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Breaking down barriersInteroperability in primary care
Mike SmithInteroperability Lead for Primary CareNHS England30th June 2016
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Interoperability• Interoperability is the ability for one or more systems to communicate
in a manner that is seamless to users to achieve a task or goal
• Interoperability is an element of coalition willingness to work together over the long term to achieve and maintain shared interests against common threats
• Interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged.
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A Historical perspectiveNATO was established by the U.S. and Western Europe in 1949 after World War II
This new organisation was presented with the challenge to make different participating nations’ forces, units and systems operate together as one military unit.
NATO identified three elements for successful interoperability:
• Unity of purpose• Unity of effort• Unity of command
In other words, it needs to be clear to everyone what they are there to do, how they are going to do it, who is in charge
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Interoperability BarriersBarriers Potential SolutionsThinking and acting in Silos Patient storyboards to get everyone on
the same page/ LDRsCosts of delivering interfaces Community shared effort
Lack of Standards C4H, PRSB
Governance and Trust Tools for data controllers & Patient
Supplier engagement Build Foundation APIs which can be used for multiple uses
Inflexible Technology Reusable components, vendor neutral
Lack of Knowledge Demonstrators, Ecosystem
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Opportunities from being interoperable• Products work across health economies• Measurable efficiencies from providing interfaces• Differentiate products by adhering to standards• Putting patients in control builds trust in sharing and your product• Strengthening supplier relationships• Providing Technical solutions
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Interoperability CapabilitiesO
pen
inte
rfac
es
AppointmentsManage appointments in order to co-
ordinate access to care
Tasks Manage tasks in order to work effectively
across care settings
Access RecordAccess a patient’s care record for the
purpose of direct care
Tran
sfer
s of
Car
e
eDischargeDischarges from inpatient care back to
the general practitioner
A&E eDischargeInformation sent to the general
practitioner from an A&E attendance
Emerging needs
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An Example:
System One & Self-referral integration
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Self referral to Physiotherapy: Now
Patient makes web based self
referral
Self referral electronically
triaged
Patient receives email
advice/exercises
PDF created, saved and manually
attached to System one
Referral picked up by admin team
Patient called by admin team to
book System One Appointment
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Self referral to Physiotherapy: Proposal
Patient makes web based self referral
Self referral electronically triaged
Patient self referral details imported to
System One
Patient receives email
advice/exercises & link to System One to
book their appointment
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Benefits of Self referral• Patient in control of booking• Allows patient to continue electronic journey • Reduces administration time required significantly• Reduces human error in IT booking / registering
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Fundamentally, technology integration with S1 would deliver the required patient journey benefits and in fact the scale becomes unwieldy without an overall Health Digital approach.
Dr Phillip Dale, Clinical Director Allied Health Professionals Surrey
12
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Neutral Platforms will drive success• Interoperability relies on being:
• Open• Collaborative• Reusable• Extensible• Standards driven
• The interoperability platforms that will be successful will exhibit these principles
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GP Connect - “A” Neutral Platform Example
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Code4Health Interoperability CommunityCreating a common and open set of APIs to support information sharing across health and care
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Exploring new opportunitiesAn Ecosystem being developed by HSCIC will help suppliers explore, develop and assure interoperability opportunities more rapidly.
The first three APIs are:
Access Record Appointments Tasks
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Reasons to be cheerful• We are listening
• Applying the TechUK Interoperability Charter• Building Open APIs• Developing an Ecosystem to accelerate progress
• Supports Interoperability Communities• C4H, Aperta, Synapta, OpenHealthHub
• Building national supporting services• Patient record locator• Security proxy
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Any questions?
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Get in Touch
#DigitalPrimaryCare#FutureNHS
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