0
Supporting Healthcare Systems Interoperability InterSystems / Ensemble Duncan Allen www.intersystems.com
Topics <ul><li>Healthcare Integration and Interoperability </li></ul><ul><ul><li>Market Perspective </li></ul></ul><ul><li...
Market Perspective
InterSystems Market Perspective Premier platform for building, running and connecting healthcare applications worldwide He...
Strategic Goal for Health Records Interoperability Aggregate Individual Retrospective Transactional Population Management ...
Many (useful) Standards <ul><li>Message formats:  HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM...
Many  (useful) Standards <ul><li>Message formats:  HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICO...
Commitment to Healthcare Interoperability HL7 Benefactor IHE US and European Participant
Increasing Scope & Complexity National / Regional <ul><li>Demographics – EMPI / PDS </li></ul><ul><li>Choose & Book </li><...
Increasing Scope & Complexity Individual Trust <ul><li>“ Trust Integration Engine” </li></ul><ul><li>Demographics – realti...
InterSystems Technology in English NHS Approx 175,000 licensed users in English NHS
Convergence Driving a need for rich platforms that seamlessly combine application development  and integration  See Gartne...
Universal Business Integration Technology Requirements <ul><li>Adapters </li></ul><ul><li>Abstraction and Projection </li>...
Ensemble for Healthcare Integration
Ensemble Design Goals Composite  Applications Data Coordination Business Process / Work Flow Business Activity Monitoring ...
Ensemble Architecture <ul><li>One </li></ul><ul><li>Abstraction Layer </li></ul><ul><li>Repository </li></ul><ul><li>Execu...
Abstraction Abstraction Shorten learning curve, speed integration and development Connect to diverse data, applications, t...
Native Projection Use any development tool / technology PAS /  LAB Oracle / SQL/Server HL7  V2.x & V3 Pick /  Cobol Java ....
Rapid Development & Customisation
<ul><li>“ Ensemble has a strong design  environment and doesn’t leave the  user to grapple with disparate utilities… This ...
Adding value to Existing Systems Clinical Application HL7 V2  & V3 Clinical Application Messaging Engine Hand Coded Interf...
Universal Execution Engine Single run-time environment for: Superior performance and complete end-to-end management Execut...
Complete End-to-End Management
Graphical Data Transformations of HL7
In-built HL7 Capabilities
Universal Repository Maximum availability, scalability and RAD Repository Messages Metadata Index / Cache Open access via ...
EASE OF USE Monitoring the Integrated Environment <ul><li>Realtime Alerts </li></ul><ul><ul><li>SMS, Email, Pager </li></u...
EASE OF USE Monitoring the Integrated Environment
Ensemble Today
Worldwide Ensemble Healthcare Clients <ul><li>Partners Healthcare </li></ul><ul><li>New York City Health &   Hospital Corp...
Ensemble rated  Number One  by KLAS KLAS helps healthcare providers make informed technology decisions by offering accurat...
#1 KLAS Rating Overall Vendor Rankings “ InterSystems outscored all other Interface Engines software products in overall v...
Ensemble rated Number One by KLAS 93.6 Ensemble 81.6 Average “ InterSystems outscored all other Interface Engines software...
Ensemble in the NHS Planned go-live November 07 n/a 4.0 East & North Herts Go-live TBD n/a 4.0 Sheffield Children’s  Plann...
<ul><li>Comprehensive and Consistent Architecture   </li></ul><ul><ul><li>Reduced complexity, maximum reusability ,  wides...
Thank you Duncan Allen www.intersystems.com
Upcoming SlideShare
Loading in...5
×

Duncan Allen :: Supporting Healthcare Systems Interoperability

1,989

Published on

Published in: Business, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,989
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
103
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Transcript of "Duncan Allen :: Supporting Healthcare Systems Interoperability"

