Connecting Data for Healthcare & Business

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1 Providing: Data Integration Managed Services SOA Design Training & Mentoring HL7 & ITK Compliance ehealth Opensource Group Working with: InterSystems Ensemble Oracle JCAPS & OpenESB Talend.Net, EXT-JS & Mirth Phone: Connecting Data for Healthcare & Business

2 Company Profile ReStart is a dedicated provider of data integration and management solutions within the Healthcare and Commercial markets. ReStart s consultants come from a variety of integration backgrounds ranging from the largest Healthcare integration projects in the NHS, including a National Messaging Architecture, to major European commercial projects. This mixture provides an outstanding technical level of competency when working across the integration requirements of these sectors. In Healthcare, ReStart has worked in over 50 Trusts, several SHA s, and a number of National Programmes. This combined integration experience within ReStart has built over 1000 interfaces in Healthcare. ReStart supports the Interoperability Toolkit (ITK) approach being created by CfH and provides a coherent Service Orientated Architecture (SOA) approach to the Trusts where it has deployed integration engine solutions. More recently, ReStart has worked alongside several Health Boards in NHS Scotland to consult, deploy and support around the roll out of the Ensemble integration solution and has been retained in more than one instance to provide a complete Managed Service to monitor and maintain the infrastructures in which these organisations operate. ReStart has also developed a number of its own proprietary technologies which support the fundamental integration services it provides. These include the design, development and deployment of an Opensource Clinical Portal at Leeds Teaching Hospital, a full MPI solution and a number of dashboard-based solutions which ultimately support an organisations integration infrastructure, adding value every step of the way. ReStart Consulting covers the full range of deliverables including Architecture consultancy, deployment, training, mentoring, and a 24/7 Managed Service support centre for complete integration environments. Industries Although ReStart is the firm favourite for integration expertise in the NHS, the company s expertise is not restricted to this market. Our consultants have been the lead architects in many European integration projects over the years working with products from SAP, Peoplesoft, SSA and Oracle. The company is the leading provider of Java CAPS skills in Europe and provides services in moving such customers to Opensource technology. In particular, in 2010, ReStart delivered Europe s largest deployment of OpenESB for South West Water. You can read more about this in our case studies booklet. marketing@restartconsulting.com for your copy. Our Skills ReStart works in partnership with many of the leading integration products for Healthcare and Commerce. InterSystems ReStart is a leading InterSystems services partner offering consultancy, infrastructure design, deployment, managed services, training and mentoring to numerous Trusts in the Ensemble market. InterSystems Ensemble is a comprehensive application integration platform that enables exceptionally fast integration and extremely rapid development of composite applications. Ensemble excels at building new strategic business solutions that leverage the functionality of existing applications, orchestrate new business processes and integrate data across the enterprise. ReStart is a principal partner in a number of joint marketing campaigns with InterSystems including the egate/ JCAPS to Ensemble migration process. marketing@ restartconsulting.com for a copy of our Management Overview, egate Ensemble Migrations. Oracle Building on its already-leading JCAPS service offering, ReStart is also providing Europe s leading developments around OpenESB in Utilities & Healthcare. Our South West Water case study is one example of a leading OpenESB deployment in Europe marketing@restartconsulting.com for your copy. Java CAPS (Java Composite Application Platform Suite) delivers a true SOA infrastructure. It has a strong foundation of application server and identity support as well as a portal interface to support user collaboration with composite applications. Talend Talend is an Opensource data integration software vendor which produces several enterprise software products, including Talend Open Studio. Talend s products support various enterprise-wide data integration and data quality needs such as data warehouse, business intelligence, data migration, data synchronisation, data consolidation, operational data integration, data profiling, data cleansing and master data management. Surrey & Sussex Healthcare NHS Trust I procured and installed an integration engine first about 10 years ago and realised from that experience that it was essential to work with experts who could support our business need. The cost and hassle of looking after this ourselves is not part of Trust core work and I would always look to outside experts, in this case ReStart, who can come in and quickly deliver solutions. This also gives us instant access to a wide range of knowledge and experience from other sectors. Ian Mackenzie, Director of Business Intelligence & Technology Opensource in ehealth ReStart supports the ehealth Opensource community through both integration and portal solutions and is an active contributor to the ehealth ecosystem, which aims to foster the development and sharing of software solutions to common problems, so that the NHS doesn t keep re-inventing the same solutions many times over. Its aims include sharing development effort between public and private partners, increasing speed of development, improving the quality of software developed and encouraging a market of value added services on top of shared solutions. The end result of sharing Opensource developments will be to concentrate software development on providing support to improved patient care at the frontline. Other integration experience in Healthcare ReStart has a broad range of experience, drawing on the expertise of its 15 consultants who have worked with a plethora of additional integration engines (IEs) over the last 20 years. Our consultants have experience working with IEs including Orion Rhapsody, IBM Websphere, Cloverleaf, Mirth, BizTalk and ebiz2000 to name a few, enabling us to tackle interoperability projects regardless of the incumbent IE.

