Transcript Presentation

Challenges in Health
Care Architectures
- Better Connecting
Critical Systems
Lee Kinsman
(soon to be) Consultant, Chamonix IT Consulting
(most previously) Sales Engineer, InterSystems
(but you may know me as) Software IT Architect, IBM
Agenda
• State of Health Care Architecture
• Where does Health want to be?
• Strategies to move Health forward
• How do we get Health there?
• What about security?
• Has anyone done this??
Health can be
a real
challenge!
Why?
Health is complex
Health is evolving
Health Care industry has
grown
Technology evolved
Data has evolved
Populations have grown
Medical care has advanced
User expectations have risen
The business struggles to
adapt and can be reactive
What does the
business
want?
Easy, instant & appropriate
access to data
Secure solutions
Composite applications
eHealth record
Streamlined processes
Paperless/electronic solutions
Smart device integration
Centralised data
Business intelligence
Standards implementation &
adherence
What about
data?
Data has evolved
Data stores have grown
tremendously
Business requires access to
data from anywhere
Business Intelligence now
has a huge role in Health
This new powerful access to
data needs to be secured
How do we
get Health
there?
Integration Broker
Leverage and integrate
existing systems & datastores
Composite Applications
Centralised Data
Data warehousing
Data mining / Business
Intelligence
Identity Management
Authorisation, Authentication
& Privacy
What is an
integration
broker?
A centralised broker handling:
Communication
Access
Security
This is achieved through
using integration servers:
InterSystems Ensemble
IBM Websphere Message
Broker
Microsoft BizTalk
What are
composite
applications?
Combination of multiple
existing systems, services
and/or data into a new
application
Good composite applications
are available to multiple
devices (cross platform)
Web is an ideal platform for
composite applications
Explain data
warehousing
& BI?
Very simply, a database used
for reporting
Data is often cleaned and
transformed (ie cubes) and
made available for Business
Intelligence & Data Mining
The business desires BI to be
embedded into their
composite applications
Real time
versus
traditional
stored data?
Often buy the time BI is run,
data is out of date!
Is it possible to access data
realtime without impacting live
data?
yes it is!
Business
Intelligence
Tools
IBM Cognos
InterSystems DeepSee
Microsoft SQL Server
Reporting & Analytics Server
Oracle Business Intelligence
Suite
SAP Netweaver
etc...
Choose real time embedded
BI for use in Health composite
So how to we
achieve all
this?
Be strategic, not reactive
Develop a solid and
appropriate Health
Architecture strategy
Leverage existing
frameworks, strategies &
standards
3 Examples for today:
IBM Health Strategy
Link: IBM Health Strategy Launch
IBM Health Strategy
IBM Health Strategy
IBM Health Strategy
InterSystems
Cache
Ensemble
DeepSee
HealthShare
TrackCare
Link: Intersystems
InterSystems
Microsoft’s
Connected
Health
Framework
A Stable Foundation for Agile
Health and Social Care
Link: Connected Health
Framework
Microsoft’s Connected
Health Framework
The Vision: “Joined Up” Technical Interoperability
• Flexibility and Agility
• User Experience and Acceptance
• Support for Multiplicity of Platform,
Location, Language, Capability and
Credentials
• Handling Health Data
• Identity and Access
• Interoperability
• Securing the Solution
• Scalability and Performance
• Availability, Resilience and Disaster
Recovery
• Realizing the Value of Common
Infrastructure
•
•
Identity Management Services
Authentication and Authorisation
Services
•
Service Publication and Discovery
Services
•
•
•
•
•
•
•
e-Health Business Services
Electronic Health Record Services
Health Domain Services
Health Registry Services
Integration Services
Data Services
Communication Services
Microsoft’s
Connected
Health
Framework
•
Reference Architecture
for Health and Social
Care
Microsoft’s Connected
Health Framework
What are the
common
threads?
Integration Broker
Business components
Loose coupling
Services
Leverage existing assets
What about
resourcing?
Health resources are
stretched
Use your resources wisely!
Leverage existing tools,
frameworks and strategies
Have resources working on
tasks to suit their skillset
Use methodologies
What about
security?
People are paranoid about
their personal data!
Access to sensitive data
needs to be restricted
Access to all data needs to be
secure
Nehta
Nehta develops national ehealth standards and
infrastructure requirements
for the electronic collection
and secure exchange of
health information
This is being adopted across
the boards in Australian
Health
Use a
methodology
...appropriate to the solution
Agile
RUP
Extreme
Scrum
...etc
Communicate via modelling:
UML
BPEL
...have a plan, follow it,
document it, live it
Use
architectural
best practice
...Health is an enterprise,
always come back to these
principles
Zachman
TOGAF
The Federated Enterprise
Architecture
The Gartner Methodology
A good health
architecture
should:
Mitigate risk (for systems, staff
and patients)
Consider benefits to both patients
and staff
Consider security ethics
Facilitate rapid (and appropriate)
sharing of data
Loosely couple systems &
services
Suit the organisational maturity
and have a growth vision
Be agile and responsive to the
changing needs of the business
Provide technical connectivity and
Has anyone
done this?
Consider Health globally for
examples
Right now there are many
partial examples, eg:
Australia is still getting there
Estonia has implemented
eHealth record
Scotland has eHealth record
Sydney IVF has implemented
a patient record
Lothian (UK) has connected
care for patients
Questions?
Connect with me on LinkedIn
Lee Kinsman