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Enabling EMR/EHR – best practices in integration
 

Enabling EMR/EHR – best practices in integration

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Coming to Terms - Similar, but Not the Same

Coming to Terms - Similar, but Not the Same

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    Enabling EMR/EHR – best practices in integration Enabling EMR/EHR – best practices in integration Presentation Transcript

    • Enabling EMR/EHR – Best Practices inIntegrationWebinar, February 14, 2008Marc Holland, Program Director, Healthcare Provider ITSponsored by WIPRO Technologies and Sun Microsystems
    • Agenda U.S. Healthcare IT mega-trends EMRs vs. EHRs: similar but not the same The HIT Maturity Model: a framework for assessing progress So where are we now? So what’s HOT in HIT? System Integration: the tie that binds Essential Guidance Sun Microsystems and WIPRO speakers Combined Q & A© Health Industry Insights, an IDC company Page 2
    • US Healthcare IT Mega Trends© Health Industry Insights, an IDC company Page 3
    • Healthcare IT: Poised for Growth Healthcare costs are growing – Medical technology, particularly in the US, is state of the art – Population growth and longevity are taxing the system Healthcare has historically lagged other industries in using information technology – That is changing, dramatically – and worldwide Healthcare IT seen as a tool to reduce healthcare costs and improve quality and safety CAGR for healthcare providers in the US > 6% CAGR for healthcare providers worldwide ~ 7% – The tortoise and the hare? – US Hospital Provider IT annual budget growth now roughly 10%© Health Industry Insights, an IDC company Page 4
    • U.S. Provider Spend 30,000 9 8 25,000 7 20,000 6 5 (M) % 15,000 4 10,000 3 2 5,000 1 0 0 2006 2007 2008 2009 2010 Hardware About 85% of the total is (%) Software spent by hospitals IT Services Source: HII Worldwide Healthcare IT Spending Guide, 2006© Health Industry Insights, an IDC company Page 5
    • Mega Trends: Industry Environment Focus on cost containment, quality of care and patient safety across the health ecosystem. Aging infrastructure, new technologies, and regulatory pressures are fueling a significant upgrade cycle. Innovation is essential but it is currently under funded. Analytics allow new insights into improving the quality and cost of care; essential for compliance (P4P, CMS Core Measures, personalized medicine, performance management, etc). Increased focus on collaborative IT investment. New tension and competition emerges for the investment funding between internal/legacy and external/collaborative business relationships, processes and investments. The lines between the life sciences, provider and payer sectors are continuing to blur as each sector is driven to improve quality and patient safety, and reduce healthcare costs.© Health Industry Insights, an IDC company Page 6
    • Mega Trends: Industry Environment = Increased automation, data collection and integration across the ecosystem Focus on cost containment, quality of care and patient safety across the health ecosystem. Aging infrastructure, new technologies, and regulatory pressures are fueling a significant upgrade cycle. Innovation is essential but it is currently under funded. Analytics allow new insights into improving the quality and cost of care; essential for compliance (P4P, CMS Core Measures, personalized medicine, performance management, etc). Increased focus on collaborative IT investment. New tension and competition emerges for the investment funding between internal/legacy and external/collaborative business relationships, processes and investments. The lines between the life sciences, provider and payer sectors are continuing to blur as each sector is driven to improve quality and patient safety, and reduce healthcare costs.© Health Industry Insights, an IDC company Page 7
