White Paper: Interoperability of Health Information Systems

The challenges and pathways to creating a unified framework for capturing, distributing and accessing clinical information

Cristine Kao, Carestream Health

What is interoperability in healthcare? Interoperability can be described as a well-functioning central nervous system, coordinating the enterprise’s many roles and tasks toward a common end: the well-being of each patient.

illustration depicting connection

But when communications are slow, incomplete, or missing between any two entities — patients and providers, primary-care physicians and specialists, central and remote locations, and so on — the timeliness and quality of patient care can suffer. Many other parts of the total healthcare ecosystem can be affected as well: costs can rise, resources can be allocated inefficiently, and opportunities for constructive collaboration can be lost.

Information generated by different systems, on different networks and for different purposes becomes far more useful when a unified framework is in place for capturing, distributing and using the information. Ideally, with the appropriate security credentials, any individual user or collaborative team should be able to interact with the information they need, in the format they prefer, on their choice of device.

Why is interoperability important to healthcare?

Every stakeholder in the healthcare delivery process stands to benefit from interoperable systems built on interoperability standards that deliver collaborative transparency and efficiency. These stakeholders include patients who want to take more active responsibility for their own health; primary care physicians and specialists who are seeking meaningful collaboration, without information gaps, delays, or redundancies that could compromise quality; and providers in remote and rural areas who need the ability to share clinical images and data with centrally located specialists. Continue reading

Diagnostic Reading #31: Five “Must Read” Articles on HIT and Radiology from the Past Week

Articles include: healthcare providers need multiple firewalls to protect patient data; radiologists need to establish a role on cancer treatment teams; a HIMSS/SIIM paper offers key features to consider when selecting an enterprise image viewer; 3D imaging helps diagnose 1.7-million-year-old cancer; and an Alzheimer’s vaccine could be available Image-illustrating-a-data-breachin five years.

Hack of Banner Health highlights the need for more firewalls – Health Data Management

A cyber attack at Banner Health that provided access to the information of 3.7 million individuals is a wake-up call to other provider organizations. Many hospitals only have a perimeter firewall used to provide protection for moving in and out of the core network. At Banner, the food and beverage system in the cafe that was used to ring up sales (often made with a credit or debit card) was attacked, and that opened the gate to the system’s network. This demonstrates the need for multiple firewalls across the organization. Continue reading

Diagnostic Reading #27: Five “Must Read” Articles on HealthIT and Radiology from the Past Week

Top news includes clinical decision making, EHRs and personalized recommendations in healthcare


This week’s articles include: radiologists playing a more active role in clinical decision making; use of EHR and CPOE systems create added clerical work for doctors; new systems can deliver a doctor’s personalized recommendations to patients to enhance compliance; a color-coded, user-friendly dashboard that tracks ER exams allows medical staff to better monitor patients; and companies are experimenting with ways to reach lower-income patients through apps, text messaging and video conferencing.

Radiologists Take On Bigger Role in Diagnosis – Wall Street Journal

At one of the top radiology departments in the country radiologists are now playing an active role in helping clinicians make medical decisions for their patients. Radiologists at NYU Langone Medical Center provide their analysis of imaging studies (via computer screen) as medical staff make their rounds in pediatrApplications in healthcare photoic intensive care units, where frail patients are imaged daily to monitor their progress. The initiative to involve radiologists in making treatment decisions is led by Michael Recht, chairman of the radiology department, who oversees more than 200 physicians
and researchers.

EHRs are making things harder for physicians – DotMed Healthcare Business News

Physicians who used an EHR and CPOE were 30 percent less likely to be satisfied with clerical burden, according to a Mayo Clinic physician who was the lead author of a study. Doctors spend hours placing orders for patient procedures such as imaging exams and lab tests and are also spending more than 10 hours a week using the EHR on nights and weekends, according to the study. Continue reading

How to Build HIT Systems for Big Data to Revolutionize Healthcare Delivery

Big data needs the right health IT infrastructure to live up to its potential

Cristine Kao, Carestream Health

There is a rising expectation that the application of “big data” in health IT will revolutionize the delivery of healthcare services across the globe. To achieve its potential, each healthcare organization must build an infrastructure that allows big data to work within its enterprise by:Image showing volume of big data

  • Handling large volumes of data and support very high speed data transfers,
  • Deploying a management system that can handle varying data types and sources, verify the quality of captured data and address the inconsistency of some data; and
  • Maximizing value by applying the clinical insights gained from data into practical uses that can drive the quality of care.

