Healthcare Information System

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Create a brochure or infographic using appropriate templates available online that the Ministry of Health could use to support Saudi healthcare organizations in their adoption of Telehealth to provide greater access to healthcare services for their patients.

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Digital Health Technologies in KSA (110 points)
Evaluate the use of digital health technologies in Saudi Arabia that would support expanding patient
access to medical care by researching a minimum of four peer-reviewed articles on this topic and then
creating a brochure or infographic using appropriate templates available online. Discuss how these
information technology innovations can benefit the Saudi population and how they align with the MOH
strategic plans. What barriers or challenges prevent the adoption of these technologies, and what would
you recommend to remove those barriers or challenges? Demonstrate how this recommendation will
increase patient access to care and support the achievement of Saudi Vision 2030.
Elements to be explained:
• Digital health expanding access to medical care
• Information technology innovation benefits
• Barriers and challenges to adoption
• Recommendations to remove barriers and challenges
• Achieving Saudi Vision 2030
• Conclusion summary
Create a brochure or infographic using appropriate templates available online that the Ministry of Health
could use to support Saudi healthcare organizations in their adoption of Telehealth to provide greater
access to healthcare services for their patients.
Your brochure should meet the following structural requirements:
• A two-page brochure that includes all the elements detailed above.
• Follow APA 7th edition and Saudi Electronic University writing standards.
• Be sure to cite any statistics or other information as appropriate.
• You are strongly encouraged to submit all assignments to the Originality Check prior to submitting
them to your instructor for grading.
Review this video for an overview of how to create infographics:
How to Create and Animate Infographics in PowerPoint (Part 1)

