Exploring the Emergence of Open Platforms in Healthcare: Design Considerations and Experiences from an Initial Case in Norwegian Primary Care

Despite significant efforts on improving interoperability of health information and lowering socio-technical cost of replacing clinical applications, healthcare organizations and professionals struggle with fragmented and non-interoperable Health Information Technologies. This paper describes the emergence of open platforms, which may alleviate challenges related to interoperability issues, weak integrations, siloed data repositories, and numerous legacy systems within healthcare. Using a proposed platform initiative in Norway, we explore the open platform phenomenon with a socio-technical lens, and highlights four key topics that have produced tension and merits consideration from the involved stakeholders: i) Procurement strategy and vendor neutrality, ii) Ability to facilitate flexible use, iii) The use of standards and separation of data and application, and iv) Strategies for development and governance of standards. We further discuss the related implications and design considerations necessary to support complex patient pathways and provide clinicians more flexible and effective systems

Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

Non utile per esam

HITECH Revisited

Assesses the 2009 Health Information Technology for Economic and Clinical Health Act, which offers incentives to adopt and meaningfully use electronic health records. Recommendations include revised criteria, incremental approaches, and targeted policies

ARGOS policy brief on semantic interoperability

Semantic interoperability requires the use of standards, not only for Electronic Health Record (EHR) data to be transferred and structurally mapped into a receiving repository, but also for the clinical content of the EHR to be interpreted in conformity with the original meanings intended by its authors. Accurate and complete clinical documentation, faithful to the patient’s situation, and interoperability between systems, require widespread and dependable access to published and maintained collections of coherent and quality-assured semantic resources, including models such as archetypes and templates that would (1) provide clinical context, (2) be mapped to interoperability standards for EHR data, (3) be linked to well specified, multi-lingual terminology value sets, and (4) be derived from high quality ontologies. Wide-scale engagement with professional bodies, globally, is needed to develop these clinical information standards

The European Institute for Innovation through Health Data

The European Institute for Innovation through Health Data (i~HD, www.i-hd.eu) has been formed as one of the key sustainable entities arising from the Electronic Health Records for Clinical Research (IMI-JU-115189) and SemanticHealthNet (FP7-288408) projects, in collaboration with several other European projects and initiatives supported by the European Commission. i~HD is a European not-for-profit body, registered in Belgium through Royal Assent. i~HD has been established to tackle areas of challenge in the successful scaling up of innovations that critically rely on high-quality and interoperable health data. It will specifically address obstacles and opportunities to using health data by collating, developing, and promoting best practices in information governance and in semantic interoperability. It will help to sustain and propagate the results of health information and communication technology (ICT) research that enables better use of health data, assessing and optimizing their novel value wherever possible. i~HD has been formed after wide consultation and engagement of many stakeholders to develop methods, solutions, and services that can help to maximize the value obtained by all stakeholders from health data. It will support innovations in health maintenance, health care delivery, and knowledge discovery while ensuring compliance with all legal prerequisites, especially regarding the insurance of patient's privacy protection. It is bringing multiple stakeholder groups together so as to ensure that future solutions serve their collective needs and can be readily adopted affordably and at scale

Medical Cyber-Physical Systems Development: A Forensics-Driven Approach

The synthesis of technology and the medical industry has partly contributed to the increasing interest in Medical Cyber-Physical Systems (MCPS). While these systems provide benefits to patients and professionals, they also introduce new attack vectors for malicious actors (e.g. financially-and/or criminally-motivated actors). A successful breach involving a MCPS can impact patient data and system availability. The complexity and operating requirements of a MCPS complicates digital investigations. Coupling this information with the potentially vast amounts of information that a MCPS produces and/or has access to is generating discussions on, not only, how to compromise these systems but, more importantly, how to investigate these systems. The paper proposes the integration of forensics principles and concepts into the design and development of a MCPS to strengthen an organization's investigative posture. The framework sets the foundation for future research in the refinement of specific solutions for MCPS investigations.Comment: This is the pre-print version of a paper presented at the 2nd International Workshop on Security, Privacy, and Trustworthiness in Medical Cyber-Physical Systems (MedSPT 2017

Pragmatic interoperability in the enterprise : a research agenda

Eective collaboration among today's enterprises is indispensable. Such collaborative synergy is important to foster the creation of innovative value-added products and services that would have otherwise been dicult to achieve if enterprises work in isolation. However, it is a widely held belief that interoperability problems have been one of the perennial hurdles in achieving such collaboration. This research aims to improve the current state of the art in enterprise interoperability research by zeroing in on the notion of pragmatic interoperability(PI). When enterprise systems collaborate by exchanging information, PI goes beyond the compatibility between the structure and the meaning of shared information, it further ensures that the intended eect of the message exchange is realized. This paper outlines our research agenda to address the analysis, design, development and evaluation of a pragmatically interoperable solution for enterprise collaboration

Igniting an Interoperable Healthcare System: HCI|DC 2014 Healthcare Innovation day

Interoperability -- the ability of systems to exchange information and to use the information that has been exchanged -- can help solve the healthcare crisis. The West Health Institute's HCI-DC 2014, co-hosted by ONC, brought together experts from across the healthcare community to consider how interoperability can cut costs, improve efficiency, reduce errors, and improve health. Interoperability across systems and care settings can empower patients, help doctors make better decisions, and allowing all healthcare providers to spend more time with patients. It can accelerate innovation and free up technology resources in hospitals so that they can focus on improving care in the community.It is by implementing standards-based technology that we can achieve interoperability between systems. Standards can help by moving us away from proprietary solutions and toward open source solutions. Commonly adopted standards will eliminate the custom interfaces required today, lessening associated costs, risks and time. Interoperability supported by standards-based exchange and semantics will help us finally harness the power of information technologies to improve healthcare.The experts at HCI-DC 2014 considered what we must do to tap into the information technology revolution that has transformed other industries to solve some of healthcare's thorniest problems. Their deliberations have been consolidated into the Call to Action offered in this document. Their key message: All of us must work together now to ignite an interoperable system. It is a burning issue. Our patients are waiting