1887
Volume 2023, Issue 2
  • EISSN:

Abstract

Centralized Health Intelligence (CHI) represents an ecosystem where data, technology, and expertise converge to elevate the standards of healthcare services. In this case study, we explore the pivotal role of CHI in reshaping the healthcare paradigm at the Primary Health Care Corporation (PHCC) in Qatar. Adopting clinical information systems led to a wealth of data, necessitating the transformation of the conventional health information management team into the Business and Health Intelligence (BHI) Department. The establishment of a centralized enterprise data warehouse (EDW) and the use of business intelligence tools by the BHI Department further contributed to improved data governance. A meticulous Centralized Health Intelligence Framework was devised to ensure the effective use of PHCC's data assets. This framework encompasses policies and procedures related to data stewardship, information needs assessment, data classification, data privacy, and data literacy requirements. Through this study, we demonstrate how PHCC has harnessed CHI to redefine healthcare delivery by providing relevant stakeholders with easy access to advanced data analytics and data-driven decision-making tools. Implementing CHI infrastructure presents many challenges, including financial, technical, and organizational hurdles. Despite these challenges, CHI significantly benefits relevant stakeholders by providing enhanced access to health data, fostering active engagement. However, addressing data comprehension, security, and privacy concerns remains critical.

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2024-01-29
2024-05-15
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References

  1. Koster J, Stewart E, Kolker E. Health Care Transformation: A Strategy Rooted in Data and Analytics. Acad Med. 2016 Feb; 91:(2):165–7. doi: 10.1097/ACM.0000000000001047..
    [Google Scholar]
  2. Adler-Milstein J, DesRoches CM, Kralovec P, Foster G, Worzala C, Charles D, et al. Electronic Health Record Adoption In US Hospitals: Progress Continues, But Challenges Persist. Health Aff (Millwood). 2015 Dec; 34:(12):2174–80. doi: 10.1377/hlthaff.2015.0992.
    [Google Scholar]
  3. Köse İ, Cece S, YenerS, SeyhanS, Özge Elmas B, Rayner J, et al. Basic electronic health record (EHR) adoption in **Türkiye is nearly complete but challenges persist. BMC Health Serv Res. 2023 Sep 14; 23:(1):987. doi: 10.1186/s12913-023-09859-w.
    [Google Scholar]
  4. Deloitte. Data as a strategic asset [Internet]. Deloitte AI Institute; 2021 [cited 2023 Dec 1]. Available from: https://www2.deloitte.com/content/dam/Deloitte/us/Documents/technology/us-ai-institute-data-as-a-strategic-asset.pdf.
  5. Wang Y, Hajli N. Exploring the path to big data analytics success in healthcare. Journal of Business Research. 2017 Jan;70:287–99. doi: 10.1016/j.jbusres.2016.08.002.
    [Google Scholar]
  6. Al-Kuwari MG, Al-Abdulla SA, Abdulla MY, Haj Bakri A, Mustafa Mohammed A, Chettiyam Kandy M et al. Epidemiological health assessment in primary healthcare in the State of Qatar-2019. Qatar Med J. 2021 Oct 25; 2021:(3):57. doi: 10.5339/qmj.2021.57.
    [Google Scholar]
  7. Primary Health Care Corporation. Annual Statistical Report 2022. Primary Health Care Corporation, Qatar; 2023 Mar.
  8. Primary Health Care Corporation. Primary Health Care Corporation Corporate Strategic Plan 2019 – 2023 [Internet]. Primary Health Care Corporation, Qatar; 2019 Mar [cited 2023 Dec 1]. Available from: https://Primary Health Care Corporation.qa/portal_-new/admin/images/documents/2019/Corporate%20Strategic%20Plan%202019-2023%20English.pdf.
  9. Fenton SH, Low S, Abrams KJ, Butler-Henderson K. Health Information Management: Changing with Time. Yearb Med Inform. 2017 Aug; 26:(1):72-77. doi: 10.15265/IY-2017-021.
    [Google Scholar]
  10. Butler M. Teaching the New HIM: Educators Integrating Informatics, Data Analytics, and Information Governance Into HIM Programs. J AHIMA. 2017 May; 88:(5):16–9.
    [Google Scholar]
  11. Gibson CJ, Dixon BE, Abrams K. Convergent evolution of health information management and health informatics: a perspective on the future of information professionals in health care. Appl Clin Inform. 2015 Mar 18; 6:(1):163-84. doi: 10.4338/ACI-2014-09-RA-0077.
