Transcript GE today - Interoperability Showcase

GE Healthcare
Building Connected Communities:
Interoperability for Integrated Care
HIMSS 2013 Interoperability Show Case
Agenda: Building connected communities
• Digitization & Connectivity of Data: Accessing and
integrating information from multiple sources – We need
interoperability standards!
• Connecting your data is not enough: You need to
connecting your process and culture – Building your value
based delivery environment
• Building Connected Communities : Where GE is heading
2
Care Management Models
7/17/2015
GE today
GE Capital
GE Energy
Oil and
Gas
Healthcare
Energy
Management
Aviation
Power and
Water
Transportation
Home and Business
Solutions
3
Care Management Models
7/17/2015
GE Healthcare IT & Performance
Solutions
•
A leading provider of IT solutions
for hospitals, specialty
departments, and physician
practices
•
Headquartered in Barrington, IL
with over 4500 employees
operating in 57 offices world-wide
•
A part of GE Healthcare a $17B
unit of GE (NYSE: GE), a
diversified infrastructure and
finance company taking on the
world’s toughest challenges
4
Care Management Models
7/17/2015
Healthcare Challenges
5
Care Management Models
7/17/2015
The Clinical Knowledge-Processing
Burden
“Current medical
practice relies
heavily on the
unaided mind to
recall a great
amount of detailed
knowledge – a
process which, to
the detriment of all
stakeholders, has
repeatedly been
shown unreliable”
Knowledge processing requirement
This gap
injures patients
Knowledge processing capacity
Crane and Raymond
The Permanente Journal
Winter 2003 Volume 7 No.1
Kaiser Permanente Institute for
Health Policy
Many years ago
Today
6
Care Management Models
7/17/2015
Healthcare is facing a perfect storm
Big Data Workflow
Cloud
Mobile
Vocabularies
Rise of disruptive
and acceleration
technology represents
threat or opportunity
Collaboration
High levels of
legacy and
proprietary
technology
Product rather than
care specific
orchestrations
Current state fosters
low productivity with
high cost of customer
ownership
HTML5
Learning & NLP Virtualization
Inability to address
Enterprise/Regiona
l and CXO/RHA
needs
Complexity/TCO
from overlapping
products and
technology
Future demands a different game plan … from business
models to product boundaries and technology
7
Care Management Models
7/17/2015
Agenda: Building connected communities
• Digitization & Connectivity of Data: Accessing and
integrating information from multiple sources – We need
interoperability standards!
• Connecting your data is not enough: You need to
connecting your process and culture – Building your value
based delivery environment
• Building Connected Communities : Where GE is heading
8
Care Management Models
7/17/2015
Why Participate in Standards?
The Health IT market is not dominated by any
one vendor. Any where we go, our products
need to interoperate with other:
• Modalities
• RIS and PACS
• EHR and Departmental Systems
• Analytics
• Clinical Decision Support
9
Care Management Models
7/17/2015
Emerging Trends in Standards
1. Patient Engagement
•
e.g., View/Download/Transmit
2. Mobile Health
•
•
Largely driven by Patient Engagement
But also telemedicine and remote monitoring
3. Analytics
•
•
Quality Measurement
Critical for Accountable Care
10
Care Management Models
7/17/2015
INTEGRATED CARE: Far beyond an inpatientcentric model …
Integrated Care
“Promise”
“Practical” market
problems
Evidence-based
care
Hospital
Patient
engagement
Quality
measurement
& improvement
Future
needs?
Ambulatory
Payer
Consumer
Fiscal
management
Care
coordination
workflows
Population
health
… new healthcare delivery ecosystems required
11
Care Management Models
7/17/2015
Holistic approach to Data
Knowledge
Workers
Knowledge Repository
Maps
HL7
XDS
ATNA
PIX
PDQ
CDA
Models
Rules
Constraints
Queries
Forms
Multi-Patient View
Multi-Patient View
Interface
Manager
1
Interface (e.g.