Continue reading

تخطيط أرشيف للمؤسسة (VNA) لتحقيق التعاون في مجال الطب الدقيق

الأثر على أنظمة معلومات الرعاية الصحية بالنسبة لمديري المعلومات (CIO)

تُعرف المعاهد الصحية الوطنية (NIH) الطب الدقيق بأنه مفهوم جديد لمعالجة الأمراض والوقاية منها، مع الوضع في الاعتبار إمكانية تغير الجينات في الأفراد واختلاف البيئة ونمط الحياه من فرد لآخر.
تتمتع هذه المبادرة، مثل العديد من مبادرات الرعاية الصحية الكثيرة المدعومة بتمويل أغلبيته من الحكومة الأمريكية، بتأثير على كيفية تأمين مؤسسة الرعاية الصحية المعلومات للأطباء الذين يتعاونون لتطبيق الطب الدقيق من الناحية العملية والنظرية معًا.

يتم تخزين المعلومات المتعلقة بالجينوم ومشاركتها بتنسيقات متعددة، مثل PDF و Variant Call Format  ‏(VCF) وصور DICOM، التي يقدمها أخصائيو المعلوماتية الحيوية. يعد التخطيط لتخزين هذه المجموعة من المستندات والصور والتقارير وتوزيعها في المؤسسة جزءًا رئيسيًا من تخطيط أرشيف حديث للمؤسسة (VNA). ونظرًا لكون هذا الارشيف (VNA) الخيار المعتمد لتخزين الصور التي تستلزم التوزيع في المؤسسة، فإن تقنية VNA تمثل نظامًا منطقيًا لتسهيل توزيع المادة المتعلقة بالجينوم لكافة الجهات التي تعمل في المؤسسة في مجال الطب الدقيق.

متطلبات المعلومات الخاصة بدمج المعلومات المتعلقة بالجينوم في نظام مؤسسة الرعاية الصحية

“يمكن أن يساهم دمج المعلومات المتعلقة بالجينوم في نظام خدمات العناية الطبية والسجل الطبي الإلكتروني في تسهيل تقديم خدمات طبية مخصصة من خلال دعم القرار الطبي الخاص بالجينات” كما جاء في التقرير مقال حول الجينات المستخدمة في المجال الطبي. حيث يحدد هذا المقال جهات معينة، مثل الأطباء والمرضى والموظفين والعلماء وصانعي السياسات والخبراء في هذا المجال وهذه الصناعة المتعلقين بالجينات والمعلوماتية والأخلاق البيولوجية والمجالات ذات الصلة.

أضافت مبادرة الرئيس أوباما المتعلقة بالطب الدقيق و ومبادرة بايدن – نائب الرئيس الأمريكي – المتعلقة بالسرطان “خطة الوصول إلى القمر (moonshot)“، أهمية كبيرة للتعاون في مجال المعلومات المتعلقة بالجينوم. توصي Carestream مديري المعلومات (CIO) القائمين بالتخطيط لإدارة معلومات المؤسسة بتوقع دورة الحياة المحتملة لهذه المعلومات المتعلقة بالجينوم والجزيئات، حتى يمكن إدارتها بفاعلية منذ البداية. تتمتع بعض ملفات الجينوم بحجم كبير للغاية — قد يشغل الجينوم البشري 200 جيجابايت من البيانات — ولذلك قد تشكل طريقة تخزين هذه الملفات والوصول إليها تأثيرًا حقيقيًا على تصميم تخزين معلومات الرعاية الصحية الخاصة بالمؤسسة والوصول إليها.

#VNA #EHR #الجينات

 Jeff Fleming هو نائب رئيس Carestream لشؤون المبيعات والخدمات المتعلقة بأنظمة معلومات الرعاية الصحية


Read the English version of this Arabic post on planning an enterprise archive