There are lots of great Confluence deployment stories. And then there are a few that are just mind-blowing. This session highlights three incredible Confluence deployments that will make your head turn.
Customer Speakers: Nate Nash of BearingPoint, Tim Colson of Cisco, Connie Taylor of Premier Inc
Key Takeaways:
* Incredible Confluence examples
* Innovative uses of a wiki and enterprise collaboration
Federal Health IT capability; Predictive Modeling/Analytics for Fraud and Abuse Detection;COTS Product and RICE capability; Integration and Reporting Capability
The pending silver tsunami of seniors is expected to reach 20% of the US population, 80 million people, by 2050 with a collective market projected to soon be in excess of $300 billion and a need for more direct care givers than we currently have teachers in all K-12 in the US.
Federal Health IT capability; Predictive Modeling/Analytics for Fraud and Abuse Detection;COTS Product and RICE capability; Integration and Reporting Capability
The pending silver tsunami of seniors is expected to reach 20% of the US population, 80 million people, by 2050 with a collective market projected to soon be in excess of $300 billion and a need for more direct care givers than we currently have teachers in all K-12 in the US.
Learn from the results of the Duke Ohio’s Auditor’s Assessment and other case studies from around the world where real utilities are performing at 99.7 – 100% levels of reliability daily, and achieving the business case benefits of a smarter, future-proof grid.
Learn about:
* The true value of having a proven communications network that delivers true reliability on day 1 of deployment
* The connection between having a reliable and multi-application grid
* Research and observations from MetaVu from recent smart grid assessments
"Leader in Enterprise Solution & Business Consulting. Providing framework for managing large application development & management services with economies of scope and scale."
Many lean-agile teams are being challenged in their growth path. They are not able to grasp the emergent opportunities that are presented by a changing environment and they cannot overcome the barriers to get to the next level of performance.In this interactive presentation, lean-agile practitioners will learn how resiliency thinking can bring them to the next level. Resilience is the ability to survive, adapt, and even grow amidst disruption. It is the capacity to absorb disturbance without losing (team) identity. While resilience models have been mainly developed n socio-ecological research, we will show how they can drastically enhance lean-agile thinking. We will show how to analyze a team from a resilience perspective using the panarchy model and its adaptive cycles; and we will demonstrate how to improve resiliency through modularity, diversity, and translational leadership.
Participant will leave the session with the insights to bounce back from disruptions.
This PPT will help you to know economical benefit of video conferencing in different sector. It is on educational level. It will not work as a professional level presentation. this ppt required more facts and figure to actually need that data. MBA, BMS, or any educational level presentation will get much more data from it, This will be sufficient for student level presentation
What does the future hold for pharmacy benefit managers (PBMs)?
This webinar discusses:
How to better manage patients;
Advantages of formulary ownership;
Is PBM transparency an answer to controlling drug costs?
How to better understand data and what is really important.
EXPERT PRESENTERS
Ken Dowell, SVP, Excelsior Solutions; Chairman, Pharmacy Analytics Board
Mike Moloney, VP, Supply Chain Emerging Services Operations, Premier Inc
The 10th Annual Utah Health Services Research Conference: Data: What's available and how we are use it is changing. By: Danielle A. Lloyd, MPH - Premier
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
Learn from the results of the Duke Ohio’s Auditor’s Assessment and other case studies from around the world where real utilities are performing at 99.7 – 100% levels of reliability daily, and achieving the business case benefits of a smarter, future-proof grid.
Learn about:
* The true value of having a proven communications network that delivers true reliability on day 1 of deployment
* The connection between having a reliable and multi-application grid
* Research and observations from MetaVu from recent smart grid assessments
"Leader in Enterprise Solution & Business Consulting. Providing framework for managing large application development & management services with economies of scope and scale."
Many lean-agile teams are being challenged in their growth path. They are not able to grasp the emergent opportunities that are presented by a changing environment and they cannot overcome the barriers to get to the next level of performance.In this interactive presentation, lean-agile practitioners will learn how resiliency thinking can bring them to the next level. Resilience is the ability to survive, adapt, and even grow amidst disruption. It is the capacity to absorb disturbance without losing (team) identity. While resilience models have been mainly developed n socio-ecological research, we will show how they can drastically enhance lean-agile thinking. We will show how to analyze a team from a resilience perspective using the panarchy model and its adaptive cycles; and we will demonstrate how to improve resiliency through modularity, diversity, and translational leadership.
