This paper considers the situation in Europe – that is, broadly, the European Economic Area (EEA) and Central and Eastern
Europe – and shows how sophisticated data matching and record linking techniques, such as an enterprise master person
index (EMPI), support rapid, accurate patient identification which is essential to enabling effective health information
sharing to deliver better healthcare at lower cost.
This is an assignment for ITTP Special Topic in IT Engineering. Within this presentation, I try to propose e-health as term project.
E-health is important for Indonesia.
Accenture-Singapore-Journey-to-Build-National-Electronic-Health-Record-SystemDr.Nilesh Sudam B
Singapore has embarked on a journey to build a National Electronic Health Record (NEHR) system to provide common access to medical information for its population. The NEHR project focused initially on "Continuity of Care" by developing a view-only system with clinical events, reports, alerts and records. The project addressed challenges like managing data from diverse sources and engaging clinicians. It took a disciplined approach to governance, operations, and a simple initial phase to lay the groundwork for more advanced capabilities in the future.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
The technologies of telehealth are advancing quickly as part of the ‘connected care’ revolution. Patients and health providers are ever more closely linked through real-time electronic tools. From digital imaging to allow remote viewing of CT scans, through to patient diagnosis, videoconferencing and monitoring, these tools could touch all aspects of the patient-provider relationship.
Much of the promise of telehealth is predicated on its ‘access’ benefits: the improved access of the patient to medical expertise regardless of location, and improved access of health providers to their patients, for the purpose of diagnosis, consultation and monitoring. Yet access to telehealth depends not only on telehealth technology. Policy frameworks must be modernised, communications infrastructures such as broadband and mobile network coverage must be improved, and skillsets – both of clinicians and patients – need to be strengthened. This briefing paper outlines three factors shaping the telehealth access environment: government readiness (e.g. legal and regulatory clarity and harmonisation, especially across states and borders), communications infrastructure, and skills.
E-healthcare in Indonesia aims to improve universal health coverage through use of information and communication technologies. The government intends to build a better health system, but currently disease reporting yields incomplete data due to decentralization. Efforts have been made to establish a national e-health policy and health information system, but adoption of information technology remains limited. Connectivity between primary health facilities, hospitals, and health offices is expanding through use of short messaging services and internet connections. Overall, e-healthcare in Indonesia works to enhance health services delivery and information access through emerging technologies.
State of Healthcare IT in India – Care Providers’ PerspectiveAmit Mishra
The document discusses the state of healthcare IT in India. It provides information on the country's public and private healthcare infrastructure, spending on health, and challenges in the sector like inadequate accessibility and low government funding. The document also notes that healthcare IT adoption in India has been slow due to barriers like lack of funds and IT literacy among medical professionals. It emphasizes the need for national healthcare IT standards, interoperability, and training to move the sector forward.
Overcoming Fear of Health Technology Programsbartlettc
This document summarizes a presentation given by Prof. Mukesh Haikerwal and Chris Bartlett on using 21st century tools to overcome challenges in healthcare. It discusses how health technology programs have had some success but also poor publicity. Rising healthcare costs are challenging many countries. While developing economies spend less on healthcare currently, that spending is expected to increase with economic development. There is a need to better manage chronic diseases through tools like eHealth. New technological trends are impacting all parts of the healthcare system. Successful eHealth programs require leadership, a focus on users, and addressing behavioral changes.
The document discusses the US government's efforts to promote the adoption of electronic health records (EHRs) in the 2000s. It notes that in 2004, the president issued an order calling for most Americans to have EHRs within 10 years. It then outlines initiatives by various federal agencies like the VA, DOD, IHS to implement EHR systems. It also discusses public-private partnerships and grants provided by agencies like AHRQ and CMS to support EHR adoption and health information exchange, especially in small and rural settings.
This is an assignment for ITTP Special Topic in IT Engineering. Within this presentation, I try to propose e-health as term project.
E-health is important for Indonesia.
Accenture-Singapore-Journey-to-Build-National-Electronic-Health-Record-SystemDr.Nilesh Sudam B
Singapore has embarked on a journey to build a National Electronic Health Record (NEHR) system to provide common access to medical information for its population. The NEHR project focused initially on "Continuity of Care" by developing a view-only system with clinical events, reports, alerts and records. The project addressed challenges like managing data from diverse sources and engaging clinicians. It took a disciplined approach to governance, operations, and a simple initial phase to lay the groundwork for more advanced capabilities in the future.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
The technologies of telehealth are advancing quickly as part of the ‘connected care’ revolution. Patients and health providers are ever more closely linked through real-time electronic tools. From digital imaging to allow remote viewing of CT scans, through to patient diagnosis, videoconferencing and monitoring, these tools could touch all aspects of the patient-provider relationship.
Much of the promise of telehealth is predicated on its ‘access’ benefits: the improved access of the patient to medical expertise regardless of location, and improved access of health providers to their patients, for the purpose of diagnosis, consultation and monitoring. Yet access to telehealth depends not only on telehealth technology. Policy frameworks must be modernised, communications infrastructures such as broadband and mobile network coverage must be improved, and skillsets – both of clinicians and patients – need to be strengthened. This briefing paper outlines three factors shaping the telehealth access environment: government readiness (e.g. legal and regulatory clarity and harmonisation, especially across states and borders), communications infrastructure, and skills.
E-healthcare in Indonesia aims to improve universal health coverage through use of information and communication technologies. The government intends to build a better health system, but currently disease reporting yields incomplete data due to decentralization. Efforts have been made to establish a national e-health policy and health information system, but adoption of information technology remains limited. Connectivity between primary health facilities, hospitals, and health offices is expanding through use of short messaging services and internet connections. Overall, e-healthcare in Indonesia works to enhance health services delivery and information access through emerging technologies.
