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State of Interoperability today and what to expect in the future

State of Interoperability today and what to expect in the future | healthcare technology | Scoop.it

The linked interview gives us all in Healthcare Technology  a lot of food for thought. This below is a set of points extracted and massaged with my viewpoints

 

The biggest barrier to physicians having the most complete medical history for their patients at every point of patient care is the lack of interoperability among information systems.

 

State of Interoperability today:

 

The industry has made progress in developing open standards and application programming interfaces to facilitate data fluidity and sharing among multiple electronic health record systems and data repositories. As a result, commercial and open source interoperability services are coming online. While there is room for optimism, the industry is still grappling with data structure and management challenges

.

First, incomplete, disparate and disconnected data.

Most health and patient data is stored as unstructured medical format, and identifying information in the data is a manual and time-consuming process. There are significant variations in the way data is shared, read and understood across health systems, which can result in information being siloed and overlooked or misinterpreted

.

Further, most EHR systems do not follow patients on their care journey beyond the hospital or clinic walls. As a result, only a portion of healthcare data is available at any point of care, resulting in a fragmented view of a patient's health history.

 

 

Second, slow adoption and scaling of open interoperability standards.

Standards can streamline the structured data exchange needed to improve preventive and value-based care for people, predictions, diagnostics, post-marketing surveillance of medical products (for example drug, device), care quality, cost reduction and clinical research.

Industry guidelines and resources like the Fast Healthcare Interoperability Resources (FHIR) from Health Level Seven International (HL7) have helped to set a standard, though there is still more work to be done to support organizations to remove barriers toward adoption and make the electronic exchange of data more seamless, with the goal of providing a better provider and patient experience.

 

Third, risks due to siloed data:

When it comes to storing health information including clinical, genomic, device, financial, supply chain and claims, data security is the top priority. Storing patient data across different systems and platforms makes it difficult to deliver personalized care, draw data insights and streamline service.

 

This is a pivotal moment in time when healthcare can take what it's learned over the past year and fix the underlying problems.

 

Perhaps the most important learning is that achieving true healthcare interoperability requires understanding, evaluating and solving issues in the underlying syntactic and semantic characteristics of the data. 

 

Syntactic interoperability requires a common structure so that data can be exchanged and interpreted between health IT systems,

while semantic interoperability requires a common language so that the meaning of data is transferred along with the data itself. This combination supports data fluidity.

 

The industry has made meaningful progress on this front.

 

Unlocking Benefits of Interoperability

 

As technology creates more data across healthcare organizations, applying technologies like artificial intelligence and machine learning will be essential to help take that data and create the shared structure and meaning necessary to achieve interoperability.

 

Shared structure and meaning will enable interoperability solutions that transform data input from various media types and forms: voice, image, scan, PDF, etc., into a common text format which can be shared with and leveraged by every entity in the value chain.

Instead of moving static, electronic documents or faxes like care summaries between healthcare providers, clinical AI-service APIs can enable EHR vendors and health systems to communicate in a standardized way with apps and other EHRs.

 

With access to all available information, advanced analytics and machine learning can then enhance medical and scientific insights tied to patient outcomes in an accurate, scalable, secure and timely manner.

 

 

read more at https://www.healthcareitnews.com/news/amazon-web-services-exec-talks-interoperability-lessons-past-year

 

nrip's insight:

As we move toward value based care processes, artificial intelligence and machine learning, paired with data interoperability, will improve patient outcomes while driving operational efficiency to lower the overall cost of care.

 

By enabling data liquidity securely, and supporting healthcare providers with predictive machine learning models, clinicians will be able to seamlessly forecast clinical events like strokes, cancer or heart attacks and intervene early with personalized care and a superior patient experience.

george sperco's curator insight, August 18, 2022 4:11 AM


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Modern healthcare consumers will be drawn to physician profiles done right

Modern healthcare consumers will be drawn to physician profiles done right | healthcare technology | Scoop.it

Whether newly insured, seeking care for the first time as an adult or disgruntled with a current provider, prospective patients represent golden opportunities for healthcare systems, hospitals, physicians and practices. Although organizations go to great lengths to attract local patients, many overlook the power of online physician profiles to boost their organizations’ local visibility and enhance the patient experience. These three step will show how physician profiles enhance the patient experience, how organizations can create successful physician profiles, and how timely real-world content can help.

Step 1 – Enhancing the patient experience

While two-thirds of consumers in a recent Strategy & survey of 2,339 U.S. residents indicated they were satisfied with their core healthcare benefits and 63% were satisfied with the cost and quality of their healthcare, less than half (40%) were satisfied with their overall experience shopping for healthcare and/or insurance.


Step 2 – How to create successful physician profiles

Search engine algorithms and their decision-making processes change often, but certain concepts and tactics remain consistent. Follow these steps to create successful physician profiles and ensure a strong digital presence, especially within local search results and on mobile devices.

It is important that all online hospital, practice and physician listings are accurate and up-to-date. All content contained in physician profiles should be current and fresh. Address and phone numbers should absolutely be correct and current, but this is just the beginning. Profiles should also contain current information regarding services offered, hours of operation, degrees, experience, accepted insurance plans, languages spoken and more. All of this information should be maintained and updated across all listings on owned and third-party sites.


Step 3 – Leverage timely real-world content to boost relevance and traffic

Being attentive to timely high profile health stories occupying the minds of current and prospective patients can pay big dividends for organizations seeking to stay top of mind and increase traffic to their websites and facilities by providing valuable information to the public. The simplest and most effective way to get started on this initiative is to align content and messaging with relevant high volume search terms. 


