Interoperability in the Real World

Transcript

1. David Shipp & Alison Kinloch © BJSS Ltd. 2019 Commercial in Confidence
2. & 2012 • NHS hospitals and affiliated services receive payment for the provision of healthcare services • Our delivery won the 2013 IDG TechWorld Public Sector Project of the Year award, as well as Big Data Project of 2013 in the Techweek Europe Tech Success Awards. Hospital Episodes Statistics (HES) Spine 2 Electronic Referral Service (e-RS) 2014 • Rebuilt the NHS Spine with Open Source, securely transferring the entire NHS onto this improved system delivering increased reliability, performance and resilience • Won Best Testing Project in the Public Sector” in the 2015 European Software Testing Awards 2015 • Replacement solution for the electronic referrals of first hospital or clinic appointments from GPS • The replacement addressed the gaps in the service, providing the NHS with an affordable, maintainable and expandable solution. 2018 • The NHS App provides a simple and secure way for people to access a range of NHS services on their smartphone or tablet. • BJSS were key to implementing this brand new service to reduce the workload on the front line and a key objective of the Secretary of State for Health and Social Care 2019 • e-RS will be the first NHS flagship programme to move its service into the Cloud • The apps library is aiming to showcase a range of digital tools that can help the public take charge of their own health NHS App e-RS cloud, Apps library
3.  The ability of computer systems or software to exchange and make use of information.  Move from disconnected to joined up
5. • Computers talking to computers – accessed by humans • 10’s 100’s 1000’s systems communicating • Using APIs • Using data standards • Exponential data flows • Linking information in the way people already expect
6.  “Application Programming Interface”  Defines how information is exchanged electronically
7.  HL7 – standards committee  V3  FHIR  Argonaut  EHR – Electronic Health Record  PAS – Patient Administration System  Spine – national backbone for IT interoperability  SNOMED – coding for medical terms
11.  Are you thinking about the people?  Needs of existing, needs of new  Sometimes conflicting interests  Are we trained negotiators?  Arbitration
12.  Established open standards are great!  Most are not well established  Challenges are amplified by being open and collaborative
13.  Don’t hang around  You will augment the API in the future  Change isn’t relevant to everyone  Make it easy to get the new stuff
14. When done right, it benefits patients and clinicians  Improvements to clinical safety and care  Improvements to patient experience  Work more efficiently and effectively  Enables innovation, research and cost-saving It’s easy to get it wrong and not realise the benefits
17.  Security and Data Protection  Designing for outcomes  Standards have to evolve  Not just talking - understanding  Day one interoperability is only the start  Don’t lose sight of the goal  Journey to Open Standards is hard, but worth it
18. Your speakers today: Alison Kinloch alison.kinloch@bjss.com David Shipp david.shipp@bjss.com Stand 71