08 AUG 2013

CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.

Contact: Dr Pankaj Gupta

Partner, Taurus Glocal Consulting

Board Member HIMSS Asia-Pacific-India Chapter

HIR @ The International Centre for Health Innovation, Richard

Ivey School of Business, Canada

Website: www.taurusglocal.com

Blog: http://www.healthcareitstrategy.blogspot.com/

LinkedIn: http://www.linkedin.com/in/drpankajgupta

Open Data for Innovation in

Governance

ORIGIN OF STANDARDS

R A I L W A Y G A U G E

S T A N D A R D

Meter Gauge

Scotch 4 ft 6 in (1,372 mm)

Cape 3 ft 6 in (1,067 mm)

Standard Gauge

4 ft 8 1⁄2 in (1,435 mm)

(Stephenson gauge)

Broad Gauge

Indian 5 ft 6 in (1,676 mm)

O R I G I N O F T H E

S T A N D A R D ?

PARADIGM SHIFTS QUESTION STANDARDS

P A R A D I G M S H I F T I N

I N D U S T R Y S T A N D A R D S D E B A T E :

T I M E I S C Y C L I C A L O R

L I N E A R ? 25 December 1969:

While Swiss watch makers were

playing one-upmanship with

their mechanical watches

Seiko Japanese company unveiled

the world's first quartz

wristwatch - the 35SQ Astron

Watch

2013:

Sony has launched mobile phone

watch. Now will time become

multi-dimensional?!

ADOPTION OF STANDARDS DEPENDS ON PERCEPTION

BIRD OR A RABBIT?

HEALTHCARE STANDARDS

Interoperability Standards

Minimum Data Sets and Data Standards

Standard Code Directories

Standard Meta Data for Semantics

Standard Ref Architecture

Standard Interfaces

HIPAA Title II: Preventing Health Care Fraud

and Abuse; Administrative Simplification;

Medical Liability Reform

Data Privacy

Transactions and Code Sets

Data Security

Unique Identifiers

INTEROPERABILITY STANDARDS:

E.G. CANADA HEALTH INFOWAY BLUEPRINT

UNIQUE IDENTIFIERS AND REGISTRIES

Health information exchange between systems

Facility Registry

Physician Registry

Patient Registry

Disease Registry

Document Registry

Integration between systems

All IDs to be Unique

Registries to be in Sync

Avoid: Dr Om Prakash Singh in ENT vs Dr OP

Singh in Otolaryngology?

DEFINE MINIMUM DATA SETS

H I S T O R I C A L

P E R S P E C T I V E

Hb < 7

Hb > 7

IFA Tablets Given :

Report in blocks

of 100

100 Tablets Given? or

Tablets given to 100

Women?

C L E A N S L A T E

P E R S P E C T I V E

Define Min Data sets

that can be used

by all applications

Lab Test Type = Hb

Lab Test Value =

5, 7, 9, 11, 13

Define meta data for

clear semantics of

Data Elements

and Indicators

CODE DIRECTORIES

Master Data integration challenge – codify

diagnosis, procedures and order sets

Data Analytics challenge - standard terminology

for clinical notes

Diabetes with MI discharged with B-blocker

Diabetes with Coronary Atherosclerosis

discharged with B-blocker

Type-II Diabetes with CHF discharged with

Metoprolol

DATA PRIVACY

Protected Health Information (PHI)

Right to keep personal information from outside world

Hospital staff, in-house and outsourced IT staff may be

authorized to see data and may disclose it inappropriately

Protect sensitive information – PNDT and MTP Act

Positive results for sensitive Lab tests - HIV etc.

Public health research - Anonymised data

Don’t want data of one landing up on another’s desk - People

master, Dept master to be in sync in integrated systems

Dr Parminder Singh = Dr P Singh !

Dr Paramjit Singh = Dr P Singh ?

THANKS!