1. 1
Healthcare IT Integration Projects
DISC - October 22, 2015
Jon Dolgaard, MBA, PMP
Manager Integration Services
Cancer Treatment Centers of America

2. 2
Topics
• Clinical HL7 Interfaces
• Project Management / SDLC Buzz
• Application-to-Application Integration
• Integration Project Deliverables
• Q & A
Healthcare IT Integration Projects

3. 3
Clinical HL7 Interfaces / Common Workflows
Healthcare IT Integration Projects
Registration
Billing 10. Charges
1. ADT
4. Orders
6. Results
10. Charges
HL7 = Health Level 7; real time, event driven, clinical workflow integration
ADT = Admit, Discharge, Transfer (patient registration)
EHR = Electronic Health Record
CPOE = Computerized Physician Order Entry
EAI = Enterprise Application Integration
EHR
CPOE
Radiology
Lab
EAIPlatform(akaEngine) Other
Ancillaries
1. ADT
3. ADT
5. Orders
7. Results
9. Charges
2. ADT
Orders
Results
Charges
ADT
4. Lab Orders
6. Lab Results
8. Charges
5. Rad Orders
7. Rad Results

4. 4
GSD
Project Management / SDLC Buzz
Healthcare IT Integration Projects
Scope
Quality
(Good)
Current
State
Transition
State
Future
State
Change Management
Initiate Execute Close
Project Management
Plan
Monitor & Control
Analysis
Build
Deploy
Waterfall
Design
People
Test
Scrum
RUP
Agile
ITIL
ITSM CMM
ALM
Future
State

5. 5
Application-to-Application Integration
A long long time ago… (and now)
Source
Application Target
Application
Source
Application
Healthcare IT Integration Projects

6. 6
Inbound Interface
• Controls Integrity of Data Input
• Functionality to Add / Update / Delete Records
• Defines Required / Conditional / Optional Fields
• Defines Data / File Format
• Defines Communication Protocol
• Is Source App SOR for data?
• Is all required data in Source App’s interface?
Outbound Interface
• Controls Integrity of Data Output
• Selects Records from Database
• Formats Data Consistently
• Defines Data / File Format
• Defines Communication Protocol
• Is all required data included for Target
App?
Inbound Interface
• Controls Integrity of Data Input
• Functionality to Add / Update / Delete Records
• Defines Required / Conditional / Optional Fields
Application-to-Application Integration
Always start with the application…
Application
Database
Config
User
Interface
Reports
Services
Logs
Source
App
Target App
Inbound
Interface
Outbound
Interface
Healthcare IT Integration Projects
Outbound Interface
• Controls Integrity of Data Output
• Selects Records from Database
• Formats Data Consistently

7. 7
Implementation Project Deliverables
It takes a village…
On
Premise
App
Cloud
Hosted
App
EAIPlatform
On
Premise
App
O/BIF
I/BIFI/BIF
Complete workflow analyses
Complete architecture
Complete data mapping
Set up TEST interface
Establish connectivity
Enter test scripts
Define SLAs
Activate PROD interface
Complete workflow analyses
Complete architecture
Complete data mapping
Set up TEST interface
Establish connectivity
Validate test scripts
Define SLAs
Activate PROD interface
Complete architecture
Complete data mapping
Code TEST interface
Establish connectivity
Support testing
Set up alerts per SLAs
Activate PROD interface
Integrated Workflows Integrated WorkflowsArchitecture/Dataflow/Mapping
Set up firewall
access
Healthcare IT Integration Projects

8. 8Presentation Title
Q & A