State of Healthcare IT in India – Care Providers’ PerspectiveAmit Mishra
The document discusses the state of healthcare IT in India. It provides information on the country's public and private healthcare infrastructure, spending on health, and challenges in the sector like inadequate accessibility and low government funding. The document also notes that healthcare IT adoption in India has been slow due to barriers like lack of funds and IT literacy among medical professionals. It emphasizes the need for national healthcare IT standards, interoperability, and training to move the sector forward.
Overcoming Fear of Health Technology Programsbartlettc
This document summarizes a presentation given by Prof. Mukesh Haikerwal and Chris Bartlett on using 21st century tools to overcome challenges in healthcare. It discusses how health technology programs have had some success but also poor publicity. Rising healthcare costs are challenging many countries. While developing economies spend less on healthcare currently, that spending is expected to increase with economic development. There is a need to better manage chronic diseases through tools like eHealth. New technological trends are impacting all parts of the healthcare system. Successful eHealth programs require leadership, a focus on users, and addressing behavioral changes.
The document discusses the US government's efforts to promote the adoption of electronic health records (EHRs) in the 2000s. It notes that in 2004, the president issued an order calling for most Americans to have EHRs within 10 years. It then outlines initiatives by various federal agencies like the VA, DOD, IHS to implement EHR systems. It also discusses public-private partnerships and grants provided by agencies like AHRQ and CMS to support EHR adoption and health information exchange, especially in small and rural settings.
This document discusses barriers to adoption of mobile health (mHealth) apps by doctors and patients. It conducted a literature review and interviews with Dutch mHealth experts from different stakeholder groups (policymakers, users, developers). Twelve main adoption barriers were identified, with the two most important being "Integration and interoperability" due to closed technology supplier systems, and "Business case". Dutch experts viewed "Privacy and security" and "Conservative culture" differently than the international literature. Experts from different stakeholder groups also disagreed on the importance of "Visionless development" and "Competing payment mechanisms". Overcoming barriers could involve healthcare insurers taking a leading role in funding new open standard initiatives, and international cooperation.
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems_...CrimsonpublishersTTEH
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems by Karla Muñoz Esquivel in Trends in Telemedicine & E-health
The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sensor Devices for rehabilitation and Connected health (SENDoc) project.
For more Open access journals in Crimson Publishers Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in urgical Open Access Journal
Please click on: https://crimsonpublishers.com/tteh/index.php
The document discusses health systems in advanced Asian countries and lessons for Thailand. It covers how Japan, Taiwan, and Singapore organize and finance healthcare through social health insurance models. These systems achieve universal coverage and emphasize preventive care. The document suggests Thailand could improve healthcare quality, efficiency and equity by taking a systems approach while strengthening governance.
The meaning of meaningful use 2010 05-14 missouri rural hospital hit conferencelearfield
This document summarizes a presentation about meaningful use of health information technology. It discusses the national drivers behind implementing health IT, including several reports identifying medical errors as a major issue. It outlines the HITECH Act which provides financial incentives through Medicare and Medicaid to encourage providers and hospitals to meaningfully use certified electronic health records. It describes the proposed objectives and measures for stage 1 meaningful use, including both clinical quality reporting and other objectives requiring data submission or attestation. Regional extension centers are introduced as resources to help providers achieve meaningful use.
The document discusses a survey conducted by eHealth Initiative on regional extension centers and meaningful use of electronic health records. Key findings from the survey include:
- Regional extension centers should be flexible and not constrained by state or regional boundaries in order to best meet local needs. There should be 10-100 centers.
- Quality improvement organizations are best suited to run the extension centers based on their experience.
- Extension centers should focus on disseminating best practices, providing technical assistance to clinicians, and assisting primary care practices and those in rural/underserved areas.
https://www.ijmst.com/
IJMST Volume 1 Issue 2, Manuscript 2
Trained and competent medical practitioners are the basis of an effective health system and
severe shortage of such professionals can prove to be detrimental to patients. One of the
major challenges that medical practitioners face is ensuring that their medical knowledge
remains updated. However, in India, the population is very huge and it is a mammoth task to
provide current and updated healthcare practices. Hence, it requires an effective and
convenient medium without demographical and geographical boundaries to provide new
knowledge to the medical practitioners, amidst their busy schedules of patient care and
healthcare delivery. To improve the knowledge base under any difficult situations, existing
Information and Communication Technologies (ICTs) can be used to disseminate knowledge
for enhanced health care delivery. The objective of this research work is to study and analyse
Video Conferencing based model for medical knowledge through questionnaire based survey
followed up with critical analysis. The findings of this research suggest that Video
Conferencing is one of the best tools for continuous updation of knowledge to medical
practitioners accompanied with the absence of any learning curve in a highly populous
country like India.
This document discusses new health insurance policies and programs in Indonesia. It provides background on the challenges consumers face in choosing plans and the role of both private insurers and the government. The government's National Health Insurance (JKN) program, run through the National Social Security Agency (BPJS), aims to provide universal healthcare coverage. BPJS oversees health and other social insurance programs. The JKN provides coverage for primary, referral, and hospital care for all Indonesian citizens and long-term residents. Certain cosmetic or experimental procedures are excluded from coverage.
1 range and types of health facilities and servicesdomsidaros
Primary health care is typically a person's first point of contact with the health system and includes services provided by general practitioners, nurses, allied health professionals, and Aboriginal health workers. Secondary care involves specialist medical care provided upon referral from primary care, including services from hospitals and specialist practices. Hospitals provide both public and private medical and surgical care through emergency departments, admissions, and returning patients. The Australian health system incorporates primary care, secondary care through hospitals, and a range of other services across the public and private sectors.
This document provides an overview of e-health applications and services. It discusses how next generation networks and quality of service can help enable tele-consultation services, mobile health, and disease management. The benefits of e-health include improved communication, decision support, and reporting. However, challenges remain regarding information quality, infrastructure, and legal/financial issues. Future work includes advancing technologies and prioritizing information flow to help people lead healthier lives.
