Transcript Microsoft Connected Health Framework

Microsoft
NI Healthcare Executive
Breakfast
27 November 2007
Agenda
• 0850hrs
Paul Mason
Ireland Enterprise Director
Introductions / Welcome
• 0900hrs
John Coulthard
Health Director
Strategic direction of Microsoft in Health
Knowledge Driven Healthcare
Overview / examples of relevant case studies
• 0925hrs
Ilia Fortunov
Global Healthcare Architect
Connected Health Framework
Frameworks for Health and Social Services
Agenda
• 1000hrs
Nick Umney
Healthcare Platforms
Executive balanced scorecard for health
Information driven Leadership
Team working and x boundary collaboration
• 1030hrs
Mark Fitzsimons
NI BP Specialist
• Live demo of multi-disciplinary team working
• 1050hrs
Peter Russell
• Close/ Follow Up
NI Regional Manager
Microsoft in Health
John Coulthard dms MBA MIoD
Director, Health and Human Services
Microsoft Corporation
[email protected]
To help people around the world
live longer, healthier lives.
5
Key Issues in Health
Provider
Global Health









Patient safety
Long term conditions
Disparity of access
Cost containment
Outcome-based funding
HEALTH
SYSTEM
Aging population
Chronic disease burden
Severe health worker shortages
Public Health risks: pandemics and
bioterrorism
 Increasing share of national income
devoted to healthcare
 Rapidly increasing, global
population means great demand for
healthcare
Funder/Payer
Consumer




