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Achieving aSingle Patient View
Eric WilliamsSoftware PracticeSun Microsystems UK Ltd.
Sun in Healthcare• Committed to the Heathcare Sector
> Provider of Servers, Storage, Services, Software & Solutions> Participation in IHE, Open eHealth Foundation, HL7 et al
• Number of Healthcare Customers> Globally – c 3500> Europe – c 750> UK – c 250
• Serving Healthcare> NpfIT> NHS Trusts / SHAs> Scottish Health Boards> US Nationwide Health Information Network (NHIN)
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The Need for Master Data Management
The Root of the Problem
PatientManagement
ProcedureProcessing
AdmissionScheduling
DataRepositories
Check Consultants
Check Results
Check Patient Status
Check Schedules
Check Patient Status
Check Discharge
Check GP Comms
Monolithic,IndependentApplications
Multiple EntityViewsDispersed, unintegrated data
Check Bed Inventory
Check Patient Status
RadiologyInventoryPAS CalendarsOncologyPathology
A Smarter Approach
Other CompositeApplications
PatientManagement
ProcedureProcessing
AdmissionScheduling
ReusableServices
CompositeApplications
CheckPatient Status
CheckResults
CheckInventory
CheckConsultants
CreateDischarge
Single Entity View
RadiologyInventoryPAS CalendarsOncologyPathologyDataRepositories
Single Patient View
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MDM in Healthcare: EMPI
Enterprise Patient ViewsElectronic Health RecordsPersonal Health Records
Single Patient View
Portal and Presentation Layer
Framework for Security and Identity Management
Patient Transaction Process
A Single Enterprise Master Patient Record
Connectivity, Integration
& Middleware Infrastructure
Clinical Records Department Practice
GPs, Practice Nurses, Health
Visitors
Hospital Clinicians,Regional
Specialists
District Nurses, Hospice Staff,
Community Practitioners
Aspects of the solution• Ease of integration across legacy and packaged applications
with capability to handle heterogeneous sources of data• Data acquisition, quality management, indexing, stewardship,
and data dissemination• Robust run-time environment; unified development and
monitoring environment
• Rapid development of new functionality and extension to new locales
• Ability to extend framework to cover future applications and protocols
• Federated identity to extend single view to partners
• Component-based; service-enabled architecture• Layered levels of access for privacy and security• Adoption through community and partner ecosystem
Comprehensive
Extensible
Accessible
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The Sun MDM SOLUTION
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Sun's EMPI Solution
Master Data Management
Portal
ORCHESTRATION | MEDIATION | ADAPTERS | ROUTING | TRANSFORMATION
APPLICATIONSERVER
DIRECTORYSERVER
SINGLE SIGN-ON | |MESSAGE
SERVER |Infrastructure
Enterprise Service Bus
CUSTOMER | PATIENT | SUBSCRIBER | CITIZEN | IDENTIFIERMaster Index
Probabilistic Matching
EXTRACT | TRANSFORM | LOADData Integration
HIGH PERFORMANCE/PRE-MATCH & LOAD
Initial LoadANALYSIS/STANDARDIZATION/
CLEANSING
Data Quality
Open Source
MURALOPEN ESBOPEN SSOOPEN DSNETBEANSGLASSFISHOPEN SOLARIS
AGGREGATION | PERSONALIZATION
How to develop theMaster Patient Index
Typical Workflow
. . .. . .PAS RadiS2 Telepath
STAGING
MasterIndex
Database
Data Integrator(Source Extract)
Data Quality(Cleanse, Profile,
Standardize, Normalize)
Master Index(Bulk Match,
Generate Master Index)Data Integrator
(Bulk Load)
Master Index ServerMaster Index Web Application
(Resolve Potential Duplicates Assumed Matches Search,Manage Enterprise Profile)
. . .
