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LARIISALaboratoire Application Réseaux Intelligence Intégration Santé
LARIISA, a context-aware intelligent framework for a governance model supporting decision making in public health care system, based on the “Framework for the Analysis of Governance in Health Care Organizations”.
LARIISA encompasses and integrates family context in a New Intelligent Public Health Information System.
LARIISA is based on five intelligent management domains •knowledge, •normative, •clinical-epidemiological, •administrative and •shared
LARIISA framework uses three conceptual models: •The Integration of Health Care, •Knowledge To Action and •Unified Service Delivery Platform.
.
LARIISALaboratoire Application Réseaux Intelligence Intégration Santé
LARIISA Applayed to the Digital Belt / Brazilian Digital TV
LARIISALaboratoire Application Réseaux Intelligence Intégration Santé
1) APPROACH: Governance Model for Making Decision on Healt Care Systems- Denis: A Framework for the Analysis of Governance in
Health Care Organizations 2) OBJECTIVE: New Intelligent Public Health Information System
- Andrade: Intelligence & Context Reasoning to Health care Governance
3) CONCEPT 1: Conceptual models for LARIISA Framework- Contandrioulos, Denis and all: Integration of Health care
4) CONCEPT 2: Conceptual models for LARIISA Framework- Graham: Knowledge To Action
5) CONCEPT 3: Conceptual models for LARIISA Framework- karmouch: Unified Service Delivery Platform
6) CHALLENGE: Framework to LARIISA
- Oliveira & Andrade and Al.
7) APPLICATION: LARIISA to Digital Belt / Brazilian DTV
Governance Model for Making Decision on Healt Care Systems
Denis (2005): A Framework for the Analysis of Governance in Health Care Organizations
Andrade (2009): RIISO Project, Intelligence Governance for Decision Making
GOVERNANCE SETTINGOf INTEGRATED HEALTH SYSTEM
INTELLIGENCE & CONTEXT REASONINGTO HEALTCAREGOVERNANCE/DECISION MAKING
Knowledge Management
DECISION MAKING inINTEGRATED HEALTH SYSTEM
Decision Making inKnowledge Management
Decision Making inAdministration
New Intelligent Public Health Information System
Conceptual models for LARIISA Framework
Contandrioulos, Denis and all (2001): Integration of Health Care: Dimensions and implementations
Conceptual models for LARIISA Framework
Karmouch (2008): Unified Platform Service Delivery
Conceptual models for LARIISA Framework
I.D.Graham, J.Logan, M.B. Harrison, S.E.Straus, J.Tetroe, W.Caswell, N.RobinsonThe Journal of Continuing Education in the Health Professions, Vol 26 N°1, 2006 – Wiley InterScience.
Knowledege to Action for healthcare system
Knowledge Creation
Knowledge to Action Process (KAP)
TailoringKnowledge
Action Cycle (Application)
Context-aware Service 1 Context-aware Service 2 Context-aware Service N…
OntologyBase
Service Adaptation
Adaptation - Query
Adaptation - Aggregation
Context Provider 1 Context Provider 2 Context Provider N…
Context Reasoning
LARISSA FRAMEWORK
(Real-timeInformation)
(Context-awareness)
Andrade (2009): RIISO Project, Intelligence Governance for Decision Making
GOVERNANCE SETTINGOf INTEGRATED HEALTH SYSTEM
INTELLIGENCE & CONTEXT REASONINGTO HEALTCAREGOVERNANCE/DECISION MAKING
Knowledge Management
DECISION MAKING inINTEGRATED HEALTH SYSTEM
Decision Making inKnowledge Management
Decision Making inAdministration
New Intelligent Public Health Information System
LARISSA FRAMEWORK
Context-Aware Health’s Users
Context-Aware Health Agent APPLICATION
Decision Making in Governance
Knowledge Management
SystemicNormative
Clinical Governance
AdministrationShared
Management
…
OntologyBase
Service Adaptation
Adaptation - Query
Adaptation - Aggregation
Context Provider 1 Context Provider 2 Context Provider N…
Context Reasoning
LARISSA FRAMEWORK
(Context-awareness)Knowledge to Action Process (KAP) Action Cycle (Application)
Knowledge Creation
LARISSA framework v2.1
Context-aware Services Context-aware Services Context-aware Services
Decision MakingApplication
7) PROPOSAL: LARISSA FRAMEWORKKNOWLEDGE TO ACTION (KTA)
Knowledge Creation(Process)
Decision Making in Governance
LARISSA framework v2.1
(Information for the Knowledge Creation)
Action Cycle (Application)
LARISSA FRAMEWORK
…
OntologyBase
Service Adaptation
Adaptation - Query
Adaptation - Aggregation
Context Provider 1 Context Provider 2 Context Provider N…
Context Reasoning
Context-aware Services Context-aware Services
Systemic Normative
Clinical and Epidemiology Administration Share
ManagementKnowledge
Management
Context-aware Services
LARIISA, a context-aware intelligent framework for a governance model supporting decision making in public health care system.
LARIISA encompasses and integrates family context in a New Intelligent Public Health Information System.
LARIISA uses the middleware (GINGA) developed for the Brazilian Digital TV, which full access will be country-wide in 2015.
LARISSA relies on a Digital Belt project, an Optical-WiMAX communication framework, which will reach 82% of urban population of Ceará State in Brazil.
The LARIISA framework uses three conceptual models: The Integration of Health Care, Knowledge To Action and Unified Service Delivery Platform.
