brown blake upcon 2013
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The Virtuous Cycle of Cost Effective Patient Care
Alex BrownCEO, 10th Magnitude
Dan BlakeSVP of Software Product Development, Valence Health
Cloud, Mobility and Integrated Care
10th Magnitude and Valence Health
10th Magnitude is an all-cloud software and services firm specializing in Microsoft’s Windows Azure platform. They develop custom software applications, provide application management and enable Microsoft Azure migration to help businesses of all sizes innovate and compete more effectively. 10th Magnitude is an Azure Circle partner and sits on Microsoft’s cloud advisory committee.
Valence Health offers a complete suite of solutions that empower provider organizations as they transition to value-based care. With 20 years of experience and unique data collection and analysis solutions, Valence Health is a leader in population management and clinical integration, serving more than 35,000 physicians and 115 hospitals, helping them manage the health of over 15 million patients nationwide.
The Opportunity
The combination of cloud and mobility will revolutionize the way healthcare is delivered.
Enterprise A
Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.
“Traditional” Architecture
Application
Healthcare App Infrastructure
Enterprise A
Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.
“Traditional”
Application
Healthcare App Infrastructure Enterprise A
“Modern” Architecture
Application #1
Enterprise Healthcare App Infrastructure
Application #2
Enterprise A
Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.
“Traditional”
Application
Healthcare App Infrastructure
Enterprise A
Application #1
Enterprise Healthcare App Infrastructure
Application #2
“Modern”
Enterprise A
“Future” Architecture
Application #1
Enterprise Healthcare App Infrastructure
Enterprise B
Application #1
Enterprise Healthcare App Infrastructure
Shared Healthcare App Infrastructure
Key Architectural Components
Many components are required for cross-enterprise information sharing and collaboration.
Cloud technology is uniquely positioned to provide these in a enterprise-agnostic way.
Shared Healthcare App Infrastructure
Consent Management
Patient Identification and
Matching
Provider Directory / SecurityShared Schemas
Data Exchange Standards• Document /
Repository• Federated
Workflow / Messaging
Just Keeping the Lights On Versus Innovating For Patients—Without Raising CostsWhich of the following IT projects are completed or will be completed within the next 24 months?
Base: 363 respondents in January 2013 and 337 respondents in January 2012 working at a doctors’ practice, hospital, healthcare center or other healthcare providerData: InformationWeek Healthcare IT Priorities Survey of business technology professionals
EMR or EHR
Computerized physician order entry
E-prescribing
Storage Upgrade
Network Upgrade
Patient Management System
Patient web access to personal health record
Picture archiving communications system
Clinical decision support
BI tools for analyzing medical data
Chronic disease management
Personalized medicine
Telemedicine or telehealth
Fraud identification systems
Predicative analysis (clinical)
Big data analytics
Robotics for patient treatment or care
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%2012 2013
Without cloud these Basics take up time, resources and capital.
All the Nice to Have projects become financially viable with cloud.
Cloud Knocks Down the Barriers
Diversity of Marketplace Technology Providers
Secure public clouds, such as HIPAA-compliant Windows Azure, disrupt the current barriers to data interchange.
VENDORS
SILOS
TECHNOLOGY
SECURITY
DIRECTORY
FEDERATION
Legal/Regulatory Impediments
Lack of system Interoperability
What are the barriers?
Stable Infrastructure; Agile Applications
CommunicationsOperations Management
Security
Connected Health Services Hub
User Processes
Business Processes
Integration Services
Business Components
Service Interfaces
Data Access Logic Components Data Services
use
Collaboration Services
Presentation and Point of Access Services
Identity Management Services
Authentication, Authorization and Privacy Services
Service Publication and Discovery ServicesElectronic Care Record Services
Care Domain Services
Registry Services
use
System Management Services
Communication Services
use
AGILE
STABLE
Mobile Devices Exponentially Expand Agile Application Opportunities
• Seamless data exchange across care continuum will facilitate intergroup and cross-enterprise collaboration
• Mobile devices enable true collaborative telemedicine and telehealth scenarios regardless of patient and doctor location.
Cloud-Enabled Mobile Access: The Possibilities
• Complete longitudinal patient record from ambulatory, in-patient and ancillary settings
• Integrated Electronic Medial Record (EMR) with near-real-time physiological monitoring data
• Integrated longitudinal workflow across healthcare enterprises • Seamlessly integrated Personal Health Record (PHR) • Fully integrated provider-to-provider real-time messaging and
voice/video conferencing• Social media-like patient-to-provider collaboration• Cross-enterprise patient-centric analytics and population health
management
Making Seamless Mobile Patient Information a Reality: Healthcare Cloud Infrastructure is the Next Step
We need to achieve interoperability at the architectural, syntactic and semantic levels with LOB applications.
Shared cloud infrastructure is key to making this a reality.