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1© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC HEALTHCARE SOLUTIONS
HEALTH IT FOR NEXT-GENERATION CARE DELIVERY
Orna Berry, Ph.D., Corporate VP Innovation COEs and
R&D Centers, June 2015
2© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Industry Drivers:
• Clinical applications
• Compliance Requirements
– HITECH, EMR MU
– HIPAA, EU Data Directives
• FutureCare-enabling
technologies for cloud,
Big Data, mobile, & social
Source: IDC /EMC Digital Universe
Healthcare Industry Brief
HEALTHCARE DATA GROWING AT
48%% PER YEAR THROUGH 2020
http://www.emc.com/analyst-report/digital-universe-healthcare-vertical-report-ar.pdf
3© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Information Generation
Creation
Hospital
Pharmacy
Lab
Ambulatory
Clinic
Research
Organization
Public
Health
Insurer
Payer
Data
Secure Sharing Collaborative Analysis
Traditional Emerging
Discovery Population
Management Business
Intelligence
Research and
Business
Analytics
4© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
HEALTHCARE BIG DATA ARCHITECTURE
DESIGN STORAGE, PROCESSING, & APPLICATION SERVICES FOR THE
FUTURE
Ingest Store Analyze Surface Act
Capture data
from range of
sources:
Legacy / New
Store
everything in
standardized
environment:
tiered, archived
/ protected
Use Big Data
analytics to
discover
predictive
patterns –
clinical /
business ops
Share across
the Enterprise
– Clinicians,
Executives &
Patients
Project future
opportunities: ACO,
Patient
Engagements,
Growth & Population
Health Preparedness
Data Lake
5© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Challenge
Rheumatologists see patients every
three to four months, but symptoms of
rheumatoid arthritis (RA) change on a
weekly or daily basis.
Opportunity
Create a mobile app that generates a
summary report that visually depicts the
changes in joint pain, morning stiffness,
medication, etc.
Solution
MyRATM is an iOS app that enables
patients to easily track their RA
symptoms and share with physicians.
6© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Challenge
Tracking, recording and monitoring blood
glucose readings can be time-consuming and
difficult.
Opportunity
Create a mobile app that minimizes the
possibility of human error from manual
tracking.
Solution
iOS app syncs with 19 meters to
automatically record readings. Users can
email reports to their physician. Other
features include automatic logging, food
database integration, email integration,
Facebook integration, and note-taking.
7© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Real-time alert system for high-risk
respiratory patients
Customer
Large vertically-integrated healthcare
provider
Business Problem
The cost of treating respiratory
patients is greatly increased by
urgent care visits
Challenges
Identify urgent care risk factors and
propose interventions to reduce risk
of urgent care visit.
Solution
• Predict risk of acute care encounter
using prescription refill history, air
quality data, and socioeconomic
indicators.
• Build a real-time application for
alerting patients and physicians to
take preventative action
8© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Predicting Hospital Length of Stay for AMI
Business Problem
Effective scheduling and coordination
of patient hospital discharge is
hindered by lack of physician or
system-based LoS estimates
Challenges
• Accurate LoS requires
computationally-intensive
aggregation and analysis of a wide
variety of data sources
• Currently LoS models have poor
granularity and incorporate few
features
Solution
• Rapidly created hundreds of features
using HAWQ reducing processing time
from hours to seconds
• Created LoS ensemble models
resulting in a 50% increase in
accuracy for customer
• Generated accurate classifiers to
predict discharge type
9© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Interactive Application for Feature Generation from
Patient Histories to Predict Hospital Readmissions
Business Problem
The expertise and time to create
meaningful features for predictive
analytics is a major bottleneck in
hospital readmission modeling.
Challenges
Create an interactive application that
1. Enables non-technical domain-
experts to generate features they
believe are meaningful in
predicting hospital readmissions
2. Leverage all available data in
real-time.
Solution
• Designed an intuitive and interactive web-
based app that allows user to input (1)
aggregation levels for ICD-9 codes and (2)
display summary statistics of the resulting
data in the application.
• Created a generalizable, novel and fast
approach that aggregates ICD-9 codes,
processing hundreds of millions of records
in a few minutes.
10© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Fraud/Waste/Abuse Detection
Customer
Specialty Benefits Management
Business Problem
Pre-authorization Fraud/Waste/Abuse (FWA)
detection.
Challenges
• Need for real time detection as
retrospective pay and chase approaches
are not effective
• No training data labeled by medical
professionals as fraudulent or wasteful
• Solution needs to incorporate real time
ordering physician data to patient history
and physician profile data
Solution
• Built models to predict physician
responses to triage deviations from
expected responses
• 600 models with custom feature sets
trained in 3 minutes
11© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Constituent Segmentation
Customer
A major health insurance company
Business Problem
The company, in its analytics infancy,
needed a foundational study to learn
more about the consumers and
providers it serves
Challenges
• They had no way of connecting
data across lines of business
• There was no explicit data on
profitability of consumers or
providers
Solution
• Created keys to connect information
across LOBs
• Clustered both the consumer and
provider bases to learn about their
makeup and preferences
12© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
8th International Conference on Health Informatics (HealthINF 2015)
http://www.fandry.net/pub/ANDRY_ET_AL_HealthINF15.pdf
13© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Challenge
‘Expertise gap’ towards building an app that
would make it easy for caregivers to get
involved in caregiving activities for aging
parents and special needs children.
Opportunity
Leverage our expertise and agile
development process to release an app that
aligns with InvolveCare’s goals and timelines.
Solution
Leverage our expertise and agile
development process to release an app that
aligns with InvolveCare’s goals and timelines.“We were able to do two things with Pivotal Labs – first,
create social tools including commenting, audio recording
and pictures for every single interaction that occurs in the
app, and second, add contextual follow-up events based on
prior user interactions. That’s hard to do, but Pivotal Labs
made it look easy.”
- David S. Williams, CoFounder
14© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Predicting Unplanned Transfers to ICU Using Patient
History, Monitor Feeds and Hospital Data
Customer
Large Hospital Network
Business Problem
Using granular physiological and operational
data predict which encounters may have an
unplanned visit to the ICU unit.
Challenges
There is a well-performing logistic regression
model that has a handful of features. The
goal is to improve the existing model by
• Exploring the new data sources quickly
and identify areas of interest
• Engineering new features
• Experimenting with different model forms
Solution
• Produced a significantly more accurate
model to predict unplanned transfers to
ICU
• Engineered 60+ features utilized in this
model and applicable to other models
• Created insightful visualizations that
determine what features would be of
interest
15© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Forensic Accounting to detect Fraud/Waste/Abuse
Customer
Large vertically-integrated healthcare
provider
Business Problem
Fraud and waste in accounts payable is
common in any large, geographically-
distributed company. Detecting fraudulent
invoicing, errors resulting in duplicate
payments and wasteful purchasing
behavior is necessary to avoid loss of
revenue.
Challenges
Traditional approaches apply rules to filter
and flag transactions that resemble prior
fraudulent or wasteful activity and fail to
identify new anomalies
Tracking activity is difficult due to large
number of transactions and variety of
vendors
Solution
• Build approaches to use fuzzy string
matching for smarter detection of duplicate
invoicing or entries
• Identify related vendor networks (e.g.
company acquisitions) to build invoicing
baseline behavior for anomaly detection
• Leverage Benford’s law to identify falsified
invoices
• Build similarity models between business
units using purchasing behavior profiles to
detect anomalies (and wasteful) purchasing
patterns
R1216035 RI216035
217092011 2171092011
9136S0900043 9316S0900043
Invoice ID Matching Invoice ID
16© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Cross Channel Engagement Model
Customer
A major health insurance company
Business Problem
Each call to the call center has a
significant cost. Our customer has made a
considerable investment to provide
capabilities on their website so that
members can self serve.
