Charles Jaffe the future of interoperability


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Charles Jaffe delivered the presentation at the 2013 eHealth Interoperability Conference.

The 2013 eHealth Interoperability Conference program is a balance between updates on state-wide interoperability projects, health service eHealth project case studies, and discussions of overarching principles such as information governance, data standardisation, and the future direction of eHealth in Australasia.

For more information about the event, please visit:

eHealth13, healthcare, eHealth, informahealthcare, informa, interoperability, health service, information standardisation, medicines data, public hospital, hospital, technology transparency, patient care, healthcare record, electronic health record

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Charles Jaffe the future of interoperability

  1. 1. The Future of Interoperability Evolution of the SDO Charles Jaffe, MD, PhD CEO, Health Level 7 Professor of Medicine, UCSD eHealth Interoperability Sydney 12 September 2013
  2. 2. - Benjamin Disraeli “How much easier it is to be critical than to be correct.”
  3. 3. SDOs used to just be about developing standards. Now they have to become the organizations responsible for Interoperability.
  4. 4. • Policy adoption • Change management • Collaboration • Innovation • Trust Elements of the (r)evolution
  5. 5. - Charles Kettering “If you’re doing something the same way for ten years, the chances are you are doing it wrong.”
  6. 6. For some change is heresy.
  7. 7. The reality of it all is that policy trumps technology every time.
  8. 8. Change will come when we predicate patient care on evidence, and when begin to pay for wellness rather than for services.
  9. 9. Information Technology will not change healthcare. Done right, Information Technology will support knowledge-based care delivery.
  10. 10. If you believe that wellness is a human right, Information technology has the potential to close some of the gaps in our delivery system.
  11. 11. Our policy makers are more responsible for the quality & cost of healthcare than are our doctors and our computer scientists.
  12. 12. Grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference. With apologies to Reinhold Niebuhr
  13. 13. • Political & social upheaval • Dependence on technology • Role of social media • Innovations in Biology & Medicine • Fundamental financial realignment • Aging populations & deepening disparities Healthcare responds to change
  14. 14. • Environmental change • Collaboration • Innovation… The inevitable response of Standards Development Organizations …but not necessarily in that order
  15. 15. - Peter Drucker “There is nothing so useless as doing efficiently that which should not be done at all.”
  16. 16. HL7 licenses its standards & other artifacts free of charge. HL7 Responds
  17. 17. • Mobile Health • Quality Measures • Vocabulary Authority • Public Health • Genomics Impact on Organizational Scope • Clinical Decision Support • Healthcare Literacy • Education resources • Conformance Testing • Help Desk • Policy development
  18. 18. Inevitably, the scope of HL7 changed, and with it came changes in its products & services. The Ripple felt around the world
  19. 19. • HL7 Affiliates responded and grew. HL7 Europe and HL7 Asia emerged as more committed leaders. • Low & middle income countries began to grasp the possibilities. • Health ministries found new ways to engage and leverage opportunities. The Globalization Effect
  20. 20. The Information you have is not what you want. The information you want is not what you need. The information you need is not available. Finagle’s Law of Medical Information
  21. 21. “Knowledge is knowing that a tomato is a fruit. Wisdom is not putting tomatoes in a fruit salad.” Miles Kington British Journalist
  22. 22. • IHE • CDISC • Continua Alliance • IEEE • IHTSDO & Regenstrief Collaboration: SDO Partnerships • OMG • GS1 Healthcare • ISO • CEN • Joint Initiative Council
  23. 23. “All you need in this life is ignorance and confidence, and then success is sure.” - Mark Twain
  24. 24. • HIMSS • Mobile Health Alliance • eHealth Initiative Collaboration: Organizational Partnerships • EFMI • AMIA / IMIA • EU-US Cooperation Partnership • WHO / PAHO
  25. 25. • epSOS • BRIDG • Trillium Bridge • Semantic HealthNet • Antilope Collaboration: Program Partnerships
  26. 26. • Rockefeller Foundation • RW Johnson Foundation • Gates Foundation • World Bank Collaboration: Foundation Partnerships
  27. 27. Ashleigh Brilliant English Author “To be sure of hitting the target, shoot first, and call whatever you hit the target.”
  28. 28. • CDA (Trifolia1 & others) • CIMI2 • FHIR3 • SAIF4 Innovation, for starters 1. A library of templates & the tools and language to manipulate them. 2. Clinical Information Modeling Initiative 3. Fast Healthcare Interoperability Resources 4. Services Aware Interoperability Framework
  29. 29. • Educational expansion • Capacity development • Global collaboration • Technology integration Quo Vadis?
  30. 30. “There are two kinds of people: Those who finish what they start and so on.” - Robert Byrne
  31. 31. Thanks