondence with other professionals involved with the patient's continuum of care, as well as the patient " Betty, I notice that you are recording very high blood sugar levels every SAT morning . . . what are you doing FRI night ? Painting the town red ? Eating too many Cannollie's ?" 9. Subsequent modules would afford product orders: food, medical supplies, Rx's, scheduling of appointments, 3rd party billings, Channel analysis (disease state management), data mine analysis "data mine disease management). 10. Everything - absolutely everything would be secure, and HHS compliant. The site would have layered firewall protection. Patients can't see professionals data, Rx A couldn't see Rx B's patient data, MD A couldn't see MD B's data, etc. Only select participants would have complete data availability (senior system staff, key physicians, senior therapists and coordinating C Ped's and RPH / PharmD's) The build of PHASE ONE would be relatively inexpensive, maybe $5k. The "WHOLE BALL OF WAX" for a limited geographical area could be 5 times that much, and a national product would likely be in the ballpark of $75 to $125k. Pretty fast figures, but then, I've been doing health care data processing since 1984 . . . . my first nationwide remote data processing was 1986, with offices in Texas linked to offices in Greensburg. I know some things about real-world costs to develop a state-of-the-art national systems (MOBIL Nurse©, which I own when I bought the other company was mostly my design work. They went the wrong way, with proprietary infrastructure, I wanted to do it on the web, I left, and started my ISP, they went broke, and I bought the company . . . . thanks Tom!) This is the "real simple explanation" . Please also see the flowchart. You may share this with people that you trust. Good Luck in the presentation. |
 |
