connecting leeds and a transatlantic vista of open source, dr tony shannon, ccio, leeds teaching...
TRANSCRIPT
Connecting Leeds Flickr.com/photos/62766743@n07
Dr. Tony Shannon
M.B. B.Ch. B.A.O. Ireland
Fellow of College of Emergency Medicine England
Fellowship in Informatics USA
MSc in IT Management England
NHS Connecting for Health England
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Chief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care
Director, Frectal Ltd
www.frectal.com
Key points
• Healthcare Change : Connect All
– People + Process + Information Technology
– Key role of Open Source
– Need for Open Standards
• Local/National/International
– Early Days
– Age of Enlightenment
– Leaders will emerge
Healthcare = Complex
Healthcare Challenge: People + Process + Technology
Thinking in silos Process versus IT Closed solutions
An International Challenge
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
State of the Market: A/ B /C
Healthcare Change: State of the Ecosystem Standards: Vendors: Innovators: Disconnect
International Standards
Local Innovators
eHealth Bodies
& Vendors
21st C NHS – Open Platform required
Assessment
Deliver Care Plan Care
21St Century Healthcare: OS Platform Required
200+
CUI Clinical Portal
TIE
A B C
1
2
3
4
5
PAS
Orders Results
Clinical Docs
Summary Care Record
Leeds TH: Starting Point & Options
LeedsTH EPR
Leeds EPR- HomePage
Leeds EPR - Results
Leeds EPR- Letters
Leeds EPR - (inc. Order Comms)
Leeds EPR- MPV
Leeds EPR- MPV
Leeds EPR- MPV
Leeds EPR- Reporting View
Leeds EPR Development
• Clinically Led
• User Centred
• Agile Development
– 2 weekly Sprints
• Joint NHS & Commercial SME Team
– Service Based Model
• Patient/Citizen centred record
• Information at the point of care
• To Support IH&SC teams
• Improve Outcomes and Services
• Built on Open Standards
Common Ground
LCR
Primary Care Secondary
Care
Social Care Community Care
Mental Health
Dataset: Locally Agreed ISA: First of type in UK
200+
LTH Clinical Portal
Integ Engine
A B C
1
2
3
4
5
Orders Results
ePrescribing
Summary Care Record
Leeds Care Record- Approach
Leeds Care Record
Leeds Care Record Viewer
TPP
LCR – for Direct Care EMIS
First of type in UK
Archetypes (Bricks)
Templates (Toys)
Interoperability Standard: Record Architecture
Generic
Specific
openEHR Archetype
• Clinically oriented • Reusable list of
clinical statements
• Maximal dataset • Can be coded with
terminologies e.g. Pulse, BP Leeds Care Record dataset End of Life Key contacts etc • Computable
Leeds Innovation Lab
• Leeds Lab
– People + Process + Technology
– Across Health & Social Care
– Live2Lab and Lab2Live
• OpenEHR Standards Based Platform
• Open NHS APIs
Further challenges
• System maturity – Politics & Requirements
• Business change – Organisational readiness
• Technology maturity – Host system ability to share data
– Maturity of Health IT market
Towards an ehealth ecosystem….
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
A Transatlantic VistA of Open Source
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
Current State of the Market
Healthcare Platform Services Consortium
• Short Version:
– Create an “App Store” for healthcare
• Long Version:
– Enable the acceleration
– Open, Standards based,
– Services oriented architecture platform
– new market for interoperable healthcare applications.
• Why?
– Improve the quality and decrease cost of health care.
Veterans Administration, US
NHS & VA 2013
UK & US OS EHR Camps
Assessment
Deliver Care Plan Care
21St Century Healthcare: OS Platform Required
Challenge # 1: Integration
Challenge #2: Code & Community
Challenge #3: UI & Usability
Opportunity #1: UI
• NHS CUI
• RCP Headings
Opportunity # 2: Service Layer
• Web Services
– MDWS
– VSA
– SMART
– VistA Evolution
• openNHS APIs
• Hackable Platform
Opportunity #3: Persistence
• M(umps)
• M(odels)
• A(rchetype)
Opportunities in Common Ground
• User Interface
– JS Frameworks
• Middle Tier
– Web Services
• Database & Persistence
robtweed.wordpress.com
10 Days: 1 Clinician: 1 Developer
ClinUiP.wordpress.com
20 Days: 2 Clinicians : 2 Developers
Transatlantic Team
Clinical Intelligence
Departmental Management
Patient Record
Data Entry
59
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
Current State of the Market
Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
Key points
• Healthcare Change : Connect All
– People + Process + Information Technology
– Key role of Open Source
– Need for Open Standards
• Local/National/International
– Early Days
– Age of Enlightenment
– Leaders will emerge