The International Standards Community. Michael Nusbaum, HoD IHE Canada Constituency

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From this document you will learn the answers to the following questions:

  • What is the health of the population?

  • What is done by jurisdictional infrastructures?

  • What type of data must an electronic health record system provide?

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1 EHR Interoperability at the Olympic Games A proposal for US participation in a highly-visible demonstration of the adoption of Healthcare Interoperability Standards The International Standards Community Michael Nusbaum, HoD IHE Canada Constituency

2 3 The need how do we define success for the Standards Community? Better health of our population Better health outcomes through availability of and access to appropriate information at the right place and time International collaboration SDO collaboration Adoption By jurisdictional infrastructures (governments, etc.) By vendors into their products that can be purchased By healthcare systems, clinicians, users (RFP) Communication & Marketing Demonstration!

3 4 Demonstration example: Trillium Bridge Project EU US

4 5 Success factors for Lower costs/barriers for business engagement Reduce implementation/configuration costs Decrease standards development costs Accelerate convergence towards global standards Support the fundamental right of citizens to their health information BUT: how do we demonstrate success?

5 6 The Olympic Games What if: A demonstration was set up to facilitate the exchange of healthcare information at the Olympic Games? 3-4 countries agreed to participate (UK, Australia, US, Canada) One or more standards-based information artifacts were selected to demonstrate meaningful exchange, such as: Patient summary Diagnostic imaging (images and reports) Laboratory results Medication profiles

6 7 The Olympic Games Could provide an excellent venue to: Illustrate how an information exchange might work Showcase the importance of standards in facilitating interoperability Extend the work of Trillium Bridge to find standards-based solutions (rather than through transformations) Provide a high-visibility demonstration of the value of standards-based interoperability

7 The Olympic Games 8 Why the Games? Brings international communities together in a controlled and confined environment Fosters innovation and demonstration Opportunity to improve a very weak health IT environment at the Olympics Satisfies a real need HIGH-VISIBILITY opportunity to demonstrate utility of a standardsbased approach 2016 Summer games Brazil* 2018 Winter games Korea

8 9 Olympics Expertise IOC Technical Manual Medical Services Resources, protocols, process flows, information flows, etc. IOC: An electronic health record (medical encounter) system must support patient care, public health surveillance, athlete safety research, and provide summarised data related to medical care provided during the Games period Olympics expert retained

9 10 The Olympic medical Model Spectators (1,000,000 s) Populations Athletes (1,000 s) Care Continuum clinics at venues Polyclinics Tertiary referral to host city hospitals Volunteers (100,000 s) Olympic family (10,000 s)

10 The Olympic Healthcare IT Infrastructure 11 Athletes come together as a team Each team registers their athletes in an EMR Medical Triage at each venue Two or more Polyclinics Tertiary Referral Hospital EMR provided to each National Team EMR operated by the IOC Host City provides EHR

11 12 Technical Infrastructure Potential Content Patient summary DI images and reports Laboratory results Medication profiles Potential Transport HL7v2 HL7v3 IHE XDS/XDR FIHR

12 In summary, consider 13 Athletes and Olympic family from 4 participating countries enable their Olympic teams with an EMR that is enabled for standardsbased interoperability (eg. Patient Summary) The International Olympic Committee (IOC) enables it s Polyclinic EMR system with standards-based interoperability The host city (Rio??) enables it s tertiary referral hospital(s) with standards-based interoperability Would result in: Patients travelling though the system would benefit from immediate availability of clinical information to receive better/faster care and the IOC could demonstrate its commitment to innovation and the host city can demonstrate it s ability to welcome the world and the standards community can demonstrate their commitment to the development and implementation of international and collaborative standards

13 14 Proposed Project Governance Marketing/Media Steering Committee Technical Committee Participating organizations Standards advisory Olympic advisory Development Testing Implementation Country Country Country Country Host IOC

14 16 Engagement Pathway International Olympic Committee Medical Directorate Country A Olympic Country Committee A Country A Olympic Committee Olympic Committee Country A Federal Country Government A Country A Federal Government Federal Government Rio Olympic Organizing Committee Brazil Government Olympic Sponsors Country A Healthcare Country IT A Country A Sector Healthcare IT Sector Healthcare IT Sector Brazil Healthcare Standards GE Healthcare Others?

15 Contact: Michael Nusbaum Thank you

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