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- Chester Paul
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1 Healthcare is a $1.7 trillion dollar industry, which is: highly fragmented, labor intensive, expensive, highly competitive Healthcare Industry has undergone rapid growth and regulation, which has generated significant stress: Increased processes and workflow requirements; Created additional standards and industry specifications without compliant implementations; Increased the demand for services, documentation, coordination and paper processing with potential liabilities. Every year at least 98,000 Americans die and millions more are injured as a result of medical errors The Institute of Medicine Standardized information exchange would save the nation $86.8 Billion each year Blackford Middleton Chairman, Center for Information Technology Leadership0
2 The amount of detailed healthcare information is overwhelming. The ability to generate the information has outstripped its usability. Commercial and proprietary solutions have generated multiple environments without the basic interoperability of information. Healthcare information systems encompass vastly different types of information tracking from pre-natal to post-mortem. Process oriented automated solutions are impractical in the current manually driven context. Industry standards and specifications are broad, complex and lack implementations. Industry has suffered from proliferation of new technologies which have yielded more complexities rather than collaborative solutions. Privacy and security are of critical concern.
3 Patients demand care provider integrate across the entire value chain of medical, insurance, accounting and record keeping systems.
4 The following must be achieved to be successful: Create, manage, store, and retrieve an interoperable Electronic Health Record (EHR), which conforms to the industry standards. Preserve and protect the privacy, security, and identity of individuals and systems. Adapt legacy environments: Data and Information Work flow processes Skills and training Create a new generation of human-to-machine and machine-to-machine interfaces and interoperability.
5 ! " Create Open Healthcare Framework (OHF) to address the needs of the healthcare industry. Build OHF on top of the Eclipse platform. Integrate OHF with the healthcare standards, specifications and governmental regulations. Dedicate the scope to include: An open source reference implementation for creating, maintaining, managing and securing an Electronic Health Record (EHR). Technology that will provide the foundation for the integration, interoperability, development, and operations of EHR across the entire healthcare domain. Series of exemplary applications to demonstrate the vitality & viability of OHF. Enable commercial adoption of OHF: Enable the public and private healthcare organizations to build a robust set of common cross-industry open source components (plug-ins) for OHF. Enable the 3 rd party application providers to build interoperable applications for profit by reusing OHF.
6 Practice Clinical Data Capture eprescription EHR System Payer Healthcare Applications Administrative Clinical Trial Dictation/ Transcription CCR Client Trust Service Knowledge Training HIPAA Operations and Administrative Legacy Applications Migration Tools UI Reference Implementation RCP - based Certificate System Maintenance Interoperability ercp - based Healthcare Document and Message Exchange -HIPAA Compliant- HL7 CCR DICOM CUSTOM Web Service Trust Network Infrastructure Privilege Repository Access Resource Trust Registry Directory Access Access Control Eclipse Healthcare Framework Repository Query EHR Maintenance Vocabulary and Terminology HL7 SNOMED CUSTOM Identity Security and Encryption Privacy Audit Advanced XML Processing Communications Data Storage and Backup Cross-Industry Frameworks EMF XSD GEF ECF Frameworks Business Intelligence and Reporting (BIRT) Eclipse Platform eswt ejface OSGi Embedded Rich Client Platform (ercp) SWT JFace OSGi Rich Client Platform (RCP)
7 # $% & ' ( & Definition: The HL7 / OMG ehr System Functional Model provides a comprehensive set of reference Functions and their associated Functional Descriptors that may be present in an Electronic Health Record System (ehr-s). The Functions are intended to become a common specification that can be used by vendors, providers, regulators, policymakers, and other parties when describing the capabilities of ehr-s and Sub-System applications. The HL7 / OMG ehr-s Functional Model and Standard judiciously stays away from implementation issues. The vendor-generated innovation and applicable know-how is what will give life to the functions within the model. HL7 EHR System Functional Model: A Major Development Towards Consensus on Electronic Health Record System Functionality- A White Paper
8 ) *! Vendors use the Healthcare Framework to build specialized profiles and applications like eprescribing. Installable Eclipse plug-ins package applications and the profiles they depend on into installable units. HL7 EHR-S Function DC eprescribe Healthcare Applications/ Components Practice Components Payer EHR System Components eprescription Healthcare Framework UI - RCP Directory Access HL7 Messaging HL7 Vocabulary Trust Registry Trust Network Cross Industry Framework Identity Privacy Security/ Encryption Audit Communications Advanced XML Processing Eclipse Base Framework Execution Environment Operating System Computer Hardware
9 Healthcare Activity Identity Treatments Insurance Claims Prescriptions Practice Clinical Data Capture eprescription EHR System Payer Healthcare Applications Administrative Clinical Trial Dictation/ Transcription CCR Client Trust Service Knowledge Training Role Employee, Patient ID Name and Address License Job Type Access Level (Access List) Common Records (HL7) Activity Visits and Procedures Date and Time Duration Activity Type (visit, admission) Reason Observations and Diagnosis Billing Accounts, Finances Accounts Invoice Payment methods Payment History Insurance Information Medication Drugs, Equipment Prescriptions Drug interactions Medical equipment Records Interdependency The various healthcare activities will be able to share common records without a need to duplicate information and the ability to coordinate activities.
10 " + + Macro Camera To WiFi Access Point To Cellular Access Point Headset Height and Weight Station Cellular Phone Bluetooth PicoNet Otoscope/ Ophthalmoscope Set Electronic Stethoscope
11 , ' Global system integration firm, based in Los Angeles, CA. Leader in creating OHF via the Eclipse project. Draws from a pool of R&D IT personnel in Ukraine. Specializes in the following Competency Centers: Eclipse / Open Source Healthcare Automotive Telecom Security Banking Security Embedded Igor YASNO Chief Operating Officer International Technology Group, Inc. (818) x. 736 iyasno@intertechnogroup.com
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