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Tiani Spirit

Tiani Spirit. Mike Morris. Realising and managing the single patient record. But i ts only when you see the WHOLE PICTURE that you can fully understand what’s going on. Seen from another point of view it gives quite a different impression.

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Tiani Spirit

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  1. Tiani Spirit Mike Morris Realising and managing the single patient record

  2. But its only when you see the WHOLE PICTURE that you can fully understand what’s going on Seen from another point of view it gives quite a different impression An event, seen from one point of view gives one impression

  3. The Problem Decisions made in the absence of all available information may result in: • Poor outcomes for patients • Costly and unnecessary interventions • Litigation The better the information, the better the chance of accurate decisions

  4. Patient • Carer Sharing the information • Primary Care • Acute Trust departments • Pharmaceutical • Mental Health • Social Care • Private Sector • Third Sector • Other agencies (e.g.: police)

  5. The Issue Sharing patient/citizen information between stakeholders: • Need to know: role based access • Data Protection / Information Governance • Secure connection (PSN/N3) • Hosting location • Access: authentication & presentation • Management • Data Structure

  6. Tiani-Spirit Overcoming the issue

  7. PUBLISHER SUBSCRIBER One Integration engineper interconnection INTEGRATIONENGINE TraditionalApproach One Information Governanceagreement per use case per link The integration engine enables one system to publish information to another system that subscribes to all published information

  8. PUBLISHER SUBSCRIBER One Integration engineper interconnection INTEGRATIONENGINE TraditionalApproach One Information Governanceagreement per use case per link As the number of connections grows so does complexity. N systems = 5+4+3+2 = 17 links per use case

  9. Tiani-Spirit Creates a “lens” through which published elements of a patient record can be seen Presents the consolidated view to the consumer TianiApproach

  10. PUBLISHER CONSUMER TianiApproach HEALTHCARE INFORMATIONEXCHANGE The publisher is willing to publish some of his patient record to specific consumers according to agreed information governance rules

  11. PUBLISHER CONSUMER TianiApproach The Tiani HIE temporarily holds the information pertinent to the patient inquestion within the exchange

  12. PUBLISHER CONSUMER PUBLISHER TianiApproach When more than one publisher publishes information to theexchange, a consolidated single patient record view becomes established

  13. PUBLISHER CONSUMER PUBLISHER TianiApproach The consumer then views the consolidated record in the manner required and subject to role and information governance

  14. PUBLISHER CONSUMER PUBLISHER TianiApproach With Tiani there is only one Information Governance per link to the exchange and only one link per system (N systems = N links)

  15. Scalablesystem Multiple systems can connect into a single exchangeknown as an Affinity Domain

  16. Super Exchange Scalablesystem To ensure operating efficiency, additional systems use a second or subsequentAffinity Domain, connected by a Super Exchange

  17. Super Exchange Affinity Domain Scalablesystem This is continually scalable

  18. Delivered by CGI • Financial Stability • Very Large Resource Pool • Health and Government references Delivery

  19. Clinician sees the latest information • Unauthorised users know that further information exists • Operates throughout the care pathway • Workflow Integration • Open Interface Summary

  20. Local information control is maintained, no duplication or new repository • Information governance is preserved and simplified • Patient consent is enforced • Building block approach Summary

  21. The Benefits • Phased approach to aid adoption • Drives culture change towards interworking • Enhances decision making by all professionals • Limited learning curve • Improves Efficiency

  22. European Project for Smart Open Services www.epsos.eu Reference

  23. European Project for Smart Open Services Enabling European Cross Border Healthcare 25 member states 45 beneficiaries 31 industry partners €36.5 million funding 1st July 2008 – 31st July 2014 epSOS

  24. Tiani Spirit For more information: www.tiani-spirit.co.uk www.tiani-spirit.com mike.morris@tiani-spirit.com daniel.thomas@tiani-spirit.com Realising the single patient record

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