The ProblemFirst Name
Last Name
Use ID Address Information
JonesEd EJON 88 Queens StreetID #1
Edward Jones EDJON 88 Queens StID #2
Max 4.0
Low Threshold is 3.2
High Threshold is 3.5
Min 0.0
Weight (0 to 1) = + 1 + 0.7 + 1 = 3.6 Total0.9
Automatic Match
Potential Match
New Customer
AUTOMATIC MATCH!
The Solution: Enhanced MatchingFirst Name
Last Name
Use ID Address Information
JonesEd EJON 88 Queens StreetID #1
Edward Jones EDJON 88 Queens StID #2
Max 4.0
Low Threshold is 3.2
High Threshold is 3.5
Min 0.0
Weight (0 to 1) = + 1 + 0.7 + 1 = 3.6 Total0.9
Automatic Match
Potential Match
New Patient
AUTOMATIC MATCH!
Master Index Web Application
. . .. . .PAS RadiS2 Telepath
STAGING
MasterIndex
Database
Data Integrator(Source Extract)
Data Quality(Cleanse, Profile,
Standardize, Normalize)
Master Index(Bulk Match,
Generate Master Index)Data Integrator
(Bulk Load)
Master Index ServerMaster Index Web Application
(Resolve Potential Duplicates Assumed Matches Search,Manage Enterprise Profile)
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Typical UI for Health Records Staff
Master Index Web Application
Compare Duplicates
Select Duplicates
Preview Records Ready to Merge
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A Single IntegratedSOLUTION
Synchronisation on the ESB Backplane
Index exposes master data events
Workflows orchestrate update channels
Update channels synchronize changes through the ESB
Wide range of adapters and services leveraged from ESB
INDEX
SYNCHRONISATION WORKFLOWS
ESB
APPLICATION LANDSCAPE
Adap
ter
Mess
agin
g
Web
Ser
vices
Data
base
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CUSTOMERSUCCESSES
Regional and National eHealth: Sun is the World Leader -
New South Wales
Australia
Largest health department established of a Unique
Patient Identifier for every individual in the State
National Health Service
United Kingdom
Manage over 50 million members, 250 hospitals &
600,000 medical practitioners; Encompasses 10,000 systems
across 40,000 sites.
General Medical ServicesIreland
Deployed Patient Matching for more than 40 million transactions from 5,000 primary care contractors
NY Presbyterian Hospital
Real-Time Single Patient View. Linked to 70+ systems, 9 million+
person records, 20m history records &
Passive feeds from 28 hospitals
Sussex HIS
England
Integration of 2 PAS systems due to restructuring of the HIS Region. 2 Trusts merging.
900,000 patients
Largest Integration & Single Patient View Project In The
World!
Solution: Highly scalable Enterprise Master Patient Index (EMPI) that fits into existing SOA infrastructure. Resolves all inbound and outbound transactions with a unique patient identifier. Highly scalable.
Use Case: McKesson’s clearing house, PerSe, is the largest processor of prescriptions in the US. With data coming from thousands of sources, the client needed uniquely identify patients across multiple sources. Sun’s EMPI greatly enhanced PerSe’s ability to report and analyze data.
Volume Statistics:
10-14 million NCPDP scripts / day
180 million unique people in database
McKesson's Clearing House
SUN MDM SUITEHIGHLIGHTS
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Solution Benefits• Integrated, consistent view of master patient data leveraging current
directories, data, and systems• Dramatic improvements in visibility of clinical data across the Local
Health Boards• Real-time access to Master Patient data• Accessibility to the right information, clinician, place, time and
equipment• Improved productivity, heightened compliance and reduced costs
Leading to dramatic improvements in clinician satisfaction, retention and patient safety
Sun Solutions and MDM Improve Patient Safety
Remove Duplicate Records
Consistent/Complete Patient view
Extensible Matching and Standardisation
MDM proven expertise
18 years+ of solutions to Healthcare Organisations
Robust and Scalable architecture
Achieving aSingle Patient View
Eric WilliamsSoftware PracticeSun Microsystems UK Ltd.