Blog

Why You Need to Start Planning for XDS

In the second part of our guest blog from partner EMC, Jean Van Vuuren of its Information Intelligence Group tells us more about how standards for document sharing can help the NHS as it tries to meet national efficiency and data sharing targets

As we know, a key goal of the health secretary and the current stated direction of travel for the NHS is to be ‘paperless by 2018’. But what people don’t realise is in the average Trust today, a huge amount of information is still being managed in paper format. The historical medical records that go around the hospital and follow the patient are often all in that medium – and that is, obviously, very expensive and cumbersome to manage.

To help, EMC, working with companies like SynApps, provides the ability to digitise that information on our scanning platform – but more importantly, manage it and make it available for both the clinician and the patient at the point of care.

And I think Trusts have finally taken on the concept of putting electronic document management or records management systems in place to manage medical records – which is great news. Here’s the next problem: now I have got important content electronic, how do we make it available beyond my Trust?

I want to suggest that a technology called XDS, for ‘cross document sharing’ is ideally suited to help Trusts start sharing innovation, as well as information – in a secure controlled manner, and on their own terms. XDS is basically a repository where you store your documents, and where you can profile them and mark and store them in industry standard ways. What comes with that is the registry – a mechanism, like a large phonebook if you will, that you make available and say, ‘I’ve got all these patient documents and images from radiology available; I would like to make it available for sharing.’

The point is that as long as another Trust or provider supports XDS it can easily and efficiently communicate with you via XDS – and they can then start sharing the information between multiple organisations. To do this (in very top-level terms), they can use XDS to set up an ‘access registry’ and get publishing information they want to share to other Trusts within a region or even nationally.

I think that is going to be key to the next phase of making patient information available across the NHS. We will see Trusts do this on the Internet, or via a secure mechanism from the Web, easily as it is supporting a standard format XDS. Imagine, for example, that one Trust has an XDS registry published and one of their patients is in another Trust; you can then go and request that patient’s information via XDS and get it shared securely and quickly.

So if you are looking at investing in any system that you hope will take you toward that paperless goal, it is sensible to make sure the system can provide XDS capability. I think you’re going to need it – and I think it’s going to be very useful for you too.

An EPR Needs Demographic and Patient Content to Be Really Useful: EMC

We are pleased to say we have the opportunity to hear from our long-term technology partner EMC, whose EMC Documentum Healthcare platform is core to what we do. So please welcome Jean Van Vuuren from EMC’s Information Intelligence Group, who wants to talk on the value of two very promising and important technologies relevant to the NHS; VNA, for Vendor Neutral Architecture, but also XDS, Cross Document Sharing.

EMC, via the Documentum Healthcare platform, has been providing solutions in healthcare for the last 8 years, specifically around solutions for the NHS. We are trying to help Trusts address some key areas: the first is a platform for an Integrated Digital Care Record (IDCR) and second is a platform for a vendor neutral archive for managing radiology archiving.

The key thing: while on the surface these are two distinct areas, actually it’s the same platform providing the solution for both these areas, that’s to say the Documentum Healthcare Platform. In essence, we are seeing the pathway where you can use these apparently separate approaches to get to a single patient record – with all the vital information needed stored in one place. In fact, in a recent independent study, three customers using Documentum in this way were said to be the furthest down the journey toward true IDCR status. These are the University Hospital Birmingham, also known as UHB, Heart of England, as well as the Royal Liverpool and Broadgreen Hospital (See: ‘And Now A Major English Trust Is Trying A Great New Way Of Delivering EPRS’; SynApps is our key partner for delivering those solutions at Royal Liverpool.)

So, why use one piece of software to do multiple jobs here? The main reason why one platform is a real benefit here is that you’re not looking after multiple IT systems; you are getting away from that whole approach the NHS is rather infamous for, where you have got lots of silos of information and it becomes very hard to join information up.