    [Google Scholar]
  12. Meidani Z, Sadoughi F, Ahmadi M, Maleki MR, Zohoor A, Saddik B. National health information infrastructure model: a milestone for health information management education realignment. Telemed J E Health. 2012 Jul-Aug; 18:(6):475-83. doi: 10.1089/tmj.2011.0189.
    [Google Scholar]
  13. Sauer CM, Chen LC, Hyland SL, Girbes A, Elbers P, Celi LA. Leveraging electronic health records for data science: common pitfalls and how to avoid them. Lancet Digit Health. 2022 Dec; 4:(12):e893-8. doi: 10.1016/S2589-7500(22)00154-6.
    [Google Scholar]
  14. Bibi Z, Nawaz AD, Al Kurb M, Fakhroo S, Ferih K, Al-Jaber N, et al. Real-World Effectiveness of the Varicella Vaccine among Children and Adolescents in Qatar: A Case-Control Study. Vaccines (Basel). 2023 Oct 5; 11:(10):1567. doi: 10.3390/vaccines11101567.
    [Google Scholar]
  15. Al-Nuaimi S, Alkuwari S, Al-Jubouri AM, Hegazi S, Jolo L, Khalid H, et al. Antibiotics Prescriptions Pattern among Patients Visiting Primary Health Care Centers (PHCC) before and during COVID-19 Pandemic: A Cross-Sectional Population-Based Study from Qatar. Antibiotics (Basel). 2023 Jul 25; 12:(8):1228. doi: 10.3390/antibiotics12081228.
    [Google Scholar]
  16. Majeed AP, Alkubaisi N, Harikumar K, Al Mujall H, Ali Shah A, Khan S, et al. Evaluation and Enhancement of Triaging Services Through Quality Improvement Tools at Primary Health Care Level: A Clinical Audit Study. J Prim Care Community Health. 2023;14:21501319231202204. doi: 10.1177/21501319231202204.
    [Google Scholar]
  17. Alkubaisi N, Majeed AP, Al Mujall H, Shah AA, Khan S, Anand MMS, et al. Clinical Audit on Well Baby Services at Primary Health Care Corporation, Qatar. World Family Medicine. 2022 Mar; 20:(3):52-5. doi: 10.5742/MEWFM.2022.9525012.
    [Google Scholar]
  18. Khan FA, AlKubaisi N, Shah AA, Al Mujall H, Socor SS, Abdul Gafoor MA. Clinical Audit on Detection of Tuberculosis at Primary Health Care Corporation, Qatar. J Community Med Public Health. 2022 Nov 1; 6:(1):263. doi: 10.29011/2577-2228.100263.
    [Google Scholar]
  19. Primary Healt Care Corporation. Strategy Planning and Health Intelligence Balanced Scorecard 2022. Primary Health Care Corporation, Qatar; 2023 Mar.
  20. Al-Kuwari MG, Abdulmajeed J, Kandy MC, Al-Mudahka H, Al-Abdulla S, Al-Mujalli H, et al. Primary health care capacity assessment in Qatar: the primary health care progression model as an assessment method. World Family Medicine. 2023 Jul; 21:(7):6-20. doi: 10.5742/MEWFM.2023.95256130.
    [Google Scholar]
  21. Jones MC, Stone T, Mason SM, Eames A, Franklin M. Navigating data governance associated with real-world data for public benefit: an overview in the UK and future considerations. BMJ Open. 2023 Oct 4; 13:(10):e069925. doi: 10.5742/MEWFM.2023.95256130.
    [Google Scholar]
  22. Joore M, Grimm S, Boonen A, de Wi M, Guillemin F, Fautrel B. Health technology assessment: a framework. RMD Open. 2020 Nov; 6:(3):e001289. doi: 10.1136/rmdopen-2020-001289.
    [Google Scholar]
  23. Haddock G, Foad C, Saul V, Brown W, Thompson R. The medium can influence the message: Print-based versus digital reading influences how people process different types of written information. Br J Psychol. 2020 Aug; 111:(3):443-459. doi: 10.1111/bjop.12415.
    [Google Scholar]
  24. Fontaine G, Zagury-Orly I, Maheu-Cadotte MA, Lapierre A, Thibodeau-Jarry N, Denus S de, et al. A Meta-Analysis of the Effect of Paper Versus Digital Reading on Reading Comprehension in Health Professional Education. Am J Pharm Educ. 2021 Nov; 85:(10):8525. doi: 10.5688/ajpe8525.
    [Google Scholar]
  25. Hamblion E, Saad NJ, Greene-Cramer B, Awofisayo-Okuyelu A, Selenic Minet D, Smirnova A, et al. Global public health intelligence: World Health Organization operational practices. PLOS Glob Public Health. 2023; 3:(9):e0002359. doi: 10.1371/journal.pgph.0002359.
