Case Study
Reengineering of the Health Record of the Regione Molise
The project to evolve the Health Record in the Regione Molise represents a significant step toward improving healthcare information management. By implementing the FSE 2.0 specifications, the project aims to modernize and enhance the efficiency of the Electronic Health Record, ensuring better interoperability and accessibility of clinical data. This evolution will not only facilitate information sharing among different healthcare facilities but also help ensure that citizens have access to a more integrated and coordinated healthcare service. The adoption of FSE 2.0 specifications will overcome current limitations, improving the quality of care and the overall user experience.
Where: italy
Where: italy
Challenge
Molise Dati is an in-house providing company of the Regione Molise in the ICT sector, supporting regional structures in implementing the principles of simplification and digitalization of the Regional Authority. Its mission is to innovate and improve the services of the Regional System provided to citizens.
As an in-house company, Molise Dati serves as a key partner in designing new projects and processes, as well as redesigning and streamlining those requiring innovation and new technological infrastructures for the Regione Molise.
Approach
To address the client’s challenges while complying with the regulations outlined in various decrees for the Electronic Health Record (FSE) 2.0, we adopted a methodical and compliant approach structured into key phases:
Regulatory Analysis: A detailed examination of the decrees and guidelines related to FSE 2.0. This allowed us to fully understand the current regulations, technical specifications, and expectations regarding interoperability and data security.
Expert Involvement: We engaged legal experts and healthcare professionals to ensure that all proposed solutions aligned with regulations. This guaranteed that our strategies were not only effective but also fully compliant with laws and policies.
Standards-Based Design: The system was designed following the standards set by the decrees, such as HL7-FHIR and IHE-XDS.b, to ensure interoperability and compatibility with existing systems. This approach facilitated data integration and simplified regulatory compliance.
Implementation: The system was developed using a microservices architecture, ensuring greater flexibility and scalability. Each component can be updated or replaced without impacting the entire system, enabling the seamless adoption of new technologies and standards.
Monitoring and Audit: We implemented a continuous monitoring and audit system to ensure that all operations comply with regulations. This allows us to quickly identify any non-compliance issues and take corrective actions.
By adopting this approach, we effectively addressed the client’s challenges while ensuring full compliance with FSE 2.0 regulations and guidelines.
Digital Ecosystem
Solution
Digital Ecosystem
The evolution of the Electronic Health Record (FSE) in line with FSE 2.0 guidelines involves implementing various solutions, services, and products aimed at improving healthcare information management and ensuring more integrated and coordinated care. Here are the key features:
Interoperable Integration: Adoption of interoperability standards such as HL7-FHIR and IHE-XDS.b to enable seamless communication between the FSE and other healthcare systems, facilitating data exchange across institutions and professionals.
Centralized Data Access: Development of an intuitive user interface allowing citizens and healthcare professionals to easily access clinical information, reports, and medical documentation in a single platform.
Telemedicine Services: Integration of telemedicine functionalities to enable remote consultations, patient monitoring, and care management, improving access to healthcare services.
Consent Management: Implementation of a consent management system that allows patients to control which information is shared and with whom, ensuring data privacy and security.
Data Analysis and Reporting: Development of data analytics tools to support clinical and administrative management, providing advanced reporting and healthcare performance monitoring.
Training and Support: Training programs for healthcare professionals and end users to ensure effective system usage and understanding of new features and regulations.
Security and Compliance: Implementation of advanced security measures to protect sensitive data and ensure compliance with current regulations on data protection and cybersecurity, including precise tracking of access to metadata and documents.
Support and Maintenance Services: Continuous technical support and maintenance services to ensure system reliability and updates in line with regulatory and technological advancements.
These solutions and services are designed to ensure that the FSE evolves to meet the needs of both citizens and healthcare professionals, enhancing efficiency and the quality of healthcare services.
Results
Exponential increase in the number of indexed reports on the EHR in the short term
Improved communication between doctors and patients
Change management and patient engagement
Impacts
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