And from a cost perspective, it is easier to administer a single platform. But the real benefit here is that front line clinicians and their patients really want to move towards the concept of a single patient record – and that should include both electronic patient record information but also their radiology imaging as well, because it may well get to the point where a clinician wants to see the full patient history from one environment, rather than having a lot of silos.

If you look at the traditional EPR approach, by contrast: it is far more focused on the data element of the patient journey – demographic information, results and so on. What it never caters for is the historical detail that makes up the patient information, which tends to be contained on the physical paper medical record, as well as a lot of the notes that get generated around the patient. To make a full patient record, a useful one for clinicians and patients, it’s not just about the information you get out of your systems, it’s also about the clinical data that this is generated from.

That is where the strength of a document management approach to IDCR kicks in. The full electronic patient record needs both the important demographic information plus all this content, in one place. What we want to do – working with trusted partners like SynApps – is ‘content-enable’ clinical applications to get to that important place.

Can ConX Help You Save Time – And Dump Those Pesky PST Stores At Last?

Today, I’d like to talk to you about an exciting range of products we’ve been building at SynApps that we call ConXApps. We think that we can both save you a lot of time and also maximise your electronic content management investment with this technology, the result of lots of time talking to customers about what they really want to do with their information.

At the top level, ConXApps is split into four: ConXSys, ConXMail, ConXOffice and ConXLoader. Let’s briefly describe each in turn. ConXSys is going to give you the ability to Content Enable Vertical (Business) Applications (CEVA). If you’re not familiar with the term, it was first coined by analyst leaders Gartner some years ago to denote where an organisation has a number of structured data centric applications but also needs to manage associated unstructured data such as that contained within a variety of content – images, video, documents, and so on.

ConXMail, meanwhile, allows users to store emails and their attachments directly within their corporate Repository, thereby enabling a much finer control around the security and distribution related to the information; sharing content as a link to the repository, rather than circulating the physical document, ensures that the data integrity is maintained and appropriate security levels maintained.

With ConXOffice, you’re going to be able to store Word, Excel and PowerPoint documents directly within that same Repository, so that these can be shared using ConXMail. This promotes collaboration within the workplace. So having created content with ConXOffice, you’re now able to share content easily using ConXMail in a way that promotes collaboration within your workplace.

Last, but definitely not least there’s ConXLoader – an extremely flexible content migration tool that allows you to safely and easily transfer content and metadata from a wide range of custom, in-house and proprietary applications, including file systems and databases.

You may have started to understand why we’ve created these products from those brief descriptions, but let’s be more explicit: we want your users to be able to use their regular, familiar Office applications, their productivity tools such as Outlook, Word, Excel and PowerPoint and so on, and be able to save information easily into their organisations wider enterprise content/records management system. Why is that something worth doing? Because the number of clicks your users have to perform to do that, is often so many that they just won’t (sometimes can’t!) do it. What they have been waiting for: a nice simple interface to allow them to store, search and reuse information easily.

Let’s say a member of the organisation gets an e-mail that is important to a business transaction. They can now store that email, plus any attachments, either as a single e-mail, a single document or as an encapsulated e-mail with attachments inside in the organisation’s proper ‘memory bank’ (the Repository, of course).

How? Literally by one easy move – a simple drag and drop step, you drop it onto the appropriate folder, a dialogue pops up and allows you to add additional information to the e-mail and/or document. The beauty of all this is that your users never need to work in any other user interfaces and can work from within their regular productivity tools.

Of course there are very many other productivity features that we can go into another time, but the great advantage is that corporate information is easily shared across the team or to the most appropriate person, as defined by your information policies. Let’s look at how that can save your organisation considerable hassle. Most of us spend most of their day working in e-mail; but when we are all working with Outlook PST files like this, that PST file is typically local or stored on a server and is not generally shared. This results in a lot of duplication because people send stuff in e-mails all the time, because they think, ‘Have you got that e-mail I sent?’ ‘No, I haven’t got it,’ ‘Let me just send it to you again’ – and this conversation/process gets repeated over and over again, of course!

