The Global Leader In Software for Connected Healthcare
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1 The Global Leader In Software for Connected Healthcare InterSystems Corporation November 2009
2 Connected Healthcare 2009 Swedish Healthcare Seminar Monday, 23 November 2009 Daniel J. O Donnell, M.D. Senior Advisor for Medical Informatics InterSystems Corporation
3 InterSystems in Healthcare Introduction to InterSystems Our worldwide Healthcare experience Our single technology/application stack for healthcare worldwide:
4 Global Business Partner Worldwide leader in healthcare IT 30+ years of profitability and customer success partners Consistent growth and profitability Private, no outside investors, no debt Offices in 23 countries 950+ employees 100,000 systems in 90+ countries
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7 InterSystems in HealthCare The Gold Standard for Connected Care Technologies Software Companies Healthcare Providers RHIOs and HIEs Government Swedish NPÖ
8 InterSystems, Worldwide Healthcare Kaiser, Caché: Largest private-sector EMR, 10M patient records online VA, Caché-Ensemble: Award-winning EMR serving 5.5M Vets at 1400 sites of care Scotland, TrakCare: Lothian Health Board -- Hospitals, clinics, community services Sweden, HealthShare: First nationwide health information exchange UK NHS / CSC, Ensemble: Integration solution linking national systems and 60% of England s local health authorities Brazil: State of Brasilia EMR for all care settings for 5M people in and around Brazil s capital Chile, national primary care, military and civilian hospital systems Australia, state-wide community system India, Hong Kong, Italy, China, Thailand, Malaysia, Netherlands, Korea, and more
9 Software for Connected Healthcare DeepSee HealthShare TrakCare Ensemble Caché Embedded real-time business intelligence Leading regional / national EHR platform Global web based healthcare information system #1 Healthcare integration platform #1 Database in healthcare
10 One Flexible Healthcare Application Ensemble is built on Caché TrakCare includes Caché and Ensemble: All TrakCare functionality/modules are built on InterSystems technology, they are not interfaced Core TrakCare = EPR and MPI HealthShare includes the worldwide proven TrakCare data model and EPR (Caché) and Ensemble DeepSee = embedded real-time BI
11 Unique HealthCare Application Patient-Centric functionality for entire continuum of care, clinical and administrative: Community services Clinics Hospitals Multiple hospital & clinic systems National/Regional EHR Start any place on the continuum with ability to confidently expand in any direction
12 Caché at America s Best Hospitals All use Caché for clinical applications Johns Hopkins Mayo Clinic UCLA Cleveland Clinic Mass General NY Presbyterian UC San Francisco Brigham & Women s Duke U of Pennsylvania U of Washington Barnes Jewish U of Michigan U of Pittsburgh Vanderbilt Stanford U of Chicago Cedars Sinai Yale New Haven Hospitals on the 2008 U.S. News Honor Roll
13 InterSystems Ensemble #1 Healthcare Integration Platform
14 Ensemble Satisfies All Major Integration Needs Connected Applications Siloed Applications Data Integrating Applications Composite Applications Integrating Processes Application Logic Integration Logic
15 What Sets Ensemble Apart Performance: Caché embedded Integration and application development capabilities Integrate existing SOA and non-soa applications Technology flexibility: SOA, HL7,.Net, J2EE, SQL Ease of Use Integrated messaging, business rules, workflow, business activity monitoring, Web interfaces, data transformations, alerts 15 minute install Expandable: from simple interfaces to complex enterprise applications Event-driven applications Business process orchestration Flexibility to edit down to the code level
16 Ensemble: The Integration Platform For Health Information Exchanges Worldwide UK s National Health Service National Program for IT HIXNY Rhode Island Sweden s National Patient Overview
17 Partners Healthcare, CCD Factory PHS had a need to create a Continuity of Care Document Standard document based on HL7 CDA Use Ensemble to call existing PHS services and construct the CCD document
18 Partners CCD Factory Direct Cache Call IHE Call (SSH) Soap Web Service Validation Class Get Data service access parameters per service account Ensemble Process Metadata Validate Data Access Build CCD Call Data Services Call Translation Services Data Services EMPI Query Allergies Meds Problems Health Maintenance Vital Signs Labs Translation Services EMEDS PETS??????
