Health Service Focus

02.08.17

Data explosion and ageing population meet in the hospital

Eran-David-iMDsoftEran David, chief technology officer of iMDsoft, talks about how current trends may affect healthcare trust operations in the future.

It is breathtaking to read the statistics highlighting the sheer growth of data that is being captured globally. For example, every two days we create as much information as we did from the beginning of time until 2003; over 90% of all the data in the world was created over the past two years; if we burn all the data created in just one day onto CD-ROMs we could stack them on top of each other and reach the moon twice.

Although traditionally the healthcare industry has lagged behind other industries in implementing technology, there is no reason to think that it will not embrace this trend of data explosion. We are seeing new medical devices collecting high-resolution data being introduced to the market and wearable devices promising disruptive breakthroughs. This year there will be over 1.2 billon smartphones in the world which are stuffed full of sensors and data collection features.

Another trend that has been already discussed at length is that of the ageing population. The world is getting older, especially in developed countries. Within 20 years, many countries in Europe will count citizens over 65 as their largest population cohort. By contrast, the number of hospital beds is increasing at a very slow rate. In fact, according to the NHS, over the past three decades, the number of hospital beds has been steadily declining.

The net result of these two trends converging is that hospitals in the future will have to operate like intensive care units operate today. Patients who will be admitted to general and acute wards are likely to be sicker than in the past and will require constant monitoring. The type of decision support tools that are being used in critical care, like smart alerts, automatic scores and fluid balance calculation, will have to find their way to the general wards.

Hospitals need to prepare for what is coming: high-resolution data being captured and analysed on a near real-time basis, from numerous and diverse data sources.

There is also going to be a push to tap into data collected outside the hospital from community and personal data repositories, as the information that can be extracted from these sources can be critical to the care of the patient. This information is valuable for a variety of purposes including predictive analysis, research, preventive medicine, continuum of care from community and more.

Here are a few things that hospital chief information officers should be thinking of today in order to prepare their organisation for this inevitable future:

  1. Ensure that your electronic patient record has the ability to deal with high-resolution data, both in terms of storage and compute. If this functionality doesn’t exist today, it should at least be on the vendor roadmap
  2. Address device connectivity as a strategy – it shouldn’t be an isolated solution for a particular ward or specific device
  3. Separate between clinical data repositories (CDRs) and applications. This approach will help provide accessibility to the data necessary for various utilities (e.g. predictive algorithms, evidence-based medicine and research). A CDR must provide a common and secure interface for accessing its data (e.g. FHIR). It is OK for a system to provide both CDR and end user functionality, as long as its primary role is that of master of the data

There is no question that grappling with the plethora of data out there today presents some short-term pain. I firmly believe, however, that with the right approach, hospitals can capitalise on the advances in clinical information management in order to realise high-impact clinical, financial and operational results.

FOR MORE INFORMATION
E: Eran.David@imd-soft.com
W: www.imd-soft.co.uk

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

London trust told to improve for third time in three years

17/08/2017London trust told to improve for third time in three years

A major London NHS trust has been told by inspectors that it needs to urgently improve after it received its third ‘Requires Improvement&rs... more >
Third of trainee GPs not planning to work in NHS general practice

17/08/2017Third of trainee GPs not planning to work in NHS general practice

Only two-thirds of trainee GPs are planning to go on to work in general practice in the NHS, a new study has today warned. The research carr... more >
Longest serving NHS chief executive sacked for ‘gross misconduct’

17/08/2017Longest serving NHS chief executive sacked for ‘gross misconduct’

The NHS’s longest serving CEO Sir Leonard Fenwick has been sacked by Newcastle upon Tyne Hospitals NHS FT (NUT) for “gross misconduct... more >

editor's comment

13/06/2017Tackling the major challenges facing the NHS

As you will have gathered from the front cover, a theme that runs throughout this edition of NHE is about empowering and involving the workforce in order to deliver innovative change across the system.  Professor Jane Dacre, president of the Royal College of Physicians, highlights on page 16 the importance of sustainability and trans... read more >

last word

Your personality, your leadership

Your personality, your leadership

Deirdre Wallace, clinical skills manager at UCL Medical School, discusses the importance of learning about leadership and self while at medical school. Approximately five years ago, I was ch... more > more last word articles >
681 149x260 NHE Subscribe button

the scalpel's daily blog

Turbo-boosting STPs? It’s time we got serious about ‘partnership’

27/07/2017Turbo-boosting STPs? It’s time we got serious about ‘partnership’

Merron Simpson, chief executive New NHS Alliance, argues we’re missing the point of what ‘partnership working’ truly means if we refuse to recruit help from those outside the health service. Jeremy Hunt and Simon Steven’s recent announcement to ‘turbo-boost’ sustainability and transformation partnerships (STPs) provides a welcome shot-in-the-arm for those across the system who are ... more >
read more blog posts from 'the scalpel' >

comment

Changing our digital culture and safeguarding patient data

08/08/2017Changing our digital culture and safeguarding patient data

Joanna Smith, chief information officer at Royal Brompton & Harefield NHS FT (RBHT), says that as the NHS becomes more digital it has to get ... more >
A centre for medicines optimisation research and education

04/08/2017A centre for medicines optimisation research and education

Dr Yogini Jani, a consultant pharmacist at University College London Hospitals NHS FT (UCLH), discusses a collaboration with UCL School of Pharma... more >
Unlocking the benefits of age-friendly cities

04/08/2017Unlocking the benefits of age-friendly cities

Stefanie Buckner, Calum Mattocks and Louise Lafortune from the Cambridge Institute of Public Health, alongside Melanie Rimmer from the School of ... more >
A community service

04/08/2017A community service

Louise Watson, NHS England director of the New Care Models programme, discusses the emerging success stories from the vanguard areas across the c... more >
Diabetes Professional Care launches 2017 Conference programme

03/08/2017Diabetes Professional Care launches 2017 Conference programme

An outstanding line-up of practitioners and thought leaders will share their expertise and knowledge with healthcare professionals from across th... more >

interviews

Improving care at the touch of a screen

08/08/2017Improving care at the touch of a screen

When it comes to dementia, having a calm and safe environment can have a substantial impact on a patient’s quality of life. NHE’s Jos... more >
A new approach to talent management

25/07/2017A new approach to talent management

Martin Hancock, national lead for talent management at NHS Leadership Academy, and Gill Rooke, the organisation’s senior operations manager... more >
Enabling greater integration through ACSs

25/07/2017Enabling greater integration through ACSs

At this year’s NHS Confed, Simon Stevens revealed the first wave of accountable care systems (ACSs). NHE speaks to Ian Dodge, the director ... more >
How NHS organisations can protect themselves against cyber crime

25/07/2017How NHS organisations can protect themselves against cyber crime

On 12 May, a global cyber-attack occurred on an unprecedented scale. It affected organisations across the globe and, though it did not specifical... more >
Working collectively to improve cancer outcomes for patients

20/06/2017Working collectively to improve cancer outcomes for patients

Last year, the cancer vanguard established the Pharma Challenge. Rob Duncombe, pharmacy director at the Christie NHS FT, gives NHE an update on t... more >