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

要开展的工作是在里程碑1技术工作和市场调查领域同时开展的。这两项工作都是在与Cerner密切合作的情况下进行的，Cerner希望与Cerner最终能够开发出成功的EPHI服务商业报价。请注意，为了使该项目成功，里程碑1的技术工作和市场调查要素都被认为是必不可少的，因此为该探路者申请了全额20K GB的资金。提议的工作在所附的支持案例中进行了详细描述，但这里总结了关键步骤以及它们将如何指导我们的理解。1)与Cerner联系，使用MET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指向一个适当的使用案例。2)委托一家健康信息学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的业务和对象Tableau云平台中的合成健康数据集成，然后可以通过Cerner的分析工具直接访问。这将使我们能够详细了解开发兼容的环境数据服务需要哪些技术步骤。4)Cerner系统的集成数据处理体系结构的小规模演示。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将技术重点放在哪里。5)市场调查评估：了解哪里可以最好地利用EPHI系统来制定特定疾病领域的卫生保健决策。这将帮助我们了解哪些环境变量应该首先被整合在PHM系统中使用。当获得这些信息后，这将有助于我们制定具有良好针对性的范围和足够的技术细节的后续基金提案，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，并帮助了解如何最好地开发进入市场的路线。请注意，在此提案中，全球可用的GFS MET数据已被建议作为测试数据，因为Cerner尚未确定用例的最佳地理位置。随着后续基金的开展，预计将需要英国的MET和空气污染数据，至少部分医院信托和环境数据将以英国为基础。同时请注意，通过该探路者与CENER的合作预计将产生对NERC-MRC通过环境数据改善健康呼吁的申请。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结果的益处。然后，将通过后续基金进行进一步的商业开发。此探路者提案侧重于未来商业服务的用例开发。然而，目前认为EPHI的理想演变是从探路者(2016)到NERC-MRC(2016-2017)再到后续基金(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).