HealthITAnalytics.com: Silos Prevent Delivery of Coordinated Care
8/22/2016 9:50 AM
On August 19, Brent Clough published Healthcare Big Data Silos Prevent Delivery of Coordinated
Care, detailing why we aren't working together to keep the population of the United States healthy. He
"Typically, the proposed solution is to increase communication or integrate different departments. It's an issue that
many have cited as something that is holding back efficiency in healthcare."
We addressed this very issue on June 3, 2016 (on this site) and came to the conclusion
that the only way to integrate healthcare is to have ONE data store of record and have all others feed into it. Since Sentia Health
is the one provider of an electronic medical records system that can house all that data and automate the entire insurance industry thusly cutting out approximately 1/3
of the total cost of healthcare, I self nominated us. Our system is patient centric, not doctor based and therefore details what goes on
with a patient, not a department.
Out of necessity, practitioners can't provide healthcare on an assembly line. It is too specialized and we
don't want every sniffle and cough to go through surgery. What we can do, however, is not model our software systems on doctor- and hospital-centric
thinking. The patient in our example from June 3, 2016 broke his leg skiing in Switzerland. No amount of API integration
is going to help that patient find his own medical records to show the doctor in Switzerland. The data MUST follow the patient.
Since Sentia has a patient portal with assigned reading to engage the patient, we not only have the central repository necessary to make truly coordinated care work,
the patient already knows how to access his or her own information.
The only other problem we haven't addressed it how to get the information from where it sits to its permanent home with
us. We discussed this exact problem in the June 3, 2016 post on this very site. Sentia Systems, one of Sentia Health's sister companies, provides a product called the Information Integrator that has the ability to access any data source,
transform it according to a graphical, user defined specification and then insert it into any data destination. It is done, has been done
for years, and best of all works.
It sounds to me like most people are fumbling around trying to get SOMETHING accomplished while there are better, even
great solutions available.