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

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

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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

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HIMSS 2019 Solor Presentation

Steven Brown, MD, MS, FACMI Keith E. Campbell, MD, PhD, FACMI

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  • Dr. Steven Brown and Dr. Keith Campbell have no real or apparent

conflicts of interest to report.

Conflict of Interest

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  • 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

Acknowledgements

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  • 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

Have We Achieved Data Interoperability at the Point of Care?

We want to expand the use and usability of exchanged data.

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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

  • rganizations avoid errors in the

interpretation of clinical data.

Solor awarded the FedHealthIT 2018 Innovation Award

June 2018

HSPC highlighted Solor as mission critical at the HSPC 17th General Meeting

July 2018

  • Dr. Keith Campbell

selected for the OSEHRA Lifetime Achievement Award

July 2018

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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

Why Do We Care About Data in Health Care?

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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

The Promise of Health IT Depends on Interoperability

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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!

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Types of Interoperability1

  • 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

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Overlap in Content

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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
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What is Solor?

Integration of terminology in a common model

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Solor is a Way to Transition

“Interoperability of Today” Interoperability of the Future

  • Big bang switch won’t work
  • Need to support current systems while

evolving to native interoperability

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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

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Knowledge Management Environment

  • We are currently developing a knowledge management environment

that could potentially be used to integrate FDA LIVD specifications

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  • 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

Get Involved

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We are at booth 9001-5, between the Interoperability Showcase and Innovation Live (Hall F)!

Visit Us at HIMSS

  • 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/

Get Involved