List of Interoperability Initiatives

1. List of Interoperability Initiatives

2. 1. Multi-platform service delivery This work area is focussed around how best to solve the problem of delivering dallas applications and content from disparate delivery platforms to the range of client devices used by consumers, from TV and cable network operators (Sky, Virgin, Freesat, BT Vision, YouView STBs, Freeview & Freeview HD TVs, various brands of Connected TV, …) to computers (Windows, Mac, Linux) to smartphones and tablets (iOS, Android, Blackberry, Windows Phone, …). Recommendation Value for dallas • Maximum reach of audience • Efficient and effective delivery of applications and content from multiple delivery platforms to multiple form factors • Allowing applications / content to make best use of the capabilities of the client devices and conform to the user interface norms of those devices • Scenarios • Users can access services across device types • Users can access services across TV service providers • Users can tie together and personalize a collection of services into a seamless whole. • Challenges • User may prefer not to sign up for yet another account • Ability to influence the interoperability and standards of existing platforms • Translation to address proprietary standards Typical Experience Issues • Make it easy for users to participate • Make it feel like a single experience across devices and channels • Broad appeal to application vendors and content providers to plug-in and provide services • Multiplicity of apps, using same data platform Value to Communities - Examples

3. 2. Streaming multimedia Recommendation This work area is focussed around the use of streamed multimedia content within applications. This could be simultaneous two-way multimedia streaming, as used for a video call, or it could be one-way on-demand or broadcast multimedia used for education / coaching. Different qualities of service and levels of security could be required for different applications. For example, a consumer-grade video calling service might be adequate for informal care networks, but a high-fidelity, higher-security service might be required if a consultation with a health professional is needed. A single common set of interoperable streaming media standards that can be used across multiple platforms, and with appropriate levels of security. Alternatively, the conclusion may be reached that, from a practical perspective, a small number of different solutions should be recognised as meeting certain needs. Value for dallas • Scenarios • Users can video connect with members of their care network, including health professionals • Easy for users to request a video conference call with members of a care network • GPs and clinicians can schedule and participate in one-to-one and group video calls • Challenges • Federation of communication systems across agencies and sectors • Cultural reluctance from statutory agencies Typical Experience Issues • Drive service transformation across consumer and statutory sectors • Encourage application vendors to include streaming multimedia • Improve quality of interaction across care networks Value to Communities - Examples

4. 3. Use of existing consumer devices With the intent of deploying consumer oriented health and well-being services, and the financial constraints on statutory service provision, it is important that dallas applications and and services are accessible from existing consumer devices (TVs, computers, smart phones, tablets, …). Recommendation Minimize barrier to entry for app/device vendors Maximise ability of citizens to make a start Capability to run health and well-being related applications on devices that are inherently open. Value for dallas • Scenarios • Users can access services using their current devices, e.g. download app to existing phone • Users can access services from their current TV /network provider • Users can purchase self-care and tele-care devices online and on the high street that work with existing PCs, TVs etc • Challenges • Vendor imposed content standards • Vendor controlled app stores • Applicability of Medical Devices Directive Typical Experience Issues • Connecting with target users • Making it easy for users to participate • Acceptance of consumer devices • Regulatory compliance where appropriate • Encourage innovation for apps on devices with connection to backend services Value to Communities - Examples

5. 4. Shared calendar and messaging This project will address how shared services such as calendars and messaging could be provided and consumed by multiple services. A key part of care planning is scheduling what will happen, who will do it, and collaborating over messaging to ensure successful outcomes. The calendar and messaging functions need to be accessible by the members of a care network and the supporting applications. Recommendation • Re-use of calendar and messaging capabilities by services and communities • Improved access to information on care plans • Common approach for reminders, alerts and messages Value for dallas • Scenarios • Patients can manage and share their calendar • Carers can monitor and manage care plans • Carers can drive care plans on behalf of less abled users and patients • Patients and carers receive reminders, notifications and alerts • Challenges • Multiplicity of control of calendars Typical Experience Issues • Patient centric care plans • Helping people to form community and ways of looking after oneself and others • Encouraging independence and wellbeing • Facilitate social interaction for hobbies, games and interests Value to Communities - Examples

