© 2020 Perspecta

Care without boundaries

Bo Dagnall

CTO, Perspecta

Shane McNamee MD

CMIO, Perspecta

Problem

health care is obstructed by a litany of IT

boundaries. The legacy health IT ecosystems, poor

integration and proprietary data models are a

significant contributor to the problem.

Solution

Standards driven, open IT approach to build a public

health utility to rationalize our health IT ecosystem.

Overview

2

Why it’s important

• The costs of health care (financial and human suffering) are increasingly untenable

• A health care market is actively emerging around standards driven health care automation. Don’t miss it

• Join a #hit2.0 open standards community:

• BPM+ health

• Logica health

Patient journey: Our expectations

3

PCP clinic

Specialist

Home care

Urgent care

Care manager

Hospital

Specialist

Challenges

• Customer’s server systems locked in closets

• Static digital ink: fragmented, poorly standardized

health care data across the patients journey

• Poor integration between legacy health IT tech

• Population health analytics driven primarily by

months old claims data

Effect

• health care delivery is a slow, inefficient, gap filled

and incredibly expensive endeavor

• It is a profoundly unsatisfying experience for all

users; patients, health care providers, caregivers

and public health workers

• It is obstructed by a litany of IT boundaries

Care with boundaries

Health IT 1.0

4

5

Patient journey: The reality

PCP clinic

Specialist

Home care

Urgent care

Care manager

Hospital

Specialist

Attributes of next generation health IT

• Democratization of health care data and knowledge

• Aligned to industry standards: API-based, cloud hosted

and secure

• Plug: Play SaaS marketplaces on standards driven

platforms

• Event driven automation of accepted clinical practice

guidelines

• Population health analytics driven by just-in-time

electronic health record (eHR) data

6

Health IT 2.0

Care without boundaries

7

The next great disruption in health

care is happening now

Your health data

The conceptual solution: A system of insight

8

Systems of recordSystems of

engagement

Data ingestion and

standardization

Knowledge

evaluation

Business process

automation

Secure data and

knowledge syndication

Systems of insight

Digital health platform – reference architecture

9

BPM+ for health

models

Systems of

engagement

Data ingestion and

standardizationKnowledge evaluation

Data retrieval Orchestration Provenance

Persistence AuditingError

management

Query

management

Secure APIs

Executable

knowledge

services

Business process

automation

Secure data and

knowledge syndication

Systems of

record

Surveillance

Knowledge

Workflow

Automation

Container platform

Core platform

Services ecosystem

Terminology

services

Unstructured

data/NLP

services

Data

validation

services

Record

linking

services

Privacy and

consent

services

Access and

control

services

Transformation

services

Identity

management

services

Data labeling

and metadata

services

Deduplication

services

Cloud

providers

HealthConcourse demo environment

10

Services ecosystem

Transformation

services

Terminology

services

Identity

management

services

Unstructured

data/NLP

services

Data

validation

services

Data labeling

and metadata

services

Deduplication

services

Record linking

services

Privacy and

consent services

Access and

control services

SmileCDR cTakesHL7 FHIR

validator

Wolters

Kluwer

HLI

UMLS

IMO precision

summary

Perspecta

consentOAuth

Wolters

Kluwer

HLI

HealthShare

Medal

knowledge

services

Motive

knowledge

services

DCG

quality

metrics

Microsoft

ML models

Trisotech

BPM+

modeler

CKD

BPM+

model

Diabetes

BPM+

model

Patient

ciewer

PRA

Clinical6

Data ingestion and

standardizationKnowledge evaluation

Business process

automation

Amida

deduplication

service

Error management

NiFi and Kafka Auditing

Provenance

Orchestration

Provenance Persistence

Query managementSmileCDR

FHIR

server Knowledge

SurveillancePerspecta

knowledge

manager

Red Hat

PAMAutomation

Workflow Red Hat

3Scale Secure APIs

Core platform

MDIX

model

prep

VistA

VistA

Allscripts

Logica Sandbox

Cerner Millennium

SmileCDR

MDMI

Secure data and

knowledge syndication

CareNexus

MSFT ML

dashboard

Demo

Perspecta Proprietary Information 11

12

HealthConcourse solutions

• Optimize current data

• Cloud migration

• FHIR modernization

• Automate into workflows

using BPM+ Health

• Near real time quality

monitoring

• Own your IP

Legacy EHR

modernization

Best practice

guidelines

• Near real-time risk

identification

• Diseases outbreak

• Drug and vaccine

adverse events

Sentinel

• Automate data collection

• Augment existing registries

• Bi-directional APIs

• Smart on FHIR

Registry 2.0

HealthConcourse partner coalition

13

HealthShare

VistA

VistA

Allscripts

Logica Sandbox

Cerner Millennium

Perspecta Proprietary Information 14

Care without boundaries

Did we show you:

• Aggregation, standardization and optimization of patient data to drive process interoperability,

computations, automation and analytics

• Invocation of best in breed third-party knowledge services, such as clinical decision support

rules, expressed through a CDS-Hooks interface

• Orchestration and automation of the VA and DoDs clinical practice guidelines (CPG) using enriched

FHIR endpoints and the BPM+ Health standard

• How these technologies and standards are applied within a holistic digital health platform with the

VA/DoD CPG for CKD use case

• Provide reusable business process models and executable knowledge artifacts in a standards based,

SOA middleware

• Automate menial human tasks clogging in health care workflows

• Operate with population health science and along each patient’s journey

Questions at the end

15

Thank you