A Multi-Tiered Perspective on Healthcare Interoperability

2013 ◽  
pp. 1-18 ◽  
Author(s):  
Craig Kuziemsky
Keyword(s):  
Collaborative Care ◽  
Clinical Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Integrative Care ◽  
Multiple Perspectives ◽  
Integrated Healthcare

The current healthcare delivery paradigm is defined by integrative care delivery across disparate providers and services. Therefore the ability to deliver efficient and effective healthcare services is dependent on designing and implementing interoperable systems. However, the notion of interoperability is multifaceted and complex. Although the exchange of data is often described as analogous with interoperability it must be remembered that healthcare is a process oriented domain and clinical, management, organizational and other processes must be considered as part of interoperability. This chapter discusses healthcare delivery and the role interoperability plays in supporting its delivery. First, the chapter provides a background on healthcare interoperability from multiple perspectives. Then it presents a case study of collaborative care delivery and uses it to outline specific interoperability requirements. The chapter then uses these requirements to develop a multi-tiered framework of healthcare interoperability, concluding with a discussion of the implications of the framework for interoperability research and for systems design to support integrated healthcare delivery.

A Multi-Tiered Perspective on Healthcare Interoperability

2015 ◽  
pp. 1166-1181
Author(s):  
Craig E. Kuziemsky
Keyword(s):  
Collaborative Care ◽  
Clinical Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Integrative Care ◽  
Multiple Perspectives ◽  
Integrated Healthcare

The current healthcare delivery paradigm is defined by integrative care delivery across disparate providers and services. Therefore the ability to deliver efficient and effective healthcare services is dependent on designing and implementing interoperable systems. However, the notion of interoperability is multifaceted and complex. Although the exchange of data is often described as analogous with interoperability it must be remembered that healthcare is a process oriented domain and clinical, management, organizational and other processes must be considered as part of interoperability. This chapter discusses healthcare delivery and the role interoperability plays in supporting its delivery. First, the chapter provides a background on healthcare interoperability from multiple perspectives. Then it presents a case study of collaborative care delivery and uses it to outline specific interoperability requirements. The chapter then uses these requirements to develop a multi-tiered framework of healthcare interoperability, concluding with a discussion of the implications of the framework for interoperability research and for systems design to support integrated healthcare delivery.

Pediatric Telepsychiatry as Innovation in Healthcare Delivery

2011 ◽  
pp. 2044-2056
Author(s):  
Katherine M. Boydell ◽  
Tiziana Volpe ◽  
Antonio Pignatiello
Keyword(s):  
Rural Communities ◽  
Clinical Education ◽  
Healthcare Service ◽  
Knowledge Exchange ◽  
Healthcare Delivery ◽  
Mental Healthcare ◽  
Children And Youth ◽  
Integrated Healthcare ◽  
Knowledge Translation And Exchange

Although a great deal has been written about the potential for telemedicine to increase access to care, applications in paediatrics are sparse. This chapter details how one paediatric telepsychiatry program has facilitated the creation of integrated healthcare solutions in patient psychiatric care for children and youth in remote and rural communities. It demonstrates how the telepsychiatry model of healthcare service delivery has improved access, enhanced capacity, and promoted knowledge exchange in rural communities. A case study is used to highlight theoretical and empirical research on the value of televideo information technology in mental healthcare and its impact on the healthcare stakeholders who utilize this technology. An overview of the clinical, education, and evaluation components of the program is outlined, with a focus on knowledge translation and exchange as the underpinning foundation to the success of the program.

scholarly journals Towards Inclusive Healthcare Delivery: Potentials and Challenges of Human-Centred Design in Health Innovation Processes to Increase Healthy Aging

2020 ◽  
Vol 17 (12) ◽  
pp. 4551
Author(s):  
Catharina Thiel Sandholdt ◽  
Jason Cunningham ◽  
Rudi G.J. Westendorp ◽  
Maria Kristiansen
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Small Scale ◽  
Successful Implementation ◽  
Innovation Processes ◽  
Human Centred Design

