Industry specific cover image

Size: px

Start display at page:

Download "Industry specific cover image"

Verity Lang
8 years ago
Views:

1 Industry specific cover image ORACLE HEALTHCARE INTEROPERABILITY BLUEPRINT A framework to address today s healthcare interoperability challenges and build the next generation of ehealth solutions Guy Staals EMEA Director Healthcare 10 th February 2011

healthcare interoperability challenges and build the next

2 Agenda Necessity for interoperability Interoperability blueprint Open, standards based and integrated Oracle Health blueprint Examples of blueprint 1

3 Healthcare Interoperability Clinical IT Reality Home Care Nurse Primary Care Physician Medical Office Staff Orthopedic Specialist Radiologist Payer Refer patient Schedule appointment Diagnosis Treatment Order test Perform procedure Update medical record Write report Receive report Send discharge letter Discharge Patient Support patient Start rehabilitation Submit claim Process claim Submit results Follow-up Nursing GP HIS CIS Radiology Payer

Perform procedure Update medical record Write report Receive report Send discharge letter Discharge Patient

4 How to go about Interoperability in Healthcare? What s necessary is a consistent, structured, and scalable approach to address the different layers of Healthcare Interoperability*, namely: Technical Interoperability Ensure that a piece of information goes from point A to point B Semantic Interoperability Ensure that a piece of information created by system A is understood in the same way by system B Process Interoperability Enabling the business processes at the organizations that house system A and system B to work together * As outlined by the HL7 EHR Interoperability Work Group and in Principles of Health Interoperability HL7 and SNOMED

Interoperability Ensure that a piece of information goes from point A to point B Semantic Interoperability Ensure that a piece of information created by system A

5 ehealth Interoperability Blueprint OHIB E-Health Applications Healthcare Infrastructure Services Clinical Portal Medical Viewer Home Care Business Intelligence eprescribing Disease Mgmt. CRM Etc. Master Patient Index Terminology EHR Index Application Server & Database Orchestration Transformation & Routing Connectivity Packaged Database Messaging Integration Layer? ETL Management & Monitoring Security & Privacy RIS PACS EMR Accounting Clinical Data Repository Multimedia Medical Archive Data Warehouse Existing Legacy Applications Clinical Data Repositories

Master Patient Index Terminology EHR Index Application Server & Database Orchestration Transformation & Routing Connectivity Packaged

Access Layer BPEL Management & Monitoring BAM Transformation & Routing Connectivity ETL ODI Security & Privacy IAM RIS PACS EMR

6 Oracle Healthcare Interoperability Blueprint E-Health Services Healthcare Infrastructure Services Clinical MMA Business Prescribing Homecare CRM Concerto Portal Viewer Intelligence OBIEE HMP EMPI Terminology EHR Index AS&DB cindex Health Orchestration Information Access Layer BPEL Management & Monitoring BAM Transformation & Routing Connectivity ETL ODI Security & Privacy IAM RIS PACS EMR Accounting Clinical Data Repository MultiMedia Medical Archive Datawarehouse HTB ECM Dicom DB 11g Existing Legacy Applications Clinical Data Repositories

7 Case study: E-Prescription in The Netherlands Customer overview Over 2000 GP s & pharmacists All over the country Needs and opportunities Complete E-prescription Improved communication & exchange between providers to prevent wrong medications Solution SaaS solution for GP s and pharmacists as well as patients Covering the entire e-prescription process including decision support, financials, EMR, patient portal and stock management E-prescription messaging service Results SaaS solution online since 2004 > 10 Million e-prescriptions handled per year Patient portal for > patients and growing fast Nr of GP s participating continuously growing E-prescription messaging service by largest telcom operator Physician Medication Record Guidelines and rules Pharma Patient portal Supply chain

EMR, patient portal and stock management E-prescription messaging service Results SaaS solution online since 2004 > 10 Million e-prescriptions handled per year Patient portal for > 5.

access Provide tool for on-line eligibility check to avoid fraud Decrease human intervention into process Avoid mistake during data retyping Decrease time of processing B2B SOA Security HC

8 Case study: EHR/PHR in Czech Republic VZP is the largest public healthcare payor in CZ, with 6.5m insurees and 15 year of existance Integration with health providers Extend possibilities for information exchange between Health insurance and their partners Provide tool for on-line information access Provide tool for on-line eligibility check to avoid fraud Decrease human intervention into process Avoid mistake during data retyping Decrease time of processing B2B SOA Security HC Terminology and Semantics IZIP as (primary) partner to increase the membership, awareness and quality of service and data management National electronic patient-centered health record (EPHR) system that provides an access to and the exchange of comprehensive medical and related information between, patients, health insurance companies, and health care professionals and HPOs

9 Case study: Health Management Platform Focus: Chronic disease management / Patient Care Cycle Health Consumer Gateway Pre-Acute Acute Intervention Post-Acute/ Disease Management Unaware Patient Aware Patient Patient Visits HC Professional Get Treatment Patient Discharged Patient is Compliant Patient is Stable Identifying, stratifying and targeting patients Attracting patients Improving administrative processes to Improve utilisation of resources Help Patients get treatment Improve patient experience Support after discharge Adherence Patient monitoring Supporting patient behavior modification 8

Patient is Stable Identifying, stratifying and targeting patients Attracting patients Improving administrative processes to Improve utilisation of

11 Absorption rates of EU fund based programs in the region till June, 2009* Different levels of EU fund absorption in the focus countries allow for best practice sharing and generating projects based on proven examples Absorption rates of EU fund based development programs (%) EUR 29.3 billion EUR 30.2 billion EUR 13.4 billion EUR 23.3 billion EUR 82.0 billion EUR million There are significant differences among the absorption rates in the region Still available funds Hungary and Czech Republic could be the main source of sharable best practices in the peer group Absorbed funds Hungary Czech Republic** Slovak Republic Romania Poland** Croatia EU fund absorption is not published in Croatia

<Insert Picture Here> SOA kot temelj Ogrodja zvem

<Insert Picture Here> SOA kot temelj Ogrodja zvem SOA kot temelj Ogrodja zvem Tomaž Poštuvan Principal Sales Consultant Oracle Software Tomaz.Postuvan@oracle.com Agenda Introduction Successful Reference Cases in Healthcare Oracle