There is substantial innovation in this area with new products and technologies being introduced all the time. Once again, success implementing and using these different systems requires an integrated approach like the Balanced Performance Model. Population Health Technology Layer The final enterprise architecture layer is the technology layer – the underlying IT capabilities to support population health applications. This layer has very similar requirements to EHRs as described in that course module including: Servers Desktop Mobile devices Networks Storage Database Telecom Operating Systems Again, the textbook provides more information on Page 643. Like EHRs, the technical infrastructure for population health has been greatly impacted by the transformation to cloud-based, Software as a Service (SaaS) systems and the use of virtualization. This infrastructure also needs to provide interoperability capabilities as data is gathered and integrated from multiple sources. So new standards like FHIR are highly valuable to success. The performance requirements for population health applications and infrastructure are defined in a similar fashion as EHRs. But at this time population health tools often do not need to run in real-time but are used on a periodic basis to manage population segments and define care protocols. Therefore, the performance requirements especially for availability might be less stringent. Personal Health Records & Patient Portals Personal Health Records (PHRs) and Patient Portals are both methods for patients—consumers—to get access to their personal health information (PHI). In the U.S., consumers have the legal right to access their medical information and Federal regulations also encourage online patient access to PHI.The core concept behind this type of access is that consumers will use their PHI to better manage their health and their healthcare. This improvement can occur through more knowledge on the part of consumers, better communication with providers and other caregivers (like family members), and better coordination of care. Both PHRs and Patient Portals can also integrate PHI and other healthcare data from multiple sources. The growth in mHealth capabilities and devices (described in that section) is also enabling consumer use of health information by allowing easy and mobile collection and access to PHI and other healthcare information. So an individual’s PHI from an EHR can be combined with data from an mHealth device (for example, automatic recording of daily blood pressure readings), with daily living records (how much I exercised each day and how much did I eat) and with personal observations ("How did I feel today?"). The result can be a powerful tool to help individuals manage their health and work Module 6 ...
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- Spring '19
- Health care provider, Electronic health record, Personal health record