Duncan Allen :: Supporting Healthcare Systems Interoperability

Supporting Healthcare Systems Interoperability InterSystems / Ensemble Duncan Allen www.intersystems.com

Topics

Healthcare Integration and Interoperability

Market Perspective

Ensemble for Healthcare Integration

Ensemble today

Market Perspective

InterSystems Market Perspective Premier platform for building, running and connecting healthcare applications worldwide Healthcare Platform Packaged Applications Custom Applications Hospitals, Clinics, Laboratories, GPs …

Strategic Goal for Health Records Interoperability Aggregate Individual Retrospective Transactional Population Management EHR Disease Surveillance EHR Continuity of Care EHR E-health Network EHR

Many (useful) Standards

Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM

Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ

Exchange architectures: CfH (US), IHE, CfH (UK)

Single sign-on: CCOW

Governance: HIPAA

Many (useful) Standards

Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM

Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ

Exchange architectures: CfH (US), IHE, CfH (UK)

Single sign-on: CCOW

Governance: HIPAA

Commitment to Healthcare Interoperability HL7 Benefactor IHE US and European Participant

Increasing Scope & Complexity National / Regional

Demographics – EMPI / PDS

Choose & Book

GP2GP Record Transfer

ETP

Care Pathways

Spine Summary Record

Health Information Exchange

Increasing Scope & Complexity Individual Trust

“ Trust Integration Engine”

Demographics – realtime ADTs

Enterprise Wide Scheduling

Order Communications / Results

Electronic Prescribing

Clinical Coding

RIS / PACS

Discharge Summary / Letters

Statutory Reporting / Governance

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 Gartner’s research on Application Platform Servers (APS) Analytics Orchestration Development Integration

Universal Business Integration Technology Requirements

Adapters

Abstraction and Projection

Messaging and Transformation

Business process modeling/execution

Real-time message warehouse

Metadata repository

Cross application indexing

Event Management and alerting

Rules and Workflow Engine

Analytic tools and Dashboards

Web / portal development

End-to-End Management

Analytics Orchestration Development Integration

Ensemble for Healthcare Integration

Ensemble Design Goals Composite Applications Data Coordination Business Process / Work Flow Business Activity Monitoring Universal Business Integration Platform Technology Application Data

Ensemble Architecture

One

Abstraction Layer

Repository

Execution Engine

Management Console

Development Messaging BPM Analytics Abstraction + Execution + Repository Technology Application Data

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

Native Projection Use any development tool / technology PAS / LAB Oracle / SQL/Server HL7 V2.x & V3 Pick / Cobol Java .Net EJB WS SQL XML

Rapid Development & Customisation

“ 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

Increased Development Productivity

Adding value to Existing Systems Clinical Application HL7 V2 & V3 Clinical Application Messaging Engine Hand Coded Interfaces Web Services Clinical Portals New Composite Applications

Universal Execution Engine Single run-time environment for: Superior performance and complete end-to-end management Execution

Messaging

Portals

Business processes

Workflow

Analytics

Application logic …

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 SQL Native object storage Rich Objects

EASE OF USE Monitoring the Integrated Environment

Realtime Alerts

SMS, Email, Pager

Web Based Monitor

User defined

EASE OF USE Monitoring the Integrated Environment

Ensemble Today

Worldwide Ensemble Healthcare Clients

Partners Healthcare

New York City Health & Hospital Corporation

Boston Medical Center

Providence Healthcare

George Washington University Medical Assoc.

Hunterdon Healthcare

Metropolitan Healthcare

US Veterans Affairs

Pathology Medical Systems

CH Roubaix (France)

Department of Defense (Canada)

Bolton NHS Trust (UK)

Royal Marsden (UK)

Stanford Hospital & Clinics

Evanston Healthcare

NHS Lothian (UK)

Koine Hospital (Italy)

AO Vimercate (Italy)

Dr. Negrin Hospital (Spain)

UK Cancer Registries

European Food Safety Admin. (Belgium)

Iris Nord (Belgium)

Motoman / Kaiser (USA)

SUH (Finland)

Peterboro & Stamford NHS Trust (UK)

Institute of Cancer Research (UK)

Nictiz Dutch National EHR

Serum Institute (Denmark)

Athena Diagnostics (USA)

Barts NHS Trust (UK)

Hospital Ambroise Pare (Belgium)

Moorfields Hospital (UK)

IKEM (Austria)

Okinawa Hospital (Japan)

TUCH (Finland)

PSSHP (Finland)

Sultan Qaboos (Saudi)

Cedars Sinai (USA)

Plymouth NHS S/Services (UK)

Mid Essex Hospital NHS trust (UK)

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.

#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

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%

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