Participant will leave the session with the insights to bounce back from disruptions.
This PPT will help you to know economical benefit of video conferencing in different sector. It is on educational level. It will not work as a professional level presentation. this ppt required more facts and figure to actually need that data. MBA, BMS, or any educational level presentation will get much more data from it, This will be sufficient for student level presentation
What does the future hold for pharmacy benefit managers (PBMs)?
This webinar discusses:
How to better manage patients;
Advantages of formulary ownership;
Is PBM transparency an answer to controlling drug costs?
How to better understand data and what is really important.
EXPERT PRESENTERS
Ken Dowell, SVP, Excelsior Solutions; Chairman, Pharmacy Analytics Board
Mike Moloney, VP, Supply Chain Emerging Services Operations, Premier Inc
The 10th Annual Utah Health Services Research Conference: Data: What's available and how we are use it is changing. By: Danielle A. Lloyd, MPH - Premier
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
The Expansion and Acceleration of Value-Based CarePremier Inc.
This presentation highlights the rapid shift to value-based care that's occurring in the healthcare industry and was originally presented at Premier's annual Governance Conference.
Case study from MedImpact for UAF. Learn about how FIDO-enabled products using UAF have helped MedImpact reach their goals in achieving simple and secure authentication.
IBM Healthcare Business Analytics solutions including Cognos, TM1 and SPSS. How healthcare challenges are met and costs are optimized through the use of Data Visualizations, Performance Management, and Predictive Analytics.
Preparing for the Coming Change: An Overview of the Healthcare Analytics MarketHealth Catalyst
Jim Adams, Executive Director, The Advisory Board, discusses the two market forces in particular, population health management and the retail revolution, that are driving the need for new applications of analytics and business intelligence (BI).
Attendees will learn:
The role of analytics in population health and the growing retail market
The key challenges provider organizations are facing in developing analytics capabilities
The pros and cons of the core strategies providers are utilizing to develop analytics capabilities and the vendors that map to those strategies
Bring your most pressing healthcare problems and spend an hour listening to one of the most seasoned industry analysts talking through the top forces shifting the landscape of the healthcare market in 2015.
We hope you'll come away with some insight and refined thinking about solutions that will drive your work forward. Please do join us.
Labor productivity for healthcare organizationsAlithya
Edgewater Ranzal webinar on the importance of managing labor productivity within healthcare organizations.
- Labor is one of the largest cost pools within healthcare
- Healthcare organizations are being asked to provide
quality care and at the same time decrease costs
Building Health 2.0 Into the Delivery Systemscottshreeve
Today we will explore the current state of the movement, to assess how Health 2.0 is beginning to change the actual delivery of health care. We will discuss the state of the art with current thought leaders - from small independent clinics to large integrated delivery systems - who are adopting and adapting to enabling technologies that are part of a larger transformation to a next generation health system. We will also see presentations from three different platforms, who based on their collective recent media blitz, are clearly at the bleeding edge of a brave new world full of possibilities.
Davin Lundquist, MD
CMIO
Dignity Health Medical Foundation
Case Study: "Leveraging technology to build an organizational strategy fostering staff competency & physician satisfaction"
Health IT systems will never please all users however providers are employing strategies that can significantly improve user satisfaction. Staff re-education and continually measuring the effectiveness of initiatives can make a positive impact on an organization’s ability to realize gains with IT. This presentation will explore Dignity Health’s lessons learned and organizational strategy to ensure staff competency levels and physician satisfaction.
Dignity Health is a family of more than 60,000 caregivers and staff delivering excellent care to diverse communities across 17 states. Founded in 1986 and headquartered in San Francisco Dignity Health is the fifth largest hospital provider in the nation and the largest hospital system in California.
Automated, Standardized Reporting of Patient Safety and Quality Measures to E...Edgewater
Edgewater and UPenn presented on "Moving from Volume to Value Based Care" at The World Congress 10th Annual Healthcare Quality Congress, August 2-3, 2012.
Event brochure for the upcoming Clinical Data Standardisation and Managment event in London, June.
The event will feature best practice case studies from CDISC
We aim to celebrate women every day, but we’re taking today to give special recognition to womxn at Atlassian continue who inspire and lead.
For #InternationalWomensDay, we asked Atlassians to nominate and recognize amazing womxn at Atlassian who inspire them, challenge them, and truly represent Atlassian values.
