Upload
april-poole
View
220
Download
0
Embed Size (px)
Citation preview
© 2005 IBM Corporation
Laying the Foundation for theNationwide Health Information Network (NHIN)
IBM Consortium - Prototype Architecture Infrastructure
February 15, 2006
2
NHIN Architecture Prototype: Key Facts
Announcement of Awardees on November 11, 2005 – Work will help create the foundation of the Nationwide Health
Information Network.
– RFI November 15, 2004 followed by RFP June 6, 2005
– Design and implement a standards-based network prototype over the coming year
– Develop and evaluate prototypes of a NHIN architecture that maximize use of existing resources to achieve interoperability among Healthcare Applications – particularly EHRs.
– Demonstrate the solution in 3 marketplaces / communities
– 12 month duration with option period to increase participation and for further demonstration.
The NHIN Prototype – Key Facts
3
NHIN Architecture Prototype : Key Facts– Four Major Consortia were Awarded Contracts – Led by :
– IBM
– Accenture
– CSC
– Northrop Grumman
– Cooperative and Collaborative Approach
– Between Four Awarded Consortia
– With Other HHS Partners
– Health Information Technology Standards Panel (established by ANSI)
– Certification Commission for Health Information Technology (CCHIT)
– Health Information Security and Privacy Collaboration (established by RTI and National Governor’s Association)
The NHIN Prototype – Key Facts
4
Team IBM Core Team
– Project Executive: Ginny Wagner, PMP
– Business Lead: Richard Steen
– Project Manager: Russell Scott
– Chief Architect: Casey Webster
– Consulting Architect: Kevin Julier
Small Business Partners
Argosy Omnimedia Business Innovation
HMS Technologies IDL Solutions
Ingenium VICCS
5
NHIN Context The NHIN Prototype – Context
6
Community Partners Fishkill, NY
– Taconic Health Information Network & Community (THINC)
– Dr. John Blair
– 2,300 physicians supporting 700,000 patients
– Shared data using Healthvision Research Triangle, NC
– North Carolina Healthcare Information and Communications Alliance (NCHICA)
– Holt Anderson
– Competitive, high-tech urban environment Rockingham County, NC
– Also members of NCHICA
– Rural environment with NC and VA patients
– Small, competitive practices and hospitals
The NHIN Prototype – Communities
7
Architectural Principles Drive and conform to standards
– Instantiation of IHE interoperability framework (XDS, PIX, PDQ, ATNA & CT profiles)
– IHE-compliant cross-domain data search & retrieval
– PIX inter-community patient identification cross-referencing
– Hardware & software vendor agnostic (J2EE, JDBC, JMS, EJB)
– XML, CDA, SAML, …
Community-Centric– XDS Document Repositories aggregate and normalize clinical data across a
community and can be distributed within that community
– Each community has an XDS Document Registry that indexes and tags community data and supports the inter-community NHIN interface
Comply with security & privacy w/o sacrificing usability or research value– Anonymous/pseudonymous data that can be re-identified as needed
– Other data aggregates (registries, biosurveillance, outcomes analysis, quality of care) Practical
– Scalable and cost-effective at every level of practice
– Point-of-care performance is critical to adoption
The NHIN Prototype – Architectural Principles
8
High-Level Community Architecture
NH
IN Interface
Security and Privacy
Clinicians
XDS Registry*
Portal
HCN Adapters
Auditing
PIX/PDQ MPI* Data Transforms
TerminologyDocument Search/Retrieve
Patient Consent Biosurveillance
BetweenCommunities
Request Response
QoSSecurityAuditingLogging
Critical Data*
PIX/PDQData*
Patients
Other Components
IBM IHE Components
* 1 per community
KEY
CommunityXDS
Documents
The NHIN Prototype – Community Architecture
9
Conceptual Architecture for the NHIN PrototypeThe NHIN Prototype – Conceptual Architecture
10
Initial “Community” Use Case Areas
Domain: Biosurveillance– Use Case Area: emergency room and lab data reporting
Domain: Consumer empowerment– Use Case Area: registration summary and medication
history
Domain: Electronic Health Record– Use Case Area: accessing lab results and interpretations
The NHIN Prototype – Use Cases
11
DRAFT ONC NHIN High Level Deliverables Schedule 2006
NHIN Deliverable Other Target DateInitial Submission of three use cases by consortia
ONC -> Community January
Proposed high-level standards ONC -> HITSP February
Community Endorsed Use
cases
NHIN Consortia and others March
Proposed functional requirements Harmonization April
NHIN Stakeholder Forum #1
CCHIT, HITSP, others May
Implementation guide / integration profile needs Harmonization June
NHIN Stakeholder Forum #2
HITSP, CCHIT, others July
Security and privacy models Harmonization September
NHIN Stakeholder Forum #3
HISPC, HITSP, CCHIT October
Proposed revenue & cost models Harmonization October
NHIN Stakeholder Forum #4
November
Documentation of architecture ONC November
Prototype ONC December
The NHIN Prototype – Schedule
12
Next Steps … I encourage you to visit the IHE Interoperability Showcase
Peds … – See what has been done in terms of making this stuff real
Contact me (Kevin Julier) or Casey Webster with any questions
or