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Three Confluence Deployments That Will Blow You Away
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Three Confluence Deployments That Will Blow You Away

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There are lots of great Confluence deployment stories. And then there are a few that are just mind-blowing. This session highlights three incredible Confluence deployments that will make your head …

There are lots of great Confluence deployment stories. And then there are a few that are just mind-blowing. This session highlights three incredible Confluence deployments that will make your head turn.

Customer Speakers: Nate Nash of BearingPoint, Tim Colson of Cisco, Connie Taylor of Premier Inc

Key Takeaways:

* Incredible Confluence examples
* Innovative uses of a wiki and enterprise collaboration


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  • 1. Three Confluence Deployments That Will Blow You Away Connie Taylor of Premier Inc Nate Nash of BearingPoint Tim Colson of Cisco
  • 2. Everyone loves babies (and puppies) 1
  • 3. Who Is Premier? Premier is bringing nationwide knowledge to improve local healthcare Local healthcare Shared goals: Better outcomes Safely reducing cost Owners Affiliates National alliance Perinatal Initiative •  Owned by 200+ not-for-profit hospitals and health systems •  Serving more than 2,000 hospitals and 50,000 other providers •  Sharing of clinical, labor and supply chain data for performance improvement •  $31 billion in group purchasing volume •  Recipient of 2006 Malcolm Baldrige National Quality Award •  Together with our member healthcare providers, Premier’s core purpose is “to improve the health of communities.” 2
  • 4. The Premier Perinatal Safety Initiative A 21 month collaboration of 17 hospital systems nation-wide seeking to improve perinatal patient outcomes, while improving provider communication, culture of safety, and patient satisfaction. The Objectives • To develop, implement, and measure best practices designed to improve reliability of clinical quality and improve patient outcomes in labor and delivery. • To facilitate the spread of improved healthcare delivery processes • To lower costs for the hospital and the patient Expected Results • Improve healthcare team work and team communication • Reduce birth trauma and maternal trauma • Obtain measurable improvement in staff culture of safety • Increase consistent use of evidence-based protocols and best • practices in the perinatal area, as appropriate • Improve and measure clinical outcomes and patient satisfaction in labor and delivery • Lower the cost of care and potential liability exposure 3
  • 5. Why Is Premier Doing this? Birth Trauma: Low Frequency BUT High Severity Problem   A “blind spot” to the need for quality improvement may arise due to the low number of adverse outcomes* •  5 birth related injuries per 1,000 deaths •  1 bad brachial plexus injury per 33 years of practice (assuming 140 deliveries per year by physician) •  1 hypoxia-related case of Cerebral Palsy per 48 years   Even one birth related injury or death has significant impact on all involved. •  Victims and families •  Clinical care providers •  Legal consequences •  Insurers •  Public assistance resources   OB claim payments and costs are the highest of all specialties.** •  $2.8 billion paid OB claims (1985-2005)-23% of total payouts •  Highest average loss of any specialty at $711,845 •  Malpractice insurance costs rank first or second highest •  Median birth injury loss $2.5 million vs. $1.18 million all others *Journal of Maternal-Fetal and Neonatal Medicine 2003. 13:203 **Physician Insurers Association of America Data Sharing Report 10/31/06 4
  • 6. Premier Perinatal Safety Initiative Components Goals Create High Increase Patient Reduce Reduce Harm Reliability Centered Care Costs Perinatal Units Best Practices Care Bundles Shoulder Risk (Induction, Augmentation, Dystocia Management Devices) (1st 48 hours response) Foundational Concepts Situational “Quality Reliable Awareness Team Cost Analysis EFM Basics” Metrics Building & & Critical (Supply Chain, LOS, (Common (Reliability and Data Events Training Claim/Legal) Interpretation and Concepts, Communication Communication) PDCA model) Development (Simulation & Debriefing) 55
  • 7. So where does Confluence come in? Reliable •  Premier needed a technology Team Building & Metrics platform to support the foundation Communication and Data Development of the Perinatal Safety Initiative. •  The solution was needed within four months of launching the initiative and at a low cost. •  Premier was already using Confluence (and Jira) internally for software development teams to share knowledge and manage the software lifecycle. •  After analysis of the business requirements, the Premier IT team determined that Confluence gave us the right platform at the right price to quickly deploy and customize in order to provide the right solution. 6
  • 8. How did we use Confluence? •  Confluence is used to enable the participating hospitals to engage in online discussion, share best practices, and collect and report on a set of key OB metrics. •  We created a “global” space for all hospitals to share information and individual “team” spaces for hospitals to share information within their own teams •  Premier partnered with Customware Inc to create a theme that would support the usability and navigation requirements of our users. •  Premier internal development created a metrics collection, repository, and reporting capability that is tightly integrated with Confluence. 7
