Intelligent Fast Patient Data – Fundamental to Achieving “Population Health”

K. J. Lee, M.D., ENT

Chief Innovation Officer

IQ-EQ Systems, LLC

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Crisis consists of danger/chaos

leading to opportunities

CRISIS

DANGER

OPPORTUNITY

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Ideal quality patient care is achieved when….

…clinicians can concentrate on patients without

technological distractions

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Quality of “Big Data” is achieved when…

…data is input real time accurately at the source

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Effective analytics to support “Population

Health” can be achieved when…

…converting clinical data to structured data

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Differentiating Data Collection:

- Narrative

- Images

- Digital Fields

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12 simple but vital elements of an EMR/EHR

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1. Patient ID: name, DOB, SS#, chart #, language, ethnicity, race, gender 2. Meds/allergy to meds 3. Review of Systems (ROS) I, II, III 4. (a) Previous HPI & physical (c.c., H&P) (b) Current HPI & physical (c.c., H&P) • Write (ink technology, stored electronically, not on paper, eliminate paper charts) • Type • Voice recognition • Dictate to transcriptionist • Macros, Macros plus • Customized digital H&P (Decision Tree)

5. Access to test-reports quickly & intuitively (filing cabinets) 6. e-Prescribe, frequently used meds 7. Order & track tests, e.g. MRI, have an “In Box” 8. Order & track referrals 9. Order & track future surgery 10. Code & code guide 11. Next appointment 12. Referral letter, educational materials, instructions to patients, procedure notes

Intelligent accurate accessible and

secure data…liquid data….

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Interconnectivity / Inter-availability

instead of Interoperability?

Unsustainable healthcare costs

is a fact. We must mitigate healthcare costs

and the exploding healthcare data in the

whole continuum of care.

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Healthcare Market Demands…

• Patient controls his/her medical records (HIPAA)

• Patient grants permission to Dr. A to “read only” the medical records of Dr. B or Dr. C., etc., about that patient

• Patient access control - can revoke such permission

• Access notification to clinical content source and viewer

• Interactive patient record notation

• Wellness program integration

• Scrubbed patient data utilized for analytics and process / procedural, outcomes and cost assessment

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Thank you!

Questions?

(contact information on following slides)

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Abbreviated Curriculum Vitae of K. J. Lee, M.D., F.A.C.S.

kjleemd@aol.com Phone: 203-645-4758

_Past vice-chair of a federally funded HMO, HealthCare, Inc.

_Past Chairman of the Hospital of St. Raphael Medical Board

_Past President of the Hospital of St. Raphael Medical Staff

_Past Treasurer & Past President of the American Academy of Otolaryngology, Head & Neck Surgery/Foundation (representing 98% of all

the ear, nose & throat doctors in the country)

_Senior Healthcare Policy Advisor to US Presidential Candidates (Hillary Clinton, Barack Obama, Joe Lieberman, Chris Dodd)

_Sponsored a Bipartisan Presidential Healthcare Solution Summit, September 13, 2004, in conjunction with Center for Congressional and

Presidential Studies, International Institute for Health Promotion, American University, Washington, DC

_Designed an intuitive, user friendly, encrypted secured web-based, available “24/7” EMR (EHR) that is intuitive, affordable, interoperable,

decreases errors and cost as well as increases preventive health & efficiency. It monitors Pay For Performance. It is the platform for “Employee

Health,” “Population Health” and Accountable Care Organizations

_Chair, 4800 Healthcare Solution Task Force in 2000 & 2004 Presidential elections

_Chair, Speaker Amann’s Task Force on Healthcare in Connecticut

_Honorary Board Member, CodeBlue Healthcare for All (national grassroots patient advocate 501(c)3 organization)

_Past President, Deafness Research Foundation Centurions

_Widely published and lectured nationally and internationally on scientific, medical/surgical topics as well as on health policy, health

information technology and the business of medicine. One of his 22 books is considered one of the most widely read texts in the field of ear,

nose and throat in the world and has been translated into several languages

_Undergraduate – Harvard University

_Medical School – Columbia University College of Physicians & Surgeons

_Residency – Harvard Medical School

_Emeritus Chief of Otolaryngology-Head & Neck Surgery, Hospital of St. Raphael

_Associate Clinical Professor, Yale University

_Coordinator for International Affairs—American Academy of Otolaryngology, Head & Neck Surgery

_Editor: Healthcare Reform Through Practical Clinical Guidelines—ENT

_2003-2009 International Editor: Journal of Otolaryngology Head & Neck Surgery

_Editorial Board: ENT Journal

_Editorial Board: Laryngoscope

_Co-Editor: Current Opinion in Otolaryngology & Head and Neck Surgery

_Co-Editor: Philippines Journal of Otolaryngology – Head & Neck Surgery

_Council member of the Long Island Sound Assembly (to protect the environment)

_Managing Partner of Southern New England Ear, Nose, Throat and Facial Plastic Surgery Group, LLP 1/1989-4/2012

_Designed surgical instruments for pituitary and for ear surgeries

_Designed voice prosthesis for post-laryngectomy patients

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