This document discusses the potential for passive home-based monitoring and telemedicine to support wellness. It outlines how integrating data from multiple sources can provide ongoing wellness and health information to help maintain healthy lifestyles. Future technologies discussed include automated monitoring of vital signs, medications, sleep, and other biomarkers to facilitate early medical intervention and reduce healthcare costs through remote patient monitoring.
1) CEOs now see complexity as their biggest challenge rather than change. 79% expect complexity to increase further.
2) While most CEOs doubt their ability to manage growing complexity, some "Standout" organizations have used it to their financial advantage over the past 5 years.
3) CEOs say creativity is now the most important leadership quality to navigate complexity successfully. Standout companies practice and encourage experimental, creative thinking.
Paper Craft Planet Presents Back to Basics with Stampendous: Lesson 9GreenMellen Media
Learn the basics of rubber stamping with this free class from Stampendous and Paper Craft Planet.
Lesson Nine: Out of ink? No worries -- this lesson is all about learning to stamp with bleach! Create dramatic results by stamping with this household cleaner.
This document outlines an agenda and activities for a workshop on practical data management planning. The workshop will discuss challenges with data management, including data loss and how poor management affects all. Activities will guide participants in inventorying their data and developing storage and backup plans. The goal is to help researchers effectively manage their data over the long-term and address funder and legal requirements.
Practical research data management. Session 2.2 of the RDMRose v3 materials.
The JISC funded RDMRose project (June 2012-May 2013) was a collaboration between the libraries of the University of Leeds, Sheffield and York, with the Information School at Sheffield to provide an Open Educational Resource for information professionals on Research Data Management. The materials were revised between November 2014 and February 2015 for the consortium of North West Academic Libraries (NoWAL).
http://www.sheffield.ac.uk/is/research/projects/rdmrose
Data sharing promotes many goals of the NIH research endeavor. It is particularly important for unique data that cannot be readily replicated. Data sharing allows scientists to expedite the translation of research results into knowledge, products, and procedures to improve human health. Do you know what a data sharing plan should include? Are you aware of common practices and standards for data sharing? Do you know what services are available to help share your data responsibly? This workshop will begin to address these questions. Q&A will follow the presentation. Anyone interested in or planning to apply for NIH funding should attend. Note: The NIH data-sharing policy applies to applicants seeking $500,000 or more in direct costs in any year of the proposed research.
4 Best Practices for Analyzing Healthcare DataHealth Catalyst
Meaningful healthcare analytics today generally need data from multiple source systems to help address the triple aim cost, quality, and patient satisfaction. Once appropriate data has been captured, pulled into a single place, and tied together, then data analysis can begin. In this article I share 4 ways to enable your analyst including providing them with
1) a data warehouse
2) a sandbox
3) a set of discovery tools
4) the right kind of direction.
This document discusses barriers to adoption of mobile health (mHealth) apps by doctors and patients. It conducted a literature review and interviews with Dutch mHealth experts from different stakeholder groups (policymakers, users, developers). Twelve main adoption barriers were identified, with the two most important being "Integration and interoperability" due to closed technology supplier systems, and "Business case". Dutch experts viewed "Privacy and security" and "Conservative culture" differently than the international literature. Experts from different stakeholder groups also disagreed on the importance of "Visionless development" and "Competing payment mechanisms". Overcoming barriers could involve healthcare insurers taking a leading role in funding new open standard initiatives, and international cooperation.
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems_...CrimsonpublishersTTEH
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems by Karla Muñoz Esquivel in Trends in Telemedicine & E-health
The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sensor Devices for rehabilitation and Connected health (SENDoc) project.
For more Open access journals in Crimson Publishers Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in urgical Open Access Journal
Please click on: https://crimsonpublishers.com/tteh/index.php
The document discusses health systems in advanced Asian countries and lessons for Thailand. It covers how Japan, Taiwan, and Singapore organize and finance healthcare through social health insurance models. These systems achieve universal coverage and emphasize preventive care. The document suggests Thailand could improve healthcare quality, efficiency and equity by taking a systems approach while strengthening governance.
The meaning of meaningful use 2010 05-14 missouri rural hospital hit conferencelearfield
This document summarizes a presentation about meaningful use of health information technology. It discusses the national drivers behind implementing health IT, including several reports identifying medical errors as a major issue. It outlines the HITECH Act which provides financial incentives through Medicare and Medicaid to encourage providers and hospitals to meaningfully use certified electronic health records. It describes the proposed objectives and measures for stage 1 meaningful use, including both clinical quality reporting and other objectives requiring data submission or attestation. Regional extension centers are introduced as resources to help providers achieve meaningful use.
The document discusses a survey conducted by eHealth Initiative on regional extension centers and meaningful use of electronic health records. Key findings from the survey include:
- Regional extension centers should be flexible and not constrained by state or regional boundaries in order to best meet local needs. There should be 10-100 centers.
- Quality improvement organizations are best suited to run the extension centers based on their experience.
- Extension centers should focus on disseminating best practices, providing technical assistance to clinicians, and assisting primary care practices and those in rural/underserved areas.
https://www.ijmst.com/
IJMST Volume 1 Issue 2, Manuscript 2
Trained and competent medical practitioners are the basis of an effective health system and
severe shortage of such professionals can prove to be detrimental to patients. One of the
major challenges that medical practitioners face is ensuring that their medical knowledge
remains updated. However, in India, the population is very huge and it is a mammoth task to
provide current and updated healthcare practices. Hence, it requires an effective and
convenient medium without demographical and geographical boundaries to provide new
knowledge to the medical practitioners, amidst their busy schedules of patient care and
healthcare delivery. To improve the knowledge base under any difficult situations, existing
Information and Communication Technologies (ICTs) can be used to disseminate knowledge
for enhanced health care delivery. The objective of this research work is to study and analyse
Video Conferencing based model for medical knowledge through questionnaire based survey
followed up with critical analysis. The findings of this research suggest that Video
Conferencing is one of the best tools for continuous updation of knowledge to medical
practitioners accompanied with the absence of any learning curve in a highly populous
country like India.