Problem Statement
For a web session predict the propensity
to call the call center within 24 hours
conditioned on the characteristics of the
web visit, engagement history of the
member, and member profile
Challenges
 Unstructured text data requires
considerable preprocessing
Solution
 Engineered features to capture the
browsing experience, user engagement
preferences, and member profile
 Built a model to predict propensity to
call
 Created a topic model based on the call
logs to learn what these customers
were calling about to identify areas
17© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
RNA Sequencing
Customer
Translational Pathology Department
of a University
Business Problem
Reducing time spent on processing
and analyzing RNA sequences
Challenges
The center identified three bottleneck
steps in their RNA sequencing
pipeline: Alignment, splice junction
detection, and gene level expression
Solution
Algorithms implemented in UAP are
three times faster than the client’s
existing platform.
In addition to
improving the
algorithm run time,
we identified
modifications to the
method capable of
improving prediction
on short exons.
18© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
HEALTHCARE PROVIDER SPENDING IN
FUTURECARE TECH INCREASING IN 2015
46% say by
10% or more
46% say by
10% or more
How do you expect your 2015 IT spending to change for each of the following areas?
MOBILE
72% say increase
BIG DATA
67% say increase
CLOUD
62% say increase
SOCIAL
60% say increase
43% say by
10% or more
35% say by
10% or more
FutureCare: Cloud, Big Data, Mobile and
Social Optimize the EMR,” MeriTalk/EMC
Study with 151 Health IT Leaders
www.TransformHealthIT.com/FutureCare
19© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC COMPETENCIES TO ACCELERATE
NEXT-GENERATION CARE DELIVERY
Remove Silos
and Reduce
Cost With a
Secure 360°
Patient View
Address
Patient Care
Needs With
Greater Agility
Keep
Integrated
Practice Units
in Sync
Enable Predictive
Care & Better
Population
Health
Outcomes
Advanced
Medical
Imaging
Patient Data
Intelligence
Healthcare
Hybrid
Cloud
EMR
Optimization
H
20© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC HEALTHCARE SOLUTIONS
ENTERPRISE GRC AND SECURITY
ADVANCED CONSULTING AND PROFESSIONAL SERVICES
CONVERGED INFRASTRUCTURE AND DATA PROTECTION
ADVANCED
MEDICAL IMAGING
PACS
Storage VNA
DICOM VNA
Research Workloads
EMR
OPTIMIZATION
Application Certified
Solutions
Next-Generation Storage
Content-enabled EMR
Clinical Archive
HEALTHCARE
HYBRID CLOUD
Infrastructure Transformation
Application Transformation
Operating Model
Transformation
Service Provider Ecosystem
PATIENT DATA
INTELLIGENCE
Clinical & Operational
Analytics
Healthcare Data Lakes
Enterprise Analytics
Strategy
21© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
TRENDS & CHALLENGES THE EMC ADVANTAGE
 Access to images by collaborating clinical
departments and caregivers at the point of
care.
 Increased use of telemedicine requires
fast, secure sharing of medical images.
 Control of rising medical imaging costs.
 Ability to share diagnostic images easily,
securely, and cost effectively.
 Strategic partnerships with integrated PACS
and VNA applications.
 Best-in-class infrastructure to consolidate,
virtualize, store, and safely share medical
images.
ADVANCED MEDICAL IMAGING
SHORTEN TIME TO DEFINITIVE DIAGNOSIS
IMAGE DATA MANAGEMENT INCREASES POINT-OF-CARE ACCESS AT LOWER COST
• PACS
• Storage VNA
• DICOM VNA
• Research Workloads
22© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
ADVANCED IMAGING ARCHITECTURE
RELIABLY DELIVER IMAGES AT THE POINT-OF-CARE
APPLIANCE
Viewer
VM
PACS
VNA
VM
CloudArray
VM
Converged Infrastructure
Compute, Network Storage
HEALTHCARE PROVIDER LOCATION
Hypervisor
CLOUD SERVICE
PROVIDER
DR ARCHIVE
Geo-Dispersed
Object Archive
A-sync replication
EHRModality
On-Prem Scale
out NAS Shared
Cache 1 or 2
Database & Cache 1 Storage
CloudArray
Gateway converts
Block/file to Object
Archive Storage
Object on Isilon
or
ECS
+ +
Object APIStorage Extension
23© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Challenges
 Images from several departments not feeding into EMR
 Clinician workflow suffering from lack of universal viewer
 Large silos of non-DICOM data and pathology images
across the system
Solutions
 VNA scorecard and selection: EMC Healthcare Consulting
 Long term archive: Isilon scale out storage
 Vendor Neutral Archive: TeraMedica
Results
 Incorporated all images across the enterprise into
a universal archive
 Epic Hyperspace has been image enabled with
all patient images
 Avoided future data migrations with scale out storage
 Improved workflow with deployment of universal viewer
 Secure access to common images to improve workflow
NEW YORK ACADEMIC MEDICAL CENTER CREATES ENTERPRISE UNIVERSAL ARCHIVE THAT LOWERS COST
ADVANCED MEDICAL IMAGING
CUSTOMER SUCCESS
24© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
REDUCE COSTS, IMPROVE CARE COLLABORATION AND DELIVERY
TRENDS & CHALLENGES THE EMC ADVANTAGE
 Increasing service level demands for
mission-critical applications to enable a
single patient view at the time of care.
 Growing need to reduce operational costs
and avoid data breaches.
 Increasing demands on IT to support
EMR Meaningful Use Stage Two & Three.
 Industry-proven healthcare infrastructure.
 Secure, integrated, real-time data at the
point-of-care.
 High performance all-flash solutions with
inline database
and VDI deduplication.
EMR OPTIMIZATION
PROVIDE PHYSICIAN ACCESS TO 360° PATIENT VIEW
• Application Certified Solutions
• Next-Generation Storage
• Content-enabled EMR
• Enterprise App Decommissioning
25© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
SHARE PATIENT INFORMATION
ACROSS SILOS QUICKLY & SECURELY
EMC SOLUTIONS FOR EMR OPTIMIZATION
CONVERGED INFRASTRUCTURE
ENTERPRISE
Next-Gen Scale,
Performance,
and Availability for
Expanding EMR
Environments
FLASH
High Performance
All-Flash Powered
with Inline
Deduplication
for Database and
VDI Environments
DATA
PROTECTION
Integrated, Highly
Scalable Data
Protection with
Deduplication for
Clinical and Enterprise
Application Use Cases
SCALE-OUT
ARCHIVE
Scale-out Storage
with Built-In
Data Protection and
WORM for Long Term
Storage for Blob and
Content Systems
CONTENT
AND IMAGE
ENABLEMENT
Powerful Content
Integration
to Image-Enable
and Power
Legacy Application
Decommissioning
26© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
• Strategy for prioritizing and
planning retirements
• Trusted environment
– Maintains chain of custody
– Provides date based retention
and legal hold
– Future Proof XML format
• Dynamic reporting and search
capabilities
– Multiple applications
– Multiple data stores
• Comprehensive product
implementation, training &
knowledge transfer establish
ongoing service
ENTERPRISE APPLICATION
DECOMMISSIONING SOLUTIONS
Unstructured Structured
ARCHIVE SERVICES
INGESTION MANAGEMENT
InfoArchive/xDB
ARCHIVE STORAGE
DDS GUI
ENTERPRISE ARCHIVE SYSTEM
LEGACY APPLICATIONS
DATA ACCESS
27© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMR OPTIMIZATION
Challenges
 Legacy applications consuming IT resources and budget
 Needed to retire, re-platform, and migrate legacy clinical
applications into a single EMR
Solutions
 Utilized Content Enabled EMR—Connector for Epic and
Healthcare Integration Portfolio (HIP) solutions to provide
access within Hyperspace to records ingested from other
systems and facilitate sharing across the system.
