scholarly journals Development and Implementation of a Clinical and Business Intelligence System for the Florida Health Data Warehouse

Author(s):  
Raed H AlHazme ◽  
Arif M Rana ◽  
Michael De Lucca

The overall aim of the project was to conduct a Clinical and Business Intelligence (CBI) gap analysis in the Broward Regional Health Planning Council’s (BRHPC) Florida Health Data Warehouse environment, and when determined necessary, introduce the concept of CBI to the site. CBI is a powerful set of tools that has the potential to assist organizations such as BRHPC in the planning and coordination of health care services. The project was designed to reflect the System Development Life Cycle (SDLC) development methodology, which consists of five stages: planning, analysis, detailed system design, implementation, and support.  In planning, we evaluated the current relationship between the health care data and the decision makers that utilize BRHPC’s Florida Health Data Warehouse, which indicated a major disconnect between the respective participants and the data in the existing system. Based on this, a CBI system was proposed for development and implementation for BRHPC’s Florida Health Data Warehouse to address this disconnect.  The subsequent analysis included data collection and a number of meetings with different end-users in order to collect the site’s requirements for the CBI system.  System design, development, and implementation were then executed for each component of the system. Finally, BRHPC’s technical team members were trained on how to support the system. Preliminary results of the developed system have already proven to assist in the planning and coordination of the health care services in Florida.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.


2021 ◽  
Author(s):  
Yi Xie ◽  
Jiayao Zhang ◽  
Honglin Wang ◽  
Pengran Liu ◽  
Songxiang Liu ◽  
...  

BACKGROUND As a distributed technology, blockchain has attracted increasing attention from stakeholders in the medical industry. Although previous studies have analyzed blockchain applications from the perspectives of technology, business, or patient care, few studies have focused on actual use-case scenarios of blockchain in health care. In particular, the outbreak of COVID-19 has led to some new ideas for the application of blockchain in medical practice. OBJECTIVE This paper aims to provide a systematic review of the current and projected uses of blockchain technology in health care, as well as directions for future research. In addition to the framework structure of blockchain and application scenarios, its integration with other emerging technologies in health care is discussed. METHODS We searched databases such as PubMed, EMBASE, Scopus, IEEE, and Springer using a combination of terms related to blockchain and health care. Potentially relevant papers were then compared to determine their relevance and reviewed independently for inclusion. Through a literature review, we summarize the key medical scenarios using blockchain technology. RESULTS We found a total of 1647 relevant studies, 60 of which were unique studies that were included in this review. These studies report a variety of uses for blockchain and their emphasis differs. According to the different technical characteristics and application scenarios of blockchain, we summarize some medical scenarios closely related to blockchain from the perspective of technical classification. Moreover, potential challenges are mentioned, including the confidentiality of privacy, the efficiency of the system, security issues, and regulatory policy. CONCLUSIONS Blockchain technology can improve health care services in a decentralized, tamper-proof, transparent, and secure manner. With the development of this technology and its integration with other emerging technologies, blockchain has the potential to offer long-term benefits. Not only can it be a mechanism to secure electronic health records, but blockchain also provides a powerful tool that can empower users to control their own health data, enabling a foolproof health data history and establishing medical responsibility.


2000 ◽  
Vol 6 (1) ◽  
pp. 159-167
Author(s):  
R. R. Hamadeh

This study assessed the trends in the health status of Bahraini women from the early 1980s to the mid 1990s through review of census data and health data. Sociodemographic characteristics, reproductive health, mortality, morbidity and lifestyle patterns were studied. The implications of the data and measures needed to be taken to further improve the health and health care services of women are discussed


2005 ◽  
Vol 11 (3) ◽  
pp. 11 ◽  
Author(s):  
Sally Savage ◽  
Susan Bailey ◽  
David Wellman ◽  
Sharon Brady

Inequalities in health and wellbeing within low socioeconomic (SES) environments are well documented. Factors inherent to the health care system itself, such as inaccessible, inflexible or inappropriate service provision, contribute to the poorer health status of residents of low SES areas. This paper explores the issues of service provision in low SES areas, documenting the perceptions of service providers about the service needs of residents, in order to understand the systemic factors that negatively impact on health and wellbeing. A total of 54 health and welfare service providers from two adjacent low SES suburbs within regional Victoria were interviewed using qualitative research methods. Key findings indicate that successful navigation of health care services by residents within these low SES environments is being impeded by issues of access, a lack of appropriate early intervention options or measures, and general resident disempowerment. Central to the improvement of service provision is the need for services to become economically, geographically and culturally accessible. In particular, the importance of community involvement in health planning and health promoting services must be reflected in the ethos of service provision.


1980 ◽  
Vol 6 (3) ◽  
pp. 406-423
Author(s):  
J. David Canarie

AbstractThe American health care delivery system currently suffers from a variety of problems; among the most intractable of these is a maldistribution of health care services. This Note focuses on two aspects of this problem: unnecessary hospital beds, and medically underserved populations. The Note also discusses the related issues of hospital cost inflation and inefficient use of limited resources. It then examines the current statutory remedies for these problems, and subjects their effectiveness to a two-tiered test. The Note concludes that the existing mechanisms, while partially effective, ultimately result in a fragmented, uncoordinated, and unsuccessful health care regulatory system. Moreover, the Note suggests not only that the existing statutes fail to solve the problems they were enacted to correct, but that they actually add to health care inflation and complicate health planning by subjecting the entire health care industry to uncertainty. This Note proposes a comprehensive regulatory approach that will resolve health care imbalances in a manner that avoids the shortcomings inherent in the present system.


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