PowerPoint Presentation

Trillium Bridge: Bridging Patient Summaries across the AtlanticPortuguese Portal(epSOS Patient Access)

Italian (Lombardy) Portal (epSOS Patient Access)Spanish Portal(epSOS Patient Access Service)

EU MS National Portal(epSOS Patient Access)

Trillium Bridge TransformerTethered Personal Health Record, Health App orBlueButton+

CTS-2

Terminology ServicesEU epSOS master values (MVC/MTC)US core value sets (NLM)Doctor imports patient summaryIn local language prepares report

Get EU patientsummaryRequest transform..Martha getsher CCDVia bluebutton

Provide clinical summaryPaolo receives encounterreport in CCDA/CCDRequest transform..

Reference OpenNCPPortal

1234567Paolo has his EU Patient Summary epSOS pivot (EN)12Request transform..34Trillium Bridge Patient Mediated Use CaseCheck out the demo..

Similarities & Differences Same base Standard: HL7 CDASame purpose: patient empowermentDifferent Philosophy: capture vs continuity of careDifferent Implementation Guides (IG): HL7 C-CDA/CCD (US realm) vs epSOS IGDifferent Technical approach: Open vs Closed TemplateComparing Patient Summaries in the EU and US Analysis of EU/US Mapping in numbersHeader Data Elements (DEs): ~100 (epSOS) vs ~100 (CCDA) Sections: 16 (epSOS) vs 18 (CCDA) Data Elements: ~70 (epSOS) vs >~2x (CCDA) Value sets: 45 (epSOS) vs 74 (CCDA) (src: Mark Roche)

EU/US MoU Roadmap / Trillium Bridge Workshop (by invitation only)Tue May 13, 2014, 16-17:30,Hephaestus Hall (MC34)co-Chairs: Benoit Abeloos EC, Catherine Chronaki, HL7 Foundation

Insights from the Trillium Bridge Use Cases - Extending epSOS and MoU across the Atlantic, Marcello Melgara, WP Leader Comparing Patient Summaries

Demo of EU/US exchange of EHR summaries, Licinio Mano, OpenNCP Community, SPMS

Testing the patient- and provider-mediated use cases, Giorgio Cangioli, Project Manager

From Gap Analysis to Interoperability Assets, Ana Estelrich, WP Leader Interoperability Assets

Next StepsTransatlantic Patient Summary Exchange: Policy Alignment in seven areas:Education, Cross-vendor integration,novel business models, incentives, security and privacy, standardization, and clinical research, Dipak Kalra, EuroRec, WP Leader Aligning Policy, Standardization and Future Sustainability

Discussion Panel, Q&A Moderators: Jamie Ferguson, Kaiser Permanente, Catherine Chronaki, HL7 Foundation

Workshop EU-US MoU Roadmap WS Part II interoperability Wednesday May 14, 12:00-13:00, Banqueting Hallco-Chairs: Benoit Abeloos, EC, Doug Fridsma, ONC

Update on the Trillium Bridge Project, Catherine Chronaki

Interoperability Assets in the EU/US Exchange Patient Summaries, Ana Estelrich, Phast, France

Key aspects of Policy Alignment for Trillium Bridge, Dipak Kalra, President EuroRec Institute

Industry Perspectives, Antti Pohjolainen, Microsoft Director for Health Central & Eastern Europe

We are hereWhat can we do to lower the cost of transatlantic business engagement in eHealth?Reduce barriers for transatlantic coordination, health care, tradeDecrease standards development and implementation costs Accelerate convergence towards global standardsSupport right of citizens to their health data and safety

Well, perhaps we could try building.. a Transantlantic Bridge for EHR summaries!

Trillium Bridge is a project funded by the European Commission to support the EU/US MoU on eHealth/HIT Cooperation Roadmap and examine the feasibility of transatlantic exchange of EHR summaries for improved health and healthcare delivery, economic growth and innovation. In doing so, it collaborates with the US Office of National Coordinator, S&I Framework EHR interoperability WS. Why Trillium Bridge?Trillium BridgeConsortium

Innovative EntrepreneursUS Health Care Providers

epSOS National Bodieswith Patient Access pilot

European Standardization

Trillium Bridge is co-funded by European Commission FP7-610756

Imagine the Barriers to International CareInternational visitors to US each year 66,600,000 US travels abroad each year 58,496,587 Average stay (days) when travelling 4,0 Total Person-Days in Foreign Country 500,386,348 Total Person-Years in Foreign Country 1,370,922 US ED Visits/year 129,800,000US Population 309,300,000 ED Visits/1000 US Citizens 420 Expected ED visits each year by travelers to/from US 575,317 src: Larry Garber, Atrius HealthAllergies

Problems

Immunizations

Procedures(surgical )