 Deployed Clinical Archiving solution to store—and make
accessible within Hyperspace—legacy clinical data and
documents that could not be loaded directly into EMR
Results
 Nine month ROI with annual savings over $2M
 Full EMR integration to create 360° patient view
 Streamline Clinical Workflow with secure EMR Access
NE HEALTHCARE SYSTEM SAVES $2M/YEAR WITH APPLICATION DECOMMISSIONING
CUSTOMER SUCCESS
28© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC FEDERATION: THE POWER OF “AND”
DELIVERING SOLUTIONS AND CHOICE FOR HEALTHCARE
INFORMATION STORAGE & PROTECTION
INFORMATION INTELLIGENCE
SOFTWARE-DEFINED DATA CENTER
HYBRID CLOUD
END USER COMPUTING
BIG DATA SOLUTIONS
PLATFORM AS A SERVICE
AGILE APPLICATION DEVELOPMENT
IDENTITY,
SECURITY
ANALYTICS,
GRC
ENTERPRISE
DATA CENTER
PARTNERS
VCLOUD AIR
CONVERGED
INFRASTRUCTURE
HEALTHCARE ISV
PARTNERS
SERVICE PROVIDERS
INFORMATION
CREATION
INFORMATION
ANALYSIS
INFORMATION
SHARING
29© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
TRENDS & CHALLENGES THE EMC ADVANTAGE
 Need to reduce IT costs coming from lower
reimbursement rates.
 Align demands of the business with ability
to supply services from IT.
 Greater data from growing use of mobile
and IoT devices.
 Trusted enterprise hybrid cloud specially
designed for healthcare provider workloads
 Complete, secure solution across every
layer of IT.
 ITaaS operations in a secure, scalable,
collaborative environment.
HHYBRID CLOUD FOR HEALTHCARE
INCREASE ORGANIZATIONAL AGILITY
BECOME A BROKER OF TRUSTED IT SERVICES
• Infrastructure Transformation
• Application Transformation
• Operating Model Transformation
• Service Provider Ecosystem
30© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
HYBRID CLOUD FOR HEALTHCARE
BALANCE CLINICAL AND BUSINESS WORKLOADS
Clinician Portal
FILEBLOCK
VM VM VM VM VM
vRealize Automation
APP APP APP APP
Care Systems
Analytics
SP Partners
Integrated Provisioning, Backup, DR, HA
VSAN
ScaleIO
vSphere OBJECT/
HDFS
ViPR
SRM
vRealize
Operations
vROps
Log Insight
RECOVERPOINT
VPLEX
Admin Portal
Data Lake
Population
Health
Genomics
VM
OS
VM
OS
VM
OS
VM
OS
VMWARE
VCLOUD AIR
H
31© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
HYBRID CLOUD FOR HEALTHCARE
CUSTOMER SUCCESS
NATIONAL SYSTEM REDUCED TIME-TO-PROVISION FROM MONTHS TO MINUTES
Challenges
 Increasing cost and competitive pressures from Affordable Care Act
 Running out of Data Center space, power and cooling —
only 20% virtualized
Solutions
 Consulting, design, and implementation — prototype to production
in less than one year
 Vblock, vCloud automation, Data Domain/Avamar backup
 Self-serve portal with automated provisioning: x86 VMs,
Windows/Linux OS, SQL/Oracle DB, IIS/WebSphere middleware
 Clickable options for: HA/DR, Backup-as-a-Service, HIPAA/PHI
protection. Operation by EMC/VCE Managed Services
Results
 Reduced time-to-provision from ~9 months to ~20 minutes
 Accelerated virtualization to meet goal of 85% virtualization
 IT seen as a credible broker of Private & Public Cloud Services
H
32© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
TRENDS & CHALLENGES THE EMC ADVANTAGE
 Patient data is growing rapidly: medical
images, 24/7 monitoring, clinical
research, wearable tech.
 Move to pay-for-performance payment
models.
 Big Data analytics used to improve
disease detection and treatment,
and population health insights.
 EMC Patient Data Intelligence Solutions
provide Big Data analytics to:
• Identify use cases to target
• Risk stratify patient populations to
reduce readmissions
• Leverage enterprise-wide data to
improve both business and care
decisions.
PATIENT DATA INTELLIGENCE
GAIN ACTIONABLE INSIGHTS TO IMPROVE STANDARD OF CARE
ENABLE CLINICIANS TO IMPROVE CARE OUTCOMES WITH PATIENT DATA ANALYTICS
• Clinical & Operational Analytics
• Healthcare Data Lakes
• Enterprise Analytics Strategy
33© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Data Lake Solution
Clinical delivery and business operations
ARCHITECTURE
Deploy infrastructure for
delivery flexibility, efficiency
and compliance
INITIATIVES
Identify use cases to
optimize value propositions
INSIGHTS
Accelerate application
development to become
a predictive enterprise
2
1
3
PATIENT DATA INTELLIGENCE
SOLUTIONS ENABLE PREDICTIVE CARE
34© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
PATIENT DATA INTELLIGENCE
CUSTOMER SUCCESS
PARTNERS HEALTHCARE AND EMC COLLABORATE ON DATA LAKE
Challenges
 Speed clinical research developed across the system to clinical setting
 Leverage advancing medical imaging capabilities by bringing together separate
research activities
Solutions
 Deployment of EMC Federation solutions & products. Use of flexible,
elastic high performance computing (HPC) in hybrid cloud
 Dynamic linking w/ data repositories across Academic Medical
Centers
 Utilization of data from Epic, imaging, genomic, and continuous
instrument feeds
Results
 Allows researcher & clinicians to develop insight to improve
diagnostics, treatment and the lives of patients
 Supports research and clinical activities across the Partners system,
breaking down physical barriers for collaboration
35© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
• Prevent breaches to best keep
critical healthcare data safe
• Leverage security analytics to
stay multiple steps ahead
• Secure data smartly in concert
with governance policies
RSA SOLUTIONS HELP SAFEGUARD PHI
REDUCE RISK WITH ENTERPRISE SECURITY AND GRC SOLUTONS
ECAT
Live Malware
Analysis
ARCHER GRC
SECURITY
OPERATIONS
Incidents
SECURITY
ANALYTICS
Client
Server
SIEM
CMDB
Assets
Discovery
DLP
Vulns
Identity
Breaches Projects Risks
Rules | Parsers | Alerts | Feeds | Apps | Directories| Reports & Custom ActionsLIVE - THREAT
INTELLIGENCE
36© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC SERVICES FOR HEALTHCARE
ADVANCED
MEDICAL
IMAGING
VNA Package Selection
and Deployment
Data Migration Services
Storage Assessments
EMR
OPTIMIZATION
Application Rationalization
and Archiving
Virtual Clinical Desktop
HEALTHCARE
HYBRID
CLOUD
Cloud Advisory Services
Maturity-Level Modeling
Adaptivity
PATIENT DATA
INTELLIGENCE
Big Data Strategy
and Roadmap
Healthcare Data Lakes
Visioning Workshop
37© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
SERVICES FOR IT TRANSFORMATION
CUSTOMER SUCCESS
MILITARY MEDICAL CENTER ADVANCES ITAAS AND ANALYTICS ROADMAP
Challenges
 IT was consumed by daily operations and lagging in ITaaS capabilities
 IT wanted to demonstrate efficiency, financial transparency,
and value to the Mission
Solutions
 EMC Consulting IT Transformation Services: IT Transformation
Workshop, IaaS Roadmap, Service Catalog, Charter & Ops Plan
 Big Data Transformation Services for Medical Education, Training &
Research (ETR)
Results
 Deploying detailed 2-year Big Data & Analytics Roadmap which
enables organization to gain insight and make improvements in ETR
 Building Data Lake & User Portal Hub leveraging Pivotal
 Created cost model for Service Catalog that enabled IT to quantify
value back to the business
38© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
• Over 6,000 Healthcare Providers
Worldwide Deploy EMC
Infrastructure
• 3,000+ Customers in N. America
• #14 Healthcare Informatics
Top Vendors 100 (2014)
• HIMSS Member 16+ Years
• CHIME Member 11+ Years
EMC LEADERSHIP IN HEALTHCARE
2.0%
2.0%
2.0%
2.6%
6.9%
9.3%
18.7%
20.9%
21.5%
54.2%
Storage Market
Penetration
EMC
HP
IBM
Dell
Not Reported
NetApp
HDS
Philips
Alliance
Cisco
Source: HIMSS Analytics, 12/2014
*Respondents were able to select more than one storage vendor, hence percentage total is greater than 100%
39© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC INVESTMENT IN HEALTHCARE
DEDICATED
HEALTHCARE TEAM
Hospital CIOs
Partner Managers
Field Teams and Engineering
Support, Delivery, and Services
Solutions Marketing
DEDICATED HEALTHCARE
ELAB FACILITY
Latest IT Software and Hardware
Healthcare Test Data
Partner Applications
Dedicated Technical Staff
Healthcare Center of Excellence
40© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
MORE THAN 6,000 HEALTHCARE
PROVIDERS WORLDWIDE RELY ON EMC
Dedicated to healthcare worldwide…
Dedicated to solving your toughest data challenges.
41© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC UNIQUE APPROACH FOR HEALTH IT
UNPARALLELED FOCUS ON HEALTHCARE BEST PRACTICES
SERVICE
PROVIDER
S
ISV
EMC Dedicated
Healthcare IT
Personnel, eLab &
Services
EMC Federation
Best Health
IT That
Supports
Next-
Generation
Care
Delivery
The
Goal
6,000+ EMC
Healthcare
Customers
EMC Healthcare Partner Ecosystem
CLINICAL APPLICATIONS
HEALTHCARE CLOUD
STRATEGIC ALLIANCES
SOLUTION PARTNERS
42© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
• Innovation Strategy
– Research & Development: 12% Investment
– Technology Acquisitions: 10% Investment
• Financial Strength
• Offerings Aligned With Hottest Tech Trends,
Customer Needs
• Market-leading Technology, Products,
Services, Support
• World-class, Expanding Partner Ecosystem
• Best Team In IT, 65,000+ Strong
• The Power of “AND”
WHY EMC?
43© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
ENTERPRISE DATA PROTECTION FOR
ALL HEALTH SYSTEM DATA
FROM ACTIVE-ACTIVE TO ARCHIVE
Data Management
Backup
Archive
Disaster
Recovery
Availability
EMR
Applications
Databases
Cloud Based
Applications
VMware
vCenter
Protection
Storage
Primary
Storage
Imaging
Applications
Metadata Analytics
Extracting
Additional
Value
Test & Dev
Services
Policy Reporting Catalog
Snapshot
44© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Accountable
Care
Cut Operational and
Legacy Costs – Now!
React Faster To
Enable New Growth
Healthcare Customer
Business Challenges
New HIT Agenda
Provide Secure Access to
Applications and Data Through
Mobile Devices
2
Use Agile Development to
Build New Patient-Centric
Applications
Build Data Lakes To Deliver
Insights and Applications on
Business, Clinical & Research Data
Move to Software-Defined
Data Center Infrastructure and
Expand to Hybrid Clouds
Enable HIPAA With Data-
Driven Security and Rapidly
Respond to Threats.
45© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
ADVANCEDSECURITY
2
SERVICEPROVIDER
ENTERPRISEDATACENTERFederation View of Solutions
INFORMATION INFRASTRUCTURE
CONVERGED INFRASTRUCTURE
Enabling Virtual Healthcare Enterprise Growth
BIG DATA SOLUTIONS
PLATFORM AS A SERVICE
AGILE APPLICATION DEVELOPMENT
ENTERPRISE MOBILITY
SOFTWARE-DEFINED DATA CENTER
HEALTHCARE
APPS PLATFORMS
VIRTUAL
WORKSPACE
HEALTHCARE
DATA LAKE
SECURITY /
COMPLIANCE
ANALYTICS
SOFTWARE
DEFINED
DATA CENTER
vCloud
Hybrid Service
ADVANCEDSECURITY
46© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Solutions Focus
Enabling Modernization, Growth and Research Collaboration
SOFTWARE-DEFINED
DATA CENTER
All Infrastructure Is Virtualized
And Delivered As A Service
Control Of This Data Center Is
Entirely Automated By Software
PLATFORM
AS A SERVICE
Pivotal ONE
(Pivotal CF & Services)
Pivotal Labs
Cloud-Independent
Platform For
Modernizing and
Research
Collaboration
VIRTUAL
WORKSPACE
Connect Users &
Data While
Keeping IT In
Control
SECURITY
ANALYTICS
Protect Assets and
PHI While Managing
Compliance (HIPAA)
and Consent (IRB)
HEALTHCARE
DATA LAKES
Store, Manage &
Deliver Value for
ACO and Precision
Medicine
Traditional Applications
Next Gen Cloud Apps and Data Collaboration
Standards
Based
Integration
47© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Converged Infrastructure
Partners
vCloud
Hybrid Service
Hybrid Cloud
Managed As One Cloud
Federation Solutions Focus
Abstraction Layers Enabling a the New Healthcare Enterprise
PLATFORM
AS A SERVICE
SOFTWARE-DEFINED
DATA CENTER
VIRTUAL
WORKSPACE
BUSINESS
DATA LAKE
SECURITY
ANALYTICS
vCloud Suite
Virtual SAN & NSX Network Virtualization
VMAX, VNX, Isilon, Atmos, Elastic Cloud Storage -> Software Defined Data Services Layer
Avamar, Networker, Data Domain, RecoverPoint, VPLEX
Tier 1 Applications
RecoverPoint, VPLEX, SRM
Software-Defined Storage
VMware Virtual SAN & EMC ECS
Visibility & Automation
VASA / VSI / VVOL
Integration
Points
Integration
Points
SOFTWARE-DEFINED
DATA CENTER
VIRTUAL
WORKSPACE
Syncplicity
XtremIO & ScaleIO
Horizon Workspace
AirWatch
Virtual SAN
PLATFORM
AS A SERVICE
Pivotal ONE
(Pivotal CF & Services)
Pivotal Labs
Security Analytics
Identity & Access Mgmt
Governance, Risk,
& ComplianceSECURITY
ANALYTICS
HEALTHCARE
DATA LAKES
Object Storage
Pivotal Big Data Suite
Pivotal Data Labs
Traditional Applications
Next Gen Cloud Apps and Data Collaboration
Standards
Based
Integration
48© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Proven In Trusted Healthcare IT
15+ Years
HIMSS
Membership
10+ Years
Membership
to CHIME
#13 of
Healthcare
Informatics
100
Member of
Advisory
Board
49© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC Is Invested In Health IT
Dedicated Healthcare Staff
Partner Managers
Field Teams
Support & Delivery
Marketing Specialist
Dedicated eLab Facility
Latest IT SW & HW
Healthcare test data
Partner Applications
Dedicated Technical Staff
50© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Global Expansion
• Innovation Hubs
– Skolkovo – Bioinformatics / Genomics Clouds
– Israel – Security Analytics and Information Exchange
– Ireland – Medical Content Management and Imaging
– India – Population Health and Telehealth
– Brazil – Academic Based R&D
• Focused New Business Expansion
– Australia / New Zealand
– South Africa
– Singapore
– Brazil
– Japan
Deep Innovation Resources and International Growth
ANNUAL INNOVATION
CHALLENGE
51© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
EMC Healthcare Application Partners
Delivering engineered, certified, and pre-integrated solutions
for healthcare providers worldwide
52© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Healthcare Strategy Summary
• Maintain Market Dominance for IT Platforms
• Long Term Commitment to Healthcare ISVs
• Deliver Deep Provider Experience to Our Field
• Aligned Growth With New Businesses Born In the Cloud
• Double Down and Prepare for the Next Wave
– Big Data for Population Health Management
– Translational Research Computing and Bioinformatics
– Fat Data – NGS, Pathology, PACS in the Cloud
• Global Innovation and Expansion
53© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved.
