CUST 125 Horizon Case Study:                    Leveraging IBM WebSphere Portal for                    the Healthcare Indu...
Agenda       About Horizon Healthcare Services       System Strategy – The 5 year Journey       Member Portal – Strateg...
About Horizon Healthcare Services, Inc. Horizon is New Jersey’s oldest and largest health insurer. Horizon traces its hi...
Horizon Systems StrategyThe 5 Year Journey Horizon is executing a 5 year Systems Strategy Roadmap    – 14 Strategic Busin...
Horizon eBusiness Strategic Objectives                     Increase Membership                    Increased Sales Focus   ...
Horizon Systems StrategyMember Portal – Strategy in Action System Strategy provided focus on 4 key areas for eBusiness an...
Member Portal – Strategy in Action                                          Portal InfrastructurePortal Infrastructure    ...
Member Portal – Strategy in ActionFeature Management                                                                      ...
WWW    Portals9
Member Portal – Strategy in Action                                   Integration ServicesTreatment Cost Estimator    Buil...
Integration Services     hip11
Integration Services12
Integration Services13
Member Portal – Strategy in Action                                 Integration ServicesThe Technology behind the Features…...
Member Portal – Strategy in ActionMobile Member Portal    Multi-channel approach to delivering our strategy    Bundles k...
16
17
18
Member Portal – Strategy in ActionLessons… Do not underestimate the time and effort required to set up your infrastructur...
Horizon Systems StrategyWhere Are We? New Member Portal launched in early 2011 2011  490K active members 2012  650K a...
Horizon Systems Strategy                Where Are We?                         While member portal transactions continue to...
Horizon Systems StrategyWhat’s Next? Rebuilding Horizon Broker Portal on the new Portal Platform Building a Horizon Cons...
About ProlificsWho Are We? A Corporate Group of 1000 Employees Worldwide specializing in the expert delivery of end-to-end...
About Prolifics – IBM’s Most Accomplished Software Partner     AWARDS:                                             SKILLS ...
About Prolifics – Award Winning LOB
26
Color Palette     Primary Accent              Secondary Accents     Blue 1                      Purple 2           Red 1  ...
Legal disclaimer     © IBM Corporation 2013. All Rights Reserved.     The information contained in this publication is pro...
Upcoming SlideShare
Loading in …5
×

Horizon Case Study - Leveraging Portal for the Healthcare Industry

1,616 views

Published on

Healthcare reform is here and it is important to react to these changes in the marketplace. Horizon leverages the capabilities within IBM WebSphere Portal to do this and recently migrated their Member Portal to Portal 7 giving them a rich UE and capabilities of the Portal platform. They also decoupled themselves from their existing content management system to leverage IBM WCM. This allowing them to provide a more personalized and tailored UE while empowering their business users to seamlessly and quickly reach their customer base. The roadmap is strong at Horizon with planned integration with WebSphere Commerce Server, Connections and Worklight providing an exceptional, collaborative marketplace at the forefront of healthcare in the future.

