The pitfalls to achieving the standardisation and interoperability of clinical data by Dr. Rahil Qamar Siddiqui
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The pitfalls to achieving the standardisation and interoperability of clinical data by Dr. Rahil Qamar Siddiqui, Sidqam Technologies, India
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The pitfalls to achieving the standardisation and interoperability of clinical data by Dr. Rahil Qamar Siddiqui
- 1. 1 The pitfalls to achieving the standardisation and interoperability of clinical data Dr. Rahil Qamar Siddiqui Co-founder and Director Sidqam Technologies Pvt. Ltd.
- 2. 2 Outline The clinical record keeping journey Advancements and implementations Common pitfalls/barriers to adoption of technology Summary - How can we improve the situation?
- 3. The Clinic Record Keeping Journey 3 1980s - Attempts to electronically record patient data using Read codes 1960s – Weed’s PROMIS project, Mayo Clinic’s EMR
- 4. Advancements and Implementations 4 2010s – Meaningful Use Govt initiative 2000s - Summary Care Records Govt initiative 2000s – PCEHR Govt initiative 2000s - National Electronic Health Record (NEHR) Govt initiative Brazilian National Health System (SUS) United Medi Information Analytical System of Moscow, (EMIAS) Regional Healthcare Information Networks (RHINs)
- 5. Clinical communities and establishments that maintain non-standardised and unstructured digital health records making it difficult to exploit the advantages of using technology Clinical communities and establishments that resist any form of digitisation of health records Common Pitfalls/Barriers to Adopting Technology .. (1) 5 Resistance Category Type 1 Resistance Category Type 2
- 6. IT vendors lack of adopting technological advancements to improve user experience and clear benefits from digitising health records Government eHealth initiatives that lack mandation and measurable ROI Common Pitfalls/Barriers to Adopting Technology .. (2) 6 Shortcomings Category Type 1 Shortcomings Category Type 2 General public (probable patients) are either not engaged in their health or find it too mundane The Disconnected Patient
- 7. Summarising - How Can We Improve the Situation? 7 Requires a significant change in the thinking and culture amongst clinicians and clinical establishments Government can help by rewarding adoption through a points-based system where each level of adoption is incrementally rewarded Government should invest efforts on a single, shared electronic health record rather than a summary record to make it useful and effective Empowering the patient by providing them with a single, unified view of their entire health record irrespective of the point of care will get them more engaged Emphasis must be on recording of structured and standardised data from the offset rather than free-text to ensure high quality data, making digitisation worth the effort No one person or community can do it alone – it has to be a joint effort
- 8. 8 Thank you Dr. Rahil Qamar Siddiqui Co-founder and Director, Sidqam Technologies Product: Eventus (A patient-centric EHR system) rahil@sidqam.com | www.sidqam.com
Editor's Notes
- With low adoption comes low use. The A single, shared electronic health record In contrast to a summary record like the PCEHR, the Kimberley Aboriginal Medical Services Council (KAMSC), in collaboration with The University of Western Australia, is using a web-based electronic health record called MMEx for 22,000 mostly Aboriginal people in the Kimberley region of Western Australia. With a patient’s consent, the record can be shared with the hospitals, visiting specialists and allied and mental health professionals. All care plans, medications and communications concerning the patient are electronic. The difference between this approach and the PCEHR is that everyone is working off the same record. Practitioners have to work collaboratively, because their changes are immediately seen by everyone involved in the care of the patient. Combined with telehealth services, this means that care can be provided consistently through the Department of Health WA, KAMSC and the private sector. The fact that we can’t look up when we, or a child, had a vaccination or were given a medication or had an X-ray is a reflection of how far behind technology the health industry is than say, banking. Of course, some health-care organisations, such as Kaiser Permanante in the United States have done exactly this, providing not only an electronic record; they have gone further by allowing customers to interact with their doctors using secure messaging and to make appointments electronically.