This document discusses new health insurance policies and programs in Indonesia. It provides background on the challenges consumers face in choosing plans and the role of both private insurers and the government. The government's National Health Insurance (JKN) program, run through the National Social Security Agency (BPJS), aims to provide universal healthcare coverage. BPJS oversees health and other social insurance programs. The JKN provides coverage for primary, referral, and hospital care for all Indonesian citizens and long-term residents. Certain cosmetic or experimental procedures are excluded from coverage.
1 range and types of health facilities and servicesdomsidaros
Primary health care is typically a person's first point of contact with the health system and includes services provided by general practitioners, nurses, allied health professionals, and Aboriginal health workers. Secondary care involves specialist medical care provided upon referral from primary care, including services from hospitals and specialist practices. Hospitals provide both public and private medical and surgical care through emergency departments, admissions, and returning patients. The Australian health system incorporates primary care, secondary care through hospitals, and a range of other services across the public and private sectors.
This document provides an overview of e-health applications and services. It discusses how next generation networks and quality of service can help enable tele-consultation services, mobile health, and disease management. The benefits of e-health include improved communication, decision support, and reporting. However, challenges remain regarding information quality, infrastructure, and legal/financial issues. Future work includes advancing technologies and prioritizing information flow to help people lead healthier lives.
This document discusses the potential for passive home-based monitoring and telemedicine to support wellness. It outlines how integrating data from multiple sources can provide ongoing wellness and health information to help maintain healthy lifestyles. Future technologies discussed include automated monitoring of vital signs, medications, sleep, and other biomarkers to facilitate early medical intervention and reduce healthcare costs through remote patient monitoring.
1) CEOs now see complexity as their biggest challenge rather than change. 79% expect complexity to increase further.
2) While most CEOs doubt their ability to manage growing complexity, some "Standout" organizations have used it to their financial advantage over the past 5 years.
3) CEOs say creativity is now the most important leadership quality to navigate complexity successfully. Standout companies practice and encourage experimental, creative thinking.
Paper Craft Planet Presents Back to Basics with Stampendous: Lesson 9GreenMellen Media
Learn the basics of rubber stamping with this free class from Stampendous and Paper Craft Planet.
Lesson Nine: Out of ink? No worries -- this lesson is all about learning to stamp with bleach! Create dramatic results by stamping with this household cleaner.
This document outlines an agenda and activities for a workshop on practical data management planning. The workshop will discuss challenges with data management, including data loss and how poor management affects all. Activities will guide participants in inventorying their data and developing storage and backup plans. The goal is to help researchers effectively manage their data over the long-term and address funder and legal requirements.
Practical research data management. Session 2.2 of the RDMRose v3 materials.
The JISC funded RDMRose project (June 2012-May 2013) was a collaboration between the libraries of the University of Leeds, Sheffield and York, with the Information School at Sheffield to provide an Open Educational Resource for information professionals on Research Data Management. The materials were revised between November 2014 and February 2015 for the consortium of North West Academic Libraries (NoWAL).
http://www.sheffield.ac.uk/is/research/projects/rdmrose
Data sharing promotes many goals of the NIH research endeavor. It is particularly important for unique data that cannot be readily replicated. Data sharing allows scientists to expedite the translation of research results into knowledge, products, and procedures to improve human health. Do you know what a data sharing plan should include? Are you aware of common practices and standards for data sharing? Do you know what services are available to help share your data responsibly? This workshop will begin to address these questions. Q&A will follow the presentation. Anyone interested in or planning to apply for NIH funding should attend. Note: The NIH data-sharing policy applies to applicants seeking $500,000 or more in direct costs in any year of the proposed research.
4 Best Practices for Analyzing Healthcare DataHealth Catalyst
Meaningful healthcare analytics today generally need data from multiple source systems to help address the triple aim cost, quality, and patient satisfaction. Once appropriate data has been captured, pulled into a single place, and tied together, then data analysis can begin. In this article I share 4 ways to enable your analyst including providing them with
1) a data warehouse
2) a sandbox
3) a set of discovery tools
4) the right kind of direction.
How to identify the correct Master Data subject areas & tooling for your MDM...Christopher Bradley
1. What are the different Master Data Management (MDM) architectures?
2. How can you identify the correct Master Data subject areas & tooling for your MDM initiative?
3. A reference architecture for MDM.
4. Selection criteria for MDM tooling.
chris.bradley@dmadvisors.co.uk
Enterprise Master Patient Index - IBM White PaperBart de Witte
The document discusses how an Enterprise Master Person Index (EMPI) can help advance electronic health (eHealth) in Europe, the Middle East, and Africa. An EMPI allows accurate identification of patients across different health systems while protecting patient privacy. It does this by maintaining a single comprehensive view of a patient's information from multiple sources. An EMPI ensures data quality and accurate patient identification, which are essential for eHealth. It can be implemented using different models, like a federated model, to address privacy concerns and enable controlled information sharing.
E-Health is alluded to as utilizing of information and communication technologies (ICT) in restorative field to control treatment of patients, research, and wellbeing training and checking of general wellbeing. The reason for this paper is thusly to investigate an institutionalized system for E-Health challenges confronted
by e-wellbeing A rundown of both e-wellbeing difficulties are given and a proposed structure is likewise accommodated E-Health and could give direction in the execution of e-wellbeing To understand the motivation behind the paper, an inductive substance examination procedure was taken after. The
fundamental outcomes were that in spite of the fact that the difficulties exceeds the advantages in the gave records, there is still trust that through appropriate ICT arrangements the advantages of e-wellbeing can develop all the more quickly. This can prompt to enhanced e-wellbeing administration conveyance and nationals in nations can all profit by this.
