Collaborating With The Private Sector

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Collaborating WithThe Private Sector
Laurie Rogers National Industry Executive
Danish Delegation, April 2, 2009, Laurie Rogers,
National Industry Executive, Canada Health Infoway
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Infoway Business Strategies

• Infoways business model is built on five
  complementary strategies which is assisting
  Canadas provinces and territories to accelerate
  the reform of their healthcare systems, namely
• Participate in healthcare renewal support
  national, jurisdiction and local initiatives to
  strengthen healthcare
• Collaborate with our partners work together
  with our public and private sector partners to
  ensure progress and alignment
• Target the investments accelerate the
  investment in and replication of solutions that
  support health system transformation and
  innovation
• Support solution deployment provide expertise
  to support our partners successfully implement
  secure electronic heal information solutions, as
  well as monitor projects to ensure cost and risk
  are well managed
• Promote solution adoption and benefits
  realization facilitate clinical leadership,
  advance best practices in the clinician adoption
  of solutions, as well as support the measurement
  and realization of benefits.

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Infoway Business Strategies

• Infoways business model is built on five
  complementary strategies which is assisting
  Canadas provinces and territories to accelerate
  the reform of their healthcare systems, namely
• Participate in healthcare renewal support
  national, jurisdiction and local initiatives to
  strengthen healthcare
• Collaborate with our partners work together
  with our public and private sector partners to
  ensure progress and alignment
• Target the investments accelerate the
  investment in and replication of solutions that
  support health system transformation and
  innovation
• Support solution deployment provide expertise
  to support our partners successfully implement
  secure electronic heal information solutions, as
  well as monitor projects to ensure cost and risk
  are well managed
• Promote solution adoption and benefits
  realization facilitate clinical leadership,
  advance best practices in the clinician adoption
  of solutions, as well as support the measurement
  and realization of benefits.

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Solution Selection

• Infoway typically does not purchase solutions
• Infoways jurisdictional partners are responsible
  for running procurements, selecting vendors and
  implementing projects
• Infoway sets the overall direction, architecture
  and standards
• Infoway provides assistance to the Jurisdictions
  by
• Transferring knowledge and best practices
• Facilitating clinical adoption through
  peer-to-peer networks
• Coordinating procurements across jurisdictions
• Negotiating national Preferred Solution
  Agreements (PSA)

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Management ProcurementAggregated Demand and
Preferred Pricing Agreements
.. A major change in the way ehealth
procurements are conducted in Canada resulting in
significant financial benefits
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Technology Acquisition

• Hallmarks of Infoway Investments
• Common SOA Architecture and pan-Canadian
  Standards
• Shared Services consolidate infrastructure
  within and across jurisdictional boundaries when
  possible
• COTS use commercial-off-the-shelf components
  where ever possible
• Replication common approaches and solutions
  across projects and jurisdictions
• Reuse jointly developed IP on any Infoway
  project available for use by other jurisdictions
• Funding Models reference models and preferred
  solutions to ensure cost effectiveness

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Vendor Engagement Continuum

• Strategic Alliance

• Preferred Solution Agreement
• Solution Certification

• Clinical System Integration
• Interoperability Tooling

• Architecture Development
• Standards Collaborative

• Outbound Communications

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Relationship Building

• Town Hall Meetings
• Cross country tours 3-2x per year
• Informational Infoway programs, priorities,
  status
• Coordinated through industry associations (ITAC
  and AITS)
• Executive 1-on-1 Briefings
• Senior level exchanges
• Focus on industry trends, product roadmaps,
  strategy
• Two-way dialogue
• Day-to-day Corporate Communications
• Web Site, Business Plans, Vision 2015
• Press Releases program announcements, success
  stories
• General Inquiries - assistance with navigating
  the market

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Architecture and Standards

• EHRS Blueprint
• Extensive consultation with vendors during the
  development, validation and evolution of the
  conceptual architecture
• Broad cross section of vendors involved,
  including infrastructure and point of service
  solutions
• Each version of the EHRS Blueprint has been
  freely disseminated via Infoway Web site
• Many organizations have used the Blueprint as a
  basis for new product development activities
• Solutions selected by the Jurisdictions are
  validated by Infoway architects against the
  Blueprint, as well as the conformance to the
  pan-Canadian Standards
• Recently a local college, in conjunction with
  several private sector partners, has implemented
  a reference implementation of the EHRS Blueprint

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Architecture and Standards

• Standards Collaborative
• Coordination of pan-Canadian Standards throughout
  the standards life cycle development,
  implementation, support, education, maintenance
  and conformance
• SNOMED CT
• National e-Claims Standard
• Client Registry Standard
• Provider Registry Standard
• Diagnostic Imaging Standard
• Drug Standard
• Laboratory Messaging and Nomenclature Standards
• Public Health Surveillance Standard
• iEHR Clinical Messaging Standard
• 1/3 of the membership comes from the vendor
  community
• For the vendors it has greatly reduced the number
  of meetings and working groups, and provided them
  with an avenue to influence standards nationally
  and globally

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Investment New For 2009

• Clinical Systems Integration
• Direct investment with vendors to enhance
  products to achieve the prescribed level of
  interoperability and functionality (e.g.
  immunization, e-prescribing)
• Certify a number of physician office EMRs and
  hospital information systems
• Tooling
• Enable the Clinical Systems Integration program
• Tools to enable interoperability development
• Standards repository
• Test tools
• Test environments
• Message implementation tools
• Interoperability adaptors and mapping engines

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Preferred Solution Agreement

• Binding standing offer for a period of two years
  can eliminate the need for additional public
  procurements
• Aggregates national demand - citizen based
  pricing model
• Vendors have no commitment on volumes or
  exclusively
• Based on replication of solutions already vetted
  by Infoway through a jurisdictional procurement
  process
• Vendor must commit to support pan-Canadian
  Standards
• Jurisdictions are the buyers and sign all license
  and services agreements directly with the venders
• Infoway publicly communicates the agreements and
  maintains an special relationship with preferred
  solution vendors

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Solution Certification Benefits

• Buyers
• Availability of trusted and interoperable
  software solutions
• Sellers
• Product differentiation
• Certified once in Canada
• Infoway recognition
• Standards Body (Infoway)
• Implementation of standards-based, interoperable
  solutions
• Propagation of the pan-Canadian Standards

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Certification Services Scope

• Limited to pre-implementation certification
• Applies to market ready solutions
• Initial offering is for consumer health platforms

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EHR Architecture
Longitudinal Record Services
Common Services
Communication Bus
JURISDICTIONAL INFOSTRUCTURE
Ancillary Data Services
EHR Data Services
DataWarehouse
Registries Data Services
ImmunizationManagement
PHSReporting
SharedHealth Record
DrugInformation
DiagnosticImaging
Laboratory
HealthInformation
ClientRegistry
ProviderRegistry
TerminologyRepository
BusinessRules
EHRIndex
MessageStructures
NormalizationRules
LocationRegistry
Security MgmtData
Privacy Data
Configuration
HIAL
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EHR Solution DeploymentPrime Vendors

• 24 product and services vendors are dominating
  the investments to date
• 54 (13) are US vendors 25 (6) Canadian the
  remainder 21 (5) are from Belgium, Bermuda,
  Japan, Netherlands and New Zealand
• 75 publicly traded companies and 25 are
  privately held

.. Creating a culture that supports
replicated COTS solutions as a way to reduce risk
and cost has been a major change
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Thank you

• Thank You