Transcript Tiani Spirit - Health Insights

Tiani Spirit
REALISING AND MANAGING
THE SINGLE PATIENT RECORD
MIKE MORRIS
But its only Seen
when
An event,
from
you see
another
seen
thefrom
WHOLE
point
one
ofPICTURE
point
view of
it gives
view
that gives
quite
you can
a
one
different
fully
impression
understand
impression
what’s going on
Decisions made in the absence of all available information may
result in:
The
Problem
▪ Poor outcomes for patients
▪ Costly and unnecessary interventions
▪ Litigation
The better the information, the better the chance of accurate decisions
▪ Primary Care
▪ Acute Trust departments
Sharing the
information
▪ Pharmaceutical
▪ Mental Health
▪ Social Care
▪ Private Sector
▪ Third Sector
▪ Other agencies (e.g.: police)
▪ Patient
▪ Carer
Sharing patient/citizen information between stakeholders:
▪ Need to know: role based access
The Issue
▪ Data Protection / Information Governance
▪ Secure connection (PSN/N3)
▪ Hosting location
▪ Access: authentication & presentation
▪ Management
▪ Data Structure
Tiani-Spirit
OVERCOMING THE ISSUE
INTEGRATION
ENGINE
SUBSCRIBER
Traditional
Approach
PUBLISHER
One Integration engine
per interconnection
One Information Governance
agreement per use case per link
The integration engine enables one system to publish information to
another system that subscribes to all published information
INTEGRATION
ENGINE
One Information Governance
agreement per use case per link
As the number of connections grows so does complexity.
N systems = 5+4+3+2 = 17 links per use case
SUBSCRIBER
Traditional
Approach
PUBLISHER
One Integration engine
per interconnection
Tiani
Approach
Tiani-Spirit
Creates a “lens” through which published elements of
a patient record can be seen
Presents the consolidated view to the consumer
HEALTHCARE INFORMATION
EXCHANGE
CONSUMER
PUBLISHER
Tiani
Approach
The publisher is willing to publish some of his patient record to specific
consumers according to agreed information governance rules
CONSUMER
PUBLISHER
Tiani
Approach
The Tiani HIE temporarily holds the information pertinent to the patient in
question within the exchange
CONSUMER
PUBLISHER
PUBLISHER
Tiani
Approach
When more than one publisher publishes information to the exchange,
a consolidated single patient record view becomes established
CONSUMER
PUBLISHER
PUBLISHER
Tiani
Approach
The consumer then views the consolidated record in the manner required
and subject to role and information governance
CONSUMER
PUBLISHER
PUBLISHER
Tiani
Approach
With Tiani there is only one Information Governance per link to the
exchange and only one link per system (N systems = N links)
Scalable
system
Multiple systems can connect into a single exchange
known as an Affinity Domain
Super Exchange
Scalable
system
To ensure operating efficiency, additional systems use a second or subsequent
Affinity Domain, connected by a Super Exchange
Scalable
system
Super Exchange Affinity Domain
This is continually scalable
Delivered by CGI
Delivery
▪ Financial Stability
▪ Very Large Resource Pool
▪ Health and Government references
▪ Clinician sees the latest information
▪ Unauthorised users know that further information exists
Summary
▪ Operates throughout the care pathway
▪ Workflow Integration
▪ Open Interface
Summary
▪ Local information control is maintained, no duplication or
new repository
▪ Information governance is preserved and simplified
▪ Patient consent is enforced
▪ Building block approach
▪ Phased approach to aid adoption
The
Benefits
▪ Drives culture change towards interworking
▪ Enhances decision making by all professionals
▪ Limited learning curve
▪ Improves Efficiency
European Project for Smart Open Services
Reference
www.epsos.eu
European Project for Smart Open Services
Enabling European Cross Border Healthcare
epSOS
25 member states
45 beneficiaries
31 industry partners
€36.5 million funding
1st July 2008 – 31st July 2014
For more information:
www.tiani-spirit.co.uk
www.tiani-spirit.com
[email protected]
[email protected]
Tiani Spirit
Realising the single patient record