Engage Patients, Reduce Manual Processes and Drive Key Insights with Interoperability
0 likes1,667 views
This document discusses healthcare interoperability and integration best practices. It provides examples of Perficient implementing interoperability solutions for clients using IBM Integration Bus and the Healthcare Connectivity Pack. These solutions helped migrate interfaces, improve data sharing and application integration, and increase visibility into data flows. The document also outlines trends in healthcare driving the need for interoperability.
Engage Patients, Reduce Manual Processes and Drive Key Insights with Interoperability
- 1. Engage Patients, Reduce Manual Processes and Drive Key Insights with Interoperability facebook.com/perficient twitter.com/@Perficient_HC linkedin.com/company/perficient
- 2. Perficient is a leading information technology consulting firm serving clients throughoutNorth America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities. About Perficient
- 3. •Founded in 1997 •Public, NASDAQ: PRFT •2013 revenue ~$373 million •Major market locations throughout North America •Atlanta, Boston, Charlotte, Chicago, Cincinnati, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles, Minneapolis, New York City, Northern California, Oxford (UK), Philadelphia, Southern California, St. Louis, Toronto and Washington, D.C. •Global delivery centers in China, Europe and India •>2,200 colleagues •Dedicated solution practices •~85% repeat business rate •Alliance partnerships with major technology vendors •Multiple vendor/industry technology and growth awards Perficient Profile
- 4. BUSINESSSOLUTIONS Business Intelligence Business Process Management Customer Experience and CRM Enterprise Performance Management Enterprise Resource Planning Experience Design (XD) Management Consulting TECHNOLOGYSOLUTIONS Business Integration/SOA Cloud Services Commerce Content Management Custom Application Development Education Information Management Mobile Platforms Platform Integration Portal & Social Our Solutions Expertise
- 5. Nicholas Lecker, Director of Healthcare Architecture and Interoperability, Perficient
- 6. •Trends in Healthcare •Interoperability & Integration Best Practices •Examples of Interoperability •Walkthrough of Specific Use Cases Agenda
- 7. Consumer Experience Operational Excellence Value based Care Healthcare Reform Initiatives Trends in Healthcare •Rapid changes are driving many shifts in healthcare. –Regulatory –Meaningful Use –ACOs –Personalized Care –Patient Engagement Models –Value-Based Purchasing –Population Health –Narrow Networks –Health Insurance Marketplace –Pay for Performance –Mergers & Acquisitions –The list can go on….
- 8. •Agility of the business –Business needs to change and flex to meet market demands –IT systems and processes need to flex and be nimble –Availability of information –moving to near real time •Cost pressures are changing –Organizations are now having to address cash flow as they are losing bread and butter services to their competition •Consumers are cost conscious and shopping for value •ACA is changing the landscape of competition for consumers dollars –The end patient is now becoming the customer rather than the group/employer –Consumers are expecting more and more information and expecting their data to be available in manners like their financial portfolio –Consumers demand a richer experience with their healthcare information (portal, mobile, social) –CRM is not just customer service –need to address the whole lifecycle of CRM Issues that Need to Be Addressed
- 9. •Trends in Healthcare •Interoperability & Integration Best Practices •Examples of Interoperability •Walkthrough of Specific Use Cases Agenda
- 10. Where Does Interoperability Fit?
- 11. •Interoperability: –The ability to collaborate, whether systematically or organizationally, within and across domains, in a manner easily done with the results being easily understood •Governance –Data (vocabulary, code sets, structure, dictionary/glossary) –Process (complex, serial conversations & rules) –Service (directory, transport) –Security •Information Backbone/ESB –Messaging Service –Adapters –Master Data Management –Data Quality/Cleansing –Transformation –Translation –ETL The Need for Interoperability SustainabilityNeedValueCostCollaborateGovernance
- 12. •IT supporting the Business –IT continues to feel the pressures to deliver value –IT needs to leverage the systems in place –IT needs to provide operational excellence through Interoperability •Architecture/Framework •Security •Data Governance •Transactions/Messages (X12, HL7) •Translation •Trust •Availability Technical and Business Challenges
- 13. z Architecture –Shared understanding of your strategic, business, solution and information architectures creates a common nomenclature Initiative Program Mission Vision Scope RoadmapBusiness Case Vision Objective Objective Objective KPI KPI KPI Initiative Initiative Initiative Initiative Business Case Major Process Business Process Decomposition Process flows / SIPOC Methods & Procedures Documentation / Training Materials Mega Process Sub Process Objective Sub Process Major Process Sub Process Sub Process Activity Activity Activity Decision Activity Tasks: •Step 1 •Step 2 •Step 3 Domain Family Solution Domain Map Business Requirements Backlog / BRD Domain Family Solution Domain (Scenario) Objective Domain Family Solution Domain (Scenario) Solution Domain (Scenario) Business Requirement Business Requirement Business Rule Data Facet Conceptual Model Logical Model Physical Model ETL Architecture Subject Area Entity Objective Data Facet Entity Entity Fact Fact Fact Dimension Metric Metric Dimension Dimension Attribute Attribute STRATEGY ARCHITECTURE BUSINESS ARCHITECTURE SOLUTION ARCHITECTURE INFORMATION ARCHITECTURE Foundational Architectural Approach One View
