Zeeshan Mir Baz has collected the information from this website:https://www.elsevier.com/connect/top-trends-in-health-information-and-communications-technology-for-2017 in this article said that:
To achieve high quality, cost-efficient healthcare – think trains
© istock.com/exdez
With all of the new “smart” information and
communications technology (ICT) available today, it’s easy to make the
wrong strategic decisions. To achieve sustainable, high quality,
cost-efficient healthcare, leaders must understand when and where to
invest. Here, Dr. Peter Edelstein, Chief Medical Officer for Clinical Solutions at Elsevier, gives his recommendations, followed by the winners and finalists of the 2016 HIMSS-Elsevier Digital Healthcare Awards competition.
Healthcare reform is spreading across the globe. And while “reform”
differs depending on the city, country and region, the foundational
realities driving reform are similar throughout the world: the spiraling
costs of care; our aging and growing populations; and the emergence of
worldwide epidemic conditions, such as obesity, diabetes, heart disease,
Alzheimer’s disease, and cancer.
Wherever in the world I travel, I
find a deep belief and intuitive sense that the incorporation into our
evolving healthcare models of “smart” information and communications
technology (ICT) will support our global drive to achieve consistent,
sustainable, high quality, cost-efficient healthcare. However, the
initial attempts at healthcare reform in the United States should serve
as acautionary tale to health leaders in Asia, Europe, the Middle East,
Latin America and elsewhere; the US-legislated ICT-based reform – guided
by visions of rapid advancement to high value care – has violently collided with operational realities. Learning
from “what is going right” and “what is going wrong” in the American
reform process may allow health leaders around the world to select
realistic, impactful ICT investments in 2017 and beyond.
We are
already living in the age of big data. The retail, advertising,
insurance, legal and travel industries are just a few examples of the
dozens of economic sectors that not only collect vast quantities of
customer data but utilize data analytics to identify opportunities,
trends and challenges. It seems obvious that immediately investing in
big data and clinical analytics solutions to identify meaningful,
actionable information (regarding both patients and providers) should be
a major 2017 ICT trend – that such ICT investments can successfully
increase the quality and cost-efficiency of healthcare across the world.
Thus it is not surprising that when asked to project 2017 ICT trends,
several healthcare leader participants in the
2016 HIMSS-Elsevier Digital Healthcare Awards competition cited “big data” and “analytics.”
However, this may risk the same dangers that resulted from similar
beliefs held by many healthcare leaders (and several big data and
clinical analytics vendors) in the US soon after the
Affordable Care Act,
also known as “ObamaCare,” was signed into law. Because focusing on big
data and analytics as early ICT investments when initiating healthcare
reform is risky, a classic example of “putting the cart before the
horse.” For those not familiar with this phrase, a simple analogy will
clarify my warning:
Your country is preparing to build
a massive, integrated, railway system to serve every city, town and
community across the nation. This will take years and require massive
amounts of money and human capital to complete. In order to avoid
wasting money, time and labor, it is critical that you adopt an intelligent, informed construction strategy. So before
you spend money buying a train, you should spend money, time and labor
building train stations and laying down train tracks connecting those
train stations.Creating and building a better
healthcare system anywhere in the world is a massive undertaking
requiring years, enormous amounts of money, and significant human
resources to complete (and then maintain). In our railway analogy, big
data and clinical analytics are the train. The time will come when
investing in these powerful ICT systems and tools will allow for a great
leap forward in delivering high value healthcare. But before spending
valuable, limited resources on this healthcare ICT train, government and
healthcare leaders should first invest in building “health ICT train
stations” and connecting these stations by laying down “health ICT train
tracks” across their cities, states, territories and nations. It is
these “health ICT train stations” and “health ICT train tracks” that
must be the major ICT trends beginning in 2017.
- Trend #1. Electronic health records (EHRs) are
the health ICT train stations that must be built in 2017. So major 2017
ICT trend #1 must be investment in EHRs.
- Trend #2.
At the same time as governments and healthcare systems are investing in
EHR health train stations, they must invest in ICT allowing those
systems to communicate across the networks. ICT hardware, software and
transformational care service are the ICT health train tracks connecting
the EHR train stations. Thus, the second major 2017 ICT trend must be investing in technology and services that drive broad, deep, rapid integration of the EHRs across cities, states, territories and nations.
Now,
another word of warning based on the US healthcare reform experience:
buying EHRs from a variety of commercial vendors makes affordable,
successful communication across cities, states and countries much less
likely, as differing EHRs are often unable to adequately communicate
with one another. In our railway example, this is like building train
stations that cannot all service the same size trains. Healthcare
systems, cities, states and nations that have purchased a variety of EHR
systems (as in the US and some other countries) are now spending vast
amounts of money either abandoning and replacing their initial EHRs or
investing significantly more money, time and personnel buying and
implementing inter-ware to enable communication between their differing
EHR systems. So as healthcare leaders and governments invest in EHRs and
connecting ICT in 2017, they should seriously attempt to purchase their
ICT solutions from a single vendor or a limited number of vendors with
experience in (or at least an open commitment to) network integration
and communication.
