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A short description about the new SOA Strategy in the Andalusian Healthcare Ministry - IT Division. Causes, strategy and application in the way to achieving a soustenible bussiness and technology model as well as a high level of interoperability
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An overview
José R Fernández EngoResponsible of SOA – IOP Strategy
Andalusian Healthcare Ministry – IT Division
Andalusian Healthcare MinistryData:Healthcare has public financing and universal scope.Population: 8,3 M (17,8% population of Spain)Area: 87.579 km2Professionals: >80.000GP centers: >1.500 (including assigned)Hospitals: 29 + 16 high resolution centersGeneral Budget: 8.600 M€ IT Budget: 80 M€ (ratio: 0.93%)
History2001: BDU – Users Database2002: InterSas (citizen’s web access) and AGD
(System of demand management for programmed surgery).
Scheduling by phone. Electronic prescription.2005: Deployment of Urgencies Application2006: Scheduling by web. 2007: Deployment of Analitic Corporative Module2009: First Deployment of DAH2010: SOA Strategy beginning. Rethinking DAH 2012: SOA – DAH operative in 10 hospitals. Including
big hospitals (>1,000 beds)
History2001: BDU – Users Database2002: InterSas (citizen’s web access) and AGD
(System of demand management for programmed surgery).
Scheduling by phone. Electronic prescription.2005: Deployment of Urgencies Application2006: Scheduling by web. 2007: Deployment of Analitic Corporative Module2009: First Deployment of DAH2010: SOA Strategy beginning. Rethinking DAH 2012: SOA – DAH operative in 10 hospitals. Including
big hospitals (>1,000 beds)
DAH is a corporative IT solution for Hospital. It includes a HIS application, RIS application, Nursering application,
Clinical application and the SOA services and infrastructure used by all of them, including the services from/to
central applications as Scheduling, MPI, authentication/authoring
application, etc.
Current Use>7,9 M EHRs1.145 GP principal centers conected (100%
population covered), 28 hospital areas and 3.500 pharmacies.
Dialy Users: >17.000 healthcare professionals and 3.500 pharmacists. >9.000 concurrent users in GP
39,7M GP sheets, 3,0M emergencies, 400M scheduled appoinments.
And 58% of use of the global electronic prescription/dispensation circuit
Our problem: IT before 2009N1
N2
N6
N5
N4
N3
AP1
AP2
AP15
AP7
AP9
AP4
AP6
AP8
AP10
N,a,d
Fecha,d
Loinc, sc
D, date
chino
dId,d
Fecha, cie9
N,cie10
a,d
Datum, monate
FTP
FTP
jdbc
dblink
FTP
odbc
HL7 2.3
Sin formato
XMLs
deutsch
no bussiness perspectiveno sustainability
no bussiness perspectiveno sustainability
Our SOA solution : conceptual architectureBAM: monitoring bussiness process
BPM: modeling bussiness process (including guidelines)
SOA is our pathway to IOP
SOA implies:Governance
Knowledge, Knowledge, KnowledgeNormalization, standars, master data,
bussiness,…productivity, costs, escalability, reuse…
IOP
Some actual key-points:Interoperability Technical Office created at Juny,
2010. 25 IT external professionals guided by STICorporative projects working on SOA: 20Services designed on SOA Strategy: 72Composites applications: 124 Technological environments: 34Processed messages: 37,359,912 from January,
201224 certificated external providers
DAH: first experienceHOSPITAL
C. Externas y Urgencias
DAE(EG,EM,….)
MACOEstructura
BDU
MACOEstructura
BDU AGD
Old concept
Clinical
Nursering
HIS
RISEHR
PHARM.
Contact: [email protected]