Ever wondered what Atlassian engineers do in their 20% time? Join Forge engineering lead Tim Pettersen on a lightning tour of how Forge is being used inside Atlassian. Attendees will get a rare view into some of the apps, tools, and tweaks we’ve built internally on top of Forge in the spirit of dogfooding and innovation. Come along and be inspired with some great ideas for improving and automating your own teams' workflows!
Let's Build an Editor Macro with Forge UIAtlassian
Race out of the gate with Forge UI: a new way of building UI extensions for Atlassian products. In this session, Forge UI Developer Experience lead Peter Gleeson will demonstrate how build an Editor macro from scratch! Attendees will learn about Forge foundational concepts such as the FaaS dev loop, Forge CLI, and how to construct UIs from Forge UI components.
This session provides a great introduction to the Forge platform for any developer looking to get productive with editor apps and Forge UI.
In the words of Jeff Atwood: “JavaScript is the lingua franca of the web”. It’s also the first language we’ve chosen to support in Forge. In this session, Forge engineer Shorya Raj will walk through the Node.js isolate based runtime you’ll be using to write apps for Forge.
Attendees will learn about the unique features of the Forge JavaScript Runtime, such as automatic authentication and tenant context management. Shorya will also cover the differences between the Runtime, conventional browser, and Node.js APIs.
Developers or attendees with some programming experience will get the most out of this session.
Forge UI: A New Way to Customize the Atlassian User ExperienceAtlassian
UI extensibility is an integral part of Atlassian's ecosystem story. In cloud, traditionally this has been accomplished with the humble iframe. In this session you will learn about Forge UI, an additional and innovative way to build visual apps for Atlassian products.
Join Product Manager Simon Kubica and Senior Developer Michael Oates from the Forge team in exploring the underlying concepts and technology powering Forge UI, and learn how it will unlock exciting new opportunities in our ecosystem.
The Forge platform contains some powerful primitives for binding functions to Atlassian events and webhooks emitted by third-party SaaS systems. Join Platform Services Engineer Tomek Sroka as he gets hands-on with Forge Product Triggers and Web Triggers to build a powerful integration with surprisingly little code.
Attendees will walk away with a good understanding of the Forge dev loop and some tips and tricks for improving their own team’s workflows.
Observability and Troubleshooting in ForgeAtlassian
Observability is a critical component of any Cloud development platform, and we have some exciting logging, monitoring, and debugging features planned for the Forge toolchain.
In this lightning talk, Senior Developer James Hazelwood from Forge infrastructure team will give an overview of Forge logging and tunnelling features, explain how different environment types effect observability, and share some expert tips and tricks for detecting and troubleshooting issues in your Forge apps.
Trusted by Default: The Forge Security & Privacy ModelAtlassian
Security and trust have become increasingly important requirements for our customers in Cloud. We’re working to make it easier for you to build and maintain secure apps for Atlassian products.
In this session, Engineering Team Lead Dugald Morrow and Principal Product Manager Joël Kalmanowicz will explain how security and trust have been baked into the Forge framework and the benefits the platform can offer you and your users. Learn how much less work it can be to build trusted apps customers will love on Forge by going deep on the safeguards we’re putting in place.
Developers or attendees with some software security experience will get the most out of this session.
Designing Forge UI: A Story of Designing an App UI SystemAtlassian
Creating apps with Forge and its UI frontend components is now easier than ever. Join Senior Designer Allard van Helbergen and Product Manager Josephine Lee as they walk through the story of designing Forge UI.
What is a declarative UI and why did we choose this paradigm? What are all the considerations that go into defining the set of components to build apps with? And how do you make ‘creating apps’ simple? Walk away understanding the foundations of Forge, how all the different components work together, and where Forge UI is headed in the future.
After a day of learning about the exciting features of Forge, get ready for a peek under the hood to discover how it’s all implemented. Join Forge Architect Patrick Streule as he goes deep on topics such as Forge FaaS infrastructure, the internal workings of tenant isolation, and automatic authentication.
Attendees will also get a glimpse of some features we’re looking at building into the future of Forge, such as a serverless data store for apps and more!
Access to User Activities - Activity Platform APIsAtlassian
How do you stay on top of your work when it is scattered across multiple Atlassian products?
"If only there was a single place where I could see all my activity..." - sounds familiar?
