Cerner Case Study: Achieving Business Resilience in Healthcare IT

Cerner Case Study: Achieving Business Resilience in Healthcare IT
Cerner Case Study: Achieving Business Resilience in Healthcare IT Sam Varghese, Business Resilience Manager Health care is too important to stay the same.TM
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 1 This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner 11299466134_CorporateOverviewStandard_v11 Updated: 03/15. When things go digital, things change.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 2 This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner 21299466134_CorporateOverviewStandard_v11 Updated: 03/15.
Meet Cerner
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 41299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Intersection of health care and IT Strategic innovation in health care, for today and tomorrow. $650M R&D investment per year 5,000+ person intellectual property development organization
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 51299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cerner’s continuum of services Cerner’s broad range of services enable health care organizations to form a relationship where you can receive maximum value.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 61299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cerner today
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 71299466134_CernerOverviewStandard_v14 Updated: 12/29/15 40 countries, 10 languages Cerner associate presence Cerner solution(s) in country in 2015 Global presence
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 81299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Collaborative and transparent Publicly traded Quarterly calls Board of directors Associate shareholders Voluntary reporting
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 91299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Giving back Making a difference Since 1995, First Hand Foundation has changed over 350,000 lives in 93 countries through innovative health and wellness programming. That includes over $27 million given to children with medical needs, providing care at 317 Cerner client sites.
Our values and vision
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 111299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Investing in innovation The World’s Most Innovative Companies 2017 Cumulative R&D $6.3B+
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 121299466134_CernerOverviewStandard_v14 Updated: 12/29/15 True interoperability 536M+ transactions per month January 2017 to July 2017 275+ connected information systems 80% of connections are to non-Cerner EHRs as of February 2018 506K+ Direct enabled Addresses from over 1,650 organizations Five-time Top HIE supplier for hospital networks Powering 160+ HIEs as of February 2018 Connecting health + care Source: Black Book State of the Enterprise HIE Industry Report *Report not released in 2013
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 131299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Impactful innovations
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 141299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Empowering physicians and nurses
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 151299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Our vision aligns with the QuadrupleAim Better outcomes Improved clinician experience Lower costs Improved patient experience
Our now and next
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 171299466134_CernerOverviewStandard_v14 Updated: 12/29/15 • Declining reimbursements • Physician shortages • Health care reform • Aging population • Transition from fee-for- service to value-based reimbursement Navigating the new normal
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 181299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Looking beyond hospitals and clinics One patient, one record Regardless of where data might originate, Cerner is enabling health information to be accessible wherever necessary, placing the patient at the center of care.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 191299466134_CernerOverviewStandard_v14 Updated: 12/29/15 • Connect • Empower • Facilitate …to move from reactive care to proactive health, engaging people wherever they are. Improving the health of populations
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 201299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Security built in, not bolted on
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 211299466134_CernerOverviewStandard_v14 Updated: 12/29/15 More than just a software company Fixed fee implementation One enterprise EHR Physician + revenue service level agreements Aligned business objectives ONE Relationship Manage 3rd party solutions Model ExperienceEnabling collaboration Client service team
Improving health care together
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 231299466134_CernerOverviewStandard_v14 Updated: 12/29/15 A robust client community
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 241299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Award-winning clients First global recipient of the HIMSS Davies Enterprise Award 2015 CHIME Federal Public Policy Award for CIO Leadership 2015 CHIME-AHA Transformational Leadership Award 2015 HIMSS Davies Enterprise Award 2015 Hospital Award for Volunteer Excellence 2015 NOVA Award 2015 NOVA Award 2014 CHIME Federal Public Policy Award for CIO Leadership 2014 Foster G. McGaw Prize for Excellence in Community Service 2014 CHIME-AHA Transformational Leadership Award 2014 Hospital Award for Volunteer Excellence 2014 Hospital Award for Volunteer Excellence 2014 HIMSS Davies Enterprise Award 2014 Hospital Award for Volunteer Excellence 2017 HIMSS Davies Enterprise Award 2017 HIMSS Davies Enterprise Award 2017 HIMSS Davies Enterprise Award 2017 HIMSS Davies Enterprise Award
Cerner Technology Services Overview
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 261299466134_CernerOverviewStandard_v14 Updated: 12/29/15 CTS Vision Associates and clients can connect, collaborate and create, effortlessly and securely, leveraging the full potential of Cerner's platforms and technologies to transform the way they work.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 271299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Systems 130,111 Deployed Associate Devices 29,519 Corporate Mobile Phones 9,649 Corporate Applications 194 Locations 233 Countries 26 Data Centers 11 Associates 26,369 Change Requests 119,446 (AN) Network Circuits 1,426 Data Center Floor Space 117,048 Sq. Ft. Network Ports 271,179 Requests for Service 254,714 (AN) Compute Storage 154.14PB Cerner Owned Client Owned Co-Location WAN PoP Associate Presence Virtual Desktops 7,887 CTS Technology Footprint