National healthcare systems need to adjust services and operations to accommodate the needs of complex, aging populations living with multimorbidity and polypharmacy. This paper suggests the use of a human-centred design as a method to engage older adults and key professionals in innovation processes aiming to design person-centred healthcare services and improve quality of life in older adults. We outline three innovation phases and highlight how such processes can create engagement and new insights on how life experiences of older adult’s shape preferences, beliefs, and habits. It is important to incorporate these insights into the design of successful strategies for ensuring age-friendly healthcare services. Our viewpoint is contextualised through a small-scale case study focusing on polypharmacy in older adults. From this case study, we extracted three challenges to producing co-designed health research: recruitment, time and resources, and funding. We discuss how to address these challenges. We argue for the involvement of older adults and professional stakeholders at an early stage in the design process to align expectations and to increase the likelihood of successful implementation of healthcare innovations that improve the quality of life for older adults.

A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery

2015 ◽  
Vol 5 (1) ◽  
pp. 32-45 ◽  
Author(s):  
Liam Peyton ◽  
Jaspreet Bindra ◽  
Aladdin Baarah ◽  
Austin Chamney ◽  
Craig Kuziemsky
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
System Design ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Community Based ◽  
Mobile Form

Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.

A Context-Aware Authorization Model for Process-Oriented Personal Health Record Systems

2011 ◽  
pp. 46-65
Author(s):  
Eleni Mytilinaiou ◽  
Vassiliki Koufi ◽  
Flora Matamateniou ◽  
George Vassilacopoulos
Keyword(s):  
Care Delivery ◽  
Personal Health Record ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Information Support ◽  
Personal Health ◽  
Health Record ◽  
Healthcare Organizations ◽  
Process Oriented

Healthcare delivery is a highly complex process involving a broad range of healthcare services, typically performed by a number of geographically distributed and organizationally disparate healthcare providers requiring increased collaboration and coordination of their activities in order to provide shared and integrated care. Under an IT-enabled, patient-centric model, health systems can integrate care delivery across the continuum of services, from prevention to follow-up, and also coordinate care across all settings. In particular, much potential can be realized if cooperation among disparate healthcare organizations is expressed in terms of cross-organizational healthcare processes, where information support is provided by means of Personal Health Record (PHR) systems. This chapter assumes a process-oriented PHR system and presents a security framework that addresses the authorization and access control issues arisen in these systems. The proposed framework ensures provision of tight, just-in-time permissions so that authorized users get access to specific objects according to the current context. These permissions are subject to continuous adjustments triggered by the changing context. Thus, the risk of compromising information integrity during task executions is reduced.

scholarly journals Applications of lean in human resources management in healthcare

2021 ◽  
Author(s):  
Gulfer Bektas ◽  
Fikri Kiper
Keyword(s):  
Human Resources ◽  
Human Resources Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Healthcare Industry ◽  
Lean Thinking ◽  
Resources Management ◽  
Private Healthcare ◽  
Reduced Costs

Recent challenges brought by the coronavirus disease-2019 pandemic have underscored the importance of coping with pressures on the workforce in healthcare around the world and have emphasised the continuing need to improve quality and operation efficiency of healthcare services even in such dire circumstances. Over the years, lean thinking has gained recognition in the healthcare industry, where lean has been associated with benefits, such as improved healthcare delivery quality, reduced costs and increased effectiveness of the healthcare delivery processes. Lean thinking has also been analysed in human resources with benefits, such as increased job satisfaction and perceived job autonomy. The current narrative review was planned to analyse and discuss the application and implementation of lean strategies with a particular focus on human resource management in healthcare. The review is complemented by a case study in a private healthcare group in Turkey, ---Continue

A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery

Oncology ◽  
2017 ◽  
pp. 187-202
Author(s):  
Liam Peyton ◽  
Jaspreet Bindra ◽  
Aladdin Baarah ◽  
Austin Chamney ◽  
Craig E. Kuziemsky
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
System Design ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Community Based ◽  
Technology System

Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.

