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HL7 Roadshow 2009 Connected Healthcare. Chris Norton, March 2009. Agenda. InterSystems at a Glance Products Analysts’ views InterSystems and the NHS Ensemble and the NPfIT Example integration architectures using Ensemble. InterSystems at a Glance. Established 30 years - PowerPoint PPT Presentation
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HL7 Roadshow 2009HL7 Roadshow 2009Connected HealthcareConnected Healthcare
Chris Norton, March 2009
Agenda
• InterSystems at a GlanceInterSystems at a Glance
• ProductsProducts
• Analysts’ viewsAnalysts’ views
• InterSystems and the NHSInterSystems and the NHS
• Ensemble and the NPfITEnsemble and the NPfIT
• Example integration architectures using Example integration architectures using EnsembleEnsemble
InterSystems at a Glance
• Established 30 years Established 30 years
• Over 700 people, offices in Over 700 people, offices in 19 countries19 countries
• US $255m revenue, consistent US $255m revenue, consistent growth and profitabilitygrowth and profitability
• Private, no outside investors, Private, no outside investors, no debtno debt
• Sell directly to end users as well as Sell directly to end users as well as with 1400+ partnerswith 1400+ partners
• Long term supplier to the NHSLong term supplier to the NHS
InterSystems Software for Connected Healthcare
Regional /
National EHR
Institutional / Community EPR
Application Level
Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008)
HealthShare – for developing secure electronic health record systems on a regional and national level
TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits
Caché - #1 database used in clinical applications worldwide
Caché: High Performance Database &Rapid Application Development
Unified Data ArchitectureUnified Data
ArchitectureMultidimensional Storage Engine
Unified Data Architecture
Objects
Java
Jala
peñ
o
EJB
C+
+
SQL
Enterprise
Cache
Protocol
.NE
T
COM
VB
PY
TH
ON
PE
RL
XML
SO
AP
/WS
CSP
ZE
N
OD
BC
JDBC SQ
L G
/W
Hib
ern
ate
JDO
AD
O.N
et
Middleware/ApplicationSQL
DatabaseSQL Database
Caché @ America’s Best Hospitals*
* Hospitals on the 2008 U.S. News Honor Roll
Johns HopkinsJohns Hopkins
Mayo ClinicMayo Clinic
UCLAUCLA
Cleveland ClinicCleveland Clinic
Mass GeneralMass General
NY PresbyterianNY Presbyterian
UC San FranciscoUC San Francisco
Brigham & Women’sBrigham & Women’s
DukeDuke
U. of PennsylvaniaU. of Pennsylvania
U. of WashingtonU. of Washington
Barnes-JewishBarnes-Jewish
U. of MichiganU. of Michigan
U. of PittsburghU. of Pittsburgh
VanderbiltVanderbilt
StanfordStanford
U. of ChicagoU. of Chicago
Cedars-SinaiCedars-Sinai
Yale-New HavenYale-New Haven
All use Caché for clinical applications All use Caché for clinical applications
World’s largest civilian World’s largest civilian EHREHR • 8.7 Million patients 8.7 Million patients
supported in Outpatients supported in Outpatients settingsetting
• 2 Million active Personal 2 Million active Personal Health Record usersHealth Record users
• 10 hospitals live with 10 hospitals live with InpatientsInpatients
• >11,000 Physicians>11,000 Physicians
Kaiser Permanente and EPIC Systems
Partners Healthcare
• 10 major hospitals10 major hospitals
• 4 million outpatient visits4 million outpatient visits
• 160,000 admissions160,000 admissions
• 8,000 physicians8,000 physicians
• 3,250 beds3,250 beds
• >800 applications>800 applications
• 55,000 named users55,000 named users Dr John Glaser
Caché User base in the NHS
27,639 users
29,928 users
22,834 users
42,411 users
35,621 users
InterSystems Software for Connected Healthcare
Regional /
National EHR
Institutional / Community EPR
Application Level
Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008)
HealthShare – for developing secure electronic health record systems on a regional and national level
TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits
Caché - #1 database used in clinical applications worldwide
The most powerful technology for buildingThe most powerful technology for buildingand running connected applicationsand running connected applications
The most powerful technology for buildingThe most powerful technology for buildingand running connected applicationsand running connected applications
