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Catalyst Accelerator for
Healthcare
All contents © MuleSoft Inc.
Safe harbor statement
The information in this presentation is confidential and proprietary to MuleSoft and may not be
disclosed without the permission of MuleSoft. This presentation is not subject to your license
agreement or any other service or subscription agreement with MuleSoft. MuleSoft has no obligation
to pursue any course of business outlined in this document or any related presentation, or to
develop or release any functionality mentioned therein. This document, or any related presentation
and MuleSoft's strategy and possible future developments, products and or platforms directions and
functionality are all subject to change and may be changed by MuleSoft at any time for any reason
without notice. The information on this document is not a commitment, promise or legal obligation
to deliver any material, code or functionality. This document is provided without a warranty of any
kind, either express or implied, including but not limited to, the implied warranties of
merchantability, fitness for a particular purpose, or non-infringement. This document is for
informational purposes and may not be incorporated into a contract. MuleSoft assumes no
responsibility for errors or omissions in this document, except if such damages were caused by
MuleSoft intentionally or grossly negligent.
All forward-looking statements are subject to various risks and uncertainties that could cause actual
results to differ materially from expectations. Readers are cautioned not to place undue reliance on
these forward-looking statements, which speak only as of their dates, and they should not be relied
upon in making purchasing decisions.
2
All contents © MuleSoft Inc.
Speakers
3
Matt Serna
Industry Marketing, MuleSoft
Nial Darbey
Principal Solutions Consultant,
MuleSoft
Steve Rushing
Health IT Strategic Advisor, Georgia
Tech Innovation Institute
All contents © MuleSoft Inc.
Catalyst helps our customers deliver business outcomes
Establish the foundation Build to scalePlan for success Measure impact
Business
outcomes
Technology
delivery
Org
enablement
Catalyst Launch
Catalyst C4E Foundation
Catalyst Talent Foundation
Catalyst Scale Catalyst
Optimize
Catalyst C4E
Scaling
Catalyst Talent
Scaling
Catalyst C4E
Assessment
Catalyst Skills
Assessment
Catalyst Accelerators Healthcare
(GA)
Retail
(In development)
Banking
(Beta)
All contents © MuleSoft Inc.
Introducing Catalyst Accelerators
API designs
API implementations
API sandbox
Key components What’s included?- Illustrate API-
led
connectivity
best practices
for a sub-set
of industry
specific use
cases
- Built in
collaboration
with MuleSoft
customers and
partners
- Assets are
publicly
available; not
a commercial
offering
Set of System, Process and Experience APIs
Implementations of API designs, with API
management policies
Sandbox environment with mock web and mobile
interfaces that call the APIs
All contents © MuleSoft Inc.
Healthcare is at a crossroads
6
TIP FOR BOTH PC/MAC: Once you’ve installed the fonts, close PowerPoint
completely and re-start the program to see the fonts in the list of options.
● Legislative disruption:
Reimbursement models,
hospital economics are
changing
● Increased competition: New
market entrants threaten to
displace incumbents
● New care delivery models:
Patient care increasingly
occurs outside the clinic
All contents © MuleSoft Inc.
Operational Excellence
IT is being called upon to respond
7
Increase IT and clinical agility in
response to legislative disruption
Drive differentiation through
superior digital engagement
Improve care and grow revenues
through digital care models
New Products and ServicesCustomer Engagement
All contents © MuleSoft Inc.
Catalyst Accelerator for Healthcare: Increasing Health IT Agility
- API-led architecture with
pre-defined APIs to support
common use-cases
- System FHIR APIs designed
in RAML to accelerate
development on top of
EHRs
Key components
- Defined process and
experience APIs to support
patient onboarding,
appointment booking,
patient 360 views, and
device connectivity
All contents © MuleSoft Inc.
Under the hood
9
All contents © MuleSoft Inc.
Nial Darbey
Principal Solutions Consultant,
MuleSoft
Demo
All contents © MuleSoft Inc.
Steve Rushing
Health IT Strategic Advisor, Georgia
Tech Innovation Institute
All contents © MuleSoft Inc.
Introduction
13
Hello, my name is
Steve.
I am a recovering
Systems Integrator.
E
H
R
Ambulatory Speciality CDS
Patient Management
E
H
R
Ambulatory Speciality CDS
Patient Management
E
H
R
Ambulatory Speciality CDS
Patient Management
E
H
R
Ambulatory Speciality CDS
Patient Management
For 30 years, I focused on:
• Connecting systems (Hospital
& Application), via -
• Process-driven transaction
exchange (e.g., ADT, Order,
Result, Charge, …), in an
attempt to -
• Create new enterprise
structures (Network HMOs,
PCMHs, ACOs …)
Not working very well.
All contents © MuleSoft Inc.
Liberate the data
“I wondered what it (HL7)
would look like if I took a
modern approach and
rewrote it for health.” -
(Grahame Grieve 2012)
• Fast Healthcare
Interoperability
Resources (FHIR)
– RESTful Web Services:
Decouples data flow from
EHR workflow
– Resources: Decouples data
from EHR schema
Clinical
Decision
Support
(Algorithms as
a Service)
E
H
R
Ambulator
y
Speciality CDS
Patient Management
Non-VHA Facility
Future
Informatics
& App
Innovations
All contents © MuleSoft Inc.
