HIE - Global context and Future direction
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Health Information Exchange
“connecting the dots...”“connecting the dots...”
SRINIVASAN BALASUBRAMANIANManagement Consultant and Strategic Advisor
Global Healthcare & Emerging [email protected] | +91-98408-38088
http://in.linkedin.com/in/onsivsrini
# 1Note: The information available in this presentation are collected from different sources (public domain); analyzed and given my thought process
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HIE – For a Better Health and HappinessHealthcare + HIT + StandardsHealthcare + HIT + Standards
"Public health is an incredibly broad field, covering everything from global health to community health to Medicare to pharmaceuticals. Generally, I
use it as a tool to frame the contexts of health and medicine: how can we deliver healthcare to our citizens to create the maximum amount of
health and happiness?" - Thomas Goetz
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
# 2
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�the basics�global context�tech+standards
Health Information Exchange
“connecting the dots…”
Agenda
�tech+standardsknowledge session
connecting the dots…
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
# 3
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The basics…
HIE Need
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
# 4
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Outcome:
The basics…
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
Challenges:
�Privacy and Security concerns
�Initiatives & Cost
�Integrating heterogeneous env.
�Inadequate adoption of HIE
�Lack of Engagement
�Lack of awareness and education
� Better quality and effective healthcare delivery
� Control avoidable costs
� Improved Health & Happiness
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Educate, inspire, connect
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# 7
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UK – Centralized Network
US – Distributed Network
Global Context
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India…
# 8
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Global ContextUS Initiatives…
Other Countries…
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
�US – Payer driven Health Economy
�UK – Govt. Funded Health Economy
�India – Mixed Health Economy
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UK – Centralized Health Network
The Spine:
The Spine is part of the NHS Care Records Service,
which is creating an electronic care record for all
England's 50 million plus patients.
Each patient's electronic NHS Care Record
comprises full local records, held on computer
where treatment is provided (such as the GP
surgery or hospital) and a summary record of
important details both demographic (eg: name,
address) and medical (eg, allergies, medication, test
results) held on the Spine.
The Spine is a national, central database where
summary patient records are stored. When fully
implemented, local records will automatically
upload important information to the summary
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
upload important information to the summary
patient record on the Spine.
# 10
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US – Distributed Regional Health Network
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# 11
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India – Electronic+Paper+Verbal (yet to connect!) Health
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EMR (Hospitals)
EHR (connected Hospitals)
Connected EHR + PHR(connected Entities)
Healthcare Domain Track – The Evolution
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HIE – The Roadmap
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
EHR
• Connected Health Settings
Regional HIE
• State or Regional Level
National HIE
• Connecting Regional to National Level
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Web 2.0 is equivalent to social web
Technology Progress – Know how
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Web 2.0 is equivalent to social web
Web 3.0 will be the "intelligent web"
# 15
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SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
http://www.digitalbuzzblog.com/infographic-asia-pacific-social-media-statistics-stats-facts/
# 16
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Domain (Health) +
Technology (web + mobile)+
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+ Standards (HL7, SNOMED, DICOM…)
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Architecture understanding
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Systematized Nomenclature of Medicine
Health Level 7
Healthcare Info Tech Std Panel First Data BankHealth Insurance Portability and Accountability Act
Digital Imaging and Communication in Medicine Integrating Healthcare Enterprise
Health IT – Standards of Standards
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini
National Program For IT / Connecting for Health (CfH)
International Classification of Diseases and Procedures (WHO) Medicaid Information Technology Architecture
Regional Health Information Org
National Health Systems Resource Centre (NRHM) - India
# 20
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CCD: Continuity of Care Document (HL7)
Human & Machine readable
Sample view to digest
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HIX
PHR
Better Consumer Health
The progressive path…
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EHR
HIE
# 22
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HIE ? : Social and Behavioral Health
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Structured Health
Connected Health
Intelligent Health
Moving towards Health Intelligent path…
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# 24
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The Health Expenditure (% of GDP)
USA : 16.2 | UK : 9.4 | India : 4.2
Global eHealth : ongoing key initiatives and market potential
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Year 2009 Data
# 25
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Global HIE market place
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# 26
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US 2011 and further: Health IT growth
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# 27
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connecting the dots…
# 30
SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini