Download - Tiani Spirit
Tiani SpiritRealising and managingthe single patient record
Mike Morris
An event, seen from one point of view gives one impressionSeen from another point of view it gives quite a different impressionBut its only when you see the WHOLE PICTURE that you can fully understand whats going on
TheProblemDecisions made in the absence of all available information may result in:
Poor outcomes for patientsCostly and unnecessary interventionsLitigation
The better the information, the better the chance of accurate decisions
Sharing theinformationPrimary CareAcute Trust departmentsPharmaceuticalMental HealthSocial CarePrivate SectorThird SectorOther agencies (e.g.: police)
PatientCarer
The IssueSharing patient/citizen information between stakeholders:Need to know: role based accessData Protection / Information GovernanceSecure connection (PSN/N3)Hosting locationAccess: authentication & presentationManagementData Structure
Tiani-SpiritOvercoming the issue
SUBSCRIBERThe integration engine enables one system to publish information to another system that subscribes to all published informationPUBLISHERINTEGRATIONENGINEOne Integration engineper interconnectionOne Information Governanceagreement per use case per link
TraditionalApproach
TraditionalApproachSUBSCRIBERAs the number of connections grows so does complexity.N systems = 5+4+3+2 = 17 links per use casePUBLISHERINTEGRATIONENGINEOne Integration engineper interconnectionOne Information Governanceagreement per use case per link
Tiani-SpiritCreates a lens through which published elements of a patient record can be seenPresents the consolidated view to the consumer
TianiApproach
PUBLISHERCONSUMERThe publisher is willing to publish some of his patient record to specific consumers according to agreed information governance rulesHEALTHCARE INFORMATIONEXCHANGE
TianiApproach
PUBLISHERCONSUMERThe Tiani HIE temporarily holds the information pertinent to the patient inquestion within the exchangeTianiApproach
PUBLISHER
CONSUMERWhen more than one publisher publishes information to the exchange, a consolidated single patient record view becomes establishedPUBLISHERTianiApproach
PUBLISHER
CONSUMERThe consumer then views the consolidated record in the manner required and subject to role and information governancePUBLISHERTianiApproach
PUBLISHER
TianiApproach
CONSUMERWith Tiani there is only one Information Governance per link to the exchange and only one link per system (N systems = N links)PUBLISHER
Scalablesystem
Multiple systems can connect into a single exchangeknown as an Affinity Domain
Scalablesystem
To ensure operating efficiency, additional systems use a second or subsequentAffinity Domain, connected by a Super Exchange
Super Exchange
Scalablesystem
This is continually scalable
Super Exchange Affinity Domain
Delivery
Delivered by CGIFinancial StabilityVery Large Resource PoolHealth and Government references
Clinician sees the latest informationUnauthorised users know that further information existsOperates throughout the care pathwayWorkflow IntegrationOpen Interface
Summary
Local information control is maintained, no duplication or new repositoryInformation governance is preserved and simplifiedPatient consent is enforcedBuilding block approach
Summary
TheBenefitsPhased approach to aid adoptionDrives culture change towards interworkingEnhances decision making by all professionalsLimited learning curveImproves Efficiency
ReferenceEuropean Project for Smart Open Services
www.epsos.eu
epSOSEuropean Project for Smart Open Services
Enabling European Cross Border Healthcare
25 member states45 beneficiaries31 industry partners36.5 million funding1st July 2008 31st July 2014
Tiani SpiritRealising the single patient record
For more information:
www.tiani-spirit.co.ukwww.tiani-spirit.com
[email protected]@tiani-spirit.com