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Healthcare IT Integration ProjectsDISC - October 22, 2015

Jon Dolgaard, MBA, PMPManager Integration ServicesCancer Treatment Centers of America

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Topics

• Clinical HL7 Interfaces• Project Management / SDLC Buzz• Application-to-Application Integration• Integration Project Deliverables• Q & A

Healthcare IT Integration Projects

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Clinical HL7 Interfaces / Common Workflows

Healthcare IT Integration Projects

RegistrationBilling 10. Charges

1. ADT4. Orders6. Results

10. Charges

HL7 = Health Level 7; real time, event driven, clinical workflow integrationADT = Admit, Discharge, Transfer (patient registration)EHR = Electronic Health RecordCPOE = Computerized Physician Order EntryEAI = Enterprise Application Integration

EHRCPOE

Radiology

LabEA

I Platform

(aka Engine) Other

Ancillaries

1. ADT

3. ADT

5. Orders7. Results9. Charges

2. ADT

OrdersResultsCharges

ADT

4. Lab Orders6. Lab Results

8. Charges

5. Rad Orders7. Rad Results

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GSD

Project Management / SDLC Buzz

Healthcare IT Integration Projects

Schedule Resources

Scope

Time(Fast)Cost

(Cheap)

Quality(Good)

Current State

Transition State

Future State

Change Management

Initiate Execute Close

Project Management

Plan

Monitor & Control

Analysis

Build

Deploy

Waterfall

Design

Process

Tech

nolog

y

People

TestScrum

RUP

Agile

ITIL ITSM CMM

ALM

Future State

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Application-to-Application IntegrationA long long time ago… (and now)

Source Application Target

Application

Source Application

Healthcare IT Integration Projects

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Inbound Interface• Controls Integrity of Data Input• Functionality to Add / Update / Delete Records• Defines Required / Conditional / Optional Fields• Defines Data / File Format• Defines Communication Protocol• Is Source App SOR for data?• Is all required data in Source App’s interface?

Outbound Interface• Controls Integrity of Data Output• Selects Records from Database• Formats Data Consistently• Defines Data / File Format• Defines Communication Protocol• Is all required data included for Target

App?

Inbound Interface• Controls Integrity of Data Input• Functionality to Add / Update / Delete Records• Defines Required / Conditional / Optional Fields

Application-to-Application IntegrationAlways start with the application…

Application

Database

Config

Use

r In

terfa

ceR

eports

Services

Logs

Source App Target App

Inbo

und

Inte

rface

Outbound

Interface

Healthcare IT Integration Projects

Outbound Interface• Controls Integrity of Data Output• Selects Records from Database• Formats Data Consistently

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Implementation Project DeliverablesIt takes a village…Application Team

VendorEnd Users Integration Team

Firewall Team

Application TeamsVendors

End Users

On Premise

App

Cloud Hosted

App

EA

I Platform

On Premise

App

O/B

IF I/B IF

I/B IF

Complete workflow analysesComplete architectureComplete data mappingSet up TEST interfaceEstablish connectivityEnter test scriptsDefine SLAsActivate PROD interface

Complete workflow analysesComplete architectureComplete data mappingSet up TEST interfaceEstablish connectivityValidate test scriptsDefine SLAsActivate PROD interface

Complete architectureComplete data mappingCode TEST interfaceEstablish connectivitySupport testingSet up alerts per SLAsActivate PROD interface

Integrated Workflows Integrated WorkflowsArchitecture/Dataflow/Mapping

Set up firewall access

Healthcare IT Integration Projects

8Presentation Title

Q & A