    • Healthcare is rapidly becoming an inter- connected ecosystem, with IT as its circulatory system Enabling consumers to get Exploring involved in managing their health pharmacogenomics Understanding increasing patient Identifying research sites liability and populations Improving quality of care (and of Drug safety and tracking life) through remote home health monitoring Information connectivity Translational medicine Reducing costs and improving patient outcomes Identifying patients for Offering EHR/EMR technology and clinical trials PBHRs to provider constituents Utilizing EMRs to Balancing internal projects vs. supplement electronic external collaborative projects such data capture (EDC) as RHIO and HIE initiatives systems Providing revenue cycle mgt tools Reimbursing for outcomes (P4P) Reimbursing for remote home health monitoring© Health Industry Insights, an IDC company Page 8
    • HIT Maturity Model: A Framework for Assessing Progress© Health Industry Insights, an IDC company Page 9
    • IDC-HII Hospital IT Maturity Model Stage 3 Stage 4 Stage 5 Stage 1 Stage 2 Advanced HIS Digital Digital Virtual Basic HIS Advanced HIS Core Clinicals Hospital Enterprise • Patient • Electronic • Laboratory • Patient • Secure messaging Registration / Claims Information Appointment (Provider-Provider/ Scheduling Provider-Patient) Inpatient Submission System • Computerized • Clinical Data Admission (Discharge • RIS/Radiology Repository/ Data Discharge & Summaries, Physician Results Warehouse Transfer Coding and Order Entry Reporting • Participation in • Patient Billing and Abstracting) • Nursing Regionalized • PACS Accounts • Electronic Payment Documentation Patient CDR Receivable Processing • Pharmacy • Emergency • Home Health Case • HRIS / Payroll • Inventory, Supply • Operating Room Department Management • General Ledger / Requisitioning and Scheduling and Management • Remote Patient Financial Reporting Distribution Management • Physician Portal Monitoring/ • Purchasing / • Basic Order • Patient Portal Telemedicine Accounts Payable Communications • Wireless • Email Infrastructure • Internet Access • Inpatient • Intranet Electronic Medical The key prerequisites • Record (EMR) Ambulatory EMR for an EMR • Enterprise Master Patient Index • Location-based services© Health Industry Insights, an IDC company Page 10
    • EMR vs. EHR: Coming to Terms Similar, but Not the Same© Health Industry Insights, an IDC company Page 11
    • Electronic Medical Records Defined Emergency Admitting Enterprise Master Patient Index Physician General Orders Hospital Workflow Results Nursing Patient: DocumentationJane Doe Surgery Electronic Data Digitized Images X-ray Clinical Clinical Decision Data Support Pharmacy Repository (CDR) Laboratory Controlled Medical Vocabulary Transcription Source: Health Industry Insights© Health Industry Insights, an IDC company Page 12
    • Electronic Health Records Defined Hospitals Primary Care Providers Specialists Other Providers Electronic Medical Records for patient Jane Doe Summarized Health Information $ Payer data Electronic Health Record Source: Health Industry Insights Table of contents/indexing Prescription data Viewer Key diagnoses and procedures summaries Labs and results Patient provided Medication history data Analytics, search & reporting tools© Health Industry Insights, an IDC company Security Page 13
    • HIT Maturity: So where are we now?© Health Industry Insights, an IDC company Page 14
    • Hospital Adoption of EMRs is Increasing 100 Only 23% of hospitals over 500 beds 90 80 reported a “fully” operational EMRs based 70 on an objective, 15-function point scale 60 50 Only 13% of hospitals between 100 – 200 40 beds were “fully” implemented – 21% had(%) 30 20 no clinical IT deployed 10 0 Only 7% of hospitals between 50 – 100 <50 50-99 100-299 300-499 >500 beds were “fully” implemented – 37% had (Bed Size) no clinical IT deployed at all Full (12 – 15 functions) Partial (1 - 11) Urban higher than rural; teaching higher Source: AHA 2nd Annual HIT Survey 2007 than non-teaching; But the trend is clearly favorable Vendor Market Notes • Fragmentation by solution set, geography and market segment. • Major hospital information system vendors dominate the EMR market. • CCHIT begins certifying inpatient EMRs, 9 certified between Nov. 2007 and Jan. 2008. • Market players: Cerner, CPSI, Dairyland, Eclipsys, Epic, GE Healthcare, McKesson, MEDITECH, Siemens, QuadraMed© Health Industry Insights, an IDC company Page 15
