Development of a Prototype Healthcare Intranet for Improved Health Outcomes

描述（由申请人提供）：缺乏医疗器械集成的开放标准和相关技术阻碍了国家为提供安全、高效、高灵敏度的患者护理而进行的革命性努力。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创新解决方案的安全性和适用性，这些解决方案将受益于医疗保健内部网基础设施。正如Internet推动了万维网的发展并彻底改变了通信、协作和商业一样，医疗保健内部网也需要提供一个平台，以在医疗保健交付的安全性和效率方面进行广泛的创新。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，它将使全球医疗保健社区能够通过贡献创新的可互操作技术和临床知识来构建智能的“集成”临床环境，从而改善医疗保健。该项目将通过提供必要的软件和临床专业知识，开发一个医疗保健内部网原型。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开放平台，用于医疗设备连接，以及软件工具，以确保医疗设备和决策支持引擎的安全有效连接，以支持临床护理。将开发一个供应商中立的实验室，以整合合作者提供的构建模块，并实施一组临床用例来评估内部网的功能。我们的方法包括(1)选择和分析临床场景，(2)评估可适应的现有网络技术，(3)为拟议的医疗保健内部网开发新软件，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实验室中实施这些系统，(5)在临床前（实验室）环境中执行工作流程评估和用例正式验证。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。

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.