21st century healthcare: the open platform that will transform; ehilive 2014 presentation
TRANSCRIPT
21st Century Healthcare: the Open Platform that
will Transform
Dr Tony Shannon Consultant in Emergency Medicine, Leeds TH CCIO, Leeds TH / Leeds NHS & Social Care Director, Frectal Ltd
Key points
• Healthcare Change
– Complex
– Key role of OS
• 5 Features of the Ideal Platform
• Whos who
Healthcare: An ecosystem view
NHS England 2011
eHealth Disconnect
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
21st C NHS – Open Platform required
Assessment
Deliver Care Plan Care
21St Century Healthcare: OS Platform Required
5 Key Features
• Usability
• Integration
• Clinical Kernel
• Code & Community
• Governance & Leadership
#1 UI & Usability
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
# 2 Integration
#3 Clinical Kernel
• 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
Referral in
Assessment
Plan Care Deliver Care
Referral Out
Operational (1 patient)
Strategic (++ patients)
Tactical ( > 1 patient) Resource management
Performance management
3 Generic Process Levels in Health Care
LeedsTH EPR: PPM+ Platform
PPM+ MPV
PPM+ Reporting View
#4: Code & Community
# 5 Governance & Leadership
Whos Who
• Anyone with score 5/5?
UK & US OS EHR Camps
Leeds & Integration Pioneers
• Open Requirements
• Open Governance
• Open Citizen
• Open Source Viewer
• Open APIs
• Open Record Architecture
Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
Key points
• Healthcare Change
– Complex
– Key role of OS
• 5 Features of the Ideal Platform
• Whos who