Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study

Background Data sharing among stakeholders in the development, access, and use of drug therapies is critical but the cur-rent system and process are inefficient. Methods We take a Systems Engineering approach with a realistic use case to propose a scalable design for multi-stakeholder data sharing....

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Main Authors: Nam, Kevin, Larholt, Kay, Hirsch, Gigi, Fritsche, David, Bourgeois, Florence T., Palmer, Donna
Other Authors: Lincoln Laboratory
Format: Article
Language:English
Published: Springer International Publishing 2021
Online Access:https://hdl.handle.net/1721.1/129781
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author Nam, Kevin
Larholt, Kay
Hirsch, Gigi
Fritsche, David
Bourgeois, Florence T.
Palmer, Donna
author2 Lincoln Laboratory
author_facet Lincoln Laboratory
Nam, Kevin
Larholt, Kay
Hirsch, Gigi
Fritsche, David
Bourgeois, Florence T.
Palmer, Donna
author_sort Nam, Kevin
collection MIT
description Background Data sharing among stakeholders in the development, access, and use of drug therapies is critical but the cur-rent system and process are inefficient. Methods We take a Systems Engineering approach with a realistic use case to propose a scalable design for multi-stakeholder data sharing. Results We make three major contributions to the drug development and healthcare communities: first, a methodology for developing a multi-stakeholder data sharing system, with its focus on high-level requirements that influence the design of the system architecture and technology choice; second, the development of a realistic use case for long-term patient and therapy data tracking and sharing in the use of potentially curative and durable gene and cell therapies. Further, a bridge for the ‘awareness gap’ was found between the payer (Payer is organization which takes care of financial and operational aspects (which include insurance plans, provider network) of providing health care to US citizens. Or refer to health care insurers.) and the regulator communities by illustrating the common data tracking needs, which highlights the need for coordinated data activities; and third, a proposed system architecture for scalable, multi-stakeholder data sharing. Next steps are briefly discussed. Conclusion We present a system design for multiple stakeholders such as the payer, the regulator, the developer (drug manu-facturer), and the healthcare provider to share data for their decision-making. The stakeholder community would benefit from collaboratively moving the system development proposal forward for efficient and cost-effective data sharing.
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spelling mit-1721.1/1297812022-10-03T08:28:55Z Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study Nam, Kevin Larholt, Kay Hirsch, Gigi Fritsche, David Bourgeois, Florence T. Palmer, Donna Lincoln Laboratory Massachusetts Institute of Technology. Center for Biomedical Innovation Background Data sharing among stakeholders in the development, access, and use of drug therapies is critical but the cur-rent system and process are inefficient. Methods We take a Systems Engineering approach with a realistic use case to propose a scalable design for multi-stakeholder data sharing. Results We make three major contributions to the drug development and healthcare communities: first, a methodology for developing a multi-stakeholder data sharing system, with its focus on high-level requirements that influence the design of the system architecture and technology choice; second, the development of a realistic use case for long-term patient and therapy data tracking and sharing in the use of potentially curative and durable gene and cell therapies. Further, a bridge for the ‘awareness gap’ was found between the payer (Payer is organization which takes care of financial and operational aspects (which include insurance plans, provider network) of providing health care to US citizens. Or refer to health care insurers.) and the regulator communities by illustrating the common data tracking needs, which highlights the need for coordinated data activities; and third, a proposed system architecture for scalable, multi-stakeholder data sharing. Next steps are briefly discussed. Conclusion We present a system design for multiple stakeholders such as the payer, the regulator, the developer (drug manu-facturer), and the healthcare provider to share data for their decision-making. The stakeholder community would benefit from collaboratively moving the system development proposal forward for efficient and cost-effective data sharing. 2021-02-17T15:23:44Z 2021-02-17T15:23:44Z 2020-10-28 2020-06 2021-02-07T04:54:33Z Article http://purl.org/eprint/type/JournalArticle 2168-4790 2168-4804 https://hdl.handle.net/1721.1/129781 Nam, Kevin et al. “Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study.” Therapeutic innovation & regulatory science, 55 (October 2020): 388–400 © 2020 The Author(s) en https://doi.org/10.1007/s43441-020-00227-y Therapeutic innovation & regulatory science Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ The Author(s) application/pdf Springer International Publishing Springer International Publishing
spellingShingle Nam, Kevin
Larholt, Kay
Hirsch, Gigi
Fritsche, David
Bourgeois, Florence T.
Palmer, Donna
Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title_full Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title_fullStr Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title_full_unstemmed Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title_short Dynamic Dossier in the Cloud: A Sociotechnical Architecture for a Real-Time and Metrics-Based Data Tracking System with Gene and Cell Therapies as a Case Study
title_sort dynamic dossier in the cloud a sociotechnical architecture for a real time and metrics based data tracking system with gene and cell therapies as a case study
url https://hdl.handle.net/1721.1/129781
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