Meals@Home Improving Community Care with Wireless Technology

1. Meals@HomeImproving Community Care with Wireless Technology Chris Ibell, Head of Oracle EMEA Healthcare Consulting 22nd October 2004

2. Agenda • The importance of information standards in Healthcare • The Oracle Healthcare Transaction Base • Meals@Home - Working with MBDS • Meals@Home - Demonstration

3. To provide standards for the exchange, management and integration of data that supports clinical patient care and the management, delivery, evaluation of healthcare service HL7 mission global and management of electronic health records. • Specifically, to create flexible, cost effective approaches, standards, guidelines, methodologies, and related services for interoperability between healthcare information systems.

4. A Standards Based Platform Oracle HTB (HL7 RIM Based Infrastructure)

5. One Place to Store Everything HTB

6. Creating a Single Person Record GP 32561 F HOSP 2345 PHY 4562 LG DEN9001 Person Services HTB A10001 12324 Single Identifier Patient: 123456

7. InterfaceEngine Integrating Information HL7 version 2.X Delaminated File HL7 Version 3 Person Services Message Services XML HTB Flat File Bespoke Standard Single Record Patient: 123456 HL7 Version 3.0

8. The ability to call a “Spade a Spade” Dental Code SNOMED Code ICD 10 Code Local Code LOINC Person Services Message Services Terminology Services HTB ICD 9 Code Normalised Data SNOMED: 123456789

9. Protecting Patient Privacy Security Service Auditing Service HTB Single Source of Truth

10. Drill to Detail Enhancing Decision Support Star Schema Analytic Workspace Business Intelligence HTB Single Source of Truth

11. Supporting New Healthcare Applications and Processes Remote Monitoring New Applications Application Programming Interface HTB Single Source of Truth Existing Applications

12. Meals@HomeWorking with MBDS • Oracle has strong commitment to academia • 2004 – Meals@Home project • Deliver for Health Care a tool which could :- • Enhance the efficiency and effectiveness in ordering meals • Enhance the approval and delivery of the process • Enhance the quality and care of the elderly or chronically ill • Help to better control dietary programs • Permit dietary programs adapted to individual taste and medical condition • Enhance human relationships and social care • Provide more choice for elderly and dependant people • All in alignment with France strategy for increasing care in the community

13. 1 2 3 4 Existing process Phone and ask for service : meal at home Special diet ? Without salt / sugar / normal When ? All day of week, some day Deliver Meal • Problems are : • No clinical verification of applicability of meal choice • Little account of recipient’s personal tastes • Difficult to interact with provider for cancellations / modifications • No feedback as to whether meal consumed and/or state of recipient

14. Business Process Overview 1 2 3 delivers Nutritionist Patient Delivery Man 4 defines Selects one set from Feeds Back Informations About patient Diet Type For Patient Sets Of menus Social Services

15. Global Architecture Data Display Data Retrieval Data Storage Wired Access HTB ApplicationServer 10g With wireless component Wireless Access Oracle 10g

16. D E M O N S T R A T I O N MBDS Meals@Home

17. Q & A