“The key strategies for improving the health of a country’s population through health care are to promote timely access to preventive, acute, and chronic care and to deliver evidence-based and appropriate care services. Timely access for people at risk for poor health may be impeded by three features of health care systems: the cost of care and its affordability for individuals, the administrative burden (or hassle) that people confront as they obtain and receive care, and disparities or inequities in the delivery of care based on income, educational attainment, race or ethnic background, or other nonclinical personal characteristics. Cost, administrative burden, and disparities can discourage people from seeking or continuing care. Furthermore, these three features disproportionately affect the quality of care for populations with higher health risks due to lower income, lower educational level, or minority status. Consequently, providing adequate insurance and reducing both administrative burden and disparities in care are also key strategies of a high-performing health care system.”
The foregoing excerpt from the New England Journal of Medicine, July 14, 2017, article entitled From Last to First — Could the U.S. Health Care System Become the Best in the World? (http://bit.ly/2uM1OVf) glosses over the real key to healthcare success — “to deliver evidence-based and appropriate care services” — in deference to a discussion of “key strategies for a high-performing health care system” that are oriented more toward administrative simplification, accessibility and cost. The delivery of evidence-based and appropriate care services rely more on the cognitive capabilities of clinicians, which capabilities are challenged by the complexity of the human body and the comparably complex plethora of processes that characterize every healthcare delivery venue. Therefore, clinicians suffer from cognitive overload; which arguably is the root cause of medical mistakes and resulting patient adverse events.
An information technology (IT) solution compliant with The Cloud Healthcare Appliance Real-Time Solution as a Service (CHARTSaaS) reference architecture (RA), which solution will enable healthcare provider subject matter experts to create IT applications a.k.a. “apps” for cognitive support with little or no expert help from IT staff. Such apps can automate such problematic and error-prone use cases as differential diagnosis, treatment planning and alarm/alert fatigue mitigation. Please validate my CHARTSaaS RA proposition to your own satisfaction by reading the white paper at http://bit.ly/2vmK1Rx, viewing the tutorials posted on YouTube (http://bit.ly/2sVajvS and https://www.youtube.com/watch?v=f5OtbCCDNLs) and also by reviewing the details of CHARTSaaS™ and the CHARTSaaS RA™ in these presentations:
Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel (http://bit.ly/1rtW6Sa); thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment, and also accelerating the accrual and facilitating the application of medical knowledge.