Many large corporates are now running into issues with email and document duplication as a result of this over-use of email (and with the associated problem of sharing information). However, we are finding that with the ConXApps products, the business is able to share information easily and ensure that it is available correctly at last. Through the ConXApps suite, which I have described here, users are able to directly declare mailed documents as records from within their application tools. That is quite important for many of the government organisations that we work with, because they need to be able to store their information as records so that it is held in a secure environment and retained for the appropriate period of time, and that there is an appropriate schedule in place for the deletion of it when it is no longer required and the retention period is up

I hope you agree that ConXApps provide a very powerful set of tools that will make a big difference. Let’s pause here, as that’s a lot of information about the ConXApps to absorb at once!

For more information on the SynApps ConXApps range, please go to https://www.synapps-solutions.com/products .

Full Steam Ahead With The G-Cloud!

As we now know, if you’re a public sector ICT buyer you are now expected to look at the G-Cloud – the rapidly-expanding catalogue of useful, cost-effective ICT goods and services – as your first port of call for any new systems you are thinking of purchasing .

I’ve recently discussed  our work in G-Cloud with our exciting project with QinetiQ to build a great new reservoir management system for the Environment Agency . But, I’d like to discuss another side of this key topic – what specifically we are offering that public sector ICT buyer through the programme.

In June this year we are very proud to be able to announce we had been awarded G-Cloud iii supplier status in the ‘CloudStore’s’ Infrastructure and Software as a Service categories, as well in the Specialist Cloud. Specifically, we are now listed for our document capture, document management and case management solutions there, in partnership with secure cloud infrastructure specialist Skyscape.

This is in addition to other Cloud services we can offer public sector customers, such as Cloud-based content backup or our extensive range of consultancy, implementation and support services.

The core of our offering is our EMC Documentum-based enterprise content and document management platform, SynApps Documentum Document Management in the Cloud. As a leading EMC partner, we implement and add lots of value to this top tier business suite.

Another G-Cloud solution is our Intelligent Document Capture in the Cloud product. This helps public sector customers capture all their key paper-based documents using a wide variety of scanners and multi-function peripherals, index and store them in a secure cloud-based repository. That turns them into a resource which is then much more easily accessible, online, in a controlled, secure environment. That’s based not on Documentum, but another great EMC product, its Captiva line.

SynApps is also providing innovative case management solutions in the shape of our Case Management in the Cloud offering, based on EMC’s xCP case management technologies; that offers the basis for a range of specialist case-based applications, such as Investigative Case Management in the Cloud, a piece of technology that lets the Police efficiently register and view the status of a crime online, and which allows all case-related documentation can be stored securely.

‘Securely’ is a very important concept in public sector ICT, of course. Indeed, fear that Cloud is less than convincing in this regard has been holding too many organisations back in this area. The great news is that the government has worked out a way to dispel this concern. Earlier, I mentioned our link with Skyscape. What that means in practical terms is that all our G-Cloud solutions will be hosted in highly resilient UK data centres via our partner’s Cloud Service infrastructure, which is officially certified to support all levels of data from Impact Level 0 (IL0) to Impact Level 3 (IL3).

As Skyscape has no less a set of clients than the MoD and HMRC, I think we can take that as a sign of its expertise in safety and privacy in the Cloud.

I know that some sceptics say that the G-Cloud programme is all talk and no big projects yet, but that’s wrong; it’s moving a head at a tremendous pace.

And from where we sit, our work in the G-Cloud is going tremendously well – and that real savings and benefits to the public are starting to be realised as a result.

This is one to mark up as a real success for Britain, we believe; do you agree?

 

Our Precious National Reservoir Resource Being Managed Through The Cloud

We recently talked about the importance of G-Cloud (‘G-Cloud Matters To All Of Us’), the government’s targeted push to radically simplify and cheapen the provisioning of ICT for the public sector. And I am delighted to be able to discuss a specific example of this kind of straightforward, value for money contracting that we have been a part of.

We have just been signed up to provide the back end technology for a new system the Environment Agency   is deploying to better manage English reservoirs – a vital national resource, especially in this era of strange weather we are having.

