Integrated Health System Planning Stephen Tanaka Healthcare Solutions Specialist Integrated Health System Planning An exclusive Executive Circle Briefing

Hospital Challenges “Getting the right information to the right person at the right time” CIOs face the challenge of ensuring the clinicians have access to all the available information they need in a timely manner. Access to the information in a way that is convenient to the clinician.

Integrating a single system Security Network Data Format Data Quality Reliability Hardware Software HL7 Nomenclature Hospital HIS The core system that a doctor uses today is the HIS system. For 53% of the hospitals in Ontario that system is Meditech. Every time a new system is added there are a number of challenges that to have to be thought about each time. For example if you have a Cancer Treatment facility at your hospital then your patients are using a Radiation Accelerator for treatment. This system then feeds the resulting treatment data into a program called Varis. You might want that ADT or Treatment information to flow from your Cancer system to your Hospital Information System. Then you have to think about all the fundamentals, do we have common network access, is there a communication protocol TCP, MLLP, what format is the data in, what kind of encyrption/decryption do we need to do for privacy, how do we guarantee data quality, what version of HL7 is being used and how do we map it, do I have the right infrastructure to support these fees, maybe you have nomenclature to worry about such as LAB standards such as SNOMED or LOINC. This is a very arduous process on figure out all these pieces. Cancer

Integrating multiple systems EMPI Drugs WTS e-Referral Critical OLIS Hospital HIS Hospital IT organizations have to think about his process for each of the applications that they are integrating. They are usually doing this a over and over. In some cases you end up with vendors that provide an light integration engine that allows data to be extracted in and out. For example, how hospitals are hosting the EMR Clinicare application which they like to use a small company call Iatrics to help get the data in and out of their EMR to Meditech. The challenge with this is that you could end up with multiple point to point solutions. DI CT Physician EMR Hospital Financials Cancer

Hospital Integration Needs Hospitals need a standardized and prescriptive way to treat each of these integration needs. Need capabilities that can easily be or employed or in expensively bought so they don’t need to hire expensive specialized contractors each time. Need flexibility.

Connect Health Framework Define an overarching framework for Health Industry Architecture Best practices for service oriented health information integration and collaboration architectures National, Provincial, Regional, Hospital Faster ROI Based on open standards and protocols Develop ecosystem of CHF-enabled solutions Faster ROI for customers Frame of reference for partners solutions Easier integration across multiple solution areas  

Core Infrastructure Collaboration Infrastructure Interoperability Infrastructure

Core Infrastructure Security Authentication Access Audit Encryption

Collaboration Infrastructure User Interaction and Communication e-Messaging Workflow Workspaces

Interoperability Infrastructure Services Oriented Architecture Interface and Standards Data Mapping Orchestrations

Call to Action Analysis - IOI where are you today? where do you need to be? How do I get there? Microsoft Consulting Engagement

Thank you for your attention. http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx http://www.microsoft.com/healthcare/ Thank you for your attention.