HCGlobal is a healthcare organization seeking to modernize its systems and processes to improve patient care, grow its business, and comply with regulations. Its goals include developing a patient-centric care model, increasing specializations, and creating world-class data and reporting capabilities. To achieve these, HCGlobal plans to modernize its IT infrastructure, improve data sharing and interoperability, and leverage technologies like personal health records, telehealth, and business intelligence. The organization aims to enhance care quality, reduce costs, and drive business value through this healthcare architecture and data-driven approach.

1. HCGlobalCase Study…an architectural approach for business growth and patient well being.Bill Wimsatt, Enterprise Architect

2. State of the Healthcare IndustryCost of Healthcare is increasing annually - US spends ~17% of GDPAging population placing intense pressure on systemExtremely mobile world population sets stage for pandemic possibilitiesIncreasing regulation

3. Healthcare Environment StrugglesIncentive SystemVs Payment SystemsCommunity PracticeVs Hospital

4. HCGlobalBusiness GoalsModernize for growth and for intra/inter-organizational interoperabilityDevelop a care model that is patient-centricBecome premier Cancer diagnostic and treatment centerIncrease specializations through mergers

5. HCGlobalIT GoalsIT Modernization with SOAImprove customer experience with PHRCreate world class data intelligence and reportingStandardize/Improve exchanges with CCD HL7IT Plan for business growthComply with HIPPAPhysician portal

6. Leading edge capabilityAligned to some best practicesNo capabilityAligned to most best practicesFirst generation effortAssess – Plan - ExecuteHCGlobalmaylargely achieve the targeted future state by the end of 2013 and must focus on driving business benefits from the capabilities. Core Data capabilities are required to enable key business capabilities. Data AccessService Delivery ModelPMRIInfr. Simp.

7. HCGlobalManaged CareHarmonize Application InfrastructureExploit Internet & Web 2.0MDM & EDW/BIImprove patient care and reduce medical risks

8. Improve efficiencyby reducing redundant care activities

9. Support consumer directed health information management

10. Comply with regulations

11. Enhance operational productivity and efficiencyROI

12. HCGlobalManaged CareHarmonize Application InfrastructureExploit Internet & Web 2.0MDM & EDW/BIImprove patient care and reduce medical risks

13. Improve efficiencyby reducing redundant care activities

14. Support consumer directed health information management

15. Comply with regulations

16. Enhance operational productivity and efficiencyROI

17. Interoperability FrameworkContractsSalesServiceMarketingContractsSalesServiceHealthcare Financial AppsHealthcare Clinical AppsHealthcare Administrative AppsOrder ManagementSupply ChainInternet ProcurementFinancialsHuman ResourcesProjectsOrder ManagementSupply ChainInternet ProcurementFinancialsHuman ResourcesProjectsOracle E-Business PlatformOracle E-Business PlatformHarmonized PlatformEnterprise IntegrationCommon LanguageFuture Investment

18. Service BusHealth Information ExchangeElectronic Health RecordPersonalHealth RecordPharmacyLaboratoryViewer/PortalHospital /ClinicRadiology /ImagingPublic Health2.84SERVICE DELIVERYDATA ACCESS APPLICATIONSPublic Health ProviderPatientLab ClinicianPhysician/NurseRadiologistPharmacistPOINT OF SERVICEAPPLICATIONSHealth Information ExchangelICD-10HIPAA5010Analysis Services Reporting

19. Analytics

20. Data WarehousePatient Information Services Record Location & Management

21. Entity Identification

22. Distributed Data Access (CRUD)

23. Indexing

24. Replication

25. Workflow & Business RulesTerminology ServiceInfrastructure Services Security & Privacy

26. Provider/Patient Registries

27. Communications

28. Medical device integrationPublic Health Services Outbreak Management

29. Detection & Notification

30. VisualizationInteroperability Services Data Interchange

31. Legacy System Adapters

32. SimulatorService LibraryCommon Services

33. InteroperabilityProvidersPatientsAdministratorsResearchersNewApplicationsPoint of CareAppliancesInternetHL7 IFEngineBusinessIntelligenceDataMiningDataAccessRegistriesData WarehouseHealthcare Transaction BaseClinicalDataRepositoryMessaging ServicesPerson ServicesTerminology ManagementSecurity and AuditingExternalWarehouseClinical TrialSystem (OC)ClinicalInformationSystemsLaboratoryInformationSystems

