Yorkshire & Humber Integrated Care Record - Regional Interoperability Infrastructure (Phase 1) copy

Tender description

Why the Work is Being Done The Yorkshire and Humber (Y&H) region is one of five participants in the national NHS LHCRE (Local Health Care Record Exemplar) programme. The programme has ambitious objectives for sharing health and care records across the region and nationally. There is a requirement to provide a secure regional HL7 FHIR based data fabric (interoperability infrastructure) which can be used to access identifiable and pseudonymised patient data from care providers in the region. This interoperability infrastructure will adopt an Open Platform approach. Timescales: Prototype by end of December 2018 and live pilot by end of March 2019. Problem to Be Solved In recent years, there have been many local information sharing initiatives delivered independently. While these initiatives have led to successful sharing between local organisations, a lack of common standards means we are creating new information silos that cannot support care when an individual moves between different localities, or when they are in a cohort of patients whose needs are best served at a wider geographical level. Through common standards we want to ensure that information can flow in a secure and ‘frictionless’ manner and that test results for example can be interpreted in the same way regardless of care setting. Who Are the Users This first phase will involve a number of health and care organisations from the YH region. These organisations will be responsible with help and guidance from a central team and the Supplier for developing the technical capability to interact with the regional interoperability infrastructure. Organisations will adopt the role of data provider, data consumer or both. They will include if possible representations from acute care, social care, mental health care, community care, and an ambulance service. Early Market Engagement Work Already Done A high level design document has been developed and this prescribes the architecture and components to be built/provided. This document has been consulted on extensively across the region and has been signed off by the Yorkshire & Humber Care Record (YHCR) Delivery Board. This document forms Appendix 2 of the Statement of Requirements for this tender opportunity. Existing Team There is a core YHCR project team made up of various leads for various specialisms e.g. clinical, technical architecture, IG, cyber, communications etc. There is also a Programme team made of project management and support resources. The appointed Supplier will report directly into the Architecture work stream which is effectively acting as a small client function. Current Phase Alpha Work Location Mix of Supplier HQ and Yorkshire & Humber Regional locations as required. Most meetings tend to take place in Leeds due to its fairly central location and rail and road network links. Working Arrangments There is a core YHCR project team made up of various leads for various specialisms e.g. clinical, technical architecture, IG, cyber, communications etc. There is also a Programme team made of project management and support resources. Security Clearance No special security clearence is required. Access to bulidings and organisations will be under supervised access at all times. Additional T&Cs Skills & Experience Proven track record of delivering interoperability solutions at scale in at least two significant and diverse health & care settings. Must be highly skilled, knowledgeable and have demonstrable experience of applying the HL7 FHIR protocol as a core component of the interoperability solution in at least one of these settings. Previously developed interfaces with Lorenzo, Meditech, Cerner Millennium, LiquidLogic, Medway, CaMIS., Carenotes, TPP SystmOne, EMIS Web, Symphony ED, Ascribe Pharmacy, JAC Pharmacy, Somerset Cancer Registry, CRIS Radiology, ORMIS Theatres … Must have developed integration solutions with all of the major integration technologies in use in the region - InterSystems Ensemble/HealthShare, Orion Rhapsody, Mirth/NextGen. Must have developed high-scale, low-latency, secure and resilient integration solutions involving national SPINE systems. Must be able to provide significantly experienced Lead Interoperability Architect capability well acquainted with HL7 FHIR protocol and designing and implementing interoperability solutions across complex health and care settings. Proven track record of engaging with multiple health and care organisations with varying technical maturity (particularly system integration) and ability to adjust the approach required to ensure successful integration outcomes. Proven track record of predominantly providing/building required solution(s) using Open Platform principles in particular Open Architectures, Open Standards, Open Source, Open API's, Open Data Models, Open Documentation etc. Nice to Haves No. of Suppliers to Evaluate 6 Proposal Criteria Experience, knowledge and skills of the nominated Lead Architect and a proposal for ensuring continuity. How the approach, methodolgy and deliverables will demonstrate ability to provide/build HL7 FHIR based interoperability solution(s) as defined in Sections 7. and 8. of the Requirements Specification. How each of the Open Platform Principles laid out in Section 9. of the Requirements Specification will be complied with. Approach, methodology and deliverables relating to building/providing high scale, secure, resilient interoperability solutions across multiple, complex health/care settings evidenced in two Case Studies (one with HL7/FHIR protocol at the core). Cultural Fit Criteria How you will engage/assist the selected pilot/prototype organisations (with different capabilities) to successfully connect to the core infrastructure, making clear the approach and methods to be used. Team structure, skills, knowledge and experience. Payment Approach Fixed price Assessment Method Written proposal Case study Reference Evaluation Weighting Technical competence 50% Cultural fit 20% Price 30% Questions from Suppliers Budget range