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 281299466134_CernerOverviewStandard_v14 Updated: 12/29/15 World-class technology 2015 top inpatient EHR vendor Great product & market overall grades #1 Hospital chains, system and IDNS #1 Community Hospitals (101-250 beds) Completeness of vision Abilitytoexecute Gartner Magic Quadrant for Global Enterprise EHR Systems; March 16, 2015 © 2015 Gartner, all rights reserved. A leader in vision and execution Cerner is in the leaders quadrant for enterprise EHR systems © 2015 Black Book Market Research, all rights reserved. blackbookmarketresearch.com 2014 Analytics for Population Health Management © 2015 Chilmark Research. All rights reserved. Scores well above industry average 70.0 75.0 80.0 Acute care EMR scores Industry average Cerner Millennium® © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
Business Resilience Overview
” “ 30 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. ” “ 30 This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner 1299466134_CorporateOverviewStandard_v11 Updated: 03/15. Business Resilience is the ability to rapidly adapt and respond to a disruption in order to maintain continuous business operations. The Evolution of Business Resilience Management IBM, 2001 The best defense is a good offense… In other words… Resilience is the ability to withstand, recover and bounce back in the midst of stress, chaos, and ever changing situations.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 311299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Business Resilience Objective • 1st Priority - Loss of Life o Life Safety - protect emergency responders, incident victims, and the public. • 2nd Priority - Loss of Property o Incident Stability - minimize incident effects on the area surrounding the scene and maximize the response effort while efficiently using resources. o Property Conservation - minimize damage to property while achieving the established incident objectives. • 3rd Priority - Loss of Business Operations o Recover - minimize the incident effects and restore the required services to continue operations.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 321299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Business Resilience Methodology • Plan aligned with BCP process and methodology based on Business Continuity and Disaster Recovery best practices and guidelines such as: o ISO 22301 - Business Continuity Management standard o Disaster Recovery Institute International (DRII) o National Fire Protection Association (NFPA 1600) o Federal Continuity Directive 1 o Federal Emergency Management Agency (FEMA) • Business Resilience Team Certifications ** Certified Business Resilience Manager (CBRM) ** ** Certified Business Resilience Auditor (CBRA) ** ** Certified Business Continuity Professional (CBCP) ** ** Certified Business Continuity Auditor (CBCA) ** ** Fellow of the Business Continuity Institute (FBCI) ** ** Certified Homeland Security Professional (CHS) **
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 331299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Business Resilience Program Overview
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 341299466134_CernerOverviewStandard_v14 Updated: 12/29/15 BR plan and ICS Integration • Eight Hallmarks of Incident Command System o Manageable Span of Control o Common Terminology o Modular/Scalable Organization o Integrated Communications o Unified Command Structure o Consolidated Action Plans o Pre-designated Command Centers o Comprehensive Resource Management
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 35 This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner 351299466134_CorporateOverviewStandard_v11 Updated: 03/15. POWER NETWORK STORAGE HEATING/COOLING FACILITIES DNS/AD CWxClients CTSSolutions IPSolutions EnterpriseServices PeopleSoft Messaging Intellinet Payment Development Millennium uCern Delphi Support Engineering DR BC Organizations BusinessUnits WorkGroups CernerRemoteTeams SERVICES SHARED SOLUTIONS DR BC FUNCTIONS
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 361299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Resilience Strategy - Protecting Our Assets 1) Respond: Incident Management Prevention 3) Resume: Ops at pre-event Service Level 2) Recover: Ops at basic Service Level Facility Resumption Plans Infrastructure Resumption Plans Individual Client/Business Resumption Plans (N+1) Facility Recovery Plans Infrastructure Recovery Plans Individual Client/Business Recovery Plans (N) Damage and Impact Assessment Incident Management Team in Place Formal Communications Plan (GETS, PR/Media and Client Communication) Review/update plans Validate plan with exercises Associate awareness training DR Planning with supply chain vendors N+1 Architecture Ongoing risk analysis and mitigation Disaster-resistant facilities BUSINESS RESILIENCE PLAN Continuous Improvement Continuous Improvement
Cerner IncidentConnect Overview
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 381299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cloud Cerner IncidentConnect/Global AlertLink® (BCDR Plans Tool & Notification UI) Hosted in GAL Data Center (Primary - Midwest) CIC failover Hosted in Resolver/GAL DC (Secondary – East Cost) Data Replication and Alternate path Notifications via SMS text/phones/email/ push/pagers Internet Cerner Devices accessing the solution via browser High Level view of the Solution: • Mass Communication • Business Continuity Management Cerner Devices accessing the solution via browser. Data feeds via SFTP from Cerner/Workday to GAL Web Services Interface Internet Replicated Data Workday/ Remedy/ Incident Mgt/ Recovery data GALHostedNotification Services(WSI*) Cerner IncidentConnect * : Architecture *Powered by: Global AlertLink ® DR documentation stored with plans for quick access.
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 391299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cerner IncidentConnect * : SRP *Powered by: Global AlertLink ®
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 401299466134_CernerOverviewStandard_v14 Updated: 12/29/15
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 431299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cerner IncidentConnect: Mass Communication
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 461299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Cerner IncidentConnect: BR Management
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 511299466134_CernerOverviewStandard_v14 Updated: 12/29/15 One repository for: • Documentation • Configuration • Facilities • People • Plans Linked and related Cerner IncidentConnect: BR Management
” “ 54 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. ” “ 54 This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner 1299466134_CorporateOverviewStandard_v11 Updated: 03/15. To be prepared for war is one of the most effectual means of preserving peace. George Washington By failing to prepare, you are preparing to fail. Benjamin Franklin
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 551299466134_CernerOverviewStandard_v14 Updated: 12/29/15 Questions?

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Cerner Case Study: Achieving Business Resilience in Healthcare IT