From “pipefitter” to “composer”
FHIR, when merged
with a modern API
gateway framework,
and with direct
clinician and
administrator
input:
– Turns me, the
pipefitter, into, me,
the “collaborative
enterprise composer”
Clinical
Decision
Support
(Algorithms as
a Service)
E
H
R
Ambulator
y
Speciality CDS
Patient Management
Non-VHA Facility
Future
Informatics
& App
Innovations
All contents © MuleSoft Inc.
Byron’s story, revisited
16
All contents © MuleSoft Inc.
Byron’s story – behind the scenes
17
• Byron’s Episodic Care Record was sent from a
Non VA Hospital (Cerner) to DHP as a FHIR
Standard API call. Which in turns adds it to
Byron’s health record and notifies the RT
Analytics engine.
• Included in the Record was a Referral Request
which was processed by the Referral
Management process of the API Gateway.
• The API notes that Byron needs to schedule an
appointment and creates a task for him by
calling the CRM API’s, while asking the
analytics engine to watch that he does so.
• The RT analytics engine’s watcher notes that an
appointment has not been scheduled and calls
the CRM’s Escalation workflow that creates a
task for Byron’s Care coordinator to call him.
All contents © MuleSoft Inc.
Byron’s story – behind the scenes
18
• An external Innovation which was developed
with standards was integrated into Digital
Health Platform and integrated into the
Physician’s workflow within hours and made
available across the VHA instantaneously.
• The was made possible by the API Gateway with
its FHIR based API’s and the RT Analytics
Engine.
• The “Eligibility” of the Clinical Pathway was
defined using the RT Analytics Engine, which
“proposed” the External Clinical Decision tool
(An authenticated URL that seamless passed
the Physician credentials, through a SMART on
FHIR interface.)
All contents © MuleSoft Inc.
Building on the DHP with SMART on FHIR Apps
19
Eliprio
SMART on FHIR Applications enable
plug-and-play functionality into the
DHP. Eliprio
• Followed OAuth authorization
protocol
• Was offered as a service (No Need
for installation)
• Exposed and Consumed APIs
All contents © MuleSoft Inc.
Guidance for thinking about FHIR
21
Just do it.
Thank you!
Q&A
All contents © MuleSoft Inc.
Don’t forget the survey
24
• Why take the survey?
– Takes less than 2 minutes
– We value your feedback and apply it when deciding next year’s content and
speakers
– Surveys = Prizes!! Earn 55 points for a chance to win $250 in cash prizes
• See “Play To Win” in the Mobile App for details
• Where’s my survey?
– Log into the mobile app
– Click “Surveys” on the Tool Bar
– Find the relevant survey for this session slot

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Catalyst Accelerate for Healthcare

  • 2. All contents © MuleSoft Inc. Safe harbor statement The information in this presentation is confidential and proprietary to MuleSoft and may not be disclosed without the permission of MuleSoft. This presentation is not subject to your license agreement or any other service or subscription agreement with MuleSoft. MuleSoft has no obligation to pursue any course of business outlined in this document or any related presentation, or to develop or release any functionality mentioned therein. This document, or any related presentation and MuleSoft's strategy and possible future developments, products and or platforms directions and functionality are all subject to change and may be changed by MuleSoft at any time for any reason without notice. The information on this document is not a commitment, promise or legal obligation to deliver any material, code or functionality. This document is provided without a warranty of any kind, either express or implied, including but not limited to, the implied warranties of merchantability, fitness for a particular purpose, or non-infringement. This document is for informational purposes and may not be incorporated into a contract. MuleSoft assumes no responsibility for errors or omissions in this document, except if such damages were caused by MuleSoft intentionally or grossly negligent. All forward-looking statements are subject to various risks and uncertainties that could cause actual results to differ materially from expectations. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of their dates, and they should not be relied upon in making purchasing decisions. 2
  • 3. All contents © MuleSoft Inc. Speakers 3 Matt Serna Industry Marketing, MuleSoft Nial Darbey Principal Solutions Consultant, MuleSoft Steve Rushing Health IT Strategic Advisor, Georgia Tech Innovation Institute
  • 4. All contents © MuleSoft Inc. Catalyst helps our customers deliver business outcomes Establish the foundation Build to scalePlan for success Measure impact Business outcomes Technology delivery Org enablement Catalyst Launch Catalyst C4E Foundation Catalyst Talent Foundation Catalyst Scale Catalyst Optimize Catalyst C4E Scaling Catalyst Talent Scaling Catalyst C4E Assessment Catalyst Skills Assessment Catalyst Accelerators Healthcare (GA) Retail (In development) Banking (Beta)
  • 5. All contents © MuleSoft Inc. Introducing Catalyst Accelerators API designs API implementations API sandbox Key components What’s included?- Illustrate API- led connectivity best practices for a sub-set of industry specific use cases - Built in collaboration with MuleSoft customers and partners - Assets are publicly available; not a commercial offering Set of System, Process and Experience APIs Implementations of API designs, with API management policies Sandbox environment with mock web and mobile interfaces that call the APIs
