Business Architecture in Healthcare

Business Architecture in Healthcare

ehealth IS CREATING A PERFECT STORM FOR CHANGING HEALTHCARE DELIVERY Office of the CIO Delivering ehealth Ireland

Healthcare is a system of relationships Test Harness Value/ Benefits Charts KPI s Goals Strategies Drivers Diagrams Policies Interoperability Standards Suppliers Services Processes Security Reporting Data Servers Applications Business Rules Risks Requirements Roles Employees Healthcare Individual Platforms Infrastructure Databases Locations Access rights Contract Function /Organisation External Organisations Office of the CIO Delivering ehealth Ireland 3

Service Delivery ** Stay Left, Shift Left New direction of travel Patient Consultation & Treatment Professional Centric Reactive Healthcare Individual Monitoring & Prevention** Person Centric Proactive** Acute Provider responsibility Specialist care Continuum of care** Individual Empowerment Integrated care** Office of the CIO Delivering ehealth Ireland

Information Systems ** Attribute Description Design considerations Traditional Health IS PC ehealth Emphasis Record Keeping Access to patient information Users Provider Patient & Provider Interaction Provider Patient Provider Patient Supports Provider activities Patient Health Management Services Available All hospitals locations Anywhere, anytime System Accessibility Accessed locally Accessed globally Patient Access Patient has only indirect access to patient information Patient has direct access to patient information Office of the CIO Delivering ehealth Ireland 5

Change required Organisational MOVING AWAY FROM SINGLE IMPROVEMENTS TOWARDS COMPLETE TRANSFORMATIONS MOVING AWAY FROM INDIVIDUAL SYSTEMS TOWARDS ENTIRE ECOSYSTEMS Office of the CIO Delivering ehealth Ireland

Foster Relationships enabling communication between different clinicians and their patients creating a foundation for interactions between healthcare information Repository of Data Information Breaking down complexity providing an unobstructed flow of information to clinicians Strategy to Execution Roadmaps & Blueprints aligning people & processes to meet the needs of patients, today, tomorrow and in the future People & Business Activities providing building blocks for the E.H.R and other technologies Reference Architectures building bridges between existing information systems Digital Assurance & Compliance person centric healthcare Interoperability Standards break down silo s of unconnected information Snomed Clinical TerminologyT Office of the CIO Delivering ehealth Ireland 7 http://www.ehealthireland.ie/our-team/enterprise-architecture/understanding-enterprise-architecture/

Services Available Office of the CIO Delivering ehealth Ireland 8

Business Architecture Links organisational strategy and its business functionality Understand business relationships in order to provide greater opportunities to make more informed business decisions Office of the CIO Delivering ehealth Ireland 9

Matrices Business Use case diagram Catalogs BA Process flows can be used to details the controls that apply to a process, the events that trigger a process and the products that are generated from a process execution Process Flow Diagram Business Function/business services catalogs..provides a listing of all business functions and services that enable the HSE to fulfil its goals Actor/business role matrix shows what actors perform which business roles..displays the relationships between customers and providers of business service Office of the CIO Delivering ehealth Ireland 10

Service / Application Landscape Office of the CIO Delivering ehealth Ireland 11

ipms interface environment Office of the CIO Delivering ehealth Ireland 12

Services served by > 1 application Office of the CIO Delivering ehealth Ireland 13

Process Architecture Build reusable process activity building blocks to expedite solution design A full overview of all activities and how they relate to one another Office of the CIO Delivering ehealth Ireland 14

03/12/2018 Current State (As is) Problem Statement Future State (Target) Process Activity steps - methodology Process Activity Process Activity step Data Roles Standard Data set(s) Roles Statement of Requirements Interoperability Standards (SOR) Functional Requirements Business Checklist Site Checklist Office of the CIO Delivering ehealth Ireland 15

03/12/2018 Value Stream Map Office of the CIO Delivering ehealth Ireland 16

03/12/2018 Admission Activity Perspectives Office of the CIO Delivering ehealth Ireland 17

03/12/2018 Admission Process BPMN Office of the CIO Delivering ehealth Ireland 18

Strategic Deployment Office of the CIO Delivering ehealth Ireland 19

Architecture Principles Reference Models Interoperability Standards Meta Data Models Data Definitions Statement of Requirements Business Architectures Privacy by Design Standards Certification Current SNOMED Licence Reuse Process Activity Blocks Architecture Assurance Board Standards Accreditation Strategic Deployment Vision Design as Architected, Implemented as Designed Strategic Direction Awareness Adoption Assurance ehealth Strategy National Data Dictionary Future State Architecture Test Harness Technical SNOMED CT Tool Tactical Plan Data Semantic Enterprise Architecture Tool Organisational Standardisation Business & Process Architecture Procurement Evaluation Project & Architecture gateways OoCIO Integration Engage with Business Architecture Process & Content Collaboration Solution Design at planning phase Office of the CIO Delivering ehealth Ireland

03/12/2018 Healthcare Insights Office of the CIO Delivering ehealth Ireland 21

Details of Enterprise Architecture & Who are we Enterprise Architecture Visit http://www.ehealthireland.ie/our-team/enterprise- Architecture/Understanding-Enterprise-Architecture/ Office of the CIO Delivering ehealth Ireland 22