There is tremendous opportunity to improve healthcare decisions and actions by patients and providers with digital healthcare applications; however, currently applications are challenging to find, evaluate, procure and integrate.
Additionally, Clinical Decision Support applications aren't being shared across organizations or architectures, healthcare IT expertise and staff don't have the resources to produce all the CDS interventions needed underlying all these issues is a lack of interoperable/sharable suite of trusted repositories/marketplaces for plug and play applications helpful to patients, providers, and health systems.
A trusted suite of repositories/marketplaces provide "plug and play" applications for patients, providers, and health systems with seamless interoperability/shareability of applications across information systems within marketplaces.
The marketplaces address application development, publication, user procurement, maintenance, billing, and payment and enables public reviews of the app.
Application certification adheres to a "Digital Hippocratic Oath" - that includes explicit, standardized criteria to determine if an app meets quality, pricing, reliability, etc., measures
Marketplaces provide solutions that enable clinicians to provide patient care; along with business process improvements and patient-focused applications.
Infrastructure needed to produce tools/solve problem
The ACTS Marketplace Workgroup* calls for strategic investments to establish an interoperable national infrastructure for the dynamic exchange of trustworthy, computable health knowledge, and executable software (96).
This document (an appendix of the Roadmap) describes the recommended strategic foci to establish:
If successful, the future of computable healthcare will be characterized as an expedient and reliable means for discovery, curation, distribution, deployment, and measurement of knowledge artifacts across vendor and provider organizations with relatively low latency and cost. Carefully designed governance structures will instill trust and support a unified vehicle for policies.
This document is intended to seed discussion and planning for next-generation national computable health ecosystem with many functioning marketplaces within it and has been refined by the ACTS Marketplace Workgroup in collaboration with the broader ACTS Stakeholder Community (52). The remainder of this document establishes a vision for a sustainable ecosystem, gaps from current works, and participation needed to achieve it in Production HIT systems directly enabling transactional care. Resultant work has been taken into consideration for inclusion within the ACTS Roadmap deliverable.
View Workgroup Members. *The ACTS Workgroups formed in 2019 to analyze and report on specific areas of the Knowledge Ecosystem and LHS Cycle.