title: IT for Bending the Healthcare Cost Curve: The High Needs, High Cost Approach.
abstract: Health systems around the world are under tremendous fiscal pressures. Health system inflation continues to outpace GDP growth in most countries. Health system inflation has been resistant to policy measures, to traditional interventions such as productivity enhancing technologies and to optimization of performance metrics such as length of stay (LOS) and wait times. Organizations that are solving the issue are using specific information that individualizes costs per patient, rather than using average costs per case, which is misleading in most important, high cost, situations. In this paper, we propose an architecture for a health information system that not only individualizes costs, but also leverages the learning health system model to drive down costs, while increasing value for patients and the health care system.
authors.affiliation: InfoClin Inc, Toronto, ON.
authors.forename: Karim
authors.initials: K
authors.lastname: Keshavjee
authors.affiliation: University of Waterloo, Waterloo, ON.
authors.forename: Douglas
authors.initials: D
authors.lastname: Morrison
authors.affiliation: InfoClin Inc, Toronto, ON.
authors.forename: Shams
authors.initials: S
authors.lastname: Mohammed
authors.affiliation: Ryerson University, Toronto, ON.
authors.forename: Aziz
authors.initials: A
authors.lastname: Guergachi
mesh_terms: D002908:Chronic Disease; D015897:Comorbidity; D003363:Cost Control / Q000379:methods / Q000458:organization & administration*; D017048:Health Care Costs; D063005:Health Information Systems / Q000458:organization & administration*; D006801:Humans; D007902:Length of Stay; D005791:Patient Care / Q000191:economics; D010346:Patient Care Management / Q000191:economics*
keywords: High needs; bending the cost curve; cost control; high cost; productivity; sustainability