Integrated Knowledge Networks – Driving the Transfer of Knowledge in Healthcare

By Dr. Paul Terry

PHEMI’s mission is to unlock patient data for clinicians, administrators and researchers. PHEMI Health Systems envisages a data collection and Big Data platform that aggregates vast amounts of clinical patient information from the point of care, stores it in a highly secure, private digital asset library, and allows approved users to mine the information for important insights, which can then flow back to the clinician to inform subsequent care.

We refer to this powerful feedback loop – patient information automatically flowing from the clinics to the digital asset library for analysis and then back to the clinicians as ”real world” insights and best practices – as the PHEMI Integrated Knowledge Network.

The PHEMI Integrated Knowledge Network consists of two main components:

1. PHEMI Central is a fully extensible digital asset library that enables the collection, storage and analysis of a rich dataset of healthcare information for population health management, quality improvement, clinical study engagement, post-market surveillance and curiosity-based research.

Specifically designed to provide the agility necessary to meet the increasing volume, variety and velocity of healthcare data, PHEMI Central‘s Privacy by Design architecture brings the power of Big Data to healthcare.

2. PHEMI Clinical is a highly customizable care management platform that improves clinic productivity by automating ambulatory care processes and patient outcomes by real time decision support. Automated pre-population of forms, automated workflows, automated consult letters and automated registry filings mean that clinicians can spend more time with patients, and less time with paperwork.

PHEMI Clinical bridges the many hospital information silos, unlocking rich patient data. Designed specifically for healthcare workers frustrated with filling out complex online EMR forms, hunting for patient information buried behind multiple key clicks, and managing inefficient manual paper charts. PHEMI Clinical streamlines patient encounters at every step.

An Integrated Knowledge Network facilitates knowledge transfer; information from many sources (clinical, genetics, claims, payer) flows both to and from PHEMI Central. Data is easily aggregated from multiple sources, breaking down the information silos for easy access, and mining.

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Figure 1 – Integrated Knowledge Network

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An Integrated Knowledge Network must also manage the critical issues of governance, compliance, risk and privacy across the entire network and across all information flows. PHEMI’s Governance Policy Manager, the integral core of PHEMI Central, does this.

We anticipate a healthcare ecosystem where disease specialists, researchers and clinicians will form multiple Integrated Knowledge Networks.  For example, local and regional HIV researchers can form part of a national or even international HIV Integrated Knowledge Network where information is collected, stored, shared and queried at a federated level – while ensuring an individual’s privacy remains intact.

An Atrial Fibrillation Knowledge Network can collect extensive patient information while improving productivity by as much as 30%. Each PHEMI Clinical system transparently collects rich statistics on patient outcomes and clinic productivity.  This information can be published to PHEMI Central where information will be amalgamated with peer clinics. Quarterly benchmark reports will inform clinics of their performance. Communication among peer groups is encouraged to share best practices to improve overall clinic productivity and patient outcomes.  Point of care data and historical data stored in PHEMI Central can also be mined for deeper analysis.

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Figure 2 – Atrial Fibrillation Integrated Knowledge Network

The PHEMI Integrated Knowledge Network opens up a world of possibilities that will change the face of healthcare – from massive increases in clinician productivity, to sophisticated trial recruitment and execution, to research breakthroughs, to adoption of best practices, and the reality of precision medicine.

 Dr. Paul Terry is the President, CEO and “Big Data Guy” at PHEMI Health Systems. He serves on the board of directors for Providence Health Care, and for the past 11 years was also was the secretary/treasurer and technology adviser for the Michael Smith Foundation for Health Research – British Columbia’s health research support agency.  Paul is a serial entrepreneur….  

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