Slide 1: Achieving Better ROI and HIPAA Compliance in Healthcare by Migrating to Microsoft Technology (BizTalk Server) Speakers: Darren Touseull, Manager, Information Services, St. Vincent Health Chris Lanier, Platform Solution Specialist, US Midwest Division, Microsoft
Slide 2: Learning Objectives/Take Aways • Describe Objectives for BizTalk • Position BizTalk within a SeeBeyond DataGate Environment • Example of an integration project between BizTalk and SeeBeyond DataGate • Integration between BizTalk and other Microsoft stack components like SharePoint and InfoPath • Benefits and Potential Uses of BizTalk
Slide 3: Agenda • • • • • • • • • About St. Vincent Health Our Goals/Objectives SVH Technology Environment Objectives for BizTalk BizTalk Proof of Concept Implementing BizTalk Benefits from BizTalk Strategic Uses/Plans for BizTalk Questions
Slide 4: About St. Vincent Health • St. Vincent Health is one of the largest hospital groups in Indiana – 16 hospitals – 3,000 physicians – Serve 45 Indiana counties – Part of Ascension Health, the nation's largest Catholic and largest nonprofit health system
Slide 5: Our Goals/Objectives • • • • • • Reusable Portal Framework/Services Cost Reduction Development Standards Process Improvement Enterprise Application Integration Ease of Support
Slide 6: SVH Technology Environment • Portal Environment – 5 Portals / 4 Different Technology Sets • • • • • Custom Portals/Frameworks Different Web Development Tools Different Security Models/Solutions Separate Hardware Environments Inconsistent Look and Feel – High COMPLEXITY and SUPPORT for application and infrastructure • Long Term Portal Vision: • SharePoint Portal Server • Deployed Nurse Portal on SPPS • Currently porting Associate Portal and Intranet to SPPS • SharePoint and CMS Integration
Slide 7: SVH Technology Environment • SeeBeyond DataGate Environment – Shared environment for all of Ascension Health – Support and Development Outsourced to CSC – One of the Largest DataGate Customers – DataGate Migration • TRE as an Interim • eGate is Costly Migration
Slide 8: Objectives for BizTalk • Replace DataGate for SVH Interfaces • Data Delivery for Clinical Data Warehouse • Position within Overall Data Integration and Delivery Capabilities • Enterprise Application Integration (EAI)
Slide 9: BizTalk Proof Of Concept • POC with Microsoft Consulting Services – Prove BizTalk can mirror DataGate work – Gain a clear picture of development effort to replace DataGate with a BizTalk/HL7 solution • POC Accomplishments • • • • • A01 and A04 message types mapped Multiple send ports for multiple end points ACK and NACK between BizTalk and DataGate Orchestration, custom pipelines, MLLP Knowledge Transfer and Development Configuration/Setup
Slide 10: BizTalk POC Conclusions • BizTalk and HL7 Accelerator has the capabilities to replace DataGate • SVH not technically prepared for full conversion • Conversion effort estimated at 5-10 person years (Over 100+ existing HL7 interfaces) • High potential for better “Business Value” focusing to an EAI model.
Slide 11: BizTalk Within Our Target Architecture Office / InfoPath SharePoint Portal Server 2003 Web Parts SharePoint Services ASP.NET C#.NET HL7 Content Management Server 2002 Windows Server 2003 Consume/Publish Web Services IIS Active Directory EAI Analysis Services BizTalk Server 2004 SQL Server 2000 Reporting Services DTS Outcomes Data Warehouse PeopleSoft Lawson Other Clinical Etc.
Slide 12: Implementing BizTalk • Initial Strategic BizTalk project: – Replace Patient Pre-Registration System (WMS) • • • • Kana-based system File transfer based (rather than real-time) Prone to outages and extensive support issues Messaging system was not HIPAA compliant • High Level Requirements: – – – – – Re-architect WMS/replicate existing functionality Improve reporting tools, workflow, increase productivity Enhancements to existing functionality HIPAA Security Compliance Model for synchronizing ADT HL7 messages via BizTalk
Slide 13: Implementing BizTalk • Developed Initial Target Architecture/Design – Research into SharePoint and BizTalk Integration – Research and testing based upon “Microsoft Office Reference Implementation for Clinical Forms” • Illustrates the automation of collecting, retrieving, and sharing patient information in an emergency department • http://www.microsoft.com/technet/itsolutions/cits/iwp/ricm/tninput.mspx – 2005 TechEd SharePoint/BizTalk Integration Session: • CSI313 Integrating SharePoint Portal Server with BizTalk Server • High Availability Infrastructure – Load Balancing and Failover
Slide 14: Implementing BizTalk WMS Architecture Office / InfoPath SharePoint Portal Server 2003 Web Parts SharePoint Services ASP.NET C#.NET HL7 Windows Server 2003 Consume/Publish Web Services IIS Active Directory EAI BizTalk Server 2004 SQL Server 2000 DataGate HIPAA Log PHS
Slide 15: Implementing BizTalk BizTalk Infrastructure Alteon Failover Cluster 2 CPU 2 CPU SQL Cluster
Slide 16: Benefits from BizTalk • Improved Pre-Registration Staff Productivity by 20%-30% – – – – Real Time Data Availability System Reliability/Supportability Improvements to Existing Workflows InfoPath Forms Improvements • HIPAA Compliance • Eliminated Kana Support Issues • Proven SharePoint and BizTalk EAI Capabilities
Slide 17: Strategic Uses/Plans for BizTalk • Web Forms Designer/Library – – – – Deployed March 2005 InfoPath Type Designer/XML Storage Intended for Quick Hit Data Collection/Integration Interim solution until Office 12 • Outcomes Data Warehouse – Spring 2006 – Replace existing ETL – More data sources available via HL7
Slide 18: Strategic Uses/Plans for BizTalk • Physician Credentialing System Data Delivery – Planning Phase – 50+ Systems with manual Physician/Provider data entry – Improve Quality Issues • Patient Pre-Registration Self Service – Summer 2006 – Integration into mainframe Patient Management System – Replace existing email/manual process – Closed Loop Process
Slide 19: Strategic Uses/Plans for BizTalk • Upgrade to BizTalk 2006 – – – – – – – – ASAP Deployment Enhancements SharePoint Adapter PeopleSoft Adapter POP3 Adapter Flat File Schema Creation Wizard Oracle Database Connector Host Integration Server Integrated • Business Activity Monitoring – Integrate with ProClarity OLAP Reporting Tool
Slide 20: Success Through Partners • Microsoft Consulting Services • Partner2Learn, Inc • Crowe Chizek and Company LLC
Slide 21: Questions ?