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Christopher Reed InterSystems Corporation

Swedish NPÖ National Patient Overview A Case Study for InterSystems HealthShare, Ensemble and Caché. Christopher Reed InterSystems Corporation. The NPÖ in Sweden. The NPÖ Project – Background & Introduction The NPÖ Health Information Exchange – Objectives

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Christopher Reed InterSystems Corporation

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  1. Swedish NPÖNational Patient OverviewA Case Study for InterSystems HealthShare, Ensemble and Caché Christopher Reed InterSystems Corporation

  2. The NPÖ in Sweden • The NPÖ Project – Background & Introduction • The NPÖ Health Information Exchange – Objectives • Key Business & Societal Considerations • Key Architectural & Technical Considerations • Examples of NPÖ HealthShare Screens

  3. Swedish National Patient Summary (NPÖ – Nationell Patientöversikt) • Population 9 million • 21 healthcare regions • National EHR • InterSystems in partnership with Tieto.

  4. Swedish National Patient Summary (NPÖ – Nationell Patientöversikt) • Tieto – Prime Contractor • InterSystems HealthShare™ – Health Information Exchange Platform National Patient Viewer Service Health information exchange platform 21 Swedish healthcare regions

  5. NPÖ Timeline • 1999-2004 Planning by Municipalities, Regions and 21 County Councils • 2005: Four-County Trial/Proof-of-Concept • 3/2008: Contract for NPÖ awarded to Tieto & InterSystems • 5/2009-8/2009: Live Pilot in Örebro Municipality • 9/2009: Full Production, Örebro Municipality • 11/2009: Full Production, Östergötland County • 2010-2011: Remaining 19 Counties in Production

  6. The NPÖ in Sweden • The NPÖ Project – Background & Introduction • The NPÖ Health Information Exchange – Objectives • Key Business & Societal Considerations • Key Architectural & Technical Considerations • Examples of NPÖ HealthShare Screens

  7. What does the NPÖ provide? • National Patient Viewer Service: • Access to patient data • Historical and current • Wherever sourced in Sweden • For authorized healthcare and welfare professionals • From anywhere • With appropriate computer configuration (Identity card (“SITHS”) reader and software)

  8. Objectives of the NPÖ • The Primary Objective of the NPÖ is to Improve the Quality & Consistency of Patient Care • Doctors are working from information that is: • More Complete • Trusted • Expected Benefits Include • Reduction in Preventable Medical Errors • Reduction in Adverse Drug Events • Improved Outcomes • Cost Reductions • Improved Security and Logging

  9. The NPÖ Provides 16 Information Types • Patient Demographics • Encounter • Allergies and Alerts • Care Plan (Primary, Secondary) • Community Healthcare Service • Activities of Daily Life • Disability • Diagnoses • Clinical Document • Prescribed Medication • Dispensed Medication (Pharmacy) • Clinical Chemistry • Microbiology • ECG • Medical Imaging • Other Examination

  10. The NPÖ in Sweden • The NPÖ Project – Background & Introduction • The NPÖ Health Information Exchange – Objectives • Key Business & Societal Considerations • Key Architectural & Technical Considerations • Examples of NPÖ HealthShare Screens

  11. Key Business & Societal Considerations • Participation • Governance • SKL/SALAR • SVR • Data Sharing - Patient Data Act • Access Authentication and Authorization • Content Authorization • Information Presentation

  12. Data Ownership Considerations • Healthcare Data is Owned by the Counties • Individuals have rights to see their information • Primary Version of Data is Held at Source • Some Data is also Held Centrally • Patient Information is Assembled at Run-Time • Possible Future Enhancements: • Public Health • Patient Access • More Information Types

  13. The NPÖ in Sweden • The NPÖ Project – Background & Introduction • The NPÖ Health Information Exchange – Objectives • Key Business & Societal Considerations • Key Architectural & Technical Considerations • Examples of NPÖ HealthShare Screens

  14. Key technological considerations • Architecture • Governance • Past work with integration • Communication and interoperability • EN 13606 • Source data retrieval and handling • Response times • Possibilities for viewing data • Design of user interface • Standardized process for connecting

  15. Security and Privacy Technologies • National platform • Sjunet (Seven net) – VLAN • SITHS – Secure IT in Health Services • HSA catalogue – Health Services Address Registry • HealthShare Security Services (HSS) • Authentication • Authorization • Consent management • Encryption • Logging • BIF – National security services

  16. Conceptual view Patient summary service – NPO Base service Application Integration InterSystems HealthShare A B Deployment service Responsibility of supplier Responsibility of care provider Connection service (optional) A B InterSystems Ensemble Connection Care system Care system Care system

  17. Viewer HealthShare SI (A) Access Gateway Hub Integration services ... Edge Gateway 1 Edge Gateway n Service interface (B) SI = Service interface Connection Connection Connection ... Care provider 1 Care provider 2 Care provider 3 Care provider n

  18. The NPÖ in Sweden • The NPÖ Project – Background & Introduction • The NPÖ Health Information Exchange – Objectives • Key Business & Societal Considerations • Key Architectural & Technical Considerations • Examples of NPÖ HealthShare Screens

  19. Summary Screen Example

  20. Level 2 Screen Example

  21. Level 3 Screen Example

  22. The NPÖ in Sweden Questions and Discussion Please

  23. Christopher ReedDirector, Strategic Healthcare Projects Enquiries please call InterSystems at Tel: +7 495 967 0088 www.intersystems.com

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