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HL7 Roadshow 2009 Connected Healthcare

HL7 Roadshow 2009 Connected Healthcare. Chris Norton, March 2009. Agenda. InterSystems at a Glance Products Analysts’ views InterSystems and the NHS Ensemble and the NPfIT Example integration architectures using Ensemble. InterSystems at a Glance. Established 30 years

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HL7 Roadshow 2009 Connected Healthcare

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  1. HL7 Roadshow 2009Connected Healthcare Chris Norton, March 2009

  2. Agenda • InterSystems at a Glance • Products • Analysts’ views • InterSystems and the NHS • Ensemble and the NPfIT • Example integration architectures using Ensemble

  3. InterSystems at a Glance • Established 30 years • Over 700 people, offices in 19 countries • US $255m revenue, consistent growth and profitability • Private, no outside investors, no debt • Sell directly to end users as well as with 1400+ partners • Long term supplier to the NHS

  4. Healthcare Partners ReStartConsulting

  5. InterSystems Software for Connected Healthcare HealthShare – for developing secure electronic health record systems on a regional and national level Regional / National EHR TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits Institutional / Community EPR Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008) Application Level Caché - #1 database used in clinical applications worldwide

  6. Caché: High Performance Database &Rapid Application Development SQL Database Middleware/Application SQL Database Hibernate Jalapeño SOAP/WS VB EJB ZEN PYTHON PERL JDO ADO.Net SQL G/W .NET ODBC C++ JDBC CSP Java COM XML Objects SQL Unified Data Architecture Unified Data Architecture EnterpriseCache Protocol Unified Data Architecture Multidimensional Storage Engine

  7. Caché @ America’s Best Hospitals* All use Caché for clinical applications 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  Johns Hopkins  Mayo Clinic  UCLA  Cleveland Clinic  Mass General  NY Presbyterian * Hospitals on the 2008 U.S. News Honor Roll

  8. Kaiser Permanente and EPIC Systems • World’s largest civilian EHR • 8.7 Million patients supported in Outpatients setting • 2 Million active Personal Health Record users • 10 hospitals live with Inpatients • >11,000 Physicians

  9. Partners Healthcare • 10 major hospitals • 4 million outpatient visits • 160,000 admissions • 8,000 physicians • 3,250 beds • >800 applications • 55,000 named users Dr John Glaser

  10. Caché User base in the NHS 27,639 users 29,928 users 35,621 users 22,834 users 42,411 users

  11. InterSystems Software for Connected Healthcare HealthShare – for developing secure electronic health record systems on a regional and national level Regional / National EHR TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits Institutional / Community EPR Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008) Application Level Caché - #1 database used in clinical applications worldwide

  12. Ensemble Messaging Engine Data Transformation Engine Business Process Modeling/Execution Workflow Engine Rules Processing Dashboards The most powerful technology for buildingand running connected applications All of the Database andDevelopment Power of Caché

  13. One Architecture The Ensemble Approach to Integration Development Management One data model One metadatarepository One developmentenvironment One managementenvironment One learningcurve Application Integration BP Repository Composite Apps BAM

  14. The Benefits of Ensemble • Comprehensive and Consistent Architecture • Reduced complexity, maximum reusability, widest range of projects, one learning curve • Faster Integration & Composite App. Development • Rapid ROI • Easier Management & Scalable Performance • Lowest cost of ownership

  15. Increased Development Productivity “Ensemble has a strong design environment and doesn’t leave the user to grapple with disparate utilities…This means, that we don’t have to write as much code as before, which gives us a massive head-start ....” Mike Eagles, Head of Software DevelopmentBarts and the London NHS Trust

  16. Gartner’s Magic Quadrant for SOAComposite Application Projects InterSystems positioned in the Leaders Quadrant Magic Quadrant for Application Infrastructure for SOA Composite Application Projects, 4Q08 Massimo Pezzini, Yefim V. Natis, Kimihiko Iijima, Daniel Sholler, Jess Thompson, Dale Vecchio. December 19, 2008.

  17. EnsembleKLAS #1 Rated 2006, 2007 & 2008 Ensemble #1 In • Product quality rating • Delivery of new technology • Quality of training • Money’s worth • Overall satisfaction with vendor / product

  18. Ensemble Healthcare Clients • Partners Healthcare • New York City Health & Hospital Corporation • Boston Medical Center • Providence Healthcare • George Washington University Medical Assoc. • Hunterdon Healthcare • Metropolitan Healthcare • US Veterans Affairs • Pathology Medical Systems • CH Roubaix (France) • Department of Defense • Bolton NHS Trust (UK) • Royal Marsden (UK) • Stanford Hospital & Clinics • Evanston Healthcare • NHS Lothian (UK) • Koine Hospital (Italy) • AO Vimercate (Italy) • Dr. Negrin Hospital (Spain) • UK Cancer Registries • European Food Safety Admin. (Belgium) • Iris Nord (Belgium) • Motoman / Kaiser (USA) • SUH (Finland) • Peterboro & Stamford NHS Trust • Institute of Cancer Research (UK) • Nictiz Dutch National EHR • Serum Institute (Denmark) • Athena Diagnostics (USA) • Barts NHS Trust (UK) • Hospital Ambroise Pare (Belgium) • Moorfields Hospital (UK) • IKEM (Austria) • Okinawa Hospital (Japan) • TUCH (Finland) • PSSHP (Finland) • Sultan Qaboos (Saudi) • Cedars Sinai (USA) • Plymouth NHS S/Services (UK)

