question archive Vincent Valley Health Care System has created an Innovation Center under the leadership of Dr
Vincent Valley Health Care System has created an Innovation Center under the leadership of Dr
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Vincent Valley Health Care System has created an Innovation Center under the leadership of Dr. Robert Munsey who is chief of Family Practice. One of its first major projects is to develop a new approach to delivering primary care. A team was formed which includded: Dr. Cynthia Andreson - Medical Leader Tasker Foothills primary care clinic, Sameer Inanpudi - Director of Business Intelligence, and Jim Hanson - Special projects manager. The charter for the project states that the new primary care model should consider utilizing leading-edge technologies ((big data, cognitive computing, data visualization, text mining, wearable technology, mobile computing, Internet of Things, etc.) A data set was available from the Federal Department Bureau of Labor Statistics that showed household time use in the Tasker Hill area. A sample of this data is included as an attachment to this case study. The current primary care process can be seen as a series of steps that are initiated as an acute episode (e.g. athletic injury) or chronic disease management (e.g. follow a visit to manage high blood pressure.) The steps in the process include 1. The patient calls the clinic to make an appointment 2. Drives to the clinic, park, and walk to the clinic waiting for area 3. Checks in at desk (name, conditions, insurance changes) 4. Completes current medications and history form 5. Enters exam room 6. The nurse collects data (blood pressure, weight, etc.) and current issues and history 7. Physician Enters and conducts examination 8. Physician completes treatment plan, advises patient, order drugs as needed, complete documentation in Electronic Health Record 9. The patient is provided with a printed visit summary and plan and exits Concerns about this current process include • Much of patient time is spent in non-value-added activities • There is no direct system for follow up between clinic visits • There is no system to collect useful clinical data between visits • There is no accessible opportunity for patients to monitor their own progress toward meeting clinical goals The team first examined the data and then created a new system for delivering primary care to patients with chronic conditions. They scheduled a meeting with Dr. Munsey to present their proposal. What was the new process and systems use? What were its advantages and risks?
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