dr adam chee - generating healthcare data for transformation through crowds, cswglobal14
TRANSCRIPT
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Generating Healthcare Data for Transformation through Crowds
Dr. Adam CHEEChief Advocacy Officer
9 Apr 2014
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Selamat Datang
ke Singapura சிங்கப்பூர்
வரவேவற்கிவே ாம்
Welcome to欢迎来到新加坡
Very quick Introduction
• Adam is a Health Informatician by profession and serves as the Chief Advocacy Officer of binaryHealthCare
• binaryHealthCare is a ‘purpose-driven’ (social enterprise) boutique consulting firm offering training, technical and marketing strategy solutions / advisory, specifically addressing the eHealth domains within (but not limited to) the ASEAN region while serving to “Bridge the eHealth Divide” by empowering stakeholders in both developed & LAMI counties on effective, sustainable adoption of Health IT as an enabler for “better patient care at lower cost”
• For more information on Adam and binaryHealthCare, please visit our web portal @http://www.binaryHealthCare.com
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Question(s)
• Who is involved in Health and/or Healthcare here?
• Do you use and/or generate data?• What are the data used for?
• Note: I am not going to advocate on “why Crowdsourcing for healthcare” but instead, go straight into the subject.The topic involved is a big one and I only have 20 minutes.
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Basic Concept – Interoperability
• Interoperability (in this context) refers to;
Information exchange between different health/healthcare entities (people or organizations)
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Basic Concept – Interoperability (cont.)
• Physical Interoperability • Medium of connectivity or the physical connection• E.g. Ethernet cable, a Thumb Drive or Wireless network
• Syntactic Interoperability• The standard formatting adopted to enable machine-to-machine
exchange of data
• Semantic Interoperability• The ubiquitous use of standardized vocabularies so data can be
exchanged and the meaning kept intact
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Basic Concept – Interoperability (cont.)
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• To quote Charles Mead; “syntactic interoperability guarantees the exchange of the structure of the data, but carries no assurance that the meaning will be interpreted identically by all parties”
Plant
Real Life “Boo Boos”
• In 1999, NASA lost a $125 million Mars climate orbiter because a Lockheed Martin engineering team used English/Imperial units of measurement while the agency's team used the more metric system for the spacecraft operationhttp://edition.cnn.com/TECH/space/9909/30/mars.metric.02/index.html
• Clinical Classification & Terminologies can be is pretty confusing• Problem list, Procedure List & results, Progress Notes, Diagnosis, Medication
etc.
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Mitigation
• To mitigate interoperability issues, Health IT Standards are created
• However, there is a small problem when it comes to Standards….
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To put things into Perspective
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But its not that simple in Healthcare
• Many SDOs release multiple standards(sometimes in different domains)
• There is also harmonization& cross-referencing
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Some Challenges
• Even after identifying and adopting the correct standard(s), there are some industry challenges;
• Non-compliance / customization of Standards• Very common for HL7 v2.x, DICOM, Snomed etc• Both intentional and non-intentional
• Hence it is important for the interested audience to “get it right the first time”
• Other challenges includes “Data Ownership”• Not just Personal Privacy and/or Data protection but also
organizational policies (retention of external data? Period? Liability?)
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In Addition
• (some) factors of consideration when developing your platform/ solution for crowd sourcing• Data Granularity
• Always go down to the most granular level possible
• Data Fluidity• Depending on the intent of your platform/solution, it is important to
ensure the data is captured at the right “stage”• E.g. Is it meant for “diagnosis”, research, analytics or even clinical
decision support
• Sources of Truth• Multiple sources means possible data attenuation (due to Data Fluidity”,
how do you know which source is the relevant one for you?
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binaryHealthCare, a ‘purpose-driven’ (social enterprise) boutique consulting firm offering training, technical and marketing strategy solutions / advisory, specifically addressing the eHealth domains within (but not limited to) the ASEAN region while serving to “Bridge the eHealth Divide” by empowering stakeholders in both developed & LAMI counties on effective, sustainable adoption of Health IT as an enabler for “better patient care at lower cost”
For further information, please contact;Name Dr. Adam CHEE Email [email protected]
Thought Leadership Education Consultancy Collaboration
Content, Conferences, Awareness Raising & Media Engagements
Online, Onsite & Collaboration towards
courses in eHealth
Consultancy as a Service, SME as a Service, Consulting
Workshops
Optimization by eliminating replication. Striving for a win-win
resolution for all
binaryHealthCareBridging the eHealth Divide