Procuring Interoperability
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Procuring Interoperability
Realizing the promise of technology depends on sharing information across time and space. The barrier to progress is not technical; it is the failure of organizational demand to drive purchasing requirements. Better procurement practices, supported by interoperable platforms, will allow for better, safer patient care and financial savings.
Procuring Interoperability
Realizing the promise of digital technology will depend on the ability to share information across time and space from multiple devices, sources, systems, and organizations. The major barrier to progress is not technical; rather, it is in the failure of organizational demand and purchasing requirements. In contrast to many other industries, the purchasers of health care technologies have not marshaled their purchasing power to drive interoperability as a key requirement. Better procurement practices, supported by compatible interoperability platforms and architecture, will allow for better, safer patient care; reduced administrative workload for clinicians; protection from cybersecurity attacks; and significant financial savings across multiple markets. With funding support from the Gordon and Betty Moore Foundation, this National Academy of Medicine Special Publication represents a multi-stakeholder exploration of the path toward achieving large-scale interoperability through strategic acquisition of health information technology solutions and devices. In this publication, data exchanges over three environments are identified as critical to achieving interoperability: facility-to-facility (macro-tier); intra-facility (meso-tier); and at point-of-care (micro-tier). The publication further identifies the key characteristics of information exchange involved in health and health care, the nature of the requirements for functional interoperability in care processes, the mapping of those requirements into prevailing contracting practices, the specification of the steps necessary to achieve system-wide interoperability, and the proposal of a roadmap for using procurement specifications to engage those steps. The publication concludes with a series of checklists to be used by health care organizations and other stakeholders to accelerate progress in achieving system-wide interoperability.
From Trustworthy AI Principles to Public Procurement Practices
Author: Merve Hickok
language: en
Publisher: Walter de Gruyter GmbH & Co KG
Release Date: 2024-10-21
This book is an early warning to public officials, policymakers, and procurement practitioners on the impact of AI on the public sector. Many governments have established national AI strategies and set ambitious goals to incorporate AI into the public infrastructure, while lacking AI-specific procurement guidelines. AI is not traditional software, and traditional processes are not sufficient to meet the challenges AI brings. Today’s decisions to embed AI and algorithmic systems into public system infrastructure can – and will – have serious repercussions in the future. The promise of AI systems is to make the public sector more efficient, effective, fair, and sustainable. However, AI systems also bring new and emerging risks which can impact rights and freedoms. Therefore, guardrails are necessary to consider the socio-technical dimensions and impact on individuals, communities, and society at large. It is crucial that public sector decision-makers understand the emerging risks of AI systems, the impact on the agency and the wider public infrastructure, and have the means to independently validate vendor claims. This book is a result of interviews with more than 20 public procurement professionals across countries, offering an in-depth analysis of the risks, incidents, governance practices, and emerging good practices around the world, and provides valuable procurement policy and process recommendations to address and mitigate these risks.