As a global research, technology and performance improvement partner for over 180,000 leaders in healthcare and higher education, The Advisory Board Company is at the forefront of helping providers leverage investments in electronic medical records and identity management to deliver secure, consistent access across every digital channel from web to mobile and beyond. In this session, Ivan Sager, Director of Product Engineering, The Advisory Board Company, will discuss how API integration, mobile SDKs and centralized security are critical capabilities for driving innovation in healthcare. For more information, please visit http://cainc.to/Nv2VOe

1. The Advisory Board Company Drives
Healthcare Transformation with APIs and
Mobile SDKs
Ivan Sager
DevOps: API Management and Application Development
• The Advisory Board
• Director, Product Engineering
• Session Number: DO3X100S
• @ivansager
• #CAWorld

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THE ADVISORY BOARD COMPANY IN NUMBERS
RESEARCH
AND INSIGHTS
• Dedicated to the most
pressing issues and concerns
in health care
• 300+ industry experts
on call
• 200+ customizable forecasting and
decision-support tools
Memberships Offering Strategic
Guidance and Actionable Insights
PERFORMANCE
TECHNOLOGIES
National Peer Collaboratives Powered by
Web-Based Analytic Platforms
• Leading provider: Over 50% of inpatient
admissions in the United States flow
through our technology platforms
• Over 1.6 million user sessions annually
• Key challenges addressed: physician
performance, population health,
revenue cycle, referral growth, surgical
profitability, and supply/ service cost
CONSULTING
AND MANAGEMENT
Seasoned, Hands-On Support and
Practice Management Services
• 2,500+ years of “operator” experience
in hospital and physician practices
• Principal terrains: hospital-physician
alignment/practice management,
transition to value-based care,
revenue cycle optimization, hospital
margin improvement
• Range of engagements from
strategy/diagnostic to best practice
installation to interim management to
fully managed services
TALENT DEVELOPMENT
Partnering to Drive Workforce Impact
and Engagement
• Impacted the achievement of 84,000+
executives, physicians, clinical leaders,
and managers
• 18,500+ outcomes-driven workshops
tailored to partners’ specific needs
Survey Solutions
• Customized strategies for improving
employee and physician engagement
• National health care-specific
benchmarking database of 740,000
respondents
180,000+
health care leaders
served globally
$700+
million in realized
value per year
1,700+
engagements
completed
7,700+
employee-led
improvement projects
3,900+ 2,800+ 1,700+
Hospitals and health care
organizations in our membership
Health care
professionals employed
Hospitals using our
performance technologies

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ALWAYS LOOKING TO IMPROVE…AS WE EVOLVE
• The drive to acquire
• The drive to defend
• The drive to bond
• The drive to comprehend
• The drive to improve

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AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING
• Find a customer
• Expand customer base
• Expand your offering
• Build partnerships
• Improve broader outcomes

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AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING
• Find a customer
• Expand customer base
• Expand your offering
• Build partnerships
• Improve broader outcomes

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AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING
• Find a customer
• Expand customer base
• Expand your offering
• Build partnerships
• Improve broader outcomes

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OUR JOURNEY CONTINUES TO EVOLVE
API Fabric …

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GATEWAY
• Enterprise platform
• Categorized functional areas
• Carved out areas for public API’s
• Maintain small nimble teams
AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING

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GATEWAY
• Break down internal silos
• Established operating principals
AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING

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GATEWAY
• High volume transactions
• External partnerships
• Multiple display factors
• Security
AS WE EVOLVE… WE ALWAYS FOCUS ON LEARNING

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GATEWAY
TRANSFORMATION …REQUIRES AN ECOSYSTEM

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GATEWAY
• Convenience over quality
• Collaboration over prescription
• Access over loyalty
WE ARE NOW TECH SAVVY AND WANT OPTIONS
…gain instant access
40%
…save $30
$30
52%

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A JOURNEY DOWN HEALTHCARE TRANSFORMATION
MEANINGFUL USE
• Standards & Interoperability
• Improve care coordination
• Robust data on health systems
• Consumer engagement

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STATE OF US HEALTHCARE

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BENDING THE COST CURVE…
BUSINESS LENS
Pop Health Management
• Information-powered clinical decisions
• Primary care-led clinical workforce
• Community Integration

