Using Interoperability to Transform Clinical Content Management & Collaboration

Transform Clinical Content Management & Collaboration

Using Interoperability to

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Clinical content growing rapidly

In the past, hospital imaging strategies focused on radiology departments using VNA

using PACS and


Providers have become one of the largest consumers of data, with imaging making up over

33% of all data generated within healthcare.

* SOURCE: The Enterprise Strategy Group, Research Report: North American Health Care Provider Information Market Size & Forecast

*


But it doesn’t just stop with DICOM content. While full of holes, electronic clinical content is made up of

80% unstructured data.

*

* SOURCE: The Institute of Health Technology Transformation (iHT2),, Research Report: Analytics, The Nervous System of IT-Enabled Healthcare

INCREASING CLINICIAN DEMAND

Any Format Any Source Any Location

Expecting Integration Requiring access to the complete patient record from the EHR

Regardless of where this content resides, providers now need it available, on-demand, at the point of care—anywhere,

anytime, on any device.

Fragmentation reality

Top Rated Hospital

EHR LOGIN

USERNAME

PASSWORD

LOGIN

johnreeves

************

ENTERPRISE EHR

DEPARTMENTAL PACS / VNA

CLINICAL SYSTEMS & REPOSITORIES

Fragmentation reality

NO EHR INTEGRATION

NO SHARING

ENTERPRISE EHR



SHARE AGGREGATE & OPTIMIZE

EMC’s standards based approach

ENTERPRISE EHR

HL7

PIX

INACTIVE CLINICAL SYSTEMS

FRAGMENTED CLINICAL SYSTEMS

XCA/I

CDA

XDS/I

PPIC BPPC

PDQ VIEW ALL FORMS

OF CLINICAL CONTENT

EMC



ENTERPRISE EHR

HL7

PIX



XCA/I

CDA

XDS/I

PPIC BPPC

PDQ

EMC SEARCH ARCHIVED CLINICAL CONTENT



ENTERPRISE EHR

HL7

PIX



XCA/I

CDA

XDS/I

PPIC BPPC

PDQ

EMC ENTERPRISE-WIDE

ACCESSIBILITY



ENTERPRISE EHR

HL7

PIX



XCA/I

CDA

XDS/I FHIR

MHD

PPIC REST

BPPC

PDQ

IUA

EMC ENTERPRISE-WIDE

ACCESSIBILITY HEALTHCARE COMMUNITY

The new reality

Top Rated Hospital

EHR LOGIN

USERNAME

PASSWORD

LOGIN

johnreeves

************



ENTERPRISE EHR

The new reality

Top Rated Hospital

EHR LOGIN

USERNAME

PASSWORD

LOGIN

johnreeves

************

ENTERPRISE EHR

ENTERPRISE VENDOR NEUTRAL ARCHIVE

XDS REPOSITORY XDS REGISTRY

The new reality

ENTERPRISE EHR



HL7

PIX

CCD

PPIC CDA

PDQ

XCA-I XCA

XDS-I XDS

FULLY INTEGRATED

The new reality

ENTERPRISE EHR



HL7

PIX

CCD

PPIC CDA

PDQ

XCA-I XCA

XDS-I XDS

IMAGE-ENABLED EHR

The new reality

ENTERPRISE EHR



HL7

PIX

CCD

PPIC CDA

PDQ

XCA-I XCA

XDS-I XDS

ENTERPRISE-WIDE ACCESS

The new reality

ENTERPRISE EHR



HL7

PIX

CCD

PPIC CDA

PDQ

XCA-I XCA

XDS-I XDS

COMMUNITY ACCESS

Centralized Imaging Archive Case Study (Finland)

• Medical images were stored in data repositories that were vendor and/or system specific

• Made sharing of the information between hospitals and systems within the region difficult, or even impossible

• Created significant expense when migrating medical applications as medical data was proprietary formats

EMC was able to migrate multiple data repositories into a single, standard, shared format to build the world’s first cloud archiving service based on XDS technology:

• Provides services to store, publish, search and retrieve imaging related documents

• Stores 1 million medical images annually (over 100TB)

