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A Peek Into The
Future of Mobile-
Enabled Health
Care
Sachin Agarwal
Gene Dragotta

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The State of Healthcare
• Total U.S. health expenditures is $2.6T (2010) and is expected to rise
to $4.8T by 2021
• The United States spent more than 17% of its GDP on health care
• Around 30% of all health care spending in the U.S. or more than
$750B per year is wasted
• 75% of all health care dollars are spent on patients with one or more
chronic conditions, many of which can be prevented

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IT & Healthcare

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But Hurdles still Exist in
terms of data lock-in
and regulatory
compliance

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Information Silos across
even EMR systems

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Security, Regulation

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Data exchange between
EHRs still a challenge

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Personal Data is still not
part of larger Healthcare
system

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APIs to the Rescue of Healthcare

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{ re:invent }
Healthcare with APIs

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{ re:invent } Healthcare with APIs

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Accelerate Digital Channels
• Externalize your Applications and
Services as APIs for consumption
within Digital Channels.

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Drive Developer Adoption
• Engage business partners and get
developers up and running quickly

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Monetize Assets
• Package, market and license your
assets to maximize revenue

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Analyze your Business
• Get instant insights into your
business and optimize the delivery
and value of APIs

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ACCELERATING MOBILE
DEVELOPMENT

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Challenges
Some of the Major Challenges for Mobile Application Developers
Deploying Solutions within the Healthcare Marketplace
• HIPAA Encryption / Key Management
• HITECH ePHI Data Breach Notifications
• Access Control – Role and Application-based Access
• Mobile Malware
• Data Caching at the Edge
• Integration / Orchestration of data from Multiple Provider
Systems and HL7 Integration Engines (mirth, etc.)
• Mediation (message, protocol, transport)
• Quality of Service Control
• Mobile Application APIs - REST/JSON
• Usage Analytics

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Mobile Application Gateway
Mediation Scripting Mobile App Experience
Orchestration Security Lifecycle

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Mobile App Gateway Capability Summary
You have a set of systems on the backend and you need to expose APIs
– quickly and securely.
• Mediation
– Message - SOAP to REST
– Security - SAML to OAuth
– Transport - JMS to HTTP, Net.TCP to HTTP
• Orchestration
– Simplify development
• Create APIs and services from back-end systems without
coding
• Reuse common capabilities and processes
• Integration – composite services
• Scripting and customization
• Developer Portal
• Security, Quality of Service
• Lifecycle Management

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Mobile Solution Architecture

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Summary
• Lower cost and improved time-to-market
• Simplify development
• Provide flexibility and agility
• Improve User Experience
• Lower risk and speed up development
• Prevent failure

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Questions