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Organized and comprehensive data sharing to gain a better understanding of health outcomes is the driving force behind shared care in the integrated care system (ICS).
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Integrated Care System (ICS) Check all the right boxes – ideally provide equitable care, good communication and coordination in all aspects of an individual’s health and social needs that contribute to a healthy population. And sustainable systems. Supported by a modern and innovative information architecture, ICS can excel by opening and sharing insights through scale data. Read the full report (pdf).
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In the UK, there are now 42 ICS that cover all areas and as a result of the steady changes in health policy over the past decade to bring services together to better meet the needs of the local population. Up. Globally, there is a similar political interest in integrating better care and coordinating care delivery through things like patient care, joint decision-making, home health, and social prescribing.
ICS energy extraction as a coordinated and collaborative ecosystem requires a new approach to health information architecture.
As data becomes a major driver of health and care, the health system cannot achieve its goals of better welfare, sustainability and equity without a fast information infrastructure. A care system that combines social, community, and local government health services means that thousands of people may need access to data for a variety of purposes to facilitate care to meet individual health and social needs. These systems have the potential to transform their health information architecture into an open platform environment that enables shared healthcare records and allows the use of new technologies in this information structure to gain layer insights. Data.
Such infrastructure must also act as a platform for change. This means easy data transfer within and between systems and analytical capabilities that support the safe and secure use of data for local needs.
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Accurate information foundation for a holistic ecosystem of care is a major challenge and the infrastructure must be clarified in the future with the whole system in mind. This means being flexible enough to take advantage of new technologies (such as artificial intelligence, augmented reality and virtual reality, modern automation, decentralized identity, Web 4.0 and digital twins), user experience and workforce, and the ability to integrate National framework. And / or the international system.
Visions of the future should be organized in a systematic and meaningful, open system based on an ecosystem mindset that meets a wide range of information perspectives and needs. It should be a dynamic infrastructure that intelligently integrates data in accordance with common semantic standards required by specific usage cases and transmits data through modern interfaces such as RESTful web application programming interfaces (APIs). In this infrastructure, health data captured in electronic patient records (EPRs) will be transferred from the information base based on this standard, either directly in conjunction with the local API or by publishing data objects managed by the vendor. Body into a form that can be attached to it. Such as the HL7 FHIR, which is intended for data retrieval.
The three largest Nordic vendors of electronic health record system (EHR) in Norway (DIPS), Sweden (Cambio) and Finland (TietoEvry) and the largest EHR vendor for elderly care providers in the Netherlands (Nedap) All use neutral vendor data. Shop. Based on openEHR.
Systems should be connected where the architecture is one of the nodes that is interrelated and the general principles, governance and open standards. Such an architecture allows for the further development of shared infrastructure services, linking different domains, and allowing the safe and secure sharing of sensitive health data. Once established on an open hybrid cloud platform that integrates on-premises and third-party cloud computing infrastructure, standard functions such as patient identity management and authentication can be implemented nationwide while open. Run local processes and applications.
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There are few opportunities for new locations, so new uses and users must be connected to an already built environment, an installed base. An important strategic issue now facing decision makers, integrated systems, is the best way to achieve scale by choosing sustainable technologies that meet national and local goals. Installed infrastructure, required infrastructure and future maintenance models and infrastructure requirements are considered. The decision of the Florida-based health system to spend $ 65 million to migrate from one monolithic EHR system to another to access patient records regardless of location.
The cost of moving from one system to another is something that very few people can afford. The question is whether the healthcare system should be constantly evolving or changing as needs change, or should it choose to work with vendor-neutral data layers?
Creating the right environment for a successful integrated care system will be based on information architecture, core functions and vocabulary and general standards.
A truly integrated system requires a data environment with no connection restrictions other than authorization and security. This, in turn, requires an open platform architecture that allows the storage and connection of structured and unstructured data and limits data flow. Decentralized infrastructure and networks will unite and understand unequal information from multiple sources. This means capturing and linking all relevant data regardless of where it was created and stored.
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The best platforms break down content and technology and will be vague, vendors, distributors and modules – including third-party systems and legacy. It provides a stable framework to support governance mechanisms that include standards, interfaces, and laws. The architecture should be divided into different layers that organize operations and interactions: data layer, application layer, and logical layer:
Smart Health is transforming the organization of care by optimizing the health care experience, which is a difference in long-term value for the healthcare industry.
As shown in Figure 1, the information architecture of the future will change from a fragmented system with limited interoperability to a more streamlined arrangement.
Health information systems should have simple language (standards, meanings, and structures) to avoid friction between translation interactions and the need for system integration. Separating the data layer from the application is achieved by providing a rich, general data model that defines a general set of ontologies that are at the heart of each utility case design, and then selects and refines the appropriate predefined data elements. Needed for a specific use case. . Health and well-being system.
Appendix F: Meeting Agenda For September 28, 2021, Meeting: Multi Payeralignment On Value Based Care
With these key elements in mind, an open platform system will generate significant value through seamless data flow across the health and care value chain, from primary and community care to hospital systems.
Special thanks to Professor Rachel Dunscombe, Visiting Professor at Imperial College London and Strategic Advisor to the Government of the United Kingdom. Dr. Sheryl Coughlin, Senior Analyst at Global Health; And Aishwarya Benjwal, health and wellness analyst for their contribution to the report.
Integrated health records, rich in quality data, are the foundation of any future health care and care system. In the early stages of the transition to integrated care system (ICS), there is an opportunity to carefully consider the various options. As the information infrastructure is viewed through the mirror of the open platform and the system design, the elements of real change become apparent.
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