Open HIE Workshop Promoting Effective Health Information Exchange

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Open. HIE Workshop Promoting Effective Health Information Exchange in Developing Environments Shaun Grannis, The

Open. HIE Workshop Promoting Effective Health Information Exchange in Developing Environments Shaun Grannis, The Regenstrief Institute Dykki Settle, PATH Chris Seebregts, Jembi Health Systems OPEN ME!! https: //notes. ohie. org/medinfo 2015

Today’s Agenda • Introductory Open. HIE Presentations (40 minutes) • Open. HIE Framework •

Today’s Agenda • Introductory Open. HIE Presentations (40 minutes) • Open. HIE Framework • Open. HIE Community • Open. HIE Implementations • Open Discussion (45 minutes) • Close (5 minutes)

Open. HIE Framework

Open. HIE Framework

Architecture Framework Sharing Data to Improve Health Outcomes

Architecture Framework Sharing Data to Improve Health Outcomes

Terminology Service A Terminology Service serves as a central authority to uniquely identify the

Terminology Service A Terminology Service serves as a central authority to uniquely identify the clinical activities that occur within the care delivery process by maintaining a terminology set mapped to international standards such as ICD 10, LOINC, SNOMED, and others – “What? ”

Client Registry An enterprise master patient index (EMPI), or Client Registry manages the unique

Client Registry An enterprise master patient index (EMPI), or Client Registry manages the unique identity of citizens receiving health services with the country – “For whom”

Shared Health Record A Shared Health Record is a repository containing the normalized version

Shared Health Record A Shared Health Record is a repository containing the normalized version of content created within the community, after being validated against each of the previous registries. It is a collection of person-centric records for patients with information in the exchange.

Health Management Information System A Health Management Information System is a repository containing the

Health Management Information System A Health Management Information System is a repository containing the normalized version of aggregate-level content created within the community, after being validated against each of the previous registries. It is a collection of indicator-centric records for cohorts with information in the exchange.

Facility Registry A Health Facility Registry serves as a central authority to uniquely identify

Facility Registry A Health Facility Registry serves as a central authority to uniquely identify all places where health services are administered within the country – “Where? ”

Health Worker Registry A Health Worker Registry is the central authority for maintaining the

Health Worker Registry A Health Worker Registry is the central authority for maintaining the unique identities of health providers within the country – “By whom”

Health Interoperability Layer A Health Interoperability Layer receives all communications from point of service

Health Interoperability Layer A Health Interoperability Layer receives all communications from point of service applications within a health geography, and orchestrates message processing among the point of service application and the hosted infrastructure elements.

Workflows • Open. HIE workflows support common care processes by enabling data exchange using

Workflows • Open. HIE workflows support common care processes by enabling data exchange using carefully orchestrated sequences of well-defined standards-based transactions. • The Workflow Development Process: • Identify a Data Sharing Need • Define Actors who exchange data • Identify Standards & Profiles to support the workflow

Open. HIE community of communities

Open. HIE community of communities

Who we are • Open. HIE is a diverse mission-driven community of communities including

Who we are • Open. HIE is a diverse mission-driven community of communities including countries, organizations, individuals and donors working to promote sharing of health data across many different software products. • We make and improve interoperability specifications and workflows, international standards, implementation guidance, and reference software to improve the exchange of health information.

MISSION VISION Our mission is to improve the health of the underserved through the

MISSION VISION Our mission is to improve the health of the underserved through the open collaborative development and support of country driven, large scale health information sharing architectures. We envision a world where all countries are empowered to pragmatically implement sustainable health information sharing architectures that measurably improve health outcomes.

Community of Communities

Community of Communities

Kenya’s FR Registry of Health Facilities Registry of Clients Health Management IS (HMIS) Shared

Kenya’s FR Registry of Health Facilities Registry of Clients Health Management IS (HMIS) Shared Health Records Repository Registry of Health Terms Registry of Health Workers Interoperability Layer M&E Applications Mobile Applications Clinical Record Systems Hospital Information Systems Laboratory Information Systems

Community roles • Develop and refine Open. HIE mission, vision, values and collaborative leadership

Community roles • Develop and refine Open. HIE mission, vision, values and collaborative leadership • Cultivate domain-specific communities of practice • Define interoperability specifications and workflows • Maintain forum for technology developers and implementers • Identify and refine appropriate interoperability standards (working within Integrating the Healthcare Enterprise (IHE) process) • Develop implementation guidance • Develop and support reference technologies. • Test technologies against standards to ensure compliance

Community tools • Routine community calls – both domainspecific and Open. HIE overall •

Community tools • Routine community calls – both domainspecific and Open. HIE overall • Continued conversations between calls via mailing lists • Open wiki archive of • • notes and recordings of all conversations Community plans Interoperability specifications Implementation guidance • Open source repository of reference software and documentation.