Thank You!

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mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

  • 1. 1© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC HEALTHCARE SOLUTIONS HEALTH IT FOR NEXT-GENERATION CARE DELIVERY Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015
  • 2. 2© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Industry Drivers: • Clinical applications • Compliance Requirements – HITECH, EMR MU – HIPAA, EU Data Directives • FutureCare-enabling technologies for cloud, Big Data, mobile, & social Source: IDC /EMC Digital Universe Healthcare Industry Brief HEALTHCARE DATA GROWING AT 48%% PER YEAR THROUGH 2020 http://www.emc.com/analyst-report/digital-universe-healthcare-vertical-report-ar.pdf
  • 3. 3© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Information Generation Creation Hospital Pharmacy Lab Ambulatory Clinic Research Organization Public Health Insurer Payer Data Secure Sharing Collaborative Analysis Traditional Emerging Discovery Population Management Business Intelligence Research and Business Analytics
  • 4. 4© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. HEALTHCARE BIG DATA ARCHITECTURE DESIGN STORAGE, PROCESSING, & APPLICATION SERVICES FOR THE FUTURE Ingest Store Analyze Surface Act Capture data from range of sources: Legacy / New Store everything in standardized environment: tiered, archived / protected Use Big Data analytics to discover predictive patterns – clinical / business ops Share across the Enterprise – Clinicians, Executives & Patients Project future opportunities: ACO, Patient Engagements, Growth & Population Health Preparedness Data Lake
  • 5. 5© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Challenge Rheumatologists see patients every three to four months, but symptoms of rheumatoid arthritis (RA) change on a weekly or daily basis. Opportunity Create a mobile app that generates a summary report that visually depicts the changes in joint pain, morning stiffness, medication, etc. Solution MyRATM is an iOS app that enables patients to easily track their RA symptoms and share with physicians.
  • 6. 6© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Challenge Tracking, recording and monitoring blood glucose readings can be time-consuming and difficult. Opportunity Create a mobile app that minimizes the possibility of human error from manual tracking. Solution iOS app syncs with 19 meters to automatically record readings. Users can email reports to their physician. Other features include automatic logging, food database integration, email integration, Facebook integration, and note-taking.
  • 7. 7© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Real-time alert system for high-risk respiratory patients Customer Large vertically-integrated healthcare provider Business Problem The cost of treating respiratory patients is greatly increased by urgent care visits Challenges Identify urgent care risk factors and propose interventions to reduce risk of urgent care visit. Solution • Predict risk of acute care encounter using prescription refill history, air quality data, and socioeconomic indicators. • Build a real-time application for alerting patients and physicians to take preventative action
  • 8. 8© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Predicting Hospital Length of Stay for AMI Business Problem Effective scheduling and coordination of patient hospital discharge is hindered by lack of physician or system-based LoS estimates Challenges • Accurate LoS requires computationally-intensive aggregation and analysis of a wide variety of data sources • Currently LoS models have poor granularity and incorporate few features Solution • Rapidly created hundreds of features using HAWQ reducing processing time from hours to seconds • Created LoS ensemble models resulting in a 50% increase in accuracy for customer • Generated accurate classifiers to predict discharge type
  • 9. 9© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Interactive Application for Feature Generation from Patient Histories to Predict Hospital Readmissions Business Problem The expertise and time to create meaningful features for predictive analytics is a major bottleneck in hospital readmission modeling. Challenges Create an interactive application that 1. Enables non-technical domain- experts to generate features they believe are meaningful in predicting hospital readmissions 2. Leverage all available data in real-time. Solution • Designed an intuitive and interactive web- based app that allows user to input (1) aggregation levels for ICD-9 codes and (2) display summary statistics of the resulting data in the application. • Created a generalizable, novel and fast approach that aggregates ICD-9 codes, processing hundreds of millions of records in a few minutes.
  • 10. 10© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Fraud/Waste/Abuse Detection Customer Specialty Benefits Management Business Problem Pre-authorization Fraud/Waste/Abuse (FWA) detection. Challenges • Need for real time detection as retrospective pay and chase approaches are not effective • No training data labeled by medical professionals as fraudulent or wasteful • Solution needs to incorporate real time ordering physician data to patient history and physician profile data Solution • Built models to predict physician responses to triage deviations from expected responses • 600 models with custom feature sets trained in 3 minutes
  • 11. 11© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Constituent Segmentation Customer A major health insurance company Business Problem The company, in its analytics infancy, needed a foundational study to learn more about the consumers and providers it serves Challenges • They had no way of connecting data across lines of business • There was no explicit data on profitability of consumers or providers Solution • Created keys to connect information across LOBs • Clustered both the consumer and provider bases to learn about their makeup and preferences
  • 12. 12© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. 8th International Conference on Health Informatics (HealthINF 2015) http://www.fandry.net/pub/ANDRY_ET_AL_HealthINF15.pdf
  • 13. 13© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Challenge ‘Expertise gap’ towards building an app that would make it easy for caregivers to get involved in caregiving activities for aging parents and special needs children. Opportunity Leverage our expertise and agile development process to release an app that aligns with InvolveCare’s goals and timelines. Solution Leverage our expertise and agile development process to release an app that aligns with InvolveCare’s goals and timelines.“We were able to do two things with Pivotal Labs – first, create social tools including commenting, audio recording and pictures for every single interaction that occurs in the app, and second, add contextual follow-up events based on prior user interactions. That’s hard to do, but Pivotal Labs made it look easy.” - David S. Williams, CoFounder
  • 14. 14© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Predicting Unplanned Transfers to ICU Using Patient History, Monitor Feeds and Hospital Data Customer Large Hospital Network Business Problem Using granular physiological and operational data predict which encounters may have an unplanned visit to the ICU unit. Challenges There is a well-performing logistic regression model that has a handful of features. The goal is to improve the existing model by • Exploring the new data sources quickly and identify areas of interest • Engineering new features • Experimenting with different model forms Solution • Produced a significantly more accurate model to predict unplanned transfers to ICU • Engineered 60+ features utilized in this model and applicable to other models • Created insightful visualizations that determine what features would be of interest
  • 15. 15© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Forensic Accounting to detect Fraud/Waste/Abuse Customer Large vertically-integrated healthcare provider Business Problem Fraud and waste in accounts payable is common in any large, geographically- distributed company. Detecting fraudulent invoicing, errors resulting in duplicate payments and wasteful purchasing behavior is necessary to avoid loss of revenue. Challenges Traditional approaches apply rules to filter and flag transactions that resemble prior fraudulent or wasteful activity and fail to identify new anomalies Tracking activity is difficult due to large number of transactions and variety of vendors Solution • Build approaches to use fuzzy string matching for smarter detection of duplicate invoicing or entries • Identify related vendor networks (e.g. company acquisitions) to build invoicing baseline behavior for anomaly detection • Leverage Benford’s law to identify falsified invoices • Build similarity models between business units using purchasing behavior profiles to detect anomalies (and wasteful) purchasing patterns R1216035 RI216035 217092011 2171092011 9136S0900043 9316S0900043 Invoice ID Matching Invoice ID
  • 16. 16© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Cross Channel Engagement Model Customer A major health insurance company Business Problem Each call to the call center has a significant cost. Our customer has made a considerable investment to provide capabilities on their website so that members can self serve. Problem Statement For a web session predict the propensity to call the call center within 24 hours conditioned on the characteristics of the web visit, engagement history of the member, and member profile Challenges  Unstructured text data requires considerable preprocessing Solution  Engineered features to capture the browsing experience, user engagement preferences, and member profile  Built a model to predict propensity to call  Created a topic model based on the call logs to learn what these customers were calling about to identify areas
  • 17. 17© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. RNA Sequencing Customer Translational Pathology Department of a University Business Problem Reducing time spent on processing and analyzing RNA sequences Challenges The center identified three bottleneck steps in their RNA sequencing pipeline: Alignment, splice junction detection, and gene level expression Solution Algorithms implemented in UAP are three times faster than the client’s existing platform. In addition to improving the algorithm run time, we identified modifications to the method capable of improving prediction on short exons.