    • Physician Adoption of EMR is Increasing 50 45 Overall, nearly 30% of physicians 40 35 use an EMR system [comprehensive 30 (14.5%) and partial (14.7%)] in their office-based practices.(%) 25 20 15 10 This represents a 22% increase 5 since 2005 and a 60% increase 0 since 2001. Solo Partner 3 - 5 MDs 6 - 10 MDs 11 or more Any EMR MDs Adoption will continue. In 2006, Comprehensive EMR System 23.9% of office-based physicians surveyed reported that they planned Source: CDC/NCHS, National Ambulatory Medical Care to install a new EMR systems or Survey, 2006 – published October 2007. replace their current systems within the next 3 years. Vendor Market Notes • Continues to be a fragmented market. The market is wide open, and will remain so. • Approximately 100 ambulatory EMR products have been certified by CCHIT. • Buying “cooperatives” are emerging, sponsored by payers and local medical associations. • Web-based hosting services and SaaS gaining traction in the market place. • Major Market players: Allscripts, eClinicalWorks, GE (IDX), McKesson (Practice Partner), Misys, NextGen, Sage (Emdeon/Med Mgr)© Health Industry Insights, an IDC company Page 16
    • A Landmark 2004 Study Showed EMR Adoption in US Lagged Badly and Times Haven’t Changed Dramatically – EMEA is Far Ahead EM R Rates of Adoption by Country (2002) 100 90 % MD Practices with Operational EMRs 80 70 60 50 Adoption % 40 30 20 10 0 er ia K S l en s B any e Fr i n or e m k A d G d Ir g he den ga U U ec D nd P nc ar G s tr an an ur pa xe lgiu tu m re bo a a m nl el N we u S rl Fi Lu e m S et CountrySource: "European Physicians Lead U.S. in Use of Electronic Medical Records." HarrisInteractive Health Care News 2(16). Reproduced from a presentation by Dr. David Bates, MassGeneral Hospital to the ACMI, 2004© Health Industry Insights, an IDC company Page 17
    • Provider Initiatives Involving EHRs No, but active discussion to participate in a community-based RHIO/HIE No, and no plans to participate in any form of RHIO/HIE Community-based RHIO; Info exchange planned Proprietary RHIO; Info exchange planned Proprietary RHIO; Info exchange operational Community-based RHIO; Info exchange operational No, but active discussion to participate in a proprietary RHIO or HIE N = 34 Source: Health Industry Insights, Sept 2007 0 5 10 15 20 25 30 35 40 Operational health information exchange is not widespread. Less than 3% of respondents belong to a community- based RHIO and actively exchange health information. And only 8.8% of respondents are exchanging health information among related entities. More are in the planning phase; 17.7% participate in a community-based RHIO and 8.8% in a proprietary RHIO in the planning stages. Approximately 35% are in discussions to participate in a community-based RHIO. Vendor Market Notes Most are SOA-portal type architectures. Not all vendors offer a complete solution; but not all RHIOs want (or can afford) one. The market is wide open, but will likely bifurcate along public and private lines. It will also remain risky …. Market players: InterSystems (HealthShare), Oracle, Wellogic, Misys, Cerner, dbMotion, Quovadx, Carefx, Initiate Systems, Medicity, MEDSEEK, IBM, Orion Health Systems, Open Source Vendors (BrowserSoft and Tolven Health), Sun© Health Industry Insights, an IDC company Page 18
    • Payer Initiatives Involving EHRs Consumerism (69.4%) and provider demands (37.1%) were the top two drivers for payer investment in collaborative healthcare initiatives. Interestingly, compliance with federal government mandates or regulations was less frequently cited (27.4%). Consumer 43% of healthcare payers report personal health planned investment in PHRs in records 2008. Provider electronic medical record EHRs (58.1) and PHRs (50.0) systems were among the top three Provider electronic external transparency initiatives health record driving business intelligence systems investment through 2010. 0 10 20 (%) 30 40 50 In an informal study of health plan CMOs, 66% of respondents N = 62 that deploying a PBHR was Source: IDC Health Industry Insights Survey, 2007 important or very important. Vendor Market Notes • Attributes: Multiple models, no clear winners. • Challenges: Integration, adoption, information exchange • Major Market players: Active Health Management, Availity, HealthTrio, RelayHealth, MEDecision, Medem, TriZetto, WebMD© Health Industry Insights, an IDC company Page 19
