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The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
The transition from Island Healthcare Information Systems to ...
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The transition from Island Healthcare Information Systems to ...

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  • SES is intended to serve as a platform to deliver an array of intelligent privacy and security services. Seven of these services are in various stages of development or implementation. The first one, Kodak SES for Wireless Services is fully developed and allows us to transmit encrypted email via PDAs, over the telecommunications networks in the same manner as SES allows this to happen over the Internet. The second phase of the project, receiving SES on wireless devices will complete the development cycle, and will be available in the fourth quarter. Registered Email will be launched on September 1, and allows senders to request a receipt indicating the date and time at which an SES message was decrypted by the recipient. The Certified US Postal Service Electronic Post Mark Receipt includes a verification of the registered mail receipt through a third party, the US Postal Service. Since this receipt requires the recipient to actually open the message, this serves as proof that a recipient opened an SES message. Integration is on going with the US Postal Service. In an effort to offer the benefits of SES to the patients, although this is not a HIPAA requirement, we are developing the Doctor Patient Secure Communication planned for introduction in the third quarter. It will allow doctors to make SES available to their patients on an as-needed basis. The system also prevents patients from being able to use non-secure means when communicating with their doctor. Secure Smart Archiving will be a first in the world of security, as it will provide our customers the capability of retrieving secure documents from an encrypted database, by using standard format, or a lexicon of medical terms. Thus a doctor would be able to retrieve all of his message containing the word knee joint. No system offers this capability today. Verifying that a written document is actually the same document which the sender sent a person is impossible, even with hashing techniques. To solve this problem we have introduced the Advanced Digital Signature which embeds the entire document into the digital signature. Once the document is printed, scanning of this Advanced Signature allows to verify the content of the printed document against the digital content at the point of origin. Finally, the Biometric Signature is a digitally generated signature using the computer mouse. The software allows to ensure that the a recipient opening an SES email is actually the recipient that was supposed to receive it. Since the system is dynamic, it is not exploitable by hackers, and signatures are visible only by the software.
  • SES is intended to serve as a platform to deliver an array of intelligent privacy and security services. Seven of these services are in various stages of development or implementation. The first one, Kodak SES for Wireless Services is fully developed and allows us to transmit encrypted email via PDAs, over the telecommunications networks in the same manner as SES allows this to happen over the Internet. The second phase of the project, receiving SES on wireless devices will complete the development cycle, and will be available in the fourth quarter. Registered Email will be launched on September 1, and allows senders to request a receipt indicating the date and time at which an SES message was decrypted by the recipient. The Certified US Postal Service Electronic Post Mark Receipt includes a verification of the registered mail receipt through a third party, the US Postal Service. Since this receipt requires the recipient to actually open the message, this serves as proof that a recipient opened an SES message. Integration is on going with the US Postal Service. In an effort to offer the benefits of SES to the patients, although this is not a HIPAA requirement, we are developing the Doctor Patient Secure Communication planned for introduction in the third quarter. It will allow doctors to make SES available to their patients on an as-needed basis. The system also prevents patients from being able to use non-secure means when communicating with their doctor. Secure Smart Archiving will be a first in the world of security, as it will provide our customers the capability of retrieving secure documents from an encrypted database, by using standard format, or a lexicon of medical terms. Thus a doctor would be able to retrieve all of his message containing the word knee joint. No system offers this capability today. Verifying that a written document is actually the same document which the sender sent a person is impossible, even with hashing techniques. To solve this problem we have introduced the Advanced Digital Signature which embeds the entire document into the digital signature. Once the document is printed, scanning of this Advanced Signature allows to verify the content of the printed document against the digital content at the point of origin. Finally, the Biometric Signature is a digitally generated signature using the computer mouse. The software allows to ensure that the a recipient opening an SES email is actually the recipient that was supposed to receive it. Since the system is dynamic, it is not exploitable by hackers, and signatures are visible only by the software.
