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

2. 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.

3. 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

4. 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

5. 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.

6. 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

7. Core Infrastructure
Collaboration Infrastructure
Interoperability Infrastructure

8. Core Infrastructure
Security
Authentication
Access
Audit
Encryption

9. Collaboration Infrastructure
User Interaction and Communication
e-Messaging
Workflow
Workspaces

10. Interoperability Infrastructure
Services Oriented Architecture
Interface and Standards
Data Mapping
Orchestrations

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

12. Thank you for your attention.
Thank you for your attention.