Group: Global_health_enterprise_architecture

This group lists publications in the area of health care and its enterprise architecture. Prior to developing and deploying a global information system (for health care), enterprise architecture answers questions (Why? When? Who? Where? How? and What?) for stakeholders (users, owners, planners, designers, builders, sub-contractors). Health care system performance, health worker capacity, access to health knowledge, improved decision and policy making process and better health outcomes for patients are among the areas where ICT-based solutions promise to deliver results (WHO, 2007). Development and transition under a "Global Health Enterprise Architecture" is indispensable in order for all stakeholders to maximize value (health outcomes) and mitigate risks (health and livelihood erosion). The target services include evidence/benchmarking/assessment enhanced medical guideline services (approved by national and international Public Health institutions) over heterogeneous device networks, such that workflows and reporting by (para-) medical practitioners (and patients) are generated (workflow reflecting the means in the clinical theatre) or aggregated (reporting). Enterprise architecture helps stakeholders to align change interventions in data and knowledge intensive work systems. An increasingly explicit and common resource base to guide and align ICT-enabled change interventions in health care is emerging. Alongside medical online resources such as provided by NIH, PubMed, HINARI (WHO), and local health knowledge not captured or accessible through formal methods, the resource base includes public sector architectural frameworks, including the Federal Enterprise Architectural Framework of the US Government (FEAF; http://www.whitehouse.gov/omb/egov/a-1-fea.html ), the industry driven Integrated Health Enterprise (IHE; http://www.ihe.net/ ) and the UK cross government enterprise architecture and its application in the health care sector(Grewal, 2007). Future clinical practice (bed-side, home or community care, telemedicine, electronic health record (EHR), health management information system (HMIS)...) will be delivered in myriad socio-technical settings (community, hospital, homes, telekiosk, the research lab,...), and it will involve medical knowledge and health data provided via heterogeneous device networks (computer networks, PDAs, mobile phone, Laptops..). References: Conway, M. D., Gupta, S., Khajavi, K., (2007), “Addressing Africa’s health workforce crisis”, The McKinsey Quarterly, November. Geels, F. W., Schot, J., (2007), “Typology of sociotechnical transition pathways”, Research Policy 36, pp. 399-417. Grewal,J. (2007) NHS Connecting for Health, presented at the OASIS Open Standards forum in London, http://events.oasis-open.org/home/sites/events.oasis-open.org.home/files/Jagdip.v2.ppt Madon T.,. Hofman, K. J., Kupfer, L., Glass, R. I., (2007), „Implementation Science”, Science, Vol. 318., no. 5857, pp. 1728 – 1729. WHO, "Building foundations for eHealth: Progress of Member States," World Health Organization, Geneva 2007.