Challenges Facing Healthcare Delivery Systems in Low-, Middle-, and High-Income Countries

2018 ◽  
pp. 1-69
Keyword(s):  
Rural Areas ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Services Delivery ◽  
The Poor ◽  
Poor Access ◽  
The World ◽  
Healthcare Insurance

In the USA, there exist inequities in health delivery depending on whether you have healthcare insurance or not. People living in rural areas also are facing limited access to healthcare. The other high-income countries present, however, another picture. Healthcare insurance is mandatory and thus enables access to healthcare services. Nevertheless, these countries also face challenges such as the poor access to the healthcare services delivery in rural areas because of lack of general physicians. The cost burden is an important point that impacts the access to healthcare and care delivery to a certain group of individuals such as elderly people. The healthcare systems also are facing off-label-use challenges (see Chapter 5) that can also negatively impact the care delivery. In the low- and middle-income countries, the developing world, the poor access to healthcare services delivery is due to infrastructural, structural issues, and poor funding. Information exchanges and communication remain a challenge facing all public healthcare systems around the world, though at diverse level. This chapter aims at investigating the challenges facing the healthcare delivery systems around the world and proposing information and communication-technology-based solutions to tackle some challenges. The chapter further focuses on two case studies and generalizes the results and solution approaches to the other countries. For these purposes, the Republic of Benin, representing the developing world, and the Federal Republic of Germany, representing the developed world, are selected as study cases.

Postcrisis redevelopment of sustainable healthcare systems

2014 ◽  
Vol 9 (4) ◽  
pp. 247-258 ◽  
Author(s):  
Koren V. Kanadanian, MS ◽  
Constance K. Haan, MD, MS, MA
Keyword(s):  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Delivery Of Healthcare ◽  
Healthcare Delivery System ◽  
Community Stakeholders ◽  
Proposed Model ◽  
Successful Recovery ◽  
Primary Focus

Objective: Research and field experience have identified a global gap in postdisaster rebuilding of healthcare systems due to the current primary focus on returning devastated community infrastructures to predisaster conditions. Disasters, natural or man-made, present an opportunity for communities to rebuild, restructure, and redefine their predisaster states, creating more resilient and sustainable healthcare systems. Design: A model for sustainable postdisaster healthcare rebuilding was developed by bridging identified gaps in the literature on the processes of developing healthcare systems postdisaster and utilizing evidence from the literature on postdisaster community reconstruction.Results: The proposed model—the Sustainable Healthcare Redevelopment Model—is designed to guide communities through the process of recovery, and identifies four stages for rebuilding healthcare systems: (1) response, (2) recovery, (3) redevelopment, and (4) sustainable development. Implementing sustainable healthcare redevelopment involves a bottom-up approach, where community stakeholders have the ability to influence policy decisions. Relationships within internal government agencies and with public-private partnerships are necessary for successful recovery. Conclusion: The Sustainable Healthcare Redevelopment Model can serve as a guideline for delivery of healthcare services following disaster or conflict and use of crisis as a window of opportunity to improve the healthcare delivery system and incorporate resilience into the healthcare infrastructure.

scholarly journals Exploring Healthcare Systems Design Research and Practice: Outcomes of an International Meeting

2019 ◽  
Vol 1 (1) ◽  
pp. 947-956
Author(s):  
Alexander Komashie ◽  
Guillaume Lame ◽  
Francois Patou ◽  
Nicholas Ciccone ◽  
Anja Maier ◽  
...  
Keyword(s):  
Design Research ◽  
Systems Approach ◽  
Research Work ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Systems ◽  
Multiple Perspectives ◽  
Research And Practice ◽  
Wide Range ◽  
Working Together

AbstractCurrent healthcare delivery challenges are multi-faceted, requiring multiple perspectives to be addressed using a systems approach. However, a significant amount of healthcare systems design research work is carried out within single disciplines or at best a few disciplines working together. There appears to be little deliberate attempt to draw together a wide range of disciplines committed to working together to overcome differences and tackle some of the complex challenges in healthcare delivery. In this paper, we report on the initial outcomes of such an international initiative that, in the form of a workshop held at the University of Cambridge, brought together researchers and practitioners from a wide range of disciplines to explore the foundations of a community for Healthcare Systems Design Research and Practice.

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