- 14. Agenda •Trends in Healthcare •Interoperability & Integration Best Practices •Examples of Interoperability •Walkthrough of Specific Use Cases
- 15. A Small Healthcare System Success Story Challenges •Client had separate EMR systems for its two hospitals and practice management and needed to merge into one centralized healthcare system in order to continue to provide a seamless total healthcare experience for healthcare consumers •In addition to converting to Epic, the client was upgrading several critical systems including cardiology, radiology and pharmacy •Needed to migrate more than 150 application-to-application integration interfaces from its legacy HL7 integration engine called eGate. Oracle was ending support for its current product and the client was not able to rapidly adjust to changes in its business due to an outdated platform About the Company •A full-service, not-for-profit health system in the Midwest. •Formed in 1995 has more than 80 locations providing clinical, educational, preventive and social programs. •The health system also has non- hospital services which include: –Physician practice management –Fitness centers and fitness center management –Occupational health centers –Home health and hospice care
- 16. Solution Deployed Change management solution to manage rollouts with collaborative technical response Established a strong knowledge transfer and training to client teams IBM Integration Bus as the primary integration engine for key exchanges with systems such as Epic IBM Connectivity Pack for Healthcare, HL7 Tivoli/Omnibus monitoring provided real-time monitoring and a dashboard to identify problems before the field experienced them
- 17. Business Value Delivered •Better overall patient experience and quality of service •The ability to get to information more quickly improved the overall efficiency of doctors •System integration is highly scalable and flexible Efficiency •Real-time monitoring reduced lost or dropped messages, with controls in place for auditing •Implementation of HL7 standards established a framework to maintain compliance with government regulations (EMR, etc.) Compliance •Knowledge transfer to technical team enabled support of existing implementations and future changes •Program oversight established to break down walls and establish a collaborative team for operational improvements Ability to Support Solution Proliferation
- 18. Challenges •eGatereplacement for a healthcare provider with 25 hospitals •Legacy system soon to lose vendor support (eGate) –cost prohibitive support •Multiple failure points leading to a brittle system •Excessive moving parts J2EE, UNIX scripts, eGate, Queues •Inadequate monitoring resulting in diagnostic overhead •Maintenance issues leading to additional expense and client satisfaction issues •Using older unsupported message model (HL7 v2.1, NO CDA, no MDI) A Large Hospital Success Story About the Company •One of the largest nonprofit integrated health care delivery systems in the United States •The system's primary service area is home to over 6 million people and has 25 acute-care and short- stay hospitals •It consists of nearly 4,000 licensed beds and over 5,500 physicians at its hospitals
- 19. Solution Deployed IBM Integration Bus-based solution, leveraging the Healthcare Connectivity Pack Created a custom framework that sits on top of Healthcare Connectivity Pack and tailors the system to the client’s existing eGatearchitecture Integration patterns that facilitate eGateflow migration, making the data sharing easier and faster Change management solution to manage rollouts with collaborative technical response Establish a strong knowledge transfer and training to client teams The technical solution used messaging bus with HL7 adapters as the primary integration engine for key exchanges with systems such as Epic
- 20. Business Value Delivered Data sharing and application integration is facilitated through the IBM Integration Bus system, making the exchange of records faster and easier The Healthcare Connectivity Pack paired with the IBM Integration Bus solution is customized to the current system, facilitating the transition from the eGateplatform Increased visibility into data flow allows the client to identify and resolve bottlenecks
- 21. Summary •Enables the flow of data to deliver effective patient care •Supports huge range of use cases from mobile to home health •Flexibility to support your business wherever it needs to grow Integration is the key to realizing value in healthcare •Supports key healthcare standards HL7, DICOM and CDA •Provides high value use cases including analytics and mobile •Expert patterns simplify common integration use cases •Complies with all relevant industry regulations (FDA MDDS) IBM Connectivity Pack for Healthcare providers and payers •Fully supported product runs on all editions of IBM Integration Bus •Robust, scalable and high performing and more systems are integrated •Easy to deploy and manage in all form factors including virtualised Builds on top of the #1 integration product worldwide •Integrate all your siloes of information including ERP, CRM and more Unparalleled range of connectivity options and capabilities
- 22. As a reminder, please submit your questions in the chat box. We will get to as many as possible.
