1. Welcome! George Mason University HSCI 722

2. Future Scenario Fictional, but not utopian Based on Bringing Health Care Online: the Role of Information Technologies. Bringing Health Care Online: the Role of Information Technologies

3. Secure & Private Information "flows freely“ But it only flows within prescribed channels. Secure & Private

4. Simplified Administration Email reminders Appointments checked remotely. On visit, the machine began asking them questions, no repetition. Granting permission. Digital records Bill insurance company electronically No blanket permission to use health data Patient owns the health record Query about clinical trials

5. Informed Consumer Multimedia modules tied to patient’s condition. Access to test results on patients’ computer. Computer facilitated discussion of the risks and benefits. Several different sources of electronic information

6. Paperless Medicine Examination room data entry Machine to machine communications Graphical and analytical alerts Summary of previous visits Tests ordered by a stylus to check off boxes. Test openings available Training CD-Rom

7. Empowered Clinical Teams Computer facilitated continuing medical education Online consults Decision support systems alerts on call resident On job education –Summary of similar cases from the last year –hyperlinks to the abstracts of relevant research literature. Automated admission to hospital Room, equipment and medication scheduling Pharmacy alert system Voice entry of notes and orders

8. Future Scenario Benefits Reduced medical errors Less anxiety because of more information No waiting for service Coordinated care