Every sector is gaining awareness of the importance of Digital Transformation these days, and is eventually unleashing the power that IT implementation can give in terms of benefits, efficiency, and experience, among others. The Health sector in Europe has been conscious of this situation, at the point that 70% of Member States have a national e-health policy or strategy, according to the World Heal Organization. Within this context, Atos Research & Innovation (ARI) has developed Pocket mHealth, a patient-centered solution, which enables patient empowerment in the management of his/her own medical information. In particular, it allows storing and retrieving their Electronic Health Record (EHR), as well as health data coming from different Hospital Information Systems (HIS).
Healthcare organizations are currently expected to adopt a position towards data openness that is aligned with a patient centered approach. However, they need to break down ‘data silos’ between them to be able to provide appropriate services to patients. Their challenge is to enable patients to become the driver of the change bringing standardized pieces of EHR in the mobile, what we call “distributed interoperability”. Additionally, important saving on resources can be achieved by supporting a zero paper policy that delivers a better experience to the patient, with faster processes between different health facilities or experts.
Pocket mHealth is composed of a patient oriented smartphone application and a set of desktop applications installed at healthcare stakeholders systems with access to the HIS using connectors. The mobile application allows carrying, accessing and transferring the personal medical information in the form of a standardized Electronic Health Record - making use of different healthcare standards like openEHR/EN13606 and HL7 FHIR, and well-known terminologies such as SNOMED-CT. The tools installed at the hospitals allow accessing the HIS using configured templates, normalizing the clinical data and transferring the record to the smartphone using Bluetooth. The mobile application can bring together the clinical information coming from different HIS and it is totally transparent to patients. The solution provides not only the benefits of a connected practice or organization such as clinical efficacy improvement, healthcare cost savings and increase of overall care quality, but also supports the care transformation that is enabled by a patient centered design.
The potential benefits that might be achieved by the analysis of the information generated by the patient throughout its complete care process between different healthcare stakeholders are the following:
- Acceleration of clinical research
- More accessible and better developed measures of clinical performance
- Increased public health monitoring and disease management
- New care delivery models
- Patient self-management
- Better care coordination across settings
- New data that supports decision-making
- The clinical information complies with the “distributed interoperability” paradigm because the driver for the exchange of medical data is the patient