3 Solutions Through its work with pioneering NHS Trusts, ReStart has developed a number of technology solutions which support its integration focus. Opensource Clinical Portal ReStart Consulting has worked in partnership with Leeds Teaching Hospital NHS Trust to deliver a cutting edge Clinical Portal. The new Open Portal solution provides a single view of patient events and data from key departmental systems sending message requests to systems and leveraging the Trust Integration Engine (TIE) to collect and orchestrate the data. As this solution will be made available as Opensource technology, it represents not only a robust technological solution for supporting the NHS to meet its targets and, because there are no licence charges, it is a more costeffective solution too. The Open Portal solution has a clear UI at an application level and leverages existing frameworks to reduce complexity and risk. What s more, this is a Rich Internet Application (RIA) framework that actually works vendors do not need to configure any of their systems to comply and it has been developed in close partnership towards meeting CUI and ITK standards. Users can access the system via a secure sign-on and are able to view actions from several key existing systems. The Clinical Portal offers a user Dashboard, Patient Search tab and aims to provide a comprehensive view of the Patient Record from multiple existing sources. The Portal works hand in hand with the Trust s existing IE to collate and orchestrate system data. This development confirms the role of ReStart in providing Opensource solutions around leading RIA technologies. Using SOA principles has established a framework which can be deployed under any technical environment. This best of breed approach delivers high performance, easy use and embraces all devices such as the ipad. Any NHS organisation wanting to leverage Opensource will see instant benefits over closed and proprietary applications. The Open Portal solution is available as an Opensource solution and available to any NHS Trust. This provides them with the opportunity to complete the deployment themselves or utilise integration and support services from ReStart Consulting as needed. ReStart MPI The Restart Master Patient Index (MPI) is designed to strip patient data from ADT messages as they pass through the integration layer, and store them on a custom built database that allows quick and simple access to the information by authorised persons within a Trust. Along with the central data repository, the MPI also stores a Golden Record view, where each patient will have a single entry on a table that represents all their most recent information. Aside from the advantages of having a Trust controlled copy of all the patient data, the Restart MPI also provides a complete record of all current admissions to the Trust s hospitals, with easily accessible ward and consultant data that can be extracted and used in reports. As the MPI sits within the integration layer, it can also be modified to send or SMS alerts to the relevant parties should a patient be admitted with particular medical needs. This could be anything from alerting Consultants to the status of one of their listed patients, to ensuring that everyone concerned is aware of a person s list of allergies. Once the database has been populated, the list of possible ways to use the data to improve patient care is almost endless. Services ReStart is committed to providing value-added services to the NHS. Managed Services ReStart Consulting has launched a new 24/7 Managed Service Centre in Exeter and is already supporting a number of NHS Trusts by hosting, managing and maintaining their integration infrastructures. ReStart, who have been providing Managed Services since 2009 has launched the new, bigger service in response to demands driven by its NHS customers. One of the first NHS Trusts to move across to the ReStart Managed Service is Surrey & Sussex Healthcare NHS Trust, who have been recently joined by NHS Tayside and Lewisham Healthcare NHS Trust. Based on secure N3 connections, the ITIL-approved service is supporting a total of 7 NHS Trusts, with several more, currently reviewing the service. The move to 24/7 managed services is supported by the launch of high-availability solutions, which effectively enables mirrored clustering of the integration server, resulting in the system being more aware of its health-state, removing single points of failure and ensuring uninterrupted workflow and increased clinical safety. The ReStart support team currently monitor multiple integration productions in English NHS Trusts and Scottish NHS Boards from one central location using large screen dashboards, notifications and SMS alerts. The ReStart support team operates a highly efficient 24-hour service from its brand new high-tech office in Exeter. South West Water What I like most about working with ReStart is the teamwork element they bring to South West Water I feel as though they are part of the company and this is evident in the quality of their work, and that of the rest of my team. Kevin Nankivell, Delivery Manager for Application Development & Support Training ReStart s training programme specialists have spent many years working as Consultants and Senior Technical Trainers for leading Software Integration companies. They have specialist knowledge of the Ensemble and JCAPS product suite, including e*gate and ICAN 5.0, Open ESB and other related EAI technologies. These specialists have extensive experience with the development and presentation of Integration training courses to all industry sectors. marketing@restartconsulting for our full range of training publications and courses. Patient Self Check in Kiosk NHS Tayside The work undertaken by ReStart in NHS Tayside will facilitate reusability of the Ensemble productions across NHS Scotland as a whole, maximising our time and cost efficiencies. We also have huge confidence in the validation process, knowing the production service and adaptors running within it are all built to best-of-breed standards, using tried and tested techniques. Finlay Stewart, Head of Development ReStart has developed a self-service check in kiosk for outpatient departments which is designed to improve the patient experience, update and confirm the accuracy of patient data (address, contact details, etc.) as well as streamline operational efficiencies. This is very much in line with the NHS reform plans. The system, which harnesses touch-screen technology, provides patients with multiple language options to search via sex, reference number or date of birth to provide notification of their arrival. The kiosk integrates with the hospital/clinical patient information systems to accurately update patient records, inform staff that patients have arrived on site and also direct patients to the appropriate waiting areas. Furthermore, ReStart has also developed a patient call system to work in conjunction with the kiosk that will display appointment information in the waiting area via a wall-mounted screen.

