VIEIRA: So I had to go
to the ER and the two medical students
there argued with me about giving me
10 units an hour of insulin plus 20 units
as an immediate bolus and I knew that 15 and,
you know, 125 pounds, that was way too much
insulin for me. But, because I don’t have
a medical background and I was just some teenager,
they didn’t take me seriously and, sure enough,
two hours later, I was crashing and they were
pumping me full of sugar to counteract all the insulin
they just gave me. JAIN: My father’s
a diabetic with, you know, bad coronary artery disease,
who’s gotten care at three different
hospitals. When the folks at hospital X
don’t know what happened at hospital Y, they’re not
giving him really good care. SELLERS: If your records
are in Boston and you’re in North Carolina
or you’re in California, there’s no way
to bring it all together. PARK: You get subjected
to multiple X-rays that you didn’t need
multiple of. There are exams
that you needed, tests that you needed,
things you needed to do, that, they actually
didn’t happen because people didn’t realize
that that hadn’t been done. McCANNON: Not only
does that mean that there’s waste,
in terms of money, and a burden on the health
care system, generally, it means
my mom gets hurt. If I could snap my finger
and have one thing transform the quality of care
in the country, it would be that everyone would
have an electronic health record that would be
universally accessible. BERWICK: In health care,
doctors and nurses, technicians, managers,
they want to help patients, but they may
find themselves in systems of work that just
confound their best efforts. MOSTASHARI: With medicine,
we feel like we have a responsibility and a bond to
every patient who we care for. The problem is, with a paper chart sitting
in front of you, it doesn’t give you information
that’s up-to-date, it doesn’t help you make
connections, it doesn’t help remind you of things
that is buried in the chart. COCHRAN: The current
system means that the information
that’s required is frozen in glaciers, so you need to go
and chip it out of a glacier to find what you need
to make good decisions. Our goal, with this work, is
to have the information that’s been delivered to your
patient liquid, available, there when you need it,
so that you make better decisions with
your patient for their care. PARK: The health system
has to change and that it actually
has to move toward one that actually coordinates
care for a patient, one that actually understands
what’s going on with a patient
or a population of patients. BLUMENTHAL: It’s about
getting rid of the clipboard that you, annoyingly,
have to fill out every time you go see even your own
physician, who should know you. BECHTEL: Collect information
from multiple parts of the health care system,
put it in one place, that makes it easier
for families to manage. MACK: The record follows
the patient, so when the provider sees the patient,
they can see the total record. VIEIRA: It would put me
in a safer situation, as a patient, and it would
give me support and backup when I’m speaking with
a physician or a new physician. JAIN: You’ve seen every other
sector of the economy use information technology
to drive massive improvements: efficiency, quality,
service delivery. Health care hasn’t yet
had that opportunity. BERWICK: It’s almost
a historic convergence right now and maybe
we can get the job done, if we just really
all do that together. AVRAM: So the opportunity
is better care, better health outcomes,
better coordination of care, and, with luck, reduced cost
and improved efficiency. FERNANDEZ:
If you have the ability to do something good now, why wait until later, why not take advantage
of this opportunity?