MPH Thesis Survey: Evaluating Healthcare Interoperability

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Dear Digital Health and Public Health Colleagues, I trust this message reach you well. I am conducting a survey as part of my Masters of Public Health (MPH) Thesis. I will very much appreciate if you could spare some time to help me fulfil this import requirements for the MPH program. You will also be contributing to the knowledge base on interoperability as my supervisor and I intend to publish the findings from this survey. *Apologies for cross-posting Emeka Chukwu MPH Candidate, Central University of Nicaragua

MPH Thesis Survey: Evaluating Healthcare Interoperability

Thesis Title: Evaluating the Impact of Healthcare Interoperability on Patient Outcomes, Economic Efficiency, and Public Health Emergency Management: A Multi-Dimensional Analysis Investigator: Emeka Chukwu, MPH Candidate (emek...@gmail.com) Introduction: I am conducting research as part of the requirements for the Master in Public Health (MPH) at the Central University of Nicaragua. Your kind participation will mean so much to me and help contribute to this important public health field of healthcare interoperability. Purpose of the Study: This study aims to evaluate the impact of healthcare interoperability across different healthcare settings, focusing on patient outcomes, economic efficiency, and the management of public health emergencies. Expectation: You will complete this online survey, which will take approximately 15-20 minutes of your time. The survey includes questions related to your role in healthcare, experiences, and perceptions of the impacts of interoperability initiatives. Voluntary Participation: Your participation in this study is entirely voluntary. You can choose to participate or not, and you can withdraw at any time without any consequences. Confidentiality: All information you provide will be treated with strict confidentiality. Your identity will not be revealed in any reports or publications that may result from this study, and your information will only be accessible to the researcher. Data will be securely stored and reported in anonymized form. Data Protection: We adhere to the GDPR and local Nigeria data protection laws to ensure that your data is handled responsibly. Your data will only be used for research purposes and will not be shared with third parties without your explicit consent. Risks and Benefits: Participating in this survey has no risks and while there may be no direct benefit to you, your participation will contribute valuable information that could help improve healthcare delivery and outcomes through better understanding and implementation of interoperability initiatives. Questions: Should you have any questions about the research or your participation, please feel free to contact the investigator using the details provided above. Consent: By completing the survey, you are indicating your consent to participate in this study.

