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Swedish NPÖ National Patient Overview A Case Study for InterSystems HealthShare, Ensemble and Caché Christopher Reed InterSystems Corporation.

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Presentation on theme: "Swedish NPÖ National Patient Overview A Case Study for InterSystems HealthShare, Ensemble and Caché Christopher Reed InterSystems Corporation."— Presentation transcript:

1 Swedish NPÖ National Patient Overview A Case Study for InterSystems HealthShare, Ensemble and Caché Christopher Reed InterSystems Corporation

2 © 2009 InterSystems Corporation The NPÖ in Sweden 1. The NPÖ Project – Background & Introduction 2. The NPÖ Health Information Exchange – Objectives 3. Key Business & Societal Considerations 4. Key Architectural & Technical Considerations 5. Examples of NPÖ HealthShare Screens

3 © 2009 InterSystems Corporation Swedish National Patient Summary (NPÖ – Nationell Patientöversikt) Population 9 million Population 9 million 21 healthcare regions 21 healthcare regions National EHR National EHR InterSystems in partnership with Tieto. InterSystems in partnership with Tieto.

4 © 2009 InterSystems Corporation Tieto – Prime Contractor Tieto – Prime Contractor InterSystems HealthShare – Health Information Exchange Platform InterSystems HealthShare – Health Information Exchange Platform Swedish National Patient Summary (NPÖ – Nationell Patientöversikt) 21 Swedish healthcare regions National Patient Viewer Service Health information exchange platform

5 © 2009 InterSystems Corporation NPÖ Timeline Planning by Municipalities, Regions and 21 County Councils Planning by Municipalities, Regions and 21 County Councils 2005: Four-County Trial/Proof-of-Concept 2005: Four-County Trial/Proof-of-Concept 3/2008: Contract for NPÖ awarded to Tieto & InterSystems 3/2008: Contract for NPÖ awarded to Tieto & InterSystems 5/2009-8/2009: Live Pilot in Örebro Municipality 5/2009-8/2009: Live Pilot in Örebro Municipality 9/2009: Full Production, Örebro Municipality 9/2009: Full Production, Örebro Municipality 11/2009: Full Production, Östergötland County 11/2009: Full Production, Östergötland County : Remaining 19 Counties in Production : Remaining 19 Counties in Production

6 © 2009 InterSystems Corporation The NPÖ in Sweden 1. The NPÖ Project – Background & Introduction 2. The NPÖ Health Information Exchange – Objectives 3. Key Business & Societal Considerations 4. Key Architectural & Technical Considerations 5. Examples of NPÖ HealthShare Screens

7 © 2009 InterSystems Corporation What does the NPÖ provide? National Patient Viewer Service: National Patient Viewer Service: Access to patient data Access to patient data Historical and current Historical and current Wherever sourced in Sweden Wherever sourced in Sweden For authorized healthcare and welfare professionals For authorized healthcare and welfare professionals From anywhere From anywhere With appropriate computer configuration With appropriate computer configuration (Identity card (SITHS) reader and software) (Identity card (SITHS) reader and software)

8 © 2009 InterSystems Corporation Objectives of the NPÖ The Primary Objective of the NPÖ is to The Primary Objective of the NPÖ is to Improve the Quality & Consistency of Patient Care Doctors are working from information that is: Doctors are working from information that is: More Complete More Complete Trusted Trusted Expected Benefits Include Expected Benefits Include Reduction in Preventable Medical Errors Reduction in Preventable Medical Errors Reduction in Adverse Drug Events Reduction in Adverse Drug Events Improved Outcomes Improved Outcomes Cost Reductions Cost Reductions Improved Security and Logging Improved Security and Logging

9 © 2009 InterSystems Corporation The NPÖ Provides 16 Information Types Patient Demographics Encounter Allergies and Alerts Care Plan (Primary, Secondary) Community Healthcare Service Activities of Daily Life Disability Diagnoses C Clinical Document Prescribed Medication Dispensed Medication (Pharmacy) Clinical Chemistry Microbiology ECG Medical Imaging Other Examination

10 © 2009 InterSystems Corporation The NPÖ in Sweden 1. The NPÖ Project – Background & Introduction 2. The NPÖ Health Information Exchange – Objectives 3. Key Business & Societal Considerations 4. Key Architectural & Technical Considerations 5. Examples of NPÖ HealthShare Screens

11 © 2009 InterSystems Corporation Key Business & Societal Considerations Participation Participation Governance Governance SKL/SALAR SKL/SALAR SVR SVR Data Sharing - Patient Data Act Data Sharing - Patient Data Act Access Authentication and Authorization Access Authentication and Authorization Content Authorization Content Authorization Information Presentation Information Presentation

12 © 2009 InterSystems Corporation Data Ownership Considerations Healthcare Data is Owned by the Counties Healthcare Data is Owned by the Counties Individuals have rights to see their information Individuals have rights to see their information Primary Version of Data is Held at Source Primary Version of Data is Held at Source Some Data is also Held Centrally Some Data is also Held Centrally Patient Information is Assembled at Run-Time Patient Information is Assembled at Run-Time Possible Future Enhancements: Possible Future Enhancements: Public Health Public Health Patient Access Patient Access More Information Types More Information Types

13 © 2009 InterSystems Corporation The NPÖ in Sweden 1. The NPÖ Project – Background & Introduction 2. The NPÖ Health Information Exchange – Objectives 3. Key Business & Societal Considerations 4. Key Architectural & Technical Considerations 5. Examples of NPÖ HealthShare Screens

14 © 2009 InterSystems Corporation Key technological considerations Architecture Architecture Governance Governance Past work with integration Past work with integration Communication and interoperability Communication and interoperability EN EN Source data retrieval and handling Source data retrieval and handling Response times Response times Possibilities for viewing data Possibilities for viewing data Design of user interface Design of user interface Standardized process for connecting Standardized process for connecting

15 © 2009 InterSystems Corporation Security and Privacy Technologies National platform National platform Sjunet (Seven net) – VLAN Sjunet (Seven net) – VLAN SITHS – Secure IT in Health Services SITHS – Secure IT in Health Services HSA catalogue – Health Services Address Registry HSA catalogue – Health Services Address Registry HealthShare Security Services (HSS) HealthShare Security Services (HSS) Authentication Authentication Authorization Authorization Consent management Consent management Encryption Encryption Logging Logging BIF – National security services BIF – National security services

16 © 2009 InterSystems Corporation Conceptual view ApplicationApplication IntegrationIntegration AABB ConnectionConnection AABB Care system Responsibility of care provider Responsibility of supplier Deployment service Patient summary service – NPO Connection service (optional) Base service Care system InterSystemsHealthShare InterSystemsEnsemble

17 © 2009 InterSystems Corporation HealthShare Hub Viewer ConnectionConnectionConnection Care provider 1 Care provider 2 Care provider 3 Care provider n Edge Gateway n Edge Gateway 1 Integrationservices SI = Service interface interface Access Gateway

18 © 2009 InterSystems Corporation The NPÖ in Sweden 1. The NPÖ Project – Background & Introduction 2. The NPÖ Health Information Exchange – Objectives 3. Key Business & Societal Considerations 4. Key Architectural & Technical Considerations 5. Examples of NPÖ HealthShare Screens

19 © 2009 InterSystems Corporation Summary Screen Example

20 © 2009 InterSystems Corporation Level 2 Screen Example

21 © 2009 InterSystems Corporation Level 3 Screen Example

22 © 2009 InterSystems Corporation The NPÖ in Sweden Questions and Discussion Please

23 Christopher Reed Director, Strategic Healthcare Projects Enquiries please call InterSystems at Tel:


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