Modern Era of Medical Field : E-HealthFull Text ijbbjournal
E-Health is alluded to as utilizing of information and communication technologies (ICT) in restorative field
to control treatment of patients, research, and wellbeing training and checking of general wellbeing. The
reason for this paper is thusly to investigate an institutionalized system for E-Health challenges confronted
by e-wellbeing A rundown of both e-wellbeing difficulties are given and a proposed structure is likewise
accommodated E-Health and could give direction in the execution of e-wellbeing To understand the
motivation behind the paper, an inductive substance examination procedure was taken after. The
fundamental outcomes were that in spite of the fact that the difficulties exceeds the advantages in the gave
records, there is still trust that through appropriate ICT arrangements the advantages of e-wellbeing can
develop all the more quickly. This can prompt to enhanced e-wellbeing administration conveyance and
nationals in nations can all profit by this
Communication plays a vital role in joining up healthcare. It allows health professionals to share information, benefit from remote services and access expertise. Connected healthcare improves care for patients in all locations and lowers costs at the same time.
More at: http://blogs.orange-business.com/enterprising-business/2013/01/infographic-improving-outcomes-with-connected-healthcare.html
Security framework for cloud based Electronic Health Record (EHR) system IJECEIAES
Health records are an integral aspect of any Hospital Management System. With newer innovations in technology, there has been a shift in the way of recording health information. Medical records which used to be managed using various paper charts have now become easier to organize and maintain, thereby increasing the efficiency of medical staff. The Electronic Health Records (EHR) System is becoming a high-tech medical management technology developed for the economic or emerging economic countries like India. In a national health system, the EHR integrates the Electronic Medical Records (EMR) in all collaborating hospitals through different networks. EHR gives healthcare professionals a way to share and manage patient data quickly and effectively. Due to the mass storage of confidential patient data, healthcare organizations are considered as one of the most targeted sectors by intruders. This paper proposes a security framework for EHR system, which takes into consideration the integrity, availability, and confidentiality of health records. The threats posed to the EHR system are modeled by STRIDE modeling tool, and the amount of risk is calculated using DREAD. The paper also suggests the security mechanism and countermeasures based on security standards, which can be utilized in an EHR environment. The paper shows that the utilization of the proposed methods effectively addresses security concerns such as breach of sensitive medical information.
National e-health involves using information and communication technologies to improve healthcare. The WHO promotes intersectoral collaboration between health and IT to develop e-health solutions that are health-centric. Germany launched an e-health initiative in 2007 that gave 80 million patients mobile access to their electronic health records. Both Canada and Australia have invested heavily in developing national e-health infrastructures, with Canada investing $1.6 billion and Australia around $5 billion since 1998. While both countries have seen benefits from increased efficiency and care quality, they still face challenges around interoperability and a fragmented approach.
The document discusses the development and importance of Nursing Minimum Data Sets (NMDS) systems. It notes that the identification of NMDS in the 1980s spurred the development of similar nursing data sets around the world. The chapter provides a historical overview and synthesis of NMDS systems, and discusses how they can increase nursing data and information capacity to support knowledge building for the nursing discipline and profession. This data can help inform the development of electronic health record systems.
Framework for Data Warehousing and Mining Clinical Records of Patients: A ReviewBRNSSPublicationHubI
This document discusses a framework for data warehousing and mining clinical records of patients. It begins with an abstract that describes how a clinical data warehouse can provide access to clinical data for healthcare providers and support areas like research and management. The rest of the document reviews the background and need for integrating disparate clinical data sources, describes challenges in current fragmented systems, and discusses the significance of developing a clinical data warehousing and mining framework to organize and extract medical records from different systems.
Advances in Health informatics and telemedicine are providing greater access....write22
1. Advances in health informatics and telemedicine can provide greater access to healthcare resources for those living in rural areas with fewer medical practitioners and services.
2. These technologies allow for electronic health records, remote monitoring, and real-time interactions like teleconsultations that reduce the need to travel long distances for care.
3. While these approaches have benefits, they also face challenges in technology setup and costs, as well as potential issues around privacy, guidelines, and resistance to change.
The document discusses how telemedicine and the patient-centered medical home model can help integrate healthcare services and provide more accessible and cost-effective care for patients. It outlines how the use of electronic health records and online access allows for coordinated care between providers, easier patient monitoring, and remote consultations. Adopting interoperable electronic health records that meet national standards is key to fully realizing the benefits of the medical home approach and integrating various healthcare services.
Changing the paradigm in healthcare information technology Antony Sapbuddy
This document discusses how healthcare organizations can shift to a more proactive paradigm by integrating wellness, disease management, and post-acute care in the home. It recommends focusing on prevention, proactively managing episodes of care across different providers and locations, and using technology like telecommunication and home devices to better monitor patients. Analytics are also highlighted as a way to improve patient safety, operational efficiency, and comply with government reporting mandates by identifying risk areas and enhancing treatment quality.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
The document discusses current challenges and priorities for the health sector, including increasing demand and costs, and reducing federal contributions. It emphasizes person-centered healthcare that prevents illness, better manages demand, and reduces admissions through continuity of care and applied health research. Technology is seen as a catalyst for change, with consumers driving adoption of innovations like digital health data sharing and wearables. The future model aims to deliver person-centered health and wellbeing through priorities like chronic disease management, improved outcomes and experiences, better system integration, and rural health. Digital building blocks and precision health systems are proposed to overcome challenges like paper records and legacy infrastructure.
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1) In three years, focus on improving existing health information networks to enable basic health information like immunization histories and discharge summaries to be easily sent, received, found, and used across providers.
2) In six years, expand the set of shared health information to support team-based care and use of remote monitoring devices. Aggregate data from multiple sources to monitor quality and health outcomes.
3) By year 10
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
This document summarizes the key findings of an EMC-commissioned study by IDC on integrated care delivery models in Western Europe, the Middle East, and Africa. The study found that traditional hospital-centric healthcare systems are inefficient for treating chronic conditions like non-communicable diseases. An integrated care model coordinates care across hospitals, primary care, clinics, and other providers. Information sharing through integrated patient records is critical to enable coordination among different care providers. However, integrated care faces challenges related to governance, data quality, legacy systems, and cultural change. The document discusses how solutions for electronic medical records, big data analytics, cloud computing, and document lifecycle management can help overcome barriers by facilitating information sharing across the healthcare system.
