Brown blake upcon 2013

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  • 1. Cloud, Mobility and Integrated Care The Virtuous Cycle of Cost Effective Patient Care Alex Brown CEO, 10th Magnitude Dan Blake SVP of Software Product Development, Valence Health
  • 2. 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.
  • 3. The Opportunity The combination of cloud and mobility will revolutionize the way healthcare is delivered.
  • 4. Evolving Healthcare Architecture Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone. “Traditional” Architecture Enterprise A Application Healthcare App Infrastructure
  • 5. Evolving Healthcare Architecture Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone. “Traditional” Enterprise A Application Healthcare App Infrastructure “Modern” Architecture Enterprise A Application #1 Application #2 Enterprise Healthcare App Infrastructure
  • 6. Evolving Healthcare Architecture Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone. “Modern” “Traditional” Enterprise A “Future” Architecture Application Enterprise A Healthcare App Infrastructure Enterprise B Application #1 Application #1 Enterprise Healthcare App Infrastructure Enterprise Healthcare App Infrastructure Shared Healthcare App Infrastructure Enterprise A Application #1 Application #2 Enterprise Healthcare App Infrastructure
  • 7. Key Architectural Components Many components are required for crossenterprise information sharing and collaboration. Cloud technology is uniquely positioned to provide these in a enterprise-agnostic way. Shared Healthcare App Infrastructure Patient Identification and Matching Data Exchange Standards • Document / Repository • Federated Workflow / Messaging Consent Management Shared Schemas Provider Directory / Security
  • 8. Just Keeping the Lights On Versus Innovating For Patients—Without Raising Costs Which of the following IT projects are completed or will be completed within the next 24 months? 2013 Without cloud these Basics take up time, resou rces and capital. 2012 0% 20% 40% 60% 80% 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 All the Nice to Have projects become financially viable with cloud. Chronic disease management Personalized medicine Telemedicine or telehealth Fraud identification systems Predicative analysis (clinical) Big data analytics Robotics for patient treatment or care Base: 363 respondents in January 2013 and 337 respondents in January 2012 working at a doctors’ practice, hospital, healthcare center or other healthcare provider Data: InformationWeek Healthcare IT Priorities Survey of business technology professionals
  • 9. Cloud Knocks Down the Barriers What are the barriers? Secure public clouds, such as HIPAAcompliant Windows Azure, disrupt the current barriers to data interchange. Legal/Regulatory Impediments Diversity of Marketplace Technology Providers Lack of system Interoperability
  • 10. Stable Infrastructure; Agile Applications Communications Operations Management Security Collaboration Services Presentation and Point of Access Services User Processes AGILE use Identity Management Services Authentication, Authorization and Privacy Services Service Publication and Discovery Services Business Processes use Electronic Care Record Services Care Domain Services Registry Services Connected Health Services Hub Integration Services Service Interfaces STABLE Business Components Data Access Logic Components use Data Services System Management Services Communication Services
  • 11. 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.
  • 12. 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
  • 13. 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.