Interoperability Online Training

Continue Continue Untitled Scene Interoperability Online Training This course will provide a foundational overview of interoperability. The three key networking layers will be introduced. Define Interoperability 1 List the three layers of Interoperability and their importance in Health IT 2 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 Distinguish between directed and non-directed communication 3 Welcome Welcome to the Interoperability online training. This module will provide a foundational overview of interoperability. We will introduce the three layers of interoperability and their importance in Health IT. Basic knowledge of interoperability will provide a solid foundation for other product training and assist you in any customer conversations you may have. Definition Interoperability is the ability of different information systems, devices and applications (‘systems’) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries, to provide timely and seamless portability of information and optimize the health of individuals and populations globally. HIMMS Health IT networking requires Interoperability. This is NOT only a technical issue! Healthcare Information and Management Systems Society (HIMSS) An American organization dedicated to improving healthcare in quality, safety, cost-effectiveness and access to information. Source: https://www.himss.org/what-interoperability Definition Read through how HIMSS (pronounced hymns) defines Interoperability. While the term was initially defined for information services to allow information exchange, a broader definition considers social, political, organizational factors that impact system to system performance. The task is to build coherent services for users, when the individual components are technically different and managed by different organizations. Directed Versus Non-directed Communication + + + + + Directed Communication Non-directed Communication Patient Medical Journey Set timing for patient medical journey to appear once audio is back. Need to pause timeline to allow for layers 1/2, then resume timeline once both definition buttons are visited. Directed versus Non-directed Communication Some other key terms you should be familiar with are directed and non-directed communication. Select each plus sign to learn more about the differences between these terms. Directed Communication Layer: Directed communication is when communication is sent from one sender to a recipient. This means, that the sender needs to know the recipient. Examples for directed communication in context of eHealth are secure E-Mail, XDR or dedicated networks for transmitting result notes. It is clearly recognizable, who sends and who receives the medical document. Non-directed Communication Layer: Non-directed communication is when information is provided for unknowns, to access this information in future, based on access rights and patient consents. Examples of non-directed communication are regional or national Electronic Health Record (EHR) initiatives such as ELGA in Austria, EPD in Switzerland, EPA in Germany, Sundhed in Denmark, Commonwell in USA or in Canada the Health Infoway. The sender of certain healthcare information does not need to know who will need and receive the medical information or the document in future for further medical diagnoses or treatments. ______________________________________________________ Let's look at an example of a patient's medical journey throughout a lifetime. Select the arrow to learn more. Patient Medical Journey Layer: A patient has medical problems and needs to see a doctor. The family doctor transfers the patient to the specialist, from there the patient goes back to the family doctor, from the family doctor to the hospital. The patient is admitted, discharged and is also transferred from one department to another in the hospital or relocated to another hospital and is hopefully healed finally. This concludes the patient medical case. This patient journey produces potentially a huge amount of medical data which arises over the years and forms an important basis of medical information for future treatment. In case of an acute admission to a hospital, it could happen that there is no medical history available of the patient. Already existing healthcare information about the patient could only be obtained later by contacting relatives or doctors by phone. Instead of this, it is easier if a healthcare institution can access certain information with the patients’ consent and access the necessary healthcare / medical information instantly over a network. Patient Medical Journey Home Family Doctor Specialist Family Doctor Hospital Patient’s Medical Journey Communication is provided for unknowns to access information in the future based on access rights and patient consents. (e.g. Regional or national EHR initiatives) Communication sent from one sender to a recipient, clear who sends and receives medical document. (e.g. Secure email, XDR) Interoperability Layers Functional Layer Socio-Economical Layer Connectivity Financial Agreements Syntax Socio-Technical Layer Common Legal Basis Semantic Methods & Workflows Training Interoperability Layers Interoperability is one of the key aspects in eHealth, but Health IT networking is not only a technical issue. Networking on a functional layer can have various forms. For example, one physician calls another to discuss the medical status of a current patient. Another example is specialists agreeing on common medical terminologies and networking on a functional layer can also be planning tumor boards between different stakeholders. These are all aspects of networking on the functional layer. Networking on socio-technical layer means the network connectivity between institutions or the software that supports data exchange must be in place along with semantic and syntactic interoperability. And finally, networking on a socio-economic layer means that financial agreements between hospitals about a cooperation, such as tele-radiology, need to be in place or strong privacy aspects must be considered. Select the arrows to learn more about each one of these layers. Socio-economic Layer The socio-economic layer covers social and economic aspects of institutions that plan to cooperate. Institutions that are part of the network are willing to cooperate and to share data. Financial and disclosure agreements are established in compliance with legal requirements and administrative processes are implemented. Quality and efficiency targets are defined and monitored. Regular coordination and definition of measures at management level ensure continuous improvement. The necessary personnel is provided for this purpose. If these steps are missing, cooperation – the aim of interoperability - will not happen. Investment in technology is meaningless because the need for collaboration at the enterprise level is not recognized.  