Published in: Technology
  • Be the first to comment

Horizon Case Study - Leveraging Portal for the Healthcare Industry

  1. 1. CUST 125 Horizon Case Study: Leveraging IBM WebSphere Portal for the Healthcare Industry Jack Quigley | Director of Portals, Web Services and Middleware© 2013 IBM Corporation
  2. 2. Agenda  About Horizon Healthcare Services  System Strategy – The 5 year Journey  Member Portal – Strategy in Action  Lessons  Where Are We?  What’s Next?  About Prolifics2 © 2013 IBM Corporation
  3. 3. About Horizon Healthcare Services, Inc. Horizon is New Jersey’s oldest and largest health insurer. Horizon traces its history back to 1932, when Associated Hospitals of Essex County, Inc. began selling multi-hospital pre-payment plans for $10 a year covering 21 days of in-patient care. The company was one of the first health insurance companies in the nation and also one of the first Blue Cross Plans. Today, it serves more than 3.6 million members. The company has more than 4,800 employees and is headquartered in Newark, NJ with offices in Wall Township, Mt. Laurel, and West Trenton, all in NJ.3 © 2013 IBM Corporation
  4. 4. Horizon Systems StrategyThe 5 Year Journey Horizon is executing a 5 year Systems Strategy Roadmap – 14 Strategic Business Capabilities led to Systems Strategy Roadmap eBusiness Strategy and Member Portal are driven by Top 5 Strategic Capabilities4 © 2013 IBM Corporation
  5. 5. Horizon eBusiness Strategic Objectives Increase Membership Increased Sales Focus KEY STAKEHOLDERS Members Optimize Feedback & Consumers Customer Measurement Providers Interaction Employer Groups Employees5 Affordable Health Care Models
  6. 6. Horizon Systems StrategyMember Portal – Strategy in Action System Strategy provided focus on 4 key areas for eBusiness and the Portal WWW WWW Portals Portals Portal Infrastructure Integration Services Portal Infrastructure Integration Services6
  7. 7. Member Portal – Strategy in Action Portal InfrastructurePortal Infrastructure  Needed to replace aging technology of Member Portal ─ Limited ability to render content and transactions on a single pane ─ UI unable to support our interactive design goals ─ Incompatible with modern day web browsers ─ Lacked sophisticated content management platform  Build a Foundational Portal Platform ─ First step to building next generation Horizon Portals ─ IBM Websphere Portal 7 Simplified IT Infrastructure ─ IBM Websphere Content Management 7 Source of Truth ─ IBM AIX on P-Series blade servers ─ ESB built using IBM DataPower Xi52 for web services Medical Cost Quality Analytics ─ IBM WSRR as Service Registry Self-Service Everywhere Low Cost, Efficient Ops & Admin7 © 2013 IBM Corporation
  8. 8. Member Portal – Strategy in ActionFeature Management WWW  Feature Management Portals ─ Previous Member Portal had no ability to control visibility of content or transactions ─ Needed capability to delegate administration to an Employer’s Group Administrator ─ Needed capability to control access to features and feature sets by a Group  Member Portal Group Administration ─ Leveraged Websphere Portal to build Administrative Console ─ Group Feature Management provides toggle on/off of a feature/feature sets  Supports multiple user audiences ─ Employer Group Administrator Simplified IT Infrastructure ─ Service Desk Agents Source of Truth ─ Account Teams Medical Cost Quality Analytics Self-Service Everywhere Low Cost, Efficient Ops & Admin8 © 2013 IBM Corporation
  9. 9. WWW Portals9
  10. 10. Member Portal – Strategy in Action Integration ServicesTreatment Cost Estimator  Builds a better informed membership base  Allows members to make better-informed decisions about the cost of their health  Provides estimated cost data for commonly billed elective inpatient, outpatient and diagnostic procedures  Integrates data via ESB (DataPower), combining legacy data source and third-party web service Simplified IT Infrastructure Source of Truth Medical Cost Quality Analytics Self-Service Everywhere Low Cost, Efficient Ops & Admin10 © 2013 IBM Corporation
  11. 11. Integration Services hip11
  12. 12. Integration Services12
  13. 13. Integration Services13
  14. 14. Member Portal – Strategy in Action Integration ServicesThe Technology behind the Features… Feature Management & Treatment Cost Estimator was developed using IBM’s Web Experience Factory Uses producer-consumer design pattern where the service producers can be reused Personalization  PZN rules. Segmentation  User Profile Consumer Caching  DynaCache Apps built via RAD and use an MVC design pattern ALL portlets are built to the JSR 286 spec Service Provider Consumer Common14
  15. 15. Member Portal – Strategy in ActionMobile Member Portal  Multi-channel approach to delivering our strategy  Bundles key member online services into a mobile app  View Benefits  View and Search Claims  View Authorizations / Referrals  Request an ID Card  Update Additional Insurance  Dedicated team specialized in mobile development Simplified IT Infrastructure  App due in the stores (iTunes & Android) February Source of Truth Medical Cost Quality Analytics Self-Service Everywhere Low Cost, Efficient Ops & Admin15 © 2013 IBM Corporation
  16. 16. 16
  17. 17. 17
  18. 18. 18
