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Healthcare Management


Sharing data to support holistic program and care delivery Cities, communities and regions that enable authorized service providers to share citizen information through private and secure channels have tremendous opportunities. By implementing an infrastructure that integrates healthcare and social program data from numerous agencies and providers, all authorized case workers and healthcare providers can access a complete view of each individual and their social context. In general, about 20 percent of individuals consume 80 percent or more of all health resources. Many of these individuals suffer from one or more chronic diseases, and the cause of their high cost of care is often hospitalizations that could have been prevented with better-managed care.


Today, organizations do not share data with others and, as a result, most case workers and care providers do not know which services a person might need or is already receiving. When authorized health and social program providers are able to share information, they can more easily determine if additional care and services are needed and significantly improve the health and overall quality of life of individuals and families. A complete, secure view of citizen data can help providers determine eligibility, detect fraud, predict and avoid potential problems and evaluate the effectiveness of programs and procedures. These improvements can produce better outcomes at the right cost. Singapore has implemented a national electronic health record (EHR) program that enables authorized clinicians and healthcare providers to access information securely in real time to improve care coordination and enable more informed decisions.6 Caseworkers in Alameda County, California, use a new system to access a complete view of each person they serve, to identify the relationships between those individuals and their families, to easily detect gaps in services and to better determine how they can efficiently provide services.


In Bolzano, Italy, elderly citizens living in their own homes can be monitored to improve their safety and quality of life. Remote technologies, such as telemonitoring, telecare and mobile teleassistance services and air quality, water consumption and environment systems, are used to monitor participants. They also provide medical advice and access to medical professionals remotely and alert designated family members or friends if there is a potential problem.


Measuring the success and impact of programs and services


The ability to measure and report on the success of programs, and analyze and learn from data can be critical for cities, communities and regions. Metrics are especially important today because governments face declining revenue and rising expenses and often must clearly demonstrate the success of their efforts to secure further investments. Integrated data that can be easily accessed and analyzed makes it easy to report on the impact of programs on the local economy and quality of life. Data can also be used to develop predictive and prescriptive analysis that can help advance care coordination and improve individual and population health and wellness. For example, in 2007 Oklahoma City was designated America’s 15th fattest city. To address the city’s growing obesity problem, the mayor challenged citizens to lose one million pounds and created the This City is Going on a Diet program. The program included fitness events, wellness educational activities and a portal where citizens registered, tracked their weight and accessed information about healthy eating, fitness and more. The portal also measured the program’s results: 1 million pounds lost, more than 8,000 waist inches lost and over 11 million calories burned.


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INSIGHT ON


HOSPITAL & HEALTHCARE MANAGEMENT VOL. 3 ISSUE 3 August 2014


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