Supporting Healthcare Systems InteroperabilityInterSystems / Ensemble

Phil Birchall

www.intersystems.com

Topics

•• InterSystems IntroductionInterSystems Introduction

•• Integration and InteroperabilityIntegration and Interoperability

–– Increasing demand, growing complexityIncreasing demand, growing complexity

•• Ensemble OverviewEnsemble Overview

InterSystems at a Glance

•• 100,000+ systems in 88 countries100,000+ systems in 88 countries

•• Over 500 people, offices in Over 500 people, offices in 19 countries19 countries

•• $200M+ revenue, consistent $200M+ revenue, consistent growth and profitabilitygrowth and profitability

•• Private, no outside investors, Private, no outside investors, no debtno debt

•• Sell directly to end users as well as Sell directly to end users as well as with 1400+ partnerswith 1400+ partners

InterSystems Market Perspective

Premier platform for building, running and connecting healthcare applications worldwidePremier platform for building, running and connecting healthcare applications worldwide

Healthcare PlatformHealthcare Platform

Packaged Packaged

ApplicationsApplicationsCustom Custom

ApplicationsApplications

Hospitals, Clinics, Hospitals, Clinics,

Laboratories, GPs Laboratories, GPs ……

Commitment to Healthcare Interoperability

HL7 BenefactorHL7 Benefactor

IHE US and European Participant IHE US and European Participant

Healthcare Partners

ReStartReStart ConsultingConsulting

Strategic Goal for Health Records

Interoperability

Aggregate

Individual

Retrospective Transactional

PopulationManagement

EHR

DiseaseSurveillance

EHR

Continuityof Care

EHR

E-healthNetwork

EHR

HospitalHospital

Nictiz (Netherlands)National Healthcare Messaging Hub

GBZGBZGBZ GBZGBZGBZ

General practitioners, pharmacists, dentists, nurses, General practitioners, pharmacists, dentists, nurses,

surgeons, secretaries, administrative employeessurgeons, secretaries, administrative employees……

InterS

ystems H

ealthShare

Raw

Technology

Specific

Solution

Pre

Pre- -Built S

ervicesBuilt S

ervicesRAD

RAD

IdentificationIdentification

TerminologyTerminology

ConsentConsent

SecuritySecurity

AccessAccess

ExchangeExchange

HealthS

hare

HealthShare Clinical Viewer

Increasing Scope & ComplexityNational / Cluster

•• Demographics Demographics –– EMPI / PDSEMPI / PDS

•• Choose & BookChoose & Book

•• GP2GP Record TransferGP2GP Record Transfer

•• EPSEPS

•• Care PathwaysCare Pathways

•• Spine Summary RecordSpine Summary Record

•• “Trust Integration Engine”“Trust Integration Engine”

Increasing Scope & ComplexityIndividual Trust

•• Demographics Demographics –– realtimerealtime ADTsADTs

•• Enterprise Wide SchedulingEnterprise Wide Scheduling

•• Order Communications / Results ReportingOrder Communications / Results Reporting

•• Electronic PrescribingElectronic Prescribing

•• Clinical CodingClinical Coding

•• RIS / PACSRIS / PACS

•• Discharge Summary / LettersDischarge Summary / Letters

•• Statutory Reporting / Business IntelligenceStatutory Reporting / Business Intelligence

Ensemble

Ensemble Design Goals

Composite Composite ApplicationsApplications

DataDataCoordinationCoordination

Business ProcessBusiness Process/ Work Flow/ Work Flow

Business ActivityBusiness ActivityMonitoringMonitoring

Universal Business Integration PlatformUniversal Business Integration Platform

TechnologyTechnologyApplicationApplicationDataData

Ensemble Architecture

Developm

entDevelopm

ent

Messaging

Messaging

BPM

BPM

Analytics

Analytics

Abstraction + Execution + RepositoryAbstraction + Execution + Repository

TechnologyTechnologyApplicationApplication DataData

OneOne

•• AbstractionAbstractionLayerLayer

•• RepositoryRepository

•• ExecutionExecutionEngineEngine

•• ManagementManagementConsoleConsole

Abstraction

AbstractionAbstraction

Connect to diverse data,Connect to diverse data,applications, technologiesapplications, technologies

Expose as Web Services,Expose as Web Services,classes, tables, classes, tables, ……

Abstract into consistentAbstract into consistentdata + functionality modeldata + functionality model