  • 18. 18© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. HEALTHCARE PROVIDER SPENDING IN FUTURECARE TECH INCREASING IN 2015 46% say by 10% or more 46% say by 10% or more How do you expect your 2015 IT spending to change for each of the following areas? MOBILE 72% say increase BIG DATA 67% say increase CLOUD 62% say increase SOCIAL 60% say increase 43% say by 10% or more 35% say by 10% or more FutureCare: Cloud, Big Data, Mobile and Social Optimize the EMR,” MeriTalk/EMC Study with 151 Health IT Leaders www.TransformHealthIT.com/FutureCare
  • 19. 19© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC COMPETENCIES TO ACCELERATE NEXT-GENERATION CARE DELIVERY Remove Silos and Reduce Cost With a Secure 360° Patient View Address Patient Care Needs With Greater Agility Keep Integrated Practice Units in Sync Enable Predictive Care & Better Population Health Outcomes Advanced Medical Imaging Patient Data Intelligence Healthcare Hybrid Cloud EMR Optimization H
  • 20. 20© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC HEALTHCARE SOLUTIONS ENTERPRISE GRC AND SECURITY ADVANCED CONSULTING AND PROFESSIONAL SERVICES CONVERGED INFRASTRUCTURE AND DATA PROTECTION ADVANCED MEDICAL IMAGING PACS Storage VNA DICOM VNA Research Workloads EMR OPTIMIZATION Application Certified Solutions Next-Generation Storage Content-enabled EMR Clinical Archive HEALTHCARE HYBRID CLOUD Infrastructure Transformation Application Transformation Operating Model Transformation Service Provider Ecosystem PATIENT DATA INTELLIGENCE Clinical & Operational Analytics Healthcare Data Lakes Enterprise Analytics Strategy
  • 21. 21© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. TRENDS & CHALLENGES THE EMC ADVANTAGE  Access to images by collaborating clinical departments and caregivers at the point of care.  Increased use of telemedicine requires fast, secure sharing of medical images.  Control of rising medical imaging costs.  Ability to share diagnostic images easily, securely, and cost effectively.  Strategic partnerships with integrated PACS and VNA applications.  Best-in-class infrastructure to consolidate, virtualize, store, and safely share medical images. ADVANCED MEDICAL IMAGING SHORTEN TIME TO DEFINITIVE DIAGNOSIS IMAGE DATA MANAGEMENT INCREASES POINT-OF-CARE ACCESS AT LOWER COST • PACS • Storage VNA • DICOM VNA • Research Workloads
  • 22. 22© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. ADVANCED IMAGING ARCHITECTURE RELIABLY DELIVER IMAGES AT THE POINT-OF-CARE APPLIANCE Viewer VM PACS VNA VM CloudArray VM Converged Infrastructure Compute, Network Storage HEALTHCARE PROVIDER LOCATION Hypervisor CLOUD SERVICE PROVIDER DR ARCHIVE Geo-Dispersed Object Archive A-sync replication EHRModality On-Prem Scale out NAS Shared Cache 1 or 2 Database & Cache 1 Storage CloudArray Gateway converts Block/file to Object Archive Storage Object on Isilon or ECS + + Object APIStorage Extension
  • 23. 23© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Challenges  Images from several departments not feeding into EMR  Clinician workflow suffering from lack of universal viewer  Large silos of non-DICOM data and pathology images across the system Solutions  VNA scorecard and selection: EMC Healthcare Consulting  Long term archive: Isilon scale out storage  Vendor Neutral Archive: TeraMedica Results  Incorporated all images across the enterprise into a universal archive  Epic Hyperspace has been image enabled with all patient images  Avoided future data migrations with scale out storage  Improved workflow with deployment of universal viewer  Secure access to common images to improve workflow NEW YORK ACADEMIC MEDICAL CENTER CREATES ENTERPRISE UNIVERSAL ARCHIVE THAT LOWERS COST ADVANCED MEDICAL IMAGING CUSTOMER SUCCESS
  • 24. 24© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. REDUCE COSTS, IMPROVE CARE COLLABORATION AND DELIVERY TRENDS & CHALLENGES THE EMC ADVANTAGE  Increasing service level demands for mission-critical applications to enable a single patient view at the time of care.  Growing need to reduce operational costs and avoid data breaches.  Increasing demands on IT to support EMR Meaningful Use Stage Two & Three.  Industry-proven healthcare infrastructure.  Secure, integrated, real-time data at the point-of-care.  High performance all-flash solutions with inline database and VDI deduplication. EMR OPTIMIZATION PROVIDE PHYSICIAN ACCESS TO 360° PATIENT VIEW • Application Certified Solutions • Next-Generation Storage • Content-enabled EMR • Enterprise App Decommissioning
  • 25. 25© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. SHARE PATIENT INFORMATION ACROSS SILOS QUICKLY & SECURELY EMC SOLUTIONS FOR EMR OPTIMIZATION CONVERGED INFRASTRUCTURE ENTERPRISE Next-Gen Scale, Performance, and Availability for Expanding EMR Environments FLASH High Performance All-Flash Powered with Inline Deduplication for Database and VDI Environments DATA PROTECTION Integrated, Highly Scalable Data Protection with Deduplication for Clinical and Enterprise Application Use Cases SCALE-OUT ARCHIVE Scale-out Storage with Built-In Data Protection and WORM for Long Term Storage for Blob and Content Systems CONTENT AND IMAGE ENABLEMENT Powerful Content Integration to Image-Enable and Power Legacy Application Decommissioning
  • 26. 26© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. • Strategy for prioritizing and planning retirements • Trusted environment – Maintains chain of custody – Provides date based retention and legal hold – Future Proof XML format • Dynamic reporting and search capabilities – Multiple applications – Multiple data stores • Comprehensive product implementation, training & knowledge transfer establish ongoing service ENTERPRISE APPLICATION DECOMMISSIONING SOLUTIONS Unstructured Structured ARCHIVE SERVICES INGESTION MANAGEMENT InfoArchive/xDB ARCHIVE STORAGE DDS GUI ENTERPRISE ARCHIVE SYSTEM LEGACY APPLICATIONS DATA ACCESS
  • 27. 27© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMR OPTIMIZATION Challenges  Legacy applications consuming IT resources and budget  Needed to retire, re-platform, and migrate legacy clinical applications into a single EMR Solutions  Utilized Content Enabled EMR—Connector for Epic and Healthcare Integration Portfolio (HIP) solutions to provide access within Hyperspace to records ingested from other systems and facilitate sharing across the system.  Deployed Clinical Archiving solution to store—and make accessible within Hyperspace—legacy clinical data and documents that could not be loaded directly into EMR Results  Nine month ROI with annual savings over $2M  Full EMR integration to create 360° patient view  Streamline Clinical Workflow with secure EMR Access NE HEALTHCARE SYSTEM SAVES $2M/YEAR WITH APPLICATION DECOMMISSIONING CUSTOMER SUCCESS
  • 28. 28© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC FEDERATION: THE POWER OF “AND” DELIVERING SOLUTIONS AND CHOICE FOR HEALTHCARE INFORMATION STORAGE & PROTECTION INFORMATION INTELLIGENCE SOFTWARE-DEFINED DATA CENTER HYBRID CLOUD END USER COMPUTING BIG DATA SOLUTIONS PLATFORM AS A SERVICE AGILE APPLICATION DEVELOPMENT IDENTITY, SECURITY ANALYTICS, GRC ENTERPRISE DATA CENTER PARTNERS VCLOUD AIR CONVERGED INFRASTRUCTURE HEALTHCARE ISV PARTNERS SERVICE PROVIDERS INFORMATION CREATION INFORMATION ANALYSIS INFORMATION SHARING