We are going to provide you an insight into what lead to the creation of a new Activity API. Following last year’s Atlas Camp announcement from our CTO Sri Viswanath, Atlassian is moving onto GraphQL - new Activity API is one the first pieces of the GraphQL Atlassian Platform and is the technology behind start.atlassian.com.
Join Sergey Meshkov, Senior Developer, who will provide you a sneak peek of the new GraphQL Activity API as it will soon be available to our vendors.
Design Your Next App with the Atlassian Vendor Sketch PluginAtlassian
Our designers work 3x quicker with the Atlassian Vendor Sketch Plugin — and now we’re unleashing these superpowers to the Atlassian Ecosystem. If you mockup screens for code or marketing, we’ll help you drag and drop your way to an Atlaskit design in less than 10 minutes. And if you’re a designer, you’ll want to hear about our pixel-perfect component library and suite of seamless Sketch integrations.
Join Atlassian’s resident Sketch aficionado, Huw Evans, to learn about:
Sketch Components: If it’s in Atlaskit, it’s now in Sketch. And introducing the Symbol Palette, the quickest way to find the right component for the job.
Product Templates: Spark inspiration by building your designs inside realistic screens from Jira & Confluence — or craft hero images for your Marketplace listing!
Color and Text Styles: Heard of N75? H400? If those mean nothing to you, we’ll run through how to make your users feel at home by using Atlassian colors & typography, right inside Sketch.
Data Suppliers: Say goodbye to Lorem Ipsum. Learn how to use Sketch Data Suppliers to generate realistic copy using live data from Jira, Confluence and Bitbucket. Bonus: How we used AI to create people who don’t exist!
♀️ It's All Open Source: How we made it really easy to customise the Atlassian Vendor Sketch Plugin for your team's needs.
Tear Up Your Roadmap and Get Out of the BuildingAtlassian
You’d never knowingly ship something to your customers that didn’t deliver value, would you? Would you still stand your ground if you were under pressure to get a team of developers working on something?
You probably know that one of Atlassian’s most well-known values is “Don’t f*** the customer”, so learn what happened when a lean product team decided to tear up the roadmap because they were brave enough to admit they didn’t understand their customers well enough.
Join Janel Blattler, as she shares how her team used research to unveil a new plan in just a few weeks. You’ll be able to practice some techniques and walk away with a bucket load of inspiration.
Come along if you’d like to run research, but worry that you don’t have enough time or lack the skills to do so – you don’t need to be a researcher on your team. This session is for you if you’re looking for ways to drive customer empathy closer in the team, or you’d like to up your game and discover some new techniques for delivering lean research with actionable insights.
Nailing Measurement: a Framework for Measuring Metrics that MatterAtlassian
When it comes to designing apps and new features, we just can't get enough of metrics. In an age where we can collect data from almost anything, how can we cut through the noise and focus on the right metrics to measure the success and failures of the apps that we’re building?
Join Atlassian Product Manager Josephine Lee as she delves through what exactly makes a good metric. Throughout the talk, we’ll walk through real Atlassian examples of good and bad metrics. By exploring a framework for measurement, we’ll cover detailed features that showcase how best to measure and choose the right set of success, supportive, and counter metrics.
You'll walk away with tips and learnings from Atlassian’s approach to measuring success, and learn how to use data and metrics to inspire action in your apps.
Building Apps With Color Blind Users in MindAtlassian
Color-blind people are using your apps. 1 in 12 men is color blind. And for women, this is 1 in 200.
Building apps that work well for color blind people is not difficult. Some simple techniques help us with the design of our interface. And some tools help us see what color blind people see.
In this talk, Maarten Arts of Avisi will look at common varieties of color blindness. We will look at apps through the eyes of a color-blind person. And we will discover what color-blind people struggle with.
Regardless of whether you're a designer or developer, this talk will equip you with the skills and the tools you need to make sure that your app works for color-blind people.
Creating Inclusive Experiences: Balancing Personality and Accessibility in UX...Atlassian
The words we choose have the power to include or alienate our users. The reality is that for many, English is spoken as a second language. And unless you're going to localize your product for those major non-English speaking markets, you'll need to thoughtfully create content that is accessible to a larger audience.
But how do we create products that maintain a sense of personality without isolating a wide audience of non-native speakers?