Part 1: Respondent Information 1 - What best describes your role in the Healthcare sector? * Digital health (or health informatics) professional Healthcare provider (eg. Physician, Nurse at clinic or hospital settings) Hospital administrator (eg. CMD etc.) IT staff (eg. Hospital or NGO IT support staff) Private player (eg. investor or EMR vendor etc.) Policy Maker (eg. public health practitioners at state, district, or national) Funder (eg. supervise funding for interoperability) Accademia (eg. Professor, Phd Student etc) Other public health practitioners (eg. NGO or UN agency staff) Other: 2 - Country of residence or operation (enter country name, not more than three) 3 - Enter your number of years of experience (numeric input) * Part 2: General questions on interoperability initiatives 4 - Are you familiar with the concept of healthcare interoperability? * Yes (very familiar) No (not familiar) A little (a little familiar) 5 - Is your organization involved in any form of digital health interoperability initiative? * Yes No Don't know 6 - Are you aware of any interoperability initiative involving two or more organizations? * Yes No Other: 7 - If yes to Q5 above, what information-sharing approach is used? [NB: organization here are application development groups, e.g. EMR/EHR vendors, NGOs, etc.) * Sharing between two or more EMRs within one organization Sharing between two or more EMR/EHR across multiple organizations Submission of data from multiple facilities into National HMIS Gathering data from multiple sources into one repository (eg. survey and other aggregate data stores) Interoperability and integration standards development Interoperability initiative design and pilot Other: 8 - If yes to Q6 above, what information-sharing approach is used? [NB: organization here are application development groups, e.g. EMR/EHR vendors, NGOs, etc.) * Sharing between two or more EMRs within one organization Sharing between two or more EMR/EHR across multiple organizations Gathering data from multiple sources into one repository (eg. survey and other aggregate data stores) Interoperability initiative design and pilot Other: 9 - What was the sustainability end goal of (these) interoperability initiative(s) * Government adoption for care improvement Self sustaining profitable venture Donor support for care improvement Donor support and then government adoption Other: Part 3: Impact on Patient Outcome 10 - How has healthcare interoperability impacted patient outcomes in your country? (select all that apply) * It helped improve quality of care It helped reduce treatment delays and waiting time It worsened waiting time due to use of technology It helped enhance patient data security It had no positive impact Other: 11 - In your opinion, what is the potential patient outcome expected from healthcare interoperability? (select all that apply) * Improves quality of care Reduces treatment delays and waiting time Increased waiting time due to use of technology Enhances patient data security No significant impact Other: Part 4: Impact on Economic Efficiency 12 - How has healthcare interoperability affected economic efficiency within your program or Country? * It helped reduce costs It helped improve resource utilisation I worsened and increased expenses due to use of technology It helped optimises national public health practice It helped facilitate better data use culture It had no significant impact Other: 13 - In your opinion, what potential economic efficiencies should be expected from an interoperable health system? * It helped reduce costs It helped improve resource utilisation I worsened and increased expenses due to use of technology It helped optimises national public health practice It helped facilitate better data use culture It had no significant impact Other: Part 4: Data Governance and Management 14 - Who is primarily responsible for data governance within the interoperability initiative? * M&E or health records department IT department External consultant Organization management No formal governance 15 - How do you assess the effectiveness of data governance practices within these initiatives (or your organization)? [Please select all that apply] * Perform regular data governance Audits Gather feedback on data governance progress Measure data governance policies compliance rates Data governance frequency and types of incident tracking Data governance training effectiveness evaluation Regular updates of data governance policy Adopt standard metrics for assessing data Quality Conduct regular User Access Reviews Conduct regular Technology Audits Regularly Benchmarking data governance practices to industry standards Other: 16 - What challenges have you (or your initiative/organization) faced regarding data ownership, custodianship, and sovereignty? * No clear legal framework that define data ownership and sovereignty Complexity due to differing data protection across jurisdictions Technology infrastructure does not support data ownership and sovereignty enforcement There are internal policy gaps regarding data ownership and custodianship Inadequate stakeholder understanding of implication of clear data ownership and custodianship Conflict of interests between parties claiming ownership or custodianship over same set of health data There is internal resistance to adopting new practices that comply with evolving data sovereignty regulations Difficulty ensuring third party data processors adhere to data sovereignty and ownership standards Limited resources limit ability to manage data ownership and sovereignty effectively Other: Part 5: Public Health Emergency Management 17 - In your experience, how did interoperable systems impact the management of public health emergencies like COVID-19? 18 - What lessons are there to learn, relevant for interoperability from the pandemic that could improve future public health responses? Part 6: Enablers and Recommendations 19 - Rate the adequacy of relevant interoperability  infrastructure and information structures (eg. electricity, network, computing devices, standards etc.) [1-non existent AND 5-completely adequate] 1 2 3 4 5 20 - Please Rate the adequacy of relevant interoperability skillsets for the initiatives (or within organizations) [1-non existent AND 5-completely adequate] * 1 2 3 4 5 21 - What actionable recommendations would you suggest to enhance interoperability practices in healthcare? 22 - In your opinion, what are the best practices that have notably improved interoperability outcomes? * Standardised data formats Use of Open Standards Use of Open Source Solutions Clear, enforceable data governance policies Collaborative development efforts Prioritising Patient Centered approaches Regular stakeholder engagement Establishing effective feedback mechanisms Providing trains to stakeholders on interoperability tools and protocols Other: 23 - Would you like to receive a summary of the research findings? Yes No 24 - If you would like to receive the summary, please enter your email here. Never submit passwords through Google Forms. Powered by This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms

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