Transcript HL7 2009

HL7 Roadshow 2009
Connected Healthcare
Chris Norton, March 2009
Agenda
• InterSystems at a Glance
• Products
• Analysts’ views
• InterSystems and the NHS
• Ensemble and the NPfIT
• Example integration architectures using
Ensemble
InterSystems at a Glance
• Established 30 years
• Over 700 people, offices in
19 countries
• US $255m revenue, consistent
growth and profitability
• Private, no outside investors,
no debt
• Sell directly to end users as well as
with 1400+ partners
• Long term supplier to the NHS
Healthcare Partners
ReStartConsulting
InterSystems
Software for Connected Healthcare
HealthShare – for developing secure
Regional /
electronic health record systems on a
regional and national level
National EHR
TrakCare – an advanced WebInstitutional /
Community EPR
based healthcare information system
that rapidly delivers patient-centric
data and Electronic Patient Record
benefits
Ensemble - #1 interface
Application Level
engine in healthcare (KLAS
2006, 2007, 2008)
Caché - #1 database used
in clinical applications
worldwide
Caché: High Performance Database &
Rapid Application Development
Objects
Unified Data Architecture
Enterprise
Cache
Protocol
Unified Data
Unified Data
Architecture
Multidimensional
Architecture
Storage Engine
JDBC
ADO.Net
CSP
Hibernate
JDO
XML
ODBC
ZEN
PERL
PYTHON
.NET
VB
COM
SOAP/WS
Java
C++
EJB
Jalapeño
Middleware/Application
SQL
SQL G/W
SQL
Database
SQL
Database
Caché @ America’s Best Hospitals*
All use Caché for clinical applications
 UC San Francisco
 Brigham & Women’s
 Duke
 Mayo Clinic
 U. of Pennsylvania
 UCLA
 Cleveland Clinic  U. of Washington
 Barnes-Jewish
 Mass General
 NY Presbyterian  U. of Michigan
 Johns Hopkins
* Hospitals on the 2008 U.S. News Honor Roll
 U. of Pittsburgh
 Vanderbilt
 Stanford
 U. of Chicago
 Cedars-Sinai
 Yale-New Haven
Kaiser Permanente and
EPIC Systems
World’s largest civilian
EHR
• 8.7 Million patients
supported in Outpatients
setting
• 2 Million active Personal
Health Record users
• 10 hospitals live with
Inpatients
• >11,000 Physicians
Partners Healthcare
• 10 major hospitals
• 4 million outpatient visits
• 160,000 admissions
• 8,000 physicians
• 3,250 beds
• >800 applications
• 55,000 named users
Dr John Glaser
Caché User base in the NHS
27,639 users
29,928 users
35,621 users
22,834 users
42,411 users
InterSystems
Software for Connected Healthcare
HealthShare – for developing secure
Regional /
electronic health record systems on a
regional and national level
National EHR
TrakCare – an advanced WebInstitutional /
Community EPR
based healthcare information system
that rapidly delivers patient-centric
data and Electronic Patient Record
benefits
Ensemble - #1 interface
Application Level
engine in healthcare (KLAS
2006, 2007, 2008)
Caché - #1 database used
in clinical applications
worldwide
Ensemble
All of the Database and
Development Power of Caché
The most powerful technology for building
and running connected applications
Messaging Engine
Data Transformation Engine
Business Process Modeling/Execution
Workflow Engine
Rules Processing
Dashboards
The Ensemble Approach to
Integration
One data model
Application
Integration
BP
Composite Apps
BAM
Repository
Management
Development
One Architecture
One metadata
repository
One development
environment
One management
environment
One learning
curve
The Benefits of Ensemble
• Comprehensive and Consistent Architecture
– Reduced complexity, maximum reusability,
widest range of projects, one learning curve
• Faster Integration & Composite App. Development
– Rapid ROI
• Easier Management & Scalable Performance
– Lowest cost of ownership
Increased Development Productivity
“Ensemble has a strong design
environment and doesn’t leave the
user to grapple with disparate utilities…
This means, that we don’t have to write as
much code as before, which gives us a
massive head-start ....”