  • SES is intended to serve as a platform to deliver an array of intelligent privacy and security services. Seven of these services are in various stages of development or implementation. The first one, Kodak SES for Wireless Services is fully developed and allows us to transmit encrypted email via PDAs, over the telecommunications networks in the same manner as SES allows this to happen over the Internet. The second phase of the project, receiving SES on wireless devices will complete the development cycle, and will be available in the fourth quarter. Registered Email will be launched on September 1, and allows senders to request a receipt indicating the date and time at which an SES message was decrypted by the recipient. The Certified US Postal Service Electronic Post Mark Receipt includes a verification of the registered mail receipt through a third party, the US Postal Service. Since this receipt requires the recipient to actually open the message, this serves as proof that a recipient opened an SES message. Integration is on going with the US Postal Service. In an effort to offer the benefits of SES to the patients, although this is not a HIPAA requirement, we are developing the Doctor Patient Secure Communication planned for introduction in the third quarter. It will allow doctors to make SES available to their patients on an as-needed basis. The system also prevents patients from being able to use non-secure means when communicating with their doctor. Secure Smart Archiving will be a first in the world of security, as it will provide our customers the capability of retrieving secure documents from an encrypted database, by using standard format, or a lexicon of medical terms. Thus a doctor would be able to retrieve all of his message containing the word knee joint. No system offers this capability today. Verifying that a written document is actually the same document which the sender sent a person is impossible, even with hashing techniques. To solve this problem we have introduced the Advanced Digital Signature which embeds the entire document into the digital signature. Once the document is printed, scanning of this Advanced Signature allows to verify the content of the printed document against the digital content at the point of origin. Finally, the Biometric Signature is a digitally generated signature using the computer mouse. The software allows to ensure that the a recipient opening an SES email is actually the recipient that was supposed to receive it. Since the system is dynamic, it is not exploitable by hackers, and signatures are visible only by the software.
  • Transcript

    • 1. The transition from Island Healthcare Information Systems to integrated Care Record Systems Christopher Varian Kodak Health Imaging
    • 2. European spend on ICT as a % of healthcare budget <ul><li>ICT Health budget and status of integration </li></ul>1990 2000 2010 6% 5% 4% 3% 2% 1% Isolated applications Communication between applications Ad Hoc Integration Regional Integration EU / Global Integration <ul><li>EU Acceleration of ICT spend </li></ul><ul><li>UK NHS ICT Budget 2% </li></ul><ul><li>EU Industry ICT spend 7% </li></ul>Healthcare budget spend -HCIT
    • 3. The challenge for ICT in healthcare <ul><li>Providing appropriate clinical information at the point of care to improve efficiency and quality </li></ul><ul><ul><li>Complexity of the healthcare process and the interdependences between the departments, hospitals and clinicians </li></ul></ul><ul><ul><li>Legacy Information systems need to be integrated to provide the clinical pathway </li></ul></ul><ul><ul><li>Validation of patient identification and the migration of data in island systems </li></ul></ul><ul><ul><li>Security and authorisation of access to data </li></ul></ul><ul><ul><li>Cost of implementation and overall complexity of the integration of island departmental systems due to different architectures </li></ul></ul><ul><ul><li>Lack of investment in ICT in health </li></ul></ul>
    • 4. The solution <ul><li>A system that will automate clinical information at the point of care </li></ul><ul><ul><li>Simplify the Complexity of the healthcare process by providing a longitudinal healthcare record </li></ul></ul><ul><ul><li>Enable Legacy Information systems to be integrated to provide a clinical data repository </li></ul></ul><ul><ul><li>Ensure an appropriate unique patient identifier is the starting point in for the master patient index. </li></ul></ul><ul><ul><li>Reduce costs by Enterprise Information Management by consolidation and simplification </li></ul></ul><ul><ul><li>Use existing industry standards IHE DICOM HL7 XML FTP ……. </li></ul></ul>
    • 5. Standard Hospital environment Today Radiology Cardiology ..ologies Other applications Archive Storage Backup Archive <ul><li>DICOM archive </li></ul><ul><li>50MB files </li></ul><ul><li>First generation obsolete </li></ul><ul><li>“ Closed” archives </li></ul><ul><li>Archive dedicated to each PACS </li></ul><ul><li>DICOM or non-DICOM </li></ul><ul><li>Little or no archiving (DVD) </li></ul><ul><li>500MB/1GB files </li></ul><ul><li>Dedicated archive </li></ul><ul><li>Non-DICOM </li></ul><ul><li>Little or no archiving </li></ul><ul><li>Small files </li></ul><ul><li>Dedicated storage </li></ul><ul><li>Non-DICOM </li></ul><ul><li>Backup and archiving </li></ul><ul><li>Small to very large files </li></ul><ul><li>Dedicated tape libraries </li></ul><ul><li>Different vendors, isolated archives </li></ul><ul><li>No sharing of infrastructure </li></ul><ul><li>No sharing of information base </li></ul><ul><li>May be located at different sites </li></ul>MPI & PAS
