Abstract

The health care management is a critique for the coming phase of era, where every time a new decease, new viruses, high pollution, high food adulteration and new chemicals make the environment very critical to survive a human being. In this type of situation only the fast growing technology of IT and booming of internet with the medical technology can definitely helps to both normal persons and patients for taking care of health.

This article includes all the necessary aspects, which should be considered when we are going to build E- commerce solutions for ehealth care system e.g. selecting the best technology, business model , application model and software engineering issues  etc. This also deals with, how this E-health care system can adopt the innovation in health care world? This  also deals with the aspects of health care management where E-commerce must be used which can change the ratio of perfect treatment e.g. taking health care of newly discharged patients who are not able to come regularly until his/her fitness. They can online check their health statistics, consults with his/her doctor and order the medicines etc.

The topics which are included this article focusing on:

1) Choosing the best suitable technology and tools.

2) Considering the different health care issues and managing techniques.

3) Updating with the new information of medical world.

4) Connecting the patients with the consultants and hospitals.

5) Tacking feedback for improvement.

6) E-Solution building blocks.

7) Management of E solution.

1. Introduction

The patient safety highly depended on the community of care. Informational continuity, management continuity, and relational continuity were raised to categorize different sort of needs on continuity. In the case of our discussion only the issues for development and management are considered. As an important component of social security system, health care system plays a vital role in promoting social stability and reflecting the fairness of the system.

Diverse and typical health care systems are formed in different countries, based on different national conditions and human rights situation, as well as historical and cultural differences. Health care system seems most complicate and difficult to control among all social security systems, and its setting and performance concerns all of us. Health care system includes free medical services, medical insurances, medical assistance, and so on. In many countries across the world, it becomes a basic social and economic system.Professionals still need to address the issue of efficient electronic medical records. Thus, real-time information presents a persistent challenge to the emergency response community. In emergency situations, particularly with unconscious, incoherent and unaccompanied patients, providing emergency physicians with a patient’s accurate medical history could be the difference between life and death.

2. Technological and Managerial Issues

When, we are going to develop the e-solution for health care system then we choose any according to the requirement. we can select the suitable technology from available e.g. for development of e-solutions the Ms.NET platform is best for care management but when we concern about more security and overload, we can go for j2ee technologies, for the automatic equipment we can use advanced technologies of robotics and neural networks.   Some available tools and technologies are described bellow:

Defined technological issues in Wikipedia:

Electronic Healthcare Records : enable easy communication of patient data between different healthcare professionals (GPs, specialists, care team, pharmacy).

Telemedicine: includes all types of physical and psychological measurements that do not require a patient to travel to a specialist. When this service works, patients need to travel less to a specialist or conversely the specialist has a larger catchment area.

Consumer Health Informatics: (or citizen-oriented information provision): both healthy individuals and patients want to be informed on medical topics.

Health knowledge management (or specialist-oriented information provision): e.g. in an overview of latest medical journals, best practice guidelines or epidemiological tracking. Examples include physician resources such as Medscape and MDLinx.

Virtual healthcare teams: consist of healthcare professionals who collaborate and share information on patients through digital equipment (for transmural care).

mHealth or m-Health: includes the use of mobile devices in collecting aggregate and patient level health data, providing healthcare information to practitioners, researchers, and patients, real-time monitoring of patient vitals, and direct provision of care (via mobile telemedicine).

Medical research uses eHealth Grids that provide powerful computing and data management capabilities to handle large amounts of heterogeneous data.

Healthcare Information Systems: also often refer to software solutions for appointment scheduling, patient data management, work schedule management and other administrative tasks surrounding health. Whether these tasks are part of eHealth depends on the chosen definition, they do, however, interface with most eHealth implementations due to the complex relationship between administration and healthcare at Health Care Providers.

RAFID:The RFID technology has penetrated the healthcare sector due to its increased functionality, low cost, high reliability and easy-to-use capabilities.RFID-based system architecture and data model that would provide efficient means to perform essential information management for emergency care across hospital and country boundaries.

Wireless sensor networks by JTH: The purpose of this project is to integrate the technologies of wireless sensor networks and public communication networks to construct a healthcare system for senior citizens at home without interfering their daily activities.

3. Connecting People with Innovation

First thing is to make people known with the technologies and promoting the e-solutions. So that we can facilitate people and can change the system of medical science for the best support for the health of people. In India there are so many rural areas that are not aware of these innovations. If we pay attention then we can see if field of medical science and hospitality there is no very good services and also the patients have to pay lot of money (or fee).

Defiantly when we will use the IT technologies in this field we can provide the drastic change in health of people.

4. Management Activities in Health Care

The major concerns of the management in health care are patient safety, service quality and risk management. When, we are going to develop an e-solution for health care first we have to categories the field and type of services. The system may be for: Home health care application, use of health smart card system, An RFID-based System for Emergency Health Care Services, Cross-Domain Communication of Health Care Units and Climate Impact of Material Consumption in the Health etc.

Major management concerns are:

Managing unwell patients (with particular

emphasis on managing chronic conditions,

implants, embedded medication).

Managing the health of well patients (“wellness management”).
Clinical support (from primary service to acute one and managing the interface among other.
Support services, social services, accommodation, education).
Proper knowledge management in health care system.
Proactive Health Care management.

5. E-Solution Building concerns

The e-solutions building blocks for any type of system must have the following blocks:

The system architecture must be flexible and reliable. For this purpose we can use the layered approach p as proposed by Lillian Rostad, Norwegian University of Science and Technology.
Best research method should be included.
Security and safety are the major concern for this purpose we can adapt the security architecture:
Discussion for future challenge.
Using of good decision system based on heuristic and meta knowledge. As
Clinical Process Intelligence Using Process and Workflow Mining..
Clinical Process Execution and Monitoring.
Query-Based Requirements Engineering for Health Care Information.
System must include the health education facilities.
Smart Environments for Elderly and  patient Care

6. Concluding remark

Today we see an increasing interest in developing technical solutions, by academics and industry alike, to problems associated with healthcare delivery. The

problem is technically challenging and socially important. A fundamental challenge for work in this

area is the scale of the undertaking: in order to  develop realistic solutions an interdisciplinary team is required. Furthermore, in the case of developing integrated home-care solutions (as our Smart Condo project aims to be), substantial physical resources are required. This requirement for substantial up-front investment makes the need for systematic software-engineering methods, tailored to the area, even more pressing.

7. Future Scope

Now this time of age many developed countries uses the EHR (Electronic Hospital Report)and EMR(Electronic Medical Reports), no hand written report is allowed but they are facing personal issues of doctor and patients etc. but this system will definitely change the scenario of health care  and make the perfect treating and cure very fast in very effective way.

10. References

[1]       E-commerce Systems Architecture and applications By: Rajput, Wasim
Published By: Artech House

[2]           E-Health care information system

By Joseph K. H. Tan

[ 3 ]         IEEE: http://www.computer.org

[ 4 ]         E-learning for health care: http://www.e-lfh.org.uk

[ 5 ]         http://www.ebenefitsinc.com.

[ 6 ]         World Health Organization, 2003. Global Strategy on Diet, Physical Activity and Health.

http://www.who.int/hpr/NPH/docs/gs_diabetes.pdf,