OHI: Healthcare Interoperability at the Olympic Games...Myths and Truths • OHI seeks to create an...
Transcript of OHI: Healthcare Interoperability at the Olympic Games...Myths and Truths • OHI seeks to create an...
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OHI: Healthcare Interoperability at the Olympic Games
Session #148, March 7, 2018
Todd Cooper, Technical Management
Michael Nusbaum, Executive Lead
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Todd Cooper, BA
Michael Nusbaum, BASc, MHSA, FHIMSS
have no real or apparent conflicts of interest to report
Conflict of Interest
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Agenda• What is OHI?
• The Olympic opportunity
• What we’ve learned
• The path forward
• Questions
– for you
– for us
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Learning Objectives• Recognize the healthcare system operated as an integral part of each Olympic
Games, and how digital health can represent a microcosm of an interoperable international ecosystem.
• Analyze the opportunities to add significant interoperability components to the Olympic digital health infrastructure.
• Recognize the lessons that can be learned from the Olympic experience, and apply these to any jurisdictional implementation of digital health.
• Identify the enormous media opportunity afforded by the Olympics to promote the use of established international standards as an essential foundation of interoperability.
• Discuss how the Olympic legacy can benefit from internationally-recognized digital health standards, architecture and an implementation framework, which will be left for an Olympic host country to further develop once the Olympics are over.
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What is OHI?• A Digital Health initiative, sponsored by HIMSS, SNOMED
International, and the HIMSS SoCal Chapter
• A facilitated and managed specification and process to advance the seamless exchange and use of health information, using established international standards, to support an integrated medical services infrastructure at each Olympic Games site.
• OHI leverages multiple vendor solutions to connect pre-Games person-specific healthcare information with information generated at Games time by Olympic and host city service providers
• OHI leaves a legacy that promotes the globalization of digital health
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Our MissionAdvancing the seamless exchange and use of health information, using established international standards, to support an integrated medical services infrastructure at each Olympic Games site.
The OHI network connects pre-Games person-specific healthcare information with information generated at Games time by Olympic and Host City service providers
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The Olympic Opportunity• Every two years, people from around the world converge
on a community to compete in Olympic Games
• Celebration of athletic excellence and inspiring the world to strive to excel in every endeavor
• Promotion of innovative and best practice
• The IOC requires the provision of a “medical services” infrastructure to support:
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From Silos to Ecosystem
NOCs and their
own athletes
health records
Accredited
laboratories
Pharmacy
patient
records
“Polyclinics”
“Clinics”
at venues
Patient transport
Digital
imaging
OCOG EMR
Host City Tertiary
Referral Hospitals
Local EHR
Patient Identity
Manager
Digital Health
ecosystem
Interoperability
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Athlete Cardiac Event
Twenty-four-year-old Jamaican athlete Tasha Morris collapsed on the track while competing in the Women’s 100 Meter event at the London2012 Olympic Games, showing symptoms of dizziness, light-headedness, and a pounding in the chest area.