Join Atlassian Content Designer, Roana Bilia, as she walks you through why thoughtful, inclusive content, is key to creating well-designed user experiences. You'll walk away with foundational principles for good UX copy when optimizing your product UI, a few quick wins that you as creators and developers can incorporate into your next products, as well as a set of mistakes to avoid that companies—including Atlassian—have made, which prioritized native speakers but isolated non-native speakers.
Beyond Diversity: A Guide to Building Balanced TeamsAtlassian
We hear it all the time, and we get it. Diversity and inclusion are important! But isn't it an HR problem? HR may be able to help with diversity but inclusion or creating an inclusive environment is everyone's responsibility. So how do we create an inclusive environment that celebrates diversity and engages and supports everyone? Isabel Nyo will be sharing best practices and lessons she has learned along the way. She will also be sharing her experience as a minority, a female technical leader, in the technology industry.
The Road(map) to Las Vegas - The Story of an Emerging Self-Managed TeamAtlassian
In September 2018, K15t took its mission to go self-managed to the next-level when the entire company worked together to decide on the Next Big Thing™ to build for Atlassian users and present it at Summit in Las Vegas.
In this session, Anshuman Dash, an intern turned software engineer, turned product manager, shares his journey of professional self-discovery. In under five months, he joins a freshly assembled, self-managed team in building a new Atlassian Marketplace app.
Dash will give a quick intro to what it means for a team to be self-managed. Then, he'll share his observations and experiences on the team, as well as the best-practices, patterns, and processes K15t has discovered along the way.
Whether you are a new team with a kick-ass product idea or a big company figuring out ways to scale, this talk will provide you with practical tips and ideas your team can try out!
Designing for the enterprise comes with a unique set of challenges; ensuring readability and accessibility at scale, meeting the needs of multi-layered organizations, and building a trust when your software - used by dozens of thousands of employees - is considered mission-critical.
At Atlassian, we've spent countless hours digging deep into our enterprise customer's needs and we've gathered a vast repository of insights.
In this talk, Pawel Wodkowski, a senior designer on Jira Server, will share all that we've learned from our research (while not being shy about busting some of those wild admin myths!). You'll get a crash course in what it means to design for scale the Atlassian way.
Connector Corner: Automate dynamic content and events by pushing a buttonDianaGray10
Here is something new! In our next Connector Corner webinar, we will demonstrate how you can use a single workflow to:
Create a campaign using Mailchimp with merge tags/fields
Send an interactive Slack channel message (using buttons)
Have the message received by managers and peers along with a test email for review
But there’s more:
In a second workflow supporting the same use case, you’ll see:
Your campaign sent to target colleagues for approval
If the “Approve” button is clicked, a Jira/Zendesk ticket is created for the marketing design team
But—if the “Reject” button is pushed, colleagues will be alerted via Slack message
Join us to learn more about this new, human-in-the-loop capability, brought to you by Integration Service connectors.
And...
Speakers:
Akshay Agnihotri, Product Manager
Charlie Greenberg, Host
DevOps and Testing slides at DASA ConnectKari Kakkonen
My and Rik Marselis slides at 30.5.2024 DASA Connect conference. We discuss about what is testing, then what is agile testing and finally what is Testing in DevOps. Finally we had lovely workshop with the participants trying to find out different ways to think about quality and testing in different parts of the DevOps infinity loop.
Search and Society: Reimagining Information Access for Radical FuturesBhaskar Mitra
The field of Information retrieval (IR) is currently undergoing a transformative shift, at least partly due to the emerging applications of generative AI to information access. In this talk, we will deliberate on the sociotechnical implications of generative AI for information access. We will argue that there is both a critical necessity and an exciting opportunity for the IR community to re-center our research agendas on societal needs while dismantling the artificial separation between the work on fairness, accountability, transparency, and ethics in IR and the rest of IR research. Instead of adopting a reactionary strategy of trying to mitigate potential social harms from emerging technologies, the community should aim to proactively set the research agenda for the kinds of systems we should build inspired by diverse explicitly stated sociotechnical imaginaries. The sociotechnical imaginaries that underpin the design and development of information access technologies needs to be explicitly articulated, and we need to develop theories of change in context of these diverse perspectives. Our guiding future imaginaries must be informed by other academic fields, such as democratic theory and critical theory, and should be co-developed with social science scholars, legal scholars, civil rights and social justice activists, and artists, among others.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
"Impact of front-end architecture on development cost", Viktor TurskyiFwdays
I have heard many times that architecture is not important for the front-end. Also, many times I have seen how developers implement features on the front-end just following the standard rules for a framework and think that this is enough to successfully launch the project, and then the project fails. How to prevent this and what approach to choose? I have launched dozens of complex projects and during the talk we will analyze which approaches have worked for me and which have not.