    1. 1. Supporting Healthcare Systems Interoperability InterSystems / Ensemble Duncan Allen www.intersystems.com
    2. 2. Topics <ul><li>Healthcare Integration and Interoperability </li></ul><ul><ul><li>Market Perspective </li></ul></ul><ul><li>Ensemble for Healthcare Integration </li></ul><ul><li>Ensemble today </li></ul>
    3. 3. Market Perspective
    4. 4. InterSystems Market Perspective Premier platform for building, running and connecting healthcare applications worldwide Healthcare Platform Packaged Applications Custom Applications Hospitals, Clinics, Laboratories, GPs …
    5. 5. Strategic Goal for Health Records Interoperability Aggregate Individual Retrospective Transactional Population Management EHR Disease Surveillance EHR Continuity of Care EHR E-health Network EHR
    6. 6. Many (useful) Standards <ul><li>Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM </li></ul><ul><li>Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ </li></ul><ul><li>Exchange architectures: CfH (US), IHE, CfH (UK) </li></ul><ul><li>Single sign-on: CCOW </li></ul><ul><li>Governance: HIPAA </li></ul>
    7. 7. Many (useful) Standards <ul><li>Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM </li></ul><ul><li>Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ </li></ul><ul><li>Exchange architectures: CfH (US), IHE, CfH (UK) </li></ul><ul><li>Single sign-on: CCOW </li></ul><ul><li>Governance: HIPAA </li></ul>
    8. 8. Commitment to Healthcare Interoperability HL7 Benefactor IHE US and European Participant
    9. 9. Increasing Scope & Complexity National / Regional <ul><li>Demographics – EMPI / PDS </li></ul><ul><li>Choose & Book </li></ul><ul><li>GP2GP Record Transfer </li></ul><ul><li>ETP </li></ul><ul><li>Care Pathways </li></ul><ul><li>Spine Summary Record </li></ul><ul><li>Health Information Exchange </li></ul>
    10. 10. Increasing Scope & Complexity Individual Trust <ul><li>“ Trust Integration Engine” </li></ul><ul><li>Demographics – realtime ADTs </li></ul><ul><li>Enterprise Wide Scheduling </li></ul><ul><li>Order Communications / Results </li></ul><ul><li>Electronic Prescribing </li></ul><ul><li>Clinical Coding </li></ul><ul><li>RIS / PACS </li></ul><ul><li>Discharge Summary / Letters </li></ul><ul><li>Statutory Reporting / Governance </li></ul>
    11. 11. InterSystems Technology in English NHS Approx 175,000 licensed users in English NHS
    12. 12. Convergence Driving a need for rich platforms that seamlessly combine application development and integration See Gartner’s research on Application Platform Servers (APS) Analytics Orchestration Development Integration
    13. 13. Universal Business Integration Technology Requirements <ul><li>Adapters </li></ul><ul><li>Abstraction and Projection </li></ul><ul><li>Messaging and Transformation </li></ul><ul><li>Business process modeling/execution </li></ul><ul><li>Real-time message warehouse </li></ul><ul><li>Metadata repository </li></ul><ul><li>Cross application indexing </li></ul><ul><li>Event Management and alerting </li></ul><ul><li>Rules and Workflow Engine </li></ul><ul><li>Analytic tools and Dashboards </li></ul><ul><li>Web / portal development </li></ul><ul><li>End-to-End Management </li></ul>Analytics Orchestration Development Integration
    14. 14. Ensemble for Healthcare Integration
    15. 15. Ensemble Design Goals Composite Applications Data Coordination Business Process / Work Flow Business Activity Monitoring Universal Business Integration Platform Technology Application Data
    16. 16. Ensemble Architecture <ul><li>One </li></ul><ul><li>Abstraction Layer </li></ul><ul><li>Repository </li></ul><ul><li>Execution Engine </li></ul><ul><li>Management Console </li></ul>Development Messaging BPM Analytics Abstraction + Execution + Repository Technology Application Data
    17. 17. Abstraction Abstraction Shorten learning curve, speed integration and development Connect to diverse data, applications, technologies Expose as Web Services, classes, tables, … Abstract into consistent data + functionality model
    18. 18. Native Projection Use any development tool / technology PAS / LAB Oracle / SQL/Server HL7 V2.x & V3 Pick / Cobol Java .Net EJB WS SQL XML
    19. 19. Rapid Development & Customisation
    20. 20. <ul><li>“ Ensemble has a strong design environment and doesn’t leave the user to grapple with disparate utilities… This means, that we don’t have to write as much code as before, which gives us a massive head-start ....” Mike Eagles, Head of Software Development Barts and the London NHS Trust </li></ul>Increased Development Productivity
    21. 21. Adding value to Existing Systems Clinical Application HL7 V2 & V3 Clinical Application Messaging Engine Hand Coded Interfaces Web Services Clinical Portals New Composite Applications
