Care without boundaries · • Customer’s server systems locked in closets • Static digital...
Transcript of Care without boundaries · • Customer’s server systems locked in closets • Static digital...
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© 2020 Perspecta
Care without boundaries
Bo Dagnall
CTO, Perspecta
Shane McNamee MD
CMIO, Perspecta
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Problem
health care is obstructed by a litany of IT
boundaries. The legacy health IT ecosystems, poor
integration and proprietary data models are a
significant contributor to the problem.
Solution
Standards driven, open IT approach to build a public
health utility to rationalize our health IT ecosystem.
Overview
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Why it’s important
• The costs of health care (financial and human suffering) are increasingly untenable
• A health care market is actively emerging around standards driven health care automation. Don’t miss it
• Join a #hit2.0 open standards community:
• BPM+ health
• Logica health
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Patient journey: Our expectations
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PCP clinic
Specialist
Home care
Urgent care
Care manager
Hospital
Specialist
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Challenges
• Customer’s server systems locked in closets
• Static digital ink: fragmented, poorly standardized
health care data across the patients journey
• Poor integration between legacy health IT tech
• Population health analytics driven primarily by
months old claims data
Effect
• health care delivery is a slow, inefficient, gap filled
and incredibly expensive endeavor
• It is a profoundly unsatisfying experience for all
users; patients, health care providers, caregivers
and public health workers
• It is obstructed by a litany of IT boundaries
Care with boundaries
Health IT 1.0
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Patient journey: The reality
PCP clinic
Specialist
Home care
Urgent care
Care manager
Hospital
Specialist
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Attributes of next generation health IT
• Democratization of health care data and knowledge
• Aligned to industry standards: API-based, cloud hosted
and secure
• Plug: Play SaaS marketplaces on standards driven
platforms
• Event driven automation of accepted clinical practice
guidelines
• Population health analytics driven by just-in-time
electronic health record (eHR) data
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Health IT 2.0
Care without boundaries
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The next great disruption in health
care is happening now
Your health data
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The conceptual solution: A system of insight
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Systems of recordSystems of
engagement
Data ingestion and
standardization
Knowledge
evaluation
Business process
automation
Secure data and
knowledge syndication
Systems of insight
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Digital health platform – reference architecture
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BPM+ for health
models
Systems of
engagement
Data ingestion and
standardizationKnowledge evaluation
Data retrieval Orchestration Provenance
Persistence AuditingError
management
Query
management
Secure APIs
Executable
knowledge
services
Business process
automation
Secure data and
knowledge syndication
Systems of
record
Surveillance
Knowledge
Workflow
Automation
Container platform
Core platform
Services ecosystem
Terminology
services
Unstructured
data/NLP
services
Data
validation
services
Record
linking
services
Privacy and
consent
services
Access and
control
services
Transformation
services
Identity
management
services
Data labeling
and metadata
services
Deduplication
services
Cloud
providers
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HealthConcourse demo environment
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Services ecosystem
Transformation
services
Terminology
services
Identity
management
services
Unstructured
data/NLP
services
Data
validation
services
Data labeling
and metadata
services
Deduplication
services
Record linking
services
Privacy and
consent services
Access and
control services
SmileCDR cTakesHL7 FHIR
validator
Wolters
Kluwer
HLI
UMLS
IMO precision
summary
Perspecta
consentOAuth
Wolters
Kluwer
HLI
HealthShare
Medal
knowledge
services
Motive
knowledge
services
DCG
quality
metrics
Microsoft
ML models
Trisotech
BPM+
modeler
CKD
BPM+
model
Diabetes
BPM+
model
Patient
ciewer
PRA
Clinical6
Data ingestion and
standardizationKnowledge evaluation
Business process
automation
Amida
deduplication
service
Error management
NiFi and Kafka Auditing
Provenance
Orchestration
Provenance Persistence
Query managementSmileCDR
FHIR
server Knowledge
SurveillancePerspecta
knowledge
manager
Red Hat
PAMAutomation
Workflow Red Hat
3Scale Secure APIs
Core platform
MDIX
model
prep
VistA
VistA
Allscripts
Logica Sandbox
Cerner Millennium
SmileCDR
MDMI
Secure data and
knowledge syndication
CareNexus
MSFT ML
dashboard
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Demo
Perspecta Proprietary Information 11
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HealthConcourse solutions
• Optimize current data
• Cloud migration
• FHIR modernization
• Automate into workflows
using BPM+ Health
• Near real time quality
monitoring
• Own your IP
Legacy EHR
modernization
Best practice
guidelines
• Near real-time risk
identification
• Diseases outbreak
• Drug and vaccine
adverse events
Sentinel
• Automate data collection
• Augment existing registries
• Bi-directional APIs
• Smart on FHIR
Registry 2.0
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HealthConcourse partner coalition
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HealthShare
VistA
VistA
Allscripts
Logica Sandbox
Cerner Millennium
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Perspecta Proprietary Information 14
Care without boundaries
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Did we show you:
• Aggregation, standardization and optimization of patient data to drive process interoperability,
computations, automation and analytics
• Invocation of best in breed third-party knowledge services, such as clinical decision support
rules, expressed through a CDS-Hooks interface
• Orchestration and automation of the VA and DoDs clinical practice guidelines (CPG) using enriched
FHIR endpoints and the BPM+ Health standard
• How these technologies and standards are applied within a holistic digital health platform with the
VA/DoD CPG for CKD use case
• Provide reusable business process models and executable knowledge artifacts in a standards based,
SOA middleware
• Automate menial human tasks clogging in health care workflows
• Operate with population health science and along each patient’s journey
Questions at the end
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Thank you