21st century healthcare: the open platform that will transform; ehilive 2014 presentation

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

Thank you

tony.shannon@frectal.com

www.frectal.com

@frectally