A Prototype of Translational Informatics in Action - Translational Informatics: Realizing the Promise of Knowledge-Driven Healthcare - page 20

Evidence and Policy Generators

Researchers Private-and

Public-Sector
Institutions

Decision Makers

1
Information
and
Oversight

Providers and Healthcare Organizations

2

Provider
Organizations

Payer
Organizations

Accountability
and
Instrumentation

Individual Providers

3

Practice
and
Measurement

Patients and Their Communities

Individual Patients Families and Social

Networks

Community-based
Organizations

Fig. 2.1 Conceptual model for the “real world” entities that are infl uenced and/or affected by the
TI and knowledge-driven healthcare paradigms

healthcare delivery environments. At a high level, we can classify such actors as
belonging to one or more of the following categories:

￿ Evidence and policy generators , who direct, support and pursue the creation of

scientifi c evidence and frameworks that can catalyze and sustain a TI-centric
environment ( e.g., government agencies, academic health centers, and individ-
ual researchers and their laboratories);

￿ Providers and healthcare organizations , who fund clinical care, deliver it to

patients and populations, and measure its impact ( e.g., integrated delivery net-
works, hospitals, clinical practices, third-party payers, and individual physi-
cians or other healthcare professionals); and

￿ Patients and their communities , who are provided with, support or consume

healthcare knowledge and services ( e.g., patients, their families, community
organizations of like-minded individuals, and other social support structures)

In this categorization, there exist critical relationships (labeled as [1] in
Fig. 2.1 ) between evidence and policy generators, and providers and healthcare
organizations, that serve to set a scientifi c and operational framework in which
knowledge-driven healthcare can and is delivered. Similarly, a there are relation-
ships (labeled as [2] in Fig. 2.1 ) between those same evidence and policy genera-
tors, and patients and their surrounding communities that provide both a means
of accountability for the aforementioned framework, as well as for the ability to