The application’s based on the proven Documentum enterprise content management system, as extended by SynApps – and in fact, what’s exciting is that the project is the first ever cross-Whitehall accredited implementation of that platform. We are working with our strategic partner QinetiQ on the security side of all this.

Not only did the the Environment Agency purchase the solution through the G-Cloud procurement framework, it also will be delivered through the Cloud. And another notable feature, the project will be bedded in to the Agency’s environment using the government-backed Agile project management approach.

Civil servants using the software tell us it’s not only going to help significantly improve admin and management of the reservoirs – it will also be able to offer much better service to the public, as information can at last be centralised and routed around much better.

We are 100% committed to ensuring the benefits of Agile, Cloud and the G-Cloud buying process get realised with this project. That means our investment as taxpayers will get properly looked after in government ICT.

That’s got to be a very promising start to our work in the G-Cloud? We’ll be bringing you updates on progress – probably around the end of the year, when we expect the first phase to be fully live.

 

 

Welcome To ‘Connected Content’: Glue To Help You Work Better

If you spend any time with us at SynApps, before very long we’re going to start talking about a trend we believe is highly important, ‘connected content.’ So I will spend a minute or two trying to articulate just what that is – and why we are so passionate about it.

There’s lots of words around ‘connection’ in the industry, and if you think of the name SynApps – as in, that wonderful chip in the brain we have millions of, your synapse – we are talking about connections, about connecting brain cells. 

Beyond that, we find that for every single project we get involved in we have to implement some form of integration between the content management system and several line-of-business applications.  These could be SAP Accounts Payable, some form of HR or other point systems such as a claims management system or an insurance package. 

Because we integrate so often, we ended up ‘productising’ the process so as to make that back end business platform linkage happen as quickly as possible; hence our range of connection products, the ConXApps family. What they do is content-enable the major line-of-business applications, e.g. SAP, Oracle eBusiness, plus the leading desktop productivity tools such as the Microsoft Office suite with leading Enterprise Content Management solutions, including Alfresco, Microsoft SharePoint and EMC’s Documentum.

Why this is useful is because instead of a three month project, we can integrate your corporate EDRM with an accounts payable system in a very short space of time by extracting the connection from the core business application to the central document and records repository – so that instead of having to do it differently every time, we do it in a common way.

Connecting up your content like this will not only save you lots of time and resource, it will make you more efficient.

That’s why we’re so excited about it.

The G-Cloud Matters To All Of Us

Why do you need to be excited about the G-Cloud, especially the latest incarnation Giii, the third version of its core procurement framework?

Simple. It provides a game changer in IT procurement – by which I mean something SMEs can get involved in, providing cloud based services to the public sector.

Let’s put this in context. You may have come across us  SynApps in the context of our work in the NHS, where we are helping Trusts extend their existing imaging databases to become the foundation for something equivalent to the long-awaited electronic patient records.

But that’s only part of what we offer the UK public sector with our involvement in the G-Cloud. In specific terms, what you could get from us buying our services this way is the Public Sector IT buyer, a range of cloud-based business solutions covering document capture, document management, case management and records management. To find out more, we are listed under IaaS, SaaS and Specialist Cloud Services, with our three most prominent partners: secure cloud infrastructure specialist Skyscape, EMC and Alfresco. Our customers tell us that one of the major benefits of contracting with SynApps is our agility and focus – we are 100% focussed on delivering ECM solutions to the UK marketplace.

We believe that there is a strong momentum for cloud services in government right now, and across the board. The programme is geared up to connect SMEs into one of the biggest and most important of all British ICT marketplaces. This is in stark contrast to what it has been for years, which is a playground for the large Systems Integrators.

They are still going to play a role of course with this customer base, especially for big systems work; but some doors have genuinely been opened for companies of our size. This is great for the taxpayer, as speed of procurement will be much shorter for a cloud solution than for an on-premise one.

This is a great development for us as a supplier, for our partners, customers and for the UK too.