As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms from systems rather than linear perspectives, since the latter fail to recognize the effects of context and the between-methods and context interactions in producing net effects.
Linking contract payments to more thoughtfully agreed outcomes could potentially control costs and benefit both NHS trusts striving to implement and local service providers striving to deploy.
As we were seeking papers about the implementation of electronic medical information systems in hospitals, the search strategies included the terms shown in Table 1.> -wrap-foot> ** As suggested by the referees of this paper, we also used the terms " introduc*" (instead of " implement*") and " provider" (instead of physician, as part of CPOE).
The latter option is the easiest to implement and is suitable for providers who have already invested in infrastructure.
However the extent to which an EHIS delivered using a mobile technology platform is feasible to implement and acceptable to treatment providers needs to be fully explored before such a system is developed.
The goal is to provide the user with a reasonable expectation that performance requirements will be met, through mechanisms that are reasonable for the provider to implement and support for multiple applications.
Modest modifications of facility records and registers (as needed) to remind providers to implement and record best practices and to permit monthly calculation of quality of care indicators by facility teams (e.g. local rubber stamp to imprint AMTSL/ENC check-off boxes in partogram; insertion of columns in registers to track postpartum vital signs of mother and newborn).
Establishing the long-term safety and efficacy of these medications, generating improved prescribing methods, and implementing provider and patient educational interventions could help to improve the management of chronic pain in later life.
But for developers dealing with something like authentication (Cognito or Auth0) or workflow orchestration (AWS Step Functions or Azure Logic Apps), it is generally slower to understand and implement the provider's model for a service than it is to implement the functionality within the application's codebase (either by writing it from scratch or by using an open source library).
These frameworks will provide the foundation to implement successful patient and provider safety improvements in this unique setting.
Cloud computing has two perspectives: first, an outward-looking perspective that embodies an elastic application executed in a secure container and accessible over the internet, as seen by developers and end users; Secondly, an inward-looking perspective that describes the large scale distributed cloud computing platform and its middleware as implemented and operated by the provider [1].