OHI Interoperability Use Cases*
Olympic Family Member GI Event
George Carson, the 56-year-old father of Canadian Olympic swimmer Brian Carson, exhibited an episode of acute abdominal pain while watching his son’s final heat in the 200 Meter Butterfly event at Rio2016
Benefits to Interoperability at the Olympic Games Faster response between onset of symptoms and treatment Fewer diagnostic tests required (elimination of redundancy),
reducing both time and costs Improved quality of treatment, based on access to more
complete clinical information Improved patient safety, especial with respect to medication
errors Closed loop of clinical information: from patient to clinician and
back to the patient
* Use Case details in slide NOTES
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Multiple “swim lanes”
OHI
Year 11
2027/2028
OHI
Year 1
2017/2018
Paris
2024
OHI
Year 2
2018/2019
Games
Time
Winter
2026
Lock-Down
Pyeongchang
2018
Tokyo
2020
Beijing
2022
Lock-DownDevelopmentStrategic Planning
2024-2yrs-4yrs-8yrs +6mos
Iterative
2022
Development
-2yrs-6yrs
Iterative
Lock-Down
2020
Iterative
Development
-4yrs
Lock-Down
-2yrs
+6mos
+6mos
+6mos
-6yrs
-4yrs
-2yrs
2018
Strategic Planning
-2yrs-4yrs-6yrs-10yrs -8yrs
Lock-Down
2026 +6mos
DevelopmentIterativeStrategic Planning
OHI
Year 3
2019/2020
OHI
Year 4
2020/2021
OHI
Year 5
2021/2022
OHI
Year 6
2022/2023
OHI
Year 7
2023/2024
OHI
Year 9
2025/2026
OHI
Year 8
2024/2025
Games
Time
Games
Time
Games
Time
Games
Time
Los Angeles
2028Strategic Planning
-8yrs-12yrs -10yrs
Strategic Planning
-2yrs-4yrs-6yrs
Lock-Down
2028 +6mos
DevelopmentIterativeStrategic Planning
OHI
Year 10
2026/2027
Strategic
Planning
Iterative
Development
Lock-Down
Post-Games
10-year vision; per-Games objectives & building legacy
Detailed requirements analysis; innovative technology
assessment; prototyping & ”Projectathons”, public
demonstrations, conformity assessment & certification
Final implementation; Operational Readiness
Evaluation; recommendations
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OHI Technical Architecture• Based largely on IHE Profiles
• International standards in this example include:
o Transport: ISO 28380, IHE XDS.b, XDM
o Content: IHE XDS-MS, HL7 IPS, CDA, HL7v2, HL7 FHIR
o Semantic: SNOMED CT
o Functional: IHE XDW, IHE GAO
o Security/Privacy: ISO 27799, IHE BPPC, ATNA
Patient Identity Source
Document Registry
Document Repository
Document Source
Document Consumer
Patient Identity Feed
[ITI-8]
Patient Identity Feed
HL7v3 [ITI-44]
Provide & Register
Document Set-b [ITI-41]
Retrieve Document Set
[ITI-43]
Registry Stored
Query [ITI-18]
Register Document
Set-b [ITI-42]
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Importance of Digital Health at the Olympics• Today, Digital Health is considered an essential component of every healthcare system
worldwide
• Information flow following patient flow throughout the system – leads to improvements in
quality, reduction in medical errors
• Digital Health → lower cost of providing healthcare services
• Real-time Rx/Lab information integrated with the patient’s health record can facilitate
active anti-doping surveillance
• Digital Health is well-understood globally – nearly every country is implementing a
Digital Health strategy. However, the Olympic movement has not taken advantage of its
digital health potential
• Digital Health relies on the collaboration of stakeholders from across the health care
ecosystem, supported by many different systems from many different vendors…
• The IOC can provide increased leadership in this area
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Digital Health Industry Support
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Value Proposition
Monitor and better respond
to public health
outbreaks
Track athlete health, perhaps
trended over some longer time periods
Promote an Olympic class Longitudinal
Electronic Health Record
to support a patient through
the full Care Continuum
Clinical data can be anonymized
and made available to
IOC/OCOG for Analytics &
Planning
Demonstrate commitment
to innovation, to facilitate
welcoming the world
Facilitate the retention of the
medical and pharmacy patient records after the games, according
to national law and industry best
practice
Ensured that prohibited or
contra-indicated medications are not
inadvertently administered by the
OCOG medical team.
Enhance the quality and
efficiency of care provided to all participants
[reduced costs, increased safety,
etc.]
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Myths and Truths• OHI seeks to create an environment that will enable healthcare information to flow alongside a patient
moving through the continuum of care… at the Olympic Games (sports venues, polyclinics, tertiary referral hospitals, testing labs, pharmacies, etc.). The OHI team is a combination of healthcare interoperability experts and Olympic Games leaders, who are seeking only to “facilitate” the establishment of an interoperable health information ecosystem.
• We are not “selling” anything. There is no “company” involved, and no “product” involved with OHI.
• OHI is not seeking any funding from NOC’s. We are funded separately, and globally.
