Historically, vendors designed clinical products and services, which met project requirements, in self-contained valued solutions. Now, value-driven requirements dictate that in order to achieve meaningful outcomes, the products and services must include interoperability.
This means today’s vendors must look beyond the technology or services themselves, and address how they interact with the ecosystem in which they will operate.
The fact is that digital health is just one part of a bigger picture – there are multiple levels and layers connected to business, clinical, patient/public and financial concerns that vendors need to consider. An effective vendor will take a client value-driven approach to both the implementation and the long-term performance of the client's business.
Digital health software on its own does not deliver value. It’s the broader solutions built collaboratively with vendors that enable positive clinical, financial and patient outcomes. It is no longer sufficient to look at procuring a new digital health solution as a stand-alone transaction, but rather it is important to maintain a sustained partnership to ensure the desired value and benefits are accrued. A vendor needs to be fully invested, understand its clients' priorities and help to predict and articulate those needs. From this perspective, a vendor becomes responsible for both the short and long-term sustainability as well as the commitment to service level agreement targets of the solutions.
When vendors opt for a value-driven approach to interoperability, there are various components they must consider in order to achieve meaningful outcomes. These key components include:
Managed Services i.e. Software as a Service in private or public cloud space. The following are the benefits of managed services:
- Provides interoperability between healthcare systems, connecting solutions seamlessly, in less time, and at a lower cost.
- Eliminates or reduce expensive hardware and maintenance of on premises systems.
- Takes on full responsibility for a customer's integration solution.
- Establishes a competitive pricing model.
- Enables highly available deployment and service recovering from failures automatically while minimizing downtime.
Open APIs, including both Fast Healthcare Interoperability Resources (FHIR) and proprietary and agile new data provisioning with enhanced integration of terminologies and tools.
For example, Canadian Electronic Health Records now provide a broader view of longitudinal health data across the care spectrum, typically with a clinical portal viewer as the access point. With many new data sources becoming available, it is more challenging to accommodate everything within one portal. HL/7 FHIR standards are breaking ground on exciting new open API accesses to focused data from the electronic health longitudinal record.
Improved handling of risk, including privacy, security, compliance and safety for patients.
There is significant crossover between the roles responsible for assuring privacy, clinical risk, compliance, and security. Many privacy issues can also be clinical-risk issues, information-security issues can also be compliance issues, and so on. Placing these roles in an integrated approach by an organisation such as Orion Health — rather than separating them in various silo disciplines — can create valuable synergy that reduces risk, improves efficiency, and increases client satisfaction.
A patient-centric focus starts by providing patients with access to their digital health information using a validated and authorized account. With information in hand, the patient is invited as a decision-making participant to join their circle of care. Patients are being invited to contribute meaningful personal health information. Ultimately, the patient maintains control over access to their digital health record.
Our solutions-as-a-service model has helped Orion Health earn the highest vendor rating by Chilmark's 2014/15 Clinician Network Management Market Trends Report and in the more recent Chilmark 2017 update on Clinical Network Management Market Trend Report.