CONNECTED HEALH IN BARCELONA
This reports documents the findings o f a three month long study of the connected health project (AISBE) in t he Barcelona Esquerra region, makes a direct comparison o f the project in Barcelona to the National Electronic Health Record project in Singapore a nd makes proposals for the future evolution of the AISBE p roject based on interviews with key personnel and study o f well documented p rojects operating in different parts of the world namely Singapore, United States, Denmark, I taly and Spain.
M ETHODOLOG Y
To evaluate the connected health project in Barcelona k ey personnel responsible at different levels of healthcare delivery were interviewed. Specific questionnaires were designed to gather their views on the current state of the project and their vision for the future.
A q uestionnaire was provided to key personnel responsible for the National Electronic Healthcare Record (NEHR) Project in Singapore to make an appropriate comparison of NEHR to the connected healthcare project in Barcelona. I n addition, the healthcare IT solutions available at different healthcare providers were comprehensively reviewed.
Well documented connected healthcare projects were studied in order to develop a comprehensive understanding of the challenges and leading practices followed in the healthcare IT sector in different parts of the world. The lessons learnt were used to propose the future evolution of the Atención Integral Sanitaria de Barcelona- Esquerra (AISBE) project keeping in mind the current system architecture, policies and economic crisis.
1. INTEGRATED CARE AND CONNETED HEALTH
1.2 WHY CONNECTED HEALTH
1.3 BENEFITS OF CONNECTED HEALTH
1.4 THE LADDER TO INTEGRATED CARE
1.5 APPROACHES TO INTEROPERABILITY
2. CONNECTED HEALTH IN SPAIN
2.1 SPANISH HEALTHCARE SYSTEM
2.2 CONTEXT OF HEALTHCARE IT
2.3 AISBE PROJECT
3. NEHR SINGAPORE
3.1 SINGAPORE HEALTHCARE SYSTEM: A BRIEF INTRODUCTION
3.2 CONNECTED HEALTH PROJECT
3.3 LESSONS FROM SINGAPORE
4. FUTURE EVOLUTION OF THE AISBE PROJECT
4.1 RESTRUCTURING THE HEALTHCARE DELIVERY MODEL
4.2 MEANINGFUL USE OF CLINICAL DATA
4.3 SOLUTION CONNECTING LOCAL PROJECTS
5. SALIENT FEATURES OF SUCCESSFUL HEALTHCARE PROJECTS
5.1 Connected healthcare project in Denmark
5.2 Connected healthcare project at Intermountain Healthcare 5.3 Connected healthcare project at Kaiser Permanente
1. INTEGRATED CARE AND CONNECTED HEALTH
WHO defines ‘I ntegrated care ’ as a concept bringing together inputs, delivery, management and organization of services related to diagnosis, treatment, care, rehabilitation and health promotion (1). Integration is a means to improve services in relation to access, quality, user satisfact ion and efficiency.
Integrated care entails collaboration between healthcare professionals working in different organizations in order to deliver patient centred care. This mandates that healthcare professionals share information about- and with- patients a t appropriate times in the care or treatment process. Healthcare Information Technology is seen to have an increasingly important role in enabling the sharing of information a mong organizations and increasing the collaboration between the different healthcare providers in the process of care.
Connected health is a term used to describe a model of healthcare delivery that involves the s ystematic application of healthcare information technology to facilitate the accessing and sharing of information, as well as to allow subsequent analysis of health data across healthcare s ystems. I t can be achieved with a range of information a nd communication technologies such as Electronic medical records and ot her clinical applications, data...