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BENDING THE COST CURVE…
CONSUMER LENS
Patient activation
• Healthcare choices
• Patient accountability
• Smart Devices

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BENDING THE COST CURVE…
TECHNICAL LENS
Standards | Interoperability
• API transaction services
• Versions and compatibility
• Standards & Security
• Developer activation

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STICHING IT TOGETHER
Hospitals were not
originally intended to
become mega-technology
centers. Yet, in order to
survive and thrive, that is
what they have become
while harnessing their
existing investments.
Source: https://www.ecri.org/Press/Pages/Interoperability-Challenges-and-Risks.aspx

19. Our API Fabric Approach…

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OUR CURRENT API FABRIC CAPABILITIES
Member
Applications
Crimson
Business
Applications
Partner
Applications
API Fabric Capabilities
Gateway
ensure
security,
compliance,
reliability
and QOS
API Portal
ease of publishing/
discovering usable
API services across
the firm
API
Management
effective monitoring
and reporting;
auditing; logging
Standards and Governance
Cost&Ops HigherEd iRound RevCycle
Deployment
Automation
deployment
automation of sites
for single/multiple
tenant products
MAG
Securely
share data
outside our
four walls
Devices

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OUR CURRENT API FABRIC CAPABILITIES
Member
Applications
Crimson
Business
Applications
Partner
Applications
API Fabric Capabilities
Gateway
ensure
security,
compliance,
reliability
and QOS
API Portal
ease of publishing/
discovering usable
API services across
the firm
API
Management
effective monitoring
and reporting;
auditing; logging
Standards, Governance, Developer Activation & Security
Cost&Ops HigherEd iRound RevCycle
Deployment
Automation
deployment
automation of sites
for single/multiple
tenant products
MAG
securely
share data
outside our
four walls
Devices

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A QUICK TALK ON STANDARDS AND GOVERNANCE…
Standards
Provide guidelines with boundaries
and examples that force
consistency, maintainability, and
best practices across applications
while aiming to balance
architecture principles with a
positive developer experience.

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A QUICK TALK ON STANDARDS AND GOVERNANCE…
Governance
Is not only intervention, but a guard
rail and safety net to provide
regulated requirements efficiently,
effectively and automated where
possible.

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A QUICK TALK ON DEVELOPER ACTIVATION…
Developer Activation
• Make it simple
• Commoditize patterns
• Manage and scale SDK updates

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A QUICK TALK ON CENTERALIZED SECURITY…
Security
Mobile devices, the cloud, social
networks have changed the way The
Advisory Board partners with
members.
Everyone needs simple and secure
access to all their apps from
anywhere on any device

26. API Fabric …

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SUPPORT OUR GLOBAL TEAMS
Single Tenant vs.
Multi-Tenant
Varied software
release cycles
across our teams

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Extensive Data Warehouse
• Every data source captured
• All permutations considered
• Incremental load for certain data
TO INTEGRATE, MOST THINK OF AN INTERSECTION

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REST Web-Services
• Only Hypermedia services
• Complete architecture purity
• No to SOAP
TO INTEGRATE, MOST THINK OF AN INTERSECTION

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HYBRID MODEL: FLEXABLIE, SECURE AND SCALABLE
Inpatient
Ambulatory
Practice LDAP
Data Warehouse
• Provides us a transparent way to
rationalize services
• Let’s us empower our teams to what is
right for their needs in a standard way.
• Provide centralized (v)locations for
services .
• Central logging and correlation visibility.

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CHANGING THE CULTURE, BOTTOM-UP
API Fabric Certification program
Certified API Fabric Architect
Certified API Fabric Specialist
Certified API Fabric Developer

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KEY GOALS IN THE NEXT 3 MONTHS?
• Scale our operations internally by
moving support to our DevOps
organization
• Continue to rationalize our
services/APIs and reduce complexity
• Explore SAAS based models to
facilitate our Public API opportunities
• Finer grained services permission
models and usage tracking

33. 33 © 2014 CA. All rights reserved.
For More Information
To learn more, please visit:
http://cainc.to/Nv2VOe
CA World ’15