RT XIX: Chap 4 Applying Intelligent Data Share Gateways for Evidence-Based Medicine and Spending
From the Book: The Refractive Thinker® Vol XIX: Social Media: Changing the World Through Communication


The U.S. healthcare system continues to face many challenges, including fragmentation, waste, inefficiency, and a lack of evidence about the quality and cost-effectiveness of care, with multiple review articles suggesting that less than half of treatments support adequate evidence. As a result, patients and physicians lack the knowledge to make good evidence-based medicine and evidence-based spending decisions. In a well-functioning healthcare system, patients may find difficulty accessing data about their own health and the health and economic consequences of their decisions.

Healthcare data adds value to patient care as collecting and sharing of data is essential for better diagnosis analysis and outcomes. Concurrently, healthcare leaders continue to experience a technology paradigm shift regarding patient data sharing and COVID-19 enforces the need for digital transformation. Innovations such as mobile healthcare, telemedicine, and big data analytics drive this shift but require a strong, future-ready network infrastructure that supports peak healthcare performance. The network must be robust enough to support critical healthcare functions such as the rapid transfer of digital data for patients to participate in their care. The fast transfer of digital health data can improve surgery, implanted medical devices, pharmacy inventory, data management systems, and sophisticated medical alert systems. Healthcare organizations must embrace new technologies and allow for future growth with flexibility and scalability. Combining distributed ledger technology with mobile and social media technology engages patients through digital connections in real time while providing continuous feedback and becoming self-care educated through platforms such as Google, LinkedIn, and Facebook. The implication for positive social change includes the potential to improve the quality of life for healthcare recipients who may spend less on healthcare services and lessen the cost burden on hospital systems by using virtual web services. In this article, we proposed an architecture strategy to gather and share healthcare data based on monitoring medical implants using radio frequency identification (RFID) and Blockchain distributed ledger technology to enable patients to own, control, and share their own data without violating regulations. The strategy potentially provides healthcare leaders with a method to improve health system interoperability that adds intelligence and evidence to support medical decisions for better outcomes. The new paradigm entails the advent of modern digitization and how leaders can apply evolving data sharing and analysis technology knowledge for informed business decision making beyond traditional manual spreadsheet data base methods.