This document summarizes the key findings of an EMC-commissioned study by IDC on integrated care delivery models in Western Europe, the Middle East, and Africa. The study found that traditional hospital-centric healthcare systems are inefficient for treating chronic conditions like non-communicable diseases. An integrated care model coordinates care across hospitals, primary care, clinics, and other providers. Information sharing through integrated patient records is critical to enable coordination among different care providers. However, integrated care faces challenges related to governance, data quality, legacy systems, and cultural change. The document discusses how solutions for electronic medical records, big data analytics, cloud computing, and document lifecycle management can help overcome barriers by improving information capture, access, and insights
This document discusses enabling consumer-centered care through a transformative shift in health data and technology. It notes the current context of increasing health care costs and demand. Technology is seen as a catalyst for change by allowing greater data sharing and monitoring. Victoria's future health model prioritizes a person-centered view and preventing chronic disease. Building blocks for digital health include clinical services, patient indexing, information exchange, and referrals. Challenges include integrating legacy systems and funding models focused on episodic rather than continuous care.
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eHealth in Europe: Unified View of Patient Data enables Better Healthcare at a lower cost
1. IBM Software Group, Information Management Healthcare
White Paper
Unified View of Patient Data
enables Better Healthcare
at a lower cost
2. 2 Unified View of Patient Data enables Better Healthcare at a Lower Cost
Executive Summary
Unified View of Patient Data enables Better Healthcare at a Lower Cost
The European Union, Central Europe and countries around the globe have recognised the value of care coordination and
are building or updating their eHealth infrastructure to connect and share information. Accurately identifying and matching
patient records across systems to create a unified view for eHealth applications is a must. However, it is not an easy challenge
to solve.
• National identifier systems which are capable of validating insurance coverage or administering payments are not typically
built to support the level of accuracy and complex, real-time information sharing required to enable coordinated care across a
broad and distributed set of healthcare providers.
• Legacy systems have a lot of rich historical data that is important to include in a person’s medical record. These same systems
bring special difficulties to many organisations that can make it difficult, even impossible, to add a universal health identifier
(UHI) as an attribute.
• Protecting patient privacy is a significant concern due to the sensitivity of health information. Most if not all countries have
regulations limiting the use and distribution of a patient’s health information.
• Government authorities and healthcare providers alike are challenged with providing cross-border healthcare to an even
wider range of citizens of very different cultural and linguistic backgrounds. And semantics and culture vary widely across the
continent.
Rapid, accurate patient identification, coupled with a unified view of the patient’s medical history at the point of care
irrespective of where the data is held, is vital to meeting the EU’s goal of providing better healthcare at lower cost.
This paper considers the situation in Europe – that is, broadly, the European Economic Area (EEA) and Central and Eastern
Europe – and shows how sophisticated data matching and record linking techniques, such as an enterprise master person
index (EMPI), support rapid, accurate patient identification which is essential to enabling effective health information
sharing to deliver better healthcare at lower cost.
3. Healthcare 3
Unified View of Patient Data
enables Better Healthcare
at a Lower Cost
Contents Accurately linking patient records across disparate
3 Introduction and Overview systems to enable secure information sharing is
4 European challenges in linking information critical to the success of any eHealth initiative.
5 Building and maintaining a high Healthcare leaders around the world recognise the need to leverage
quality data foundation information and communication technology (ICT) to improve
6 The power of the enterprise master person efficiencies, enable coordinated care delivery and control costs. A
index (EMPI) significant challenge, however, is harnessing and managing information
about a patient when it is distributed across providers in individual system
6 The importance of speed, flexibility and scalability silos that aren’t built to interoperate or share information.
of the EMPI
6 Following standards and protecting privacy Aggregated information obtained from procedures, hospital stays or
with the EMPI outpatient visits, as well the effects of attendant social care or responses
to medication, is valuable for coordinated care. When anonymised, it
7 Conclusion
can also be used in research and analysis for future planning and
delivery of healthcare services.
The European Union, Central Europe and countries around the globe
have all recognised the value of care coordination and are building or
updating their eHealth infrastructure to connect and share information.
Accurately identifying and matching patient records across systems to
create a unified view for eHealth applications is a must. However, it is
not an easy challenge to solve.
The European Parliament particularly notes, in its reports and
discussions on cross-border healthcare, the need to improve electronic
systems for patient identification. The EU’s eHealth Action Plan writes
of ‘the need to identify a person unambiguously’ as being ‘an important
component’ of any national or regional eHealth infrastructure.
Canada Health Infoway, Singapore, Australia and many U.S.A. health
information exchanges call for patient and provider registries as part of
their electronic patient record (EPR) infrastructure to ensure accurate
and secure patient identification and health information sharing.
4. 4 Unified View of Patient Data enables Better Healthcare at a Lower Cost
In response to the realisation that patient identification is Irrespective of the initiative or the eHealth approach, the
paramount for eHealth, some governments have issued health common element is the patient. It is important to have robust,
ID cards or extended the use of a national identifier (beyond a powerful and flexible systems capable of interoperating in a
benefits and payment system) as a means to identify patients. standardised way to identify patients rapidly and accurately,
Developing or extending the use of a health identifier is link the right records to the right patients and securely provide
something which appears straightforward, but it’s harder than a full view of their medical history to authorised providers,
it looks. In fact, it can be difficult at best, and many times something which a good enterprise master person index
impossible, to add a health identifier to a legacy system to (EMPI) is proven to help deliver.
enable accurate identification and information sharing with
other systems.
