Perspective

Autonomic care systems for hospitalized patients

Pascal Goldschmidt-Clermont, Chunming Dong, Nancy M. Rhodes, Diana B. McNeill, Martha B. Adams, Catherine L. Gilliss, Michael S. Cuffe, Robert M. Califf, Eric D. Peterson, David Lubarsky

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

With advancements of medical technology and improved diagnostic and treatment options, children with severe birth defects who would otherwise have no chance of surviving post birth survive to go home every day. The average lifespan in the United States has increased substantially over the last century. These successes and many other medical breakthroughs in managing complex illnesses, particularly in frail, elderly patients, have resulted in an increasing percentage of patients with comorbidities. This, coupled with a policy change by Medicare (i.e., Medicare will no longer reimburse hospitals for costs associated with treating preventable errors and injuries that a patient acquires while in the hospital), creates an enormous challenge to health care providers. To meet the challenge, the authors propose a new model of health care-the autonomic care system (ACS)-a concept derived from the intensive care unit and the autonomic computing initiative in the computer industry. Using wound care as an example, the authors examine the necessity, feasibility, design, and challenges related to ACS. Specifically, they discuss the role of the human operator, the potential combination of ACS and existing hospital information technology (e.g., electronic medical records and computerized provider order entry), and the costs associated with ACS. ACS may serve as a roadmap to revamp the health care system, bringing down the barriers among different specialties and improving the quality of care for each problem for all hospitalized patients.

Original languageEnglish
Pages (from-to)1727-1731
Number of pages5
JournalAcademic Medicine
Volume84
Issue number12
DOIs
StatePublished - Dec 1 2009

Fingerprint

Medicare
Medical Order Entry Systems
Hospital Information Systems
Technology
Delivery of Health Care
Frail Elderly
Hospital Costs
Electronic Health Records
Quality of Health Care
Wounds and Injuries
health care
Health Personnel
Intensive Care Units
Comorbidity
Industry
Parturition
Costs and Cost Analysis
medical technology
comorbidity
life-span

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Goldschmidt-Clermont, P., Dong, C., Rhodes, N. M., McNeill, D. B., Adams, M. B., Gilliss, C. L., ... Lubarsky, D. (2009). Perspective: Autonomic care systems for hospitalized patients. Academic Medicine, 84(12), 1727-1731. https://doi.org/10.1097/ACM.0b013e3181bf9bfd

Perspective : Autonomic care systems for hospitalized patients. / Goldschmidt-Clermont, Pascal; Dong, Chunming; Rhodes, Nancy M.; McNeill, Diana B.; Adams, Martha B.; Gilliss, Catherine L.; Cuffe, Michael S.; Califf, Robert M.; Peterson, Eric D.; Lubarsky, David.

In: Academic Medicine, Vol. 84, No. 12, 01.12.2009, p. 1727-1731.

Research output: Contribution to journalArticle

Goldschmidt-Clermont, P, Dong, C, Rhodes, NM, McNeill, DB, Adams, MB, Gilliss, CL, Cuffe, MS, Califf, RM, Peterson, ED & Lubarsky, D 2009, 'Perspective: Autonomic care systems for hospitalized patients', Academic Medicine, vol. 84, no. 12, pp. 1727-1731. https://doi.org/10.1097/ACM.0b013e3181bf9bfd
Goldschmidt-Clermont P, Dong C, Rhodes NM, McNeill DB, Adams MB, Gilliss CL et al. Perspective: Autonomic care systems for hospitalized patients. Academic Medicine. 2009 Dec 1;84(12):1727-1731. https://doi.org/10.1097/ACM.0b013e3181bf9bfd
Goldschmidt-Clermont, Pascal ; Dong, Chunming ; Rhodes, Nancy M. ; McNeill, Diana B. ; Adams, Martha B. ; Gilliss, Catherine L. ; Cuffe, Michael S. ; Califf, Robert M. ; Peterson, Eric D. ; Lubarsky, David. / Perspective : Autonomic care systems for hospitalized patients. In: Academic Medicine. 2009 ; Vol. 84, No. 12. pp. 1727-1731.
@article{bf91e8c120044c449b0457eae88bd5a2,
title = "Perspective: Autonomic care systems for hospitalized patients",
abstract = "With advancements of medical technology and improved diagnostic and treatment options, children with severe birth defects who would otherwise have no chance of surviving post birth survive to go home every day. The average lifespan in the United States has increased substantially over the last century. These successes and many other medical breakthroughs in managing complex illnesses, particularly in frail, elderly patients, have resulted in an increasing percentage of patients with comorbidities. This, coupled with a policy change by Medicare (i.e., Medicare will no longer reimburse hospitals for costs associated with treating preventable errors and injuries that a patient acquires while in the hospital), creates an enormous challenge to health care providers. To meet the challenge, the authors propose a new model of health care-the autonomic care system (ACS)-a concept derived from the intensive care unit and the autonomic computing initiative in the computer industry. Using wound care as an example, the authors examine the necessity, feasibility, design, and challenges related to ACS. Specifically, they discuss the role of the human operator, the potential combination of ACS and existing hospital information technology (e.g., electronic medical records and computerized provider order entry), and the costs associated with ACS. ACS may serve as a roadmap to revamp the health care system, bringing down the barriers among different specialties and improving the quality of care for each problem for all hospitalized patients.",
author = "Pascal Goldschmidt-Clermont and Chunming Dong and Rhodes, {Nancy M.} and McNeill, {Diana B.} and Adams, {Martha B.} and Gilliss, {Catherine L.} and Cuffe, {Michael S.} and Califf, {Robert M.} and Peterson, {Eric D.} and David Lubarsky",
year = "2009",
month = "12",
day = "1",
doi = "10.1097/ACM.0b013e3181bf9bfd",
language = "English",
volume = "84",
pages = "1727--1731",
journal = "Academic Medicine",
issn = "1040-2446",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Perspective

