Take for example a patient in the intensive care unit, connected to a point-of-care bedside monitor. Provide a design blueprint for a single healthcare organization (hospital, day care facility, rehabilitation facility, etc.) and its partner network and establish an architecture development method for healthcare.ĭelivery domains allow us to determine architecture archetypes (the how) required for health, as shown below: We can further use the two-dimensional map to clarify the scope of our reference architecture: To help architects and planners define where they want to be (how the architecture of a concrete organization and partner network should look like), and how to get there (a way of working) – at the level of an individual organization and across the partner network:įigure 4: Scope Blueprint and Development Method Support the partner network for the delivery of healthcare, use of technology, commercial viability, regulatory compliance, and adherence to quality. Organizations in the healthcare space, such as Integrating the Healthcare Enterprise (IHE), successfully apply this concept in their integration profiles. When caregivers team up to deliver care, they form a partner network along the patient journey. Support the modeling of health services and their associated processes across space (delivery domains) and time (service domains). The space-time map allows us to associate health services and their connected processes to delivery organizations along the patient journey, as shown in the following diagram:įigure 3: The Patient Journey Architect for Health Services The CDS integrates with the Hospital Information System, which the hospital in turn uses to communicate with external parties. Its horizontal axis displays the service domains across the continuum of care ( what and when) its vertical axis outlines the corresponding delivery domains ( where and how).Ī hospital uses various point-of-care technologies, such as monitoring devices, or infusion pumps, which connect to a Clinical Decision Support (CDS) system that manages the clinical workflow. The two-dimensional map shown in the previous diagram, tells us who provides what and when, where and how. We start with the delivery of reliable high-quality health services to promote healthy living, prevent disease, diagnose and treat, and help rehabilitate or provide supportive care where needed: An outer ring contains organizations, such as care providers (hospitals, day care facilities, etc.), manufacturers of medical devices, or producers of pharmaceutical products.įigure 1: Healthcare Landscape Architecture Building Blocks Health Services At the center of this landscape is the person seeking health, surrounded by health system building blocks (health worker, information, governance, etc.). In this document, I will use the Healthcare landscape that I introduced in the first article. Outside in: Start outside the organization, from the perspective of a customer, and design your organization around the needs of the customer.From the large to the small: Start with the outer context, the overall Healthcare system, and refine into individual subject areas and building blocks.This document uses the following approach: Together with the essential capabilities that we will introduce in a third article, they provide the input to how to build and deliver such a Reference Architecture. Based upon the principles developed in the first article, these ideas and concepts describe what is needed. In this second article, I discuss key ideas and concepts underlying the design of a Reference Architecture for Health. By Oliver Matthias Kipf, Software Lead EU MDR Program, Philips
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