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  1. 1. Health Care and the Case for Google
  2. 2. About Google Sources: ComScore qSearch, April 2008, Global 117 language interfaces Google Confidential and Proprietary Search 63% of the marketshare Revenue $21B in 2008 Profit $5B in 2008 Awards Top company to work for 2007-2009 Innovation Is part of our core DNA Employees 21,000 with 50% in engineering Ads 70% of online advertising Apps 100s of millions of users Platforms Chrome, Android
  3. 3. What We Believe Simple is better than complex Focus on the user Fast is better than slow
  4. 4. Google Enterprise Develop innovative user-centric technology for businesses Backed by Google’s core research and development 1000+ people focused on Enterprise 20,000+ active search customers 3,000+ business sign up for Google Apps daily
  5. 5. Health Care – pain points <ul><ul><li>Clinicians : Drug & clinical data not instantly accessible </li></ul></ul><ul><ul><ul><li>Physicians want to know side effects or treatment information prior to seeing each patient </li></ul></ul></ul><ul><ul><ul><li>Information available but buried within systems; not easily accessible </li></ul></ul></ul><ul><ul><li>Administrators : Paper-based, manual procedures </li></ul></ul><ul><ul><ul><li>Administrators must distribute policies & procedures to all wards </li></ul></ul></ul><ul><ul><ul><li>Present documentation is mainly paper-based </li></ul></ul></ul><ul><ul><li>Billing : High costs </li></ul></ul><ul><ul><ul><li>Billing costs can represent 10-15% of gross claims </li></ul></ul></ul><ul><ul><ul><li>Attributed to heavily paper-based processes </li></ul></ul></ul><ul><ul><li>IT: Communication /Collaboration is Expensive, Exclusive, Slow </li></ul></ul><ul><ul><ul><li>many healthcare groups won’t provide communication and collaboration because of cost/physical resources. </li></ul></ul></ul>
  6. 6. In healthcare, findability is a challenge Patient data EMR, x-rays, etc. Other facilities Primary care, lab results, etc. Administrators: policies & procedures Info for clinicians Drug data, treatment info, etc. Intranet: General info for staff & employees Medical students: Training material Exploding content for all user groups Integration not the answer <ul><li>61% of health care institutions planning to increase spend on IT systems integration 1 , to try to: </li></ul><ul><ul><li>Improve quality of care </li></ul></ul><ul><ul><li>Avert medical errors </li></ul></ul><ul><ul><li>Avert delays in delivery of paper-based records </li></ul></ul><ul><ul><li>Save millions of dollars by eliminating redundant diagnostic procedures </li></ul></ul><ul><li>BUT, systems integration is too expensive </li></ul><ul><ul><li>No concrete ROI </li></ul></ul>1 Forrester
  7. 7. Universal search: benefits all users <ul><ul><li>Benefits all users … </li></ul></ul><ul><ul><ul><li>Every employee can benefit from faster, simpler access to information </li></ul></ul></ul><ul><ul><li>… But tailored to each user </li></ul></ul><ul><ul><ul><li>Works with existing security mechanisms – LDAP, NTLM, Windows Integrated Authentication </li></ul></ul></ul><ul><ul><ul><li>Can setup various user groups – e.g. only clinicians can access drug treatment information; only management can see P&L dashboards </li></ul></ul></ul><ul><li>Human Resources </li></ul><ul><li>Resumes </li></ul><ul><li>Benefits </li></ul><ul><li>Billing </li></ul><ul><li>Claims </li></ul><ul><li>Office visit detail </li></ul><ul><li>Administration </li></ul><ul><li>Policies and procedures </li></ul><ul><li>Financial databases </li></ul><ul><li>Management </li></ul><ul><li>Profit & loss dashboards </li></ul><ul><li>Strategic plans </li></ul><ul><li>Research </li></ul><ul><li>Academic databases </li></ul><ul><li>Articles and papers </li></ul><ul><li>Clinical Services </li></ul><ul><li>Lab results </li></ul><ul><li>Imaging data </li></ul><ul><li>Clinicians </li></ul><ul><li>Patient records </li></ul><ul><li>Drug / treatment info </li></ul>
  8. 8. Healthcare – benefits of universal search <ul><ul><li>Clinicians : Easy access to drug and clinical data </li></ul></ul><ul><ul><ul><li>Instant access to drug side effects </li></ul></ul></ul><ul><ul><ul><li>Can check demographic information and treatment recommendations before or during patient visit </li></ul></ul></ul><ul><ul><li>Administrators : Eliminate paper-based distribution of policies and procedures </li></ul></ul><ul><ul><ul><li>Universal search enables those who need guidelines access them instantly </li></ul></ul></ul><ul><ul><li>Billing : Reduce billing costs </li></ul></ul><ul><ul><ul><li>Billers can view all records associated with specific office visits or by patient </li></ul></ul></ul><ul><ul><ul><li>Saving time aggregating documents saves overall billing costs </li></ul></ul></ul><ul><ul><li>Over time: 360° view of the patient </li></ul></ul><ul><ul><ul><li>As search encompasses clinical systems, obtain all patient records with a simple search of patient name or ID </li></ul></ul></ul><ul><ul><ul><li>Include medical charts, lab results, x-rays, etc. </li></ul></ul></ul>