The US experience has shown us that it takes
years to build our ICT health train stations and ICT health tracks.
Investing too early in trains (big data and clinical analytics) is
costly and inefficient. Fortunately, there is one significant and
favorable difference between healthcare systems and railway systems:
simply implementing an EHR in a single hospital can improve the quality,
safety and cost-of-care for thousands of patients; next, integrating
even a limited number of EHRs can dramatically expand that high-value
care. In other words, unlike a railway system, investing in EHRs and
integration ICT in 2017 will immediately deliver value to patients,
providers and payers. … We don’t have to wait for the trains.
Top trends identified by HIMMS-Elsevier Digital Healthcare Awards participants
Winners
and finalists in the 2016 HIMSS-Elsevier Digital Healthcare Awards
competition have identified their views on what would be the most
impactful health ICT trends for 2017.
“An increase in the adoption of EMR”
Over
the last decade, health ICT has undeniably been an important factor in
moving the industry forward in Thailand and other ASEAN countries. With
Thailand being home to two EMRAM Stage-6 hospitals – Paknampo Hospital
being the first to receive this recognition – health ICT is certainly on
the upward trend in the country. We anticipate 2017 being the year
where there is an increase in the adoption of EMR (electronic medical
record), which can improve the quality of care, reduce medical errors
and enhance the speed of care delivery. We also expect to see homegrown
health ICT solutions, customized to our unique culture as well as the
rise of big data and analytics for predictive, precision and
personalized medicine.
—
Assistant Prof. Korpong Rookkapan, MD, Hospital Director, Paknampo Hospital, Thailand
Winner: 2016 Outstanding ICT Achievement Award-Asia Pacific
Watch the interview
here.
“Mobility, big data analytics and iOT-based devices that will significantly contribute to delivering health services”
There
is a shortage of trained health personnel around the world, leading to
the demand for point-of-care information powered by big data analytics.
Machine learning (AI) based analytics and intelligence will need to be
effectively maximized into every workflow. The inherent need in
healthcare to have round-the-clock, omnipresent services at the highest
efficiency levels, demands that solutions are available on mobile
devices and platforms. The future of healthcare will be driven by
mobility, big data analytics and iOT-based devices that will
significantly contribute to delivering health services. The need to have
continuous patient engagement that is not limited to hospitalization
episodes demands the need for iOT-based devices to augment the care
process.
—
Sangita Reddy, Joint Managing Director, Apollo Hospitals, India
Winner: 2016 Outstanding ICT Innovations Award – Asia Pacific
Watch the interview
here.
“Robust ICT systems including EMRs”
As
a few Gulf Cooperation Council states move towards establishing
universal integrated electronic health records (EHR) and national health
insurance plans, and healthcare providers face more challenges in the
form of new competition, regulations and reporting requirements,
providers realize that robust ICT systems including EMRs will be
essential in overcoming these challenges and turning them into realized
opportunities. Over the last few years, the cost and complexity of
setting up IT systems have decreased, with the availability of remote
support, SaaS and cloud computing. As a result, more EMRs are being
implemented across public and private sectors, and we expect the rate to
accelerate. This will help providers deliver the highest quality of
care at the lowest cost that will benefit both patients and payers.
—
Nawwaf Awwad, IT Director, SAAD Specialist Hospital, Saudi Arabia
Winner: 2016 Outstanding ICT Achievement Award – Middle East
Watch the interview
here.
“Healthcare organisations design … and build their own software for their own purposes”
Real
clinical impact occurs when a software enables clinicians to do the
work they are trained for and supports the delivery of care pathways. I
see the future as one in which healthcare organisations design,
prototype, build and develop their own software for their own purposes.
There is an opportunity for vendors to build the software that helps
healthcare organisations build their own tools. My own organisation has
seen real clinical impact from building an interactive electronic
whiteboard that interacts with the clinical record but sits outside of
it. There is an increasing thirst for building what we need, making it
work in the way we want it to, and learning how to build the future for
ourselves.
—
Mark Harrison, MD, Consultant Old Age Psychiatrist, Devon Partnership NHS Trust, UK
Finalist: 2016 Outstanding ICT Achievement Award
Watch the interview
here.
Interoperability for a “360-degreeview of medical data and possibilities of telehealth”
The
healthcare industry is increasingly concerned with escalating costs,
staff shortages, tightening of regulatory requirements, increased burden
of chronic disease, rising patient expectations and improving
efficiency. Health information unification and sharing through eHealth
that provides a 360-degreeview of medical data and possibilities of
telehealth are crucial in addressing current challenges. This makes
interoperability the most impactful healthcare ICT aspect in 2017.
Building eHealth involves integrating disparate systems and stakeholders
involved in private and public healthcare delivery, and adopting common
message formats and standards. Access to patient records can also be
extended via a secure internet connection to authorised external
parties, including hospitals, primary care providers, social services
agencies, insurance providers, pharmacies and independent consultants.
