Tiani SpiritRealising and managingthe single patient record

Mike Morris

An event, seen from one point of view gives one impressionSeen from another point of view it gives quite a different impressionBut its only when you see the WHOLE PICTURE that you can fully understand whats going on

TheProblemDecisions made in the absence of all available information may result in:

Poor outcomes for patientsCostly and unnecessary interventionsLitigation

The better the information, the better the chance of accurate decisions

Sharing theinformationPrimary CareAcute Trust departmentsPharmaceuticalMental HealthSocial CarePrivate SectorThird SectorOther agencies (e.g.: police)

PatientCarer

The IssueSharing patient/citizen information between stakeholders:Need to know: role based accessData Protection / Information GovernanceSecure connection (PSN/N3)Hosting locationAccess: authentication & presentationManagementData Structure

Tiani-SpiritOvercoming the issue

SUBSCRIBERThe integration engine enables one system to publish information to another system that subscribes to all published informationPUBLISHERINTEGRATIONENGINEOne Integration engineper interconnectionOne Information Governanceagreement per use case per link

TraditionalApproach

TraditionalApproachSUBSCRIBERAs the number of connections grows so does complexity.N systems = 5+4+3+2 = 17 links per use casePUBLISHERINTEGRATIONENGINEOne Integration engineper interconnectionOne Information Governanceagreement per use case per link

Tiani-SpiritCreates a lens through which published elements of a patient record can be seenPresents the consolidated view to the consumer

TianiApproach

PUBLISHERCONSUMERThe publisher is willing to publish some of his patient record to specific consumers according to agreed information governance rulesHEALTHCARE INFORMATIONEXCHANGE

TianiApproach

PUBLISHERCONSUMERThe Tiani HIE temporarily holds the information pertinent to the patient inquestion within the exchangeTianiApproach

PUBLISHER

CONSUMERWhen more than one publisher publishes information to the exchange, a consolidated single patient record view becomes establishedPUBLISHERTianiApproach

PUBLISHER

CONSUMERThe consumer then views the consolidated record in the manner required and subject to role and information governancePUBLISHERTianiApproach

PUBLISHER

TianiApproach

CONSUMERWith Tiani there is only one Information Governance per link to the exchange and only one link per system (N systems = N links)PUBLISHER

Scalablesystem

Multiple systems can connect into a single exchangeknown as an Affinity Domain

Scalablesystem

To ensure operating efficiency, additional systems use a second or subsequentAffinity Domain, connected by a Super Exchange

Super Exchange

Scalablesystem

This is continually scalable

Super Exchange Affinity Domain

Delivery

Delivered by CGIFinancial StabilityVery Large Resource PoolHealth and Government references

Clinician sees the latest informationUnauthorised users know that further information existsOperates throughout the care pathwayWorkflow IntegrationOpen Interface

Summary

Local information control is maintained, no duplication or new repositoryInformation governance is preserved and simplifiedPatient consent is enforcedBuilding block approach

Summary

TheBenefitsPhased approach to aid adoptionDrives culture change towards interworkingEnhances decision making by all professionalsLimited learning curveImproves Efficiency

ReferenceEuropean Project for Smart Open Services

www.epsos.eu

epSOSEuropean Project for Smart Open Services

Enabling European Cross Border Healthcare

25 member states45 beneficiaries31 industry partners36.5 million funding1st July 2008 31st July 2014

Tiani SpiritRealising the single patient record

For more information:

www.tiani-spirit.co.ukwww.tiani-spirit.com

mike.morris@tiani-spirit.comdaniel.thomas@tiani-spirit.com