Strategies for Standardizing Health Information Analysis

Information systems play a significant role in helping to improve health outcomes and decision-making at the point of care, as well as in the planning and funding of care. There is no doubt that new technologies, especially information and communication technologies, could dramatically contribute to achieve better results in our activities in general. The healthcare sector, one of the largest sectors of society accounting, is very complex with many different application requirements. There are also a number of different types of actors that need to communicate for various healthcare purposes (patients/citizens, healthcare professionals and organizations providing health care cervices, payment bodies, pharmaceutical industry, the national governments). Standardization is the first and the most important step in building an Integral Healthcare Information System. However, standardization has been recognized in most of the countries as an important tool to achieve some of the general g...

Management …, 2007

... STANDARDS STRATEGY 1 By: Jørn Braa Department of Informatics University of Oslo Post-box 1080 Blindern 0316 Oslo NORWAY [email protected] Ole Hanseth Department of Informatics University of Oslo Post-box 1080 Blindern 0316 Oslo NORWAY [email protected] ...

IFIP Advances in Information and Communication Technology, 2017

Health sectors in developing countries are commonly struggling with disarrayed health information architectures, where multiple vertical, diseasespecific programmes have implemented their isolated information systems. A consequence is parallel and overlapping systems where information is stored at different locations and in different formats. To address this, multiple global standardization efforts to harmonize health information architectures have been initiated. Still, there is only limited knowledge about the role of these global standardization communities in shaping national health information architectures. This article is based on a case study of the global Open Health Information Exchange (OpenHIE) standardization community. With an Information and Communications Technologies (ICT) ecosystem perspective, we aim to improve our understanding of the relationships between global standardization communities and national ICT ecosystems. Theoretically, we contribute with our conceptualization of national ICT ecosystems.

Archive of oncology, 2006

Information systems play a significant role in helping to improve health outcomes and decision-making at the point of care, as well as in the planning and funding of care. There is no doubt that new technologies, especially information and communication technologies, could dramatically contribute to achieve better results in our activities in general. The healthcare sector, one of the largest sectors of society accounting, is very complex with many different application requirements. There are also a number of different types of actors that need to communicate for various healthcare purposes (patients/citizens, healthcare professionals and organizations providing health care cervices, payment bodies, pharmaceutical industry, the national governments). Standardization is the first and the most important step in building an Integral Healthcare Information System. However, standardization has been recognized in most of the countries as an important tool to achieve some of the general g...

International Journal of Medical Informatics, 1998

European Journal for Biomedical Informatics, 2016

Background: In recognition of the limitations of technology-led standards for practitioner implementation of electronic care records, the Professional Record Standards Body for health and social care (PRSB) was established in the UK in 2013. The remit of PRSB is to develop and assure standards for the content and structure of records across all care sectors, based upon professionally-led and patient-guided requirements as endorsed by the professional bodies of the constituent health and social care disciplines. This new initiative is a very different approach from previous national information projects and faces challenges including organizational culture, operational procurement requirements and the logistics of collaborative design. Objective: This paper describes the progress of PRSB and the practical issues it faces to achieve deep stakeholder engagement and widespread adoption of its standards and guidance. The goal is to offer a sustainable approach that builds on the strengths of work to date, learns from past experience of what works and what fails, and draws upon theoretical models of transformational change. Methods: We conceptualize the PRSB strategy in terms of organizational change frameworks, evaluate it against models of success factors in health information technology and employ Normalization Process Theory (NPT) to articulate the activity stages required for realization of its goals. Results: We present an NPT model of how PRSB standards can become embedded in routine practice for care practitioners, patients/citizens, government agencies and information technology providers. We suggest some critical success factors for cultural change, moving the supplier market and sustaining a genuine co-design approach. Conclusions: It is abundantly clear that interoperability involves far more than just technology. Improving information sharing between care practitioners and with patients and citizens requires the innovative professionally-led and patient-guided approach that PRSB has pioneered. It is necessary to formally evaluate the impacts of implementation, both to build a compelling evidence base and to generate a virtuous cycle of iterative maintenance and general adoption.

Healthcare organizations have recognized that there are potential limitations with their clinical information systems. Interoperability barriers between different systems have resulted in medical information being collected by different people or systems which has made it difficult to understand, compare and exchange. There are many health data standards to try and overcome these issues, but in many developing countries these have not been adopted. This paper investigates health data standards and their roles in Saudi tertiary hospitals and provides insights into the issues, and recommendations which can be used by academics and practitioners to develop the planning of health data standards.

2015

Standardization represents an important concept for developing closer integration within the healthcare sector. While prior research has examined standards from the perspective of technological interoperability and business processes, there is limited research examining interface design standards for a healthcare information system (IS). This research in progress addresses this gap by empirically investigating the nature of such standards and their implications for a healthcare organization. The study adopted an interpretive case approach and collected data collected from a leading hospital in Saudi Arabia. Preliminary results indicate that IS facilitates collaborative work practices within a healthcare organization by inscribing in itself the standards for such collaboration. Further such standards are instantiated in terms of a configuration of functional information technology (IT) affordances, which can represent design standards. The research also identifies a preliminary set o...

2008

E-health basically comprises health services and in- formation delivered or enhanced through the Internet and related technologies (Eysenbach, 2001). The future healthcare system and its services, enabling e-health, are based on the communication between all information systems of all participants of an integrated treatment. Connecting the elements of each healthcare system (general practitioners, hospitals, health insurance companies, pharmacies, and so on)—even across national borders—is an important issue for information systems research in healthcare. Current developments, such as upcoming or already-deployed electronic healthcare chip cards (that are to be used across Europe), show the need for Europe-wide standards and norms (Schweiger, Sunyaev, Leimeister, & Krcmar, 2007). In this article, we first outline the advantages of the standards, and then describe their main characteristics. After the introduction of communication standards, we present their comparison with the aim to support the different functions in the healthcare information systems. Subsequently, we describe the documentation standards, and discuss the goals of existing standardization approaches. Implications conclude the article.

ieru.org

Abstract. The construction of a Virtual Federated Electronic Health Record (VFEHR) requires using standards, tools and an adequate technological infrastructure. We have developed LinkEHR as a framework platform for the standardization, integration and sharing of health ...