Connected Diagnostics

Transcription

1 Connected Diagnostics Interoperability through Standards Tobias Broger, FIND, 2nd May th Global Laboratory Partners Meeting, Geneva

2 Status Quo: Today s ecosystem 2 MANY SUCCESsFUL PROJECTS DEMONSTRATE THE POTENTIAL OF ehealth! BUT 1)Are disease and/or project specific «silos» 4)Many do not use global standards or technical best practices»speak different languages» TB mhealth Pilot C HIV Project B TB Project A Malaria mhealth Pilot C 2)Are developed in isolation HIV mhealth Pilot C 3)Some can not guarantee patient rights (e.g. Privacy) TODAY S CHALLENGES: INTEGRATION IN NATIONAL STRATEGY/ LEGISLATION ACHIEVE INTEROPERABILITY ACHIEVE SCALEABILITY / NO DUPLICATION GUARANTEE SUSTAINABLE SOLUTIONS

3 The need for standards WHO/ITU recognised the need to achieve Interoperability/scaleability through standardisation building blocks: E_HEALTH PDF-E.pdf MoHs started to develop national strategies. Example: Tanzania Strategy , Strategic Objective 2, «For successful implementation of an strategy, standards, rules, and protocols are required to ensure national and international interoperability and compliance» 3

4 The Solution is Standardization: Develop implementation guidelines for manufacturers and providers Define Real- World Use-Cases Select Appropriate Base Standard(s) Provide tailored APIs for Manufacturers and Providers Support and Testing During Implementation Certification and Endorsement Privacy Interoperability Scaleability Quality 4 API «Mix&Cook» POCT-1A Application Programming Interfaces = Software Development Tools that allows to connect diagnostic systems in the right way by using well established standards

5 How YOU can help: IN-COUNTRY IMPLEMENTERS: Implement diagnostic systems and solutions that are in line with the national strategy Think «Cross-Disease» Tell us your requirements and «use cases» Implement diagnostic systems and solutions that use «global standards», «technical best practice» and are able to connect to other systems MANUFACTURERS and ehealth/mhealth PROVIDERS Be part of the development of the API and the selection of the appropriate interface and terminology standards Test the interoperability of your system/application Implement the API POLICY MAKERS Promote global standards Promote the development of certification and accreditation schemes

6 Thank you! Contact: World Press Photo of the Year 2014: African migrants on the shore of Djibouti City at nightraising their phones to try and capture an inexpensive signal from neighboring Somalia to reach relatives abroad. [John Stanmeyer, National Geographic]

7 Backup Slide: Connected Diagnostics Model Example: Device performance Example: Supply chain mgm. Example: Surveillance Examples: EHRs, Mobile Notifications DATA CONSUMER API 7 Diagnostic Device Diagnostic Device Mobile Device DATA PRODUCER API

8 Backup Slide: Definitions mhealth Interoperability The use of information and communication technologies (ICT) for health in its broadest sense. In its brodest sense, is about improving the flow of information, through electronic means to suppport the delivery of health services and the meanagmenet of health systems (WHO, 2012). includes various forms like Electronic Health Records (EHRs), eprescribing, Telemedicine, mhealth, Healthcare Information Systems, and many more. mhealth is a component of. The Global Observatory for ehealth defines mhealth or moble health as medical and publich health practice supported by mobile devices, such as mobile phones. mhealth involves the use and capitalizatioin on a mobile phone s core utility of voice and SMS as well as more complex functionalities including GPRS, 3G, 4G, GPS, Wireless and Bluetooth technolgy. In healthcare, interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information (=semantic interoperability) that has been exchanged. Data exchange schema and standards should permit data to be shared across clinicians, lab, hospital, pharmacy, and patient regardless of the application or application vendor API (Application Programming Interface) In computer programming, an application programming interface specifies how some software components should interact with each other. In most procedural languages, an API specifies a set of functions or routines that accomplish a specific task.

9 Backup Slide: Selected key Stakeholder Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, ANSIaccredited standards developing organization (SDO) dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7's 2,300+ members include approximately 500 corporate members who represent more than 90% of the information systems vendors serving healthcare. Integrating the Healthcare Enterprise (IHE) is a global initiative designed to stimulate the integration of the information systems that support modern healthcare institutions. It defines a technical framework for the implementation of established interoperability standards to achieve specific clinical goals. It includes a rigorous testing process for the implementation of this framework, organizes educational sessions, exhibits at major meetings of medical professionals to demonstrate the benefits of this framework and encourage its adoption by industry and users. The organization started a certification program in 2014.