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PBGH: Health Care Data Vision 2000


The global vision is of a health care information system (IS) that supports value maximization at all levels: community, employers, plans, and providers. The system includes: (1) an electronic medical record to capture the data at the point of care; (2) an electronic data interchange capability for sending and receiving data, with appropriate safeguards for patient confidentiality; and (3) built-in, automated feedback mechanisms for continuous process improvement

For the COMMUNITY*, the system will provide an information base for value-driven competition, maximization of public health, and minimization of regional practice variation. 

For PURCHASERS, it will provide an information set for value-based purchasing, where value reflects both the health of the workforce (and other covered individuals), customer satisfaction, and total health-related costs, with an appropriate focus on preventive care. 

For HEALTH PLANS, the IS will enable them to maximize (1) the value they add to the delivery of health services and (2) administrative efficiency. 

For PROVIDERS, the IS will enable them (1) to optimize health care production processes to achieve best outcomes at least necessary cost for their enrollees and (2) to maximize administrative efficiency for the group and its individual providers. To do this, the system must include the following: 

  1. Immediate access to all relevant information at the point of care to enable health professionals to maximize the integration of information and knowledge into their practices; 
  2. Measurable quality indicators for individual and group outcomes; and 
  3. Support for continuous process improvement as a self-correcting mechanism to optimize value for patients and purchasers ("better, faster, cheaper"). 


"GET IT, MOVE IT, USE IT"

*By "Community," we mean individual employees, the general public, and responsible public health authorities