An Agent-Oriented, Workflow-Based Mobile Framework for Implementing Interoperable Healthcare Information Systems

Author(s):  
Vassiliki Koufi ◽  
Flora Malamateniou ◽  
George Vassilacopoulos

Healthcare is an increasingly collaborative enterprise involving many individuals and organizations that coordinate their efforts toward promoting quality and efficient delivery of healthcare. To these ends, today, more than any other point in time, increased reliance is being placed on interoperability among healthcare information systems (HIS) which have been developed as monolithic, stand-alone systems without significant interfaces between them. Enabling heterogeneous HIS to interact within a Service-oriented architecture (SOA), such as a Web Services architecture, can help healthcare organizations to consistently deliver sustainable business value, with increased agility and cost effectiveness, in line with changing business needs. However, in the context of a SOA approach, issues of semantic interoperability still remain unresolved while new challenges arise regarding web service interoperability. This paper presents a mediation framework which provides a uniform interface to the underlying HIS and is accessible via Android-enabled devices. The proposed framework is based on the agent paradigm for both healthcare process management and management of interactions among the participating systems. The healthcare processes and all interactions involved in each process are described according to the workflow metaphor.

Author(s):  
V. Koufi ◽  
F. Malamateniou ◽  
G. Vassilacopoulos

Healthcare is an increasingly collaborative enterprise involving many individuals and organizations that coordinate their efforts toward promoting quality and efficient delivery of healthcare. To these ends, today, more than any other point in time, increased reliance is being placed on interoperability among healthcare information systems (HIS) which have been developed as monolithic, stand-alone systems without significant interfaces between them. Enabling heterogeneous HIS to interact within a Service-oriented architecture (SOA), such as a Web Services architecture, can help healthcare organizations to consistently deliver sustainable business value, with increased agility and cost effectiveness, in line with changing business needs. However, in the context of a SOA approach, issues of semantic interoperability still remain unresolved while new challenges arise regarding web service interoperability. This paper presents a mediation framework which provides a uniform interface to the underlying HIS and is accessible via Android-enabled devices. The proposed framework is based on the agent paradigm for both healthcare process management and management of interactions among the participating systems. The healthcare processes and all interactions involved in each process are described according to the workflow metaphor.


Author(s):  
Ton A.M. Spil ◽  
Robert A. Stegwee

It is widely recognized that the healthcare industry does not use information technology to its full potential. This book uncovers many of the reasons why large-scale implementation of healthcare information systems has not come to fruition yet. The authors provide a broad coverage of the field, ranging from strategic analysis to real-life project implementation. Moreover the book provides strategies to avoid pitfalls and direct your healthcare organization to strategic use of healthcare information systems. This section of the book will introduce the five main themes of the book and will show that the healthcare organizations are realistic laboratories for the information and communication technology scientists to do research. The five main themes are: Strategy, Network Healthcare Chain, Process Management, Knowledge Management, Standardization.


Author(s):  
Vassiliki Koufi ◽  
Flora Malamateniou ◽  
George Vassilacopoulos

Healthcare is an increasingly collaborative enterprise involving many individuals and organizations that coordinate their efforts toward promoting quality and efficient delivery of healthcare through the use of interoperable healthcare information systems (HIS). Service-oriented architecture (SOA) provides a cost-effective solution to implementing interoperability between heterogeneous HIS which have resulted from extensive investments that most healthcare organizations have made in system resources over the course of many years. However, issues of semantic interoperability still remain unresolved while new challenges arise regarding web service interoperability. This chapter presents a mediator-based approach for achieving data and service interoperability among disparate and geographically dispersed HIS. The proposed system architecture provides a uniform interface to the underlying HIS, thus enabling decoupling of the client applications and the server-side implementations while it ensures security in all transactions. It is a distributed system architecture based on the agent paradigm for both healthcare process management and management of interactions among the participating systems. The healthcare processes and all interactions involved in each process are described according to the workflow metaphor. Thus, robustness, high flexibility and fault tolerance are provided in an environment as dynamic and heterogeneous as healthcare.


Author(s):  
Konstantinos Koumaditis ◽  
Marinos Themistocleous

Longstanding Healthcare Information Systems (HIS) integration challenges drove healthcare organisations to invest in new paradigms like Service Oriented Architecture (SOA). Yet, SOA holds challenges of its own, with SOA Governance surfacing on the top. This research depicts the development of a conceptual SOA Governance Element entitled “SOA Governance Process”. ?his element is part of a SOA Governance framework that includes nine distinctive elements with SOA Governance Process being one of the critical ones. The conceptualisation of the proposed element is based on the authors' previous research, grounded in the normative literature and further developed to include healthcare aspects. The proposition is tested in a large Greek hospital utilising qualitative methods and the findings presented herein. This proposal aims to pinpoint attributes and guidelines for SOA Governance Process, required to successfully govern SOA and tackle longstanding HIS challenges.


Author(s):  
Konstantinos Koumaditis ◽  
Marinos Themistocleous

Longstanding Healthcare Information Systems (HIS) integration challenges drove healthcare organisations to invest in new paradigms like Service Oriented Architecture (SOA). Yet, SOA holds challenges of its own, with SOA Governance surfacing on the top. This research depicts the development of a conceptual SOA Governance Element entitled “Organisational Structures”. ?his element is part of a SOA Governance framework that includes nine distinctive elements with SOA Organisational Structures being one of the critical ones. The conceptualisation of the proposed element is based on the authors' previous research, grounded in the normative literature and further developed to include healthcare aspects. The proposal is tested in a large Greek hospital utilising qualitative methods and the findings presented herein. This proposal aims to pinpoint attributes and guidelines for SOA Organisational Structures, required to successfully govern SOA and tackle longstanding HIS challenges.


Author(s):  
Konstantinos Koumaditis ◽  
Marinos Themistocleous ◽  
Vincenzo Morabito

The aim of this chapter is to introduce Service Oriented Architecture (SOA) governance as a paradigm to integrate Healthcare Information Systems (HIS) and e-health services. Healthcare professionals, patients, policymakers, and business partners increasingly require the utilization and enhancement of e-health services at a global scale. However, traditional approaches to integrate services in Healthcare Information Systems expose issues of concern like complexity, resistance to change, and organisational issues. On the other hand, SOA assures an environment of cooperating services where application services are interwoven within old and new applications. Nevertheless, SOA’s nature to extend beyond the technical infrastructure to organization and human elements requires governance mechanisms to excel. SOA governance is a new research area that has the potential to assist in HIS integration. This chapter presents SOA governance aspect in a healthcare perspective and provides useful insights of an emerging issue.


Author(s):  
Ton A.M. Spil ◽  
Robert A. Stegwee

It is widely recognized that the healthcare industry does not use information technology to its full potential. This book uncovers many of the reasons why large-scale implementation of healthcare information systems has not come to fruition yet. The authors provide a broad coverage of the field, ranging from strategic analysis to real-life project implementation. Moreover the book provides strategies to avoid pitfalls and direct your healthcare organization to strategic use of healthcare information systems. This section of the book will introduce the five main themes of the book and will show that the healthcare organizations are realistic laboratories for the information and communication technology scientists to do research. The five main themes are: Strategy, Network Healthcare Chain, Process Management, Knowledge Management, Standardization.


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