HIC Standards Session Who is who in the zoo?

Transcription

1 HIC Standards Session Who is who in the zoo? Professor Trish Williams Cisco Chair and Professor of Digital Health Systems School of Computer Science, Engineering and Mathematics Flinders University

2 How to lose a $125 million Mars Climate Oribiter

3 Failure in process

4 Failure in design

5 Failure in understanding

6 Failure to understand the problem

7 Oh no how does this happen?

8 What are standards? Standards are published documents that establish specifications and procedures designed to maximize the reliability of the materials, products, methods, and/or services people use every day. Standards address a range of issues, including but not limited to various protocols to help maximize product functionality and compatibility, facilitate interoperability and support consumer safety and public health.

9 This is what standards can avoid

10 Standards Development Organisations (SDOs) Produce standards (sometimes called specifications or protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance (claims processing) transactions.

11 What are SDOs aiming for

12 Health Context Connected Convergent Conformant

13 The reality needs Healthcare complexity Patient safety Quality Interoperability

14 Why we need standards 1. Shared infrastructure among hospital IT and EHR systems 2. Move from paper to electronic 3. Interoperability needs to include semantics 4. Products and software need to be developed to fit existing infrastructure and systems. 5. Meaningful Use 6. Support quality care 7. Patient safety - patient e-safety

15 Why we need standards to drive this? (N 2 N)/2 connections Single interface 15 interfaces Single specification (standard)

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17 Requirements for interoperability Common language Functional interoperability ability to physically share Semantic interoperability ability for shared understanding

18 Why is this so hard? Digital health interoperability is the ability of two or more systems or components to exchange information and to use the information that has been exchanged. This exchange must be electronic, secure, accurate and verifiable, and available when and where needed.

19 Interoperability: 1.Technical interoperability Transmitting the data

20 Interoperability: 2. Semantic interoperability Communicating the meaning

21 Interoperability 3. Process interoperability Best practice in the use of the data

22 Don t underestimate the size of the problem - We need all three

23 How standards work International standards are high level and conceptual Need to constrain (limit/model) to the domain (area) of application and use Implementation is the interpretation of the standards. No two stakeholders apply the standards in the same way, as they have different problems to solve.

24 What is needed? Standards specifications which enable disparate healthcare IT applications to exchange sets of clinical and administrative data. This is.. Interoperability beyond a single point to point interface. This requires: A profile that includes all of the related SDOs elements (e.g., terminologies), and other directed references within the primary SDO product (e.g., state names & abbreviations). Full specification of communication layers 1-7 (not just Level 7) The publication of an implementation guide that is used by all communicating parties. A published governance and update process that supports needed fixes and related updates.

25 Is there a

26 World of standards organisations Health Informatics Standards Development Environment National Representative Bodies International National have specific responsibilities to ISO Standards Australia International Organisation for Standardization (ISO) TC215 Integration point for all SDOs Joint Initiative Council (JIC) Coordinates development between SDOs Previous License agreement (to publish HL7 localisations with conditions) International SDOs GS1 Identification standards DICOM Imaging standards IHE Interoperability profiles & testing HL7 - Clinical interoperability standards and process models IEC Medical devices standards CDISC Health research IHTSDO Terminologies CEN251 EEC standards HL7 Australia IHE Australia GS1 Australia Comprises stakeholder representatives IT-014 Comprises independent, content expert volunteers IT-014 Technical Subcommittees Not for profit: Board of elected, independent volunteers Not for profit: Board of elected IHE Chair and Secretary, & nominees from HISA, HL7, RANZCR, MSIA Not for profit: commercial.

27 Which may mean that

28 Why does it take so long to develop standards? ISO JW7 International Working Group

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30 Why all the acronyms?

31 That s just part of standards life..!

32 If you want to avoid this.

33 You need to be one of the cooks

34 Help Australian healthcare with your expertise. join the standards community