Integration & implementation

Unlocking the power of navify Decision Support portfolio

It takes a concerted team effort to successfully deliver navify portfolio to your organization. From planning to implementation and post-launch hypercare, we support institutions every step of the way.

Integration & implementation

Unlocking the power of navify Decision Support portfolio

It takes a concerted team effort to successfully deliver navify portfolio to your organization. From planning to implementation and post-launch hypercare, we support institutions every step of the way.

The path to interoperability: data integration and workflow support

In delivering workflow efficiencies and data access to care teams, our systems-agnostic implementation effort employs commonly used integration standards and patterns to ensure a streamlined interface between navify portfolio and your institution’s processes and IT architecture.

The strength of navify Tumor Board lies in the comprehensive and standardized view of integrated healthcare data from multiple sources that are varied in structure and semantics.

Roche accomplishes this interoperability by structuring and converting diverse medical messaging models including HL7 v2, Fast Healthcare Interoperability Resources (FHIR), and organization-specific or system-specific formats to our FHIR-based format. This enables data to work together seamlessly as an essential part of driving efficiencies in tumor board meetings and multidisciplinary decision-making.

Features include:

  • A general data lifecycle comprising Ingest, Validate, Evaluate, Transform and Transmit
  • Patient-specific clinical data supporting oncology workflows between organizations and NAVIFY products
  • Easy addition of new facilities through coding-free configuration

We provide consultation services throughout the entire project, including a customized solution to your institution’s requirements, alleviating much of the burden on your IT team.

In partnership with your team, we:

  • Map your current and future-state processes and clinical workflows
  • Capture your institution’s unique attributes and data structure deviations
  • Identify potential gaps or obstacles in using navify portfolio within your organization
  • Create and execute the plan to transition from your current to future state
  • Apply learnings from previous integration projects to accelerate value realization
  • Suggest standard operating procedures for your care team and/or tumor board meetings

To ensure smooth, straightforward implementation, a single point of contact guides you through every step. Your implementation team includes certified project managers and Lean Six Sigma practitioners who take responsibility for meeting the specific needs of your IT architecture.

Secure data flow via our digital data integration platform

Roche has developed an integration approach that is based on industry-accepted standards. We have deep expertise in cloud-based data integration solutions and healthcare professional services. Our digital data integration platform offers:

  • Data acceptance from clinical systems such as electronic medical records (EMR), laboratory information systems (LIS) and picture archiving communication systems (PACS)
  • Validation of data for quality and accuracy
  • Transformation of data into standardized data sets

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Stepped rollout

We ensure a seamless transition with incremental controls that verify the data quality and expected results. This approach ensures smooth systems and data integration with navify portfolio and successful onboarding for end users.

To facilitate full, efficient adoption, we deliver navify portfolio capabilities to your team using a governance model, a communication plan, issues tracking and management, and regular reporting.

Roles and responsibilities

Our detailed process flow engages our customers every step of the way to meet clinical and operational goals.

Sponsor (5% FTE)

  • Create conditions that enable the project team to function in the most efficient manner
  • Address major schedule and budget changes
  • Approve final deliverables and gain project acceptance

Project manager (25% FTE)

  • Plan the project with all key stakeholders
  • Monitor and control all aspects of the project
  • Escalate critical issues as needed to address major barriers

End user (25% FTE)

  • Design and test workflow
  • Deliver training and go-live application support
  • Assist with change management
  • Enter and maintain clinical data

Integration (20%-40% FTE)

  • Establish interface connectivity
  • Identify authoritative data sources
  • Confirm application of business rules (e.g., routing, transformation)
  • Provide support with end-user testing

Physician champion (5% FTE)

  • Align key clinicians across the enterprise
  • Provide input in the stakeholder analysis and communication plan
Clara Montegut, Hospital del Mar (Spain)

[navify Tumor Board] is very helpful … integrating all the information in a fast and dynamic way. It really decreased the effort needed to gather and prepare everything for the tumor board and, most importantly, decreased the errors that one could make in that preparation.

Clara Montagut, MD, oncologist and coordinator
Gastrointestinal Cancer Unit
Hospital del Mar, Barcelona, Spain

Digital data integration platform functionality

Connections to hospital systems transfer information in a variety of formats using encryption protocols. Evaluation and verification ensure that only authorized systems send data, and the data being sent is verified. Patient data is filtered so that only the patients who meet eligibility criteria are accessed by navify portfolio. Source data is transformed and translated into a standard model:

  1. Clinical data is acquired from clinical IT systems via HL7 v2, v3, C-CDA or FHIR resources.
  2. The digital data integration platform maps and transforms the messages, then sends them as FHIR message bundles into inbound queues.
  3. Filing services consume the message bundles and create or update patient data within navify portfolio via patient microservices.
  4. Attached media (PDFs, JPEGs, etc.) received through the interface are stored within the media services and associated with the appropriate patient timeline.
  5. navify Tumor Board users access the application user interface (UI) through the edge services layer.
  6. Depending on permissions, a user creates new patient records or updates existing patient records through the patient microservices.
  7. The user creates tumor board meetings and adds specific patient data to a meeting presentation via meeting microservices.
  8. The user may upload or access media stored within the media services related to a specific patient timeline.
  9. After the tumor board conference, the user sends Next Steps to the institution’s EMR via the digital data integration platform.

A dedicated UI for user, roles and access management deliver improved usability, an audit trail, system management, and adherence to legal and compliance requirements.

Expanding what’s possible for
your institution and patients

Post-implementation, you will be in good hands with trained support staff who can answer any questions that may arise, no matter how nuanced. The implementation and support teams work in concert to seamlessly transition from project execution to customer care. Support staff attend final project calls to understand your architecture and implementation and meet your team.

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