Engineering the next generation of health systems

John S. Silva, Marion J. Ball

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter focuses on three changes that will dramatically affect the rapidly evolving health ecosystem. It highlights today's high value/high usability computing paradigm, the explosion of information within the Web and the challenges for EHR systems as they try to face the data tsunami. The chapter proposes that a Complex Adaptive System (CAS) framework will be essential for an inclusive health ecosystem that meets the needs of clients, consumers and health workers. The authors suggest that a person-owned wellness-health record (POWR) will be required in the new ecosystem. It postulates that a Smart point of need system for all users should replace the current point of care systems that are limited to healthcare workers. The chapter concludes with a description of a community-based health ecosystem that adopts the behaviors of a CAS, incorporates continuous quality improvement and exploits new technologies to support decision-making for all individuals within the community.

Original languageEnglish (US)
Title of host publicationHealthcare Information Management Systems
Subtitle of host publicationCases, Strategies, and Solutions: Fourth Edition
PublisherSpringer International Publishing
Number of pages16
ISBN (Electronic)9783319207650
ISBN (Print)9783319207643
StatePublished - Sep 21 2015


  • Community-based health
  • Complex adaptive system
  • Continuous quality improvement
  • Health ecosystem
  • Person owned health/wellness record
  • Smart point of need support

ASJC Scopus subject areas

  • Medicine(all)


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