LARIISAApplying on the Digital Belt and Brazilian DTV
LARISSA FRAMEWORK
Digital Belt Infrastructure
BST-OFDM
MPEG-2 System
H.264 [email protected] H.264 [email protected]
MPEG - 4 HE-AAC@L4 MPEG - 4 HE-AAC@L3
Ginga
APL1 APL2 APLn...
DemoduladorDecod. do Canal
Demux
.
Dec. Áudio
Dec. Vídeo
CPUMemória
VC
RF
IR CR
Video out
AudioSurround
Audio outRF out
RedeExterna
RF in
API SO
...
Context-Aware Health’s Users
Context-Aware Health Agent APPLICATION
Decision Making in Governance
Knowledge Management
SystemicNormative
Clinical Governance
AdministrationShared
Management
LARISSA FRAMEWORK
CONTEXT CATEGORIES (Zhang and all.):(1) Personal Health Context : physiological and mental context(2) Environment Contex: temperature, light, humidity, noise, etc.(3) Task Context: goals, task, actions, activities, events, etc.(4) Spatio-temporal Context: time and location(5) Terminal Context: terminal type, interface, media supported, etc.
AgentPersonalizedmessage
AgentPersonalizedInformation
Context Detection
Decision Making in Governance
LARISSA FRAMEWORK
CONTEXT CATEGORIES (Zhang and all.):
(1) Personal Health Context : physiological and mental context(2) Environment Contex: temperature, light, humidity, noise, etc.(3) Task Context: goals, task, actions, activities, events, etc.(4) Spatio-temporal Context: time and location(5) Terminal Context: terminal type, interface, media supported, etc.
(1)
(2)
(3,4)
(5)
AgentPersonalizedmessage
AgentPersonalizedInformation
Context Detection
IF-THEN RULE-BASED APPROACH
(1) IF blood sugar exceeds a threshold, THEN should not take certain food.(2) IF the room is too dry, THEN turn on the humidity generator(3) IF the user is at lunch, THEN send the message later.(4) IF the user is not at office, THEN send the call to the mobile.(5) IF a PC is accessible, THEN present the message as video.
Context-aware Services
Context-Aware Health Agent APPLICATION
Context-Aware Health Agent PERSONALIZATION
Decision Making in Governance
Decision MakingApplication
Andrade (2009): RIISO Project, Intelligence Governance for Decision Making
GOVERNANCE SETTINGOf INTEGRATED HEALTH SYSTEM
INTELLIGENCE & CONTEXT REASONINGTO HEALTCAREGOVERNANCE/DECISION MAKING
Knowledge Management
DECISION MAKING inINTEGRATED HEALTH SYSTEM
Decision Making inKnowledge Management
Decision Making inAdministration
New Intelligent Public Health Information System
LARISSA FRAMEWORK
Applying DENGUE Study Case to LARIISA
Decision Making in Knowledge ManagementDecision: mapeamento de todos os profissionais da rede capacitados para o caso, reforçando a formação e adequando-a ao contexto.Rule: IF a quantidade de profissionais treinados < quantidade de estabelecimentos de saúde OR turnos de plantões em hospitais ou Clínicas THEN contratar K novos profissionais e capacitar L profissionais em competências X, Y, ZResults: Mobilização do Sistema Municipal de Saúde Escola e realocação de recursos então destinados a outros setores menos prioritários.
Decision Making in Systemic Normative
Decision: Reavaliar o valor e a aplicação das multas e sansões preconizadas na Lei 8966 de 14 de setembro de 2005.
Rule: IF o depósito de lixo não obedeceu art M da lei AND é reincidente THEN multar e fechar o estabelecimento
Results: Vários depósitos de lixo foram advertidos, alguns fechados e muitos melhoraram sensivelmente.
Decision Making in Clinical and Epidemiology
Decision: Implantação da Hidratação Venosa em todas as unidades de Saúde
Rule: IF há caso de reinfecção AND epidemia THEN criar no Posto de Saúde condições para Hidratação Venosa
Results: Melhoria do manejo de Casos Graves e descongestionamento dos Hospitais., invertendo o fluxo dos atendimento do Hospital para o Posto de Saúde.
Decision Making in Share Management
Decision: Mobilização da Sociedade Civil Organizada
Rule: IF canteiro de obras pertence a um construção com mais de X meses AND está localizado em uma área de infestação > 0,5% THEN esse canteiro deve ser incluído na relação de pontos estratégicos para monitoramento
Results: Diminuição em X% o índice de infestação e reforçou o envolvimento da sociedade civil.
Decision Making in Administration
Decision: Creating an Emergency for the clinical management of severe cases (ER-SC)
Rule: IF the patient had Dengue more than once AND lives in an area with high infestation indice AND has symptoms A,B and C, THEN you must consult the ER-SC about this caseResults: Fortaleza was one of the capitals with lower
mortality due to a series of actions, in special the use of the rule above.
LARISSA FRAMEWORK
Applying DENGUE Study Case to LARIISA
Administration Case
Decision Making in
Administration
IF the patient had Dengue more than once AND lives in an area with high infestation indice AND has symptoms A,B and C,
THEN you must consult the ER-SC about this case
Results: Fortaleza was one of the capitals with lower mortality due to a series of actions, in special the use of the rule above
Decision: Creating an Emergency (ER) for the clinical management of severe cases (ER-SC)
LARIISALaboratoire Application Réseaux Intelligence Intégration Santé
1) RECHERCHE: La création d’un axe de recherche multicentric.
- Actions: ?
2) COOPERATION: Formulation d’un projet de colaboration international entre les partenaires existents et d’outres.
- Actions: ?
3) PRODUIT: Business Plan pour la fabrication d’un produit Health Care.
- Actions: ?