Challenges in Health Care Architectures - Better Connecting Critical Systems Lee Kinsman (soon to be) Consultant, Chamonix IT Consulting (most previously) Sales Engineer, InterSystems (but you may know me as) Software IT Architect, IBM

Agenda State of Health Care Architecture Where does Health want to be? Strategies to move Health forward How do we get Health there? What about security? Has anyone done this??

Health can be a real challenge! Why? Health is complex Health is evolving Health Care industry has grown Technology evolved Data has evolved Populations have grown Medical care has advanced User expectations have risen The business struggles to adapt and can be reactive

What does the business want? Easy, instant & appropriate access to data Secure solutions Composite applications eHealth record Streamlined processes Paperless/electronic solutions Smart device integration Centralised data Business intelligence Standards implementation & adherence

What about data? Data has evolved Data stores have grown tremendously Business requires access to data from anywhere Business Intelligence now has a huge role in Health This new powerful access to data needs to be secured

How do we get Health there? Integration Broker Leverage and integrate existing systems & datastores Composite Applications Centralised Data Data warehousing Data mining / Business Intelligence Identity Management Authorisation, Authentication & Privacy

What is an integration broker? A centralised broker handling: Communication Access Security This is achieved through using integration servers: InterSystems Ensemble IBM Websphere Message Broker Microsoft BizTalk Tibco

What are composite applications? Combination of multiple existing systems, services and/or data into a new application Good composite applications are available to multiple devices (cross platform) Web is an ideal platform for composite applications Good composite applications provide exactly what is needed

Explain data warehousing & BI? Very simply, a database used for reporting Data is often cleaned and transformed (ie cubes) and made available for Business Intelligence & Data Mining The business desires BI to be embedded into their composite applications

Real time versus traditional stored data? Often buy the time BI is run, data is out of date! Is it possible to access data realtime without impacting live data? yes it is!

Business Intelligence Tools IBM Cognos InterSystems DeepSee Microsoft SQL Server Reporting & Analytics Server Oracle Business Intelligence Suite SAP Netweaver etc... Choose real time embedded BI for use in Health composite applications

So how to we achieve all this? Be strategic, not reactive Develop a solid and appropriate Health Architecture strategy Leverage existing frameworks, strategies & standards 3 Examples for today: IBM InterSystems Microsoft

Link: IBM Health Strategy Launch

IBM Health Strategy

IBM Health Strategy

IBM Health Strategy

InterSystems Cache Ensemble DeepSee HealthShare TrackCare Link: Intersystems

InterSystems

Microsoft’s Connected Health Framework A Stable Foundation for Agile Health and Social Care Link: Connected Health Framework

Microsoft’s Connected Health Framework The Vision: “Joined Up” Technical Interoperability Identity Management Services Authentication and Authorisation Services Service Publication and Discovery e-Health Business Services Electronic Health Record Services Health Domain Services Health Registry Services Integration Services Data Services Communication Services Flexibility and Agility User Experience and Acceptance Support for Multiplicity of Platform, Location, Language, Capability and Credentials Handling Health Data Identity and Access Interoperability Securing the Solution Scalability and Performance Availability, Resilience and Disaster Recovery Realizing the Value of Common Infrastructure

Microsoft’s Connected Health Framework Reference Architecture for Health and Social Care

Microsoft’s Connected Health Framework

What are the common threads? Integration Broker Business components Loose coupling Services Leverage existing assets

What about resourcing? Health resources are stretched Use your resources wisely! Leverage existing tools, frameworks and strategies Have resources working on tasks to suit their skillset Use methodologies

What about security? People are paranoid about their personal data! Access to sensitive data needs to be restricted Access to all data needs to be secure

This is being adopted across the boards in Australian Health Nehta Nehta develops national e-health standards and infrastructure requirements for the electronic collection and secure exchange of health information This is being adopted across the boards in Australian Health Link: Nehta

Use a methodology ...appropriate to the solution Agile RUP Extreme Scrum ...etc Communicate via modelling: UML BPEL ...have a plan, follow it, document it, live it

Use architectural best practice ...Health is an enterprise, always come back to these principles Zachman TOGAF The Federated Enterprise Architecture The Gartner Methodology

A good health architecture should: Mitigate risk (for systems, staff and patients) Consider benefits to both patients and staff Consider security ethics Facilitate rapid (and appropriate) sharing of data Loosely couple systems & services Suit the organisational maturity and have a growth vision Be agile and responsive to the changing needs of the business Provide technical connectivity and interoperability

Has anyone done this? Consider Health globally for examples Right now there are many partial examples, eg: Australia is still getting there Estonia has implemented eHealth record Scotland has eHealth record Sydney IVF has implemented a patient record Lothian (UK) has connected care for patients ....etc

Connect with me on LinkedIn Questions? Connect with me on LinkedIn Lee Kinsman