  19. 19. Member Portal – Strategy in ActionLessons… Do not underestimate the time and effort required to set up your infrastructure Over-communicate your program – Ensure you have a blueprint and that everyone on the project understands it – Identify and engage teams you depend on as early as possible Horizon leverages Partnerships to execute most development. No one partner can solve all of your development and support needs – Start with multiple partners that have specialty in specific areas – Websphere Portal, Websphere Content Management, mobile, etc. – Leverage your direct experience as each work streams mature – Choose your top few partners for the long haul and get them to have skin in the game Experience matters, but not just in your development partners – Trust your instincts as an experienced manager – experts are often only as good as their last project, especially if their last project was their first in that technology – Institutional knowledge is often underestimated in technology heavy projects – No one knows your business better than your people Never stop asking questions19
  20. 20. Horizon Systems StrategyWhere Are We? New Member Portal launched in early 2011 2011  490K active members 2012  650K active members (validation in progress) – 8 new features introduced to our members, Mobile Website launch 2013  Target 900K active members – 5 new features, Updated mobile app and website20
  21. 21. Horizon Systems Strategy Where Are We? While member portal transactions continue to increase at a fast pace only a percentage of those increased transactions are leading to reduced calls. 350,000 -19% 300,000 250,000 200,000 150,000 +92% Calls Handled Member 100,000 Member Portal Transactions 50,000t c as na T/ sl a Cf o r eb m N 0 u Jan-11 Apr-11 Jul-11 Oct-11 Jan-12 Apr-12 Jul-12 Oct-12 Jan-13 Month / Year  Member portal transaction have grown at a CAGR of 92% from Jan 2011 through December 2012. l  During this same period Calls handled by the call center have r decreased at a CAGR of 19%. 21
  22. 22. Horizon Systems StrategyWhat’s Next? Rebuilding Horizon Broker Portal on the new Portal Platform Building a Horizon Consumer Portal integrated with Websphere Commerce 7 Launching storefronts for our Brokers on Websphere Commerce Upgrading Web Security Layer by implementing WebSeal, TAM and TDS Continue enhancing Member Portal and Mobile Member App22
  23. 23. About ProlificsWho Are We? A Corporate Group of 1000 Employees Worldwide specializing in the expert delivery of end-to-end IBM Solutions Over 30 years in business, Prolifics is an end-to-end systems integrator specializing in IBM technologies  New York  Orlando Boston San Francisco Philadelphia London Application Testing Washington DC Hamburg Santa Clara, CA USA Off-Shore Development Center Hyderabad, India S t a b i l i t y, L o n g e v i t y & G r o w t h Solution Leadership  SINGLE MISSION $100 Solving business problems with technology solutions by $80 providing expert consulting services and high-value technology enablers $60 $40  END-TO-END SERVICES $20 Services across the full project lifecycle including architecture, requirements, analysis, design, development, testing, training, $0 support, and system administration m 2004 2005 2006 2007 2008 2009 2010 2011 G R u n o v e s r ) ( l i23
  24. 24. About Prolifics – IBM’s Most Accomplished Software Partner AWARDS: SKILLS and RESOURCES: 2012 Outstanding Business Agility Solution Award Serviced over 1500 IBM software accounts in the past 8 years; implemented over 300 portals 2012 ICS Award for Best Industry Oriented Social Business Solution Conducted over 60 migrations to WebSphere from other technologies 2010 Impact Best BPM Solution Award Prolifics boasts over 400 J2EE, WebSphere, ICS, Security, Business 2010 Lotus Best End-User Solution Award Analytics, ECM, Tivoli, Rational certifications for architecture, development, administration, and project management 2010 Lotus Best Industry Solution Award IBM’s highest technical rating (Level 5) 2009 Rational Solution Award Highly Accredited - IBM Tivoli “AAA Accredited;” IBM Cloud 2008 Outstanding SOA Solution Award Certified; Accredited with Ready for Rational; IBM Authorizations 2008 Overall Technical Excellence Award for Security, Social Business and ECM; IBM Authorizations for Insurance, Finance, Healthcare & Life Sciences, Banking, Energy & 2007 Overall Technical Excellence Award Utilities 2007 Impact SOA Process Solution Award Prolifics has worked with internal development teams multiple times for the development of IBM technologies. 2006 Best Portal Solution Lotus Award Strategic relationship gains internal access to IBM’s resources, 2005 5-Star Partner Award labs, and product development teams24
  25. 25. About Prolifics – Award Winning LOB
  26. 26. 26
  27. 27. Color Palette Primary Accent Secondary Accents Blue 1 Purple 2 Red 1 Yellow 2 Blue 5 R:131 G:209 B:245 R:127 G:28 B:125 R:240 G:78 B:55 R:255 G:207 B:1 R:0 G:100 B:15727 © 2013 IBM Corporation
