Technology and its Implications for Health Care Policy

TechnoGroupRosario Estrada

Linda RiesRay Scarpa

Maureen ZampellaDeborah Zastocki

Consumerism

• Changing Demographics

• Increasing Diversity & Socioeconomic Striation

• Increase Choice

• Focus on Personal Responsibility

• Trend for Community Care

• Wellness & Healthy Communities

Technology Advances

• Digital Formats & Video Capabilities

• Telehealth

• Miniaturization

• Genetic – Robotic – Info – Nano – Bio – Physical – Chemical Technologies

Information Technology

• Technology Enablers• Internet• Wireless

• Globalization

New Healthcare Scene

• Corporations

• Retailers

• Universities

• Delivery Models

Policy Considerations

• Ethical/Moral

• Cost/Reimbursement

• Quality & Price Transparency

• Pay for Performance

• Advocacy

Legislative

• State Flexibility – demonstration projects

• Changing Political Landscape

• National Priorities

TechnoGroupDeborah ZastockiRay ScarpaMaureen ZampellaRosario EstradaLinda Ries

Jeopardy

Policy Player

Home Care

CulturalCompetence

Diagnose Us

Treat Me

Right

Let’s Make A

Trial

When in the

House

Shop Till You

Drop

Special Delivery

100 100 100 100 100 100

200 200 200 200 200 200

300 300 300 300 300 300

400 400 400 400 400 400

500 500 500 500 500 500

Final Jeopardy

Leads to a more favorable prognosis in the treatment of

cancer

$100

Jeopardy

$100

What is early detection?

$200

Diagnostic test essential to assessing

diabetic control

Jeopardy

$200

What is hemoglobin A1C?

$300

The most common invasive procedure

utilized in diagnosing a myocardial infarction

Jeopardy

What is cardiac catheterization?

$300

$400

A non-invasive diagnostic test which

captures calcium levels as they relate to

arteriosclerosis

Jeopardy

$400

What is Electron Beam

Tomography?

Nation’s 2nd leading cause of preventable

death

Jeopardy

What is obesity?

$100

Recently developed method for the

delivery of insulin

Jeopardy

$100

What is inhalation?

$200

Conventional radiation therapy is limited in treatment due to this potential

adverse effect

Jeopardy

$200

What is surrounding tissue damage?

$300

Surgical procedure which creates a detour of the blood supply for

the heart

Jeopardy

$300

What is coronary artery bypass

surgery?

$400

Emerging technology that is an extension of

the physician in performing surgery

Jeopardy

http://video.google.com/videoplay?docid=6587399526239141122&q=Healthcare+Robotics&hl=en

$400

What are robotics?

Glucose monitoring device recently

developed at

$500

Jeopardy

What are eyeglasses?

$500

$100

World renowned cancer treatment facility which

recently located a satellite facility in New Jersey

Jeopardy

What is Memorial-Sloan Kettering Cancer Center?

$100

$200

Recent chemotherapeutic agent approved for

head and neck cancer

Jeopardy

What is ?

$200

$300

A safe and noninvasive procedure which uses

computer technology to predict a person’s riskk

for sudden cardiac death

Jeopardy

$300

What is T-wave alternans?

$400

Prevalent disease which may be treated

by a vaccine

Jeopardy

$400

What is type 1 diabetes?

A bioflavonoid which is naturally found in various

foods which is being studied for its possible role in the treatment of obesity and diabetes

$500

Jeopardy

What is Quercetin?

$500

$100

Branch of government funding the Human

Genome Project

Jeopardy

$100

What is the Department of Health and Human

Services?

Agency which mandated the on-pack labeling of trans fat content under the Nutrition Labeling

Act amendment

$200

Jeopardy

What is the Food and Drug

Administration?

$200

$300

A federally mandated regulation that spurred dramatic changes in the management of medical

records

Jeopardy

$300

What is HIPPA?

$400

Agency which provides national leadership for

patient safety and health information technology

Jeopardy

$400

What is the Agency for Healthcare Research and Quality (AHRQ)?

$500

Governmental bodies that are challenged to meet

Medicaid mandates

Jeopardy

$500

What are state governments?

$100

University on the East Coast which has

partnered with IBM in pursuit of heart disease

research

Jeopardy

$100

What is ?

$200

Retailer who recently initiated the $4.00

prescription

Jeopardy

$200

What is ?

$300

# 1 electronics giant which is a leading

supplier to the healthcare industry

Jeopardy

$300

What is ?

$400

Company that spearheaded employee

health promotional activities?

Jeopardy

$400

What is Johnson & Johnson ?

Retailer which recently

acquired

$500

Jeopardy

$500

What is ?

$100

Used to access medical care from a

distance

Jeopardy

$100

What is telehealth?

$200

Technology to transmit medication orders

Jeopardy

What is e-Prescribing?

$200

$300

Technology being piloted by Medicare

which interfaces patients at home and health care providers

Jeopardy

http://www.healthhero.com

$300

What is Health Buddy?

$400

Health promotional efforts, initiatives and legislation

seek to facilitate adherence to these

Jeopardy

$400

What are lifestyle changes?

$500

Research advancement which may change healthcare delivery from correction to

prevention

Jeopardy

$500

What is DNA profiling?

Policy Player

Home Care

$ $

Cultural

Competence

Final Jeopardy Question

Interconnectedness of world populations

Scores

What is globalization?

PolicyPlayer

Home Care

CulturalCompetence

$ $ $

“As the wiring of America’s health care system continues, we need to find ways to integrate the principles and practice of evidence-based medicine across the full spectrum of care, particularly in areas including clinical decision support systems, payment systems, care coordination systems, and patient-provider communication systems.”

Dr. Carolyn Clancy. Speech presented at the World Healthcare Innovation and Technology Congress, November 1, 2006. Agency for Healthcare Research and Quality.

Exciting Times

• Global ability to connect and collaborate• Technological advances –both benefits and risks• Policy & Legislative Activism• Roles for Nursing

• Advocacy• Guides for consumers• Evidence-based models• Faith-based communities - Parish nurses

Thank you!TechnoGroup

Web Site

http://www.dnpp.net