Electronic Health Records 2.0

Taking a Cross-Sectorial Approach to Healthcare Delivery: Electronic Health Records 2.0

According to the African proverb, it takes a village to raise a child. The same is true about delivering healthcare – it takes all the people involved with a patient, including clinicians and healthcare executives, families and community caregivers, to work together with a common goal in mind.

Technology is moving fast in this direction. Hospital-centric electronic medical records (EMRs) are integrating into patient-centric longitudinal electronic health records (EHRs), and this is enabling all engaged stakeholders to access health-related and care-related information at any time.

Now technology is doing even more. Once doctors, nurses, hospital managers and patients have access to these digital health records, the next step is to connect everyone with each other so they can participate, interact and collaborate. These people may be in different places, working for different organizations, and they may be focusing on very different aspects of patient care, but they can come together in a virtual village – a patient-centric information-sharing ecosystem, also referred to as Electronic Health Records 2.0 (EHR 2.0).

Why high-performing healthcare systems require an ecosystem of technologies

An ecosystem of technologies enables creation of the optimal setting for delivering patient care. Instead of depending on a single monolithic application to handle everything, an ecosystem integrates multiple applications and technologies, supported by an open information management platform. Everyone continues to use best-of-breed applications; no-one must switch to a different application.

As well as being application-agnostic, this approach is cross-sectorial. Every stakeholder in the healthcare ecosystem is supported for the good of the patient – that means all the people and parties with an interest in the financing, implementation or outcome of a healthcare practice, process, service or decision, including patients, caregivers, hospital staff, unions, local health authorities, general practitioners, primary care groups and trust, social services, voluntary organizations and more.

Within this virtual village, just as in a real village, there must be some logic and order so that stakeholders can coordinate and behave in ways that make sense to everyone else. In healthcare, every stakeholder engaged in the patient’s care must be enabled to act according to consented, evidence-based pathways and medical guidelines. With EHR 2.0, the collaborative platform provides open standards and rules engines, and allows easy integration and expansion. Most important of all, it enables technical, semantic and process interoperability. From providers and payers to employers and patients, everyone can share, collaborate, and innovate in this ecosystem of technologies.

DXC Technologies has been helping to create “virtual healthcare villages” in various markets. The company has pioneered a collaborative technical ecosystem using Open Health Connect – an open interoperability platform that enables point-of-care automation, data integration and vendor-neutral connectivity. The cornerstone of this ecosystem is our patient-centered EHR 2.0 platform called Lorenzo. Our solutions can be added to existing healthcare IT investments and customized to meet professional needs and any country-specific requirements.

If you would like to know more about a cross-sectorial approach to healthcare delivery, please get in touch or share your comments below. I’d be happy to hear from you. Also, my next blog may be of interest to you – I’ll be exploring technology’s potential in evidence-based medicine; simply click to follow me on LinkedIn. And if you would like to delve deeper into the transition towards new clinical business models enabled by EHR 2.0, I can strongly recommend a recent IDC white paper.

This blog post is the third in a four-part series “Electronic Health Records 2.0” that explores the digital transformation in life sciences and healthcare Industry.


Bodo Ebens

Author: Bodo Ebens

Bodo Ebens is Clinical Director North & Central Europe at DXC Technology Healthcare & Life Sciences Business, and is a published author. His academic background includes a Masters in Biomedical Engineering, post-graduate in Global Healthcare Economy, and second clinical graduation in Human Medicine. An active member of several healthcare expert groups and the scientific committee of the European Healthcare Conference, Bodo is a thought leader in the development and implementation of innovative, cross-sectorial healthcare management including coordinated care and population health management. He has extensive expertise in healthcare systems of Brazil, China, central and continental Europe, the Gulf Area and the USA, and he is a registered senior expert consultant of the World Health Organization (WHO).