Association of Schools of Allied Health Professions Conference Healthcare Research, Now and Beyond the Horizon Dr. Ken Shine October 19, 2005

2 Healthcare as a Cottage Industry! Its all about the System

3 Post Surgical Care – Medical Errors Team OR – Modernize? ER Records – Can you find it? Some Case Studies

4 Defining the System Efficiency Quality – 50%? Effectiveness Outcomes

5 Key Ingredients Electronic Health Record Data Quality Improvement

6 20th Autonomy Solo Practice Continuous Learning Blame / Shame Knowledge Teamwork Systems Continuous Improvement Problem Solving Change 21st

7 Research Horizons Neurosciences – Memory Genetics – Dx and Rx Noninvasive Dx Minimally Invasive Procedures Robotics

8 Research Horizons Interfaces Engineering/Biology Math/Therapeutics Computer Science/Genomics Behavioral Sciences Campuses Critical Clusters Shared Infrastructures

9 Costs!!! Population Aging Technology Access, e.g. Technology

10 Technology Costs Incremental Value Significant Value New Chemical Species Placebo Comparisons

11 Rationing Insurance Coverage Physical Access Priorities for Care Multiple Benefit Packages

12 Consumerism Information Chat Rooms Wennberg Experience Quality Date

13 Central Role Well Informed, Joint, Patient/Doctor Decision Making The Harold Experience

14 New Delivery Systems Disease Management Effectiveness Management

15 Team Management Physician Shortages? Role of Nursing Role of Allied Health

16 Making Choices Patients Families Communities Nation Access to Records/Information

17 Well Informed, Joint, Patient/Doctor Decision Making