The Evolution of Banks into Software Companies

Mark Wardle, Chief Clinical Information Officer, and Vaughn Vernon discuss the intersection of healthcare and technology. Mark emphasizes the need for technology to improve patient care and the challenges of integrating digital systems in healthcare.

Mark also highlights the importance of Domain-Driven Design in healthcare, as it allows for a more patient-centered approach and better communication between clinicians and patients. He discusses the limitations of current electronic health records and the need for tools that support continuity of care. Mark believes that technology should be used to enhance the human connection in healthcare and improve patient outcomes.

Mark discusses the application of Domain-Driven Design (DDD) in healthcare and its potential to address the complexity and challenges in the industry. He emphasizes the need to break down healthcare systems into modular components and build them based on a shared understanding of the domain. Wardle highlights the importance of technical standards, interoperability, and the use of common models to decouple systems and improve integration. He also discusses the role of open source in healthcare and the potential for disruptive innovation. Wardle envisions a future where technology enables faster iteration, better orchestration of clinical pathways, and improved decision-making in healthcare.

Takeaways

• Technology has the potential to greatly improve patient care in healthcare.
• DDD is crucial in healthcare to create a patient-centered approach and improve communication between clinicians and patients.
• Current electronic health records are often not user-friendly and do not support continuity of care.
• Technology should be used to enhance the human connection in healthcare and improve patient outcomes. Domain-Driven Design can help address the complexity and challenges in healthcare by breaking down systems into modular components and building them based on a shared understanding of the domain.
• Technical standards and interoperability are crucial for decoupling systems and improving integration in healthcare.
• Open source has the potential to disrupt the healthcare industry by providing foundational building blocks and higher-value tools.
• Improving orchestration of clinical pathways and decision-making in healthcare can be achieved through the use of technology and data-driven approaches.
• Faster iteration, better integration, and improved decision-making can lead to a learning health and care system that continuously improves patient outcomes.

Mark Wardle

Mark is a Consultant Neurologist and Chief Clinical Information Officer in the UK. He is also a keen software developer, building a range of clinician and patient-facing applications, most recently preferring to work in Clojure and ClojureScript. He thinks digital technologies should play a fundamental role in improving and transforming health and care with Domain-Driven Design playing a key role in unbundling the electronic patient record, and turning what we think of as health applications inside-out.

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