Chapter 12:
HIS and Digital
Health
Introduction
• Ideas abound for digital health solutions in myriad
formats for care, communication, connectivity, data
capture, and interactions between providers and
patients that can benefit both parties
• Equally important in engaging patients is making sure
the communication needs and desires of the patient
are prioritized as requirements in developing digital
health solutions
Approaches to Digital Health in HIS
• Artificial intelligence
– Refers to using computers or machines to perform
analyses in ways that mimic human intelligence
– Often solving the next problem that hasn’t been
solved
– Controversy surrounds AI due to the potential
danger of it being used for harmful, powerful
purposes that do not help patients
– AI technologies include subsets of natural language
processing and machine learning
Approaches to Digital Health in HIS
• Machine learning
– Branch of AI that uses data analytics of data
obtained through processes to automate models
that improve as they are fueled with more data
• Deep learning
– A way that machine learning employs brain
simulation, creating artificial neural networks that
learn and become deeper with multiple layers by
being fed with data and training algorithms
Approaches to Digital Health in HIS
• Predictive analytics
– Algorithms based on more and more data being fed
through them, then pinpointing the type of analysis
to provide actionable information so that
performance and outcomes can be improved
– Blockchain: middleware that is a distributed,
immutable ledger for transactions and data, with
applications anticipated in everything from supply
chain to patient identity
Case Example: Big Data, Big
Possibilities
• Background
• The challenges needing a solution
• The solution
• Anticipated outcomes of the new approaches
Case Example: Big Data, Big
Possibilities
An HIE Statistics Snapshot from Participating
Providers in Maine
Reproduced from Health Info Net. Retrieved from http://hinfonet.org/
Approaches to Digital Health in HIS
• Blockchain and digital cryptocurrencies
– Two different, but related, capabilities
– Important to understand carefully what blockchain might do
in health care, according to the plans, organizational
strategies, and current issues and problem
• Perspective on adoption of new technologies
– Although health care trails other industries in innovation
using new technologies, some research predicts an
interconnected global healthcare industry by 2020 (PwC
Health Research Institute, 2016)
Digital Health: Connecting the
Unconnected
• Telemedicine and telehealth
– Telemedicine is the remote delivery of clinical
services using these types of technologies and the
remote delivery of health-related information from
one site to another via electronic communications
– Telehealth includes the exchange of valid clinical
information in situations where geographic distance
is a factor for the purposes of diagnosis, treatment,
and prevention of disease and injuries, research and
evaluation, and the continuing education of
healthcare providers
Digital Health: Connecting the
Unconnected
• Implementing telehealth and telemedicine
– Phase I—Pre-implementation Planning
• Step 1: Identifying a Need
• Step 2: Forming the Team
• Step 3: Defining Success
• Step 4: Evaluating the Vendor
• Step 5: Making the Case
• Step 6: Contracting
Digital Health: Connecting the
Unconnected
• Implementing telehealth and telemedicine
– Phase II—Implementation of Remote Patient Monitoring
• Step 7: Designing the Workflow
• Step 8: Preparing the Care Team
• Step 9: Partnering with the Patient Step
• Step 10: Implementing
• Step 11: Evaluating Success
• Step 12: Scaling
– Phase III—Post-implementation Support and Resources
Digital Health: Connecting the
Unconnected
• Telehealth and Telemedicine Applications
– Telehealth: An Increasing Market
• Reaching levels of massive growth, with a market for
virtual health applications and activities expected to reach
$3.5 billion by 2022 according to Verify Markets (Verify
Markets, 2016)
– Telehealth Initiatives
• Clinician-patient consults over live video; and remote
patient monitoring for heart disease, diabetes, or other
common, chronic conditions that need to be tracked
closely but that do not require the patient to be
institutionalized
Case Example: Using Remote
Monitoring to Reduce Infant
Mortality Rates
• Background
• The challenges needing a solution
• The solution
• Anticipated outcomes of the new approaches
Human-Centered Design: User
Interface and User Experience
• The problem with UI/UX today
– Foundational EHR systems and the workflows they
have hard-wired into existence are burdening the
physicians and other clinicians who must use them
with too much typing and other clerical work
– Human-centered design: term to address methods
for creating not computer interactions that would
not only produce accurate, automated work but also
create interactions between humans and computers
that are useful and pleasant
New Technologies and the Hype
Cycle
• The Gartner Group created a hype cycle figure for 2018
that shows the continuum of adoption and innovation
of new technologies (Figure 12.4)
• “Hype cycle” refers to a visual representation of the life
cycle stages a technology goes through from
conception to maturity and widespread adoption
• For health care, there are almost-universal phases of
evolution of new technology (Figure 12.5)
New Technologies and the Hype
Cycle
Gartner Hype Cycle, 2018
Data from Panetta, K. (2018). Trends Emerge in the Gartner Hype Cycle for Emerging Technologies.
New Technologies and the Hype
Cycle
Phases of Evolution for New Health Technology
Data fom Lloyd Price (2018). The Digital Health Hype Cycle 2018. Retrieved from
https://www.healthcare.digital/single-post/2018/02/20/The-Digital-Health-Hype-Cycle-2018
The Importance of Informatics in
Adopting HIS and New Technologies
• Stanford EHR Report: How Physicians Spend Time per
Patient
– Informatics show that the correct solution is not to throw
more technology at the problem
– The true solution is to work together within the
organization to redesign and streamline workflows,
processes, apply the organization’s influence with vendors
to rethink the end-user interface with EHR system
implementations to support the new, more efficient, and
hopefully, more pleasing workflows
The Importance of Informatics in
Adopting HIS and New Technologies
• The role of HIS and new technology in clinical
innovation
– If a new technology is very early in the hype cycle,
chances are smaller that it can be applied for
productive use across an organization, and it
needs the additional work of testing and trying
before betting on application with real patient
The Importance of Informatics in
Adopting HIS and New Technologies
• Leaders in the field
– All of the top innovations are tech-enabled and
involve integration with existing HIS, such as the
EHR system and adoption of new technology in
various forms
– Progress is a journey, and digital health innovators
will lead the way to many exciting and gamechanging capabilities
New Data Sources
• Medical devices
– Mobile, wearable, and implantable medical devices are
now available to the mainstream to monitor personal
physiological parameters for many conditions
• Internet-of-things
– Collective network of computer-embedded devices,
appliances, vehicles, and other connection points that
contain sensors, software, computing electronics, and
connectivity to perceive, connect, and exchange data
Case Example: The Heart Of Data
and UX
• Background
• The challenges needing a solution
• The solution
• Anticipated outcomes of the new approaches
Using New Technologies to Engage
Patients: The Holy Grail
• Patient communication preferences
– Seventy-nine percent of Americans with chronic health
conditions say it’s important for their healthcare provider
to give individualized recommendations
• Care management
– Connects patients with providers in ways that personalize
the interaction based on the preferences and conditions
and/or diagnoses of the patient
• Digital health and the social determinants of health
– Recognizing that health and value-based care require
digital connectivity between patients, providers must be a
priority for health systems and payers
Ubiquitous Infrastructure: The
Power of Texting and Smart Phones
• The relationship between provider and patient is
based on interaction and communication
• In health care, it makes sense to use smart phones to
interact with the multiplicity of end-users, in
particular, providers, other clinicians, patients, and
their families or caregivers
• Just because a smart phone is used for a new
capability doesn’t ensure success for a given idea or
process
The Big Tech Companies from Other
Industries in Health Care
• New, industry-agnostic players such as Google,
Amazon, Microsoft, IBM, Oracle, and Salesforce are
becoming players in health care
• Six of the world’s largest technology giants have
issued a joint statement vowing to remove the
barriers to interoperability by promoting the
“frictionless exchange of healthcare data” through
open standards and active engagement with the
healthcare industry
Case Example: Ubiquitous Tech:
Two Success Stories
• Background
• The challenges needing a solution
• The solution
• Anticipated outcomes of the new approaches
Case Example: Ubiquitous Tech:
Learning From Failures
• Background
• The challenges needing a solution
• The solution
• Anticipated outcomes of the new approaches
Issues of Change and the Need for
Governance
• Regulations such as HIPAA, HITECH, HITRUST,
MACRA, MIPS, and QPP have heavily influenced the
development and direction of HIS over the years
• In addition to HIS strategic planning, HIS governance
and decision making must be taken very seriously
and properly managed
• Tough decisions must be made and priorities set
throughout the implementation of the countless
changes that an HIS strategic and technology plan
suggests and implementations require
Reality Check
• Many of the basics one might assume are aren’t
necessarily there, and vendors can’t be moved to fix
basic things that introduce risk into the patient care
process
• IT departments must deal with this reality every day
• Innovation comes from provider organizations and
the clinical and IT professionals working in concert to
create new innovation; it does not stem from
vendors
Summary
• AI, machine learning, telemedicine, telehealth, predictive
analytics, mobile devices, sensors, blockchain are capable of
many things
• Barriers to adoption include complexities of healthcare
processes, costliness of new technologies, legal issues,
technical issues, and readiness
• Human-centered design, creating great UI/UX for patients,
providers, and consumer base system design with the user in
mind are important
• It is critical to have proper governance of design, decisions, and
application priorities for new technologies

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