Interoperability and Orion Health James Hardacre May 25 th 2011

1. Interoperability and Orion Health James Hardacre May 25th 2011

2. Outline • Orion Health: what we do • Our 3-pronged approach to interoperability • Our ITK Proof of Concept experience • NHS Trust experience: Heart of England

3. Orion Health Overview • Specialists in Healthcare Integration for 18 years • Technology is important, experience ensures success • We integrate best-of-breed health information systems… • Between health IT systems • Between health organizations • On the desktop • With functionality and ease • Mission “Provide Universal Access to Patient Information”

4. Global presence demands a comprehensive approach to interoperability • 1993: Founded in New Zealand • First HL7 project: 1994 • 2011: 8 offices in 6 countries, clients in 30 countries, 470 employees 2

5. Our 3 approaches for interoperability • Native support for standards • Support for international efforts • Eg. IHE www.ihe.org, HL7 • Local ITK cooperation

6. Native support for standards • Health-specific integration products • Native libraries of common protocols • HL7 2.x & 3.x , XML, etc. etc. • Re-useable communication points • Exportable interface configurations

7. Support for international efforts • Rhapsody: now an FDA Class I medical device • IHE • Connectathons in Europe and USA • IHE profiles now in use in France for the national EHR interoperability standard

8. ITK Activities • 2009 - ITK Discharge Summary PoC • ITK Spine Mini-Services Project • Currently Underway

9. ITK PoC – Discharge Summary Profile 3 source systems: Orion Health Clinical Portal System C MediSec SRC BlueWire Generating CDA XML discharge documents Receiving Systems: PCTI & Liquid Logic

10. Discharge Summary generated in hospital system

11. Sending confirmation in Rhapsody

12. Received in target system

13. But now, over to the real world… David Hextell, Head of Systems Development Heart of England NHS Foundation Trust

14. THANK YOU