To Get Involved ohie. org/getinvolved info@openhie. org

To Get Involved ohie. org/getinvolved info@openhie. org

Open. HIE Implementations Chris Seebregts Jembi Health Systems NPC, University of Kwa. Zulu-Natal Dykki

Open. HIE Implementations Chris Seebregts Jembi Health Systems NPC, University of Kwa. Zulu-Natal Dykki Settle PATH Alvin Marcelo Philippines DOH Derek Ritz ec. Group

Implementations 1. Rwanda Health Information Exchange – Jembi, Regenstrief Institute, ec. Group 2. South

Implementations 1. Rwanda Health Information Exchange – Jembi, Regenstrief Institute, ec. Group 2. South Africa Mom. Connect – Jembi, Praekelt Foundation, HISP-SA 3. Other South Africa Implementations – Jembi, HISP-SA and Partners 4. Philippines Health Information Exchange – Ministry of Health and Partners 1. Tanzania Better Immunization Data Exchange – PATH, Intra. Health, ec. Group, Airis, Mohawk College 2. Health Worker Response and Outreach (m. Hero) – Intrahealth, UNICEF, USAID, Jembi, Thought. Works

Architecture Framework Sharing Data to Improve Health Outcomes

Architecture Framework Sharing Data to Improve Health Outcomes

Rwanda Health information Exchange

Rwanda Health information Exchange

Mom. Connect • Project of the South African National Department of Health, under the

Mom. Connect • Project of the South African National Department of Health, under the guidance of the Minister of Health • Operationalized through the mobile maternal health task team • Register pregnant women attending antenatal care (ANC) facilities into a national pregnancy registry, and • Subscribe them to receive health promotion messaging during their pregnancy

HNSF Act http: //www. health. gov. za/ehealth. php

HNSF Act http: //www. health. gov. za/ehealth. php

Mom. Connect HIE

Mom. Connect HIE

General Workflow pattern

General Workflow pattern

Results

Results

Other Implementations of the Open. HIE in South Africa

Other Implementations of the Open. HIE in South Africa

Philippine e. Health Leadership and Governance

Philippine e. Health Leadership and Governance

PHIE Architecture

PHIE Architecture

Better Immunization Data (BID) Tanzanian National Immunization Registry 34

Better Immunization Data (BID) Tanzanian National Immunization Registry 34

Better Immunization Data (BID) Arusha Region 1. 7 M population ~260 immunization clinics ~55,

Better Immunization Data (BID) Arusha Region 1. 7 M population ~260 immunization clinics ~55, 000 babies born annually Rollout started beginning of May! Tanzania 57 M population ~6600 immunization clinics ~2 M babies born annually Go-live 2016 35

FACILITY REGISTRY (FR) CLIENT REGISTRY (CR) SHARED HEALTH RECORD (SHR) HEALTH WORKER REGISTRY (HWR)

FACILITY REGISTRY (FR) CLIENT REGISTRY (CR) SHARED HEALTH RECORD (SHR) HEALTH WORKER REGISTRY (HWR) INTERLINKED REGISTRY (IR) HMIS (dhis 2) INTEROPERABILITY LAYER (ENSURES SECURE EXCHANGE OF DATA) TIIS MOBILE APP 07 October 2020 TIIS WEB APP Distribution Resource Planner RAPID PRO REGISTRATION INTERFACE MOBILE PHONE 36

Open Architecture m. Hero builds on existing government technologies (DHIS 2, i. HRIS) to

Open Architecture m. Hero builds on existing government technologies (DHIS 2, i. HRIS) to link them with the Unicef’s mobile platform (Rapid. Pro) using Open. HIE technologies. Using open source standards and approaches creates an extended national collaborative ecosystem that other solutions can link into.

http: //ohie. org

http: //ohie. org

Questions • Does the Open. HIE framework make sense? • Do you have questions,

Questions • Does the Open. HIE framework make sense? • Do you have questions, concerns, suggestions for improvement? • Does the Open. HIE community model make sense? • Have you already engaged with Open. HIE? • Would you like to? • Do you have questions, concerns, or suggestions for improvement? • Do the Open. HIE implementations help to further clarify and describe the value of Open. HIE? • Do you have questions, concerns, or suggestions for improvement? • How might Open. HIE apply to your work? • What’s missing? • Attendee-specific details: • What is the nature and scope of your activities in the HIE/e. Health space • Do you think Open. HIE might support those activities? How?