    • What’s HOT in HIT?: Market Shaping Technologies for 2008© Health Industry Insights, an IDC company Page 20
    • So What’s “Hot” in U.S. HIT? EMRs, EHRs – CPOE – Health Information Networks – The emergence of EMR Gen 2 Business and clinical intelligence – Performance analysis – Evidence-based medicine – Personalized health Wireless – Wireless point of care devices (Gen 2) – Location-based services (RFID, Ultrasonic) Virtualization of servers, storage and desktops SOA, Integration platforms & portals Web 2.0 SaaS Security Disaster Recovery /Biz Continuity© Health Industry Insights, an IDC company Page 21
    • So What’s “Hot” in U.S. HIT? EMRs, EHRs – CPOE – Systems integration technology is a Health Information Networks – The emergence of EMR Gen 2 critical element for unleashing the Business and clinical intelligence potential in most of these. – Performance analysis – Evidence-based medicine – Personalized health Wireless – Wireless point of care devices (Gen 2) – Location-based services (RFID, Ultrasonic) Virtualization of servers, storage and desktops SOA, Integration platforms & portals Web 2.0 SaaS Security Disaster Recovery /Biz Continuity© Health Industry Insights, an IDC company Page 22
    • Systems Integration: The Tie That Binds© Health Industry Insights, an IDC company Page 23
    • CIS Platforms: The Myth of the Single Source Which of the following clinical information system (CIS) platform philosophies best describes your organizations current and future architectural approach? Current Future Best-of-breed Best-of-breed (5.9%) (20.6%) Single suite (26.5%) Single suite (38.2%) Hybrid (55.9%) Hybrid (52.9%) Source: Health Industry Insights, 2007 n=34 n=34© Health Industry Insights, an IDC company Page 24
    • Data Integration in HIT: an Old but New Concept HL7 introduced more than 20 yrs ago; pioneered by Libra Health Technologies The HL7 organization (www.HL7.org) has become one of the most influential forces in the area of HIT standards definition and adoption But integration remains a complex issue as information sharing requirements increase in their diversity and complexity Different forms of integration requirements exist at different levels of business processes-- – Transaction – Document – Application – Enterprise – Platform Integration remains a major growth market© Health Industry Insights, an IDC company Page 25
    • Data Integration: It’s Not Just About Messaging Systems Anymore No longer a technology for just big hospitals No longer just HL7, but all of its variants and complementary technologies – HL7 2.5, 3.0 (transaction format & data stds) – CDA and CCR (“translucent” attachments) – XML (web-page integration) – CCOW (application synchronization) Eight vendors now dominate the market for integration messaging platforms – Eclipsys, InterSystems, Oracle, Orion, Quovadx, Siemens, Sun Microsystems, Sybase But also consider the need for products that provide integration at the context level, as well as single sign-on – Carefx, Encentuate, Novell, Sentillion Think “virtually”; the “virtual healthcare enterprise” will drive demand for integration across all market segments© Health Industry Insights, an IDC company Page 26
    • Selecting an Integration Platform: What to Look For Ease of implementation Technology Ease of development across all types of interfaces Upward migration Performance Backup and recovery Audit, monitoring, error mgt and security Service and support Application experience Testing and development Documentation Total cost of ownership© Health Industry Insights, an IDC company Page 27
