Unblocking semantic interoperability for ehr
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This document discusses semantic interoperability for electronic health records (EHRs). It provides an overview of semantic interoperability and health information, including challenges with historic systems. Current issues include rising healthcare costs and quality/safety concerns due to errors. The document outlines workflows in a care organization using proprietary interfaces and standards like HL7. It discusses personal health information and information systems. Finally, it proposes innovative solutions like standardizing identifiers and information, educating all actors, identifying authoritative sources, and using proven technologies to improve interoperability.
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Unblocking semantic interoperability for ehr
- 1. UNBLOCKING SEMANTIC INTEROPERABILITY FOR EHR Sam Forouzi March 2014
- 2. Summary • Overview of Semantic Interoperability • Understanding Health Information • Historic Problems & Solutions • Current Challenges and a need for innovative solutions
- 4. Semantic Interoperability for EHR • Information Exchange among Actors on-time – Information: must be meaningful, complete, up- to-date, and use-full – Exchange: information recipient must be able to interpret incoming information according to the source – Actors: Systems, Devices, and Humans – On-time: Notification in real-time and on- demand
- 6. Workflow: Care Organization Patient is Registered / AdmittedProprietary Interfaces are used to notify hospitals departmental LIS DIS Pharmacy Bed Management HIS
- 7. System Integration: Care Organization HIS Integration Engine LIS Pharmacy DIS Bed Management Filter Translate Transform ADT Notification
- 8. Interoperability: Universally • Source of Truth • Actor Identification & matching • Entity Identification & matching • Rules & Procedures • Interpretations • Normalization • Ownership • Technologies & Standards
- 11. Healthy Living • Behaviours • Personal Actions • Education • Coaching • Planning • Executions • Consultation • Progress and Results Tracking
- 12. Health Care • Preventing Care vs. Care for Conditions – Primary Care – Acute Care – Home Care – Long-Term Care – Ambulatory Care – Allied Care
- 13. Information Systems Healthy Living • Personal Portals • Mobile Apps • Devices • Paper based • Not available Health Care • EMRs • Paper Based • HIS • LIS • RIS • DIS • CIS • EHR • Patient Portals
- 15. History •Hospital Info. Systems •Clinical Systems •Proprietary Interfaces •HL7 v2.x 1980s •IEs •EMR Vendors •CDA 1990s •HL7 V3 •Canadian EHRs, Acute Care Integrations •US EMR adaption, HIEs & ACOs 2000s •US CCD, BB+, FHIR, Portals, NwHIN, State Wide HIE •Can: EMR, Local Integration Areas Models, CDS 2010-14
- 17. Vital Signs Costs Quality Access to Care Safety Errors Care Recipients Chronic Cases Population Knowledge Aging Population Wait-time
- 18. Facts • 2011 Canadian healthcare spending was11.6% of GDP (38% of Nat. budget) National Health Expenditure Trends, 1975 to 2011. CIHI • 75% of healthcare spending is consumed by chronic disease management Centers for Disease Control, 2012, http://www.cdc.gov/chronicdisease/ • In 2008/2009, more than 2.3 million Canadians were living with diabetes. Public Health Agency of Canada
- 20. • Let people manage their health information • Develop and promote universal identifiers • Improve operation by refining workflows and procedures • Standardize – refine existing standards but not reinvent or-localize • Educate: track or use information for all actors • Identify and target source of truth for building a normalized and complete EHR • Use proven technologies • Reduce dependencies and technical requirements
- 21. QUESTIONS?
Editor's Notes
- This template can be used as a starter file for presenting training materials in a group setting.SectionsRight-click on a slide to add sections. Sections can help to organize your slides or facilitate collaboration between multiple authors.NotesUse the Notes section for delivery notes or to provide additional details for the audience. View these notes in Presentation View during your presentation. Keep in mind the font size (important for accessibility, visibility, videotaping, and online production)Coordinated colors Pay particular attention to the graphs, charts, and text boxes.Consider that attendees will print in black and white or grayscale. Run a test print to make sure your colors work when printed in pure black and white and grayscale.Graphics, tables, and graphsKeep it simple: If possible, use consistent, non-distracting styles and colors.Label all graphs and tables.
- Give a brief overview of the presentation. Describe the major focus of the presentation and why it is important.Introduce each of the major topics.To provide a road map for the audience, you can repeat this Overview slide throughout the presentation, highlighting the particular topic you will discuss next.
- This is another option for an Overview slides using transitions.
- This is another option for an Overview slides using transitions.