  • 6. All contents © MuleSoft Inc. Healthcare is at a crossroads 6 TIP FOR BOTH PC/MAC: Once you’ve installed the fonts, close PowerPoint completely and re-start the program to see the fonts in the list of options. ● Legislative disruption: Reimbursement models, hospital economics are changing ● Increased competition: New market entrants threaten to displace incumbents ● New care delivery models: Patient care increasingly occurs outside the clinic
  • 7. All contents © MuleSoft Inc. Operational Excellence IT is being called upon to respond 7 Increase IT and clinical agility in response to legislative disruption Drive differentiation through superior digital engagement Improve care and grow revenues through digital care models New Products and ServicesCustomer Engagement
  • 8. All contents © MuleSoft Inc. Catalyst Accelerator for Healthcare: Increasing Health IT Agility - API-led architecture with pre-defined APIs to support common use-cases - System FHIR APIs designed in RAML to accelerate development on top of EHRs Key components - Defined process and experience APIs to support patient onboarding, appointment booking, patient 360 views, and device connectivity
  • 9. All contents © MuleSoft Inc. Under the hood 9
  • 10. All contents © MuleSoft Inc. Nial Darbey Principal Solutions Consultant, MuleSoft
  • 11. Demo
  • 12. All contents © MuleSoft Inc. Steve Rushing Health IT Strategic Advisor, Georgia Tech Innovation Institute
  • 13. All contents © MuleSoft Inc. Introduction 13 Hello, my name is Steve. I am a recovering Systems Integrator. E H R Ambulatory Speciality CDS Patient Management E H R Ambulatory Speciality CDS Patient Management E H R Ambulatory Speciality CDS Patient Management E H R Ambulatory Speciality CDS Patient Management For 30 years, I focused on: • Connecting systems (Hospital & Application), via - • Process-driven transaction exchange (e.g., ADT, Order, Result, Charge, …), in an attempt to - • Create new enterprise structures (Network HMOs, PCMHs, ACOs …) Not working very well.
  • 14. All contents © MuleSoft Inc. Liberate the data “I wondered what it (HL7) would look like if I took a modern approach and rewrote it for health.” - (Grahame Grieve 2012) • Fast Healthcare Interoperability Resources (FHIR) – RESTful Web Services: Decouples data flow from EHR workflow – Resources: Decouples data from EHR schema Clinical Decision Support (Algorithms as a Service) E H R Ambulator y Speciality CDS Patient Management Non-VHA Facility Future Informatics & App Innovations
  • 15. All contents © MuleSoft Inc. From “pipefitter” to “composer” FHIR, when merged with a modern API gateway framework, and with direct clinician and administrator input: – Turns me, the pipefitter, into, me, the “collaborative enterprise composer” Clinical Decision Support (Algorithms as a Service) E H R Ambulator y Speciality CDS Patient Management Non-VHA Facility Future Informatics & App Innovations
  • 16. All contents © MuleSoft Inc. Byron’s story, revisited 16
  • 17. All contents © MuleSoft Inc. Byron’s story – behind the scenes 17 • Byron’s Episodic Care Record was sent from a Non VA Hospital (Cerner) to DHP as a FHIR Standard API call. Which in turns adds it to Byron’s health record and notifies the RT Analytics engine. • Included in the Record was a Referral Request which was processed by the Referral Management process of the API Gateway. • The API notes that Byron needs to schedule an appointment and creates a task for him by calling the CRM API’s, while asking the analytics engine to watch that he does so. • The RT analytics engine’s watcher notes that an appointment has not been scheduled and calls the CRM’s Escalation workflow that creates a task for Byron’s Care coordinator to call him.
  • 18. All contents © MuleSoft Inc. Byron’s story – behind the scenes 18 • An external Innovation which was developed with standards was integrated into Digital Health Platform and integrated into the Physician’s workflow within hours and made available across the VHA instantaneously. • The was made possible by the API Gateway with its FHIR based API’s and the RT Analytics Engine. • The “Eligibility” of the Clinical Pathway was defined using the RT Analytics Engine, which “proposed” the External Clinical Decision tool (An authenticated URL that seamless passed the Physician credentials, through a SMART on FHIR interface.)
  • 19. All contents © MuleSoft Inc. Building on the DHP with SMART on FHIR Apps 19 Eliprio SMART on FHIR Applications enable plug-and-play functionality into the DHP. Eliprio • Followed OAuth authorization protocol • Was offered as a service (No Need for installation) • Exposed and Consumed APIs
  • 20.
  • 21. All contents © MuleSoft Inc. Guidance for thinking about FHIR 21 Just do it.
  • 23. Q&A
  • 24. All contents © MuleSoft Inc. Don’t forget the survey 24 • Why take the survey? – Takes less than 2 minutes – We value your feedback and apply it when deciding next year’s content and speakers – Surveys = Prizes!! Earn 55 points for a chance to win $250 in cash prizes • See “Play To Win” in the Mobile App for details • Where’s my survey? – Log into the mobile app – Click “Surveys” on the Tool Bar – Find the relevant survey for this session slot