Cloud Innovation Program for Canadian Healthcare

Cloud Innovation Program for Canadian Healthcare

Agenda Building an Ecosystem Purpose of the CCN: Accelerate Canadian Innovation through Cloud Computing Help start new ventures How to do this in Healthcare? Current landscape: Standards, organizations, key players Future trends and directions: Personal Clouds Enabling technologies Import Ventures Business value planning

Thanks! Speakers Centre for Global ehealth Innovation Sheepdog sponsor

E-Health Cloud 2.0 CHI: Cloud Strategy Social media models Federated Identity (F/IDM) We see a logical and necessary fusion in the use of cloud to support mobile computing, social computing, analytics and consumer enablement. "Cloud-based implementations provide a flexible and readily scalable method for supporting the integration of social networking into e-health service delivery patterns and enabling consumers of health services to become active participants in their care. This could include participating in communities of people with the same condition, becoming part of their own virtual care team, or simply allowing people to participate in the scheduling of their own appointments or review of results."

The ehealth Record Use Case: SaaS? Current Definition: Database Storage Retrieval The Next Generation A Medical Device?: Clinical Decision Support? PACS-Radiotherapy Guidance Services? Integrated Monitoring Equipment and Alarms/Alerts

ehealth Record Stakeholders? Clinicians Physicians Nurses RT/OT/PT/RSW/C.Psych/MRT/XrRT Chaplains Health Operations Administrators Coding Dictation Translators Managers

ehealth Record Stakeholders? Technical Services Engineering Information Technology Information Systems Outpatient Physicians Ministries/Government WSIB Health Transportation

ehealth Record Stakeholders? Who Else? Drawing the diagram HL7 The Virtual Ward The Patient in Control of Data Patient Advocacy Evidence-Based Medicine Human Factors

ehealth Record Models: EMR? EHR? EPR? MAR?... EHR: Electronic Health Record EMR: Electronic Medical Record EPR: Electronic Patient Record All form a structured database containing information of the healthcare process, differentiated by: Key Data Structures Data Relationships

ehealth Ontario s Definition EHR Conglomerate of all data associated with the health of the individual EMR Computer Systems used to store the EHR PHR Records the patient can access

THE ECOSYSTEM

Primary Care Models: FHN? FHT? FHO? FHG? CHC? FHN: Family Health Networks Blended capitation and fee-for services, general service requirements FHT: Family Health Teams Inter-professional team, no specific funding model FHO: Family Health Organizations Capitation payments, more services than FHN FHG: Family Health Groups Primarily fee-for-service reimbursement CHC: Community Health Centers Community based population specific focus, salaried employees

Ontario Network for ehealth (ONE) Secure network for records Client rvpn Secure email (*) Intended to link data together for internet enabled services Telehealth Laboratory Information Pharmacy Services

Connecting GTA

LHIN: Local Health Integration Network Oversight regional distribution network Intended to develop solutions for service improvement, such as: Wait times Access to Care Improved Care Outcomes Capable of administrating services ConnectingGTA

Hospitals Sunnybrook Health Sciences Center MyChart Provides read only access to information for patients Write access via the Sunnybrook record, through encounters with the hospital American State of the Art: Boston Children s Hopsital IndivoX Veterans Affairs Health System My HealtheVet

Private Practice Constrained interoperability between practice models, professionals Solutions to the federated EHR model: ONE HL7 ConnectingGTA Improved uptake of records due to: ehealth Ontario s partnership with OntarioMD (subsidiary of the OMA) Financial incentive program

ZENVAULT CANADA A PERSONAL CLOUD EMR REFERENCE MODEL

E-Health Cloud 2.0 CHI: Cloud Strategy Social media models Federated Identity (F/IDM) We see a logical and necessary fusion in the use of cloud to support mobile computing, social computing, analytics and consumer enablement. "Cloud-based implementations provide a flexible and readily scalable method for supporting the integration of social networking into e-health service delivery patterns and enabling consumers of health services to become active participants in their care. This could include participating in communities of people with the same condition, becoming part of their own virtual care team, or simply allowing people to participate in the scheduling of their own appointments or review of results."

ZenVault Personal Cloud = Consumer Enablement Personal data library on the Cloud Personal Health Record = YOU own it, YOU control it = Disruption of IT systems models Price points $0-5/month Value add services = Developer Opportunities: E.g. Secure Messaging (*), ICE profile on mobile devices,

Orchestrating Cloud Vertical Apps Web scale, multi-tenant, work flow framework In EMR this is enabled by Sheepdog Vertical specific back-end applications In EMR this is enabled by ZenVault Identity ecosystem and integration security In EMR this is enabled by CloudioSphere Identity management using Google OpenID Zero Trust architecture Cloud scale security and management using CloudioSphere

Orchestrating Cloud Vertical Apps OpenID Policy Zero Trust Architecture IDaaS + Cloud Utility Workflow EMR Application Multi Tenant Zero Trust Perimeter Confidential Data targets

REST based identity for EMR An IDaaS which uses brokerage and orchestration to manage identity and fact based policy access to data Users have a common OpenId across the ecosystem Restful API's front services for orchestrating policy, authorization, multiple forms of authentication and adaptation to enterprise access schemes Public cloud applications using identity based cryptography to protect data stored in foreign locations Patient data access, including insurance carriers, through user managed permissions for care providers Consent Management Services CHI: Cloud Strategy "One of the principal privacy challenges in health care is the management and enforcement of patient information wishes, commonly known as informational consent. Many EMR and HIS solutions do not offer this capability and would require potentially costly retrofits to support this legislative requirement. By offering this software capability as a service in a community or private cloud, EMRs and HIS solutions operating in a cloud context could leverage this feature at reduced costs and implementation timeframes."

ZenVault Developer Opportunities ICE In Case of Emergency: Select data to download to smartphone Value at device level, pulled from central store Many other scenarios: Travel insurance,.

Ecosystem Innovation BUSINESS MODELS: Members Business Partner CONSUMER- DRIVEN Vendors Applications Dental SUPPLIER- DRIVEN WHITE LABEL Member Portal Health Insurer.. Vision Health & Wellness

Sheepdog Developer Opportunities IWK Collaboration portal for clinical research Specialize in linking mobile apps to back end Extend Google Apps suite for new innovations

Next session: 13 th March Always On Cloud Computing Contact: Neil.McEvoy@sheepdog.com