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IKTPLUSS-IKT og digital innovasjon

A distributed service-oriented architecture for coordinated healthcare services

Alternative title: Distribuert tjenesteorientert arkitektur for koordinerte helsetjenester

Awarded: NOK 15.9 mill.

The aim of Valkyrie is to develop a technical prototype of an ICT architecture to promote health care services coordination. Valkyrie will work to reduce the gap in relevant patient health data availability between health care services in different levels. Patient-centric pathways will guide our models to make the relevant patient health data available to the relevant health professionals. The outcomes of Valkyrie will improve the availability of patient health data at the point of care, and thus helping health professionals to deliver better care. Better care will improve quality of life, increase adherence to treatment and reduce morbidity. Valkyrie focus on mental health services in Norway. A growing number of individuals are not receiving optimum care, partly due to lack of coordination and information. We will study how health care services coordination can be improved by creating an innovative data sharing solution based on the existing systems. This will be achieved through joint research activities with national and international partners. Knowledge will be collected through reviews, observations and interviews with patients and their care providers. In terms of innovation, the outcomes of Valkyrie will advance the digital transformation of health care services. In the first year, Valkyrie had its kick-off meeting quite late in the year, due to constraints related to the ongoing Covid-19 pandemic. However, this did not limit the project collaboration with partners, and several online meetings have been held both with national and international partners / advisors. The project researchers have worked with the partners to define a plan to implement the sandbox for the project (this is of high importance as it will influence the selection of future research and piloting methodologies). The project's target group profile was further refined together with the clinical partners, and a plan for participants recruitment has been defined. On the technology part, Valkyrie has worked together with the technical partners (i.e., CityEHR and DIPS) to update the project architecture, and a plan for relevant systems implementation, including data structures, data models and care pathway models is near conclusion. The two planned PhDs within Valkyrie have initiated their studies during the summer, and an application for funding for one more PhD had been submitted to the local health authorities.

The IKTPLUSS work program, the Norwegian e-Health Strategy (2017-2022) and the Norwegian Directorate of Health National Plan for Implementation of Patient Pathways have identified challenges with the digitalization of the Norwegian healthcare sector, recognizing the need for more research aiming a better use of electronic Patient Health Data (ePHD). A need has also been identified for implementing new patient pathways for mental health which improve the coordination between primary and specialist care. But, the challenges of accessing ePHD across multiple HIS and integrating it with patient-centric solutions to form complete digital pathways, threaten the chances of achieving the goals for patient pathways. The aim of the Valkyrie project is to develop a technical prototype of an architecture to promote health care services coordination. The full coordination of health care services entails that the right data is available to the right person at the right time, independently of where the patient has received medical care before, and is identified as in the strategy of One citizen – One Journal [1] as a key objective. From an Information and Communication Technology (ICT) standpoint this means connecting multiple healthcare information systems (HIS) across multiple health care levels. Under Valkyrie we will model patient centric pathways that guide the outline of a Virtual Health Record (VHR). The VHR will be made available to the providers’ HIS, thus making it possible to, when relevant, access a view of the ePHD. Hence, all ePHD will become ubiquitous facilitating health care services coordination.

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IKTPLUSS-IKT og digital innovasjon