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
Neuro-symbolic is not enough, we need neuro-*semantic*Frank van Harmelen
Neuro-symbolic (NeSy) AI is on the rise. However, simply machine learning on just any symbolic structure is not sufficient to really harvest the gains of NeSy. These will only be gained when the symbolic structures have an actual semantics. I give an operational definition of semantics as “predictable inference”.
All of this illustrated with link prediction over knowledge graphs, but the argument is general.
Software Delivery At the Speed of AI: Inflectra Invests In AI-Powered QualityInflectra
In this insightful webinar, Inflectra explores how artificial intelligence (AI) is transforming software development and testing. Discover how AI-powered tools are revolutionizing every stage of the software development lifecycle (SDLC), from design and prototyping to testing, deployment, and monitoring.
Learn about:
• The Future of Testing: How AI is shifting testing towards verification, analysis, and higher-level skills, while reducing repetitive tasks.
• Test Automation: How AI-powered test case generation, optimization, and self-healing tests are making testing more efficient and effective.
• Visual Testing: Explore the emerging capabilities of AI in visual testing and how it's set to revolutionize UI verification.
• Inflectra's AI Solutions: See demonstrations of Inflectra's cutting-edge AI tools like the ChatGPT plugin and Azure Open AI platform, designed to streamline your testing process.
Whether you're a developer, tester, or QA professional, this webinar will give you valuable insights into how AI is shaping the future of software delivery.
3. Who Is Premier?
Premier is bringing nationwide knowledge to improve
local healthcare
Local healthcare
Shared goals:
Better outcomes
Safely reducing cost
Owners
Affiliates National alliance
Perinatal Initiative
• Owned by 200+ not-for-profit hospitals and health systems
• Serving more than 2,000 hospitals and 50,000 other providers
• Sharing of clinical, labor and supply chain data for performance improvement
• $31 billion in group purchasing volume
• Recipient of 2006 Malcolm Baldrige National Quality Award
• Together with our member healthcare providers, Premier’s core purpose is “to improve
the health of communities.”
2
4. The Premier Perinatal Safety Initiative
A 21 month collaboration of 17 hospital systems nation-wide seeking to
improve perinatal patient outcomes, while improving provider
communication, culture of safety, and patient satisfaction.
The Objectives
• To develop, implement, and measure best practices designed to
improve reliability of clinical quality and improve patient outcomes
in labor and delivery.
• To facilitate the spread of improved healthcare delivery processes
• To lower costs for the hospital and the patient
Expected Results
• Improve healthcare team work and team communication
• Reduce birth trauma and maternal trauma
• Obtain measurable improvement in staff culture of safety
• Increase consistent use of evidence-based protocols and best
• practices in the perinatal area, as appropriate
• Improve and measure clinical outcomes and patient satisfaction in
labor and delivery
• Lower the cost of care and potential liability exposure
3
5. Why Is Premier Doing this?
Birth Trauma: Low Frequency BUT High Severity Problem
A “blind spot” to the need for quality improvement may arise due to the
low number of adverse outcomes*
• 5 birth related injuries per 1,000 deaths
• 1 bad brachial plexus injury per 33 years of practice (assuming 140 deliveries per
year by physician)
• 1 hypoxia-related case of Cerebral Palsy per 48 years
Even one birth related injury or death has significant impact on all
involved.
• Victims and families
• Clinical care providers
• Legal consequences
• Insurers
• Public assistance resources
OB claim payments and costs are the highest of all specialties.**
• $2.8 billion paid OB claims (1985-2005)-23% of total payouts
• Highest average loss of any specialty at $711,845
• Malpractice insurance costs rank first or second highest
• Median birth injury loss $2.5 million vs. $1.18 million all others
*Journal of Maternal-Fetal and Neonatal Medicine 2003. 13:203
**Physician Insurers Association of America Data Sharing Report 10/31/06 4
6. Premier Perinatal Safety Initiative Components
Goals
Create High
Increase Patient Reduce
Reduce Harm Reliability
Centered Care Costs
Perinatal Units
Best Practices
Care Bundles Shoulder Risk
(Induction, Augmentation,
Dystocia Management
Devices) (1st 48 hours response)
Foundational Concepts
Situational
“Quality Reliable Awareness
Team Cost Analysis EFM
Basics” Metrics
Building & & Critical (Supply Chain, LOS,
(Common
(Reliability
and Data Events Training Claim/Legal)
Interpretation and
Concepts, Communication Communication)
PDCA model) Development (Simulation &
Debriefing)