    22. 22. Universal Execution Engine Single run-time environment for: Superior performance and complete end-to-end management Execution <ul><li>Messaging </li></ul><ul><li>Portals </li></ul><ul><li>Business processes </li></ul><ul><li>Workflow </li></ul><ul><li>Analytics </li></ul><ul><li>Application logic … </li></ul>
    23. 23. Complete End-to-End Management
    24. 24. Graphical Data Transformations of HL7
    25. 25. In-built HL7 Capabilities
    26. 26. Universal Repository Maximum availability, scalability and RAD Repository Messages Metadata Index / Cache Open access via SQL Native object storage Rich Objects
    27. 27. EASE OF USE Monitoring the Integrated Environment <ul><li>Realtime Alerts </li></ul><ul><ul><li>SMS, Email, Pager </li></ul></ul><ul><li>Web Based Monitor </li></ul><ul><ul><li>User defined </li></ul></ul>
    28. 28. EASE OF USE Monitoring the Integrated Environment
    29. 29. Ensemble Today
    30. 30. Worldwide Ensemble Healthcare Clients <ul><li>Partners Healthcare </li></ul><ul><li>New York City Health & Hospital Corporation </li></ul><ul><li>Boston Medical Center </li></ul><ul><li>Providence Healthcare </li></ul><ul><li>George Washington University Medical Assoc. </li></ul><ul><li>Hunterdon Healthcare </li></ul><ul><li>Metropolitan Healthcare </li></ul><ul><li>US Veterans Affairs </li></ul><ul><li>Pathology Medical Systems </li></ul><ul><li>CH Roubaix (France) </li></ul><ul><li>Department of Defense (Canada) </li></ul><ul><li>Bolton NHS Trust (UK) </li></ul><ul><li>Royal Marsden (UK) </li></ul><ul><li>Stanford Hospital & Clinics </li></ul><ul><li>Evanston Healthcare </li></ul><ul><li>NHS Lothian (UK) </li></ul><ul><li>Koine Hospital (Italy) </li></ul><ul><li>AO Vimercate (Italy) </li></ul><ul><li>Dr. Negrin Hospital (Spain) </li></ul><ul><li>UK Cancer Registries </li></ul><ul><li>European Food Safety Admin. (Belgium) </li></ul><ul><li>Iris Nord (Belgium) </li></ul><ul><li>Motoman / Kaiser (USA) </li></ul><ul><li>SUH (Finland) </li></ul><ul><li>Peterboro & Stamford NHS Trust (UK) </li></ul><ul><li>Institute of Cancer Research (UK) </li></ul><ul><li>Nictiz Dutch National EHR </li></ul><ul><li>Serum Institute (Denmark) </li></ul><ul><li>Athena Diagnostics (USA) </li></ul><ul><li>Barts NHS Trust (UK) </li></ul><ul><li>Hospital Ambroise Pare (Belgium) </li></ul><ul><li>Moorfields Hospital (UK) </li></ul><ul><li>IKEM (Austria) </li></ul><ul><li>Okinawa Hospital (Japan) </li></ul><ul><li>TUCH (Finland) </li></ul><ul><li>PSSHP (Finland) </li></ul><ul><li>Sultan Qaboos (Saudi) </li></ul><ul><li>Cedars Sinai (USA) </li></ul><ul><li>Plymouth NHS S/Services (UK) </li></ul><ul><li>Mid Essex Hospital NHS trust (UK) </li></ul>
    31. 31. Ensemble rated Number One by KLAS KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, impartial vendor performance information. KLAS independently monitors vendor performance through the active participation of thousands of healthcare organizations. KLAS uses a stringent methodology to ensure all data and ratings are accurate, honest and impartial.
    32. 32. #1 KLAS Rating Overall Vendor Rankings “ InterSystems outscored all other Interface Engines software products in overall vendor rating, in all four of the indicator categories measured, and in percent positive commentary. ” 93.6 Ensemble 90.5 Orion 83.6 Quovadx 81.9 Siemens 76.6 Eclipsys 76.2 Sun eGate 67.8 Sybase
    33. 33. Ensemble rated Number One by KLAS 93.6 Ensemble 81.6 Average “ InterSystems outscored all other Interface Engines software products in overall vendor rating, in all four of the indicator categories measured, and in percent positive commentary. ” Success Indicators (Sample) Ensemble Core part of ICT plan? 100% Would you buy again? 100% Would you recommend to friend/peer? 100%
    34. 34. Ensemble in the NHS Planned go-live November 07 n/a 4.0 East & North Herts Go-live TBD n/a 4.0 Sheffield Children’s Planned go live November 07 n/a 4.0 Royal Marsden Live No info. 4.0 Bolton Live No info. 4.0 Mid-Essex Live 2500 4.0 Lothian Region, Edinburgh Live 9000 4.0 Barts and London Hospital Live 25000 3.1 Plymouth Live 25000 4.0 Peterborough Live 75000 4.0 Moorfields Eye Hospital Status Messages/day Version Trust
    35. 35. <ul><li>Comprehensive and Consistent Architecture </li></ul><ul><ul><li>Reduced complexity, maximum reusability , widest range of projects, one learning curve </li></ul></ul><ul><li>Fast Integration & Composite App. Development </li></ul><ul><ul><li>Rapid ROI </li></ul></ul><ul><li>Easier Management & Scalable Performance </li></ul><ul><ul><li>Low cost of ownership </li></ul></ul>The Benefits of Ensemble
    36. 36. Thank you Duncan Allen www.intersystems.com
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×