  • 29. 29© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. TRENDS & CHALLENGES THE EMC ADVANTAGE  Need to reduce IT costs coming from lower reimbursement rates.  Align demands of the business with ability to supply services from IT.  Greater data from growing use of mobile and IoT devices.  Trusted enterprise hybrid cloud specially designed for healthcare provider workloads  Complete, secure solution across every layer of IT.  ITaaS operations in a secure, scalable, collaborative environment. HHYBRID CLOUD FOR HEALTHCARE INCREASE ORGANIZATIONAL AGILITY BECOME A BROKER OF TRUSTED IT SERVICES • Infrastructure Transformation • Application Transformation • Operating Model Transformation • Service Provider Ecosystem
  • 30. 30© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. HYBRID CLOUD FOR HEALTHCARE BALANCE CLINICAL AND BUSINESS WORKLOADS Clinician Portal FILEBLOCK VM VM VM VM VM vRealize Automation APP APP APP APP Care Systems Analytics SP Partners Integrated Provisioning, Backup, DR, HA VSAN ScaleIO vSphere OBJECT/ HDFS ViPR SRM vRealize Operations vROps Log Insight RECOVERPOINT VPLEX Admin Portal Data Lake Population Health Genomics VM OS VM OS VM OS VM OS VMWARE VCLOUD AIR H
  • 31. 31© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. HYBRID CLOUD FOR HEALTHCARE CUSTOMER SUCCESS NATIONAL SYSTEM REDUCED TIME-TO-PROVISION FROM MONTHS TO MINUTES Challenges  Increasing cost and competitive pressures from Affordable Care Act  Running out of Data Center space, power and cooling — only 20% virtualized Solutions  Consulting, design, and implementation — prototype to production in less than one year  Vblock, vCloud automation, Data Domain/Avamar backup  Self-serve portal with automated provisioning: x86 VMs, Windows/Linux OS, SQL/Oracle DB, IIS/WebSphere middleware  Clickable options for: HA/DR, Backup-as-a-Service, HIPAA/PHI protection. Operation by EMC/VCE Managed Services Results  Reduced time-to-provision from ~9 months to ~20 minutes  Accelerated virtualization to meet goal of 85% virtualization  IT seen as a credible broker of Private & Public Cloud Services H
  • 32. 32© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. TRENDS & CHALLENGES THE EMC ADVANTAGE  Patient data is growing rapidly: medical images, 24/7 monitoring, clinical research, wearable tech.  Move to pay-for-performance payment models.  Big Data analytics used to improve disease detection and treatment, and population health insights.  EMC Patient Data Intelligence Solutions provide Big Data analytics to: • Identify use cases to target • Risk stratify patient populations to reduce readmissions • Leverage enterprise-wide data to improve both business and care decisions. PATIENT DATA INTELLIGENCE GAIN ACTIONABLE INSIGHTS TO IMPROVE STANDARD OF CARE ENABLE CLINICIANS TO IMPROVE CARE OUTCOMES WITH PATIENT DATA ANALYTICS • Clinical & Operational Analytics • Healthcare Data Lakes • Enterprise Analytics Strategy
  • 33. 33© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Data Lake Solution Clinical delivery and business operations ARCHITECTURE Deploy infrastructure for delivery flexibility, efficiency and compliance INITIATIVES Identify use cases to optimize value propositions INSIGHTS Accelerate application development to become a predictive enterprise 2 1 3 PATIENT DATA INTELLIGENCE SOLUTIONS ENABLE PREDICTIVE CARE
  • 34. 34© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. PATIENT DATA INTELLIGENCE CUSTOMER SUCCESS PARTNERS HEALTHCARE AND EMC COLLABORATE ON DATA LAKE Challenges  Speed clinical research developed across the system to clinical setting  Leverage advancing medical imaging capabilities by bringing together separate research activities Solutions  Deployment of EMC Federation solutions & products. Use of flexible, elastic high performance computing (HPC) in hybrid cloud  Dynamic linking w/ data repositories across Academic Medical Centers  Utilization of data from Epic, imaging, genomic, and continuous instrument feeds Results  Allows researcher & clinicians to develop insight to improve diagnostics, treatment and the lives of patients  Supports research and clinical activities across the Partners system, breaking down physical barriers for collaboration
  • 35. 35© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. • Prevent breaches to best keep critical healthcare data safe • Leverage security analytics to stay multiple steps ahead • Secure data smartly in concert with governance policies RSA SOLUTIONS HELP SAFEGUARD PHI REDUCE RISK WITH ENTERPRISE SECURITY AND GRC SOLUTONS ECAT Live Malware Analysis ARCHER GRC SECURITY OPERATIONS Incidents SECURITY ANALYTICS Client Server SIEM CMDB Assets Discovery DLP Vulns Identity Breaches Projects Risks Rules | Parsers | Alerts | Feeds | Apps | Directories| Reports & Custom ActionsLIVE - THREAT INTELLIGENCE
  • 36. 36© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC SERVICES FOR HEALTHCARE ADVANCED MEDICAL IMAGING VNA Package Selection and Deployment Data Migration Services Storage Assessments EMR OPTIMIZATION Application Rationalization and Archiving Virtual Clinical Desktop HEALTHCARE HYBRID CLOUD Cloud Advisory Services Maturity-Level Modeling Adaptivity PATIENT DATA INTELLIGENCE Big Data Strategy and Roadmap Healthcare Data Lakes Visioning Workshop
  • 37. 37© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. SERVICES FOR IT TRANSFORMATION CUSTOMER SUCCESS MILITARY MEDICAL CENTER ADVANCES ITAAS AND ANALYTICS ROADMAP Challenges  IT was consumed by daily operations and lagging in ITaaS capabilities  IT wanted to demonstrate efficiency, financial transparency, and value to the Mission Solutions  EMC Consulting IT Transformation Services: IT Transformation Workshop, IaaS Roadmap, Service Catalog, Charter & Ops Plan  Big Data Transformation Services for Medical Education, Training & Research (ETR) Results  Deploying detailed 2-year Big Data & Analytics Roadmap which enables organization to gain insight and make improvements in ETR  Building Data Lake & User Portal Hub leveraging Pivotal  Created cost model for Service Catalog that enabled IT to quantify value back to the business
  • 38. 38© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. • Over 6,000 Healthcare Providers Worldwide Deploy EMC Infrastructure • 3,000+ Customers in N. America • #14 Healthcare Informatics Top Vendors 100 (2014) • HIMSS Member 16+ Years • CHIME Member 11+ Years EMC LEADERSHIP IN HEALTHCARE 2.0% 2.0% 2.0% 2.6% 6.9% 9.3% 18.7% 20.9% 21.5% 54.2% Storage Market Penetration EMC HP IBM Dell Not Reported NetApp HDS Philips Alliance Cisco Source: HIMSS Analytics, 12/2014 *Respondents were able to select more than one storage vendor, hence percentage total is greater than 100%
  • 39. 39© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC INVESTMENT IN HEALTHCARE DEDICATED HEALTHCARE TEAM Hospital CIOs Partner Managers Field Teams and Engineering Support, Delivery, and Services Solutions Marketing DEDICATED HEALTHCARE ELAB FACILITY Latest IT Software and Hardware Healthcare Test Data Partner Applications Dedicated Technical Staff Healthcare Center of Excellence
  • 40. 40© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. MORE THAN 6,000 HEALTHCARE PROVIDERS WORLDWIDE RELY ON EMC Dedicated to healthcare worldwide… Dedicated to solving your toughest data challenges.