T2 - Autonomic care systems for hospitalized patients

AU - Goldschmidt-Clermont, Pascal

AU - Dong, Chunming

AU - Rhodes, Nancy M.

AU - McNeill, Diana B.

AU - Adams, Martha B.

AU - Gilliss, Catherine L.

AU - Cuffe, Michael S.

AU - Califf, Robert M.

AU - Peterson, Eric D.

AU - Lubarsky, David

PY - 2009/12/1

Y1 - 2009/12/1

N2 - With advancements of medical technology and improved diagnostic and treatment options, children with severe birth defects who would otherwise have no chance of surviving post birth survive to go home every day. The average lifespan in the United States has increased substantially over the last century. These successes and many other medical breakthroughs in managing complex illnesses, particularly in frail, elderly patients, have resulted in an increasing percentage of patients with comorbidities. This, coupled with a policy change by Medicare (i.e., Medicare will no longer reimburse hospitals for costs associated with treating preventable errors and injuries that a patient acquires while in the hospital), creates an enormous challenge to health care providers. To meet the challenge, the authors propose a new model of health care-the autonomic care system (ACS)-a concept derived from the intensive care unit and the autonomic computing initiative in the computer industry. Using wound care as an example, the authors examine the necessity, feasibility, design, and challenges related to ACS. Specifically, they discuss the role of the human operator, the potential combination of ACS and existing hospital information technology (e.g., electronic medical records and computerized provider order entry), and the costs associated with ACS. ACS may serve as a roadmap to revamp the health care system, bringing down the barriers among different specialties and improving the quality of care for each problem for all hospitalized patients.

AB - With advancements of medical technology and improved diagnostic and treatment options, children with severe birth defects who would otherwise have no chance of surviving post birth survive to go home every day. The average lifespan in the United States has increased substantially over the last century. These successes and many other medical breakthroughs in managing complex illnesses, particularly in frail, elderly patients, have resulted in an increasing percentage of patients with comorbidities. This, coupled with a policy change by Medicare (i.e., Medicare will no longer reimburse hospitals for costs associated with treating preventable errors and injuries that a patient acquires while in the hospital), creates an enormous challenge to health care providers. To meet the challenge, the authors propose a new model of health care-the autonomic care system (ACS)-a concept derived from the intensive care unit and the autonomic computing initiative in the computer industry. Using wound care as an example, the authors examine the necessity, feasibility, design, and challenges related to ACS. Specifically, they discuss the role of the human operator, the potential combination of ACS and existing hospital information technology (e.g., electronic medical records and computerized provider order entry), and the costs associated with ACS. ACS may serve as a roadmap to revamp the health care system, bringing down the barriers among different specialties and improving the quality of care for each problem for all hospitalized patients.

UR - http://www.scopus.com/inward/record.url?scp=73449124166&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73449124166&partnerID=8YFLogxK

U2 - 10.1097/ACM.0b013e3181bf9bfd

DO - 10.1097/ACM.0b013e3181bf9bfd

M3 - Article

VL - 84

SP - 1727

EP - 1731

JO - Academic Medicine

JF - Academic Medicine

SN - 1040-2446

IS - 12

ER -