    • Essential Guidance An EMR is a journey, not a destination Make a clear business case Learn from the leaders Partner with your vendors It’s less about technology than it is about process Partner with your clinical leadership; you cannot succeed without their commitment Your competitors are also your colleagues – we all have the same goals in common – a healthier populace and improved access to quality care at affordable cost Ask questions, lots of questions; share your experiences© Health Industry Insights, an IDC company Page 28
    • Questions Marc Holland Program Director Healthcare Provider IT Research Please feel free to email me at mholland@healthindustry-insights.com© Health Industry Insights, an IDC company Page 29
    • Terms of Use Policy The information enclosed is the intellectual property of Health Industry Insights, an IDC company. Copyright 2007 - Reproduction is forbidden unless authorized. All rights reserved. Please refer to Health Industry Insights’ Terms of Use policy at http://www.healthindustryinsights.com/HII/PR/PRtermsofuse.jsp for more information about our terms and conditions. If you have any questions regarding permissions and restrictions regarding our brand and content, please contact us.© Health Industry Insights, an IDC company Page 30
    • Sun and HealthcareSolutions to Bridge the DigitalDivideNancy Abell, RNSun Global SoftwareHealthcareFebruary 14, 2008 Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • The VisionEveryone and Everything Participating on the Network Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Sun’s Solution • Product: JavaTM Composite Application Platform Suite – the industry’s most complete, unified and secure platform for SOA and composite applications • Services: Life-cycle professional services and learning curriculum to augment your in-house skills Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Sun Java™ Composite Application Platform SuiteComposite Applications via Service-Oriented Architecture Presentation Services Enterprise Patient ExecutiveAccess Results Orders View DashboardsManager Composite ApplicationsServicesRegistry(Regrep UDDI) Reusable Services Lab Imaging Sched RAD Pharm John Doe EMPI Inquiry Registration Laboratory Radiology Pharmacy Imaging Transcription EMPI RLS Enterprise Network Increased Agility HIS Scheduling RAD / LAB CDR Sun Proprietary Do Not Reproduce Without Explicit Written Permission 34
    • Sun JAVA™ Composite Application Platform Suite (CAPS) eIndex / eView Studio provides Executive / Operations Patient information / Record Dashboards Locator Svs, cleansing, Sun Portal Server PE Composite Applications probabilistic matching, indexing, and linking Custom Patient Views eView eBAM eVision Enterprise Designer Enterprise Manager Studio Studio Studio eXchange automates B2B interactions View Generation eInsight BPM Orchestration eInsight Business Process Manager orchestrates steps necessary to satisfy eXchange eXpresswa eTL generate Patient View eWay y Adapters Integrator Integrator Integrator eGate unlocks and exposes the data in your eWay adapters provide existing applications eGate Integrator connection points between systems eInsight BPM alsoprovides a rules engine Repositoryto ensure security, and Sun Java Studio Sun Java Creatorprivileges are adhered too Integration Sun Application Server Sun Directory Server Sun Access Manager Core Services Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • SolutionsBuilt on a foundation of integrationwith unified capabilities for SOA, BPM,BAM, Single Entity View”… …combining all integration technologies in one easy-to-use environment. Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Use Case: UK National Health Service• 50+ million patients with life-long healthcare records• Linking with 250 hospitals• 1.4m providers (doctors, nurses, scientists)• 10,000 systems Name• 40,000 sites NHS No. Address Chest Infection• For the National Service Provider (NASP) “Spine” Newcastle Broken Leg > 2005 – 2 billion transactions per year Back Pain Emergency > 2010 - 6 billion transactions per year > Due to peak usage approximately 420 messages per second (4–6x hourly average) > Response SLA – 0.2 seconds Bristol > Available 99.9% (44 minutes per month downtime) > Failover in 30 minutes Name NHS No.