HL7) to Model
Transforms
2
Standard Models
& Terminology
Codes
Coded, Computable
Clinical Data
Terminology
Translation,
Decision
Support &
Business
Rules
3
Unified Data
Repository of
Models &
Terminology
Based Data
Applications
Assembled
from User
Generated
Alerts, Queries
and Forms
4
5
Configured by
Knowledge Workers
Shareable &
Reusable Assets
OPEN SOA Architecture Overview
Our approach is anchored by an OPEN Services Oriented
Architecture which allows applications and internal
components to be loosely coupled while interacting with
Infrastructure, Business, and Interoperability Services
Patient
Registry
Security &
Auditing
Provider
Registry
Workflow
Location
Registry
Content
Managemen
t
Interoperability
Services
Business Services
Infrastructure Services
Analytics &
Reporting
Session
Managemen
t
Diagnostics
& Monitoring
Decision
Support
Terminology
Patient
Admin
HL7
Messaging
Clinical Data
Services
Document
Services
SOA with embedded Enterprise Service Bus (ESB)
Lab
Informatio
n System
Lab Clinician
Hospital /
Physician
Office
EMR
Radiology
Informatio
n System
Physician /
Provider
Radiologist
External
Application ESB
Access Point
Qualibria
Component
Pharmacy
System
Pharmacist
Patient
Review &
Visualizati
on
Future
ContentDriven
Apps
Physician /
Provider
Point of Service
Qualibria
Component ESB
Access Point
Qualibria
Application
External
Application
Physician /
Provider
Transforming data into insight: Advanced
processing & Information fusion
Clinical Data Fusion - Terminology Services:
The Terminology Foundation contains services and rich
management tools for code mapping, browsing and querying:
•Load
external code systems, including: SNOMED-CT, LOINC, ICD-9, ICD-10, CPT,
RxNorm, HL7 Vocabularies, HCPCS, Genomics Ontologies, NCI Metathesaurus, Open
Biomedical Ontologies, etc.
Many entry forms for
one concept
•
•
•
•
myocardial infarction
MI
S/P MI 1987
hx of heart attacks
4500 Elemental terms
available today
Centricity Practice Solution (EMR) Research:
MQIC is a unique, de-identified patients – aimed at
helping identify and inform industry best practices
MQIC Database
30 million patient records
173 million office visits
1.3 billion documents
•
•
•
•
Benchmark a case, or your practice, against nearly 30 million unique patients
Identify financial inefficiencies and opportunities to help reduce costs
helping identify and inform industry best practices
Designed with physicians for optimal efficiency
Imaging IT and HIE: GE with our CARADIGM
partnership
Metrics
Government
Agencies
Data
Analysis
Reporting Tools
Patient
Consent
Patient
eHealth
Community
Desktop
(HIE & DICOM Viewer)
Radiologists Prior
Studies
eHealth
Registry 2.0
Hospitals
Images
&
Reports
(XDS Registry)
CentricityTM
Enterprise
Archive 4.0
(DICOM Archive
& XDS
Repository)
Master Patient Index
Images
&
Reports
General
Practitioners
Specialists
Imaging
Centers
16
Care Management Models
7/17/2015
CENTRICITY CLINICAL ARCHIVE
17
Care Management Models
7/17/2015
Agenda: Building connected communities
• Digitization & Connectivity of Data: Accessing and
integrating information from multiple sources – We need
interoperability standards!
• Connecting your data is not enough: You need to
connecting your process and culture – Building your value
based delivery environment
• Building Connected Communities : Where GE is heading
19
Care Management Models
7/17/2015
Connecting your data is not enough: You
need to connecting your process and culture
Capacity
Safety
Performance
• Reducing
variation
• Reducing
adverse events
• Managing costs
• Balancing supply
and demand
• Increasing
transparency
and
accountability
• Improving
workflow
• Developing
leaders
• Creating a
culture of
continuous
improvement
Asset
Management
Care
Delivery
• Improving
utilization
• Moving from
care silos to
systems
• Increasing staff
productivity
• Reducing
operating costs
• Continuous
population
management
• Integrating
clinical decision
support and
informatics
20
Care Management Models
7/17/2015
GEPS: Connecting your data is not enough:
You need to connecting your process and
culture
Capacity Management
Transform the flow of patients to
optimize utilization and decrease cost
GE Healthcare
Performance
Solutions
Strategy, Leadership &
Performance Transformation
Create market leaders by activating
strategy and unlocking potential
Asset Management
Enable immediate asset availability at
high utilization to support patient care
Advanced Analytics
Pinpoint and help mitigate the risk
of patient harm
Enabling Technologies
Patient Safety
Clinical Transformation
Enable redesign and transformation of
care delivery
21
Care Management Models
7/17/2015
GE Interoperability: IHE
Bone Health
Radiology PACS,
Mammography and
RIS
Surgical & Clinical
Information Systems
Nuclear
Medicine & PET
IHE
Computed
Tomography (CT)
Nuclear
Medicine & PET
IHE
X-ray & Mammo
Acquisition Systems IHE
Ultrasound
22
Care Management Models
7/17/2015
Agenda: Building connected communities
• Digitization & Connectivity of Data: Accessing and
integrating information from multiple sources – We need
interoperability standards!
• Connecting your data is not enough: You need to
connecting your process and culture – Building your value
based delivery environment
• Building Connected Communities : Where GE is heading
23
Care Management Models
7/17/2015
Quality of Life
Building Connected Communities:
Shift Left
The Continuum of Care>>>
Highest
Questions?
Quality of
Life
Lowest
Cost of
Care
Health &
Wellness
Home Care
Residential
Care
Acute Care
Cost of Care