34. HCGlobalManaged CareHarmonize Application InfrastructureExploit Internet & Web 2.0MDM & EDW/BIImprove patient care and reduce medical risks

35. Improve efficiencyby reducing redundant care activities

36. Support consumer directed health information management

37. Comply with regulations

38. Enhance operational productivity and efficiencyROI

39. Blueprint Summary – Core Data Objectives and ScopeThe goal is to build baseline competencies and functionality that will positionHCGlobalto develop enhanced capabilities.PMICore Data

40. Patients vs PatienceDo we know the patient?What ‘view’ of the patient are you allowed to see?Is this the correct patient?What other information do we know about the patient?What can we do with this patient information?How do we get to theother informationabout the patient?How do we keep the patient information in-sync?Patient ID: The ‘Foundation’ of Interoperability

41. Interoperability Starts with Patient IdentificationP&C policyholder dataDebbie Dozier -Becker9146 E VIA DEL SOLNETOWN, CA 45883Local identifier12/19/61 – 727Trusted systemof recordClaims and billing dataDebbie Becker9146 VIA DEL SOLNETOWN, CA 45883480-473-34865555-55-1234Debbie BeckerNULL5555-55-1234Local identifierDBECKER1234Debbie DozierNEED INFO5555-55-1234Local identifier12345ABCDE1: 12/19/61 – 7272: DBECKER12343: 12345ABCDE4: HOSPABC987655: BECKER4807343486Commercial policyholder dataDebbie Becker9146 E VILLA DEL SOLNETOWN, CA 45885Local identifierHOSPABC98765Web self service dataDebbie Becker9146 VIA DEL SOL480-473-3486Local identifierBECKER4804733486Patient MasterDerive & standardize data for efficiencyFind all potential matchesUse sophisticated probabilistic statistics to compare many attributes & score records

42. HCGlobalData WarehouseData Throughput is no longer 30-60 day window

43. Transaction Time Window (RT/NRT)

44. Cost of Money

45. Need to bill at time of discharge

46. Comprehensive Data Environment

47. Care Team – Medical Records – Finance

48. Real Time ICD-10 coding

49. Payment method (Insurance Plan) may dictate care pathHCGlobalManaged CareHarmonize Application InfrastructureExploit Internet & Web 2.0MDM & EDW/BIImprove patient care and reduce medical risks

50. Improve efficiencyby reducing redundant care activities

51. Support consumer directed health information management

52. Comply with regulations

53. Enhance operational productivity and efficiencyROI

54. Healthcare 2.0 Architecture18Provider, Payer, Purchaser ApplicationsCollaborateCommunicateDevices

55. Platform for InnovationPatient CareTreatmentP4PResearchProfitability/EfficiencyInnovationInnovationTime in Market"If automakers were paid by the bolt, cars would be brimming with bolts," Harvard Medical School professor Jeff Levin-Scherz, April 2010 Harvard Business ReviewAdvanced Data Research with 11g RDFCollaborationStructured & Unstructured Content Access

56. Moving Beyond Standard BI & Statiscal AnalysisPatient “has manifestation” spinal injuryProcedure “has associated anatomic” cell tissue damageProcedure “decreases” recovery timeExtreme lateral interbody infusion (XLIF)Minimizes tissue damageDecreases recovery timeStd. Insurers “experimental procedure” – accepted useNuvasive “provides” XLIF productsUniversity ResearchInsurance Industry DatastoreMedical Technology Database

57. HCGlobalHarmonize Application InfrastructureExploit Internet & Web 2.0MDM & EDW/BIImprove patient care and reduce medical risks

58. Improve efficiencyby reducing redundant care activities

59. Support consumer directed health information management

60. Comply with regulations

61. Enhance operational productivity and efficiencyROI

62. Systemic Approach to Business ValueFinancialHospital Bed DaysHeadcount productivityColon Cancer ScreeningCapital equipment cost avoidanceCosts per ED VisitCost per PrescriptionGeneric PrescribingNon FinancialCustomer satisfactionIntellectual property risk reductionProduct development agilityRegulatory compliance

63. Structure for Maintaining & Monitoring Portfolio18 %50 %27 %

64. Communication

65. Thank YouBill WimsattEnterprise Architectwaw@1783.com