—
Abdullah Hamood Al-Raqqadi, Director General of Information Technology, Ministry of Health, Sultanate of Oman
Finalist: 2016 Outstanding ICT Achievement Award – Middle East
Taking information and decision support to a new level
In
2017, from a regional perspective, providing access for patients to
transparent and rigorous information about National Healthcare System
indicators through web portals will continue to be of importance. Our
digitally advanced Hospital Center will invest in creating new uses of
clinical data that can help reduce risk for patients, reduce costs, and
pursue our strategy in big data and analytics. The development of
infection control, antibiotic misuse and clinical deterioration decision
support systems will also continue. We will also invest more in natural
language processing tools to leverage the amount of knowledge we can
extract from unstructured information and create novel digital
assistants. Machine Learning will also be one of our top priorities for
2017, developing predictive models that can be more precise and
effective than current clinical scores used in medical practice.
—
Jose Pedro Almeda, Head of Analytics & Data Science, São João Hospital Center, Portugal
Winner: 2016 Outstanding ICT Achievement Award – Europe
Watch the interview
here.
Telemedicine – using videoconferencing to provide at-home care for the elderly and mobility challenged
The
Health Service of the Principality of Asturias has computerized and
integrated all its hospitals and primary care centers, with the goal to
share information in real time to increase the quality and safety of
care. Telemedicine is another step in sharing information and we expect
it to be the area of ICT that will have the greatest impact on Asturian
healthcare. With the increase in life expectancy, elderly and
pluripathological patients with mobility difficulties, who are the
largest consumers of health in our region, will be able to receive care
in their homes through video-conferencing. Through networked medicine,
population screening programs will be implemented thus centralizing
clinical decision making in the most experienced professionals.
—
Luis M. Martínez Escotet, MD,
Physician responsible for functional implantation of Information
Systems, Hospital Care of the Government of the Principality of
Asturias, Spain
Finalist: 2016 Outstanding ICT Achievement Award – Europe
“Artificial intelligence, the Internet of Things, automation and robotics”
Artificial
intelligence, the Internet of Things (IoT), automation and robotics
will have the greatest contribution to the healthcare IT in the upcoming
years in the region and worldwide. Big data analytics and cloud
technology will help in creating a more efficient and safe healthcare
systems, with new and innovative means of analyzing unprecedented amount
of data from various parts of the world. Technologies such as
Innovative Smart Devices (Wearables and mHealth applications) and
predictive analytics will have the potential to revolutionize healthcare
through remote monitoring, disease management, and early disease
detection. A lot of challenges will arise from such advancement in
technology, and most are human factors. Patient confidentiality, cyber
security, and data governance. Competent workforce is crucial to driving
technology through the interpretation and manipulation of data and
enable better interoperability between the different platforms.
—
Mohamed Magoury, RPh, PMP, CPHIMS, Pharmacy Informatics Officer, Al Wakra Hospital - Hamad Medical Corporation, Qatar
Finalist: 2016 Outstanding ICT Achievement Award – Middle East
Patient-enabling technology, business intelligence and analytics, and info security, exchange and interoperability
Information
security, information exchange and interoperability, analytics &
business intelligence, and patient-enabling technologies including
portals and wearables are areas that hold the greatest impact potential
in the near future among countries of the Gulf Cooperation Council.
—
Manish Kohli, MD, MPH, MBA, Chief of Medical Informatics, Cleveland Clinic Abu Dhabi (CCAD)
Winner: 2016 (and 2015) Outstanding ICT Innovation Award – Middle East
Watch the interview
here.
A “SmartHealth” platform to connect and analyze health data and enable collaboration with patients
The
effect of our aging population, coupled with the increasing number of
citizens with chronic diseases, poses a great challenge for both the
wellbeing of the citizens and our public healthcare institutions. One
area of health ICT – SmartHealth or sHealth, offers a solution to this
challenge. By providing a platform to seamlessly connect, digitize and
analyze health data and allow for collaboration between citizens and
care providers, we will be able to provide affordable, quality and
sustainable healthcare for our citizens. Citizens will also be empowered
to take ownership of their health, which is critical to the prevention
and delay of the progression of chronic diseases.
—
Lim Soo Tong, Integrated Health Systems (IHiS) Chief Information Officer, JurongHealth CIO Office
Winner: 2016 Outstanding ICT Achievement Award – Asia Pacific
Watch the interview
here.
“Using health IT to augment the capabilities of our patients and healthcare providers”
With
an aging population, growing burden of chronic disease and finite
healthcare resources, the challenge will be to use health information
technology to augment the capabilities of our patients and healthcare
providers. This can be in the form of patient portals which empower the
patient with information, (and) population health management to monitor
the status of certain chronic diseases, so that healthcare resources can
be utilized judiciously and data analytics can point our limited
resources into high value areas.
—
Adj A/Prof. Gamaliel Tan, MBBS, Chief Medical Informatics Officer, JurongHealth, Singapore
Winner: 2016 Outstanding ICT Achievement Award – Asia Pacific
The HIMSS-Elsevier Digital Healthcare Awards
The
HIMSS-Elsevier Digital Healthcare Awards is a global platform
established in 2013 to recognize outstanding thought leadership in the
use of health information and technology to advance patient care and
safety. Awards are granted in three categories: Outstanding ICT
Achievement, Outstanding ICT Innovation, and Outstanding ROI
Achievement.
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