3. Datos sobre la salud en PR
• Deterioro notable en la salud pública
• Costos crecen sin control
• Limitaciones, exigencias y potencial
• Necesidad e importancia de la información
sobre salud
4. Deterioro en la salud pública *
• Al inicio de la década
Puerto Rico gastaba
$3,324.00 per cápita
en servicios de salud.
• La expectativa de
vida era de 78.5 años.
* Alameda y Ramírez, 2012
5. Con esa inversión…*
Puerto Rico debia tener
una expectativa de vida de
81 años.
Paraguay tenia una
expectativa de vida de 75.8
años pero invierte sólo
$159.00 per cápita…
* Alameda y Ramírez, 2012
9. Administración e Intercambio Electrónico de
Información de Salud de Puerto Rico
Ley Núm. 40 del año
2012
- cumplir con la ley
federal
- El objetivo del IEIS es
facilitar el acceso a y la
recuperación de datos
sobre el cuidado del
paciente de una manera
más segura, oportuna y
eficiente.
10. Propósito de un sistema de IEIS
• “ Utilización significativa”
(meaningful use).
• Coordinador de Informática
Médica de Puerto Rico.
• Permite una mayor y mas
profunda estructura para la
información médica
• Establece una verdadera
mirada sistémica a los
servicios de salud desde la
prevención hasta la
intervención.
11. Propósito de un sistema de IEIS
Mayor
seguridad
Mayor
eficiencia
Mejor
servicio
12. Meaningful Use
The meaningful use of health information technology provides
the potential for greatly increasing the health of our citizens more
than ever before. It offers the potential of greater efficiency,
accuracy, and lower costs through the effective use of health IT.
This includes maintaining and sharing patient information,
electronic invoicing, home-based health monitoring for early
detection and consistent treatment, and interoperable, global data
exchange for tracking of contagious diseases.
Olga Rodriguez de Arzola, MD, FAAP
Interim President & Dean
Ponce School of Medicine
13. Meaningful Use
The meaningful use of health information technology provides
the potential for greatly increasing the health of our citizens more
than ever before. It offers the potential of greater efficiency,
accuracy, and lower costs through the effective use of health IT.
This includes maintaining and sharing patient information,
electronic invoicing, home-based health monitoring for early
detection and consistent treatment, and interoperable, global data
exchange for tracking of contagious diseases.
Olga Rodriguez de Arzola, MD, FAAP
Interim President & Dean
Ponce School of Medicine
14. Health Information Exchange
Patient Care
Resolution
MPI and
Record Locator
Transformation
& Translation
Business /
Sector Rules
State and Federal
Healthcare-related
Agencies
Hospitals / IDNs
CDC
FDA
SSA
DoH
Medicare /
Medicaid
Labs.
Pharmacies
Hosted or
On-Site EHRs
PHR’s
Payers / Health Plans
State, Nationwide and
International HIE
Networks
15. Clinical Encounter
Index of Where
Patients Have Records Temporary Aggregation
of Patient History
Patient
Authorized
Inquiry
Hospital Record Laboratory Results Specialist Record
Patient Data
Delivered to
Physician
PR-HIO
Records
Returned
Requests
for Records
Community
16. ¿ Qué les exige estos desarrollos…?
• Colaboración,
interdisciplinariedad
• Eficiencia y
sensibilidad
• Etica
• Competencia
tecnológica
17. ¿ Qué pueden aportar las enfermeras?
In its 2010 report, The
Future of Nursing: Leading
Change, Advancing Health,
the Institute of Medicine
emphasizes the
importance of nurses
being a part of the
selection, implementation,
and execution of
technology solutions for
patient care.7
18. “Meaningful use” vinculado a la
enfermería…
“the type of patient documentation required of the EHR for Stage
1 meaningful use is what the staff and nurses capture when the
patients come into the office for a visit (demographics, biometrics,
current meds, smoking status, etc). Patient engagement,
administration, public health reporting, quality reporting, and
analytics are primarily staff functions. Exchanging information is
also the domain of nurses and staff, from completing and sending
orders, to collecting results, to processing prescriptions, to
coordinating referrals.
So, if an EHR were provided that met Stage 1 meaningful use
only – it would be a nursing tool.”
http://www.medicity.com/thehieblog/2010/04/meaningful-use-and-the-nursing-centric-ehr-
model/
19. Es beneficioso para enfermeras y
pacientes…
A University of
Pennsylvania study found
that nurses working with
EHRs consistently
reported more
improvements to nursing
care and better health
outcomes for patients than
nurses working in
hospitals without this
technology.
http://scienceofcaring.ucsf.edu/future
-nursing/nurses-adopt-electronic-
health-records
20. De e-salud…
El impacto de las
tecnologías en la salud
continuarán…y se
incementarán mas
rápidamente.
21. La sociedad digital puertorriqueña
1
Dic
2001
Dic
2002
Dic
2003
Dic
2004
Dic
2005
Dic
2006
Dic
2007
Dic
2008
Dic
2009
Dic
2010
Dic
2011
Agosto
2012
Líneas Fijas 1,379,464 1,378,697 1,305,316 1,261,399 1,232,954 1,139,963 1,012,909 949,377 905,049 890,820 826,145 787,667
Celulares 1,628,161 1,646,932 1,709,062 1,847,927 1,993,465 2,198,845 2,431,512 2,543,587 2,712,220 2,933,988 3,108,372 3,119,206
Gran Total Fijas y Celulares 3,007,625 3,025,629 3,014,378 3,109,326 3,226,419 3,338,808 3,444,421 3,492,964 3,617,269 3,824,808 3,934,517 3,906,873
-
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
4,000,000
4,500,000
TotaldeLíneasAlámbricaseInalámbricas
Líneas Alámbricas e Inalámbricas (Celulares)
Diciembre 2001 - Agosto 2012
Fuente de Información: TRB 200 M
Preparado por : Carlos H. Vázquez
Intercambio Electrónico de Información de Salud ( “IEIS”)
15
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