1. EHR Implementations: Revolutionising Health Information Management
Denis Tebbutt
Managing Director, InterSystems ANZ

2. Software for Connected Healthcare
HealthShare – #1 health information exchange platform
Regional /
National EHR
TrakCare – Advanced Web-based healthcare information system
Institutional / Community EPR
Ensemble - #1 rated healthcare integration software
InterSystems is the only company with an end-to-end solution for “Connecting Healthcare” – institutional, communities, through to national solutions -- through our community of healthcare application providers and with our own technology
Note: this slide simply positions ISC capabilities, to enable you to engage in dialogue regarding the prospect’s organisation. Additional slides exist as required for more detailed positioning of our core technology products and credibility-building for InterSystems.
Application Level
Caché - #1 database in clinical applications worldwide

3. National & Regional Sharing of Clinical Information
Around the world healthcare delivery systems are increasingly focused on the creation of an EHR
Increases accessibility of important health information across the spectrum of care
Improves the quality of care
Reduces the costs of care through elimination of duplicate tests and prescriptions
In emergency situations can literally save lives
Facilitates the development of integrated community based care
Can outreach to health based NGO’s

4. The EHR Basics Identify the patient across facilities
Authentication of the requesting clinician/viewer
Consent Management
Security
Terminology
Messaging
Leave clinical data at the source

5. Technology Challenges
HealthShare
Clinical access through a ‘Portal’
There must be an integrated clinical application that fits all levels of a facility
A powerful, health focused, integration platform supporting HL7 and other IT based standards
A strong standards based approach
Repository and Record Locator Service
Rapid Application development and deployment with incremental and massive scalability
Clinical Viewer & Patient Portal
TrakCare
Clinical Patient Record
Ensemble
HL7/CDA/CCD/DICOM/NCPDP/RLS
EMPI/RLS
Cache

6. So What is HealthShare?
Massively scalable integrated healthcare suite for the deployment of Regional and National Electronic Health Records:
Clinical Viewer
Enterprise Master Patient Index
Clinically proven database and application
Fully integrated and clinically proven integration and development platform
Harvests the data held in all of the repositories that support the operation of a healthcare facility/state/region/country

7. The Structure of HealthShare?
The HealthShare EPR is a sophisticated browser-based Electronic Patient Record that doctors and other clinicians use to access patient data
The HealthShare Hub is a central index of patients and providers, it uniquely identifies a patient and specifies which edge Caches maintain data for that patient
The HealthShare Edge Cache Repository is a clinical database that holds all of the data that a provider is willing to share
The HealthShare Gateway is a health integration platform optimised for providing multiple provider organisations

8. Populating the Hub

9. Locating Patient Records

10. HealthShare Patient Viewer

11. Ensemble at the Heart of HealthShare
One data model
One metadata repository
One development environment
One management environment
One learning curve

12. HealthCare Deployment Examples
Long Island, Rhode Island RHIO’s, Sweden & Netherlands National Systems

13. Long Island Patient Information eXchange Mission
Mission: To create an achievable, sustainable and replicable model for integrating clinical information across multiple health care organizations in order to improve access to patient data at the point of care; improve health care quality; and reduce inappropriate utilization and cost.
Focus on support for the “transitions of care”
Emphasis on infrastructure and Proof of Concept in Phase 1
Benjamin Stein, MD
Chief Executive Officer, LIPIX
Director of CIS, North Shore LIJ Health System

14. Long Island Patient Information eXchange Scope
Clinical Data Exchange (CDE)
“Data of convenience”
Workflow integration
Need to support “pull” and “push” transactions
Meta - Master Patient Index (M-MPI)
Supports health information exchange
Provides patient identification services to individual member organizations
Future growth
Public Health module
E-imaging
e-Rx
Ambulatory EMR
PHR

15. Long Island Patient Exchange (LIPIX)
5.2 Million Residents 8,000 GP’s (Assoc with NS-LIJ Health System)  
Connecting 15 healthcare organizations on New York’s Long Island
Initial LIPIX Deployment
4 Hospitals
2 Physician Practices
Home Care Agency
Municipal Health Center
EMS Organization
Reference Laboratory
Long Term Care Facility
Public Health Department

16. Long Island Patient Information eXchange Scope

17. USA Rhode Island
Having a useful, usable and used interconnected health information system that:
A total of 1.1Million Residents 3,000 GP’s
Puts the right information into the hands of clinicians and their patients when and where it is needed
Allows for population health information to be analyzed and used for surveillance, health policy, and research
Using InterSystems HealthShare for state-wide master patient index and clinical data exchange
Connecting 14 healthcare organizations across the state (85%+ of all lab and medication data)
Governor has an “Anytime, Anywhere Healthcare” agenda

18. Sweden - National Patient Overview (NPO)
Population 9 million
21 healthcare regions
National EHR
Carelink is Government appointed group to manage the project.
InterSystems in partnership with Tieto Enator.
Contract signed March 18th

19. Netherlands (NICTIZ) National solutions for Access, Identity & Consent
National Healthcare Messaging Hub
National solutions for Access, Identity & Consent
HL7 V.3 for Health Information Exchange
Strategy of inclusion for existing suppliers and end-user solutions
Concept of “well-behaved systems” [GBZ]
Encouraging utilisation of the infrastructure

20. EHR Implementations: Revolutionising Health Information Management
Denis Tebbutt
Managing Director, InterSystems ANZ