Health February 16, 2019
Linking Up

By News - World Healthcare Journal

In a world moving to HIE’s, Doctorlink seems to be the “missing link” in the ecosystem and information exchange.

Health Information Exchange (HIE) is the mobilisation of healthcare information via electronic means across organisations within a region, community or hospital system. The data provided by these systems can be used to improve the quality of patient-centred care in an effective and timely manner.

At present HIE’s tend to focus around Electronic Health Care Records (EHR), and clinician-facing data capture. EHR’s have become a very important and integral part of the healthcare system. In these scenarios the HIE becomes the central hub of clinical-led data between multiple care settings (providers), insurance companies (payers) and governments.

Sharing electronic patient information enables providers to access and confidentially share patients’ vital medical history, no matter where patients are receiving care - this could be specialist care, primary care, labs, community care, pharmacy or emergency care etc. 

There are clear benefits to the health ecosystem, providing safer and more effective care tailored to patients’ unique medical needs, as well as the obvious financial benefits that include avoiding unnecessary and repeated diagnostics, and reducing the variation of care across a strategic region.

Ultimately these benefits contribute to improving diagnosis in the patient, potentially saving lives by avoiding medical errors, and improving clinical outcomes and thus improving overall public health.

To further the success of HIE’s there needs to be more focus around empowering patients and creating a means for data capture by the patient themselves. HIE’s need to have a patient-facing front end which seems to be missing in many HIE’s that are in existence today. This is not just about data capture; this is about educating patients, supporting them from the beginning of their patient journey and signposting them to the right place at the right time based on their clinical need.

Doctorlink (DL) is an extremely successful clinical engagement platform with a global presence including the NHS in the UK. The platform is designed to empower patients to take greater control of their health and enable them to gain access to the right care at the right time.

At its core lies a suite of algorithms that include but are not limited to, symptom assessment which covers 95 per cent of presenting conditions triaged and signposted using clinically robust and indemnified algorithms, health-risk assessment including population health management algorithms that proactively manage and identify patient risk, and service finder which is a tailored directory of services that integrates with the algorithms to drive patients to the right place at the right time.

There are many benefits of using the DL Platform as the patient-facing front end of an HIE. Firstly, by implementing DL, regions will be able to gain a highly intuitive level of syndromic surveillance using the patient-facing tools. This is a deeper collection of data from the population. The data is collected and presented in real time using machine learning and AI. This approach gives regions the most comprehensive insight into population health and helps manage and control disease outbreak. Most important is the ability to individualise the data, enabling personalised medicine concentrating on prediction and prevention.

The second key benefit to an HIE is the care coordination and management programmes of patients. The DL platform can manage individual patients using clinical algorithms, offering self-care advice and guidance and most importantly, predicting and highlighting risks, interventions needed and suggesting the next steps of care on the patient’s pathway in a clinically appropriate time frame. High risk patients can be identified and prioritised to clinicians in real time. The clinical prioritisation of patients ensures efficient and effective care which is preventative and actionable with improved clinical outcomes.

"Doctors report they have more time to be doctors with less clinical time spent on easily resolved problems"

– Michelle Lea, Chief of Global Market Development

Patients have the ability to manage their own health and conditions, and the ongoing management of these patients through the platform helps educate patients and support them in self-management. Most importantly it helps prevent the deterioration of a patient’s condition. The clear and primary focus of embedding DL into the “patient-facing door” of an HIE is to give focus in empowering patients, promoting patient-centred care which is preventative in nature.

There are also clear benefits to the workforce in an HIE region using DL as the first point of access; these include but are not limited to enhanced, efficient workflow. Clinicians are supported by the DL platform using clinical prioritisation and real-time management feeds. A solution like this is key in the demand management and prioritisation of ageing populations with increasing comorbidities.

The results of DL speak for themselves and already DL is helping health economies all over the world by reducing costs and improving access - interoperability with existing health care systems is key with proven experience in improving demand and outcomes.

Doctors report they have more time to be doctors with less clinical time spent on easily resolved problems. They have peace of mind that care is becoming standardised and the right patient is being seen at the right time.

Patients are happier, healthier and report an improved patient experience with 24/7 support centred on their needs. Globally DL concentrates on patient-focused preventative medicine which is prescriptive and cost-effective.

Contact:  Michelle Lea, Head of Global Market Development -

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