IBM Health Innovation Forum 2013 - Smarter Healthcare

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IBM Health Innovation Forum 2013 - Smarter Healthcare

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IBM Health Innovation Forum 2013, Rueschlikon, CH

IBM Health Innovation Forum 2013, Rueschlikon, CH

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  • 1. IBM Smarter Healthcare How healthcare players could benefit from new service models implemented in the market around cloud computing Stefan Henze, Director Public Sector Industry IT Consulting DACH Rüschlikon, 05.11.13 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 2. IBM Smarter Healthcare Forward-thinking companies are redefining their business strategy with cloud http://www.youtube.com/watch?v=8qoRSBTuC_k&feature=youtu.be 2 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 3. IBM Smarter Healthcare Agenda Typical situation and challenges in a larger clinical IT environment (Cloud-) Sourcing as an appropriate solution Governance model as prerequisite for successful sourcing Use Case: eFA (electronic patient record) UK Aachen 3 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 4. IBM Smarter Healthcare Agenda Typical situation and challenges in a larger clinic IT environment (Cloud-) Sourcing as an appropriate solution Governance model as prerequisite for successful sourcing Use Case: eFA (electronic patient record) UK Aachen 4 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 5. IBM Smarter Healthcare Status quo – What does a typical IT infrastructure look like? Devices Server Standard-software .... 5 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 6. IBM Smarter Healthcare Today's IT areas Monitoringsystems Deviceprovisioning Systemmanagement Archive Clinical Applications Databaseprovisioning Virtualization Groupware HIS Maintenance Med. Databases Backup IT-Security CITIRX Mobility LIS Electronic patient record Monitoringsystems 12.11.2013 SAP EPA Intensivedocumentation 6 Ticketsystem Telemedicine Cablemanagement Businessintelligence Storage IBM Smarter Healthcare © 2013 IBM Corporation
  • 7. IBM Smarter Healthcare Devisions & tasks in a typical IT-department (FTE distribution) Datacenter 7 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 8. IBM Smarter Healthcare IT Sourcing could be a solution to overcome the current issues. The following areas are primarily in focus: Standard applications without clinical relation Operation and administration of a data center Device support Hotline & ticket-system service Multimedia telecommunication 8 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 9. IBM Smarter Healthcare Areas with a need for action in a typical hospital Significant backlog demand for “hardware” investments of approximately 3 times the annual IT budget. Annual maintenance fees for the current inventory eat up almost entire IT budget assigned New hardware investments cannot be financed any longer Lack of skills, reduced headcounts in IT and overall high average age of employees leads to a critital situation to constantly meet quality of service requirements 9 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 10. IBM Smarter Healthcare Agenda Typical situation and challenges in a larger clinic IT environment (Cloud-) Sourcing as an appropriate solution Governance model as prerequisite for successful sourcing Use Case: eFA (electronic patient record) UK Aachen 10 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 11. IBM Smarter Healthcare Important challenges for companies are cost issues, service-portfolio optimization and reduction of business risks Costs High Low Low High Low High IT Environment Business risks 11 12.11.2013 Service portfolio IBM Smarter Healthcare © 2013 IBM Corporation
  • 12. IBM Smarter Healthcare The need to control business risks and maintain service quality under existing cost pressures lead to a focus on core competencies Costs High Low Low High Low High IT Environment Business risks Provisioning External 12 12.11.2013 tial n poten ovatio igh inn H Service portfolio Operation Optimization Technology Mgmt. Internal Business Mgmt. en t i al rgy pot ne High sy IBM Smarter Healthcare © 2013 IBM Corporation
