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Ehip2 caring through sharing the ehip-project dirk colaert

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Ehip2 caring through sharing the ehip-project dirk colaert

  1. 1. Caring through Sharing eHIP: Health Information Platform The Project Dr. Dirk Colaert Clinical Applications Research Manager Agfa HealthCare The eHIP Project eHealth Concepts The XDS platform The Project 2
  2. 2. The goal of eHealth Provide ubiquitous access to life-long clinical care record of a patient by all relevant stakeholders, including the patient, in a community, region or country - at anytime, anyplace, on any device Guarantee the privacy of the patient Integrate and enrich the clinical, medical and operational knowledge to support lifelong health guidance of citizens Facilitate inter-professional collaboration Integrate workflows into shared clinical and operational pathways to enable true disease management and optimally support the clinical process 3 The Clinical Process Information Information Assessment Activities Assessment Activities collect, distribute, think, decide plan, schedule, plan, schedule, collect, distribute, think, decide share act, collaborate act, collaborate share Information Information Reasoning Reasoning Workflow Workflow 4
  3. 3. The Clinical Process Information Decision Support Rules and reasoning Clinical Workflow Workflow + collaboration collect, distribute, think, decide plan, schedule, plan, schedule, collect, distribute, think, decide share act, collaborate act, collaborate share Information Information Reasoning Reasoning Workflow Workflow 5 The Continuum of Care Continuum of Time Continuum of Space individual ion l at pu po 6
  4. 4. Scaling out the Clinical Process into e-Health Information Decision Support Rules and reasoning Clinical Workflow Workflow + collaboration Phase 1 Phase 2 Phase 3 e-Health Sharing information Shared Pathways Disease Mgmt. Programs is the first phase Drug interactions, monitoring, compliance, alerts, … Health Monitoring and already pays off ! individual e-Prescribe, CPOE Entry Order Inter-professional collaboration Personal Health Record (PHR) Personal Health Plan Shared Information (EHR) + collaboration Electronic Health Record Health Mgmt. Programs ion Population monitoring, epidemiology, Bio surveillance l at Translational Medicine pu Research from bench to bed, from bed to bench po 7 What Community Healthcare is NOT Hospital This is the classic e-Portal functionality which provides a many-to-one connection Between many GP’s and one hospital, based on propriety solutions. Disadvantages: -Still the hospitals are not interconnected -One GP needs multiple portals to access his patients data in different hospitals -Impossible to connect any one with any one 8
  5. 5. The e-Health Infrastructure Hospital Polyclinic Government Pharmacy Patients eHealth GP infrastructure A central infrastructure enabling e-Health This can but doesn’t need to imply that data is physically persisted in a central storage The bottom line: a user should have a consolidated and complete Laboratory view on the clinical data of the patient research and care should be able to “connect” 9 The eHIP Project eHealth Concepts The XDS platform The Project 10
  6. 6. XDS Standard, introduced by IHE 2 years ago Principles: Document oriented, but independent from the document format (can be KMEHR) Keep the data where they are originated Maintain a central registry with references Use a external Master Patient Index to consolidate patients Use an external Security Server Central repositories can be mixed with distributed, when needed (example: SUMEHR server) Scalable architecture 11 What is IHE ? IHE = Integrating the Healthcare Enterprise IHE = association of users, vendors and public healthcare authorities All major healthcare imaging&IT companies Present in all regions IHE provides pragmatic integration solutions Based on existing standards User driven Vendor supported Incremental in scope and time 12
  7. 7. IHE XDS Regional Health Information Networks are pushed by healthcare authorities HealthConnect in Australia NHS EHR in UK Nictiz in the Netherlands Onchit in USA Health Infoway in Canada 13 IHE XDS in national & regional projects Netherland Italy Amsterdam (Conto Corrente Salute) UK CfH (Radiology WF) France Denmark (Funen) Austria Quebec, Toronto, DMP Italy (Veneto) Alberta, British Columbia Spain (Aragon) Canada Infoway VITL-Vermont Boston Medical Center - MA Philadelphia HIE CPHIC – Pennsylvania CareSpark – TN & VA South Africa CHINA-Shanghai CHINA-MoH JAPAN-Nagaya THINC- New York Imaging Info Sharing Lab results sharing Imaging Info Sharing NCHICA – N. Carolina 14
  8. 8. XDS principles New New doc doc Query Query Meta Pointer Pointer data XDS registry Document Clinical producer data Document consumer XDS XDS XDS XDS XDS XDS XDS XDS repository repository New New repository repository repository repository repository repository doc doc Meta Meta data data 15 XDS infrastructure: how it works Government Home Insurance Home device Sensor Other care providers Laptop XDS Rep Pharmacyst Security XDS Reg Data Local Doc Store MPI Hospital XDS Rep Hospital Hospital GP CIS/HIS CIS/HIS CIS/HIS CIS Data Data Data Data Local Doc Local Doc Local Doc Store XDS Rep Store Store 16
  9. 9. The eHIP Project eHealth Concepts The XDS platform The Project 17 IBBT Attributes independent research institute founded by the Flemish government: stimulate ICT innovation multi-disciplinary research (technical and non-technical) collaboration between industry, non-profit organizations, authorities 5 area’s: eHealth ( & Elderly Care) Mobility and logistics New Media enabling technologies eGovernment demand-driven research projects (to be defined by the industry) additional rules complementary companies and organizations in one project IBBT finances up to 50% of all research costs ownership of the research results is shared between all parties involved 18
  10. 10. The eHIP Project in a nutshell Partners 153 person months from Industry: Agfa, Barco, Cronos, Medibridge 202 person months from IBBT: IBBT- KULeuven: DitriNet, COSIC, ICRI, UZ-KULeuven IBBT- VUB: ETRO, AZ-Brussel Duration: 2 years: 2006-2008 Objectives Knowledge Application requirements Legal and privacy issues Architecture, security and performance Prototype of the eHIP platform Clinical Demonstrators 19 The eHIP Project in a nutshell Results Knowledge Application requirements Use cases for clinical applications Legal and privacy issues Privacy Report Architecture, security and performance Architectural and Technical Report Report on Security components and Load Balancing and Availability Prototype of the eHIP platform XDS prototype (registry and repository) Security Component Clinical Demonstrators Portal and demo application Movie 20

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