Ensemble Al
lAl
l of t
he D
atab
ase
and
of t
he D
atab
ase
and
Deve
lopm
ent P
ower
of C
aché
Deve
lopm
ent P
ower
of C
aché
All
All o
f the
Dat
abas
e an
d o
f the
Dat
abas
e an
dDe
velo
pmen
t Pow
er o
f Cac
héDe
velo
pmen
t Pow
er o
f Cac
hé
Business Process Modeling/ExecutionBusiness Process Modeling/ExecutionBusiness Process Modeling/ExecutionBusiness Process Modeling/Execution
Messaging EngineMessaging EngineMessaging EngineMessaging Engine
Data Transformation EngineData Transformation EngineData Transformation EngineData Transformation Engine
Workflow EngineWorkflow EngineWorkflow EngineWorkflow Engine
Rules ProcessingRules ProcessingRules ProcessingRules Processing
DashboardsDashboardsDashboardsDashboards
The Ensemble Approach to Integration
OneOne Architecture Architecture
RepositoryRepository
Managem
entM
anagementDe
velo
pmen
tDe
velo
pmen
t ApplicationIntegration
BP
Composite Apps
BAM
OneOne data model data model
OneOne metadata metadatarepositoryrepository
OneOne development developmentenvironmentenvironment
OneOne management managementenvironmentenvironment
OneOne learning learningcurvecurve
• Comprehensive and Consistent ArchitectureComprehensive and Consistent Architecture – Reduced complexity, maximum reusability,
widest range of projects, one learning curve
• Faster Integration & Composite App. DevelopmentFaster Integration & Composite App. Development – Rapid ROI
• Easier Management & Scalable PerformanceEasier Management & Scalable Performance
– Lowest cost of ownership
The Benefits of Ensemble
“Ensemble has a strong design environment and doesn’t leave the user to grapple with disparate utilities…
This means, that we don’t have to write as much code as before, which gives us a massive head-start ....” Mike Eagles, Head of Software DevelopmentBarts and the London NHS Trust
Increased Development Productivity
Gartner’s Magic Quadrant for SOAComposite Application Projects
InterSystems positioned in the Leaders Quadrant
Magic Quadrant for Application Infrastructure for SOA Composite Application Projects, 4Q08 Massimo Pezzini, Yefim V. Natis, Kimihiko Iijima, Daniel Sholler, Jess Thompson, Dale Vecchio. December 19, 2008.
EnsembleKLAS #1 Rated 2006, 2007 & 2008
Ensemble #1 InEnsemble #1 In• Product quality ratingProduct quality rating• Delivery of new technologyDelivery of new technology• Quality of trainingQuality of training• Money’s worthMoney’s worth• Overall satisfaction with Overall satisfaction with
vendor / productvendor / product
Ensemble Healthcare Clients
• Partners Healthcare
• New York City Health & Hospital Corporation
• Boston Medical Center
• Providence Healthcare
• George Washington University Medical Assoc.
• Hunterdon Healthcare
• Metropolitan Healthcare
• US Veterans Affairs
• Pathology Medical Systems
• CH Roubaix (France)
• Department of Defense
• Bolton NHS Trust (UK)
• Royal Marsden (UK)
• Stanford Hospital & Clinics
• Evanston Healthcare
• NHS Lothian (UK)
• Koine Hospital (Italy)
• AO Vimercate (Italy)
• Dr. Negrin Hospital (Spain)
• UK Cancer Registries
• European Food Safety Admin. (Belgium)
• Iris Nord (Belgium)
• Motoman / Kaiser (USA)
• SUH (Finland)
• Peterboro & Stamford NHS Trust
• Institute of Cancer Research (UK)
• Nictiz Dutch National EHR
• Serum Institute (Denmark)
• Athena Diagnostics (USA)
• Barts NHS Trust (UK)
• Hospital Ambroise Pare (Belgium)
• Moorfields Hospital (UK)
• IKEM (Austria)
• Okinawa Hospital (Japan)
• TUCH (Finland)
• PSSHP (Finland)
• Sultan Qaboos (Saudi)
• Cedars Sinai (USA)
• Plymouth NHS S/Services (UK)
National EHR Infrastructure success
• NICTIZ - National ICT Institute NICTIZ - National ICT Institute for Healthcare, Netherlandsfor Healthcare, Netherlands
• Contract for Contract for National Healthcare National Healthcare Messaging HubMessaging Hub awarded to CSC awarded to CSC using InterSystems Ensemble using InterSystems Ensemble Integration PlatformIntegration Platform
CSC Selects Ensemble for NetherlandsEHR Project
General Principles of the Project
• The general goal is patient data interchange– Complete data, except (for now) imaging, and limited
only by privacy laws– Includes medical and administrative data
