Although a range of consumer information technology products, such as word processors, search engines, social networks, email systems, mobile phones, and applications, have penetrated into every aspect of modern life, clinicians seem to find themselves in an era of no Internet. The development of lagging electronic medical record systems requires doctors to be in a complete and professional environment in order to complete their tasks... In fact, information technology in the field of health care is not fundamentally different from information products in other industries. The industry's widely used customer relationships, web applications and secure cloud data storage technologies can be fully applied to the pharmaceutical industry; I believe that after an appropriate preparation process, some innovative products will be quickly launched, and the electronic medical record era will be opened.
There seems to be a common misconception in the pharmaceutical industry that information technology systems in the health care sector need to be complex and highly specialized. This has led to an increase in the cost of information technology, aggravated doctor burdens, and technological innovations have stalled. Physicians are increasingly limited by the variety of documents and communication products used in their work, which are often decades behind the other documents and communications products that people use every day.
Although consumer information technology products, including word processing programs, search engines, social networks, e-mail systems, mobile applications, etc., have penetrated into every aspect of modern life, clinicians have found themselves back to the era of no Internet. They often need a complete and professional environment to complete a variety of tasks. Over the past few years, the US federal government has promoted the development of medical informatization through the National Office of Health Information Technology Coordination (ONC), providing an information base for accountability, patient safety, and health care reform. However, now that work needs to move forward, we need to integrate electronic medical records into a dynamic, cutting-edge, and constantly improving information infrastructure, rather than putting all the health care and workflow into the bounds. The electronic medical record operating system.
Traditional electronic medical records have common misunderstandings
It has been pointed out that some electronic medical record manufacturers are often promoting a wrong concept that information technology in the health care industry is fundamentally different from industrial and consumer information products, and its purpose is to protect prices, monopolize market share and prevent new competitors. Enter this industry. For managing complex tasks in the health care industry, current tools should have ways to become better, safer, cheaper and faster.
In fact, information technology in the earliest areas of health care is at the cutting edge. In 1966, the OctoBarnett Lab at the Massachusetts General Hospital in Boston, USA, developed the first highly efficient programming language for electronic medical records. It was called the Massachusetts General Hospital General Multi-Program System (MUMPS), which occupies very little computer memory. The personal computer can run multiple terminals supporting electronic medical records in only 16KB. However, after nearly half a century, most electronic medical record manufacturers have rarely innovated, and even did not introduce today's most recognized modular structure, resulting in a series of functions such as product performance upgrade, innovative use of data and interaction between software. It is difficult to achieve.
The lack of technological innovation reflects the reluctance of some electronic medical record vendors to circulate the data they collect, and even to the openness of information data. This attitude ignores the need for dynamic and vertical observation of individuals or populations in the health sector, and has had an impact on the advancement of the medical industry in electronic information infrastructure for decades. The business model employed by these electronic medical record companies controls all data as a trade secret, rather than openly applying the data to clinically innovative uses.
At present, many academic medical centers have imported data into an open source system that does not rely on vendors, so that they can conduct data analysis and management at the population level and share the results.
The commercial electronic medical record is derived from the medical management system, that is, the medical charging system. Later, in order to meet the needs of the patient's safety flow, the manufacturer adds the function of the document module and the medical order input. Despite the surge in portals for electronic medical records in the past few years, there are currently more than 700 manufacturers producing 1,750 certified products, but their systems are still separate. Since each electronic medical record product runs independently, beneficial innovation work is also common in the market and difficult to unify. In addition, several companies that have a significant market share are still using outdated methods.
Medical information technology needs revolutionary innovation
The market for healthcare information technology requires revolutionary innovation that will facilitate patient engagement, communication, and medical collaboration to improve the overall health of the population at a lower cost. Just as consumers choose a variety of web products, doctors should choose Facebook as a social network, Twitter as a microblog, Google as a search engine, and iTunes to play and manage medical information technology products. Only a small percentage of information technology with low relevance requires a high degree of specialization, and most of them are products that are not protected by patents.
Privacy security storage is an example of this. Many industries rely as much on the security and privacy of data as the medical industry. If you add a strong, compliant privacy policy, local or cloud storage, such as those provided by EMC and Amazon, is a good fit for the medical industry. In contrast, every electronic medical record used today relies on a local information technology team to support it, or it can be maintained by a health care provider in a small office. This often leads to significant variables in data security.
Secondly, there is no special communication between doctors and patients, and it is entirely possible to use existing safe and flexible products and protocols. For example, a project called “Direct Project†initiated by the National Office of Health Information Technology Coordination aims to promote a secure communication system based on the SMTP protocol (a simple mail transmission protocol with decades of history) in the medical industry. usage of. The project provides an example of the inclusion of general technology in the health care industry in an open, standard and integrated manner.
Again is the documentation tool. Document processing tools in many other industries and other software that supports task-based group processing are far superior to electronic medical record systems. As a simple example, many electronic medical record document processors cannot complete spell checking. Other industries use highly-adapted project management software for complex processes, as well as advanced tools such as Teambox, Basecamp, and Huddle to record extended interactions.
Another point is that although the analysis methods for managing individuals and people are often unique to the healthcare industry, downloading, mapping, mapping, and data analysis tools are not. Some tools are also free open source resources such as Google Maps and R Statistics Pack. Other tools, such as ArcGIS and SAS, have patented protection, but have a common programming interface for the integration of various workflows in different industry users. The cost of all these tools may be just 1% of the common electronic medical record system.
Electronic product history after the launch of new product development
What is special about medical information technology is the content of medical regulations and clinical decision support systems. However, regulatory-based software systems are not protected by patents and are also available for purchase. Since electronic medical records are not designed to integrate with third-party applications, each vendor must develop its own rules system to limit users, and must also specify the rules over and over again.
Although some of the data used in the medical industry is unique in the medical field for storage and use, there is no particularity in achieving data sharing among multiple electronic systems. For important data, banks and airline reservation systems have solved this problem at a global level. Data systems in these industries began as individual operations, forming thousands of different data structures in complex systems, but developers ultimately gave them a high degree of functionality and real-time interoperability. In addition, in many industries, whether based on Oracle, SQL or Hadoop, the underlying data storage and data reading systems are mostly standardized.
Although the human interaction between doctors and patients requires deep individualization to support complex and special medical workflows, the interface itself can be created using flexible and unpatented tools.
The information technology foundation required in the health sector is a core component of medical data types, standardization of medical workflows, and related knowledge such as practice guides, decision support tools, and care plans. With these architectures, existing free and flexible software can support the automation of biomedical processes. Many merchants have adopted large cross-industry platforms to support customer relationships, web applications and secure cloud data storage. This method can be applied to the medical field.
Medical information technology vendors should use modern technology whenever possible. Clinicians should no longer be limited by electronic medical records that reduce their efficiency and stifle innovation. The new company will offer a range of best interactive, replaceable technologies, several of which are being developed under the auspices of the National Office of Health Information Technology Coordination, which will be optimized to bring information technology to the healthcare industry. progress. It is believed that these products will be rapidly listed after proper preparation, which marks the advent of the post-electronic medical record era.
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