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Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
Health Care EA Presentation
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Health Care EA Presentation

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A case study for a health care provider for a strategic plan on enterprise architecture.

A case study for a health care provider for a strategic plan on enterprise architecture.

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  • 1. HCGlobalCase Study
    …an architectural approach for business growth and patient well being.
    Bill Wimsatt, Enterprise Architect
  • 2. State of the Healthcare Industry
    Cost of Healthcare is increasing annually - US spends ~17% of GDP
    Aging population placing intense pressure on system
    Extremely mobile world population sets stage for pandemic possibilities
    Increasing regulation
  • 3. Healthcare Environment Struggles
    Incentive System
    Vs
    Payment Systems
    Community Practice
    Vs
    Hospital
  • 4. HCGlobalBusiness Goals
    Modernize for growth and for intra/inter-organizational interoperability
    Develop a care model that is patient-centric
    Become premier Cancer diagnostic and treatment center
    Increase specializations through mergers
  • 5. HCGlobalIT Goals
    IT Modernization with SOA
    Improve customer experience with PHR
    Create world class data intelligence and reporting
    Standardize/Improve exchanges with CCD HL7
    IT Plan for business growth
    Comply with HIPPA
    Physician portal
  • 6. Leading edge capability
    Aligned to some best practices
    No capability
    Aligned to most best practices
    First generation effort
    Assess – Plan - Execute
    HCGlobalmaylargely achieve the targeted future state by the end of 2013 and must focus on driving business benefits from the capabilities. Core Data capabilities are required to enable key business capabilities.
    Data Access
    Service Delivery Model
    PMRI
    Infr. Simp.
  • 7. HCGlobalManaged Care
    Harmonize Application Infrastructure
    Exploit Internet & Web 2.0
    MDM & EDW/BI
    • Improve patient care and reduce medical risks
    • 8. Improve efficiencyby reducing redundant care activities
    • 9. Support consumer directed health information management
    • 10. Comply with regulations
    • 11. Enhance operational productivity and efficiency
    ROI
  • 12. HCGlobalManaged Care
    Harmonize Application Infrastructure
    Exploit Internet & Web 2.0
    MDM & EDW/BI
    • Improve patient care and reduce medical risks
    • 13. Improve efficiencyby reducing redundant care activities
    • 14. Support consumer directed health information management
    • 15. Comply with regulations
    • 16. Enhance operational productivity and efficiency
    ROI
  • 17. Interoperability Framework
    Contracts
    Sales
    Service
    Marketing
    Contracts
    Sales
    Service
    Healthcare Financial Apps
    Healthcare Clinical Apps
    Healthcare Administrative Apps
    Order Management
    Supply Chain
    Internet Procurement
    Financials
    Human Resources
    Projects
    Order Management
    Supply Chain
    Internet Procurement
    Financials
    Human Resources
    Projects
    Oracle E-Business Platform
    Oracle E-Business Platform
    Harmonized Platform
    Enterprise Integration
    Common Language
    Future Investment
  • 18. Service Bus
    Health Information Exchange
    Electronic
    Health Record
    Personal
    Health Record
    Pharmacy
    Laboratory
    Viewer/
    Portal
    Hospital /
    Clinic
    Radiology /
    Imaging
    Public Health
    2.84
    SERVICE DELIVERY
    DATA ACCESS APPLICATIONS
    Public Health Provider
    Patient
    Lab Clinician
    Physician/Nurse
    Radiologist
    Pharmacist
    POINT OF SERVICE
    APPLICATIONS
    Health Information Exchange
    l
    ICD-10
    HIPAA5010
    Analysis Services
    Patient Information Services
    • Record Location & Management
    • 21. Entity Identification
    • 22. Distributed Data Access (CRUD)
    • 23. Indexing
    • 24. Replication
    • 25. Workflow & Business Rules
    Terminology Service
    Infrastructure Services
    • Security & Privacy
    • 26. Provider/Patient Registries
    • 27. Communications
    • 28. Medical device integration
    Public Health Services
    • Outbreak Management
    • 29. Detection & Notification
    • 30. Visualization
    Interoperability Services
    • Data Interchange
    • 31. Legacy System Adapters
    • 32. Simulator
    Service Library
    Common Services
  • 33. Interoperability
    Providers
    Patients
    Administrators
    Researchers
    NewApplications
    Point of CareAppliances
    Internet
    HL7 IFEngine
    BusinessIntelligence
    DataMining
    DataAccess
    Registries
    Data Warehouse
    Healthcare Transaction Base
    ClinicalDataRepository
    Messaging Services
    Person Services
    Terminology Management
    Security and Auditing
    ExternalWarehouse