Shorten learning curve, speedShorten learning curve, speed

integration and developmentintegration and development

Native Projection

Use any development tool / technologyUse any development tool / technology

PAS / PAS / LABLAB

Oracle /Oracle /SQL/ServerSQL/Server

HL7 HL7 V2.x & V3V2.x & V3

Pick / Pick / CobolCobol

JavaJava .Net.Net EJBEJBWSWS SQLSQL XMLXML

Universal Execution Engine

Single runSingle run--time environmenttime environment

for:for:

Superior performance and completeSuperior performance and complete

endend--toto--end managementend management

ExecutionExecution •• MessagingMessaging

•• PortalsPortals

•• Business Business processesprocesses

•• WorkflowWorkflow

•• AnalyticsAnalytics

•• ApplicationApplicationlogic logic ……

Rapid Development & Customisation

Graphical Data Transformations of HL7

In-built HL7 Capabilities

Universal Repository

Maximum availability,Maximum availability,

scalability and RADscalability and RAD

RepositoryRepositoryMessagesMessages

MetadataMetadata

Index / CacheIndex / Cache

Open access via SQLOpen access via SQL

Native object storageNative object storage

Rich Objects

Rich Objects

Complete End-to-End Management

Adding value to Existing Systems

ClinicalClinicalApplicationApplication

HL7 V2 HL7 V2 & V3& V3

ClinicalClinicalApplicationApplication

MessagingMessagingEngineEngine

Hand CodedHand CodedInterfaces Interfaces

WebWebServicesServices

ClinicalClinicalPortalsPortals

NewNewCompositeCompositeApplicationsApplications

BusinessBusinessIntelligenceIntelligence

Some Ensemble Healthcare Clients• Partners Healthcare

• New York City Health &Hospital Corporation

• Boston Medical Center

• Providence Healthcare

• George WashingtonUniversity 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)

• National Hearing ScreeningProgramme (UK)

• Nictiz Dutch National EHR

• Stanford Hospital & Clinics

• Evanston Healthcare

• NHS Lothian (UK)

• Koine Hospital (Italy)

• AO Vimercate (Italy)

• Dr. Negrin Hospital (Spain)

• UK Cancer Registries

• European Food SafetyAdmin. (Belgium)

• Motoman / Kaiser (USA)

• SUH (Finland)

• Peterboro & Stamford NHS Trust (UK)

• Institute of Cancer Research (UK)

• Sheffield Childrens Hospital (UK)

• Serum Institute (Denmark)

• Athena Diagnostics (USA)

• Barts NHS Trust (UK)

• Hospital Ambroise Paré (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 NHS Trust (UK)

• States of Jersey

• States of Guernsey

Ensemble rated Number One by KLAS

KLAS helps healthcare providers make

informed technology decisions by offeringaccurate, 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.

Ensemble rated Number One by KLAS

93.6Ensemble

81.6Average

“ InterSystems outscored all other Interface Engines softwareproducts in overall vendor rating, in all four of the indicatorcategories measured, and in percent positive commentary.”

““ InterSystems outscored all other Interface Engines softwareInterSystems outscored all other Interface Engines softwareproducts in overall vendor rating, in all four of the indicatorproducts in overall vendor rating, in all four of the indicatorcategories measured, and in percent positive commentary.categories measured, and in percent positive commentary.””

Success Indicators (Sample) EnsembleCore part of ICT plan? 100%Would you buy again? 100%Would you recommend to friend/peer? 100%

Success Indicators (Sample)Success Indicators (Sample) EnsembleEnsemble

Core part of ICT plan?Core part of ICT plan? 100%100%

Would you buy again?Would you buy again? 100%100%

Would you recommend to friend/peer?Would you recommend to friend/peer? 100%100%

Summary

•• Committed to Healthcare & the success of our NHS Committed to Healthcare & the success of our NHS customers customers

•• Financially sound and Commercially Stable Financially sound and Commercially Stable

•• Technology that protects your Freedom of ChoiceTechnology that protects your Freedom of Choice

•• Ensemble: a single complete solutionEnsemble: a single complete solution

•• HealthShareHealthShare: investing in Pre: investing in Pre--built capabilities for the built capabilities for the future of Health Information Exchangefuture of Health Information Exchange

Supporting Healthcare Systems InteroperabilityInterSystems / Ensemble

Phil Birchall

www.intersystems.com