Realizing Integration Defragging the Health Care System Mark D Fox MD PhD MPH David C Kendrick MD MPH Section of MedicinePediatrics Overview Framing the issue Context of health system performance ID: 769395
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Realizing Integration:Defragging the Health Care System Mark D. Fox, MD, PhD, MPH David C. Kendrick, MD, MPH Section of Medicine/Pediatrics
Overview Framing the issue Context of health “system” performance Opportunity for innovation
DisclaimerOriginal planned title: Social justice and health information technology Anchoring lectures process Challenge to clarify abstruse connection
Social InjusticeDenial or violation of economic, sociocultural , political, civil or human rights of specific populations or groups in society based on perception of inferiority by those with more power or influence Often involves stereotypes and stigmatization
Social Injustice 2 Policies or action that adversely affect the societal conditions in which people can be healthy IOM definition of public health: What we, as a society, collectively do to assure the conditions in which people can be healthy Populations and groups in first definition are usually especially vulnerable to these forms of social injustice
Shorter Life Expectancy Real Health Disparities Longer Life Expectancy NORTH TULSA SOUTH TULSA 14 Year difference in Life Expectancy Across Tulsa County
…And its not because we are not spending enough money on healthcare
The State’s Next Challenge - Securing Primary Care for Expanded Medicaid Populations Leighton Ku, Ph.D., M.P.H., Karen Jones, M.S., Peter Shin, Ph.D., M.P.H., Brian Bruen , M.S., and Katherine Hayes, J.D.
Vulnerable PopulationsTulsa’s primary care safety net Challenges of access Fragmentation of care By system (SFH, Hillcrest, SJMC, OSU) By free clinic (Day Center, Sallie, Dream Center, Bedlam, Good Samaritan) By provider within those clinics
Bedlam/OU Community Health Experience EMR implementation to link diffuse network of clinic operations Improve efficiency Reduce redundancy Improve safety Make network more functional