Supporting Healthcare Systems Interoperability InterSystems / Ensemble

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1 Supporting Healthcare Systems Interoperability InterSystems / Ensemble Phil Birchall

2 Topics InterSystems Introduction Integration and Interoperability Increasing demand, growing complexity Ensemble Overview

3 InterSystems at a Glance 100,000+ systems in 88 countries Over 500 people, offices in 19 countries $200M+ revenue, consistent growth and profitability Private, no outside investors, no debt Sell directly to end users as well as with partners

4 InterSystems Market Perspective Hospitals, Clinics, Laboratories, GPs Packaged Applications Custom Applications Healthcare Platform Premier platform for building, running and connecting healthcare applications worldwide

5 Commitment to Healthcare Interoperability HL7 Benefactor IHE US and European Participant

6 Healthcare Partners ReStart Consulting

7 Strategic Goal for Health Records Interoperability Aggregate Individual Population Management EHR Continuity of Care EHR Retrospective Disease Surveillance EHR E-health Network EHR Transactional

8 Nictiz (Netherlands) National Healthcare Messaging Hub Hospital GBZ GBZ General practitioners, pharmacists, dentists, nurses, surgeons, secretaries, administrative employees

9 InterSystems HealthShare Pre-Built Services RAD Raw Technology Specific Solution Exchange Identification Terminology Consent Security Access HealthShare

10 HealthShare Clinical Viewer

11 Increasing Scope & Complexity National / Cluster Demographics EMPI / PDS Choose & Book GP2GP Record Transfer EPS Care Pathways Spine Summary Record Trust Integration Engine

12 Increasing Scope & Complexity Individual Trust Demographics realtime ADTs Enterprise Wide Scheduling Order Communications / Results Reporting Electronic Prescribing Clinical Coding RIS / PACS Discharge Summary / Letters Statutory Reporting / Business Intelligence

13 Ensemble

14 Ensemble Design Goals Data Coordination Business Process / Work Flow Composite Applications Business Activity Monitoring Universal Business Integration Platform Data Application Technology

15 Ensemble Architecture Messaging BPM Development Analytics Abstraction + Execution + Repository One Abstraction Layer Repository Execution Engine Management Console Application Data Technology

16 Abstraction Abstraction Expose as Web Services, classes, tables, Abstract into consistent data + functionality model Connect to diverse data, applications, technologies Shorten learning curve, speed integration and development

17 Native Projection WS Java.Net EJB SQL XML PAS / LAB Oracle / SQL/Server HL7 V2.x & V3 Pick / Cobol Use any development tool / technology

18 Universal Execution Engine Execution Single run-time environment for: Messaging Portals Business processes Workflow Analytics Application logic Superior performance and complete end-to to-end management

19 Rapid Development & Customisation

20 Graphical Data Transformations of HL7

21 In-built HL7 Capabilities

22 Universal Repository Repository Rich Objects Open access via SQL Messages Metadata Index / Cache Maximum availability, scalability and RAD Native object storage

23 Complete End-to-End Management

24 Adding value to Existing Systems Web Services HL7 V2 & V3 Clinical Portals New Composite Applications Business Intelligence Messaging Engine Hand Coded Interfaces Clinical Application Clinical Application

25 Some Ensemble Healthcare Clients Partners Healthcare New York City Health & Hospital Corporation Boston Medical Center Providence Healthcare George Washington University Medical Assoc. Hunterdon Healthcare Metropolitan Healthcare US Veterans Affairs Pathology Medical Systems CH Roubaix (France) Department of Defense (Canada) Bolton NHS Trust (UK) Royal Marsden (UK) National Hearing Screening Programme (UK) Nictiz Dutch National EHR Stanford Hospital & Clinics Evanston Healthcare NHS Lothian (UK) Koine Hospital (Italy) AO Vimercate (Italy) Dr. Negrin Hospital (Spain) UK Cancer Registries European Food Safety Admin. (Belgium) Motoman / Kaiser (USA) SUH (Finland) Peterboro & Stamford NHS Trust (UK) Institute of Cancer Research (UK) Sheffield Childrens Hospital (UK) Serum Institute (Denmark) Athena Diagnostics (USA) Barts NHS Trust (UK) Hospital Ambroise Paré (Belgium) Moorfields Hospital (UK) IKEM (Austria) Okinawa Hospital (Japan) TUCH (Finland) PSSHP (Finland) Sultan Qaboos (Saudi) Cedars Sinai (USA) Plymouth NHS S/Services (UK) Mid Essex NHS Trust (UK) States of Jersey States of Guernsey

26 Ensemble rated Number One by KLAS KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, impartial vendor performance information. KLAS independently monitors vendor performance through the active participation of thousands of healthcare organizations. KLAS uses a stringent methodology to ensure all data and ratings are accurate, honest and impartial.

27 Ensemble rated Number One by KLAS InterSystems outscored all other Interface Engines software products in overall vendor rating, in all four of the indicator categories measured, and in percent positive commentary. Ensemble Average Success Indicators (Sample) Ensemble Core part of ICT plan? 100% Would you buy again? 100% Would you recommend to friend/peer? 100%

28 Summary Committed to Healthcare & the success of our NHS customers Financially sound and Commercially Stable Technology that protects your Freedom of Choice Ensemble: a single complete solution HealthShare: : investing in Pre-built capabilities for the future of Health Information Exchange

29 Supporting Healthcare Systems Interoperability InterSystems / Ensemble Phil Birchall

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