10/5/2015 1 The Value of Interoperability Adele Allison, Director of Provider Innovation Strategies October 7, 2015 The enclosed materials are highly sensitive, proprietary and confidential. Please use every effort to safeguard the confidentiality of these materials. Please do not copy, distribute, use, share or otherwise provide access to these materials to any person inside or outside DST Systems, Inc. without prior written approval. This proprietary, confidential presentation is for general informational purposes only and does not constitute an agreement. By making this presentation available to you, we are not granting any express or implied rights or licenses under any intellectual property right. If we permit your printing, copying or transmitting of content in this presentation, it is under a non‐exclusive, non‐transferable, limited license, and you must include or refer to the copyright notice contained in this document. You may not create derivative works of this presentation or its content without our prior written permission. Any reference in this presentation to another entity or its products or services is provided for convenience only and does not constitute an offer to sell, or the solicitation of an offer to buy, any products or services offered by such entity, nor does such reference constitute our endorsement, referral, or recommendation. Our trademarks and service marks and those of third parties used in this presentation are the property of their respective owners. 2 Disclaimer The Value of Interoperability • Activity • Building Blocks • Use Cases • New Developments • Questions
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10/5/2015
1
The Value of InteroperabilityAdele Allison, Director of Provider Innovation Strategies
October 7, 2015
The enclosed materials are highly sensitive, proprietary and confidential. Please use every effort to safeguard theconfidentiality of these materials. Please do not copy, distribute, use, share or otherwise provide access to these materials toany person inside or outside DST Systems, Inc. without prior written approval.
This proprietary, confidential presentation is for general informational purposes only and does not constitute an agreement. Bymaking this presentation available to you, we are not granting any express or implied rights or licenses under any intellectualproperty right.
If we permit your printing, copying or transmitting of content in this presentation, it is under a non‐exclusive, non‐transferable,limited license, and you must include or refer to the copyright notice contained in this document. You may not create derivativeworks of this presentation or its content without our prior written permission. Any reference in this presentation to anotherentity or its products or services is provided for convenience only and does not constitute an offer to sell, or the solicitation ofan offer to buy, any products or services offered by such entity, nor does such reference constitute our endorsement, referral,or recommendation.
Our trademarks and service marks and those of third parties used in this presentation are the property of their respectiveowners.
• No Follow‐up• Travels with friends• Fever peaks at 104• Ends up in ED• Gets admitted
Hospital Physician
• IV Antibiotics• Fever continues• Unknown etiology• Deep leg pain develops• New culture → +48 hrs• Results needed NOW, or• Surgical excision of infected tissue
EHR / HIE
• HIE used by Hospital• Obtains culture results quickly from PCP
− Resource = Properties → E.g., DOB, Gender, Name under the Patient Resource
− Resources are bundled with related resources
• Resources can be:− Created (HTTP POST)
− Retrieved (HTTP GET)
− Updated (HTTP PUT)
− Removed (HTTP DELETE)
FHIR®
31 Source: Orion Health, White Paper, FHIR ignites healthcare sharing, Dr. David Hay, Mar. 31, 2015, http://ehidc.org/resource-center/white-papers/2015-03-31-FHIR-Ignites-Healthcare-Sharing.pdf
− No vendor “lock‐in” due to no proprietary interfaces
− Support mobile, device and Internet technologies
• Only a draft interop standard today, even though broadly supported− Strong industry enthusiasm
− No regulatory requirement
− Not prominent in tech vendor’s near‐term product roadmaps
− 2‐5 year ramp‐up for industry use and availability
FHIR®
32
Sources: Orion Health, White Paper, FHIR ignites healthcare sharing, Dr. David Hay, Mar. 31, 2015, http://ehidc.org/resource-center/white-papers/2015-03-31-FHIR-Ignites-Healthcare-Sharing.pdf;