The Hospital of the Future

Technological innovation often fails to deliver the expected impact due to issues with data access rights. We propose to using a Dynamic On-Demand Data Security model. The basic concept is to enable patient empowerment through a 2-way process for data rights. All actors who have data access rights according to the current operational model would retain their rights. In addition, we provide a tool for stakeholders to request data access from the patient dynamically, as well as dynamic break-the-glass data access options with patient notifications. Patient benefits and self-determination is the main focus: the patient decides who has access to his or her medical records. Such access would be granted for a limited time, and patients have the opportunity to request more information about why the access is needed and to specify the data available. Stakeholders and beneficiaries for On-Demand data access should, in addition to medical specialists, include other public servants and pension and potentially insurance providers among others.

The patient’s portal opens up medical data, which is an enormous game changer by empowering patients and giving them control over their own data. Through the digital portal, the patient not only owns the data in a form of a patient diary (e.g. on blood glucose measurements), but can also store data from wearables such as fitness bracelets is stored. These applications are successful and tested by Nortal. Combining data access with additional value added services such as online appointment management, administration of personal data and communication with medical professionals will further position the patient at the center of the healthcare delivery process.

A key element for innovation to enable efficiency increases is systematic trust. We propose to achieve this via transparency – provide tools for patients to be able to monitor data access history and evaluate the use of their data by different stakeholders.

In order to facilitate effective communication between patients and medical specialists, Nortal aims to implement and test novel ways of presenting clinical information for patients and specialists. Increased focus on visual design supports comprehension and adherence to recommendations.

Increased use of telemedicine and personal healthcare devices is resulting in a flood of information being available from patients. In addition to traditional structured data, there will be streams of unstructured data from devices such as heart rate monitors, motion sensors and others.
For example, sleep pattern data from a personal wearable device can amount to gigabytes of data and does not suit conventional database structures. This data should also be available for medical specialists for analysis, when they consider it important. The new data is also made available for machine learning solutions to deliver insights into the care process.

Major inefficiencies are present in all healthcare environments due a lack of data integration models. The same lack of data interconnectivity is also a qualitative risk in healthcare.
We propose to implement HL7 FHIR as the next generation medical data exchange standard, enabling atomic data exchange between traditional clinical systems, but also modern mobile applications and other services.