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Realizing the promise of digital technology will depend on the ability to share information across time and space from multiple devices, sources, systems, and organizations. The major barrier to progress is not technical; rather, it is in the failure of organizational demand and purchasing requirements. In contrast to many other industries, the purchasers of health care technologies have not marshaled their purchasing power to drive interoperability as a key requirement. Better procurement practices, supported by compatible interoperability platforms and architecture, will allow for better, safer patient care; reduced administrative workload for clinicians; protection from cybersecurity attacks; and significant financial savings across multiple markets. With funding support from the Gordon and Betty Moore Foundation, this National Academy of Medicine Special Publication represents a multi-stakeholder exploration of the path toward achieving large-scale interoperability through strategic acquisition of health information technology solutions and devices. In this publication, data exchanges over three environments are identified as critical to achieving interoperability: facility-to-facility (macro-tier); intra-facility (meso-tier); and at point-of-care (micro-tier). The publication further identifies the key characteristics of information exchange involved in health and health care, the nature of the requirements for functional interoperability in care processes, the mapping of those requirements into prevailing contracting practices, the specification of the steps necessary to achieve system-wide interoperability, and the proposal of a roadmap for using procurement specifications to engage those steps. The publication concludes with a series of checklists to be used by health care organizations and other stakeholders to accelerate progress in achieving system-wide interoperability.
The economic and political stakes in the current heated debates over “openness” and open standards in the Internet's architecture. Openness is not a given on the Internet. Technical standards—the underlying architecture that enables interoperability among hardware and software from different manufacturers—increasingly control individual freedom and the pace of innovation in technology markets. Heated battles rage over the very definition of “openness” and what constitutes an open standard in information and communication technologies. In Opening Standards, experts from industry, academia, and public policy explore just what is at stake in these controversies, considering both economic and political implications of open standards. The book examines the effect of open standards on innovation, on the relationship between interoperability and public policy (and if government has a responsibility to promote open standards), and on intellectual property rights in standardization—an issue at the heart of current global controversies. Finally, Opening Standards recommends a framework for defining openness in twenty-first-century information infrastructures. Contributors discuss such topics as how to reflect the public interest in the private standards-setting process; why open standards have a beneficial effect on competition and Internet freedom; the effects of intellectual property rights on standards openness; and how to define standard, open standard, and software interoperability.
This book is an early warning to public officials, policymakers, and procurement practitioners on the impact of AI on the public sector. Many governments have established national AI strategies and set ambitious goals to incorporate AI into the public infrastructure, while lacking AI-specific procurement guidelines. AI is not traditional software, and traditional processes are not sufficient to meet the challenges AI brings. Today’s decisions to embed AI and algorithmic systems into public system infrastructure can – and will – have serious repercussions in the future. The promise of AI systems is to make the public sector more efficient, effective, fair, and sustainable. However, AI systems also bring new and emerging risks which can impact rights and freedoms. Therefore, guardrails are necessary to consider the socio-technical dimensions and impact on individuals, communities, and society at large. It is crucial that public sector decision-makers understand the emerging risks of AI systems, the impact on the agency and the wider public infrastructure, and have the means to independently validate vendor claims. This book is a result of interviews with more than 20 public procurement professionals across countries, offering an in-depth analysis of the risks, incidents, governance practices, and emerging good practices around the world, and provides valuable procurement policy and process recommendations to address and mitigate these risks.
Issues in Information Science: Informatics / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Information Science—Informatics. The editors have built Issues in Information Science: Informatics: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Information Science—Informatics in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Information Science: Informatics / 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Foundational Handbook of Artificial Intelligence in Healthcare and Bioscience: A User Friendly Guide for IT Professionals, Healthcare Providers, Researchers, and Clinicians uses color-coded illustrations to explain AI from its basics to modern technologies. Other sections cover extensive, current literature research and citations regarding AI's role in the business and clinical aspects of health care. The book provides readers with a unique opportunity to appreciate AI technology in practical terms, understand its applications, and realize its profound influence on the clinical and business aspects of health care. Artificial Intelligence is a disruptive technology that is having a profound and growing influence on the business of health care as well as medical diagnosis, treatment, research and clinical delivery. The AI relationships in health care are complex, but understandable, especially when discussed and developed from their foundational elements through to their practical applications in health care. - Provides an illustrated, foundational guide and comprehensive descriptions of what Artificial Intelligence is and how it functions - Integrates a comprehensive discussion of AI applications in the business of health care - Presents in-depth clinical and AI-related discussions on diagnostic medicine, therapeutic medicine, and prevalent disease categories with an emphasis on immunology and genetics, the two categories most influenced by AI - Includes comprehensive coverage of a variety of AI treatment applications, including medical/pharmaceutical care, nursing care, stem cell therapies, robotics, and 10 common disease categories with AI applications
Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Although a strong body of knowledge shows that high reliability methods enable the most efficient, safe, and effective care, these methods have yet to be completely implemented across healthcare. According to authors Cynthia Oster and Jane Braaten, nurses—who are on the frontline of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Second Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. This new edition builds on the foundation of the first book with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability. New material focuses on: · High reliability performance during a pandemic · Organizational learning and tiered safety huddles · High reliability in infection prevention and ambulatory care · The emerging field of human factors engineering within healthcare · Creating a virtual resource toolkit for frontline staff
This book explores the main elements of e-Democracy, the term normally used to describe the implementation of democratic government processes by electronic means. It provides insights into the main technological and human issues regarding governance, government, participation, inclusion, empowerment, procurement and, last but not least, ethical and privacy issues. Its main aim is to bridge the gap between technological solutions, their successful implementation, and the fruitful utilization of the main set of e-Services totally or partially delivered by governments or non-government organizations. Today, various parameters actively influence e-Services’ success or failure: cultural aspects, organisational issues, bureaucracy and workflows, infrastructure and technology in general, user habits, literacy, capacity or merely interaction design. This includes having a significant population of citizens who are willing and able to adopt and use online services; as well as developing the managerial and technical capability to implement applications that meet citizens’ needs. This book helps readers understand the mutual dependencies involved; further, a selection of success stories and failures, duly commented on, enables readers to identify the right approach to innovation in governmental e-Services. With its balanced humanistic and technological approach, the book mainly targets public authorities, decision-makers, stakeholders, solution developers, and graduate students.