• For the Local Service Providers (LSP’s) Address > Each has a lot of local messages (10bn to 12bn per year) and shares some Chest infection with the NASP Broken Leg Back Pain• There are 5 LSP and therefore the total volumes of messages per Emergency year is: > 56 billion to 66 billion messages per year• Initially using eGate, eInsight, eView and eXchange Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Enterprise Master Patient Index – Active ModeSolution: Provide unique patient indexing across systems. Replace allpatient search and registration functionality on top of existing applications viaoverlays and screen scraping. Eliminate duplicate patient records.Use Case: Multi-hospitalhealth system has dozensof systems and requires a 3 4 4 #2single patient identifier. . !) . ! -- " / -& ( - 0 # ! # ! 2In order to prevent future . 1 * ( " %( !duplicates, eIndex withActive Integrationgenerates popup windows ( # )%that overlays existing " ( 2 " 3 3applications. ( ! 0 " ) !! ! " # $% & ( ! 3 ( ! # ! ! $ $ ! , %& ! ( ( !EMPI Validates whether or 2 --- ! $ 3not patient exists before 5 2trying to add as a new ! * #record. +( )% * . % &# - + !! * ( . ( $ . ! 3 # * -$ ", ! . " ( 0 . 2 Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Colorado RHIOSolution: Portal that integrates to sites via web services and interfaces.Leverages existing systems instead of rip and replace. eIndex, RLS and IDMUse Case: State initiative to link multiple data sources to a single portal forview by any authorized providers. Data must be retained in its originallocation but be available for view in an aggregated manner for providers---data such as lab results, radiology exam results, medications, problems,allergies and immunizations.Use Case Phase 2: State ! 9 "initiative to apply patient " 3 #data to accepted ClinicalGuidelines/Protocols for " % " % $ feedback to treatingphysician. " : $ 30 ! ! ! ( ! " &. !0 %0 3 . 1 . (( 6 * &( + " ! 3 " ! # (!! 3 ## 7 --- 2 0 !" 8 " & . ! . ! # ! " . !0 Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Cleveland Clinic • Eliminate errors in filling handwritten Challenge prescriptions • Enable e-prescription functionality between clinic and pharmacies • Increase patient satisfaction • Using Sun integration software, the medical Solution center was able to synch up communications between its internal prescription system and those existing at retail pharmacies • Enabled communications between clinic and Benefits pharmacies systems • Ensured accurate filling of e-prescriptions • Enhanced patient safety and care Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Sun – Your eHealth Partner• Interoperability through 16+ year history in HIT• Indexing through a proven master patient index• Commitment to ongoing standards development through presence on HL7 committees• Sun Java Composite Application Platform Suite enables all integration initiatives Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Sun’s 360°Health Info Exchange Architecture Specialty Research Academic Clinic Finance and Education Medical Center Home Health Long-Term Payers Care Public Health Hospital Diagnostic Pharmacy Imaging Center Pharmacy Benefit Management Medical Supplier Clinical Physicians Documents Employer Single-Patient View Private Ambulatory Insurance Centers Screening Government Registers Emergency Reference Insurance Services Laboratory Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • The Sun Prescription • An interoperable and highly extensible healthcare solution • Solutions and infrastructure to transform the way healthcare records, tracks, and accesses critical business information • Sun is the remedy for healthcare information exchange initiatives that need to find a more cost-effective way to standardize and exchange critical information between their entities. Sun Proprietary Do Not Reproduce Without Explicit Written Permission
    • Enabling EMR/EHR – Best Practices in Integration Wipro Technologies
