The case focussed on Health care IT, which helps in dealing with the real time c

Question

The case focussed on Health care IT, which helps in dealing with the real time care with the help of real time data. Oracle based clinical repository is one such data integrating/ warehouse solution that will help organizations take better decisions. Secondly, it helps in identifying the best treatment options available to the patients and best medical tests that are available to perform as per the patients' condition. Like for example, from the case, the clinical support software helps its medical staff and affiliated physicians choose the best radiology tests for patients. It matches the problem patient has and suggests the best test that has to be performed on the patient. There are situations where a doctor orders a test to his patient. And the system poses a question as to what diagnosis the physician is prescribing, and what is the certainity that the test is correct. After the test, the system follows up with an e-mail asking the doctor whether the test confirmed the original diagnosis. It also aims at gaining certain insights on how doctors decide which tests to use, and learning in which situations doctors are most likely to prescribe the wrong test for a given set of symptoms. Medical IT isn’t just helping doctors choose the right test for a patient, but it is also making the entire scenario as personalized as possible. All this is different from other hospitals, or physicians or insurance companies. Such hospitals provide greater efficiency and lower error rates, because of the intelligent IT systems. There will be no scope of errors, and this will increase the success rates. Secondly, physicians shall provide an efficient and effective treatment to their patients. The productivity of the doctors shall also increase with such systems. Thirdly, incusrance companies can do better risk assessment with such detailed personalized analysis. And the costs of medical insurance will also reduce, because of the perfect analysis that is made, reducing the unnecessary testings. Lastly, patients will have an improved safety and secured treatments. 2) The first thing that patients have is privacy concerns over their personal medical data that is being available. In order to balance the privacy concerns and recommendations, hospitals should limit access to the patient identities. Not every one should have the access to the patient data, except the physician. Patients should be be informed of their personal data maintenance, such that it gives them a hope that the data shall not be misused. So, all the patients should be informed of how the patient data will be maintained, and the information on who all shall have access to the data should be shared. Lastly, by employing appropriate security measures like installing trigger systems when suspicious activity is deducted, etc can give hope to patients that their data is secured with the hospital. 3) Others industries which manage large volues of data apart from health care industry are - Schools - School records have a lot of personal, family and medical history of the students Police - Police maintain large volumes of the data about the crimes and culprits Taxation - Income tax department also maintains huge volumes of the data of all the people who are employed Human resources department - HR's maintain huge volumes of the employee data Banks and financial institutions - Banks maintain big volumes of data of the clients and their customers.

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Explanation / Answer

The case in focus is based on the application of IT in the healthcare domain. The applications ranges from application of real time data to enable real time solutions in the healthcare space. An example of such an IT based solution is the Oracle’s clinical repository that ultimately seeks to assist better decision making. It acts as an expert system and tries to recommend the mot optimal treatment option available to the patient. As an example from the case, the system tries to suggest the best test for its patient. It is also learning system as it also tries to gather in its database about the test the doctor is prescribing and also the initial diagnosis. Post the test is done, it tries to revalidate if the initial diagnosis is correct. Thus the system is trying to learn the situations in which the doctor would be accurate and in which he may go wrong and tries to intervene in these situations.

Because of the presence of these modern intelligent IT systems, the advantages are multifold. There are lesser errors, better quality of healthcare administration and also lower insurance premiums. The cause for concern is that of privacy of patient data which can be successfully managed by restricting access within the hospital systems and also installing necessary firewalls which can detect and report suspicious activities.

There are other industries such as schools and colleges, tax departments, law enforcements and financial services firms which uses large volumes of data and manages tem effectively to be more effective. Best practices from other industries can also be translated in the healthcare domain to reduce concerns related to privacy and make data driven decisions.

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