Health Information Technology

1
Health Information Technology

• Scot L. Johnson
• Director,
• Oracle Health Industries

2
About Oracle

• Oracle is the world's largest enterprise software
  company
• 80 percent of the Fortune Global 500 healthcare
  organizations and 4 of the top 5 AARP-ranked
  hospitals run Oracle applications
• More than 300 leading healthcare providers run
  Oracle applications

3
Key Questions Facing HealthcareQuality, Cost,
Safety

• How do we support clinical processes?
• How do we handle the fact that many people and
  organizations are involved with the care of an
  individual patient?
• How do we support the sharing of information in
  situations where care is handed over from one
  organization to another?
• How do we ensure that local work procedures can
  be supported together with regional and national
  guidelines?
• How do we integrate current medical knowledge and
  information about best practice guidelines?

4
Key Questions Facing Healthcare
Patient Journey
Illness
Organization Procedures Resources Knowledge IT-sup
port
Organization Procedures Resources Knowledge IT-sup
port
Organization Procedures Resources Knowledge IT-sup
port
Episode of care
Episode of care
Episode of care

• Information
• Considerations
• Diagnosis
• Plans
• Goals
• Results
• Evaluations

• Information
• Considerations
• Diagnosis
• Plans
• Goals
• Results
• Evaluations

• Information
• Considerations
• Diagnosis
• Plans
• Goals
• Results
• Evaluations

5
Challenges

• Current landscape large investment in
  proprietary, incommunicative systems
• Pent up demand and uncertainty as to what will
  constitute viable investments for new Health IT
  systems
• Leadership from the AHIC on Health Information
  standards

6
Office of the National Coordinator (ONC)
7
Nationwide Health Information Network (NHIN)
Pilot Projects

• Oracle is partnered for 2 of the 4 pilot projects
  (Accenture and Northrop-Grumman)
• Other two are led by IBM and Computer Sciences
  Corporation

8
Accenture

• The Health Care Markets
• CareSpark
• Eastern Kentucky Regional Health Information
  Organization
• West Virginia eHealth Initiative
• Other Partners
• Apelon, Cisco, CGI-AMS, Creative Computing
  Solutions, eTech Security Pro, Intellithought,
  Lucent Glow, Oakland Consulting Group, Oracle,
  and Quovadx

9
Northrop Grumman

• The Health Care Markets
• Santa Cruz RHIO, Santa Cruz County, CA
• Greater Cincinnati HealthBridge, Cincinnati, OH
• Greater Cleveland, OH health market including,
  University Hospitals Health System, Cleveland
  Clinic Health System, and MetroHealth System
• Other Partners
• Air Commander, Axolotl, Client/Server Software
  Solutions, Emdeon (WebMD), First Consulting
  Group, Oracle, SphereCom Enterprises, and Sun
  (SeeBeyond Technologies)

10
What is the Industry Advocating?

• Adoption of a national open-standard for the
  exchange of clinical and administrative data in a
  functional and semantically interoperable format
• Adoption of coherent, extendible standards that
  permit structured, encoded health care
  information (content) of the type required to
  support patient care, to be exchanged between
  computer applications while preserving meaning

11
Privacy

• Privacy controls that protect patient information
  and allow for an audit trail to determine
  inappropriate access
• Patient control over health information,
  including access rights to specific data

12
Summary Essential Components

• Standard based exchange of clinical and
  administrative data is essential to building a
  Nationwide Health Information Network
• Congress should support this effort by codifying
  and funding the ONC office, and empowering that
  office to designate government wide standards for
  clinical content and clinical data exchange
• Effort should build on the progress being made on
  the current ONC sponsored projects