Web Services for Preventive Health

预防性健康网络服务

• 批准号: 7939664
• 负责人: John David Chelico
• 金额: $ 12.62万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2012-03-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7939664
• 关键词: Architecture; Area; Attitude; Back; Cantor; Client; Clinical; Communication; Computer Systems Development; Computer software; Data; Electronic Health Record; Electronics; Epidemiology; Goals; Guidelines; Health; Internet; Maintenance; Malignant Neoplasms; Measures; Nature; Outcome; Patients; Performance; Preventive; Preventive Health Services; Preventive Intervention; Primary Health Care; Process; Provider; Public Health; Recommendation; Reminder Systems; Reporting; Research Personnel; Screening procedure; Secure; Services; Smoking; Specific qualifier value; System; Technology; base; burden of illness; computerized; design; evidence based guidelines; improved; information processing; interoperability; platform-independent; population health; programs; satisfaction; success; tool

DESCRIPTION (provided by applicant): Though preventive health is an essential aspect of primary care, prioritizing its delivery has become increasingly difficult. The increased used of technology in the ambulatory setting, such as electronic health records (EHRs) with reminder systems, has provided new tools for effectively delivering preventive health services. To improve the delivery of health maintenance services, we propose to create a standards-based architecture for the transmitting and receiving of preventive health information. Using web services, the architecture will be developed in a modular fashion so that it can be easily modified to be compatible with different EHR systems. The benefits of using such a system include the ability to have a centralized decision support server for processing information and issuing recommendations that can then be applied across various EHR clients. Additionally, the system would allow for the addition of preventive health processes and reminders to EHRs that do not currently have this functionality, without requiring a major software upgrade. The platform-independent, interoperable nature of web services would allow for the system's broad application, while promoting the national IT goals of the use of standards as well as interoperability. Specifically, this project is intended to create a secure, HIPAA-compliant system that focuses on significant preventive health measures and incorporates evidence-based guidelines and epidemiological information to make recommendations. System development will focus on user interface design and workflow integration, two of the biggest barriers to the acceptance to other electronic reminder systems. The success of the system will be measures on several levels, including changes in health quality performance measures, user and patient attitudes toward the system, and the system's technological performance and capabilities. Improving public health is the central focus of this web services-based system. By improving screening and other preventive interventions, the system will reduce the burden of disease in important areas such as cancer and smoking. Demonstrating the success of a standards-based system will also add momentum to the push toward interoperability and may serve as a spur for increased sharing of health related information. The system may also help identify or reinforce priorities in terms of preventive health activities that would be even more effective in improving overall population health.

描述（由申请人提供）： 尽管预防性健康是初级保健的重要方面，但优先级的交付变得越来越困难。在门诊环境中使用技术的增加，例如带有提醒系统的电子健康记录（EHR），为有效提供预防保健服务提供了新的工具。为了改善健康维护服务的交付，我们建议创建一个基于标准的架构，以传输和接收预防性健康信息。使用Web服务，该体系结构将以模块化的方式开发，以便可以轻松地将其与不同的EHR系统兼容。使用这种系统的好处包括能够拥有集中式决策支持服务器来处理信息和发布建议，然后可以在各个EHR客户端应用。此外，该系统将允许在不需要大软件升级的情况下添加预防性健康过程和提醒当前具有此功能的EHR。 Web服务的独立于平台，互操作性的性质将允许系统的广泛应用，同时促进使用标准的国家IT目标以及互操作性。具体而言，该项目旨在创建一个安全的，符合HIPAA的系统，该系统侧重于重要的预防性健康措施，并纳入基于证据的指南和流行病学信息以提出建议。系统开发将集中在用户界面设计和工作流集成上，这是其他电子提醒系统接受的两个最大障碍。该系统的成功将是多个级别的措施，包括健康质量绩效指标的变化，对系统的用户和患者态度以及系统的技术性能和能力。改善公共卫生是此基于Web服务系统的主要重点。通过改善筛查和其他预防干预措施，该系统将减轻重要领域的疾病负担，例如癌症和吸烟。证明基于标准的系统的成功也将为互操作性的推动增加动力，并可能成为增加与健康相关信息共享的刺激性。该系统还可以帮助识别或加强预防健康活动的优先级，这将在改善整体人口健康方面更有效。