EHR Interoperability at theOlympic GamesA proposal for US participation in a highly-visible demonstration of the adoption of Healthcare Interoperability Standards
Michael Nusbaum, HoD IHE Canada Constituency
The International Standards Community
The need – how do we define success for the Standards Community?Better health of our populationBetter health outcomes through availability of and access to appropriate information at the right place and timeInternational collaborationSDO collaborationAdoption
• By jurisdictional infrastructures (governments, etc.)• By vendors into their products that can be purchased• By healthcare systems, clinicians, users (RFP)
Communication & Marketing –
Demonstration!
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Demonstration example:Trillium Bridge Project
EU
US
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Lower costs/barriers for business engagement Reduce implementation/configuration costs Decrease standards development costs Accelerate convergence towards global standards Support the fundamental right of citizens to their health information
BUT: how do we demonstrate success?
Success factors for7ULOOLXP�%ULGJH�3URMHFW
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The Olympic Games
What if:A demonstration was set up to facilitate the exchange of healthcare information at the Olympic Games?3-4 countries agreed to participate (UK, Australia, US, Canada)
One or more standards-based information artifacts were selected to demonstrate meaningful exchange, such as:
• Patient summary• Diagnostic imaging (images and reports)• Laboratory results• Medication profiles
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The Olympic Games
Could provide an excellent venue to:— Illustrate how an information exchange might work— Showcase the importance of standards in facilitating
interoperability— Extend the work of Trillium Bridge to find standards-based
solutions (rather than through transformations)— Provide a high-visibility demonstration of the value of
standards-based interoperability
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The Olympic GamesWhy the Games?
— Brings international communities together in a controlled and confined environment
— Fosters innovation and demonstration
— Opportunity to improve a very weak health IT environment at the Olympics
— Satisfies a real need— HIGH-VISIBILITY opportunity to
demonstrate utility of a standards-based approach
2016 Summer games – Brazil*2018 Winter games – Korea
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Olympics ExpertiseIOC Technical Manual – Medical Services
— Resources, protocols, process flows, information flows, etc.
IOC: “An electronic health record (medical encounter) system must support patient care, public health surveillance, athlete safety research, and provide summarised data related to medical care provided during the Games period”Olympics expert retained
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The Olympic “medical” Model
Athletes(1,000’s)
Olympic “family”(10,000’s)
Spectators(1,000,000’s)
Populations Care Continuum� “clinics” at venues� Polyclinics� Tertiary referral to
host city hospitals
Volunteers(100,000’s)
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The Olympic Healthcare IT Infrastructure11
Athletes come together as a
team
Each team registers their
athletes in an EMRMedical Triageat each venue
Two or more “Polyclinics”
TertiaryReferral Hospital
EMR provided to each National Team
“EMR” operatedby the IOC
Host Cityprovides EHR
Technical Infrastructure
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Potential Content• Patient summary• DI images and reports• Laboratory results• Medication profiles
Potential Transport• HL7v2• HL7v3• IHE XDS/XDR• FIHR
In summary, consider…Athletes and “Olympic family” from 4 participating countries enable their Olympic teams with an EMR that is enabled for standards-based interoperability (eg. Patient Summary)The International Olympic Committee (IOC) enables it’s Polyclinic EMR system with standards-based interoperabilityThe host city (Rio??) enables it’s tertiary referral hospital(s) with standards-based interoperability
Would result in:Patients travelling though the system would benefit from immediate availability of clinical information to receive better/faster care…and the IOC could demonstrate its commitment to innovation…and the host city can demonstrate it’s ability to welcome the world…and the standards community can demonstrate their commitment to the development and implementation of international and collaborative standards
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Proposed Project Governance
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Steering Committee
Technical Committee� Development� Testing� Implementation
Marketing/Media
Country Country Country Country Host IOC
� Participating organizations� Standards advisory� Olympic advisory
Country AHealthcare IT Sector
Country AFederal Government
Country AOlympic Committee
Country AHealthcare IT Sector
Country AFederal Government
Country AOlympic Committee
Engagement Pathway
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Country AHealthcare IT Sector
Country AFederal Government
Country AOlympic Committee
BrazilHealthcare Standards
BrazilGovernment
Rio OlympicOrganizing Committee
Olympic Sponsors
GEHealthcare
Others?
International Olympic CommitteeMedical Directorate
