care pathway automation on fhir - health level seven...

Issued commercial in confidence © Kainos Evolve Limited 2016 – no reproduction without prior consent.

Care Pathway Automation on FHIR

Alastair Allen7th December 2017

@AlastairAllen @KainosEvolve #EvolveIntegratedCare

Evolve enables healthcare delivery organizations to

transform how they deliver patient care through

Care Pathway Automation

• 35 NHS trusts with 150+ hospitals depend on Evolve

• 700+ care pathways implemented

• Apple MPP, one of only 12 in healthcare and one of only 3 which are considered to have global potential

• new platform live or being deployed at 4 major U.S. hospital networks - expect 100+ hospitals live by March 2018

• a division Kainos Group PLC www.kainos.com

Why Care Pathway Automation?

GLOBAL HEALTHCARE CHALLENGES

AGING POPULATION

AND CHRONIC

DIDEASES

AFFORDABILITY OF

HEALTHCARE

INCREASING

SHORTAGE OF

CLINICAL EXPERTS

How do we address these challenges?

BI-MODAL

HEALTHCARE

RAPID RE-ENGINEERING

OF CLINICAL PROCESSESACCESS TO

COMPREHENSIVE PATIENT

DATA

EASY COLLABORATION

Examples of Care Pathway Automation?

Enabling our customers to deliver

high-quality, patient-centric care

through better visibility of patient

information and management of

care pathways across teams and

organizations

Enabling our partners to accelerate

their innovation, bringing healthcare

technology solutions to care

providers, whilst reducing time and

cost-to-market

Typical FHIR Use Cases

v2

v3

FHI

R

FHI

R

Database

API

Application

EHR

FHI

RIntegration Engine

MODEL A – REPOSITORY + API MODEL B - EXCHANGE MODEL C – EHR

Model A• Repository + API

Model A – Repository (for Care Pathway Data)

• Care Pathway Data

• All data collected within an Evolve Care Pathway

is exported to the Evolve FHIR Repository and

then exchanged with the System of Record

• Documents

• Documents can be stored natively within the

Evolve Content Repository or referenced from

other content repositories

• Implemented using the FHIR DocumentReferene

Repository

• Audit

• All audit data across all Evolve micros-services

stored in an audit log implemented using the FHIR

AuditEvent Resource

12

Model A – Repository (for Medical Calculators)

• >20 Medical Calculators (e.g.

NIHSS, Alteplase etc.) built using the

FHIR Questionnaire Resource

• Calculators stored using FHIR

Observation Resource

• Open Source Opportunity?

Model B• Exchange

Model B - Exchange

• Regional Shared Care Record

in the NHS for 650,00 Patients

• Information integrated across

systems from primary,

secondary and tertiary care

• All data exchanged and

normalized to FHIR STU3

• 100’s of data-items exchanged

over 10’s of FHIR Resources

• No FHIR extensions required

Model C• EHR

Model C - EHR

THE FUTURE

PLUG ‘N PLAY

INTEROPERABILITY

a.allen@kainos.com

@alastairallen

@KainosEvolve

https://www.kainosevolve.com/

Questions

Issued commercial in confidence © Kainos Evolve Limited 2016 – no reproduction without prior consent.

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Where features, functionality or services are described in the content, these are a summary guide only

and are not a representation that all features, functionality or services will be made available on any

particular deployment of Evolve.