Consolidating clinical content in truly vendor-neutral platform

Transcription

1 Consolidating clinical content in truly vendor-neutral platform Dominic Kirkman International Solution Manager Healthcare

2 Agenda What does it mean to consolidate content? Why consolidate content? Key concepts of a truly Vendor Neutral Platform. The meta-data challenge 2015 Lexmark International, Inc. All rights reserved. 2

3 What does it mean to consolidate content? Capture Capture and normalise using standards and translations DICOM, HL7, Cross Enterprise Document sharing (XDS) Store Be vendor neutral for storage as well as content-producing systems Use your enterprise storage, not silos Manage Secure Access Control information lifecycle management Maintain audit Management Reporting Access Make data available for clinical decisions Be a single point of access for applications to get data Enrich patient record with images, documents, multimedia

4 All Healthcare Content HEALTH PROCESSES Clinical Content Medical Records Backfile Diagnostic Imaging Physicals Exams Legal / Compliance Image/Content Exchange Medical boards Service Treatment Record Credentialing HR-Personnel Record Referrals Management Security Clearances Surgical Video Capture Promotion Boards Awards HIM Financial Management Scheduling PFS SCM/Logistics Admissions & Registration Contract Management

5 What's driving the need to consolidate? Departmental content systems Inflexible, non-interoperable, multiple interfaces required for integration EMR Cardio Viewer Rad Viewer 1 Rad Viewer 2 Enterprise Viewer ECM Cardiology PACS Radiology PACS Specialty PACS NAS Access ILM Storage SAN 1 Access ILM Storage Access ILM Storage SAN 2 Access ILM Storage SAN 3 Storage dictated by vendor - Multiple platforms to manage and maintain

6 The big problem facing organizations today A lack of visibility keeps people from making fully informed decisions Processes Applications Content 2014 Perceptive Software, LLC. All rights reserved.

7 The big problem facing organizations today The most effective processes are fueled by the most relevant content Processes Applications Content 2014 Perceptive Software, LLC. All rights reserved.

8 Growing organizational challenges Volume of content is increasing About 1000 times more than just a decade ago Sources are expanding Perceptive File Servers Line of business applications systems File servers Desktop Custom App Lotus Web Custom applications Access points are multiplying Desktop SharePoint TRIM Access Desktops Desktop SQL Server Laptops Oracle BYOD (iphone, Android, Windows 8, etc.) BYOA Patient Access Exchange ERP / CRM 2014 Perceptive Software, LLC. All rights reserved.

9 Incomplete patient record Patient Information Do I have it all? Discrete Patient Data in your EMR Unstructured Data Scanned Forms Radiology Images CT Scans Photos EKGs Pet Scans

10 Incomplete patient record Do I have it all? Patient Information Where is it? Must leave EMR to access it ECM Radiology PACS Cardiology PACS Photo Storage Medical Devices Specialty PACS

11 Neutral, scalable platform to serve the IT enterprise Operational Systems Modalities Quality Control Enterprise Viewing Diagnostic Viewing Capture Remote Sites & HIE Any ology PACS EMR ACCESS & INTEGRATION WORKFLOW STORE/ARCHIVE SAN NAS CLOUD

12 Accessing content - the meta-data challenge!! A set of data that describes and gives information about other data. Clinical User Context Timeline Patient context? Patient Name DOB Patient ID Data context? Document Classification/Type Document Creation Date Originating Organisation/Department Patient Context 2015 Lexmark International, Inc. All rights reserved. 12

13 Capturing content the metadata challenge! Paper Scanning, Classifying, Extraction of key dates, Patient Identifiers? Unstructured Electronic Content Structured Electronic Content Standard Messaged Content Office documents, PDF, , SharePoint, Medical Photography, Endoscopy etc Databases, e-forms, DICOM HL7, DICOM, IHE XDS 13

14 Completing the patient record Discrete Patient Data in EMR Unstructured Data Access from EMR A physician cockpit ECM Radiology PACS Cardiology PACS Photo Storage Medical Devices Specialty PACS

15 Conclusions Open standards are used for content in and content out Enables Interoperability with All content sources Storage vendors = True vendor neutrality Flexibility : Copes with organisational and systems change Control : you gain control of your data, where it routes to, where it s stored, migrating it out Access : Makes patient data available for clinical use to deliver better patient outcomes Capture Store Manage Access