Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching...
-
Upload
mfolkard -
Category
Healthcare
-
view
253 -
download
0
Transcript of Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching...
![Page 1: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/1.jpg)
Connecting Leeds Flickr.com/photos/62766743@n07
![Page 2: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/2.jpg)
Dr. Tony Shannon
M.B. B.Ch. B.A.O. Ireland
Fellow of College of Emergency Medicine England
Fellowship in Informatics USA
MSc in IT Management England
NHS Connecting for Health England
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Chief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care
Director, Frectal Ltd
www.frectal.com
![Page 3: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/3.jpg)
Key points
• Healthcare Change : Connect All
– People + Process + Information Technology
– Key role of Open Source
– Need for Open Standards
• Local/National/International
– Early Days
– Age of Enlightenment
– Leaders will emerge
![Page 4: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/4.jpg)
![Page 5: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/5.jpg)
![Page 6: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/6.jpg)
Healthcare = Complex
![Page 7: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/7.jpg)
Healthcare Challenge: People + Process + Technology
Thinking in silos Process versus IT Closed solutions
An International Challenge
![Page 8: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/8.jpg)
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
State of the Market: A/ B /C
![Page 9: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/9.jpg)
Healthcare Change: State of the Ecosystem Standards: Vendors: Innovators: Disconnect
International Standards
Local Innovators
eHealth Bodies
& Vendors
![Page 10: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/10.jpg)
21st C NHS – Open Platform required
![Page 11: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/11.jpg)
Assessment
Deliver Care Plan Care
21St Century Healthcare: OS Platform Required
![Page 12: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/12.jpg)
200+
CUI Clinical Portal
TIE
A B C
1
2
3
4
5
PAS
Orders Results
Clinical Docs
Summary Care Record
Leeds TH: Starting Point & Options
![Page 13: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/13.jpg)
![Page 14: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/14.jpg)
LeedsTH EPR
![Page 15: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/15.jpg)
Leeds EPR- HomePage
![Page 16: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/16.jpg)
Leeds EPR - Results
![Page 17: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/17.jpg)
Leeds EPR- Letters
![Page 18: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/18.jpg)
Leeds EPR - (inc. Order Comms)
![Page 19: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/19.jpg)
Leeds EPR- MPV
![Page 20: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/20.jpg)
Leeds EPR- MPV
![Page 21: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/21.jpg)
Leeds EPR- MPV
![Page 22: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/22.jpg)
Leeds EPR- Reporting View
![Page 23: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/23.jpg)
Leeds EPR Development
• Clinically Led
• User Centred
• Agile Development
– 2 weekly Sprints
• Joint NHS & Commercial SME Team
– Service Based Model
![Page 24: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/24.jpg)
• Patient/Citizen centred record
• Information at the point of care
• To Support IH&SC teams
• Improve Outcomes and Services
• Built on Open Standards
![Page 25: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/25.jpg)
Common Ground
LCR
Primary Care Secondary
Care
Social Care Community Care
Mental Health
Dataset: Locally Agreed ISA: First of type in UK
![Page 26: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/26.jpg)
200+
LTH Clinical Portal
Integ Engine
A B C
1
2
3
4
5
Orders Results
ePrescribing
Summary Care Record
Leeds Care Record- Approach
Leeds Care Record
![Page 27: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/27.jpg)
Leeds Care Record Viewer
![Page 28: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/28.jpg)
TPP
LCR – for Direct Care EMIS
First of type in UK
![Page 29: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/29.jpg)
Archetypes (Bricks)
Templates (Toys)
Interoperability Standard: Record Architecture
Generic
Specific
![Page 30: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/30.jpg)
openEHR Archetype
• Clinically oriented • Reusable list of
clinical statements
• Maximal dataset • Can be coded with
terminologies e.g. Pulse, BP Leeds Care Record dataset End of Life Key contacts etc • Computable
![Page 31: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/31.jpg)
Leeds Innovation Lab
• Leeds Lab
– People + Process + Technology
– Across Health & Social Care
– Live2Lab and Lab2Live
• OpenEHR Standards Based Platform
• Open NHS APIs
![Page 32: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/32.jpg)
Further challenges
• System maturity – Politics & Requirements
• Business change – Organisational readiness
• Technology maturity – Host system ability to share data
– Maturity of Health IT market
![Page 33: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/33.jpg)
![Page 34: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/34.jpg)
Towards an ehealth ecosystem….
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
![Page 35: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/35.jpg)
![Page 36: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/36.jpg)
A Transatlantic VistA of Open Source
![Page 37: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/37.jpg)
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
Current State of the Market
![Page 38: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/38.jpg)
Healthcare Platform Services Consortium
• Short Version:
– Create an “App Store” for healthcare
• Long Version:
– Enable the acceleration
– Open, Standards based,
– Services oriented architecture platform
– new market for interoperable healthcare applications.
• Why?
– Improve the quality and decrease cost of health care.
![Page 39: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/39.jpg)
![Page 40: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/40.jpg)
Veterans Administration, US
![Page 41: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/41.jpg)
NHS & VA 2013
![Page 42: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/42.jpg)
UK & US OS EHR Camps
![Page 43: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/43.jpg)
![Page 44: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/44.jpg)
Assessment
Deliver Care Plan Care
21St Century Healthcare: OS Platform Required
![Page 45: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/45.jpg)
Challenge # 1: Integration
![Page 46: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/46.jpg)
Challenge #2: Code & Community
![Page 47: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/47.jpg)
Challenge #3: UI & Usability
![Page 48: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/48.jpg)
Opportunity #1: UI
• NHS CUI
• RCP Headings
![Page 49: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/49.jpg)
Opportunity # 2: Service Layer
• Web Services
– MDWS
– VSA
– SMART
– VistA Evolution
• openNHS APIs
• Hackable Platform
![Page 50: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/50.jpg)
Opportunity #3: Persistence
• M(umps)
• M(odels)
• A(rchetype)
![Page 51: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/51.jpg)
Opportunities in Common Ground
• User Interface
– JS Frameworks
• Middle Tier
– Web Services
• Database & Persistence
robtweed.wordpress.com
![Page 52: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/52.jpg)
10 Days: 1 Clinician: 1 Developer
ClinUiP.wordpress.com
![Page 53: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/53.jpg)
20 Days: 2 Clinicians : 2 Developers
![Page 54: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/54.jpg)
Transatlantic Team
![Page 55: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/55.jpg)
Clinical Intelligence
![Page 56: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/56.jpg)
Departmental Management
![Page 57: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/57.jpg)
Patient Record
![Page 58: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/58.jpg)
Data Entry
![Page 59: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/59.jpg)
59
![Page 60: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/60.jpg)
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
Current State of the Market
![Page 61: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/61.jpg)
Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
![Page 62: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/62.jpg)
![Page 63: Connecting Leeds and a Transatlantic VistA of open source, Dr Tony Shannon, CCIO, Leeds Teaching Hospitals NHS Trust](https://reader036.fdocuments.in/reader036/viewer/2022081400/554b72bab4c905030a8b5483/html5/thumbnails/63.jpg)
Key points
• Healthcare Change : Connect All
– People + Process + Information Technology
– Key role of Open Source
– Need for Open Standards
• Local/National/International
– Early Days
– Age of Enlightenment
– Leaders will emerge