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Gabe Rijpma Healthcare Industry Director Microsoft Asia Pacific gabery@microsoft

Gabe Rijpma Healthcare Industry Director Microsoft Asia Pacific gabery@microsoft.com. Agenda. Challenges. Universal Data Issues. The Importance of XML. Application Architecture and SOA. Typical Integration. Healthcare Integration. Best Practices. Summary : Q&A. Finding The Right Data.

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Gabe Rijpma Healthcare Industry Director Microsoft Asia Pacific gabery@microsoft

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  1. Gabe Rijpma Healthcare Industry Director Microsoft Asia Pacific gabery@microsoft.com

  2. Agenda Challenges Universal Data Issues The Importance of XML Application Architecture and SOA Typical Integration Healthcare Integration Best Practices Summary : Q&A

  3. Finding The Right Data

  4. How clinicians spend time Student Study: Washington Medical Center – Study tracking Doctor and Nurses Time

  5. Universal Data Issues • Lots and lots of data scattered around • Very diverse data types • Legacy systems everywhere • No standards • Too many standards • Traditional business practices work against integration & sharing

  6. Universal Data Problems • Completeness problem • Hard to know whether you have all the known data • Correctness problem • Hard to resolve conflicting or incorrect data • Access problem • Hard to get at data even when you know some information exists in a particular place • Organization problem • Hard to put it all together • Time problems • Time resources, delays, response speed

  7. “XML as a common way of describing data is important to deliver true interoperability”

  8. Why Does Microsoft Care About XML • Work started in 1997 • Microsoft bet the company on this with .NET in 2000 • Had a major impact on all software systems: OS, database, Office, services • Industry-wide adoption • Competition on implementation

  9. Simple adaptors allow connection to any power outlet in Europe

  10. Industry standards for interoperability • Software that talks to other software over the network • Based on Internet standards • Works with any operating system • Loosely coupled programming • Preserve and connect existing systems • Integrate inside and outside the firewall • Broad industry support So why is this important?

  11. The Power Of Reuse Highest Software Reuse Higher Low Low

  12. Application Silo “Architecture” Application A Application B Application C API A API B API C Client A Client B Client C

  13. Services Oriented Architecture Application A Application B Application C API A Common Services Layer XML Web Services API B API C Client A Client B Client C

  14. Focus Expertise Here Open Standards Progress Business Logic Middleware/ Plumbing XML Web Services Tuxedo, MQ Series, COM, CORBA, etc. Network SNA, DecNet, SPX/IPX, TCP/IP, etc. TCP/IP Raise the bar…Open Standards

  15. Orders Radiology Laboratory Billing Registration Pharmacy Other ADT ADT DFT ORM ORU DFT ADT ORM How does Healthcare Integration Work? Patients may be “registered” via a patient registration system or HIS (Hospital Information System) Orders may be created and results reported May maintain the Electronic Medical Record (EMR)

  16. Orders Radiology Pharmacy Other Billing Laboratory Registration DFT How does Healthcare Integration Work? HL7 was created to help standardize the messaging communication between healthcare applications ADT ORM ORU ADT

  17. Lab Data Patient Data Billing Membership Claims Financial System Capitation Human Resources Utilization Billing Data Warehousing Membership Source: Deloitte & Touche Consulting Group The Reality of Integration

  18. Orders Laboratory CPR Billing Registration Pharmacy Radiology Other BizTalk Server Delivering XML and HL7 Integration ADT ADT ORM ? ORU ORU ORU DFT

  19. Best Practices XML/HL7 in Action • New Zealand Health Connection Engine (HCE) • Brings together primary care, pharmacy, lab and tertiary care integration regardless of existing systems by using XML, Web Services and HL7 • Singapore EMRX (Electronic Medical Record Exchange) • Integrates tertiary care patient record with lab results and more to create a single patient record that can be shared amongst hospitals • Korea Yonsei University Medical Centre • integrating and interconnecting, OCS, EMR, PACS (Picture Archiving and CommunicationsSystems) and ERP (Enterprise Resources Planning) systems • Taking this further through the creation of an HER and extending building the base for CDSS (Clinical Decision Support Systems)

  20. Thinking About the Opportunities Ahead Integrated and Interoperable View of Health

  21. Q&A

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