EPHI-Developing a use case for incorporating Environmental data into a Population Health management Informatics system

将在里程碑1技术工作和市场调查领域开展工作，同时进行。这两项工作都将与Cerner密切合作进行，希望最终能与Cerner一起为EPHI服务开发一个成功的商业报价。请注意，为了使该项目取得成功，里程碑1的技术工作和市场调查元素都被认为是必不可少的，因此，该探路者已申请了全部2万英镑的资金。在所附的支持案例中详细描述了拟议的工作，但在此总结了关键步骤以及它们将如何告知我们的理解。1）与Cerner联系，使用满足的数据确定一个重点突出、可实现的PHM用例。这将指导我们的工作到一个适当的用例。2）委托健康信息咨询公司进行市场评估。这将确定EPHI服务在更广泛的健康信息市场中的潜力。3）开发环境数据互操作性所需的数据处理方法，以便与Cerner的Business and Objects Tableau云平台中的合成健康数据集成，然后Cerner的分析工具可以直接访问该平台。这将使我们能够全面详细地了解开发兼容的环境数据服务所需的技术步骤。4）Cerner系统综合数据处理架构的小规模示范。这将告诉我们，我们的方法是如何成功的，以及在后续基金项目中需要强调的技术重点。5）市场调查评估：了解EPHI系统在特定疾病领域的医疗保健决策中的最佳用途。这将帮助我们了解哪些环境变量应该首先被整合到PHM系统中使用。当获得这些信息时，这将帮助我们制定一个后续基金提案，该提案具有针对性的范围和足够的技术细节，以最大限度地发挥项目的影响。它还将提前强调我们在后续项目中将面临的关键技术和市场障碍，并帮助提供如何最好地开发市场路线的信息。请注意，在本提案中，由于Cerner尚未确定用例的最佳地理位置，因此已提议将全球可用的GFS met数据作为测试数据。随着后续基金工作的开展，预计将需要英国的会议和空气污染数据，并且至少部分涉及的医院信托和环境数据将基于英国。还请注意，通过此开拓者与Cerner的合作预计将产生一个应用程序到NERC-MRC通过环境数据改善健康电话。这方面的工作将以研究为导向，在人口健康管理框架内评估环境数据对健康成果的好处。随后将通过后续基金进行进一步的商业开发。这一开拓者提案的重点是为未来的商业服务开发用例。然而，EPHI的理想演变目前被认为是Pathfinder（2016）到NERC-MRC（2016-2017）到后续基金（2018）。

The work to be carried out is in areas of milestone 1 technical work and a market survey, carried out in parallel. Both of these are to be carried out in close engagement with Cerner, with whom it is hoped a successful commercial offer for the EPHI service can eventually be developed. Note that in order to make this project successful, both the milestone 1 technical work and the market survey element were deemed essential, therefore the full £20k funding has been requested for this Pathfinder. The proposed work is described in detail in the attached case for support, but the key steps and how they will inform our understanding are summarized here.1) Liaising with Cerner to identify a focused, achievable PHM use case using met data. This will direct our work to an appropriate use case.2) Commissioning a health informatics consultancy to carry out market assessment. This will identify the potential for the EPHI service in the broader health informatics market.3) Developing data processing methodology needed for environmental data interoperability for integration with synthetic health data in Cerner's Business and Objects Tableau cloud platform which can then be accessed directly by Cerner's analytics tools. This will allow us to see in full detail what technical steps will be required to develop a compatible environmental data service.4) Small-scale demonstration of integrated data processing architecture for Cerner's system. This will inform us how our approach has been successful and where technical emphasis is needed in the Follow-on fund project.5) Market survey evaluation: understanding where the EPHI system could be best utilized for health care decision making in specific disease areas. This will help us understand which environmental variables should be integrated first for use in a PHM system.When this information has been acquired, this will help us develop a Follow-on Fund proposal with a well-targeted scope and sufficient level of technical detail to maximize the impact of the project. It will also highlight ahead of time the key technical and market barriers we will face in the Follow-on project and helps inform on how to best develop routes to market.Note that in this proposal, globally available GFS met data have been proposed as test data since Cerner has not yet identified the optimal geographic location for the use case. As the work develops through the Follow-on Fund, it is anticipated that UK met and air pollution data will be needed and that at least some of the hospital trusts and environmental data involved will be UK based.Also note that the engagement with Cerner through this Pathfinder is anticipated to produce an application to the NERC-MRC Improving Health with Environmental Data call. The work in that stream will be research oriented, assessing the health outcome benefits of environmental data in a population health management framework. Further commercial development would then take place through the Follow-on Fund. This Pathfinder proposal is focused on use case development for a future commercial service. However the ideal evolution of EPHI is currently believed to be Pathfinder (2016) to NERC-MRC (2016-2017) to Follow-on Fund (2018).