For individual patients to participate as informed, “controlling” partners in the design and administration of their own care, they must also have access to much the same kind of information and education, decision-support, and communications tools-in a “patient-accessible/usable” form.Īt the organizational level, hospitals and clinics need clinical, financial, and administrative data/information to measure, assess, control, and improve the quality and productivity of their operations.
To integrate these critical information streams, they will also need training/education, decision-support, information-management, and communications tools. In addition, they need information on patient preferences and values and important administrative information, such as the status and availability of supporting resources (personnel, hospital beds, etc.). To diagnose and treat individual patients effectively, individual care providers and care teams must have access to at least three major types of clinical information-the patient's health record, the rapidly changing medical-evidence base, and provider orders guiding the process of patient care. Information and information exchange are crucial to the delivery of care on all levels of the health care delivery system-the patient, the care team, the health care organization, and the encompassing political-economic environment. THE CENTRALITY OF INFORMATION TO HEALTH CARE DELIVERY
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