  28. 28. Legal disclaimer © IBM Corporation 2013. All Rights Reserved. The information contained in this publication is provided for informational purposes only. While efforts were made to verify the completeness and accuracy of the information contained in this publication, it is provided AS IS without warranty of any kind, express or implied. In addition, this information is based on IBM’s current product plans and strategy, which are subject to change by IBM without notice. IBM shall not be responsible for any damages arising out of the use of, or otherwise related to, this publication or any other materials. Nothing contained in this publication is intended to, nor shall have the effect of, creating any warranties or representations from IBM or its suppliers or licensors, or altering the terms and conditions of the applicable license agreement governing the use of IBM software. References in this presentation to IBM products, programs, or services do not imply that they will be available in all countries in which IBM operates. Product release dates and/or capabilities referenced in this presentation may change at any time at IBM’s sole discretion based on market opportunities or other factors, and are not intended to be a commitment to future product or feature availability in any way. Nothing contained in these materials is intended to, nor shall have the effect of, stating or implying that any activities undertaken by you will result in any specific sales, revenue growth or other results. If the text contains performance statistics or references to benchmarks, insert the following language; otherwise delete: Performance is based on measurements and projections using standard IBM benchmarks in a controlled environment. The actual throughput or performance that any user will experience will vary depending upon many factors, including considerations such as the amount of multiprogramming in the users job stream, the I/O configuration, the storage configuration, and the workload processed. Therefore, no assurance can be given that an individual user will achieve results similar to those stated here. If the text includes any customer examples, please confirm we have prior written approval from such customer and insert the following language; otherwise delete: All customer examples described are presented as illustrations of how those customers have used IBM products and the results they may have achieved. Actual environmental costs and performance characteristics may vary by customer. Please review text for proper trademark attribution of IBM products. At first use, each product name must be the full name and include appropriate trademark symbols (e.g., IBM Lotus® Sametime® Unyte™). Subsequent references can drop “IBM” but should include the proper branding (e.g., Lotus Sametime Gateway, or WebSphere Application Server). Please refer to http://www.ibm.com/legal/copytrade.shtml for guidance on which trademarks require the ® or ™ symbol. Do not use abbreviations for IBM product names in your presentation. All product names must be used as adjectives rather than nouns. Please list all of the trademarks that you use in your presentation as follows; delete any not included in your presentation.Please review text for proper trademark attribution of IBM products. At first use, each product name must be the full name and include appropriate trademark symbols (e.g., IBM Lotus® Sametime® Unyte™). Subsequent references can drop “IBM” but should include the proper branding (e.g., Lotus Sametime Gateway, or WebSphere Application Server). Please refer to http://www.ibm.com/legal/copytrade.shtml for guidance on which trademarks require the ® or ™ symbol. Do not use abbreviations for IBM product names in your presentation. All product names must be used as adjectives rather than nouns. Please list all of the trademarks that you use in your presentation as follows; delete any not included in your presentation. If you reference Adobe® in the text, please mark the first use and include the following; otherwise delete: Adobe, the Adobe logo, PostScript, and the PostScript logo are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States, and/or other countries. If you reference Java™ in the text, please mark the first use and include the following; otherwise delete: Java and all Java-based trademarks are trademarks of Sun Microsystems, Inc. in the United States, other countries, or both. If you reference Microsoft® and/or Windows® in the text, please mark the first use and include the following, as applicable; otherwise delete: Microsoft and Windows are trademarks of Microsoft Corporation in the United States, other countries, or both. If you reference Intel® and/or any of the following Intel products in the text, please mark the first use and include those that you use as follows; otherwise delete: Intel, Intel Centrino, Celeron, Intel Xeon, Intel SpeedStep, Itanium, and Pentium are trademarks or registered trademarks of Intel Corporation or its subsidiaries in the United States and other countries. If you reference UNIX® in the text, please mark the first use and include the following; otherwise delete: UNIX is a registered trademark of The Open Group in the United States and other countries. If you reference Linux® in your presentation, please mark the first use and include the following; otherwise delete: Linux is a registered trademark of Linus Torvalds in the United States, other countries, or both. Other company, product, or service names may be trademarks or service marks of others. If the text/graphics include screenshots, no actual IBM employee names may be used (even your own), if your screenshots include fictitious company names (e.g., Renovations, Zeta Bank, Acme) please update and insert the following; otherwise delete: All references to [insert fictitious company name] refer to a fictitious company and are used for illustration purposes only.29 © 2013 IBM Corporation

×