  • 9. The Techie Details •  Deployed on Confluence 2.6 in February 2008 and migrated to 2.9 in January 2009. •  Built a Java application for the metrics collection and reporting leveraging the confluence security schema: –  Decreased implementation time –  Simplified maintenance and administration •  Protected both the Confluence application and the reports application with Premier’s standard single sign on tool. –  Used the Seraph project as a great way to tie in our technology stack. •  We were able to use a lot of the plugins within the community to enhance our site - the Calendar, Blogging, Reporting plugin, Rate Macro. •  We have a number of custom user macros to control common display options such as footers, help sections, and some common dynamic navigation items. 8
  • 10. The Demo https://communities.premierinc.com/ 9
  • 11. What’s Next? •  After the launch of the Perinatal Safety Initiative Premier has created additional customer facing communities to support our company goal of “improving the health of communities.” •  Need to continue to explore how we can improve the usability of the communities for our non-technical users. •  Providing more usage metrics for the business to assist in improving content and increasing site traffic. •  Working towards integrating Confluence with our customer application portal built on LifeRay to also increase usage of the site. 10
  • 12. Lessons Learned •  Some healthcare professionals may not have email addresses. •  Some IT folks are now experts on the birthing process. •  LDAP integration had some limitations regarding the ability to edit profile information. •  We are now trying to use the Remote API for our portal integration and have concerns about its usefulness. 11
  • 13. Questions? 12
  • 14. Screenshots (just in case) 13
  • 15. Screenshots (just in case) 14
  • 16. Screenshots (just in case) 15
  • 17. Screenshots (just in case) 16
  • 18. Screenshots (just in case) 17
  • 19. Screenshots (just in case) 18
  • 20. Shifting Thousands Atlassian Summit BearingPoint Enterprise Wiki
  • 21. Agenda   Who am I?   Vital Signs   Partners   Space Exploration   Reference Info, Questions, and Answers © 2008 BearingPoint, Inc. 2
  • 22. I am… Nate Nash   Senior Manager, Emerging Markets   Founding Member – Enterprise 2.0 Capabilities Group   nate.nash@bearingpoint.com © 2008 BearingPoint, Inc. 3
  • 23. Vital Signs   Enterprise License Crowd, JIRA, and Confluence (2-node cluster)   16,000 management and technology consultants across the globe.   Current Wiki Pages = 16,949   Versions of Current Wiki Pages = 121,488   Pages with Comments = 2,697   Number of Comments = 9,008   Unique Page Authors = 2,529 © 2008 BearingPoint, Inc. 4
  • 24. Partners   Contegix – Infrastructure and Managed Services   Customware – Custom Plugin Development   Global System Message   Auto User Adder   Space Archive   Restricted File Types © 2008 BearingPoint, Inc. 5
  • 25. Space Exploration   Engagement Security   Global Intelligence   Emerging Markets ICT Group   Jordan Water IT Master Plan   Clearinghouse © 2008 BearingPoint, Inc. 6
  • 26. Reference Info and Q and A   Nate Tweets – http://twitter.com/natenash203   Personal Blog – http://www.e2oh.com   Corporate Blog – http://newthinking.bearingpoint.com   Contegix – http://www.contegix.com   Customware – http://www.customware.net   nate.nash@bearingpoint.com © 2008 BearingPoint, Inc. 7
  • 27. Blow you Away!! Confluence on a large scale Tim Colson, SW Architect, Cisco* *The views expressed in this presentation are mine and do not necessarily reflect the views of Cisco. 1
  • 28. Who is Tim? 2
  • 29. Who is Tim? Geek! • Microbiology • Internet Developer • Systems Architect @ Cisco 2
  • 30. Who is Tim? Geek! • Microbiology • Internet Developer • Systems Architect @ Cisco Collaborator 2
  • 31. Who is Tim? Geek! • Microbiology • Internet Developer • Systems Architect @ Cisco Collaborator Confluence User since v1.0 2
  • 32. Why am I here? Experience with rapid growth 500K+ and large scale wiki pages? Over 70,000 users 250,000 pages / 4,000+ spaces ~6K active contributors (30d) ~25K total contributors (4yrs) ~300-400K views daily 2004 2005 2006 2007 2008 2009 3
  • 33. Collaboration SW HW Configuration (User Activity) 3 Innovation 4
  • 34. Innovation iZone - community idea generation Enterprise Theme & Spacemap Director Summit - event registration 5
  • 35. iZone 6
  • 36. iZone 7
  • 37. iZone Small team - not IT 7
  • 38. iZone Small team - not IT Built in a few weeks 7
  • 39. iZone Small team - not IT Built in a few weeks 100s of ideas 7
  • 40. iZone Small team - not IT Built in a few weeks 100s of ideas 7
  • 41. iZone Small team - not IT Built in a few weeks 100s of ideas 7
  • 42. Enterprise Theme 200 authors 35 spaces 2,500 pages 8
  • 43. Enterprise Theme 200 authors 25,000 authors 35 spaces 3,500 spaces 2,500 pages 250,000 pages 8
  • 44. Theme & Spacemap 9
  • 45. Theme & Spacemap 9
  • 46. Theme & Spacemap 9
  • 47. Director Level Summit 10
  • 48. Director Level Summit 10
  • 49. Outcome? 11
  • 50. Outcome? ~2 weeks to build! • Small focused non-IT team + CustomWare • Development, QA, updates and two time zones 11
  • 51. Outcome? ~2 weeks to build! • Small focused non-IT team + CustomWare • Development, QA, updates and two time zones 619 invitees for 19 live & virtual events • 90% participation! • 20K views! 11
  • 52. Outcome? ~2 weeks to build! • Small focused non-IT team + CustomWare • Development, QA, updates and two time zones 619 invitees for 19 live & virtual events • 90% participation! • 20K views! 2 weeks to build!!! 11
  • 53. The End! Confluence provides a platform for collaboration and innovation! 12