Mobile Clinical Computing<br />Customer Name <br />Date<br />
Dell believes: Better healthcare starts with better information.<br />Dell Healthcare connects people to the right technol...
46States that have issued breach notification laws<br />	300Billion dollars in combined federal spending cuts to hospitals...
Clinician - drivers<br />25/08/2011<br />Confidential<br />4<br />
Director of IT - drivers<br />25/08/2011<br />Confidential<br />5<br />
Chief of Operations - drivers<br />$<br />Revenue generation<br />Cost optimization<br />25/08/2011<br />Confidential<br /...
Dell’s Mobile Clinical Computing Vision<br />ProvideITwith the ability to CENTRALIZECONTROLof all end-user data and images...
Mobile Clinical Computing<br />Mobile Clinical Computing combines the benefits of desktop virtualization technologies, wit...
Simplified Regulatory Compliance (HIPAA)
Role based delivery of info
Multi-factor authentication
Eliminates tendency for generic logins
Dynamic provisioning of user applications, data, and personalization
Patch Management for image and applications
Fewer help desk calls
Standardization and Simplification = reduce downtime AND increase speed of resolution
Single Sign On
Fast login
Application auto-launch
Session Transfer
Follow-me printing
Shared Workstations
Ease of Use</li></li></ul><li>How Do We Get There?<br />DATA<br />USER PREFERENCES<br />APPLICATIONS<br />OPERATING SYSTEM...
MCC: The Digital Identity Is Mobile<br />
Confidential<br />11<br />25/08/2011<br />Digital Identity Connection Broker<br />
Dell’s Mobile Clinical Computing Solution <br />Confidential<br />12<br />Proven solution stack with hardware, software an...
Role-based delivery of apps/ data</li></ul>Clinical Efficiency<br /><ul><li>Single Sign On & application auto launch
Session Transfer
Follow-me printing
Clinical context</li></ul>IT Staff Productivity<br /><ul><li>Dynamic provisioning of user applications, data, and personal...
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Mobile Clinical Computing

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  • So what is the answer?While technology itself plays a major role, it’s also about connecting people to the right technology and integrating that technology into their workflows. Additionally, processes need to be re-examined and, in many cases, re-engineered.It’s about a holistic approach.This enables us to create ‘Information Driven Healthcare” and accelerate innovation.Let me show you what I mean.
  • These numbers are meant to illustrate the challenging environment in which hospitals are operating today. Whether they are the exact numbers cited in a specific article or not, they are representative of the situation US hospitals are facing. They call out three primary areas of concern: data securityIT staff productivityclinical efficiency.Question to customer: are they representative of your situation?
  • Patient safety: having all the relevant information at the point of careDelivering quality of care: speed of care, information sharing, achieving the correct patient outcomes...Information: Accessing information vital to decision makingPersonal productivity: Cut wasted time – logins, waiting for access to the right applications or device...Cutting complexity: Multiple data sources – numerous applications, paper records, scans ....
  • Rollout of eHealth (effective sharing of information with all stakeholders)Data growth: managing it, DR and back upInformation SecurityResource and cost containmentConvergence of infrastructure and applications
  • This person represents the CxO level management and the title ‘Director of operations’ could easily be substitutedCost optimisationComplianceStaff productivityRevenue enhancementPatient satisfaction
  • DELL’S MOBILE COMPUTING VISION: Provide IT with the ability to CENTRALIZE CONTROL of all end-user data and image, while still enabling END-USER FLEXIBILITY to work from anywhere and eventually on any device.The goal - data that is:More easily securedMore easily managedMore easily accessed
  • So how do we get there? How do we realize this vision of anywhere, anytime, any device computing that we’re talking about as it relates to Mobile Clinical Computing? The real focus, from a manageability perspective, is to shift from managing an ever growing number of devices towards managing what we refer to as the end user’s digital identity (basically the OS, applications, user preferences ). MCC recognizes most corporations are more concerned about losing data than they are the device on which it is stored. This solution enables you to get centralized control of all end user data as well as users’ digital identity –delivered through multiple technologies, to your choice of devices.Extra Notes:In today’s 1:1 (one-person to one-computer) environment, end users tend to be defined by the device they use. As a result, much of the IT operation is focused on managing, securing and ensuring the compliance of the device.From an IT perspective, this can quickly turn into a losing battle. The Flexible Computing Solutions strategy is built on the belief that the key to enabling true IT simplicity requires a paradigm shift from managing an ever-growing number of devices toward managing the end user’s “digital identity”.
  • This is important because it represents a shift in the way we think about client computing. Typically, when we talk about mobility in health care we’re talking about the mobility of devices: notebooks, tablets, carts, etc. With MCC, the digital identity is mobile. Our strategy is to free the end user from being tied to a specific device, and free the hospital IT staff from being forced to deploy a single device form factor everywhere. IT should be able to choose the right device for each and every unique computing environment, whether in the patient room, the central station, etc. Users should be able to access information instantly anywhere, anytime, on any device.