    [Google Scholar]
  26. Al-Kuwari MG, Al-Nuaimi AA, Abdulmajeed J, Semaan S, Al-Romaihi HE, Kandy MC, et al. COVID-19 infection across workplace settings in Qatar: a comparison of COVID-19 positivity rates of screened workers from March 1st until July 31st, 2020. J Occup Med Toxicol. 2021 Jun 17;16:21. doi: 10.1186/s12995-021-00311-5.
    [Google Scholar]
  27. Bansal D, Abdulmajeed J, Al-Shamali M, Albayat S, Himatt S, Cyprian F, et al. Duration of COVID-19 mRNA Vaccine Effectiveness against Severe Disease. Vaccines (Basel). 2022 Jun 28; 10:(7):1036. doi: 10.3390/vaccines10071036.
    [Google Scholar]
  28. Albayat S, Almaslamani M, Alromaihi H, Khogali H, Mundodan J, Joury J, et al. Key Lessons from COVID-19: A Narrative Review Describing Qatar's Multifactorial Approach in Executing a Vaccination Campaign. Vaccines (Basel). 2023 May 6; 11:(5):953. doi: 10.3390/vaccines11050953.
    [Google Scholar]
  29. Abu-Raddad LJ, Chemaitelly H, Ayoub HH, AlMukdad S, Yassine HM, Al-Khatib HA, et al. Effect of mRNA Vaccine Boosters against SARS-CoV-2 Omicron Infection in Qatar. N Engl J Med. 2022 May 12; 386:(19):1804-1816. doi: 10.1056/NEJMoa2200797.
    [Google Scholar]
  30. Chemaitelly H, Ayoub HH, Tang P, Coyle P, Yassine HM, Al Than AA, et al. Long-term COVID-19 booster effectiveness by infection history and clinical vulnerability and immune imprinting: a retrospective population-based cohort study. Lancet Infect Dis. 2023 Jul; 23:(7):816–27. doi: 10.1016/S1473-3099(23)00058-0.
    [Google Scholar]
  31. Bahkali S, Almaiman A, Almadani W, Househ M, El Metwall A. The state public health informatics in saudi arabia. Stud Health Technol Inform. 2014;202:257–60.
    [Google Scholar]
  32. Al Fars M, West DJ. Use of electronic medical records in Oman and physician satisfaction. J Med Syst. 2006 Feb; 30:(1):17–22. doi: 10.1007/s10916-006-7399-7.
    [Google Scholar]
  33. Honeyford K, Expert P, Mendelsohn EE, Post B, Faisal AA, Glampson B, et al. Challenges and recommendations for high quality research using electronic health records. Front Digit Health. 2022 Aug 19;4:940330. doi: 10.3389/fdgth.2022.940330.
    [Google Scholar]
  34. Hamdan AB, Abdul Mana R, Mahmud A. Challenges in the use Electronic Medical Records in Middle Eastern Countries: A Narrative Review. MJMHS. 2023 May 15; 19:(3):334–40.
    [Google Scholar]
  35. Alzghaibi H, Mughal YH, Alkhamees M, Alasqah I, Alhlayl AS, Alwheeb MH, et al. The impact financial resources on implementation of large-scale electronic health records in the Saudi Arabia's primary healthcare centers: Mixed methods. Front Public Health. 2022 Dec 12;10:1037675. doi: 10.3389/fpubh.2022.1037675.
    [Google Scholar]
  36. Harris C, Green S, Elshaug AG. Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation. BMC Health Serv Res. 2017 Dec; 17:(1):632. doi: 10.1186/s12913-017-2506-7.
    [Google Scholar]
  37. Hubbart JA. Organizational Change: The Challenge of Change Aversion. Adm Sci. 2023 Jul 7; 13:(7):162. doi: 10.3390/admsci13070162.
    [Google Scholar]
  38. Evans GE, Evans MG. Leading change: Convincing people against the status quo. HSSR. 2019 Jul 20; 7:(1):341–6. doi: 10.18510/hssr.2019.7139.
    [Google Scholar]
  39. Cheraghi R, Ebrahimi H, Kheibar N, Sahebihagh MH. Reasons for resistance to change in nursing: an integrative review. BMC Nurs. 2023 Sep 11; 22:(1):310. doi: 10.1186/s12912-023-01460-0.
    [Google Scholar]
  40. Milella F, Minelli EA, Strozzi F, Croce D. Change and Innovation in Healthcare: Findings from Literature. Clinicoecon Outcomes Res. 2021 May 19;13:395-408. doi: 10.2147/CEOR.S301169.
    [Google Scholar]
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