National identifier systems which are capable of validating
insurance coverage or administering payments are not typically
Sorting out the Jones’s records
Wales is a country of three million people bordering the
built to support the level of accuracy and complex, real-time
west of England and washed by the Bristol Channel and
information sharing required to enable coordinated care across
a broad and distributed set of healthcare providers. Nor are the Irish Sea. People variously speak English or Welsh or
they built to support privacy requirements that many regions both. It’s part of the UK but has many powers devolved
to the Welsh Assembly, health included. In 2003, the
or countries are adopting.
Assembly established the Informing Wales Health Care
Programme (IWHCP) to improve Welsh healthcare,
European challenges in accurately
something now developing well.
identifying and linking patient health
information Information was fractured and scattered not only through
There are special challenges to European healthcare. the seven health boards but also among both hospitals
Semantics and culture vary widely across the continent. and individual departments. Patients had a multiplicity of
Certain languages dominate but there are perhaps forty in identifiers and there were numerous duplicate patient
reasonably common use in various countries and regions. records. Further, some Welsh names are widespread and
the likes of Margaret Jones or Thomas Davies were at
The patient’s language and that of whoever enters data into the high risk of having their records confused with those of
system may vary and mistakes will inevitably occur. In addition, others.
government authorities and healthcare providers alike are
challenged with providing cross-border healthcare to an even IWHCP identified correct patient identification as a key
wider range of citizens of very different cultural and linguistic need and contracted with IBM to deploy the IBM Initiate
backgrounds. Patient EMPI as part of the eHealth architecture. This
brought additional benefits to the NHS Trusts merger
For example, the project Smart Open Services for European programme and helped the development of the Welsh
Patients (epSOS) exists to develop and evaluate a service Clinical Portal.
infrastructure demonstrating cross-border interoperability
between electronic health record systems in Europe. Also, the Earlier, it was difficult and time consuming to search
Single Market provisions generally allow any EEA national to several administrative systems to track down patient
live and work in any part of the community or EEA area, information. With the IBM Initiate Patient EMPI at the
showing their entitlement typically through possession of the foundation of the eHealth architecture in Wales, clinical
now mandatory European Health Insurance Card (EHIC). staff now see unified patient views, learn instantly where
These broad-based initiatives, coupled with the local supporting records are held and can order tests online.
challenges of providing care for a culturally diverse population, “Much quicker,” enthused one doctor. “It’s just like
bring some complex issues when it comes to interconnecting internet shopping!”
systems and securely and accurately sharing information.
5. Healthcare 5
Building and Maintaining a High Quality
An IBM study of one nation’s highly controlled universal
Data Foundation
identifier found some surprising figures that indicated
Life events such as moving house or work, changing names,
data quality issues and missed opportunities for linking
divorce or marriage, or even death, are consequent to data
patient records together for the EPR. The study showed:
degradation within a system and also impact the ability to
match and share health records. This is a serious but not
• 4%–5% of the records in the system were duplicates.
uncommon problem. Many estimates indicate data inaccuracies
• Of the 13 million records spread across 12 different
that exceed 8% of a client file. In a million record database,
systems, only 5.1 million were unique. This indicates a
that would be 80,000 inaccurate records.
high degree of overlap across organisations, which
means that patients have records in more than one
Cleaning data is expensive and time consuming. In business,
system that are not being linked together.
poor data quality or inability to identify relationships across
• Nearly 800,000 (6%) of the records had missing or
systems means poor customer service and decreased profits; in
inaccurate dates of birth.
healthcare, it means poor service delivery, increased costs and,
• Nearly half (45%) of the phone numbers held were
at worst, compromised patient care and malpractice suits.
wrong, including 28% of the home phone numbers.
Consider the time and cost involved for patients who have to
This impacts a physician’s ability to contact and follow
undergo duplicate testing or who encounter adverse drug
up with patients.
interactions because records are not properly linked across
systems to create the single Electronic Patient Record.
Computer systems are very good at finding records that give The table below illustrates data from a country that has a
an exact match. If a patient is allocated a unique identifier, with national identifier. The health ministers and health IT
all the relevant records linked to that, and if the identifier is managers believed a national identifier would suffice for
entered correctly, then that person’s relevant records will be eHealth Initiatives. An attribute validity study was conducted
found. This is the argument for numbering passports and to determine quality checks on the capture rates. The data in
driving licences on a national scale. The logic flaw is not to do the table shows less-than-adequate capture rates on the health
with how computers work but in understanding how society identifier, phone and forename (middle), which degrades the
and human beings behave in real life. ability to accurately identify the patient and create a unified
view for health information sharing and coordinated care.
In healthcare, different clinical departments and services often
These low capture rates on key identifying attributes
use their own identifiers. Many do not use the national
compromise the eHealth initiatives.
identifier as the primary means of identification, or at all, due
to privacy concerns, system functionality limitations or simply Attribute Validity
because the systems are older than the number itself. Patient
Administration Accident and
Semantic and cultural differences can lead to difficulties in System (PAS) Emergency (A&E)
Source System ( 1,118,057 records) (208,000 records)
finding records. If a record is not found, then typically a new
Surname 100% 100%
patient ID will be created which may or may not include the
Forename (First) 100% 100%
person’s nationally assigned number.
Forename (Middle) 29% 24%
Gender 98.8% 100%
Although countries have national or health identifiers, that
does not mean that everyone “always” has one or that it is Birth Date 90.6% 99.2%
captured “100% of the time”. Reliance on any one data point is Health Identifier 41.9% 10.7%
risky. Using an array of data points is necessary to achieve the Phone 35.8% 90.9%
highest percentages of accuracy when linking records together. Address 99.5% 99.2%
6. 6 Unified View of Patient Data enables Better Healthcare at a Lower Cost
The power of the enterprise master • IBM Initiate Patient EMPI works in real time with sub-
person index (EMPI) second response capabilities to enable core healthcare
Healthcare is complex, with multiple disparate systems that applications to accurately identify the right patient and create
each ascribe to different data management techniques. While the unified view of health history, lab results and
the universal health identifier (UHI) can be very useful in pharmaceuticals for authorised healthcare providers.
managing identification, it really is merely one attribute among
many that should be used to identify a patient and effectively It’s important that systems on which care delivery organisations
share information across providers for coordinated healthcare rely should be both scalable and able to interface with legacy
delivery. systems. One of the worst experiences organisations have is to
find they’ve outgrown the computer applications on which
An EMPI, especially one that employs probabilistic matching, they rely and to have to face the disruption of taking a major
achieves highly reliable matching and linking of results to step to something new.
create a unified view of a patient for the healthcare system.
