On-line CIS: A Technology
and Industry Analysis
|
Information technology (IT)
has, at present is, and in future will continue to impact the health care
(HC)/life sciences industry. Initially, IT companies had entered the market
with a steady focus on all industry verticals. But, since the HC industry is
a rather conservative industry, when compared to industries such as mobile
communications; commercial application and market penetration in this
industry took more time than in other industries. Thus, we see that the
impact of IT in the HC industry has happened at a slightly later stage due
to a late adoption of the technology by the industry, leading to time lag
between market entry and industrial recognition of HC IT companies. However,
at present the HC-IT industry is catching up fast. The best example of
infusion of IT in HC domain can be found through the profound impact of
clinical information systems (CIS) in this industry.
Clinical information systems include data collecting, processing, analysis,
and reporting inference. CIS is an industry, which though a part of the
medical and HC industry vertical, is more affected by the developments and
changes in the IT industry. The most important use of CIS is to help reduce
medical errors. This technical strategy has already proven to be effective
in reducing the effects of human error and duplication of redundant work in
industries such as banking and aviation. Clinical health information systems
promise a substantial impact on medical quality and safety by integrating
relevant automated decision making and knowledge acquisition tools into
medical practices, thereby reducing errors of omission that result from gaps
in provider knowledge or the failure to synthesize and apply that knowledge
in clinical practice. These systems, when integrated on a national or even
global basis, promise to improve medical decision making and the appropriate
use of diagnostic tests and therapeutic agents.
In September 2007, Frost & Sullivan, Technical Insights (TI), HC
vertical published an alert article on the CIS industry. This TI
article contained a view and analysis of the CIS industry. TI had
predicted that in the near future the HC industry will institute the use of
IT technologies on a larger scale: national or regional integration of
medical records or electronic medical records (EMRs) through the use of
clustered server networks. The TI HC vertical had predicted that the
clustered server network-based database management and networking system was
going to make a nationally or globally centralized CIS a reality. TI
had also stated that to make this concept a reality, the hospitals or the
individual CIS manufacturing firms (storing the patient EMRs in their own
individual servers), software companies and the government regulatory bodies
will need to form a coalition triangle and work with each other. Going
further with the analysis TI had predicted that Google with it's
cluster server on-line data base providing easy access were poised to play a
very important part in the creation of a Web-based clinical data repository
for EMRs and other clinical data.
TI analyzes and finds that in late 2007, Microsoft has drawn first
blood by entering the CIS segment before Google. Microsoft has innovated and
launched its product named the HealthVault, which serves to be an on-line
repository of clinical data for easy access by the patients and the
consulting doctors, at their ease. This pioneering work from Microsoft is
presently in its beta version and is already gathering extensive industry
attention cutting Google's on-line repository, codenamed 'Weaver,' to the
chase.
The Microsoft HealthVault record can be created and controlled by the user.
The system allows the user to decide what goes into the personalized
HealthVault record. It further allows the user to decide and select the
people who can see and use the clinical information on a case-by-case basis,
thus facilitating speedy diagnosis. The system has a nondisclosure agreement
in place, which allows the patient to use the system, yet retain the rights
to the information. It gives the patient security and peace of mind in terms
of mis-usage of the critical health data. Using the HealthVault, any patient
gets dynamic access and flexibility of importing the health records from
doctors, hospitals, labs, prescription drug plans, and other HC providers.
In order to access this ready-to-use, secure site, the user or patient
requires a Windows Live ID and a password that the patient can share with HC
providers. Microsoft HealthVault is now integrating itself with telemedicine
vendors such as Alive Technologies, based in Australia, where this on-line
system will allow the wireless patient monitoring system to easily upload
the monitored data to the HealthVault on-line record using WiFi.
At present, Google is yet to launch its own product, which may be because it
is concentrating on building a proprietary search engine specific to HC
data; while Microsoft's HealthVault incorporates third party health-specific
search engines such as Healthline for more accurate search. Thus, this still
leaves Google a chance to come out and grasp the industry with a better and
more efficient proprietary search engine as it has already done in the past.
However, when discussing with industry executives, the opinion that gets
voiced is that in reality Google might not be that interested in developing
such an on-line Web-based EMR system. This is because of the fact that
Google churns a major chunk of it's revenue through ads and it will be very
difficult for Google to replicate the same in the on-line EMR system. The
patients and doctors might not want the critical medical data to be
represented along with ads in the on-line system thus digressing the
importance, ethics, and criticality of the data.
Maintenance of on-line security while clinical information transfer occurs
will however be the biggest issue in making the patient community adopt the
on-line EMR system. New encryption algorithms are written every day and
hackers use 'brute-force' technology to break theses codes and often they do
succeed. While such is the problem, unless an encryption algorithm is
written, which defies Bergofsky principle (Bergofsky principle states that
every type of encryption can be broken by finding a particular standard 64
bit key using brute force technology), the security issues will always be a
problem.
In conclusion, TI analyzes and states that the three-way tie-up between the
CIS technology manufacturers/vendors and companies such as Microsoft and
Google under the surveillance and supervision of government regulatory
bodies (in compliance with international standards of clinical information
flow such as Digital Imaging and Communications in Medicine, Health Level 7
(DICOM) will result in multimillion dollar IT deals. Such deals will act as
stepping stones into a nationally or globally integrated clinical database,
with the front-end allowing the users to communicate in local languages in
select global locations.
Details:
Abhishek
Dutta
Research Analyst
Healthcare, Technical Insights
Frost & Sullivan
498 Anna Salai
Nandanam, Chennai
Tamil Nadu - 600035
Phone: +91-44-42044626
E-mail:
adutta@frost.com
URL:
www.ti.frost.com
To
comment on this article, write to us at
tiresearch@frost.com
To find
out more about Technical Insights and our Alerts, subscriptions and research
services, access
http://ti.frost.com
|