health

The electronic health record (EHR) offers a plethora of opportunities for digitised healthcare management. Imagine if there was a system where a doctor can get an alert to warn that a patient may be close to a life-threatening condition, giving him/her enough time to respond to save that patient before it is too late. With the increasing implementation of electronic systems, this no longer has to be imagined. It is possible today. Many healthcare organisations have been taking advantage of this feature in their electronic heath management systems.

JAMAICA IS on the cusp of a digital data revolution in healthcare. I was recently at The University Hospital of the West Indies (UHWI) where my company is implementing the Health Information Management System (HIMS). I was heartened by the enthusiasm of the health workers there when Minister of Health and Wellness Dr Christopher Tufton and his team toured the facility to see the progress of digitisation. I was even more pleased to learn that he, too, was excited by what he saw and had plans to fully digitise public health facilities – both hospitals and health centres.

Healthcare is becoming more and more focused on data analysis to assist with, among other things, patient care. Apart from cost saving and efficiency gains, continuity of care and prevention initiatives have been cited as important reasons for healthcare digitisation. Digitisation fulfils the need for precise and timely data from which proper and accurate analysis can be done to aid decision-making.

I was once on site doing an initial tour of one of our prospective information technology (IT) implementations. We had just signed the contract and so decided to do a walk-through to have a more complete view of what to expect once we got started. Our initial walk-through had been done a little over a year before, so we wanted to know whether there had been any changes to what we saw then.

The opportunities for the development and use of technology in healthcare are vast. Knowing how to apply the technology to make hospitals a consumer-friendly and viable business is important. We are generally a population that is ‘technology suspicious’, and in some cases, downright afraid. This cannot stop us from making the required changes to improve healthcare generally, and the hospital experience, specifically, with technology. I often use the fact that I was told years ago that ATM machines would never work in Jamaica, but look where we are now.

AS PEOPLE become more health conscious, there is a need to increase promotion of their involvement in their own care and give them the means by which to participate. The world has been steadily changing for the last three decades, becoming increasingly dependent on technology. I think I can safely say that in the last ten years, we have experienced an immense explosion of technological creativity and artistry. There is hardly any sector that has not been affected in a positive way by technology.

There is no doubt that the best way to reduce overall healthcare costs is to invest heavily in preventive care. We do seem to understand this, evident in the Government’s ongoing approach of fostering increased physical activity, educating the population about how to prevent and maintain treatment of chronic diseases, and investment made in improving nutrition policies, especially at the early childhood and primary levels.

The minister of health and wellness is forging ahead with legislation for a National Health Insurance Plan (NHIP). The Caribbean Policy Research Institute (CAPRI) recently hosted a public forum to engage citizens on the matter.

The event highlighted some important considerations that are needed to flesh out this vision, including citizen partnership and acceptance, private sector buy-in and partnership, and a requirement for the involvement of technology at all levels of the system.

JAMAICA HAS an excellent cadre of skilled professionals in emergency and general medical care. However, over the years, we continue to face significant problems with attaining an acceptable transportation system for emergency and non-emergency care.

Over and over, we hear complaints about the lack of ambulances to serve communities. Many Jamaicans would tell you that it makes no sense to call an ambulance from the public sector. More often than not, none is available and private ambulances come at a relatively high cost.

Despite the very commendable effort of the Ministry of Health to reduce waiting time at public hospitals, it is still a major issue. A staff member at my company related to me that she took her grandmother to Kingston Public Hospital from 7 a.m. on a Friday for an assessment and did not leave the facility until 9 p.m.

This poses several problems, one of which obviously has to do with productivity, as an entire day off from work was required to achieve this.