VistA Federal Health Focus 080505

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1、FederalHealthIT:FocusonVistAClaudineD.Beron,PMPandSunitiPonskeAugust5,2005Agenda•USHealthcareMarketandChallenges•ImportanceofHealthInformationTechnology(HIT)•NeedforaNationalEHR•FederalHealthITProjects•AboutVistA•VistAVersions•AdoptionofHIT&OpenSource•VistAInfrastructure•Success&Failures•Contacts•L

2、inks•Reading©2005Accenture.Allrightsreserved.1USHealthcareMarketandChallenges©2005Accenture.Allrightsreserved.2U.S.HealthcareMarketTheWHOrankedUShealthcare37thoutof191countries•Population:293,027,571(2004)#ofHospitals:5,764(2003)•HealthExpenditure:15.4%(2004)HospitalBeds:976,000(2004)•HealthExpendi

3、ture:$1,805billion(2004)Beds/000population:3.3•PopulationGrowth:.92%Doctors/000:2.8•AverageLengthofStay:5.7daysSource:Frost&Sullivan,CIAFactbook,Espicom,AHA,OECDHealthData2003&CaliforniaHealthcareFoundation2005©2005Accenture.Allrightsreserved.3HealthcareChallenges¾TheAmericanhealthcaresystemneedsam

4、ajorreformbecauseithasmanychallengesthatarehardtoresolve:•Cost–USspendsaround14%ofgrossdomesticproductonhealthcare(estimatedtoriseupto20%by2010)—otheradvancednationsspendanaverageof8%•Quality/Value–CommonwealthFundstudymeasuringqualityofcareinfivenationsreportedthatAmericawassuperiorinonlyafew–This

5、studyindicatesthatAmericansspendmorebutreceivelessvalue•Access–“Access”referstotheeasewithwhichpeoplecanobtainthecaretheyneed–Accessproblemsarecausedbylackofcoveragefrominsurance,highco-payments,lackofprovidersincertainareas,etc.•Effectiveness–Eventhoughsomeexpertssaythatthebenefitsoutweighthecosti

6、nsuchareasasheartdiseaseandlow-weightnewborns—othersarguethatthereisalotofwasteintheheathcaresystem,whichresultsinineffectiveservice–BillFristinastatementsaidthatonethirdof$1.8trillionspendingiswastedduetodisorganizationandlackofinformation©2005Accenture.Allrightsreserved.4PotentialSolutions•Therea

7、renoeasyanswerstosolvehealthcareissues,but—useofHealthcareInformationTechnology(HIT)isonesuchsolution•InstituteofMedicinereports–identifiedHITasoneoffourcriticalforcesthatcouldsignificantlyimprovehealthqual