Mark D Fox MD PhD MPH David C Kendrick MD MPH Section of MedicinePediatrics Overview Framing the issue Context of health system performance Opportunity for innovation Disclaimer ID: 775670
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Slide1
Realizing Integration:Defragging the Health Care System
Mark D. Fox, MD, PhD, MPH
David C. Kendrick, MD, MPH
Section of Medicine/Pediatrics
Slide2Overview
Framing the issue
Context of health “system” performance
Opportunity for innovation
Slide3Disclaimer
Original planned title:
Social justice and health information technology
Anchoring lectures process
Challenge to clarify abstruse connection
Slide4Social Injustice
Denial 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
Slide5Social 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
Slide6Slide7Slide8Shorter Life Expectancy
Real Health Disparities
Longer Life Expectancy
NORTH TULSA
SOUTH TULSA
14 Year difference
in Life Expectancy
Across Tulsa County
Slide9…And its not because we are not spending enough money on healthcare
Slide10The 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.
Slide11Slide12Slide13Vulnerable Populations
Tulsa’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
Slide14Bedlam/OU Community Health Experience
EMR implementation to link diffuse network of clinic operations
Improve efficiency
Reduce redundancy
Improve safety
Make network
more functional