55
7. So where does Confluence come in?
Reliable
• Premier needed a technology Team
Building &
Metrics
platform to support the foundation Communication
and Data
Development
of the Perinatal Safety Initiative.
• The solution was needed within four months of launching the initiative
and at a low cost.
• Premier was already using Confluence (and Jira) internally for
software development teams to share knowledge and manage the
software lifecycle.
• After analysis of the business requirements, the Premier IT team
determined that Confluence gave us the right platform at the right
price to quickly deploy and customize in order to provide the right
solution.
6
8. How did we use Confluence?
• Confluence is used to enable the participating hospitals to engage in
online discussion, share best practices, and collect and report on a
set of key OB metrics.
• We created a “global” space for all hospitals to share information and
individual “team” spaces for hospitals to share information within their
own teams
• Premier partnered with Customware Inc to create a theme that would
support the usability and navigation requirements of our users.
• Premier internal development created a metrics collection, repository,
and reporting capability that is tightly integrated with Confluence.
7
9. The Techie Details
• Deployed on Confluence 2.6 in February 2008 and migrated to 2.9 in January
2009.
• Built a Java application for the metrics collection and reporting leveraging the
confluence security schema:
– Decreased implementation time
– Simplified maintenance and administration
• Protected both the Confluence application and the reports application with
Premier’s standard single sign on tool.
– Used the Seraph project as a great way to tie in our technology stack.
• We were able to use a lot of the plugins within the community to enhance our
site - the Calendar, Blogging, Reporting plugin, Rate Macro.
• We have a number of custom user macros to control common display options
such as footers, help sections, and some common dynamic navigation items.
8
10. The Demo
https://communities.premierinc.com/
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11. What’s Next?
• After the launch of the Perinatal Safety Initiative Premier has created
additional customer facing communities to support our company goal
of “improving the health of communities.”
• Need to continue to explore how we can improve the usability of the
communities for our non-technical users.
• Providing more usage metrics for the business to assist in improving
content and increasing site traffic.
• Working towards integrating Confluence with our customer application
portal built on LifeRay to also increase usage of the site.
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12. Lessons Learned
• Some healthcare professionals may not have email
addresses.
• Some IT folks are now experts on the birthing process.
• LDAP integration had some limitations regarding the ability
to edit profile information.
• We are now trying to use the Remote API for our portal
integration and have concerns about its usefulness.
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28. Blow you Away!!
Confluence on a large scale
Tim Colson, SW Architect, Cisco*
*The views expressed in this presentation are mine and do not necessarily reflect the views of Cisco.
1
30. Who is Tim?
Geek!
• Microbiology
• Internet Developer
• Systems Architect @ Cisco
2
31. Who is Tim?
Geek!
• Microbiology
• Internet Developer
• Systems Architect @ Cisco
Collaborator
2
32. Who is Tim?
Geek!
• Microbiology
• Internet Developer
• Systems Architect @ Cisco
Collaborator
Confluence User since v1.0
2
33. Why am I here?
Experience with rapid growth
500K+
and large scale wiki
pages?
Over 70,000 users
250,000 pages / 4,000+ spaces
~6K active contributors (30d)
~25K total contributors (4yrs)
~300-400K views daily 2004 2005 2006 2007 2008 2009
3
51. Outcome?
~2 weeks to build!
• Small focused non-IT team + CustomWare
• Development, QA, updates and two time zones
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52. Outcome?
~2 weeks to build!
• Small focused non-IT team + CustomWare
• Development, QA, updates and two time zones
619 invitees for 19 live & virtual events
• 90% participation!
• 20K views!
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53. Outcome?
~2 weeks to build!
• Small focused non-IT team + CustomWare
• Development, QA, updates and two time zones
619 invitees for 19 live & virtual events
• 90% participation!
• 20K views!
2 weeks to build!!!
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