Considerable cost savings realized

Value through access to patient information across modalities, hospitals and clinical disciplines

CHALLENGE SOLUTION

Centralized Imaging Archive Case Study (Finland)

VIEWERS

SERVICES

CONTENT MANAGEMENT

PACS and other imaging Portals Generic XDS consumers

DICOM and HL7 interfaces

EMC Documentum Healthcare Connector

XDS interfaces

EMC Documentum XDS connector

Repositories (imaging manager, XDS registry, XDS repository)

EMC Documentum Services (archiving, lifecycle management, retention policies, storage management, data transformation)

EMC Infrastructure Services (server virtualization, network power, compute power, tiered storage capacity, high availability, serviceability)

National Health Archive Case Study (Finland)

• A comprehensive view of patient information was unavailable to clinicians

• System hospitals, private clinics and pharmacies were unable to exchange patient information between facilities

• Needed a common way to share all patient information by leveraging healthcare standards (HL7 / XDS)

EMC was able to build one of the world’s first unified national patient record archives based on XDS technology to keep digital healthcare information protected, secure and continuously available for:

• 300,000 professionals within the Finnish public healthcare and pharmacies, as well as private medical clinics

• 5.3 million Finnish citizens

Pioneered IHE XDS profiles supporting medical information exchange

ROI Expected to generate major financial savings, among improvements in patient service, diagnostic excellence and other areas of delivery

CHALLENGE SOLUTION

Integrated Platform Case Study (United Kingdom)

• Demand for services was growing as funding declined

• Older legacy clinical systems were proving inadequate and costly to maintain

• No single view of the medical record or facility to share information—affecting productivity and patient care

• Regulations mandated increased data security

EMC delivered an integrated solution for managing and sharing patient information and images using XDS technology to optimize care through:

• A single enterprise content management platform

• A regionally shared VNA

• Integration with their EHR to address clinical access and patient care needs

ROI Significantly reduced operational costs, while meeting the ever growing demand for immediate access to clinical information

CHALLENGE SOLUTION

Integrated Image Sharing Case Study (Belgium)

• Mostly proprietary storage for electronic documents, scanned documents and for digital PACS images

• Inability to retrieve and share documents from these systems on-demand

• Difficult to manage upgrades to storage silos, in addition to long backup and restore times

EMC delivered a single, vendor-neutral clinical content repository leveraging open data standards for DICOM, HL7 and XDS to:

• Aggregate medical images and patient documents across multiple systems

• Provide seamless access to all forms of patient information

• Ensure compliance to defined retention policies and security

Increased care quality due to immediate access to information, with no record-access downtime

ROI Financial return recognized through system consolidation, while improving operational efficiency

CHALLENGE SOLUTION

National Healthcare Cloud Case Study (Georgia)

• Lacked complete platform to support government mandate for an electronic healthcare system (a national EMR)

• Inability to implement international standards to capture a minimum data set of electronic medical records

• No mechanisms to monitor, govern or audit the level of care being provided to citizens

EMC was able to centralize all forms of patient information and content enable the EHR to provide access to the national medical archive utilizing XDS and cloud technology, enabling:

• 360 degree view of the medical record, accessible across the continuum of care

• Management and sharing of documents and medical images

ROI Increased efficiency and maintained a consistent level of care service by being able to seamlessly store and access medical data from a single source

CHALLENGE SOLUTION

National Healthcare Cloud Case Study (Georgia)

NATIONAL HMIS

EMC VCE vBlock Infrastructure Services (server virtualization, network power, compute power, tiered storage capacity, high availability, simplified support)

EMC Documentum Services (archiving, metadata, content, lifecycle management, retention policies, storage management, high availability)

EMC Connector (non-XDS Systems) (using HL7, DICOM, CDA)

EMC XDS Registry

EMC XDS Repository

Web Application Portals (hospital, doctor, patient, government)

Healthcare Platform (central EHR, central HIS, messaging fabric)

Business Intelligence

and

Reports Design

PARTNER

PARTNER

PARTNER

emc.com/RedefineHealthcare

Using Interoperability to Transform Clinical Content Management & Collaboration

Technology

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