    • Healthcare Provider Organization Context • Between 44,000 and 98,000 Americans die each year from medical errors. • Many more die or have permanent disability because of inappropriate treatments, mistreatments, or missed treatments in ambulatory settings. • $300 billion is spent each year on healthcare does not improve patient outcomes – treatment that is unnecessary, inappropriate, inefficient, or ineffective. • Patients with medical emergencies too often are seen by doctors with no access to their critical medical information, such as allergies, current treatments or medications, and prior diagnoses Source: Institute of Medicine • Prescribing Error Rates and Quality Issues – More than 3B prescriptions are written per year (AHRQ) – Pharmacists make 150M calls to physicians each year to discuss possible errors or clarify prescriptions (ISMP) – 8.8M ADE’s occur each year in ambulatory care, of which more than 3M are preventable (CITL) – Medication errors account for 1 out of 131 ambulatory care deaths (CITL) Well Designed Application Integration with Industry Standard tools and Services can help to reduce some of these instances© 2007, Wipro Technologies
    • Integration Best Practices Help the Achieve Objectives Increased Efficiency Improved Quality of Care and Patient Satisfaction Enhanced Risk Management Seamless Integration Greater ROI© 2007, Wipro Technologies
    • Tools, Services and Methodology is the Key for Success • Sun Microsystems • Quovadx • InterSystems • Oracle • Orion • Eclipsys • Siemens • Sybase ! " # $ + ! ! " $ $ ( )* % % $ # ( , ! # & $ # ! # $© 2007, Wipro Technologies
    • Integration Centre of Excellence Facts & Figures • Largest Integration Practice in APAC Consulting, Build & Testing • Largest Pool of HL7 Certified Professionals having 10+ Integration years of collective experience in healthcare interface Enterprise Services • Extensive Product Expertise • Extensive functional expertise in many vertical domains Maintenance & such as healthcare, manufacturing, retail, automotive, Support energy and utilities • Well established global delivery model • Innovative Engagement Models Training • Large Investments In Dedicated Center of Excellence & (CoE) Staffing Industry Standard Integration Engines Competency Application Adaptors Data Migration Tools Instrument Adaptors Screen Rejuvenator New Interface Build Mobile / Handheld Script Writing Integration© 2007, Wipro Technologies
    • Integration Challenges, Wipro’s Integration Services Integration Challenges Accelerators from Outcome Wipro Services * +, ! ! " " ) # $ % ! ! & (© 2007, Wipro Technologies
    • About WiproWipro Technologies
    • Wipro – A SEI CMM Level 5 Company 0115 14 0114 13 0113 12 0112 1 011 1= 5<0= 4<31 + 0<=3 ! <2AA +! 526 3 # 78 % $ $ - 9 $ - / . <0<= $ . ):7 % 7 ) ;% ) 2=< 201 # <=1 ( <111> * 311 4A4 < 1 ( * 0111 5AA 40< 2=< * 51 ?1 + * ( 35 + * 42 4= 78 % 44 # 35 41 54 @ <5: 311 04 5 =4 $ # 4A % 3 0211 44 - . 51 =4:111 * 51 91 B© 2007, Wipro Technologies
    • 360 degree services for Providers R&D Consult Develop & Deploy Manage & Evolve Innovation and Value Accelerators • EPIC, Cerner, IDX, Eclipsys, Global Compliance Center - HIPAA Compliance MEDITECH, Siemens AHA certified partner, Fixed fee HIPAA compliance • Application Management services Healthcare • Integration Services – HL7Care IT and Non IT Asset Management for Hospitals IT Services Management Portals Management of Medical Devices from a command center • Healthcare Analytics • Paperless office solutions • Identity and access management Clinical Reporting with Business Objects MEDTECH NPR reporting alternative • Remote Network Monitoring • Remote desktop support Clinical Process Outsourcing Infrastructure • Service desk and Help desk Remote Radiology Services Services • ITIL compliance • Security & Risk Management: Application on Network Services HIPAA AON on Medical Grade Networks - Cisco • Revenue cycle management Managed Integration Services • Medical coding and billing BPO Services • Remote radiology services Shared SUN JCAPS (e*Gate) Integration Factory • Procurement, F&A and HR services© 2007, Wipro Technologies
    • Thank You ! You can Interact with Raj Ranganath face to face at HIMSS Booth #2235 (Feb 24- 28) Raj Ranganath is presenting on the Topic “Enabling EMR/EHR a Unique Pay per Request Approach” at Booth 581 on Date: 2/25/2008 Time: 5:15 PM - 6:00 PM For additional Feedback please write to wipro.hls@wipro.com© 2007, Wipro Technologies