| | MARCH 20198CIOReviewINTEGRATED HEALTH CARE DELIVERY SYSTEMS By Daniel Barchi, CIO, NewYork-Presbyterian Hospital Q1.Given your experience as the CIO of a leading healthcare establishment, what are the technological trends and challenges that you've witnessed happening in healthcare?We have seen a move away from best of breed choices to selection of sully-integrated solutions. I think that this shift is both informed by and respectful of the idea that technology should not be the focus of healthcare ­ it should be a tool that enables great care. We expect that technology enhances care delivery, but we don't want it to interfere in the process. That means that we don't expect doctors and nurses to know eight passwords and navigate among many different clinical applications. Healthcare IT leaders are beginning to recognize that having a fully integrated solution that is a "B+" in many different areas, is far better than having ten different clinical systems that are an "A," individually. Q2. Your posts -`Telemedicine is now Medicine' and `Investing in the Future of Medicine' were interesting to read, could you briefly summarize your insights from these two pieces for our readers? The future of medicine is virtual. At NewYork-Presbyterian, that means leveraging the people, tools, and infrastructure we have today to provide the best care to patients, anytime, and anywhere. To make that happen, we are investing in tools and processes that allow the world-class physicians of Weill Cornell Medicine and Columbia Doctors to treat patients as efficiently as possible. That begins with national second opinions online, asynchronously; within 24 hours and the ability for physicians to have office visits with their patients wherever the two happen to be. For emergency medicine, it means sending NYP's Mobile Stroke Unit and its onboard MRI directly to patients with stroke symptoms so they can be diagnosed and treated immediately. It also Daniel Barchi
< Page 7 | Page 9 >