Session Name: "Unconference" Open Session - Value Based Priorities for Data Exchange
Time / Room: 12:30 - 1:15 Faru
Presenter: Michael Stelmach
Notes:
- What do we hope to get out of this meeting?
- Understanding the different approaches
- Some people only really seen the patient care side
- Some only seen the governmental health side
- What tools can we use to make this happen and be more valuable?
- What do we mean by value-based HIE?
- Allergies for example, can be very real-time sensitive
- BID project example, for immunization
- Practitioners needs full (relevant) patient information to provide proper care
- Improve management and administration (this often conflicts with patient care priorities)
- Outbreaks or programme management (HIV etc.)
- Needs a much more limited set of data
- Facilitates resource management
- Facility registry and healthcare provider registry
- Reduces duplicate data capture
- Facilitates referrals (community linkage)
- Reduce false loss-to-follow-up numbers
- How are value-based priorities identified and ranked?
- Requires some specialist knowledge/experience
- Administrators want to make money or reduce costs
- Hard to motivate to organisations, clinicians and patients
- Tanzania is being rolled out top-down
- Different organizations will have different views on the priorities
- Healthcare provider priorities
- Are the systems mature enough to interop properly?
- May need to be earmarked for improvements before the specific use cases can be implemented
- BID Project - immunization management
- Point to point integration
- Looking at the demands, projections would quickly get unmanageable, so this was a priority to get resolved
- Many of these were mandated by the minister of health as priorities
- These are multi-component systems
- Integration decisions were not based on maturity of the system, they were based on indicators required
- After decisions, some systems were found to not be very mature
- Recommendations were then made to improve the systems to move them towards better integration maturity
- For example, some didn't have any export functionality at all
- Validation was sometimes very poor
- All of the above slowed down the process
- Provides basic data to make management decisions
- Does very little to improve patient care