title: Preparing for an aging population and improving chronic disease management.
abstract: New models of health care delivery are inevitable. There is likely to be increasing emphasis on patient self-monitoring, health care delivery at patient homes, interdisciplinary treatment plans, a greater percentage of medical care delivered by non-physician health professionals, targeted health educational materials, and greater involvement and training of informal caregivers. The Information Technologies (IT) infrastructure of health systems will need to adapt. We have begun sorting out the implications of this future within a County public hospital system: defining the desirable features, relevant technologies, necessary modifications to the network, and additional data elements to be captured. We seek to build an infrastructure that will support new patient-focused technologies designed to more efficiently and effectively support older individuals. We hypothesize utility to further exploring the impact that new health care delivery models will have on health systems' IT infrastructures.
authors.affiliation: Regenstrief Institute, Indianapolis, IN;
authors.forename: Paul R
authors.initials: PR
authors.lastname: Dexter
authors.forename: Douglas K
authors.initials: DK
authors.lastname: Miller
authors.forename: Daniel O
authors.initials: DO
authors.lastname: Clark
authors.forename: Michael
authors.initials: M
authors.lastname: Weiner
authors.forename: Lisa E
authors.initials: LE
authors.lastname: Harris
authors.forename: Lee
authors.initials: L
authors.lastname: Livin
authors.forename: Isaac
authors.initials: I
authors.lastname: Myers
authors.forename: David
authors.initials: D
authors.lastname: Shaw
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Blue
authors.forename: John
authors.initials: J
authors.lastname: Kunzer
authors.forename: J Marc
authors.initials: JM
authors.lastname: Overhage
mesh_terms: D017028:Caregivers; D002908:Chronic Disease; D003695:Delivery of Health Care; D019468:Disease Management; D005544:Forecasting; D006801:Humans