• Our “proposal” is that a few NOCs work together as early adopters of interoperable and longitudinal healthcare information supporting our athletes and Olympic family, as well as volunteers and spectators coming from around the world.
• OHI looks to establish a digital health legacy for each of the cities hosting the Games, as well as sending countries.
• OHI does not seek to change anything about an NOC’s existing choices for an EMR solution to support the team … only to help enable it to communicate with other systems using established international standards. For example, we would work with GE, SAS, and others.
• OHI is very careful to ensure the Olympic brand is maintained and that it doesn't threaten the current businessrelationships and sponsor categories
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Benefits• To the Games:
o More integrated healthcare, better health, less cost, higher quality, etc.
• To the World:
o Digital Health legacy
o Demonstration of innovative and best practice
o Opportunities for developed and developing countries
• To the Digital Health Community:
o Very visible Global demonstration of the use of international standards
o Valuable implementation feedback from a truly international implementation community
o Digital Health visibility on the World stage
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• Based on principle of “exclusivity”
• Digital Health cuts across sponsor domains
• Interoperability involves multiple vendors’ systems
The IOC Sponsorship Program
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The Path Forward
• Program Plan – submitted 31Oct17 to sponsors
o Business Implementation Strategies
o Benefit/Risk Assessment
o Recommendations
o Tasks, Resources, Budget
• OHI Foundation launch 2018
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A new TOP Sponsor Category:Digital Health
① ②
Foundation
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OHI Foundation• Plan and execute a phased, long-range strategy for OHI
interoperability
• Manage interoperability specifications and use of international standards
• Conduct “Projectathon” testing
• Facilitate OHI certification of vendor products
• Manage pre-Games implementation, testing, operational readiness
• Manage user training, security and privacy provisions
• Conduct post-Games evaluations
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Audience Questions:Q1: Do you see value in an Olympic digital health ecosystem?
1. For athletes/spectators
2. For host city/country
3. For national teams
4. All of the abovehttps://live.eventbase.com/polls?event=himss2018&polls=4255
Q2: The most important Digital Health legacy for the Olympics is
1. Education and awareness
2. Demonstrate interoperability
3. Illustrate what is possiblehttps://live.eventbase.com/polls?event=himss2018&polls=4256
Q3: Would you consider joining the OHI Foundation?
1. Yes
2. Need more info
3. No
https://live.eventbase.com/polls?event=himss2018&polls=4257
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OHI will not reinvent the wheel!
Leverage established international standards
Leverage ConCert, “Connectathon”, “Projectathon” &
other testing & Certification events
Focus on Olympic use cases across entire Olympic
community
Include technical, semantic & functional
interoperability
“Future proof” OHI implementation
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The OHI Team of ExpertsMichael Nusbaum, BASc, MHSA, FHIMSSBusiness Management
•Executive Liaison
•Stakeholder Relations
Flavia Dias Moreira, BBA, PMPProgram Management
•Planning and Governance
•Management Framework definition and communications
Todd Cooper, BATechnical Management
•Collaboration with vendors and health organizations
•Technical implementation leadership
Renato Garcia, MBAPartnership Development
●Recruitment of Foundation partners●Contracts and Legal
• Healthcare Management Consultant
• International Expert: interoperability & standards
• Strategist, Visionary, Project Leader
• Board member: HIMSS & IHE
• Vancouver2010 Games volunteer: alpine events
• Healthcare Management Consultant & Head of PMO
• Leadership Role in Rio2016 Games (5 yrs) - General
Manager and TOC Director
• Expert in Programme Leadership & knowledge management
• Healthcare Technology Consultant
• International Expert: trusted interoperable healthcare
systems & medical devices
• Expert in Interoperability standards, testing & certification
• Board member: IHE, HL7 FHIR Foundation
• Business Development Consultant
• Leadership Role in Rio2016 Games - Sponsorship Sales
and Business Development Manager
• IOC Top Olympic Sponsors Account Management
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Questions
Michael Nusbaum• [email protected]
• +1.250.384.0001
Todd Cooper• [email protected]
• +1 858.442.9200
Please remember to complete the online session evaluation