  • 13. IBM Smarter Healthcare The role of corporate IT continues to evolve 2011 – 2015 IT as service integrator 2006 – 2010 2000 – 2005 IT as application implementer IT as head of virtualization and standardization Widespread SaaS and cloud adoption Highly standardized and virtualized, delivered as a service Even less staff, many more suppliers and new modes of delivery Early SaaS and cloud adoption Acceleration of virtualization and standardization Less staff, multiple suppliers Expansive, on-premise applications Highly customized, with dedicated hardware Internal staff and external trusted advisor 13 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 14. IBM Smarter Healthcare IT sourcing market has changed dramatically in recent years IT Selective Sourcing Market SAP Hosting Fullscope Outsourcing (new Business) – often combined with Asset + Employee takeover) 2nd + 3rd generation outsourcing (Contract-extension / provider exchange) High standardization, contents entirely cross and international 14 12.11.2013 Changes in the market Cloud Services Data Center Services (IaaS / PaaS) SO Outsourcing Market Managed Converged Communication ASP Hosting (SaaS) Managed Security Selective Service Desks DR / Data Center Housing IBM Smarter Healthcare © 2013 IBM Corporation
  • 15. IBM Smarter Healthcare Vertical sourcing offerings are driven by Cloud and Managed Services Models and have changed the way services are tailored Typical sourcing candidate areas of the last years: Vertical sourcing as Cloud or Managed Service Business Units Vertical x Plan Build Development & Deployment Run Systems Operations Command Center User Help Desk BPaaS App1 App2 App n SaaS Application AaaS Platform / Middleware … PaaS Infrastructure IaaS Command Center Internal IT 15 12.11.2013 Candidate for ext. Sourcing IBM Smarter Healthcare © 2013 IBM Corporation
  • 16. IBM Smarter Healthcare A layered, open Cloud Architecture is emerging Software Services Business Applications as components Service Oriented Architecture Open Standards / Source Driven by customer use cases Cloud Interoperability is key for adoptance Platform Services Operational (OSS) and Business (BSS) Support Services OSLC Infrastructure Services Compute, Storage, Network Backplane Specialized implementations and “drivers” “Fit for purpose” workloads 16 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 17. IBM Smarter Healthcare A successful service integration starts with a well defined governance model Many expert opinions regarding internal and external service delivery… but no „End to End“ statement User-Incident: „Application XY is non performant “ Or „Network is slow!“ Client LAN: „OK“ User 17 12.11.2013 Service Provider 1 „Host transactions below 1 Sec.“ WAN Provider: „No WAN issue“ Service Provider 2 „Middleware ? Moderately utilitzed“ „No problem in the Server LAN environment“ Internal IT-X Service Provider 3 IBM Smarter Healthcare Internal IT-Y © 2013 IBM Corporation
  • 18. IBM Smarter Healthcare Service integration covers an important portion of the processes required to manage the interface between business units, end users and IT Business Units / End Users Retained IT Processes as an interface between business & IT -BU 1 -BU 2 … End Users Project Portfolio Management Service Portfolio Management Service Catalogue Management Service Performance Monitoring & Service Level Management Security & Compliance Management Requirements Management Architecture Management Financial Management / Chargeback Service Desk / Incident Management Provider Management (Portfolio, Coordination, etc.) Sector … Overall Governance Sector … -BU 1 -BU 2 Service Delivery Internal IT Service Delivery Service Provider 1 Service Provider 2 ... Service Delivery 18 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 19. IBM Smarter Healthcare Service integration is a mandatory core competency of IT organizations with multi sourcing strategies Retained IT Organization Service Integrator Contract Supplier 1 Contract Supplier 2 Contract Supplier n Service Integration capabilities: Internal Services Coordination and orchestration of Service Providers End to end services representation Escalation Management *) OLA = Operational Level Agreement Appropriate skills Cultural Change 19 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 20. IBM Smarter Healthcare Agenda Typical situation and challenges in a larger clinic IT environment (Cloud-) Sourcing as an appropriate solution Governance model as prerequisite for successful sourcing Use Case: eFA (electronic patient record) UK Aachen 20 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 21. IBM Smarter Healthcare Accident and emergency care © 2013 IBM Corporation
  • 22. IBM Smarter Healthcare Filetranfser with DICOM-Send X-Ray image PACS Stolberg © 2013 IBM Corporation
