eHealth-as-a-Service (eHaaS): The industrialisation of health informatics, a practical approach

Abstract

With the introduction of the Personally Controlled Health Record (PCEHR), the Australian public is being asked to accept greater responsibility for their healthcare. Although well designed, constructed and intentioned, policy and privacy concerns have resulted in an eHealth model that may impact future health information sharing requirements. Thus an opportunity to transform the beleaguered Australian PCEHR into a sustainable on-demand technology consumption model for patient safety must be explored further. Moreover, the current clerical focus of healthcare practitioners must be renegotiated to establish a shared knowledge creation landscape of action for safer patient interventions. To achieve this potential however requires a platform that will facilitate efficient and trusted unification of all health information available in real-time across the continuum of care. As a conceptual paper, the goal of the authors is to deliver insights into the antecedents of usage influencing superior patient outcomes within an eHealth-as-a-Service framework. To achieve this, the paper attempts to distil key concepts and identify common themes drawn from a preliminary literature review of eHealth and cloud computing concepts, specifically cloud service orchestration to establish a conceptual framework and a research agenda. Initial findings support the authors' view that an eHealth-as-a-Service (eHaaS) construct will serve as a disruptive paradigm shift in the aggregation and transformation of health information for use as real-world knowledge in patient care scenarios. Moreover, the strategic value of extending the community Health Record Bank (HRB) model lies in the ability to automatically draw on a multitude of relevant data repositories and sources to create a single source of practice based evidence and to engage market forces to create financial sustainability.

A Review of Realizing the Universal Health Coverage (UHC) Goals by 2030: Part 2- What is the Role of eHealth and Technology?

“…However, the innovative health technologies can be widely used in lowresource settings to: i) bridge the gap between developed and developing countries in health technologies, and ii) facilitate the achievement of UHC [48,49]. In addition, the state of the art technologies, like cloud computing, can also provide cost-effective eHealth solutions, such as, developing eHealthas-a-Service (eHaaS) [50]. Above all, the successful eHealth initiatives in the developing countries still need efficient business models and regulatory frameworks to sustain their impacts [42,51].…”

Enhancing Security of Health Information Using Modular Encryption Standard in Mobile Cloud Computing

“…This technology refers to interact with everyday objects. Several studies [21][22][23] analyzed the scenarios of connectivity of wireless sensors (connected to the objects) and the interconnection of multiple objects. The key benefit of the utilization of such technologies is the betterment of the quality of E-health facilitation.…”

Teaching and Assessing Sustainability Based on the Karlskrona Manifesto

“…Two examples of matrices for a graduate and undergraduate student, respectively, are shown for the sake of illustration. The matrix shown in Figure 3 corresponds to a master project introducing the software architecture for a Health Catalog Repository, which allows the storage, management, and custody of Electronic Health Records based on a regulated model of Personal Health Records, as a cloud service [22,23]. The obtained sustainability analysis matrix is associated with strong student performance on the educational experience outcome.…”