19 Partners Ensemble Use Today: Running version on Unix Upgraded in Jan FTE s 5 productions Dedicated systems programming resource Manages platform Training Standards
20 Partners comments: Flexible Re-use interfaces Easy to complex productions Scalable Efficient Millisecond processing Reliable No unplanned downtime
21 Partners comments, continued: Wide range of adapters/protocols HL7,SOAP,XML,XSLT TCP/IP, HTTP, File Java Gateway, SQL Gateway Mild learning curve Self taught/elearning/intersystems support Good documentation Management Portal Trace, Event log, Message browser Easy configuration changes
22 Partners Healthcare s Summary HL7 features enabled fast development Easy to use Rich features Works out of the box Ensemble designed for re-use Enabled us to implement at an aggressive pace New vendor integration ~20 hours Existing vendor integration ~2 hours
23 TrakCare Global Web Based Healthcare IS Built for the international marketplace Multi-language Multi-currency Multi-payment systems Complete functionality for entire continuum of care
24 TrakCare, Global Web Based CIS Patient Centric integrated health and clinical system Delivers a fully functional Electronic Patient Record Full functionality across the continuum of care, including community services Web-based solution with unified clinical and administrative functionality Interoperable with legacy applications
25 TrakCare: Continuum of Care Emergency Clinician s office Inpatient Clinic Community Home care other
26 TrakCare: Worldwide, except USA TrakCare has been implemented in over 25 countries, in multiple languages including Indo- European and multiple Asian languages Very large InterSystems application partners in the US build their healthcare applications on our technology, including Epic, QuadraMed, GE, Eclipsys, and others We do not want to compete directly with our partners in the US
27 HealthShare First product for secure EHR on regional or national level Out-of-the-box solution, which also includes: Rapid development environment for custom solutions Permits leveraging of existing healthcare information systems Based on proven ISC technology, including clinical data model used world-wide
28 HIE Requirements Consent, identification, authorization, security, Patient Centric View from wide variety of sources Flexible Architecture: federated, consolidated, hybrid SOA and Web Services: allows for incremental addition of services Bi-directional data flow: data from and to EHR apps Access, including viewer when needed
29 HealthShare Architecture, example Data Consumer HealthShare Access Gateway Identification Services Data Services HealthShare Hub Security Services Consent Services Terminology Services HealthShare Edge Gateway ECR Data Provider
30 HealthShare examples: Sweden: NPO USA: Regional Health Information Organizations: State of Rhode Island New York State: Brooklyn (BHIX), Long Island (LIPIX), Albany (HIXNY) National Health Information Network (NHIN) Chile Italy
31 HealthShare summary chart
32 NPO Summary chart
33 Typical Queries, Time of Day (Oct 09) :00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00
34 Interconnected Health in USA Barriers: fragmented, inconsistent Advantages for experimentation: fragmented, inconsistent Grant driven, not driven by business needs and front-line patient care Multiple and varied requirements In total, long list of requirements and connectivity to many different systems Very good test beds
35 RHIO functionality examples in USA Pushing of lab results Secure clinician-clinician messaging Wider region consent and authentication services Integration with Personal Health Records Pushing of Care Considerations clinical DSS Public health reporting services Wide variety of consent models e-prescribing and other orders EMR-lite (no consistent definition)
36 Summary, InterSystems in Healthcare Worldwide HealthCare experience at all levels of care with proven technology: Clinics Community services Hospitals National and regional electronic heath records Multiple languages and payment systems One HealthCare application, start at any place on the continuum
37 The Global Leader In Software for Connected Healthcare InterSystems Corporation November 2009
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