Issues in current system

Today’s EHR (electronic health record), although very essential, is available in an unstructured format, and controlled by various healthcare providers who store database in their respective centralized infrastructure making it vulnerable to hacking.
Moreover, it does not have a user-friendly interface, and lack interoperability making it difficult to use.
Proteus (leading health IT security firm) discovered that 5.579 Million patient records were hacked. The hackers now know lethal allergy or composition that the patient is prone to, that’s a critical info. Here are few other challenges observed in the current system.

  • Manual/Paper driven process: As the complete healthcare system is not digitized we still have a complete “patient to prescription” cycle on paper or in bits and pieces.
  • Solo non-interacting systems: Healthcare providers/hospitals which have implemented IT systems are designed such that they can not interact with other systems in same hospital/network or with the affiliated labs.
  • In-accurate diagnosis/prescription: If a patient changes his healthcare provider/hospital then the chances of partial/in-accurate diagnosis and prescriptions is very high as his clinical history is not easily available and if available, it is not in a standard format or well interpreted.
  • Supply chain leakages: Pharmacies associated with particular healthcare provider/hospital do not have accurate and real-time patient data making the system unable to predict the necessary surgical/pharmaceutical inventory needed resulting in over/ under stocking.
  • Fraud prone ecosystem: Globally the total cost of insurance fraud is estimated to be more than $40 billion per year. The fraud categories range in the form of  fraudulent claims, subsidized medicines is sold in an open market, patient data theft, counterfeit medicines/drugs.
  • Delays/Frauds and lack of audit in Government schemes:  The Public healthcare system is most hampered because of its lack of ability to identify the need of a patient and providing them customized services.

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