Once physician profiles are in place and optimized for success, identifying and catering to timely concerns on the minds of current and prospective patients can take these patient acquisition tools to new heights. With few organizations effectively capitalizing on this local search marketing fundamental, healthcare organizations that embrace the opportunity often realize significant and prompt results.


nrip's insight:

At @plus91 we have been advocates of Online Profile Creation and Effective Management for All Physicians, Surgeons, Clinics and Hospitals as we believe its the foundation for providing the widespread benefits possible from Digital Health.   Here is a post I did on the topic which was part of a book which came out a few years back. 


http://technology4doctors.blogspot.in/2011/09/digital-identities-for-providers-and.html

ChemaCepeda's curator insight, February 16, 2015 12:32 PM

Internet es una gran oportunidad para conectar a profesionales y pacientes, especialmente para dirigir contenidos de calidad

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Google to put health information directly into search results

Google to put health information directly into search results | healthcare technology | Scoop.it

Google is changing the way it displays search queries to pull medical facts directly into its results.


The medical information is being added to the company’s Knowledge Graph, which underpins Google’s instant search results and powers Google’s Now personal assistant and app. It will allow health questions to be answered directly, without a user having to click.


Google already does this with dictionary definitions, schedules for big sporting events and Wikipedia extracts for famous people. Knowledge Graph is essentially a built-in encyclopaedia, which pulls in facts, data and illustrations from various sources.


One in 20 searches on Google are health-related, according to the company. “We’ll show you typical symptoms and treatments, as well as details on how common the condition is – whether it’s critical, if it’s contagious, what ages it affects, and more,” said Prem Ramaswami, a product manager for Google’s search.

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How is the doctor-patient relationship changing?

How is the doctor-patient relationship changing? | healthcare technology | Scoop.it

Thanks to technology, Gary Sullivan enjoys a new kind of relationship with his doctor. If he wakes up with a routine health question, the 73-year-old retired engineer simply taps out a secure message into his doctor’s electronic health records system. His Kaiser Permanente physician will answer later that day, sparing Sullivan a visit to the clinic near his Littleton, Colo., home and giving his doctor time to see those with more urgent needs.


Once you took medical questions directly to your doctor, who advised, tested and treated you. Today, not only are we turning to the Internet for everyday medical information, we’re also generating our own health data: using a smartphone, for example, to investigate a child’s ear pain or monitor blood pressure. We’re learning from our peers online how to cope and find new treatments. Our doctors can keep our records electronically, accessible to us through a patient portal. Some of us can make video visits with doctors, who can offer diagnoses and treatment plans via computer or smartphone.


With all these advances, a traditional paternalism in medicine is changing, too.


nrip's insight:

Online records, video consultations , text messaging based Q and A's and smartphone apps for medicine have now started gaining acceptance and are transforming the traditional clinic appointments and visits. This disruption in the patient provider workflow is to everyone's advantage.

Gerard Dab's curator insight, July 14, 2015 6:52 PM

Exactly where Medical Technology should be taking us.

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Use of Google Translate in medical communication: evaluation of accuracy

Use of Google Translate in medical communication: evaluation of accuracy | healthcare technology | Scoop.it

Google Translate has only 57.7% accuracy when used for medical phrase translations and should not be trusted for important medical communications.


However, it still remains the most easily available and free initial mode of communication between a doctor and patient when language is a barrier.


Although caution is needed when life saving or legal communications are necessary, it can be a useful adjunct to human translation services when these are not available.


Read the research paper below which formed the above conclusion.


Communication is the cornerstone of medicine, without which we cannot interact with our patients. The General Medical Council’s Good Medical Practice states that “Doctors must listen to patients, take account of their views, and respond honestly to their questions. However, we still often interact with patients who do not speak the local language.


In the United Kingdom most hospitals have access to translation services, but they are expensive and often cumbersome. A complex and nuanced medical, ethical, and treatment discussion with patients whose knowledge of the local language is inadequate remains challenging. Indeed, even in a native language there is an element of translation from medical to lay terminology.


We recently treated a very sick child in our paediatric intensive care unit. The parents did not speak English, and there were no human translators available. Reluctantly we resorted to a web based translation tool. We were uncertain whether Google Translate was accurately translating our complex medical phrases. Fortunately our patient recovered, and a human translator later reassured us that we had conveyed information accurately.


We aimed to evaluate the accuracy and usefulness of Google Translate in translating common English medical statements.


Results

Ten medical phrases were evaluated in 26 languages (8 Western European, 5 Eastern European, 11 Asian, and 2 African), giving 260 translated phrases. Of the total translations, 150 (57.7%) were correct while 110 (42.3%) were wrong. African languages scored lowest (45% correct), followed by Asian languages (46%), Eastern European next with 62%, and Western European languages were most accurate at 74%. The medical phrase that was best translated across all languages was “Your husband has the opportunity to donate his organs” (88.5%), while “Your child has been fitting” was translated accurately in only 7.7% (table). Swahili scored lowest with only 10% correct, while Portuguese scored highest at 90%.


There were some serious errors. For instance, “Your child is fitting” translated in Swahili to “Your child is dead.” In Polish “Your husband has the opportunity to donate his organs” translated to “Your husband can donate his tools.” In Marathi “Your husband had a cardiac arrest” translated to “Your husband had an imprisonment of heart.” “Your wife needs to be ventilated” in Bengali translated to “Your wife wind movement needed.”

Discussion

Google Translate is an easily available free online machine translation tool for 80 languages worldwide. However, we have found limited usefulness for medical phrases used in communications between patients and doctor.


We found many translations that were completely wrong. Google Translate uses statistical matching to translate rather than a dictionary/grammar rules approach, which leaves it open to nonsensical results.

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