  • This is achieved by brokering all desktop sessions through a Digital Identity Connection Broker, which connects the end-user device to the most appropriate desktop session in the data centre. Depending on the workload required, the user can be connected to a virtual desktop instance, a terminal services session or a physical racked PC.
  • Please refer to white paper for more in-depth insight
  • Mobile Clinical Computing is a combination of HW, SW and services.It starts with “Flexible Computing”: a combination of alternative end-point computing options including Citrix, VMware and Microsoft and the associated HW and networking infrastructure required to run it. The focus here is in the data center. Managing applications, data and users from a central location.Next is a SW layer that provides a suite of tools to improve productivity and workflow for clinical users.Lastly, we have developed services to assess your environment and then design, implement and support a solution specific to your needs
  • Mobile Clinical Computing

    1. 1. Mobile Clinical Computing<br />Customer Name <br />Date<br />
    2. 2. Dell believes: Better healthcare starts with better information.<br />Dell Healthcare connects people to the right technologyand processes to create information-drivenhealthcareand accelerate innovation.<br />
    3. 3. 46States that have issued breach notification laws<br /> 300Billion dollars in combined federal spending cuts to hospitals<br /> 80Staff hours required to rollout a new application in a 400 bed hospital<br /> 40Percent of time doctors spend looking for patient records<br />38Percent of HC costs that go to administrative overhead<br /> 260 Thousands of projected nursing shortage by 2025<br />Challenges Facing Today’s Hospitals<br />
    4. 4. Clinician - drivers<br />25/08/2011<br />Confidential<br />4<br />
    5. 5. Director of IT - drivers<br />25/08/2011<br />Confidential<br />5<br />
    6. 6. Chief of Operations - drivers<br />$<br />Revenue generation<br />Cost optimization<br />25/08/2011<br />Confidential<br />6<br />
    7. 7. Dell’s Mobile Clinical Computing Vision<br />ProvideITwith the ability to CENTRALIZECONTROLof all end-user data and images…<br />…while still enabling END-USER FLEXIBILITY to work from anywhere and on any device…<br />…allowing CLINICIANS to spend<br />more time with patients delivering<br />BETTER CARE.<br />
    8. 8. Mobile Clinical Computing<br />Mobile Clinical Computing combines the benefits of desktop virtualization technologies, with features that enhance clinical efficiency. <br />IT Staff Productivity<br />Data Security<br />Clinical Efficiency<br /><ul><li>Informationstoredin the data center – not the endpoint
    9. 9. Simplified Regulatory Compliance (HIPAA)
    10. 10. Role based delivery of info
    11. 11. Multi-factor authentication
    12. 12. Eliminates tendency for generic logins
    13. 13. Dynamic provisioning of user applications, data, and personalization
    14. 14. Patch Management for image and applications
    15. 15. Fewer help desk calls
    16. 16. Standardization and Simplification = reduce downtime AND increase speed of resolution
    17. 17. Single Sign On
    18. 18. Fast login
    19. 19. Application auto-launch
    20. 20. Session Transfer
    21. 21. Follow-me printing
    22. 22. Shared Workstations
    23. 23. Ease of Use</li></li></ul><li>How Do We Get There?<br />DATA<br />USER PREFERENCES<br />APPLICATIONS<br />OPERATING SYSTEM<br />Shift from managing an ever-growing number of devices…<br />…toward managing the end user’s “digital identity.”<br />
    24. 24. MCC: The Digital Identity Is Mobile<br />
    25. 25. Confidential<br />11<br />25/08/2011<br />Digital Identity Connection Broker<br />
    26. 26. Dell’s Mobile Clinical Computing Solution <br />Confidential<br />12<br />Proven solution stack with hardware, software and service capabilities that unlocks and expands upon the benefits of desktop virtualization to enhance clinical efficiency<br />Security<br /><ul><li>Regulatory Compliance (HIPAA), by storing information in the data center instead of endpoints
    27. 27. Role-based delivery of apps/ data</li></ul>Clinical Efficiency<br /><ul><li>Single Sign On & application auto launch
    28. 28. Session Transfer
    29. 29. Follow-me printing
    30. 30. Clinical context</li></ul>IT Staff Productivity<br /><ul><li>Dynamic provisioning of user applications, data, and personalization
    31. 31. Simplified Patch Management for image and applications</li></ul>Doctor’s Clinic<br />Hospital 2nd Floor<br />Fast Login<br />Card/Badge, biometric, password, etc.<br />Single Sign-on  Instant access to apps<br />Individual Desktops<br />Custom for each user by role<br />Security <br />Information stored in the data center,not the endpoint<br />Role-based delivery of apps/ data<br />Session Transfer<br />Active session follows user to each device<br />Remote Access<br />Remote access via secure browser session<br />Hospital 1st Floor<br />