6. 5. Multi-sourcing of telecare and telehealth equipment This work area is focussed around the development of a suitable interoperability framework that would open-up the market for telehealth and telecare equipment. Recommendation • Greater competition, driving innovation and reducing cost of ownership. • Plug and play of devices • Overcome lock-in and limited interoperability of today’s services Value for dallas • Scenarios • Commissioning bodies can switch device provider or backend service provider without impact on end users and referring users (GPs) • New device provider can innovate and enter market • End users can plug and play from different device providers • Challenges • Breaking down silos of backend services • Use of PHR as repository for all device data Typical Experience Issues • Encouraging adoption of t/c and t/h services • Encourage use of more consumer devices • More meaningful connection of users and their data with care networks • PHR as repository for device data • Call centre integration to improve provisioning, support and administration of services Value to Communities - Examples

7. 6. Telehealth integration with GP systems One of the perceived obstacles to the widespread deployment of telehealthsystems is the lack of integration between the telehealth system and the clinical information system used by GPs (and hospital consultants). This work area is focussed around removing or minimising any such obstacle, be it real or perceived. Recommendation Improve the adoption of telehealth services across target audiences Improve the clinical value of telehealth services Value for dallas Typical Experience Issues • Scenarios • GPs can request a telehealth service for a patient as easily as a blood test or other procedure • GPs can review the outputs from T/H services as easily as blood test results from a lab • Patients have the option to receive output from T/H services in their PHR • Patients have control of data feeds into their PHR, and who can see this data • Challenges • GPs may want to manage the configuration of alert and early warning services associated with T/H services to best suit the needs of the GP or practice • The need for patients to consent for T/H services to feed data into PHRs • Sharing of readings with trusted individuals such as GPs and clinicians • Assist with the transformation of services for people with LTCs • Help promotion of healthier lifestyles • Open up existing telehealth providers to interoperate with PHRs Value to Communities - Examples

8. 7. Identity and consent This work area is focussed on enabling citizens to use digital identities so that they can create care networks consisting of friends, family and professionals. It will also address the related issue of a common model for citizens to determine who they trust and a common model for consent so citizens control the permissions used by care network members to access services and various data sets. Recommendation • Re-use of consumer identities to reduce barriers to engagement with services • Exploiting different sources of identity attributes • Alignment with cultural norms on forming social networks and giving consent • Improving trust and confidence via user centric approach to security and privacy Value for dallas • Scenarios • An individual can create a care network from friends, family and professionals using existing digital identities • An primary carer can easily grant/revoke permission for an app or member of a care network to access services such as a care plan, PHR etc • People feel in control of the info about themselves • Challenges • Establishing trust frameworks across communities regarding what entities are trusted to provide what attributes about an identity Typical Experience Issues • Use of existing identity services to ease adoption • Consistent privacy and consent models • Putting control in the hands of individuals • Alignment with Cabinet Office Identity Assurance program • Federated governance model, e.g. Cloud4Health Value to Communities - Examples

9. 8.PHR interoperability with statutory systems With increased emphasis being placed on self-management of health and well-being, it is important that a patient can import data from his/her statutory health record into his/her personal health record, and also for him/her to be able to share this data with health professionals if he/she so desires. This work area will focus on addressing the barriers to this interfacing between PHRs and statutory systems. Recommendation Improved visibility and completeness of personal health records Improved collaboration across care networks, by informal carers and professionals Better access to health information Value for dallas • Scenarios • Patient and/or their carers can elect to link their PHR to statutory systems • Care networks receive alerts and notifications based on data from statutory systems • Easier hand-off of patient to care network upon discharge • Challenges • Connectivity to statutory infrastructure • Scale-out of interface implementations by incumbents • Changing cultural norms and behaviours Typical Experience Issues • Themes • Telemonitoring services can share readings with trusted individuals and professionals • Opening up channels for informal care networks • Facilitation of service re-design, and step-up and step-down across T/H, T/C and self-care • Interoperation with multiple PHRs • Alignment with dallas wide consent model • Statutory sector can trust data feeds from PHRs Value to Communities - Examples

10. 9. Data security and information governance This work area is focussed on the data security and information governance issues that are necessary and/or appropriate given the increased use of electronic health records, both within the statutory sector and the consumer space. Recommendation • Easy for suppliers to adopt security standards to drive scale-out • Policies that enable communities to make information available to dallas services • Standards for protection of information • Governance framework for business executives to follow Value for dallas • Scenarios • Individuals have consistent experience of consent and protection models as they cross between services and communities • Individuals gain confidence and trust in services • Security managers can codify access rules from policies • Buyers can comply with dallas policies • Challenges • Tooling for security managers • Adoption of common models and standards across communities Typical Experience Issues • Compliance with data protection/NHS regulations • Visible governance model • Inclusion of expert groups • Common models for data security Value to Communities - Examples