Mike Eagles, Head of Software Development
Barts and the London NHS Trust
Gartner’s Magic Quadrant for SOA
Composite Application Projects
InterSystems
positioned in the
Leaders Quadrant
Magic Quadrant for Application
Infrastructure for SOA Composite
Application Projects, 4Q08 Massimo Pezzini,
Yefim V. Natis, Kimihiko Iijima, Daniel
Sholler, Jess Thompson, Dale Vecchio.
December 19, 2008.
Ensemble
KLAS #1 Rated 2006, 2007 & 2008
Ensemble #1 In
• Product quality rating
• Delivery of new technology
• Quality of training
• Money’s worth
• Overall satisfaction with
vendor / product
Ensemble Healthcare Clients
• Partners Healthcare
• Stanford Hospital & Clinics
• Nictiz Dutch National EHR
• New York City Health &
Hospital Corporation
• Evanston Healthcare
• Serum Institute (Denmark)
• NHS Lothian (UK)
• Athena Diagnostics (USA)
• Koine Hospital (Italy)
• Barts NHS Trust (UK)
• AO Vimercate (Italy)
• Hospital Ambroise
Pare (Belgium)
• Boston Medical Center
• Providence Healthcare
• George Washington
University Medical Assoc.
• Hunterdon Healthcare
• Metropolitan Healthcare
• US Veterans Affairs
• Dr. Negrin Hospital
(Spain)
• Moorfields Hospital (UK)
• UK Cancer Registries
• IKEM (Austria)
• European Food Safety
Admin. (Belgium)
• Okinawa Hospital (Japan)
• Pathology Medical Systems • Iris Nord (Belgium)
• CH Roubaix (France)
• Motoman / Kaiser (USA)
• Department of Defense
• SUH (Finland)
• Bolton NHS Trust (UK)
• Peterboro & Stamford NHS Trust
• Royal Marsden (UK)
• Institute of Cancer Research (UK)
• TUCH (Finland)
• PSSHP (Finland)
• Sultan Qaboos (Saudi)
• Cedars Sinai (USA)
• Plymouth NHS S/Services
(UK)
National EHR Infrastructure success
CSC Selects Ensemble for Netherlands
EHR Project
• NICTIZ - National ICT Institute
for Healthcare, Netherlands
• Contract for National Healthcare
Messaging Hub awarded to CSC
using InterSystems Ensemble
Integration Platform
General Principles of the Project
• The general goal is patient data interchange
– Complete data, except (for now) imaging, and limited
only by privacy laws
– Includes medical and administrative data
• Patient data are not stored at a central location
– The central system records the localization of the
information, not the information itself
– It is hence a « meta-index », not a « repository »
• Users of the system: GPs, hospitals, clinics, pharmacists
nationwide
InterSystems
Software for Connected Healthcare
HealthShare – for developing secure
Regional /
electronic health record systems on a
regional and national level
National EHR
TrakCare – an advanced WebInstitutional /
Community EPR
based healthcare information system
that rapidly delivers patient-centric
data and Electronic Patient Record
benefits
Ensemble - #1 interface
Application Level
engine in healthcare (KLAS
2006, 2007, 2008)
Caché - #1 database used
in clinical applications
worldwide
Brazil – Federal region of Brazilia
LRC
LRC
CS
CS
CS
CS
CS
CS
Hosp.
