Dedalus offers integrated response to healthcare journey
by David Pare
HOW DO I COMBINE AND VIEW ALL RELEVANT DATA FOR MY PATIENTS?
DC4H Pillar Two: Ingest
The next big challenge for healthcare stakeholders is how to ingest data about the patient from multiple source systems – provider, payer, IoT-sourced data, etc. – into the integrated care record. DC4H’s Ingest pillar provides a single source for storing ingested data, creating an integrated and coordinated care record that provides a full picture of patients’ clinical and administrative data.
Having a single store to hold data ingested from multiple source systems and normalised to an industry standard provides users with a full picture of the patient’s clinical and administrative data. A terminology engine supports coding and terminology normalisation during data ingestion. The data quality is also assessed to ensure anything ingested from other sources is of value to the end user. The platform uses FHIR as the canonical data format and uses standardised terminology sets such as SNOMED-CT, ICD and LOINC for mapping. The aggregated data can be securely shared with other internal and external systems and applications, for example Apple Health, via standard APIs.
HOW DO I MAKE SENSE OF THE DATA?
DC4H Pillar Three: Index
Having a single source for capturing integrated care records is just one step in the journey to making sense of the patient record. The next is to make sense of the data. Through “semantic linking” of the datasets, clinicians can ask relevant questions and extract specific data – for example, users can find all the data on male patients over age 55 with both COPD and hypertension in a specific city, region or country.
This addresses the longstanding challenge for healthcare data analysts caused by data being organised and coded in different ways depending on the system from which it originated – for example, the hospital EMR may use SNOMED-CT to code a health condition while a GP system may use an ICD-10 code.
HOW DO I USE RELEVANT DATA TO TRACK TRENDS AND PREDICT FUTURE RISKS?
DC4H Pillar Four: Insight
Healthcare decision makers want data not only to support point-of-care decision making but also to find information that will help them support their patients’ healthcare journey or predict health outcomes, such as which patients are most likely to be readmitted to hospital.
The DC4H Insight pillar provides analytics and evidence-based insights about populations as well as the health of individuals to support care planning. Components including an insights workbench, analytics workbench and analytics hub support visual investigative analysis of data for the generation of actionable insights and care planning. Organisations can use the hub to execute their own AI models while the adapters allow data to be taken from the integrated record for use in third-party machine learning solutions. Results from multiple machine learning or AI models can be integrated into a common dataset for analysis.
HOW DO I NAVIGATE THE DATA TO MAKE DECISIONS ?
DC4H Pillar Five: Inform
To improve decision-making, healthcare stakeholders need to be able to more easily navigate the relevant data. DC4H’s Inform pillar provides evidence-based insights about populations and individual health, enabling investigative intelligence on the data in the longitudinal patient record through navigable dashboards and visualisations.
The inform pillar of DC4H allows any healthcare professionals to access and visualize a patient’s clinical information via a powerful “optical layer” to display clinical information available on DC4H, either in the form of clinical documents or finer-grained clinical data sets from ingested resources.
HOW CAN I TAKE ACTION WHEN THERE IS CRITICAL INFORMATION ABOUT MY PATIENTS?
DC4H Pillar Six: Intervene
To bring healthcare decision-makers full circle with the objectives to improve outcomes, one last piece of the journey is knowing when action needs to be taken. Stakeholders, therefore, need a solution to alert them or notify them when to act.
DC4H’s Intervene pillar uses a set of defined business rules and automated processes, through notifications or alerts, to offer an action based on what is actually happening. Examples include a large influx of patients in the emergency department or a crisis with a heart patient in another ward. Automated workflows, carried out by the Insights pillar, monitor real-time data coming into the integrated record and can alert or notify clinicians when interventions are required or overdue.
Intervene also allows clinicians to visualise an event and provides them with an intervention based on clinical decision support best practices.
For more information about DC4H, email to firstname.lastname@example.org
About David Pare:
David Pare is an innovative thinker with 20 years of experience in business and technology management consulting, helping organizations through their digital transformation. At Dedalus, David is the global portfolio director for the ConnectedCare solution. Previously, he was the chief technology officer for DXC Technology’s Healthcare and Life Sciences in Australia and New Zealand.
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