    • 6. Hospital general storage content Radiology Cardiology ..ologies Other applications <ul><li>75% is fixed content </li></ul><ul><li>Storage volumes mainly in imaging </li></ul><ul><li>Exponential storage growth in the next 3 years </li></ul>Data volume
    • 7. Enterprise Information management Solution Radiology Cardiology ..ologies Archiving function <ul><li>Enhance IT productivity </li></ul><ul><li>Ease architecture evolution </li></ul><ul><li>Ease Obsolescence Management </li></ul><ul><li>Ease long term information management </li></ul><ul><li>Globalize data protection </li></ul><ul><li>Consolidate information </li></ul><ul><li>Share the infrastructure </li></ul><ul><li>Optimize investment </li></ul><ul><li>Ease information sharing </li></ul><ul><li>Enhance information security </li></ul>Main Advantages Other applications
    • 8. Scope of LSP Responsibility Nationally built locally Implemented Locally configured and locally implemented Sample Set of Generic Processes Flexible Toolkit to Support Range of Data and Viewing Requirement Range of Care Settings Resource scheduling Bed Management Ambulatory Care Management Mental Health Act Administration Domiciliary Care Management Casenote and Film tracking E-booking Clinical Noting Integrated Care Pathways Screening Management Information Clinical Correspondence/Summary Image Management Clinical Decision Support Master Patient Index (eMPI) Order Entry Confidentiality Graphical Analysis Authentication Results E-prescribing Reporting Cardiology Anaesthesiology Intensive Care Diabetes Theatres Radiology Pathology Maternity Old Age Psychiatry Radiotherapy Child Health Screening Trauma Rehabilitation Respite Care Palliative Care Colposcopy Nephrology Endoscopy DTCs ACADs General Practise Acute Hospital Community Nursing Hospital Psychiatry Therapies (OT/PT) Community Mental Health Diagnostic Departments Home Tertiary Care NHS Prison Social Care Hospices Private Health Ambulance Walk -In Centres MPI Demographics E- booking Electronic Transfer of prescriptions Common Services INTEGRATED CARE RECORD SERVICE Overall Requirements for a national system
    • 9. Kodak HCIS as part of a national record CRS <ul><li>Simplified system architecture and flexible workflow </li></ul><ul><ul><li>Both presentation (pull) and routing (push) models are supported </li></ul></ul><ul><ul><li>Data moves from modalities to system RAID and is distributed from there </li></ul></ul><ul><li>Optimized use of distributed storage </li></ul><ul><ul><li>Central database manages all image storage components </li></ul></ul><ul><ul><li>Centralized or physically distributed storage, including workstation storage </li></ul></ul><ul><li>Global view of all studies with sophisticated worklists </li></ul><ul><ul><li>Customized worklists based on filtered views of global database at any workstation or client in the enterprise </li></ul></ul><ul><li>Enhanced system scalability and availability </li></ul><ul><ul><li>Software components are easily replicated across multiple hosts </li></ul></ul><ul><ul><li>High-availability clustered server configurations </li></ul></ul><ul><li>Supports and uses DICOM 3.0 HL7 & IHE standards </li></ul><ul><ul><li>Integrates into CIS systems by agreed international standards </li></ul></ul><ul><ul><li>Will support XDS and HL7v 3 when finalised </li></ul></ul>
    • 10. Kodak Enterprise archiving model Archive Viewing/ diagnostic Viewing/diagnostic capabilities An enterprise wide Clinical data repository, accessible to every authorised users Radiology Clinical Data Repository - CDR <ul><li>Searching and viewing </li></ul><ul><li>Statistics </li></ul><ul><li>Reports … </li></ul>Other clinical applications Epidemiology, research,… Cardiology Laboratories Neurology Pharmacy Orthopedic Electronic Medical record … Long term data management (media conversion, format conversion, …)
    • 11. Kodak VIParchive enterprise archive management view
    • 12. VIP archive key features <ul><li>Multi source/Open archive </li></ul><ul><ul><li>DICOM/Non DICOM, ”ology” and IT sources </li></ul></ul><ul><ul><li>Patient data consolidation </li></ul></ul><ul><ul><li>Makes use of IHE HL7 DICOM and future XDS standards </li></ul></ul><ul><li>Enhanced lifecycle management, clinical based </li></ul><ul><ul><li>Adapt performance to content </li></ul></ul><ul><ul><li>Adapt preservation/retention to content </li></ul></ul><ul><li>Transparent access across multi sites </li></ul><ul><ul><li>All data available from anywhere </li></ul></ul><ul><ul><li>With standard interface to End User tools </li></ul></ul><ul><li>Built in disaster recovery </li></ul><ul><ul><li>Local or remote </li></ul></ul><ul><ul><li>From manual to automatic recovery </li></ul></ul><ul><li>Media technology and storage vendor neutral </li></ul><ul><ul><li>All storage technologies supported (disk, tape, DVD…) </li></ul></ul><ul><ul><li>Management of obsolescence </li></ul></ul><ul><li>Scalability by design </li></ul><ul><ul><li>Same software from small to large enterprise systems </li></ul></ul><ul><ul><li>Incremental architecture </li></ul></ul>
    • 13. Thank you & Questions

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