Using a federated and de-centralized web-based architecture, Clalit Health Services and Israeli software company, dbMotion, created an enterprise-wide system able to query asynchronously the entire set of local repositories, integrate the responses and present the caregiver with a unified, integrated “Virtual Patient Record” for viewing only, all within seconds. The system was later extended by Clalit to include large competitor medical centers to create a Regional Health Information Organization and Health Information Exchange.
Medical information sharing is an organizational norm throughout Clalit Health Services. For other organizations considering establishing a Medical Information Sharing Network there now exists a reference project that has been operational long enough to be judged success or failure.
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BI is first and foremost a set of tools in the tool-box of change. It is a set of tools, services and methodologies designed to assist the organization’s leaders in bringing their goals and strategies to fruition. Since carrying out a new strategy is an exercise in change management, disruption of current processes, workflows and convictions are usually the first outcomes of change-driven BI implementation. To some in the organization it will be a godsend, the right tool in the right place at the right time; to others anathema, a disruptive force, the democratization of information, a mirror on past faults and a future irritation, or worse. Clalit Health Services – Israel’s leading HMO – has shown the feasibility of an enterprise-wide eHealth model – including Health Information Exchange (HIE) and Regional Health Information Organization (RHIO) components based on the dbMotion medical information sharing solution. The model – in whole or in part – is both replicable and transferable to other large healthcare environments, whether they are national, multi-national or regional. Clalit Health Services has distinguished itself from other HMOs by successfully combining and integrating BI and medical information sharing tools – eHealth par excellence – thereby empowering clinicians, caregivers and healthcare managers with tailor-made clinical and management tools. Nearly all of Clalit’s more than 30,000 workforce is a BI and/or medical information sharing consumer. |
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