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Engineering the Next Generation of Health Systems

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Healthcare Information Management Systems

Part of the book series: Health Informatics ((HI))

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Abstract

This chapter focuses on three changes that will dramatically affect the rapidly evolving health ecosystem. It highlights today’s high value/high usability computing paradigm, the explosion of information within the Web and the challenges for EHR systems as they try to face the data tsunami. The chapter proposes that a Complex Adaptive System (CAS) framework will be essential for an inclusive health ecosystem that meets the needs of clients, consumers and health workers. The authors suggest that a person-owned wellness-health record (POWR) will be required in the new ecosystem. It postulates that a Smart point of need system for all users should replace the current point of care systems that are limited to healthcare workers. The chapter concludes with a description of a community-based health ecosystem that adopts the behaviors of a CAS, incorporates continuous quality improvement and exploits new technologies to support decision-making for all individuals within the community.

“Insanity, doing the same thing and expecting different results”

Albert Einstein

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Author information

Authors and Affiliations

  1. Silva Consulting Services, 2055 Conan Doyle Way, Eldersburg, MD, 21784, USA

    John S. Silva MD FACMI (Chief Architect)

  2. Healthcare and Life Sciences Institute, IBM Research, Johns Hopkins University, 5706 Coley Court, Baltimore, MD, 21210, USA

    Marion J. Ball Ed.D

Authors
  1. John S. Silva MD FACMI
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  2. Marion J. Ball Ed.D
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Corresponding author

Correspondence to John S. Silva MD FACMI .

Editor information

Editors and Affiliations

  1. Gentiva Health Services, Atlanta, Georgia, USA

    Charlotte A. Weaver

  2. Healthcare Informatics, IBM Research, Baltimore, Maryland, USA

    Marion J. Ball

  3. Division of Health Sciences Informatics, The Johns Hopkins University, Baltimore, Maryland, USA

    George R. Kim

  4. Duquesne University, Pittsburgh, Pennsylvania, USA

    Joan M. Kiel

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© 2016 Springer International Publishing Switzerland

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Silva, J.S., Ball, M.J. (2016). Engineering the Next Generation of Health Systems. In: Weaver, C., Ball, M., Kim, G., Kiel, J. (eds) Healthcare Information Management Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-20765-0_27

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  • DOI: https://doi.org/10.1007/978-3-319-20765-0_27

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20764-3

  • Online ISBN: 978-3-319-20765-0

  • eBook Packages: MedicineMedicine (R0)

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