  19. National EHR Infrastructure success CSC Selects Ensemble for NetherlandsEHR Project • NICTIZ - National ICT Institute for Healthcare, Netherlands • Contract for National Healthcare Messaging Hub awarded to CSC using InterSystems Ensemble Integration Platform

  20. General Principles of the Project • The general goal is patient data interchange • Complete data, except (for now) imaging, and limited only by privacy laws • Includes medical and administrative data • Patient data are not stored at a central location • The central system records the localization of the information, not the information itself • It is hence a « meta-index », not a « repository » • Users of the system: GPs, hospitals, clinics, pharmacists nationwide

  21. InterSystems Software for Connected Healthcare HealthShare – for developing secure electronic health record systems on a regional and national level Regional / National EHR TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits Institutional / Community EPR Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008) Application Level Caché - #1 database used in clinical applications worldwide

  22. Brazil – Federal region of Brazilia NIC NIG NIP CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS USP USP USP USP USP PSR PSR PSR PSR NIBz NIS CS CS CS PSU PSU PSU PSU PSU PSU PSU PSU PSU PSU PSU PSU CS CS CS SARAH CS CS CS CS CS CS PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR CBMDF PSR PSR NILN CS CS CS CS CS CS LRC LRC HFA CRT CRT CS CS CS NICr HUB CS CS CS CS CS CS PSU PSU PSU PSU PSR PSR PSR PSR PSR PSR Hemocentro LRGu CS CS CS LRGu LACEN NILS CS CS CS CS CS CS CS CS CS CS CS CS CS CS CS PSR PSR CS CS CS NIPr CS CS PSR CS PSR CS CS CS DISAT ISM CS CS CS NIBsB NICd CS CS CS U M U M PSR CS CS 1 1 2 2 1 3 3 1 3 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 1 1 1 4 CS 1 1 U M 2 2 1 10 2 2 NITS NISM NIRF NIGu NITN NISa PSU PSU Hosp. Apoio NINB COMPP HSVP PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR PSR CS PSR CS CS PSR PSR Regional Hospital • Regional Project: • 17 Hospitals • 134 Health Clinics • 3 Diagnostic Laboratories • 20 Emergency Units • 3 Specialist Diagnostic Units • Home Care • More than 5000 health professionals using just one Electronic Health Record PSR Regional Hospital Regional Hospital HRC FEPECS Regional Hospital CS CS CS Central Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital Regional Hospital

  23. Brazila – Citizens portal

  24. Ensemble in UK Healthcare Ensemble is widely used by Hospital Trusts throughout the NHS as a Trust-wide integration engine • Moorfields Eye Hospital • Peterborough • Plymouth • Barts and London • Lothian Region, Edinburgh • Mid-Essex • Bolton • Royal Marsden • East & North Herts • Gateshead • Sheffield Children’s • St Georges • Kings Lynn • Co Durham and Darlington • Rotherham • Mid Yorks • Calderdale • Barnsley • Doncaster

  25. Ensemble in UK Healthcare and in many other Healthcare environments... • Jersey Hospital • Guernsey Hospital • St Vincents, Dublin • Thames Cancer Registry • Institute for Cancer Research • Northgate Information Solutions – National Hearing Screening Programme • North Western Cancer Registry • Northern and Yorkshire Cancer Registry and Information Service

  26. InterSystems and the NPfIT CSC Alliance CSC Alliance CSC Alliance BT No Current LSP East Midlands / East of England North East / Yorkshire & Humberside London North West / West Midlands South West / South East

  27. InterSystems and the NPfIT CSC selects InterSystems for trust integration 10th Sep 2008 Computer Sciences Corporation is to use InterSystems Ensemble for the integration of all new applications it provides to existing trust systems. CSC, the local service provider for the North East and Midlands regionsin England’s NHS National Programme for IT, has selected Ensemble as the standard trust integration engine (TIE).

  28. InterSystems and the NPfIT Ensemble CSC Alliance Ensemble CSC Alliance Ensemble CSC Alliance BT No Current LSP East Midlands / East of England North East / Yorkshire & Humberside London North West / West Midlands South West / South East

  29. Questions? Questions?? • Chris.norton@interSystems.com • www.intersystems.co.uk/TIE

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