Wednesday, June 29, 2011

I Wonder Where This Sort of Approach Fits In? It’s Not Easy To Work Out Where It is Heading But It Looks Interesting.

The following press release appeared a few days ago.

Flexiant Providing Cloud Platform for E-Health Pilot to Give Patients Control Over Data

NHS patients could soon have complete control over their medical records and the power to decide who has access to their data. The E-Health Cloud, using Flexiant's pioneering cloud platform Extility, will be the first large scale deployment of the cloud in e-health.

Scotland, UK (PRWEB) June 20, 2011

Scottish cloud software and services provider Flexiant is providing a cloud platform for a research project that promises NHS patients complete control over their medical records and the power to decide who has access to their data.

A pilot underway at Chelsea and Westminster Hospital, London, is using cloud computing to make communication between patient, consultant and GP faster and more efficient. Researchers at Chelsea and Westminster are working with Edinburgh Napier University and Flexiant to show how the current paper-based system could be replaced with a next-generation e-health platform.

After 18 months in development, with the cloud integration work provided by Flexiant, the E-Health Cloud is now ready to be tested and a demonstrator will go live on the Extility cloud next month. The demonstrator will be the first large scale deployment of the cloud in e-health.

The E-Health Cloud has the potential to offer a solution to many of the existing problems with electronic patient records in the NHS, including a lack of common patient record standards, and the inability to share between different parts of the health and social care domains.

According to Professor Bill Buchanan of Edinburgh Napier University, presenting the E-Health Cloud platform at the Innovation with Healthcare conference this month in London, “the current infrastructure in the UK often has a non-integrated approach to patient care, where data is not used effectively between GP, hospital and assisted living.

“Our system allows for data to be stored with its context, such as where it was captured, and then used in whatever way is necessary through well-managed clinical services. Security is integrated into every single transaction, and we host it on Flexiant’s cloud, to give us a scaleable and robust e-Health infrastructure.”

In future the project could be used to integrate all phases of health care treatment, from assisted living to primary and secondary healthcare, so that the same data can be used throughout.

Tony Lucas, founder of Flexiant, explains: “Hosting the data in the cloud as soon as results are published means that the patient can go online and access them, sharing them in real time with everyone who needs to see them.

“They will be able to invite their GP, consultants, health carers and family members - people they trust and who need to know the results. This has massive implications for the future of patient treatment in the UK. For the first time patients can have control over their treatment and their records and that is enormously empowering.”

The demonstrator, due to go live next month, uses a unique ‘patient simulator’, which creates patient records with different clinical parameters such as body temperature and blood pressure, to represent different patient illnesses. This is designed to show how the service can be used in clinical diagnostics, with a risk assessment score or early warning score (EWS) to identify problems early.

The overall aim of the demonstrator is to increase public trust in next generation healthcare. The security of patient records will be critical to the success of the pilot and Flexiant will implement a multi-factor authentication process on the demonstrator using technology that builds on and integrates seamlessly with existing NHS security systems.

Key clinical services can then be accessed from a range of devices, including web pages and mobile phones. A key focus is on the identification of the role of the clinical person, typically using multiple identification methods, in order to gain the rights to certain services. This integrates with a new governance policy, which defines the overall rights of clinicians to the access to clinical services.

Importantly, patients will have full control over who has access to their data. The developed system uses new identity checking methods, including mobile phone checking and trusted identity providers like Facebook or Paypal.

The key players in the project are Professor Buchanan, from Edinburgh Napier University, Professor Derek Bell, clinical lead at Chelsea and Westminster, Professor Christoph Thuemmler, Dr Lu Fan, Dr Elias Ekonomou and Owen Lo. At present the e-Health platform has been created as both a private E-Health Cloud within Chelsea and Westminster Hospital, and also as a public demonstrator on the Flexiant public cloud.

A Chelsea and Westminster spokesman says: “Our Foundation trust is at the forefront for providing technological innovations in the hospital clinical environment, to improve patient care. Implementation of the cloud infrastructure at the hospital will be one of many enhancements made to patient care by Professor Derek Bell through his role as the director of NWL CLARHC which has an ethos of closing the second translational gap and bringing research into practice."

The two year project is funded by the Technology Strategy Board and EPSRC (Engineering and Physical Sciences Research Council).

The release is found here:

http://www.prweb.com/releases/2011/6/prweb8581429.htm

There is brief commentary here pointing out some current risks.

London's E-Health Cloud program will send patient records to the stratosphere next month

By Amar Toor posted Jun 27th 2011 10:13AM

You'd think that the recent spate of high-profile cyberattacks would've deterred the healthcare industry from sending patient records to the cloud -- but you'd be wrong. Beginning next month, all data on patients at London's Chelsea and Westminster Hospital will be stored in a centralized database, accessible from any computer, smartphone or tablet. Under the National Health Service's pilot program, known as E-Health Cloud, patients will be able to decide which doctors, nurses or family members can view their records, allowing them to easily share their data with other specialists.

More here:

http://www.engadget.com/2011/06/27/londons-e-health-cloud-program-will-send-patient-records-to-the/

E-Health Insider also covers the release here:

Trust has its head in the e-health cloud

24 June 2011 Shanna Crispin

Chelsea and Westminster Hospital NHS Foundation Trust is to go-live with a demonstration of a cloud-based IT infrastructure next month.

The trust has been working in collaboration with Edinburgh Napier University and a number of other partners to develop the E-Health Cloud.

The development is part of the Data Capture and Auto Identification Reference Project (DACAR), which received funding from the Technology and Strategy Board in 2009.

DACAR is intended to construct in-the-cloud connectivity using smart devices and system integration, including HL7 and GS1 RFID standards, and ultimately to commercialise the technology.

Project coordinator Dr Christoph Thuemmler told eHealth Insider that next month’s launch will focus on how cloud-based infrastructure can be used for asset tracking, using dummy data and a simulated supply chain.

It will also use a patient simulator to create patient records with different clinical parameters, such as body temperature and blood pressure, to represent different patient illnesses.

The system will assess these variables to deliver an early warning score to staff, so they can identify problems earlier. The demonstration is intended to increase public trust in next generation healthcare.

Ultimately, the project aims to promote the seamless sharing of information between GPs, patients and consultants.

“If a patient’s data is shared between a GP and a consultant, or if a doctor refers a case on to someone else, the patient should be able to see that," Dr Thuemmler said.

More here:

http://www.ehi.co.uk/news/acute-care/6974/trust-has-its-head-in-the-e-health-cloud

This is an interesting experimental system that has some aspects of the PCEHR and equally some of the potential problems.

As with the PCEHR it is not quite clear just what information - other than the Supply Chain information - is to go to the cloud and it is not clear to me just what the source(s) of the clinical information will be.

Obviously there are some issues about just how the patient is identified in this model and how their information is secured. It seems to be a little odd to suggest information flows from GP to specialist should be under patient control? What happens if the patient turns up for a specialist appointment but does not want to reveal the referring information - all a little odd at first glance.

Clearly this is experimental at this point - but it is clearly a different architectural approach than that being adopted by the PCEHR. It will be interesting to see if anything genuinely useful and used flows from the work.

David.

No comments: