HIMSS 2019 Solor Presentation Steven Brown, MD, MS, FACMI Keith E. - PowerPoint PPT Presentation

HIMSS 2019 Solor Presentation Steven Brown, MD, MS, FACMI Keith E. Campbell, MD, PhD, FACMI 1

Conflict of Interest Dr. Steven Brown and Dr. Keith Campbell have no real or apparent conflicts of interest to report. 2

Acknowledgements • This work would not be possible without the support of: – Jonathan Nebeker, MD, MS, Deputy National Chief Medical Informatics Officer, Veterans Health Administration (VHA) – Knowledge Based Systems, Office of Health Informatics, VHA 3

Have We Achieved Data Interoperability at the Point of Care? • VA has vast experience sharing clinical data, warts and all • Veterans Choice Act and MISSION Act mandates robust data exchange at ever increasing scale and scope • Meaningful Use Standards and other policies promoting interoperability are helpful but not completely sufficient We want to expand the use and usability of exchanged data. 4

Solor: An Open-Source Ecosystem Solor is an open-source ecosystem that brings together data-encoding standards with an extensible, single model to help health care organizations avoid errors in the interpretation of clinical data . Dr. Keith Campbell HSPC highlighted Solor awarded selected for the Solor as mission the FedHealthIT OSEHRA Lifetime critical at the 2018 Innovation HSPC 17 th General Achievement Award Award Meeting June 2018 July 2018 July 2018 5

Why Do We Care About Data in Health Care? If you can’t measure something, you can’t understand it. If you can’t understand it, you can’t control it. If you can’t control it, you can’t improve it. - H. James Harrington 6

The Promise of Health IT Improve the quality and safety of health-care Measure the cost and quality of services Integrate multiple providers across organizations in a continuum of care Integrate high-quality decision support into the clinical workflow across the continuum of care The Promise of Health IT Depends on Interoperability 7

The Promise of Health IT Improve the quality and safety of health-care Measure the cost and quality of services Integrate multiple providers across organizations in a continuum of care Integrate high-quality decision support into the clinical workflow across the continuum of care Encoded data is the foundation needed to deliver The Promise! 8

Types of Interoperability 1 • Foundational – Data exchange from one system to another • Structural – The syntax of the data exchange at the data format/field level • Semantic • The exchange of information in a way that the receiving system can interpret the data 1 https://www.himss.org/library/interoperability-standards/what-is-interoperability 9

Overlap in Content 10

Enabling Semantic Interoperability Standardize the Standards • Standardize the encoded data model • Standardize the extension model Meet Operational Needs • Enable sharing of extensions – Open-extensions – Proprietary-extensions • Lowers costs by contributing local extensions to standards Evolve Existing Systems • Transforms SNOMED CT, LOINC, RxNorm, and others 11

What is Solor? Integration of terminology in a common model 12

Solor is a Way to Transition Interoperability of “Interoperability of Today” the Future • Big bang switch won’t work • Need to support current systems while evolving to native interoperability 13

Simplifies Systems By simplifying content management, Solor makes: • Implementation easier for business owners and safer for patients • Management of change easier for business owners and safer for patients 14

Knowledge Management Environment • We are currently developing a knowledge management environment that could potentially be used to integrate FDA LIVD specifications 15

Get Involved • Solor project information on HSPC Confluence – https://healthservices.atlassian.net/wiki/spaces/Solor/overview • Sources for Documentation and Tools – KOMET – https://github.com/OSEHRA/komet – ISAAC – https://github.com/OSEHRA/ISAAC • Solor JIRAs – https://healthservices.atlassian.net/projects/SOL/summary – https://healthservices.atlassian.net/projects/SIK/summary • Solor Website – http://solor.io – http://solor.io/blog/ • Solor Viewer App and User Guide – Navigate to Learn More section of http://solor.io 16

Visit Us at HIMSS We are at booth 9001-5, between the Interoperability Showcase and Innovation Live (Hall F)! Get Involved • Solor project information on HSPC Confluence – https://healthservices.atlassian.net/wiki/spaces/Solor/overview • Sources for Documentation and Tools – KOMET – https://github.com/OSEHRA/komet – ISAAC – https://github.com/OSEHRA/ISAAC • Solor Website – http://solor.io – http://solor.io/blog/ 17