Socio-technical Layer The socio-technical layer includes social and technical aspects for the establishment of healthcare networks that support cooperation. Good network connectivity guarantees smooth and instantaneous interaction. A common semantic in data exchange ensures that recipients understand what senders mean. Technical protocols and syntax based on international standards provide stability and simple integrations in own system landscape (syntactic interoperability). Cybersecurity and privacy requirements are considered in all steps of the technical architecture Good user experience is seen as most important key for high acceptance. If this step is not considered, implementation of healthcare networks are limited to certain use-cases, expensive and not very sustainable. Doctors or nurses don’t like to use these tools in their daily work and feel no relief. Manufacturers must therefore fear being replaced. Functional Layer This level comprises cross-institutional processes, methods, terms and supporting tools for cooperation on the human level.  Each participating institution works according to jointly defined and coordinated process steps, professional guidelines and methods. Responsibilities and accountabilities must be clear. All involved persons are well educated on this. Recurring training courses teach the efficient use of (newly introduced) technical tools. Users (doctors and nurses) are part of project steering. If these steps are missing, networking cannot develop its potential. Tools are regarded as obstructive, if they are known and used at all. Health IT is a Matter of Acceptance We have learned: Health IT networking is a matter of acceptance! For patient treatment and data availability anywhere and anytime, a cooperative care network with access to data needs to involve all stakeholders - patients, doctors, nurses, payors and vendors. Interoperability plays a key role.  We often tend to see Health IT projects as purely technical projects. This can lead to the fact that introduced systems are rarely used and solutions cannot develop their potential! Health IT and specifically eHealth is not a "box business"! Chances are high that Health IT projects get complicated and fail if they are seen in this way. In Health IT and specifically in eHealth projects,  all 3 layers of functional, socio-technical and socio-economical aspects have to be considered! Health IT has to do with humans. Technology has an important (but only supportive) role.  Health IT is a Matter of Acceptance We all tend to reduce networking to the technical layer, and sometimes wonder why projects get complicated or even fail due to missing acceptance but we also need to keep the other layers in mind. eHealth supports cooperation between humans, but only if all functional and socio-economical aspects are considered. List the three layers of Interoperability and their importance in Health IT Distinguish between directed and non-directed communication Define Interoperability Course Review Congratulations. You have completed the Interoperability Online Training course. Select the objectives listed below to review the material before proceeding to the final assessment. 1 1 1 2 2 2 3 3 3 Course Review List the three layers of Interoperability and their importance in Health IT Functional Layer - This level comprises cross-institutional processes, methods, terms and supporting tools for cooperation on the human level.  If these steps are missing, networking cannot develop its potential. Tools are regarded as obstructive, if they are known and used at all. Socio-technical Layer - This level includes social and technical aspects for the establishment of healthcare networks that support cooperation. If this step is not considered, implementation of healthcare networks are limited to certain use-cases, expensive and not very sustainable. Doctors or nurses don’t like to use these tools in their daily work and feel no relief. Manufacturers must therefore fear being replaced. Socio-economic Layer - This level covers social and economic aspects of institutions that plan to cooperate. If these steps are missing, cooperation – the aim of interoperability - will not happen. Investment in technology is meaningless because the need for collaboration at the enterprise level is not recognized.  Distinguish between directed and non-directed communication Directed Communication: Communication sent from one sender to a recipient, clear who sends and receives medical document. Examples: (e.g. Secure email, XDR) Non-directed Communication: Communication is provided for unknowns to access information in the future based on access rights and patient consents. Examples: (e.g. Regional or national EHR initiatives) Define interoperability Interoperability is the ability of different information systems, devices and applications (‘systems’) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries, to provide timely and seamless portability of information and optimize the health of individuals and populations globally. Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start Assessment Socio-economic layer Functional layer Technological layer Historical layer Financial agreements belong to which layer? Question 1 of 5 Select the best answer. Multiple Choice Question Incorrect Incorrect Incorrect Correct Functional layer Socio-economic layer Technological layer Historical layer Question 2 of 5 Which of the following make up the three layers of networking? Select three (3) answers. Medical layer Medical layer Medical layer Multiple Answer Question Correct Incorrect One or more answers are incorrect. Facilitates a better flow of information and cooperation between healthcare providers Provides better access to healthcare data for patients Improves patient privacy and patient experience Increases costs and reduces productivity Question 3 of 5 Benefits of interoperability include: Select three (3) answers. Multiple Answer Question Correct Incorrect One or more answers are incorrect. Health IT networking requires interoperability Enables different information systems, devices and applications to access, exchange, integrate and cooperatively use data across organizational, regional and national boundaries A cooperative care network with access to data must involve all stakeholders (patients, doctors, nurses, payors and vendors) Increases costs and reduces productivity Question 4 of 5 Which of the following statements are true regarding interoperability? Select three (3) answers. Multiple Answer Question Correct Incorrect One or more answers are incorrect. Question 5 of 5 Match the term with its corresponding definition. Directed Communication Physician needs to call relatives and family doctor to get the necessary medical information for diagnostic and treatment plan. Non-directed Communication Physician can access necessary medical information with access to the patients electronic health record. Question 5 of 5 Incorrect You did not match the terms with their definition. Correct Review Review Retry Assessment Results %Results.ScorePercent%% %Results.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the Interoperability Online Training. Completion HOOD05162003102122 | Effective Date: 16-JUN-2020 1.1 Welcome 1.2 Definition 1.3 Directed versus Non-directed Communication 1.4 Interoperability Layers 1.5 Health IT is a Matter of Acceptance 1.6 Course Review 1.7 Assessment 1.14 Completion