Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust
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- Dr. Tony Shannon is a consultant in emergency medicine and chief clinical information officer at Leeds Teaching Hospitals who advocates for connecting healthcare through open standards and open source technology. - He argues that healthcare needs an open platform approach integrating people, processes, and information technology to overcome current challenges of disconnected systems and closed solutions. - In Leeds, they are developing an open standards-based electronic patient record system using openEHR archetypes that will integrate data across primary, secondary, social and mental healthcare to improve outcomes.
Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust
- 2. Dr. Tony Shannon M.B. B.Ch. B.A.O. Ireland Fellow of College of Emergency Medicine England Fellowship in Informatics USA MSc in IT Management England NHS Connecting for Health England Consultant in Emergency Medicine, Leeds Teaching Hospitals Chief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care Director, Frectal Ltd www.frectal.com
- 3. Key points • Healthcare Change : Connect All – People + Process + Information Technology – Key role of Open Source – Need for Open Standards • Local/National/International – Early Days – Age of Enlightenment – Leaders will emerge
- 7. Healthcare Challenge: People + Process + Technology Thinking in silos Process versus IT Closed solutions An International Challenge
- 8. Leeds TH 200+ Enterprise Wide System x Common Web UI Integration Engine ESB A B C 1 2 3 4 5 Core Process Core Process Core Process Core Process Core Process Modular SOA Enterprise wide System Y Access/ SQL State of the Market: A/ B /C
- 9. Healthcare Change: State of the Ecosystem Standards: Vendors: Innovators: Disconnect International Standards Local Innovators eHealth Bodies & Vendors
- 10. 21st C NHS – Open Platform required
- 11. Assessment Deliver Care Plan Care 21St Century Healthcare: OS Platform Required
- 12. 200+ CUI Clinical Portal TIE A B C 1 2 3 4 5 PAS Orders Results Clinical Docs Summary Care Record Leeds TH: Starting Point & Options
- 14. LeedsTH EPR
- 16. Leeds EPR - Results
- 18. Leeds EPR - (inc. Order Comms)
- 19. Leeds EPR- MPV
- 20. Leeds EPR- MPV
- 21. Leeds EPR- MPV
- 22. Leeds EPR- Reporting View
- 23. Leeds EPR Development • Clinically Led • User Centred • Agile Development – 2 weekly Sprints • Joint NHS & Commercial SME Team – Service Based Model
- 24. • Patient/Citizen centred record • Information at the point of care • To Support IH&SC teams • Improve Outcomes and Services • Built on Open Standards
- 25. Common Ground LCR Primary Care Secondary Care Social Care CommunityCare MentalHealth Dataset: Locally Agreed ISA: First of type in UK
- 26. 200+ LTH Clinical Portal Integ Engine A B C 1 2 3 4 5 Orders Results ePrescribing Summary Care Record Leeds Care Record- Approach Leeds Care Record
- 27. Leeds Care Record Viewer
- 28. TPP LCR – for Direct Care EMIS First of type in UK
- 29. Archetypes (Bricks) Templates (Toys) Interoperability Standard: Record Architecture Generic Specific
- 30. openEHR Archetype • Clinically oriented • Reusable list of clinical statements • Maximal dataset • Can be coded with terminologies e.g. Pulse, BP Leeds Care Record dataset End of Life Key contacts etc • Computable
- 31. Leeds Innovation Lab • Leeds Lab – People + Process + Technology – Across Health & Social Care – Live2Lab and Lab2Live • OpenEHR Standards Based Platform • Open NHS APIs
- 32. Further challenges • System maturity – Politics & Requirements • Business change – Organisational readiness • Technology maturity – Host system ability to share data – Maturity of Health IT market
- 34. Towards an ehealth ecosystem…. International Standards Local Frontline Innovators National eHealth Bodies & Vendors Regional
- 36. A Transatlantic VistA of Open Source
- 37. Leeds TH 200+ Enterprise Wide System x Common Web UI Integration Engine ESB A B C 1 2 3 4 5 Core Process Core Process Core Process Core Process Core Process Modular SOA Enterprise wide System Y Access/ SQL Current State of the Market
- 38. Healthcare Platform Services Consortium • Short Version: – Create an “App Store” for healthcare • Long Version: – Enable the acceleration – Open, Standards based, – Services oriented architecture platform – new market for interoperable healthcare applications. • Why? – Improve the quality and decrease cost of health care.
- 41. NHS & VA 2013
- 42. UK & US OS EHR Camps
- 44. Assessment Deliver Care Plan Care 21St Century Healthcare: OS Platform Required
- 45. Challenge # 1: Integration
- 46. Challenge #2: Code & Community
- 47. Challenge #3: UI & Usability
- 48. Opportunity #1: UI • NHS CUI • RCP Headings
- 49. Opportunity # 2: Service Layer • Web Services – MDWS – VSA – SMART – VistA Evolution • openNHS APIs • Hackable Platform
- 50. Opportunity #3: Persistence • M(umps) • M(odels) • A(rchetype)
- 51. Opportunities in Common Ground • User Interface – JS Frameworks • Middle Tier – Web Services • Database & Persistence robtweed.wordpress.com
- 52. 10 Days: 1 Clinician: 1 Developer ClinUiP.wordpress.com
- 53. 20 Days: 2 Clinicians : 2 Developers
- 57. Patient Record
- 58. Data Entry
- 59. 59
- 60. Leeds TH 200+ Enterprise Wide System x Common Web UI Integration Engine ESB A B C 1 2 3 4 5 Core Process Core Process Core Process Core Process Core Process Modular SOA Enterprise wide System Y Access/ SQL Current State of the Market
- 61. Towards an eHealth ecosystem International Standards Local Frontline Innovators National eHealth Bodies & Vendors Regional
- 63. Key points • Healthcare Change : Connect All – People + Process + Information Technology – Key role of Open Source – Need for Open Standards • Local/National/International – Early Days – Age of Enlightenment – Leaders will emerge