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Knowledge Driven Health:Health Information Networks
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Health Information Networks—Vital for the World• The Critical Need to Access Patient Data• Enterprise Challenges• Important First Steps Around the Globe• Key Microsoft Advances• Connected Health Framework—Architecture and Design
Blueprint• The Benefits of Microsoft Health Information Networks
Solutions• Dynamic IT Optimization Models• Microsoft Connected Health Platform• Important Next Steps
A Matter of Life and Death:The Critical Need to Access Patient Data • Every day, healthcare
providers and must gather, interpret, and document massive amounts of patient data
• Sharing accurate patient data is critical to ensure expert care, reduce clinical errors, and minimize healthcare costs • Medical errors cause tens of thousands of deaths annually worldwide
• Government agencies need to be accountable for ensuring public safety
• Ongoing legislation and government programs are facilitating change
Enterprise Challenges• Many portals and applications are incompatible• Difficulty integrating information within an organization, as
well as to outside organizations• Patchwork of applications segregated in silos• Difficulty rewiring workflows based on changing
requirements and goals • Intractability of current integration technologies (such as
HL7 v2)
Health Information Networks Defined• Any health-related information exchange between
systems– Within the same organization
• Enterprise Application Integration (EAI)– Across multiple organizations
• Clinical Data Exchange (CDX)• Health Information Exchange (HIE)• Regional Health Information Organization (RHIO)• Ambitious HIN projects worldwide
• Driven by the need for increased patient safety, lower health costs and government mandates
Important First Steps Around the GlobeU.S.• Nationwide Health Information Network (NHIN)• Enjoys bipartisan political support• For more information see: www.hhs.gov/healthit/rfisummaryreport.pdf
Canada• Infoway• Invests with public sector partners across Canada to implement and reuse
compatible health information systems that support a safer, more efficient healthcare system
Singapore• Electronic Medical Record Exchange (EMRX)• Allows all public hospitals and polyclinics to share patient records online
The Netherlands• AORTA program• Creates an infrastructure that links patients, professionals and healthcare
insurers U.K.• The National Care Records Service (NCRS) seeks to link more than 45
million patient records over the next 5 yearsAnd many other countries
Key Microsoft Advances• Developing architectural guidance
– A reliable distributed system for health information exchangebased on open standards
The Microsoft Connected Health Framework–Architecture and Design Blueprint
• Developing a partner ecosystem– ISV partners make customer experience repeatable, cost-
predictable, and interoperable
– SI partners for business consulting, deployment, integration• Engaging early adopters
– ADD SAMPLE LOCAL CUSTOMERS HERE• Developing and profiling the use of standards
– Working closely with SDO to define infrastructure standards– Working with customers and partners to refine use of standards
• Developing a solid infrastructure for Health Information Networks– Prescriptive guidance for the Microsoft platform and
reference implementations The Microsoft Connected Health Platform
• Knowledge Driven Health leadership worldwide
Connected Health Framework:Architecture and Design BlueprintAn overarching framework for health industry
architecture– Service-oriented health information integration and
collaboration• Enterprise-, state-, province- and country-wide projects• Faster ROI• Based on open standards and protocols
– Developing pathways to better, more interoperable solutions• Faster ROI for customers• Easier integration across multiple healthcare treatment areas
Connected Health Framework Architecture
Platform Services and Capabilities
Collaboration, Presentation and Point of Access, Identity Management, Privacy and Security, Data, Shared Services,
System Management, Communication
User and Business Processes
Business Components
Connected Health Services Hub
Ready Partners for Health Information Networks• (Create a different partner list for each local area.)
Health Information Networks In ActionUnited States
• Large medical group (CA): Cloverleaf and Sybase replacement• Wilson Medical Center (NC): BizTalk• Martin Memorial Hospital (FL): SeeBeyond replacement
Canada
• Quebec HIAL (Healthcare Integration Access Layer): Enterprise Service Bus (+HL7)• British Columbia Interior Health Authority: BizTalk, SQL Server (CDR+BI)• British Columbia Ministry of Health: Partner with Initiate Systems for provincial EMPI, Sierra Systems for BizTalk
+ HL7 v3
ROW
• Asklepios Hospital of the Future (Germany): Microsoft/Intel partnership• Clalit Health Services (Israel): with dbMotion
The Benefits of Microsoft Health Information Networks SolutionsMicrosoft and its partners enable you to:• Improve patient care• Reduce costs• Access patient data—anywhere• Devote more time to patients• Enhance productivity• Simplify information management
Patient SafetyRelevant
Information at the point of
care
Value Measurement
TimeLet Doctors be Doctors
Cost33% of US Health
Expenditure does not benefit patients
The Microsoft Approach
ConnectedInteroperable by design
Productive Familiar tools to automate the way you work
Best EconomicsDriving down the cost of healthcare technology
DependableProven and Robust
The Microsoft Platform forHealth Information NetworksLeverage .NET Framework as the infrastructure for Health Information Networks• Service Oriented Architecture• Web Services and XML
Use BizTalk Server as the key integration technology• Accelerators for HL7 and HIPAA for standards support• Native support for XML standards and Web Services
Use SQL Server for the clinical repositoryInformation integration enables new opportunities• Clinical portals• KPI and business intelligence
Dynamic Applications
Core Infrastructure Application Platform
Business Productivity
Identity & Access
Security
Networking
Management
Virtualization
User Experience
Business Intelligence
SOA & BPM
Data Management
Development
Search
Business Intelligence
Unified Comms
Collaboration
Ent. Content Mgmt.
Dynamic Infrastructure
Dynamic Business
Dynamic IT Optimization Models
Dynamic Applications
Core Infrastructure Application Platform
Business Productivity
Dynamic Infrastructure
Dynamic Business
Integrated Platform
Service Enablers
• .NET Framework• IIS• Silverlight
• Virtual Earth• BizTalk Services (relay, authentication)
• Live ID and online services
• Exchange Hosted Services (Forefront, filtering)
• Windows Update• Windows OneCare
• Dynamics CRM Live• Live Meeting Service• Hosted Exchange, SharePoint,
Office Communication Server
“Building Block”
Services
“Attached”
Services
“Finished”Services
• Active Directory
• Stateless• Virtualization
Software And Services
The Microsoft Connected Health PlatformBased on the solid foundation of theMicrosoft platform• Includes specific prescriptive guidance
– The Connected Health Framework Architecture and Design Blueprint
• Includes reference implementations and building blocks– The Health Connection Engine– The Microsoft Health Common User Interface
• A healthy partner ecosystem
Critical Points to Ponder• Healthcare providers and government agencies
need immediate access to accurate patient data• Microsoft and its partners offer dynamic, easier
solutions for Health Information Networks• The bottom line: Microsoft is committed to help
healthcare professionals provide the very best in patient care, more easily and more efficiently
Important Next Steps The Connected Health Framework – Architecture and Design Blueprint http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx
• Get more details at http://msdn.microsoft.com/health
– Contact your local Microsoft subsidiary or visit [email protected]
– Provide feedback and discuss on http://SolShare.net
– Learn more by reading this comprehensive whitepaper: http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx
• Strategize service-oriented business and technical architectures– Leverage Microsoft’s platform for security, collaboration,
management and integration
Microsoft HealthQ&A