    32. 32. MCC Trial<br />13<br />Confidential<br />25/08/2011<br />
    33. 33. Proving the Business Value of the Solution<br />In association with Intel across Europe<br />Ten trial hospitals across 6 European countries<br />Mix of clinical settings<br />Benefits tracked by audience – Clinical, IT and Hospital management<br />Monitored, tracked and recorded in technical whitepapers<br />Confidential<br />14<br />25/08/2011<br />
    34. 34. Confidential<br />15<br />25/08/2011<br />User profiles studied in the MCC trial<br />‘Static users’<br />‘High intensity shared users’<br />‘Clinical nomads’<br />‘Senior reviewers’<br />
    35. 35. Topline results<br /><ul><li>Up to 215+ minutes per user per week productivity gain (9% improvement)
    36. 36. Economic value of productivity can be up to $15,000 per user per annum
    37. 37. The average annualized costs is just $75 per device, and each device may be used by multiple users
    38. 38. Appropriate Security delivers information security that’s workable for users
    39. 39. Improves patient safety, quality of care and patient satisfaction</li></ul>Confidential<br />16<br />25/08/2011<br />
    40. 40. EMEA Pilot - Summary Conclusions<br />Clinical Use<br />Appropriate Security <br />Delivers appropriate, information security that’s workable for users<br />Improved Productivity & Staff Satisfaction<br />Potential of 10-215+ mins per person per week* <br />Patients Benefit<br />Reduction in information access related delays & faster informed decisions <br />Enhances rather than disrupts Workflow<br />Helps existing systems align with workflow<br />MCC Solution<br />Session Mobility<br />Persistent Session which can roam from device to device as needed<br />Single Sign On<br />SSO access to core clinical and other applications** <br />Swipe in – Swipe Out<br />RFID card swipe or single key stroke suspension of session<br />Faster Start Up<br />Av 83%** faster app start up on shared computers. From minutes to seconds <br />IT Management<br />Improved Security<br />Removal of the need for shared/generic logins. No data on devices.<br />Simplified Management<br />Provisioning, Support and User Device optimisation potential at reduced cost<br />Workstation Availability<br />Reduction of Workstation monopolisation and time required for interactions <br />Optimized Devices<br />Device types optimised for task (WoW/LT/DT) & user population.<br />* Extrapolation from trial results. Trial findings ranged from 6mins to 117mins<br />** Average time saving (UHB Trial 92% E4B and 94% MAU, OLVG 77% and COL 71%)<br />
    41. 41. Mobile Clinical Computing<br />Silver Cross Hospital<br />WITH MCC<br />HOSPITAL SITUATION<br /><ul><li>Lots of apps, many requiring their own password
    42. 42. Countless staff hours to launch a new app or push updates
    43. 43. Limited end-point functionality, workstations missing critical apps
    44. 44. Staffing constraints – both IT and clinical
    45. 45. Wasted time each day looking for right WS for job
    46. 46. Sensitive data on client systems notebooks and desktops
    47. 47. Poor end-user experience
    48. 48. Over 200 apps
    49. 49. 80 hours to setup new app
    50. 50. Staffing constraints
    51. 51. 60 min/day to look for right WS
    52. 52. Sensitive data on notebooks and desktops
    53. 53. Poor end-user experience
    54. 54. SSO to all apps
    55. 55. New apps provisioned in minutes
    56. 56. No more searching for devices or applications
    57. 57. Data stored securely in DC
    58. 58. Users are happy and more productive</li></ul>18<br />
    59. 59. MCC 2.0 Technology Line-Up<br />Confidential<br />19<br />
    60. 60. A Structured, Defined Path<br /><ul><li>Gain empirical data
    61. 61. Evaluate desktop candidates
    62. 62. Determine application usage
    63. 63. Implementation gap Analysis
    64. 64. Create “digital footprint”
    65. 65. Sizing
    66. 66. Virtual platform location decision
    67. 67. Define initial Use Cases
    68. 68. Deployment Planning
    69. 69. Installation & Configuration
    70. 70. Image Builds
    71. 71. Application Packaging
    72. 72. End-user profile, data & device migration
    73. 73. Monitoring and Support
    74. 74. Patch OS & Apps
    75. 75. Performance Reporting
    76. 76. Capacity Planning
    77. 77. SLA Reporting
    78. 78. Understand business & enterprise-IT Strategy
    79. 79. Infrastructure requisites
    80. 80. Application Portfolio
    81. 81. End-User needs
    82. 82. Requires cross-organizational team effort</li></ul>Trial<br /><ul><li>2nd or 3rd Step
    83. 83. Production Environment
    84. 84. Cross-Org Team
    85. 85. “skin” in the game</li></ul>Take a structured approach to navigating virtualization decision making <br />
    86. 86.
