Development of a Prototype Healthcare Intranet for Improved Health Outcomes

描述(由申请人提供)：缺乏医疗设备集成的开放标准和相关技术正在阻碍国家努力，以革命性地提供安全、高效、高敏感度的患者护理。通过集成不同供应商的设备和IT系统可以实现的许多预期好处仍然是理论上的：它们无法在临床上部署，因为创建这些集成临床系统的基础设施不存在，也没有框架或方法来评估将受益于医疗保健内部网基础设施的创新解决方案的安全性和适宜性。正如互联网促进了万维网的发展，并使通信、协作和商务发生了革命性的变化，医疗保健内部网也需要提供一个平台，以在医疗保健提供的安全性和效率方面发展广泛的创新。创建一个开放的、基于标准的医疗保健内部网相当于一个“医疗登月计划”，与Web 2.0一样，它将通过贡献创新的可互操作技术和临床知识来改善医疗保健，使全球医疗保健社区能够构建智能的“集成”临床环境。该项目将通过提供必要的软件和临床专业知识来开发一个原型医疗保健内联网。在现有跨学科合作的基础上，一个多机构团队将开发一个即插即用的医疗设备连接开放平台，以及确保医疗设备和支持临床护理的决策支持引擎安全有效连接的软件工具。将开发一个供应商中立的实验室，以整合合作者提供的积木，并实施一套临床用例，以评估内联网的能力。我们的方法包括(1)临床方案的选择和分析，(2)评估可以适应的现有网络技术，(3)为拟议的医疗保健内联网开发新的软件，结合其他环境中成功的互操作性工作的最佳实践，(4)在MD PNP实验室实施这些系统，以及(5)在临床前(实验室)环境中使用案例执行工作流评估和正式验证。该实验室将长期作为医疗器械互操作性研发、测试和验证的国家资源。 公共卫生相关性：缺乏医疗设备集成的开放标准和相关技术，正在阻碍国家努力彻底提供安全、高效、高敏锐度的患者护理。该项目将突破这一障碍，提供可共享的实施方案、工具和原型平台，通过设备互操作性实现创新和容错，以提高患者安全和医疗保健效率。

DESCRIPTION (provided by applicant): The absence of open standards and related technologies for medical device integration is impeding national efforts to revolutionize the delivery of safe, efficient, high-acuity patient care. Many of the anticipated benefits that could be achieved through integrating devices and IT systems of different vendors remain theoretical: they cannot be deployed clinically because a infrastructure to create these integrated clinical systems does not exist, nor is there a framework or methodology to assess the safety and suitability of innovative solutions that would benefit from the healthcare intranet infrastructure. Just as the Internet enabled the development of the World Wide Web and revolutionized communication, collaboration, and commerce, a healthcare intranet is needed to provide a platform to develop broad innovations in the safety and efficiency of healthcare delivery. Creation of an open, standards based healthcare intranet is the equivalent of a "medical moonshot" that, as with Web 2.0, will empower the global healthcare community to build smart "integrated" clinical environments by contributing innovative interoperable technologies and clinical knowledge to improve healthcare. This project will develop a prototype healthcare intranet by providing the necessary software and clinical expertise. Building on existing inter-disciplinary collaborations, a multi-institutional team will develop a plug-and-play open platform for medical device connectivity, as well as software tools to ensure the safe and effective connectivity of medical equipment and decision support engines to support clinical care. A vendor- neutral laboratory will be developed to integrate the building blocks provided by collaborators and to implement a set of clinical use cases to assess the intranet capabilities. Our approach includes (1) selection and analysis of clinical scenarios, (2) assess existing network technologies that can be adapted, (3) develop new software for the proposed healthcare intranet, incorporating best practices from successful interoperability efforts in other environments, (4) implement these systems in the MD PnP Lab, and (5) perform workflow evaluations and formal validation with use cases in a pre-clinical (lab) setting. The lab will serve long-term as a national resource for medical device interoperability R&D, testing and validation. PUBLIC HEALTH RELEVANCE: The absence of open standards and related technologies for medical device integration is impeding national efforts to revolutionize the delivery of safe, efficient, high-acuity patient care. This project will break through that barrier by providing sharable implementations, tools, and a prototype platform to enable innovation and error-resistance through device interoperability, to improve patient safety and healthcare efficiency.