  9. 9. Sunnybrook: Intranet, SharePoint, MS Exchange <ul><li>Sunnybrook intranet contained hundreds of thousands of documents </li></ul><ul><li>4 main user groups: </li></ul>Problem <ul><li>One of Canada’s premier health sciences centers, affiliated with Univ of Toronto </li></ul><ul><li>Employs 10,000 staff, physicians, volunteers and students </li></ul><ul><li>Use PCs, laptops, tablets, PDAs </li></ul><ul><li>Patient demographic information </li></ul><ul><li>Clinical guidelines & checklists </li></ul><ul><li>Policies and procedures </li></ul><ul><li>Thousands of PDF and MS Office files </li></ul><ul><li>100 MS SharePoint repositories </li></ul><ul><li>Educational content – webcasts and videos </li></ul><ul><li>Multimedia library </li></ul><ul><li>Intranet files </li></ul><ul><li>Employee directory </li></ul><ul><li>MS Exchange </li></ul>“ We were using a search solution bundled with our web application development software. The quality of search results were poor. User satisfaction was low” - Oliver Tsai, Director, Information Technology Clinicians Administrators Medical Students All employees
  10. 10. Sunnybrook: Intranet, SharePoint, MS Exchange Results <ul><li>One of Canada’s premier health sciences centers, affiliated with Univ of Toronto </li></ul><ul><li>Employs 10,000 staff, physicians, volunteers and students </li></ul><ul><li>Obtain high quality search results </li></ul><ul><li>Deliver more informed patient care </li></ul><ul><li>Eliminated paper-based distribution of policies and procedures </li></ul><ul><li>Make better decisions </li></ul><ul><li>Readily find educational content they need </li></ul><ul><li>Access employee directory </li></ul><ul><li>Common intranet files </li></ul>“ The Google Search Appliance has unlocked and revealed information we didn’t know we had.” - Oliver Tsai, Director, Information Technology “ We previously updated policies and procedures on paper and distributed them to hundreds of different locations. With the Google Search Appliance, we have been able to discontinue paper policies and procedures altogether. It’s a big administrative win.” Clinicians Administrators Medical Students All employees
  11. 11. Traditional search technology for millions of docs + Disaster Recovery Server + Patch Deployment Management Server + Volume License Management Server
  12. 12. Google Architecture: 10M documents in a box
  13. 13. Google Apps – Power in the Cloud Security Messaging Compliance Give employees powerful messaging and collaboration tools without the usual IT hassle and cost Google Apps Platform Collaboration
  14. 14. Google Apps Can Transform Your Business Productive employees Less time searching for information, more time using information Lower IT cost and complexity Scalable, reliable cloud computing with less maintenance Reduced security and compliance risks Move the business forward while ensuring you’re protected
  15. 15. Genentech (Oh, an let you focus on your business not IT) <ul><ul><li>Drivers: Increase collaboration, access to innovative technology & mailbox size </li></ul></ul><ul><ul><li>Existing systems: </li></ul></ul><ul><ul><ul><li>Oracle Calendar </li></ul></ul></ul><ul><ul><ul><li>On premise Exchange 2003 </li></ul></ul></ul><ul><ul><ul><li>15,000 users </li></ul></ul></ul><ul><ul><li>Results: </li></ul></ul><ul><ul><ul><li>Projected savings: $8M over 3 years </li></ul></ul></ul><ul><ul><ul><li>Helpdesk ticket volume: Lower than expected </li></ul></ul></ul>
  16. 16. High cost of maintaining messaging and collaboration software Google Confidential Operating system Mobile device Mobile delivery server Spam filter Security servers Email servers Backup Storage servers Tape backup DB Content Repositories Database to Support Content Repositories
  17. 17. Video Share videos Sites Easily created and edited group pages Postini Message Security Protect email from malware and implement compliance policies Google Apps Mail Make e-mail a usable information tool with Gmail Talk Instant messaging within and outside your business Calendar Personal, shared, and public calendars Docs Simple real-time document collaboration from anywhere
  18. 18. Local and regional organizations already embracing the Google Apps NSW Schools : 1.5 M students on Gmail Macquarie Uni, Adelaide Uni : 100,000 students on Apps Australian Air Force : Piloting Apps Queensland Dept. Premier and Cabinet : Postini HBOSA : Apps and Postini NZ Stock Exchange : Apps and Postini
  19. 19. Health Care – Geo Solutions <ul><ul><li>Constituent Access </li></ul></ul><ul><ul><ul><li>Greater access to data by your customers </li></ul></ul></ul><ul><ul><ul><li>Easy to use </li></ul></ul></ul><ul><ul><li>Corporate Access </li></ul></ul><ul><ul><ul><li>See customer info graphically </li></ul></ul></ul><ul><ul><ul><li>Use API to bring in information from all business resources (billing, last visit, account ageing, location by symptoms etc.) </li></ul></ul></ul><ul><ul><ul><li>Staffing access, asset tracking etc. </li></ul></ul></ul>
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  22. 22. Thank You! [email_address]