The Open Health Information Exchange (OpenHIE) Community:

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Henry McCormick
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1 The Open Health Information Exchange (OpenHIE) Community: A broad, multi-stakeholder community supporting interoperable health information structures Dykki Settle SEAR regional high level meeting on e/mhealth Strategic Area 3: Collaboration & Cooperation 19 November, 2013

2 What We ll Cover Early Beginnings Proof of Concept in Rwanda Architectural Framework OpenHIE Community Process Getting started

3 Rwanda Health Enterprise Architecture Project (RHEA) Goal: To create a country wide Health Information Architecture Support: International Development Research Centre (IDRC) (Ottawa, Canada) Rockefeller Foundation (New York, USA)

4 Health Informatics Public Private Partnership (HI-PPP) Mission: To scale up and advance country ownership of health information systems using an enterprise architecture methodology. Funding: U.S. President s Emergency Plan for AIDS Relief (PEPFAR) HI-PPP & RHEA project partnered up to support and deliver a health information exchange in Rwanda.

5 Why?

10 Shared Record Clinical Record System Rapid SMS Hospital Record System Coordinated service delivery Two-way information flow Continuity of person-centred care Local Clinic CHW in the Village Community Hospital

12 SDMX-HD: Interoperability ihris, DHIS & OpenMRS SDMX-HD: Metadata order from DHIS to OpenMRS, e.g.: centre X for month of May DHIS : Data warehouse Statistical data SDMX-HD: Metadata order from DHIS to ihris, e.g.: centre X for month of May OpenMRS : Medical records DHIS is calculating the indicator: Deliveries per midwife Integration ihris: Human Resource records

14 Client Registry An enterprise master patient index (EMPI), or Client Registry manages the unique identity of citizens receiving health services with the country For whom

15 Provider Registry A Provider Registry is the central authority for maintaining the unique identities of health providers within the country By whom

16 Facility Registry A Health Facility Registry serves as a central authority to uniquely identify all places where health services are administered within the country Where?

17 Terminology Service A Terminology Service serves as a central authority to uniquely identify the clinical activities that occur within the care delivery process by maintaining a terminology set mapped to international standards such as ICD10, LOINC, SNOMED, and others What?

18 Shared Health Record A Shared Health Record (SHR) is a repository containing the normalized version of content created within the community, after being validated against each of the previous registries. It is a collection of personcentric records for patients with information in the exchange.

19 Health Interoperability Layer Health Interoperability Layer A Health Interoperability Layer receives all communications from point of service applications and orchestrates message processing between the point of service application and the hosted infrastructure elements.

20 Rwanda October 2012 (Pilot)

22 Country Leadership & ehealth Capacities ehealth Literacy for Health Workers Health Information Technologists ICT Infrastructure ehealth Strategy and Policy Framework ehealth Stakeholder Leadership Global, Regional & National ehealth Partnering

23 Our mission is to improve the health of the underserved through the open, collaborative development and support of country driven, large scale health information sharing architectures.

24 Areas of focus to support real world use cases: Community Development (incl. Capacity Development) Reference Technologies Interoperability Specifications Acceptance of International Health Information Standards Community of Communities Client Registry, Facility Registry, Provider Registry, Terminology Service, Shared Health Record, Interoperability Layer

25 Community of Communities Client Registry Facility Registry Provider Registry Terminology Service Shared Health Record Interoperability Layer

27 Practical next steps GETTING STARTED

28 SDMX-HD: Interoperability ihris, DHIS & OpenMRS SDMX-HD: Metadata order from DHIS to OpenMRS, e.g.: centre X for month of May DHIS : Data warehouse Statistical data SDMX-HD: Metadata order from DHIS to ihris, e.g.: centre X for month of May OpenMRS : Medical records DHIS is calculating the indicator: Deliveries per midwife Integration ihris: Human Resource records

29 1. Develop an interoperability policy and strategy building on existing systems (e.g. DHIS2, ihris, etc.) 2. Contact OpenHIE for more information and support 3. Identify priority components Consider starting with one or two registries (e.g. facility and provider registries) plus the interoperability layer. Identify a champion for each OpenHIE priority component Have champions join the OpenHIE global communities 4. Hold a stakeholder workshop for priority technologies Build consensus Develop data specifications and requirements Identify source and consumer systems 5. Identify one or more local implementation teams to support champions 6. Together, develop an implementation roadmap

30 Questions?

The Impact of Interoperability / HIE to a Health System s Strategic Roadmap: Lessons from the OpenHIE Project

The Impact of Interoperability / HIE to a Health System s Strategic Roadmap: Lessons from the OpenHIE Project Shaun Grannis, MD, MS, FAAFP FACMI Biomedical Informatics Scientist Regenstrief Institute /