realizing integration: defragging the health care system mark d. fox, md, phd, mph david c....
TRANSCRIPT
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Realizing Integration:Defragging the Health Care System
Mark D. Fox, MD, PhD, MPHDavid C. Kendrick, MD, MPH
Section of Medicine/Pediatrics
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Overview
• Framing the issue• Context of health “system” performance• Opportunity for innovation
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Disclaimer
• Original planned title:Social justice and health information technology
• Anchoring lectures process• Challenge to clarify abstruse connection
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Social 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
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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
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Shorter Life Expectancy
Real Health Disparities Real Health Disparities
Longer Life Expectancy
NORTH TULSA
SOUTH TULSA
14 Year difference in Life Expectancy
Across Tulsa County
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…And its not because we are not spending enough money on healthcare
…And its not because we are not spending enough money on healthcare
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The State’s Next Challenge - Securing Primary Care for Expanded Medicaid PopulationsLeighton 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.
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Vulnerable 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
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Bedlam/OU Community Health Experience
• EMR implementation to link diffuse network of clinic operations
• Improve efficiency• Reduce redundancy• Improve safety• Make network more functional