• IBM Initiate Patient EMPI is designed from the start to scale
For example, the probabilistic matching in IBM Initiate – if more capacity is needed due to expanding the number of
Patient, an EMPI, is proven to be invaluable for overcoming systems, records or patients, then simply expanding the
the semantic and cultural differences that exist in Europe. capacity of the solution is all that is required.
• Legacy systems have a lot of rich historical data that is
• It compares a number of attributes such as name and important to include in a person’s medical record. These same
demographic data such as date of birth, gender, phone and systems bring special difficulties to many organisations. For
address, along with the health identifier, to identify the best example, it may be impossible to add a UHI as an attribute.
possible match. • In contrast, the IBM Initiate Patient EMPI does not solely
• It accounts for common data matching challenges such as rely on the UHI for patient identification. It captures patient
nicknames, contractions, name transpositions and phonetics records using a multitude of identifying attributes along with
and homophones, such as Tom, Thom and Thomas, as well as the UHI and links to other systems to enable a single, unified
Gerald and Jerold. view of the patient – a much cleaner, faster and more efficient
approach.
The probabilistic matching of IBM Initiate Patient EMPI
provides a way of rapidly identifying the commonality across a Following standards and protecting
range of records despite their variation, so that authorised privacy with the EMPI
clinicians checking their patient’s record in the EPR or other Implementing information systems that are standards-based is
connected system can be confident that the view is both important to ensure long-term viability and interoperability.
accurate and complete. This complete view saves time and IBM has consistently been a leader in standards development
money, and improves the overall experience and safety for the and compliance.
patient.
• IBM is one of the early members of the Continua Health
The importance of speed, flexibility and Alliance, a non-profit open industry organisation of healthcare
scalability of the EMPI and technology companies who collaborate to promote
Healthcare is increasingly fast moving. Knowing immediately interoperability according to standards-based approaches in
whether a person in the Accident and Emergency unit is order to improve the quality of healthcare delivery.
diabetic or intolerant of certain medications or has a cardiac • IBM is also a long-standing member and active participant
abnormality may be critical in deciding how to act safely. For with IHE (Integrating the Healthcare Enterprise), an
general practitioners, it may be important to know whether a organisation which promotes standards-based health
patient is continuing with prescribed drugs – in this case, information sharing through real-world use cases.
seeing immediately on a patient’s unified record that a regular • IBM Initiate Patient has been consistently compliant with
weekly prescription has not been collected could be important HL7 requirements and offers an open platform which allows
evidence. for application development.
7. Healthcare 7
existing system environment to provide quick time to value
Health information sharing across a and ongoing returns on investment as your business needs
hospital network evolve.
Belgium is a federal state of eleven million people where
three different native languages are spoken: Dutch, Protecting patient privacy is a significant concern due to the
French and German. This adds considerable complexity sensitivity of health information. Most if not all countries have
to health information systems. regulations limiting the use and distribution of a patient’s
health information. In order for providers and patients to
A large public hospital network wanted a means of embrace the benefits of health information sharing, they must
accurately identifying and matching patient records be confident that the data is protected and only shared with
across its five hospital sources to facilitate the sharing of authorised individuals.
data for registration purposes and the clinical portal.
• IBM Initiate Patient EMPI does not require data to be moved
Data quality and inability to share information across to a central location. Instead, it creates a virtual index which
facilities was an issue prior to implementing IBM Initiate points to where the patient information resides.
Patient EMPI. Some 40% of patients are treated in more
than one hospital; because each hospital has a distinct When the downstream applications call upon the index for
database and its own system of codes, it was impossible to patient identification, a virtual composite view of the patient is
get unified views of patient histories. The existing systems returned linking all records for the patient together. The view
were using exact matching techniques for searching; can be comprehensive or limited in order to support local
because this made it difficult to find records, this resulted privacy requirements, the unique needs of each patient
in the creation of many duplicate records. In addition, administration or clinical system, and organisational
more than 20% of patients didn’t have a health identifier preferences.
on file, so using the Belgian health identifier was not a
reliable option for matching and linking records for Conclusion
health information sharing. An EMPI enables secure and accurate health information
sharing across disparate healthcare providers by matching and
IBM Initiate Patient EMPI is helping greatly. Records are
linking the right records to the right patient. This is something
matched and linked across systems to create a single view
which is difficult to achieve with the use of a UHI on its own.
even when data is incomplete. This has facilitated use of
the new clinical portal, where authorised physicians With the EMPI at the foundation of the eHealth
access a consolidated view of a patient’s records regardless infrastructure, healthcare organisations can deliver more
of which facility they visited. comprehensive and accurate information to applications like
patient administration systems, electronic patient records,
clinical portals and more, without solely relying on the UHI.
In today’s volatile economic climate, it is critical to maximise
the value of existing resources as well as invest in solutions that
Rapid, accurate patient identification, coupled with a unified
will result in quick return on investment.
view of the patient’s medical history at the point of care
irrespective of where the data is held, is vital to meeting the
An EMPI is a technology that can be implemented alongside
EU’s goal of providing better healthcare at lower cost. This is
existing systems to make an immediate impact on productivity
what the sophisticated technology of the IBM Initiate Patient
and have a long-term impact on the health information sharing
EMPI helps deliver in conjunction with the UHI and as part of
required to enable coordinated care.
the broader eHealth infrastructure.
• IBM Initiate Patient EMPI is highly configurable and
adaptable. It can be implemented in a few months into your