Healthcare Operability with Patient Engagement - HOPE Solution is a modular solution supporting the cooperation and exchange of information between patients and healthcare providers (including the life science industry), by making individually generated information from patients or care givers available to existing systems of the healthcare provider, upon individual approval and consent.
HOPE Solution enables existing apps, sensors and mobile devices to become a natural part of health management by connecting them to the systems of healthcare providers. This technical solution allows healthcare providers access to health information generated directly by the patient in his/her home and in real life, resulting in a) improved quality of care; b) more highly motivated patients; c) ability to increase prevention work; d) better support for research; e) access to decision support; and f) opportunity to use AI.
HOPE Solution has been developed together with patients and healthcare providers, for patients and healthcare providers; focusing on simplicity, quality and safety. In the examples below, healthcare providers are used as an example customer, but customers within the Life science industry could use this tool in the same way.
HOPE easily integrates with your own system
This is achieved in several ways:
• As a customer, you choose which modules (functions) you need. The modules you do not need or already have in your own system do not burden the patients, your staff nor the wallet. They simply do not appear on the screen.
• All modules are accessible through open-level APIs (service contracts) at the server level, which is the primary integration method.
• The user interface in the smart phone or tablet is modular and implemented with responsive web. This means that an individual module can be "embedded" by other apps and the necessary GUI features, e.g., giving and receiving consent, can easily be made available in the customer's own app.
• It is possible to replace individual modules with customized equivalents (with the same API). For example, the customer's existing database can be used as Data repository.
It is finally possible for healthcare providers and patients to use the latest technology offered!
Each module in HOPE Solution has four interfaces:
1. HOPE App
A smartphone / tablet / browser app for the individual.
2. HOPE Professional
Medical staff access HOPE via a web interface displaying data on individuals' activities.
3. HOPE Admin
Administrative personnel access HOPE via a web interface to manage the system itself.
4. Integration Interface
Services that make it possible to easily integrate with the customer's existing system.
The healthcare provider uses the activity planner to create a common activity plan to which the patient has access. The patient's activity plan is pushed to the app in the patient's smartphone/tablet. If the patient misses an activity, a reminder will automatically be sent to the patient's smart phone/tablet. Note that the patient's activity plan is something different than the patient's care plan, which is a plan for care and healthcare professionals. The patient receives a "view" of her/his care plan in the form of an activity plan in order for the patient to know what she should do to follow the care plan. The patient receives a personal view, to motivate the patient and to create high quality cooperation between the patient and the healthcare provider.
Actively involving the patient much more does not mean that the patient receives an information advantage. It is, however, about fulfilling the existing need for better cooperation between patient and healthcare provider. The activity planner has been created to fill this need.
- At last, both the patient and the healthcare provider can take part of updated plans which support collaboration between the parties and make patients committed co-producers in their own care.
The Data highway is the backbone of HOPE Solution where data is collected from sensors and apps connected to an individual's mobile device, such as a smartphone/tablet. It provides adapted support for the patient's continuous health condition.
Currently supported sensor devices include spirometry, blood pressure, heart rate, and number of steps, but this list can easily be extended using the Data Highway’s flexible adapter architecture.
The video module makes it easy for the patient to keep track of his/her booked video meetings. Video meetings support healthcare instructions and/or deeper dialogue between physician and patient. The video module holds a Service Access Point towards different video services, and the customer can choose which video service to employ.
Apple HealthKit and Google Fit
There is a service access point to HealthKit and Google Fit. Both HealthKit and Google Fit provide a single set of APIs that mix health data from multiple apps and devices. A number of APIs have already been integrated, e.g., spirometry and blood pressure.
- The HealthKit and Google Fit service access point collects all the available health information of the patient.
The e-Form module is an interactive tool enabling healthcare providers to ask questions and get individual responses in a fast and structured way in real time via the patient's mobile device. The purpose of the e-Form is to improve communication between the patient and healthcare provider regarding the soft values of the patient, i.e., the opinion and interpretation of relevant health matters.
The e-Form is easy to use for both healthcare staff and patients. It is time saving, and supports healthcare staff in their medical decisions. No matter where the patient is located, he/she can answer questions using the e-Form. If no response from the patient is received, a reminder can be sent to the patient's smartphone/tablet/computer.
Patients can have immediate access to updated statuses in the referral process, such as referral received, referral replied, reply sent. In this way, the patient receives ongoing information on referral and treatment at different healthcare providers. The request status enables patients 16 years or older to follow and read status information of his/her request. Request statuses displayed depend on what statuses your county council or region has mapped to the current IT infrastructure of its healthcare system.
- Request status keeps the patient constantly updated without having to make any phone calls.
Online Knowledge Base
Online Knowledge Base allows the healthcare provider to supply the patient with ongoing information. It saves time for the patient and gives healthcare providers the ability to spread information and knowledge in more educational and pedagogical ways, e.g., using media such as videos/movies. A prerequisite for achieving the best cooperation between patient and healthcare provider, is to provide the patient with knowledge and motivation. If new information is posted, a reminder will be sent to the patient's smartphone/tablet.
- The use of the Online Knowledge Base functionality keeps the patient constantly updated and well prepared for contact with the healthcare provider.
The Consent module provides every individual full control of who will be given and have access to his/her self-generated patient information. Each person has full control to manage his/her consents using the Consent module, which is a requirement for compliance with current GDPR legislation. The Consent module includes an administrator’s backend for creating and monitoring an individual’s consent. The Consent module allows the individual patient to:
- Provide consent and get an overview of the consent they have given
- Withdraw consent
- Check who has accessed and reviewed his/her personal information
The Consent module is a simple, safe and secure module based on the GDPR's data collection and communication requirements.
Patient generated data is stored in the highly secure Data Repository where it can be retrieved in a structured format in compliance with the FHIR standard.
HOPE enables existing apps, sensors and mobile devices to become a natural part of managing health, by connecting these to the patient's smartphone/tablet. The Data Repository gives healthcare providers access to patients' health information through the existing systems of each healthcare provider.
Due to the sensitive nature of the data, access is restricted to a limited set of services – all using the Access Control module.
- The Data Repository makes the individual's generated data accessible for healthcare providers in their own systems.
The Security module protects collected health information through authentication, access control and logging.
HOPE Solution offers several methods to authenticate both individuals and personnel.
• Mobile BankId.
Mobile BankId is a two-factor method that has become the most common way to authenticate individuals in Sweden to authorities and banks. When used to authenticate individuals that generate data on a regular basis (several times per day) it can be combined with a token technique to create long-term sessions that extend the lifetime of the session to weeks or months, to avoid new sign-in every single time.
Pairing is a unique, patent pending, method that allows the healthcare provider to set up a long-term session with the individual's device (smartphone/tablet) during an initial physical meeting.
The SAML-compliant authentication method used by healthcare personnel in Sweden.
• User id and password
Old school. When nothing else is applicable.
A role-based access control (RBAC) is used by the other HOPE Solution modules to ensure that all users, including business personnel, administrators and patients have access only to the data and functions to which they are authorized.
The Access control module is flexible; the roles and the access rules can be defined per customer for the resources within HOPE Solution, it can also be used as a policy decision point (PDP) directly by the customer's system. This is advantageous since it is likely that the same resources (data), roles and rules will exist in the customer's system.
This is used by the other HOPE Solution modules to make it possible to log every data access within HOPE Solution. Access logging is usually mandatory (by law) for healthcare data, and highly recommended in many other cases.
As with the Access control module, the Access log module can also be used directly by the customer's system. This is advantageous since it is likely that the same logging requirements will exist in the customer's system.