  • 41. 41© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC UNIQUE APPROACH FOR HEALTH IT UNPARALLELED FOCUS ON HEALTHCARE BEST PRACTICES SERVICE PROVIDER S ISV EMC Dedicated Healthcare IT Personnel, eLab & Services EMC Federation Best Health IT That Supports Next- Generation Care Delivery The Goal 6,000+ EMC Healthcare Customers EMC Healthcare Partner Ecosystem CLINICAL APPLICATIONS HEALTHCARE CLOUD STRATEGIC ALLIANCES SOLUTION PARTNERS
  • 42. 42© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. • Innovation Strategy – Research & Development: 12% Investment – Technology Acquisitions: 10% Investment • Financial Strength • Offerings Aligned With Hottest Tech Trends, Customer Needs • Market-leading Technology, Products, Services, Support • World-class, Expanding Partner Ecosystem • Best Team In IT, 65,000+ Strong • The Power of “AND” WHY EMC?
  • 43. 43© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. ENTERPRISE DATA PROTECTION FOR ALL HEALTH SYSTEM DATA FROM ACTIVE-ACTIVE TO ARCHIVE Data Management Backup Archive Disaster Recovery Availability EMR Applications Databases Cloud Based Applications VMware vCenter Protection Storage Primary Storage Imaging Applications Metadata Analytics Extracting Additional Value Test & Dev Services Policy Reporting Catalog Snapshot
  • 44. 44© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Accountable Care Cut Operational and Legacy Costs – Now! React Faster To Enable New Growth Healthcare Customer Business Challenges New HIT Agenda Provide Secure Access to Applications and Data Through Mobile Devices 2 Use Agile Development to Build New Patient-Centric Applications Build Data Lakes To Deliver Insights and Applications on Business, Clinical & Research Data Move to Software-Defined Data Center Infrastructure and Expand to Hybrid Clouds Enable HIPAA With Data- Driven Security and Rapidly Respond to Threats.
  • 45. 45© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. ADVANCEDSECURITY 2 SERVICEPROVIDER ENTERPRISEDATACENTERFederation View of Solutions INFORMATION INFRASTRUCTURE CONVERGED INFRASTRUCTURE Enabling Virtual Healthcare Enterprise Growth BIG DATA SOLUTIONS PLATFORM AS A SERVICE AGILE APPLICATION DEVELOPMENT ENTERPRISE MOBILITY SOFTWARE-DEFINED DATA CENTER HEALTHCARE APPS PLATFORMS VIRTUAL WORKSPACE HEALTHCARE DATA LAKE SECURITY / COMPLIANCE ANALYTICS SOFTWARE DEFINED DATA CENTER vCloud Hybrid Service ADVANCEDSECURITY
  • 46. 46© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Solutions Focus Enabling Modernization, Growth and Research Collaboration SOFTWARE-DEFINED DATA CENTER All Infrastructure Is Virtualized And Delivered As A Service Control Of This Data Center Is Entirely Automated By Software PLATFORM AS A SERVICE Pivotal ONE (Pivotal CF & Services) Pivotal Labs Cloud-Independent Platform For Modernizing and Research Collaboration VIRTUAL WORKSPACE Connect Users & Data While Keeping IT In Control SECURITY ANALYTICS Protect Assets and PHI While Managing Compliance (HIPAA) and Consent (IRB) HEALTHCARE DATA LAKES Store, Manage & Deliver Value for ACO and Precision Medicine Traditional Applications Next Gen Cloud Apps and Data Collaboration Standards Based Integration
  • 47. 47© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Converged Infrastructure Partners vCloud Hybrid Service Hybrid Cloud Managed As One Cloud Federation Solutions Focus Abstraction Layers Enabling a the New Healthcare Enterprise PLATFORM AS A SERVICE SOFTWARE-DEFINED DATA CENTER VIRTUAL WORKSPACE BUSINESS DATA LAKE SECURITY ANALYTICS vCloud Suite Virtual SAN & NSX Network Virtualization VMAX, VNX, Isilon, Atmos, Elastic Cloud Storage -> Software Defined Data Services Layer Avamar, Networker, Data Domain, RecoverPoint, VPLEX Tier 1 Applications RecoverPoint, VPLEX, SRM Software-Defined Storage VMware Virtual SAN & EMC ECS Visibility & Automation VASA / VSI / VVOL Integration Points Integration Points SOFTWARE-DEFINED DATA CENTER VIRTUAL WORKSPACE Syncplicity XtremIO & ScaleIO Horizon Workspace AirWatch Virtual SAN PLATFORM AS A SERVICE Pivotal ONE (Pivotal CF & Services) Pivotal Labs Security Analytics Identity & Access Mgmt Governance, Risk, & ComplianceSECURITY ANALYTICS HEALTHCARE DATA LAKES Object Storage Pivotal Big Data Suite Pivotal Data Labs Traditional Applications Next Gen Cloud Apps and Data Collaboration Standards Based Integration
  • 48. 48© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Proven In Trusted Healthcare IT 15+ Years HIMSS Membership 10+ Years Membership to CHIME #13 of Healthcare Informatics 100 Member of Advisory Board
  • 49. 49© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC Is Invested In Health IT Dedicated Healthcare Staff Partner Managers Field Teams Support & Delivery Marketing Specialist Dedicated eLab Facility Latest IT SW & HW Healthcare test data Partner Applications Dedicated Technical Staff
  • 50. 50© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Global Expansion • Innovation Hubs – Skolkovo – Bioinformatics / Genomics Clouds – Israel – Security Analytics and Information Exchange – Ireland – Medical Content Management and Imaging – India – Population Health and Telehealth – Brazil – Academic Based R&D • Focused New Business Expansion – Australia / New Zealand – South Africa – Singapore – Brazil – Japan Deep Innovation Resources and International Growth ANNUAL INNOVATION CHALLENGE
  • 51. 51© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. EMC Healthcare Application Partners Delivering engineered, certified, and pre-integrated solutions for healthcare providers worldwide
  • 52. 52© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Healthcare Strategy Summary • Maintain Market Dominance for IT Platforms • Long Term Commitment to Healthcare ISVs • Deliver Deep Provider Experience to Our Field • Aligned Growth With New Businesses Born In the Cloud • Double Down and Prepare for the Next Wave – Big Data for Population Health Management – Translational Research Computing and Bioinformatics – Fat Data – NGS, Pathology, PACS in the Cloud • Global Innovation and Expansion
  • 53. 53© Copyright 2014 EMC Corporation. All rights reserved.© Copyright 2014 EMC Corporation. All rights reserved. Thank You!