    87. 87. Thank You for coming to see us!<br />
    88. 88. Backup<br />
    89. 89. MCC for MEDITECH<br />Laptop <br />Remote Physicians Office<br />Nurses Station Desktop<br />Wireless WOW<br />Thin Client<br />Streamline Workflow – Tap and Go<br /><ul><li>User taps badge or swipes finger to reconnect to desktop
    90. 90. Single click SSO to all Clinical Applications
    91. 91. User disconnects from desktop with card tap
    92. 92. Desktop maintained on server as user roams</li></ul>Also Includes<br /><ul><li>Password Management/Reset
    93. 93. Automatic Compliance Reporting
    94. 94. Support for various authentication modalities
    95. 95. Reauthentication support – i.e. drug dispensing</li></li></ul><li>Solution Partners And Suppliers<br />
    96. 96. Mobile Clinical Computing<br />SERVICES<br />ProConsult<br /><ul><li> Assessment
    97. 97. Design
    98. 98. Deployment</li></ul>ProSupport<br /><ul><li> 24x7 Help Desk
    99. 99. Parts and Labor
    100. 100. Collaborative SW Support</li></ul>ProManage<br /><ul><li>Manage
    101. 101. Host
    102. 102. As-a-Service</li></ul>+<br />SOFTWARE (example)<br /><ul><li> Symantec Workspace Corp
    103. 103. Citrix Provisioning Server
    104. 104. Dell Easy Connect
    105. 105. Terminal Services
    106. 106. SQL Server
    107. 107. Active Directory</li></ul>+<br />HW & SW<br /><ul><li>PowerEdge Servers
    108. 108. EQL Storage
    109. 109. OptiPlex Desktops
    110. 110. Latitude Notebooks</li></li></ul><li>Delivering Solutions The Way Customers Want Them<br />A flexible delivery model that suits your unique needs and goals<br />As-a-Service Delivery<br />Build & Operate<br />Business Ready Configs<br />Build & Transfer<br />Dell helps you do it<br />Dell does it for you<br />Services Only<br />Dedicated Infrastructure<br />Enterprise Cloud<br />Custom Architecture<br />OEM Bundle<br />DIY<br />Purchase reference architecture and hires Dell to implement<br />Purchase reference architecture and hire Dell to adjust architecture & implement<br />Dell implements, operates, and manages customer’s infrastructure in either location<br />Dell implements, operates, and manages dedicated Dell infrastructure in either location<br />Dell implements, operates, and manages optimized Dell infrastructure in Dell Data Center<br />Customer provides own architecture, purchases Dell components and self implements.<br />Deep Domain Expertise (Clinical, Business and Technical)<br />Customer Managed<br />Dell Managed<br />Customer Data Center<br />“On Premise”<br />Customer or Dell Data Center<br />“Dedicated”<br />Dell Enterprise Platform<br />Customized Reference Architecture<br />Optimized Platform – Standard Architecture <br />Reference Architecture<br />Customized Service Model<br />Globally Consistent Service Delivery Model<br />
    111. 111. Approximately one hour per day per user reclaimed for patient care*<br />100% application availability on all workstations**<br />Applications provisioned in minutes instead of hours*<br />Average rounding time reduced from six hours to four**<br />As many as 10 users share the same workstation during course of day**<br />One keystroke suspension of computing session**<br />Persistent session despite location change<br />Enhanced, not disrupted, workflow<br />94% faster start up on shared computers – from minutes to seconds**<br />No more “workstation squatting”<br />Clinical Efficiency Data Points<br />*Silver Cross Hospital case study<br />**Genesys Regional Medical Center case study<br />
    112. 112. MCC is Greater Than…<br /><ul><li>Flex
    113. 113. Virtual Desktop
    114. 114. Thin Client
    115. 115. Citrix
    116. 116. VMware
    117. 117. Symantec
    118. 118. SSO</li></ul>MCC<br />
    119. 119. Single Sign On (SSO) Saves Time & Money<br /><ul><li>SSO technology saves clinicians an average of 9.51 minutes a day (122 hours per year)
    120. 120. 83% of respondents believe SSO simplifies access to applications and data
    121. 121. Prior to SSO, users had an average of 6.4 different passwords or pins required to access critical applications and patient data
    122. 122. Approximately 70% of respondents believe SSO is important or very important to the adoption of EMR and related systems
    123. 123. 60% of all respondents believe SSO solutions support their organizations' efforts to demonstrate the "meaningful use" of EMR and related information
    124. 124. On average, respondents said they have between 11-30 applications using single sign-on
    125. 125. 80% of SSO users would recommend the technology to others
    126. 126. DELL delivers SSO & VDI via MCC </li></ul>Source: Healthcare IT News May, 31, 2011<br />

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