Apoio
CS
CS
Regional
HRC
Hospital
CS
CS
CS
CS
CS
CS
LACEN
CS
PSR
PSR CS
CS
CS
PSU
PSU
CS
CS
PSU
PSU
UM
CS
CS
CS
CS
NISa
CS
CS
CS
CS
CS
CS
3
Regional
Hospital
CS
CS
LRGu
LRGu
CS
CS
CS
CS
Regional
Hospital
CS
CS
CS
CS
NIRF
CS
CS
Regional
Hospital
PSU
PSU
PSR
PSR
1
Regional
Hospital
PSU
CS
CS
CS
CS
1
NIG
PSR
PSR PSR
1 PSR
CS
CS
2
1
NINB
ISM
NICd
CS
CS
USP
2
NIP
PSR
PSR
1
NISM
CS
CS
1
PSR
PSR
4
1
1
PSR
PSR
1
1
PSR
PSR
Regional
Hospital
NIBsB
Regional
Hospital
2
PSR
PSR
HUB
CS
CS PSR
1PSU
1
CS
CS
PSR
PSR
NILS
CS
CS
CS
CS
CS
CS
CS
CS
Regional CS
CS
Hospital
CS
CS
CS
CS
HSVP
Regional Project:
• 17 Hospitals
• 134 Health Clinics
• 3 Diagnostic
Laboratories
Central
• 20 Emergency Units
Hospital
• 3 Specialist Diagnostic
Units
• Home Care
• More than 5000 health
professionals using just
one Electronic Health
Record
3
PSR
PSR
PSR
PSR
1
Regional
Hospital
NIGu
1
Regional
Hospital
PSR
PSR
NILN
USP
PSR
PSR
PSU
PSU
CS
CS
PSR
PSR
3
CS
CS COMPP
CS
CS
CBMDF
NITN
CS
CS
NICr
CRT
CRT
CS
CS
PSR
PSR
Regional
Hospital
CS
CS
CS
CS
HFA
CS
CS
CS
CS
Regional
Hospital
Hemocentro
1
NIC
NITS
CS
CS
CS
CS
CS
CS
NIS
FEPECS
CS
CS
CS
CS
CS
CS
CS
CS PSR
PSR
CS
CS
CS
CS
CS
CS
CS
C
CS
S
DISAT
UM
1
CS
CS
1
PSR
PSR1
PSR
PSR1
NIBz
CS
CS
1
1
NIPr
Regional
Hospital
CS
CS
CS
CS
Regional
Hospital
CS
CS
USP
Regional
Hospital
USP
UM
CS
CS
SARAH
2 PSU
PSU
Regional PSU
PSU
2
Hospital
2
PSU
PSU
PSR
PSR
1
1
2
2
Regional
Hospital
PSR
PSR
1
PSR
2
USP
2
10
CS
CS
PSU
PSU
1
Brazila – Citizens portal
Ensemble in UK Healthcare
Ensemble is widely used by Hospital Trusts
throughout the NHS as a Trust-wide integration engine
•Moorfields Eye Hospital
•Peterborough
•Plymouth
•Barts and London
•Lothian Region, Edinburgh
•Mid-Essex
•Bolton
•Royal Marsden
•East & North Herts
•Gateshead
•Sheffield Children’s
•St Georges
•Kings Lynn
•Co Durham and
Darlington
•Rotherham
•Mid Yorks
•Calderdale
•Barnsley
•Doncaster
Ensemble in UK Healthcare
and in many other Healthcare environments...
•Jersey Hospital
•Guernsey Hospital
•St Vincents, Dublin
•Thames Cancer Registry
•Institute for Cancer Research
•Northgate Information Solutions – National
Hearing Screening Programme
•North Western Cancer Registry
•Northern and Yorkshire Cancer Registry and
Information Service
InterSystems and the NPfIT
CSC
Alliance
CSC
Alliance
CSC
Alliance
BT
No Current
LSP
North East / Yorkshire & Humberside
North West / West Midlands
East Midlands / East of England
London
South West / South East
InterSystems and the NPfIT
CSC selects InterSystems for trust integration
10th Sep 2008
Computer Sciences Corporation is to use InterSystems
Ensemble for the integration of all new applications it
provides to existing trust systems.
CSC, the local service provider for the North East and
Midlands regions in England’s NHS National Programme
for IT, has selected Ensemble as the standard trust
integration engine (TIE).
InterSystems and the NPfIT
CSC
Ensemble
Alliance
CSC
Ensemble
Alliance
CSC
Ensemble
Alliance
BT
No Current
LSP
North East / Yorkshire & Humberside
North West / West Midlands
East Midlands / East of England
London
South West / South East
Questions?
Questions??
• [email protected]
• www.intersystems.co.uk/TIE