- 23. Agenda •Trends in Healthcare •Interoperability & Integration Best Practices •Examples of Interoperability •Walkthrough of Specific Use Cases
- 24. Kiran Ghanta, Senior Solutions Architect, Perficient.
- 27. Why IBM Integration Bus Edge IntegrationGateway IntegrationBus •Out of box built-in patterns, Intuitive user Interface, Graphical mapping service •Streamline integration •Enable intelligent processing •Improve operational management •Scalability and performance •Universal integration capabilities –Many connectivity protocols – MQ, JMS, SOAP, Files, HTTP/S, Database and core –Many development languages – ESQL, Java, .Net, XSL, Graphical Data Maps (GDM) –Application server capabilities –Rapid development lifecycles and prototyping
- 28. Why IIB Healthcare Pack
- 29. Why IIB Healthcare Pack Message Models Healthcare Nodes Medical Device Integration DICOM Image Integration HealthCare Specific Patterns HealthCare Operational Monitoring ATNA Audit Events HealthCare Data Analysis
- 30. IIB Design Patterns Healthcare Pack Patterns provide additional patterns once installed in the IIB Toolkit
- 31. Healthcare Patterns HL 7 Transformations HL7 to HL7 HL7 to HL7 DFDL HL7 to reports Home Health Medical devices to EMR Web service to DICOM
- 32. What We Did Utilized IBM Integration Bus with Healthcare Pack at multiple healthcare providers At the large hospital system we migrated 560 interfaces. At the small Healthcare provider system we migrated 150 interfaces utilizing pub sub model Built common frameworks Developed a common rapid development/migration approach from different legacy integration engines utilizing pattern based approach: Customized patterns Developed custom patterns Developed custom nodes Implemented new interfaces and migrated legacy interfaces at faster pace.
- 33. •Analyzed existing legacy integration engine •Infrastructure setup and configuration •Built common frameworks: audit logging, error handling and monitoring, notification •Identified and documented unique integration interface candidates for patterns •Customized out-of-the- box patterns and created new patterns based on analysis done •Developed significant use cases/integration interfaces per each pattern Pilot Phase •Built project plans •Split use cases/interface for each phase •Executed project plans iteratively with backlog prioritization •Enhanced common frameworks •Rapid implementation of use cases •Project go live for each phase Next Phase How We Did It Used Perficient Enable Methodology (Envision, Execute & Evolve)
- 34. Patterns Large Hospital System •HL7 to HL7 •File to HL7 •HL7 to File •SNA to SNA •SNA to HL7 •HL7 to SNA •SNA to File •File to SNA •Medical Device Integration Small Healthcare System •Pub Sub Model with HL7 to HL7
- 35. Transform Your Enterprise from Being Transactional to Being Interactive Perficient IBM Connectivity Offerings Solution Architecture Design/Implementation •Integration/SOA roadmap and strategy •Appliances-based integration solutions with data power •Integration/connectivity solutions with WebSphere •Cloud integration with CastIron •API management solutions using IBM Connectivity tools •B2B solutions using DataPower/WebSphere Partner Gateway •Migrations to IIB –From WESB, from WMB, from ICS •Migration from any ESB/ EAI Solutions –TIBCO, SeeBeyondeGate, Cloverleaf, Rhapsody and more
- 36. Perficient IBM Connectivity Offerings Enablement & Mentoring •Customizable programs for enablement/mentoring using IBM Connectivity tools (PRFT QSRs): •IBM Integration Bus (IIB) •WebSphere Message Broker (WMB) •DataPower Appliances •WebSphere MQ (WMQ) •CastIron •Programs include health check, best practices, methodologies, processes, document templates, design/architecture patterns, guidebooks, administration/ monitoring guidelines, provisioning, etc. POCs/POTs/Demos •Packaged solutions to show capabilities of IIB/WMB •Work with IBM Labs and/or directly with Clients for POCs/POTs for IIB(WMB)/DataPower/WMQ
- 37. PerficientIBM Connectivity Offerings Assets -Repository of Reusable Artifacts •Design patterns using Healthcare Pack for Healthcare which accelerates development time by 25-30% •Pre-built frameworks related to performance testing, ESB environment monitoring, auditing, error handling, error notifications, etc. •Repeatable processes/patterns for retail and healthcare industry use cases •Design patterns, methodology, best practices, SDLC processes, error handling/audit logging solutions, document templates etc. facilitate faster time to production for services/integrations during project implementation
- 38. Questions?
- 39. Thank you for your participation today. Please fill out the survey at the close of this session.
- 40. Daily unique content about content management, user experience, portals and other enterprise information technology solutions across a variety of industries. For more information contact: [email protected] Perficient.com/SocialMedia Perficient.com/IBM Perficient.com/Healthcare Facebook.com/Perficient@Perficient_IBM @Perficient_HC