Point of Care Testing in Primary Care: Facilitators and Barriers to Adoption J. Benjamin Crocker, MD Dept General Medicine, MGH Point of Care Technology Research Network in Primary Care, CIMIT POC Technology Research Network Science Symposium NIH, Bethesda, MD June 9, 2016 Ambulatory Practice of the Future - MGH
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Point of Care Testing in Primary Care:
Facilitators and Barriers to Adoption
J. Benjamin Crocker, MD
Dept General Medicine, MGH
Point of Care Technology Research Network in Primary Care, CIMIT
POC Technology Research Network Science Symposium
NIH, Bethesda, MD
June 9, 2016
Ambulatory Practice of the Future - MGH
Any successful POC technology must:
change/improve how we manage
patients/deliver care -- Behavioral impact
Improve, adapt, and scale to clinical workflow
Operational Impact
(make financial sense)
Ambulatory Practice of the Future - MGH
POS Technology and Other Industries
Ambulatory Practice of the Future - MGH
POS Technology and Other Industries
Ambulatory Practice of the Future - MGH
Health Care
A continuum or spectrum of actions,
interactions, and relationships:
provide diagnostic; treatment; educational
and preventive services for disease,
illness or impairment
enable wellness
Ambulatory Practice of the Future - MGH
KNOWLEDGE
& DATA
HEALTH CARE
COMMUNICATION
& CONNECTION
Ambulatory Practice of the Future - MGH
DIAGNOSIS &
MANAGEMENT
KNOWLEDGE
& DATA
POC
TECHNOLOGY
COMMUNICATION
& CONNECTION
Ambulatory Practice of the Future - MGH
DIAGNOSIS &
MANAGEMENT
Dz Information
Education
SDM
Team/Patient (portal)
Team/Team
Patient/Patient
Imaging
Therapeutics
Dz mgmt
Self-Mgmt wearables
Check in Kiosks
Virtual visit (email, phone, video)
Sync vs Asynchronous
*POCT
*CLINICAL PULL INTEGRATION BEHAVIOR CHANGE
POCT Outcome Domains
• Medical: (QOL, disease control, life expectancy)