    Clinical Trial
    System (OC)
    Clinical
    Information
    Systems
    Laboratory
    Information
    Systems
  • 34. HCGlobalManaged Care
    Harmonize Application Infrastructure
    Exploit Internet & Web 2.0
    MDM & EDW/BI
    • Improve patient care and reduce medical risks
    • 35. Improve efficiencyby reducing redundant care activities
    • 36. Support consumer directed health information management
    • 37. Comply with regulations
    • 38. Enhance operational productivity and efficiency
    ROI
  • 39. Blueprint Summary – Core Data Objectives and Scope
    The goal is to build baseline competencies and functionality that will positionHCGlobalto develop enhanced capabilities.
    PMICore Data
  • 40. Patients vs Patience
    Do we know the patient?
    What ‘view’ of the patient are you allowed to see?
    Is this the correct patient?
    What other information do we know about the patient?
    What can we do with this patient information?
    How do we get to theother informationabout the patient?
    How do we keep the patient information in-sync?
    Patient ID: The ‘Foundation’ of Interoperability
  • 41. Interoperability Starts with Patient Identification
    P&C policyholder data
    Debbie Dozier -Becker
    9146 E VIA DEL SOL
    NETOWN, CA 45883
    Local identifier
    12/19/61 – 727
    Trusted systemof record
    Claims and billing data
    Debbie Becker
    9146 VIA DEL SOL
    NETOWN, CA 45883
    480-473-3486
    5555-55-1234
    Debbie Becker
    NULL
    5555-55-1234
    Local identifier
    DBECKER1234
    Debbie Dozier
    NEED INFO
    5555-55-1234
    Local identifier
    12345ABCDE
    1: 12/19/61 – 727
    2: DBECKER1234
    3: 12345ABCDE
    4: HOSPABC98765
    5: BECKER4807343486
    Commercial policyholder data
    Debbie Becker
    9146 E VILLA DEL SOL
    NETOWN, CA 45885
    Local identifier
    HOSPABC98765
    Web self service data
    Debbie Becker
    9146 VIA DEL SOL
    480-473-3486
    Local identifier
    BECKER4804733486
    Patient Master
    Derive & standardize data for efficiency
    Find all potential matches
    Use sophisticated probabilistic statistics to compare many attributes & score records
  • 42. HCGlobalData Warehouse
    • Data Throughput is no longer 30-60 day window
    • 43. Transaction Time Window (RT/NRT)
    • 44. Cost of Money
    • 45. Need to bill at time of discharge
    • 46. Comprehensive Data Environment
    • 47. Care Team – Medical Records – Finance
    • 48. Real Time ICD-10 coding
    • 49. Payment method (Insurance Plan) may dictate care path
  • HCGlobalManaged Care
    Harmonize Application Infrastructure
    Exploit Internet & Web 2.0
    MDM & EDW/BI
    • Improve patient care and reduce medical risks
    • 50. Improve efficiencyby reducing redundant care activities
    • 51. Support consumer directed health information management
    • 52. Comply with regulations
    • 53. Enhance operational productivity and efficiency
    ROI
  • 54. Healthcare 2.0 Architecture
    18
    Provider, Payer, Purchaser Applications
    Collaborate
    Communicate
    Devices
  • 55. Platform for Innovation
    Patient Care
    Treatment
    P4P
    Research
    Profitability/Efficiency
    Innovation
    Innovation
    Time in Market
    "If automakers were paid by the bolt, cars would be brimming with bolts," Harvard Medical School professor Jeff Levin-Scherz, April 2010 Harvard Business Review
    Advanced Data Research with 11g RDF
    Collaboration
    Structured & Unstructured Content Access
  • 56. Moving Beyond Standard BI & Statiscal Analysis
    Patient “has manifestation” spinal injury
    Procedure “has associated anatomic” cell tissue damage
    Procedure “decreases” recovery time
    Extreme lateral interbody infusion (XLIF)
    Minimizes tissue damage
    Decreases recovery time
    Std. Insurers “experimental procedure” – accepted use
    Nuvasive “provides” XLIF products
    University Research
    Insurance Industry Datastore
    Medical Technology Database
  • 57. HCGlobal
    Harmonize Application Infrastructure
    Exploit Internet & Web 2.0
    MDM & EDW/BI
    • Improve patient care and reduce medical risks
    • 58. Improve efficiencyby reducing redundant care activities
    • 59. Support consumer directed health information management
    • 60. Comply with regulations
    • 61. Enhance operational productivity and efficiency
    ROI
  • 62. Systemic Approach to Business Value
    Financial
    Hospital Bed Days
    Headcount productivity
    Colon Cancer Screening
    Capital equipment cost avoidance
    Costs per ED Visit
    Cost per Prescription
    Generic Prescribing
    Non Financial
    Customer satisfaction
    Intellectual property risk reduction
    Product development agility
    Regulatory compliance
  • 63. Structure for Maintaining & Monitoring Portfolio
    18 %
    50 %
    27 %
  • 64. Communication
  • 65. Thank You
    Bill Wimsatt
    Enterprise Architect
    waw@1783.com

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