Predictive Modeling as guide for Health Informatics Deployment

Predictive Modeling as guide for Health Informatics Deployment

Fabrizio L. Ricci (Italian National Research Council, Italy) and Oscar Tamburis (University of Naples Federico II, Italy)
DOI: 10.4018/978-1-5225-0654-6.ch008
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Abstract

The present research work shows the main steps conducted towards the exploitation of the LUMIR project, aiming at realizing an EHR framework in the Italian Region of Basilicata (also known as Lucania). It relates to a structure of network–enabled services capable of integrating the ICT solutions used by the operators of the Healthcare System of Basilicata Region. The adoption process of the LuMiR system was meant to address the issues connected to the design features as well as to the EHR diffusion and the acceptance aspects. The mathematical modeling approach introduced aimed at making possible to get to a measure “ex–ante” of both adequacy and significance of the adoption process itself. The final intent is to work out a scalable and exportable model of advanced management of clinical information, towards a stronger cooperation among the provider organizations and a better governance of care processes, as crucial element within the more general path of modernization of the healthcare sector.
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2. The Lumir System

The LuMiR system is a network-based systems infrastructure that allows healthcare operators (GPs, specialists, lab analysts, nurses, social operators, pharmacists, etc.) to exchange via an electronic support both clinical and administrative information about citizens. In particular, the LuMiR system:

  • Gathers socio-sanitary information concerning the entire citizen’s life from all the healthcare organizations the citizen deals with;

  • Facilitates the information exchange between information systems and healthcare operators, and can be accessed anytime from anywhere;

  • Supports the security management policies as to the access control. The citizens who make use of the LuMiR system can actively control the status of their information. More in detail, every citizen can decide which information can be accessed, by whom, and in what circumstances;

  • Guarantees the respect of transparency policies, since every user can visualize who provided his/her information to whom, where the information come from, and who requested them.

The service infrastructure of the LuMiR system allows the connection between organizations via the connection of their local information systems, by means of specific algorithms of information sharing and access control. Figure 1 shows the entire architecture of the LuMiR system.

Figure 1.

LuMiR system architecture

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