• Patient data are not stored at a central location– The central system records the localization of the
information, not the information itself– It is hence a « meta-index », not a « repository »
• Users of the system: GPs, hospitals, clinics, pharmacists nationwide
InterSystems Software for Connected Healthcare
Regional /
National EHR
Institutional / Community EPR
Application Level
Ensemble - #1 interface engine in healthcare (KLAS 2006, 2007, 2008)
HealthShare – for developing secure electronic health record systems on a regional and national level
TrakCare – an advanced Web-based healthcare information system that rapidly delivers patient-centric data and Electronic Patient Record benefits
Caché - #1 database used in clinical applications worldwide
PSUPSU
LACEN
DISAT
Hemocentro
CSCSCS
CSCSCS
NICr NILN
NISa
PSUPSU
CSCSCS
CSCSCS
NISM
FEPECSFEPECS
CSCSCS
CSCSCS
PSUPSU
LRGuLRGu
NIGu
NIBsBNILS
U M CSCSCS
PSR
PSU
NIRF
NICdNINB
CSCSCS
U M
NIP
PSRPSR
CSCSCS
PSRPSR
PSRPSRPSR
PSR
NIS
PSRPSR
PSRPSR
CSCSCSPSUPSU
NIBz
HRC
CSCSCS
CSCSCS
NIC
CSCSCS
CSCSCS
CSCSCS
CRTCRT
CSCSCS
NITN
NITS
U M
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCSCSCSCS
CSCSCS
PSRPSRPSRPSR
PSRPSR
NIPr
NIG PSRPSR
PSRPSR
PSRPSR
PSRPSR
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCSCSCSCS
CSCSCS
CSCSCS
CSCSCSCSCSCS
CSCSCS
CSCSCS
PSRPSR
ISM
COMPP
Hosp. Apoio
CSCSCS
HSVP
CSCSCS
CSCSCS
CSCSCS
CSCSCS
LRCLRC
CSCSCS
CSCSCSCSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCS
CSCSCSCSCSCS
CSCSCS
CSCSCSCSCSCS
CSCSCS PSUPSU
PSU
CSCSCS
HFA
CBMDF
SARAH
HUB
1
1
1
1
PSUPSU 2
1
1
PSRPSR1
1
2
2
1
10
1
PSRPSR
CSCSCS
1
1
1
1
PSRPSR1
PSRPSR1
PSUPSU
PSRPSR1
PSRPSR1
CSCSCS
3
2
3
2
PSUPSU 1
USP 2
USP 1
USP 2
1
2
PSRPSR1
4
USP 2
USP 2
PSRPSR1
Regional Hospital
RegionalHospital
RegionalHospital
RegionalHospital
Regional Hospital
Regional Hospital
Regional Hospital
Regional Hospital
Regional Hospital
Regional Hospital
RegionalHospital
RegionalHospital
Central Hospital
RegionalHospital
RegionalHospital
RegionalHospital
RegionalHospital
RegionalHospital
1
1
CSCSCS
3
Regional Project:• 17 Hospitals• 134 Health Clinics• 3 Diagnostic
Laboratories• 20 Emergency Units• 3 Specialist Diagnostic
Units• Home Care• More than 5000 health
professionals using just one Electronic Health Record
Brazil – Federal region of Brazilia
Brazila – Citizens portal
Ensemble in UK Healthcare
•Moorfields Eye Hospital•Peterborough•Plymouth•Barts and London•Lothian Region, Edinburgh•Mid-Essex•Bolton •Royal Marsden•East & North Herts•Gateshead
•Sheffield Children’s•St Georges•Kings Lynn•Co Durham and Darlington•Rotherham•Mid Yorks•Calderdale•Barnsley•Doncaster
Ensemble is widely used by Hospital Trusts throughout the NHS as a Trust-wide integration engine
Ensemble in UK Healthcare
•Jersey Hospital•Guernsey Hospital•St Vincents, Dublin•Thames Cancer Registry•Institute for Cancer Research•Northgate Information Solutions – National Hearing Screening Programme •North Western Cancer Registry•Northern and Yorkshire Cancer Registry and Information Service
and in many other Healthcare environments...
InterSystems and the NPfIT
North East / Yorkshire & Humberside
North West / West Midlands
East Midlands / East of England
London
South West / South East
CSC Alliance
CSC Alliance
No Current LSP
No Current LSP
BTBT
CSC Alliance
CSC Alliance
CSC Alliance
CSC Alliance
CSC selects InterSystems for trust integration10th Sep 2008
Computer Sciences Corporation is to use InterSystems Ensemble for the integration of all new applications it
provides to existing trust systems.CSC, the local service provider for the North East and
Midlands regions in England’s NHS National Programme for IT, has selected Ensemble as the standard trust integration
engine (TIE).
InterSystems and the NPfIT
InterSystems and the NPfIT
North East / Yorkshire & Humberside
North West / West Midlands
East Midlands / East of England
London
South West / South East
CSC Alliance
CSC Alliance
No Current LSP
No Current LSP
BTBT
CSC Alliance
CSC Alliance
CSC Alliance
CSC Alliance
EnsembleEnsembleEnsembleEnsembleEnsembleEnsembleEnsembleEnsemble
EnsembleEnsembleEnsembleEnsemble
Questions?
Questions??• [email protected]• www.intersystems.co.uk/TIE