Transcript “Just in Time Delivery comes to Knowledge Management” by

“Just in Time Delivery comes to
Knowledge Management” by
Thomas H. Davenport and John
Glaser
Presentation by Stacey Evoy, Dustin Syler and Alicia
Wallis
Article Summation
Dr. Bob Goldszer / Brigham & Women’s
,Massachusetts General (Boston)
 Problem: Way to much knowledge to
absorb/ 10,000 diseases, 3,000 meds,
1,100 lab test, 400,000 articles

Article Summation
Injuries due to errors: over 1 million,
98,000 deaths
 Wasted tests: 1/3 no documented follow
up, ½ are unnecessary, ½ prescriptions
for heart conditions are inappropriate

Article Summation
Knowledge Management: ( Bake it in)
where it cannot be avoided
 They did this project because of high # of
medical errors & adverse drug reactions
 Project was narrow at first
 Doctors can override the system

Article Summation
The Process of the System!!!!!!
 Effectiveness/ Clinical Database , Patient
Record Database

Stimulus Plan: Health IT
$44 billion in Medicare and Medicaid
incentives to hospitals and health care
professionals demonstrating "meaningful
use" of certified electronic health
records.
 The joint announcement by CMS and the
Office of the National Coordinator for
Health IT
 Comments

Health IT Planning for States

CMS has approved

funding for eight states 
to support planning

activities for
implementation of the 
Medicaid EHR

incentive program and
the development of
their state Medicaid
health IT plans.
Georgia ($3.17 M)
Iowa ($1.16 M)
New York($5.91 M)
Tennessee($2.7 M)
Texas ($3.86 M)
Videos
Information Technology and the Quality of
Healthcare
 Health information Technology as
part of a healthcare reform

Vanderbilt Medical Center

Vanderbilt Health.com

Vanderbilt University Medical Center
In Closing
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 Questions?
