Duncan Allen :: Supporting Healthcare Systems Interoperability
- 1. Supporting Healthcare Systems Interoperability InterSystems / Ensemble Duncan Allen www.intersystems.com
- 2. Topics Healthcare Integration and Interoperability Market Perspective Ensemble for Healthcare Integration Ensemble today
- 4. InterSystems Market Perspective Premier platform for building, running and connecting healthcare applications worldwide Healthcare Platform Packaged Applications Custom Applications Hospitals, Clinics, Laboratories, GPs …
- 5. Strategic Goal for Health Records Interoperability Aggregate Individual Retrospective Transactional Population Management EHR Disease Surveillance EHR Continuity of Care EHR E-health Network EHR
- 6. Many (useful) Standards Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ Exchange architectures: CfH (US), IHE, CfH (UK) Single sign-on: CCOW Governance: HIPAA
- 7. Many (useful) Standards Message formats: HL7v2, HL7v2 XML, HL7v3, CDA, CCR, CCD, CRS, X12, X12 CICA, NCPDP, DICOM Medical vocabularies: LOINC, SNOMED CT, ICD 9/10, CPT, RxNorm, READ Exchange architectures: CfH (US), IHE, CfH (UK) Single sign-on: CCOW Governance: HIPAA
- 8. Commitment to Healthcare Interoperability HL7 Benefactor IHE US and European Participant
- 9. Increasing Scope & Complexity National / Regional Demographics – EMPI / PDS Choose & Book GP2GP Record Transfer ETP Care Pathways Spine Summary Record Health Information Exchange
- 10. Increasing Scope & Complexity Individual Trust “ Trust Integration Engine” Demographics – realtime ADTs Enterprise Wide Scheduling Order Communications / Results Electronic Prescribing Clinical Coding RIS / PACS Discharge Summary / Letters Statutory Reporting / Governance
- 11. InterSystems Technology in English NHS Approx 175,000 licensed users in English NHS
- 12. Convergence Driving a need for rich platforms that seamlessly combine application development and integration See Gartner’s research on Application Platform Servers (APS) Analytics Orchestration Development Integration
- 13. Universal Business Integration Technology Requirements Adapters Abstraction and Projection Messaging and Transformation Business process modeling/execution Real-time message warehouse Metadata repository Cross application indexing Event Management and alerting Rules and Workflow Engine Analytic tools and Dashboards Web / portal development End-to-End Management Analytics Orchestration Development Integration
- 14. Ensemble for Healthcare Integration
- 15. Ensemble Design Goals Composite Applications Data Coordination Business Process / Work Flow Business Activity Monitoring Universal Business Integration Platform Technology Application Data
- 16. Ensemble Architecture One Abstraction Layer Repository Execution Engine Management Console Development Messaging BPM Analytics Abstraction + Execution + Repository Technology Application Data
- 17. Abstraction Abstraction Shorten learning curve, speed integration and development Connect to diverse data, applications, technologies Expose as Web Services, classes, tables, … Abstract into consistent data + functionality model
- 18. Native Projection Use any development tool / technology PAS / LAB Oracle / SQL/Server HL7 V2.x & V3 Pick / Cobol Java .Net EJB WS SQL XML
- 19. Rapid Development & Customisation
- 20. “ Ensemble has a strong design environment and doesn’t leave the user to grapple with disparate utilities… This means, that we don’t have to write as much code as before, which gives us a massive head-start ....” Mike Eagles, Head of Software Development Barts and the London NHS Trust Increased Development Productivity
- 21. Adding value to Existing Systems Clinical Application HL7 V2 & V3 Clinical Application Messaging Engine Hand Coded Interfaces Web Services Clinical Portals New Composite Applications
- 22. Universal Execution Engine Single run-time environment for: Superior performance and complete end-to-end management Execution Messaging Portals Business processes Workflow Analytics Application logic …
- 24. Graphical Data Transformations of HL7
- 26. Universal Repository Maximum availability, scalability and RAD Repository Messages Metadata Index / Cache Open access via SQL Native object storage Rich Objects
- 27. EASE OF USE Monitoring the Integrated Environment Realtime Alerts SMS, Email, Pager Web Based Monitor User defined
- 28. EASE OF USE Monitoring the Integrated Environment
- 29. Ensemble Today
- 30. Worldwide Ensemble Healthcare Clients Partners Healthcare New York City Health & Hospital Corporation Boston Medical Center Providence Healthcare George Washington University Medical Assoc. Hunterdon Healthcare Metropolitan Healthcare US Veterans Affairs Pathology Medical Systems CH Roubaix (France) Department of Defense (Canada) Bolton NHS Trust (UK) Royal Marsden (UK) Stanford Hospital & Clinics Evanston Healthcare NHS Lothian (UK) Koine Hospital (Italy) AO Vimercate (Italy) Dr. Negrin Hospital (Spain) UK Cancer Registries European Food Safety Admin. (Belgium) Iris Nord (Belgium) Motoman / Kaiser (USA) SUH (Finland) Peterboro & Stamford NHS Trust (UK) Institute of Cancer Research (UK) Nictiz Dutch National EHR Serum Institute (Denmark) Athena Diagnostics (USA) Barts NHS Trust (UK) Hospital Ambroise Pare (Belgium) Moorfields Hospital (UK) IKEM (Austria) Okinawa Hospital (Japan) TUCH (Finland) PSSHP (Finland) Sultan Qaboos (Saudi) Cedars Sinai (USA) Plymouth NHS S/Services (UK) Mid Essex Hospital NHS trust (UK)
- 31. Ensemble rated Number One by KLAS KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, impartial vendor performance information. KLAS independently monitors vendor performance through the active participation of thousands of healthcare organizations. KLAS uses a stringent methodology to ensure all data and ratings are accurate, honest and impartial.
- 32. #1 KLAS Rating Overall Vendor Rankings “ InterSystems outscored all other Interface Engines software products in overall vendor rating, in all four of the indicator categories measured, and in percent positive commentary. ” 93.6 Ensemble 90.5 Orion 83.6 Quovadx 81.9 Siemens 76.6 Eclipsys 76.2 Sun eGate 67.8 Sybase
- 33. Ensemble rated Number One by KLAS 93.6 Ensemble 81.6 Average “ InterSystems outscored all other Interface Engines software products in overall vendor rating, in all four of the indicator categories measured, and in percent positive commentary. ” Success Indicators (Sample) Ensemble Core part of ICT plan? 100% Would you buy again? 100% Would you recommend to friend/peer? 100%
- 34. Ensemble in the NHS Planned go-live November 07 n/a 4.0 East & North Herts Go-live TBD n/a 4.0 Sheffield Children’s Planned go live November 07 n/a 4.0 Royal Marsden Live No info. 4.0 Bolton Live No info. 4.0 Mid-Essex Live 2500 4.0 Lothian Region, Edinburgh Live 9000 4.0 Barts and London Hospital Live 25000 3.1 Plymouth Live 25000 4.0 Peterborough Live 75000 4.0 Moorfields Eye Hospital Status Messages/day Version Trust
- 35. Comprehensive and Consistent Architecture Reduced complexity, maximum reusability , widest range of projects, one learning curve Fast Integration & Composite App. Development Rapid ROI Easier Management & Scalable Performance Low cost of ownership The Benefits of Ensemble
- 36. Thank you Duncan Allen www.intersystems.com