Where are you on the seamless data interoperability journey?

Andrew Arthur, M.S., Senior Director of Engineering and Technology Philips

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ONC’s Interoperability Roadmap Interoperability is necessary for a “learning health system” in which health information flows seamlessly and is available to the right people, at the right place, at the right time. The goals are:

• 2015-2017: Send, receive, find and use priority data domains to improve health care quality and outcomes.

• 2018-2020: Expand data sources and users in the interoperable health IT ecosystem to improve health and lower costs.

• 2021-2024: Achieve nationwide interoperability to enable a learning health system, with the person at the center of a system that can continuously improve care, public health, and science through real-time data access

How prepared are you to meet the 2017 Goals? A. Well prepared, we are already able to send,

receive, find, and use the most important data to improve quality of care and patient outcomes

B. Not Quite there yet, we still do not have access to some of the most important data domains

C. Doubtful we will make it, have not seen the necessary activity to achieve this by 2017

How close are we to a “Learning Health System”? A. Well prepared, I see that progress is being

made to support seamless, secure, and bi-directional data exchange?

B. Cautious but optimistic, do not see all the necessary progress but remain positive that this can happen

C. Very unlikely, have not seen the necessary activity and alignment across providers, researchers, and public health to achieve this by 2024

ONC’s Interoperability Roadmap Guiding Principles As part of the ONC Roadmap a set of principles have been created to guide the development of critical actions and strategies to advance interoperability in the future. These principles are specific to interoperability

Which of these Guiding Principles do you see today? (Select all that apply)

A. Focus on Value

B. Be person-centered

C. Protect privacy and security in all aspects of interoperability

D. Build a culture of electronic access and use

E. Encourage innovation and competition

F. Build upon the existing health IT infrastructure

G. One size does not fit all

H. Simplify

I. Maintain modularity

J. Consider the current environment and support multiple levels of advancement

Which of these Guiding Principles do you not see today? (Select all that apply)

A. Focus on Value

B. Be person-centered

C. Protect privacy and security in all aspects of interoperability

D. Build a culture of electronic access and use

E. Encourage innovation and competition

F. Build upon the existing health IT infrastructure

G. One size does not fit all

H. Simplify

I. Maintain modularity

J. Consider the current environment and support multiple levels of advancement

Aging in place Personal health Transition from Hospital to home

Chronic Disease

Healthcare operations

Cloud based data repository with open API’s for innovation across consumer and professional ecosystems

Acute care Imaging diagnostics & intervention

The health continuum

Healthy living Prevention Diagnosis Treatment Home care

Philips Clinical Analytics Platform Hosted by HealthSuite

Digital Platform

Data Decryption / Encryption

Cloud based Decision Support and Analytics

Clinical Analytics IntelliBridge

Enterprise

Hospital Premise

Device EMR CPOE Lab ADT APP

Data Aggregation De-identification / Re-identification

Decryption / Encryption

Home Telehealth Ward ICU OR ER

Acute Kidney Injury

Decision for Non-invasive Ventilation

Clinical Information Extraction

Acute Respiratory Failure

Acute Respiratory Distress Syndrome

Decision for Emergency Care

Critical Care Forecasting

Patient Deterioration at Home

Multi-organ Failure

Hemodynamic Instability

Patient Deterioration

Patient Acuity

IntelliSpace Console

Publ

ic

Inte

rnet

Enabling a learning Health System across the health continuum

Philips Clinical Analytics Platform Hosted by HealthSuite

Digital Platform

Clinical Analytics IntelliBridge Enterprise

On Premise

HL7, QRY, XML, WS, File

Electronic

Clinical Data Interfaces

• ADT • Lab • Orders • F&A • I&O • Rad • Docs • MAR • Device • User defined

Nomenclature Coding

Staging/Filtering

De-Identify

Premise Out

Endpoint

Cloud In

Endpoint

Interface

Routes

Re-Identify

Premise In

Endpoint

User Experience

Cloud out

Endpoint

Interface

Routes

Predictive Analytics

Data Warehouse

Identifiers

Data Stager

Other Data

Site Profile

App Specific Mapper

User entered data

Knowledge

How can we ensure we will get to a real “learning system”? • Demand seamless bi-directional data exchange to

support learning systems, not just put everything in the EMR mentality

• Continue to challenge vendors and all those in your ecosystem to support meaningful interoperability, security, and standards adoption.

• Participate and support the standards organizations to ensure they are designing for the future of the health continuum.

• Be vocal and do not accept anything less than what moves us forward in delivering point of care targeted CDS that takes into account everything from genetic profiles, disease prevalence, antibiotic resistance, and other factors

Where are you on the seamless data interoperability journey?

Andrew Arthur, M.S., Senior Director of Engineering and Technology Philips