4 SOA & Data Management Service Oriented Architecture (SOA) is a software architecture where functionality is grouped around business processes and packaged as interoperable services, allowing different applications to exchange data with one another as they participate in business processes. Companies of all sizes need to integrate existing legacy systems in order to implement IT support for business processes that cover all present and prospective systems requirements needed to run the business, end-to-end.to better support the connection of various applications and the sharing of data, a flexible, standardised architecture is required. ReStart SOA services unify your existing developing applications so that they can be used by different groups of people and new applications to ensure greater flexibility and uniformity. Our solutions provide simple, flexible, standards-based models for binding client applications together, to take advantage of our clients existing infrastructures and applications. We are able to combine Web applications with locally developed services and existing services, irrespective of your platform, development language or the object model used to implement any of the constituent services or applications. Quality Assurance Client satisfaction is the most critical measurement of ReStart s success as a provider of quality data integration skills and solutions. ReStart has established a quality assurance programme that measures project management, delivery and technical development during the lifecycle of the project. This programme provides checkpoints in the delivery to ensure the project is meeting expectations and achieving customer satisfaction. Our People Principal Architects Our Principal Architects have many years experience working with integration products. Within the Healthcare Sector, their roles have been of Architect Principal Consultants, responsible for the deployment of complex solutions for a number of Trusts throughout the UK. This includes the creation of a country-wide messaging architecture utilising OpenESB, and a further one in NHS Scotland, harnessing Ensemble. In addition, they have worked in a number of markets including Finance, and Utilities. They have strong development skills and are familiar with many aspects of integration including Business Process Management. They have spent many years working as both developers and architects. Consultants All our consultants have 10 years plus experience in major corporations and IT systems. In recent years they have focused on Data Management and have substantial experience in the healthcare and business marketplaces. They are highcalibre IT professionals who have designed and delivered systems solutions from assignment start-up to completion. All our consultants are Prince2 Project Managers, working to ITIL-accredited processes and standards. NHS Yorkshire & The Humber Through the consultancy, implementation and training provided by ReStart Consulting, the Trusts in the Yorks & Humber region are becoming empowered to manage Ensemble themselves this alone proves the Investing now saves for the future methodology and will help us to achieve our targets as the years progress. Alan Baker, Assistant Chief Information Officer

5 Long Orchard, Old Avenue Weybridge, Surrey KT13 0PS Phone: Fax: Contact: Corrie Williams Business Development & Marketing Manager