  • 23. IBM Smarter Healthcare Integrated access to electronic patient record medico UKA PACS UKA PACS Stolberg FallAkte Plus X-Ray image © 2013 IBM Corporation
  • 24. IBM Smarter Healthcare Transfer to University Hospital Aachen © 2013 IBM Corporation
  • 25. IBM Smarter Healthcare Integrated access to electronic patient record Medication AIS Medistar jesaja.net medico UKA EKG PACS UKA PACS Stolberg FallAkte Plus X-Ray Image Transfer Report CT OP-Reports Results X-RayThorax © 2013 IBM Corporation
  • 26. IBM Smarter Healthcare Transfer-Report OP-Report Integrated access to electronic patient record medico X-Ray-Result UKA PACS X-RayThoraxUKA PACS Stolberg FallAkte Plus X-Ray image © 2013 IBM Corporation
  • 27. IBM Smarter Healthcare Medication review & customization with focus on specific patient Medicationsrules medico ID Diacos Pharma UKA AIS Medistar / jesaja.net PACS UKA PACS Stolberg FallAkte Plus X-Ray Image Medikatio Transfer Report Medication n OP-Reports Results EKG X-RayThorax © 2013 IBM Corporation
  • 28. IBM Smarter Healthcare Transfer to Düren for rehabilitation treatment © 2013 IBM Corporation
  • 29. IBM Smarter Healthcare Integrated data acquisition medico AIS Medistar / jesaja.net ID Diacos Pharma UKA PACS UKA Physician Letter PACS Stolberg i.s.h.med Düren SonoResult FallAkte Plus X Ray Images Medication Transfer-Report CT EKG OP-Report Results X-RayThorax © 2013 IBM Corporation
  • 30. IBM Smarter Healthcare Integrated data acquisition medico AIS Medistar / jesaja.net ID Diacos Pharma UKA PACS UKA PACS Stolberg i.s.h.med Düren FallAkte Plus X Ray Images Medication Transfer-Report EKG OP- Report Results X-Ray Thorax © 2013 IBM Corporation
  • 31. IBM Smarter Healthcare Transfer for additional surgery (skull) back to University Hospital Aachen © 2013 IBM Corporation
  • 32. IBM Smarter Healthcare Acquisition of relevant documents in the primary systems medico AIS Medistar / jesaja.net ID Diacos Pharma UKA PACS UKA PACS Stolberg i.s.h.med Düren FallAkte Plus Skull Medication Transfer-Report CT EKG Physician Letter OP-Report X-Ray Result SonoReport X-Ray-Thorax © 2013 IBM Corporation
  • 33. IBM Smarter Healthcare Access to electronic patient record medico AIS Medistar / jesaja.net ID Diacos Pharma UKA PACS UKA PACS Stolberg i.s.h.med Düren FallAkte Plus X Ray Images Medication Transfer-Report EKG OP-Report Physician Letter SonoX-Ray Result Result X-ray Thorax © 2013 IBM Corporation
  • 34. IBM Smarter Healthcare Solution Outline Duria PVS KH4 KIS KH1 medico EFA-Box medatixx Jesaja. CGM-AIS Soarian Net KH2 i.s.h.med Integrated Care CompuGroup Siemens KH3 iMedOne CGM-AIS IBM Private Cloud (PaaS) © 2013 IBM Corporation
  • 35. IBM Smarter Healthcare IBM basis IBM basis IBM options IBM options Hospital/ Siemens Service portfolio of private IBM Cloud Customizing of the Soarian Application, App-development and support CommunicationMonitoring Database Management Storage and BackupManagement Operating-System and Server- Management Installation and configuration of new servers Maintenance of CMDB Daily Housekeeping Log File analysis Start, Stop and Relocate of VMs Image-Service Incident Management 2nd and 3rd level support Hospital Capacity Management Hosting Center- and Network-Management Patch Management Service Management 35 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 36. IBM Smarter Healthcare Service portfolio of private IBM Cloud Operating and scaling options Providing of a private cloud on the hospital campus Protected private cloud with computing resources required for the eFA What is performed by IBM? Hardware, software, operation, maintenance, monitoring Scaling options depending on the load and storage requirements Optional use for other applications Test- and migration-environment Architecture planning with the hospital and Siemens Healthcare 36 12.11.2013 Technology and processes High Performance IBM System x Server IBM cloud services with virtualization platform Server, storage and network based on System X VMware, IBM V7000 and Cisco technology Secure VPN through separate management and data networks Certified operation team to manage data with high protection needs IBM Smarter Healthcare © 2013 IBM Corporation
  • 37. IBM Smarter Healthcare Your Contact Stefan Henze Stefan Henze Senior Manager Industry Sales Public & CSI – DACH Global Technology Services Location: Düsseldorf, DE 49-(0)1717844057 stefan.henze@de.ibm.com 37 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation
  • 38. IBM Smarter Healthcare Thank you 38 12.11.2013 IBM Smarter Healthcare © 2013 IBM Corporation