 Managing the family’s health
 Dealing with the “sandwich
generation” effect – caring for older
parents and children at the same
time
 Navigating an increasingly complex
healthcare system – managing
issues of access, cost, and quality
 Information overload from the Web
Medical cost growth
Inconsistent quality
Uninsured and underinsured
Engaging consumers in their health
Access
Affordability
Quality
7
Watch out for the language
• marketing
provision of products or services: the
business activity of presenting products
or services in such a way as to make
them desirable
• communication
the exchange of information between
people, e.g. by means of speaking,
writing, or using a common system of
signs or behaviour
• Customer
Someone that is not ill
8
Healthcare is Becoming
Consumer-centric
Microsoft
Corporation
Confidential and
9
Some thoughts
Professor Lee Hood
Predictive
• Diagnostics that can operate at scale
Advanced forecasting algorithms
Preventative
• Shift away from reacting to illness to attaining and maintaining
wellness
Personal
• All about Me - the consumer - at the center of the healthcare universe
Participatory
• …and connect it all to a social networking framework that involves
and includes all participants
10
The Traditional Healthcare Universe
Consumers (C1 to C5) are forced to interact with facilities –
focused around the needs of the healthcare provider,
employer, payer or supplier, not the consumer
C4
FACILITY
C1
C5
C2
C3
In 1543, Copernicus was the first to propose that the Earth
rotated around the sun, while accepted scientific thought at
the time believed that the Earth was the center of the
universe. Copernicus effectively “changed the center of the
universe”.
11
Healthcare’s “Copernican Shift”
Healthcare is undergoing a “Copernican Shift” – with
the consumer now placed at the centre of the orbits
of various healthcare strategies
Clinic
• Convenience
• Access
Home Prevention
• Knowledge
• Fitness
• Wellness
CONSUMER
Home Outpatient
Hospital
Home Chronic Care
• Knowledge
• Senior Care
• Family awareness
• Hospital in/outpatients
• Results
• Access
• Visits
• Access
• Monitoring
Microsoft Connected Health Framework
13
Wellness to Illness....
Too
Late
Consumer
• Online
• Media
• Alternative
• Pharmacy
Primary
Care
• GP
• Community
• Private
Secondary
Care
• Referral
• Trauma
14
What is Causing the
Consumer-centric Shift?
Microsoft
Corporation
Confidential and
15
Increasing Consumer Involvement in HC
HOME CARE
Specialty
Pharmacy
100%
Healthy,
Independent Living
Community
Clinic
Chronic
Disease Management
Quality of Life
The “total-system
healthcare win” is
in the home
GP
SHIFT
LEFT
COMMUNITY CARE
• Lower cost (good for
commissioners)
• Higher quality of life
(good for consumers)
The key focus for
all competitors will
be on home-based,
consumer-centric
healthcare solutions
HOME CARE FOCUS:
Assisted Living
Skilled Nursing
Facility
ACUTE CARE
Specialty Clinic
Community Hospital
ICU
0%
£1
£10
£100
Cost of Care per Day
£1,000
£5,000
Prevention
• Knowledge
• Fitness
• Wellness
• Communications
Chronic Care and
Outpatient
• Medications
• Monitoring
• Community
• Medical
Communications
16
Non Medical
Cost Matrix
Wellness
Alternative
Medical
Prevention Fitness
Chiropractics
Acute
Healthcare
Cosmetic Surgery
Elderly care
Government
Individual
Who pays
17
Web is too rich to be
reduced to a wodge of
paper
Microsoft
Corporation
Confidential and
18
Search is not the Answer
Microsoft
Corporation
Confidential and
19
Healthcare is Complex for Consumers
Purchasers
Employers
“the patient
group”
Providers
Health
Industry
20
21
Microsoft Corporation
Confidential and Privileged
DISCOVERY
READ
LEARN
STORAGE
SHARE
22
Microsoft Corporation
Confidential and Privileged
ACT
Access will not be equal
Digital Natives will
have all the access
Analogists will have a tough time
Digital Immigrants will
have to keep expecting
change
A large partner
ecosystem
supported by more
than 700 Microsoft
employees
Our Commitment
2007
1995
MSHUG
formation
1995
Growing
Healthcare Presence
Active X for Healthcare
Windows NT
SQL Server
Partner ecosystem
development
Microsoft
Healthcare
Team
established
1995
1996
health
&
fitness
2000
Health
Solutions
Group
2002
2006
Acquisition
of Azyxxi
Peter Neupert
Re-joins
Microsoft
from
Drugstore.com
to incubate
and lead HSG
1999
1998
2005
Acquisition
of Global
Care
Solutions
2003
2005
2007
2007
Acquisition
of Medstory
US launch of
HealthVault
2006
2007
24
Frameworks
Healthcare is Complex for Providers
“On the floor”
“Behind the scenes”
26
Knowledge Driven Health
Connecting people and systems, enabling improved collaboration for more
informed decision making, improving patient safety, personal health and
clinical outcomes.
Solutions
Health
Information
Care
Management
Health Back
Office
Public Health
Delivery
Transformation
Shared Services
Policy
Infrastructure
Connected Health Platform
Business Productivity
Architecture and
Design Blueprint,
Reference
Implementations
Application Platform
Core Infrastructure
Privacy
Usability
Accessibility
Security
Standards
Interop
Connect  Collaborate  Inform
Business Solutions
Develop new &
consistent Ways of
Working,
behaviours, skills &
competences
Information Exploitation is the result of
coherent interaction between people,
process, information and technology these are the strands of development
Process
Technology
Ensure core
activities are
understood &
managed
Develop coherent,
resilient and
integrated
networks/
systems
Knowledge Driven Health
Connecting people and systems, enabling improved collaboration for more
informed decision making, improving patient safety, personal health and
clinical outcomes.
Solutions
Infrastructure
Policy
Health
Information
Care
Management
Health Back
Office
Public Health
Health Information
• Electronic Health Records
• Health Portals
• Health Information Networks
• Imaging Solutions
Privacy
Usability
Accessibility
Delivery
Transformation
Architecture and
Design Blueprint,
Reference
Implementations
Security
Standards
Interop
Connect  Collaborate  Inform
Business Solutions
Microsoft Connected Health Framework
Dr Ilia Fortunov
Industry Technology Strategist - EMEA
Microsoft Worldwide Health
Connected Health Framework Vision
Define an overarching framework for Health
Industry Architecture
– Best practices for service oriented health information
integration and collaboration architectures
• Enterprise-, state-, province- and country-wide projects
• Leverage available assets to deliver more value faster
• Based on open standards and protocols – platform-agnostic
– Develop ecosystem of CHF-enabled solutions
• Deliver value for customers faster and at lower cost
• Frame of reference for partners solutions
• Easier integration across multiple solution areas
Microsoft Connected Health Framework
31
Connected Health Framework
Business Framework
• The CHF Business Framework uses a service
oriented approach to
– Define business components and major subject areas
– Offer a range of services that can be “orchestrated” to
enable and support business processes
– Leverage existing sources of functionality and
information
• It provides a Business Pattern for Health
Microsoft Connected Health Framework
32
Business Framework
Communications
Operations Management
Security
User Processes
Business Processes
Connected Health Services Hub
Service Interface Components
Patients
Patient Events
Patient Consents
Health Subjects
Care
Pathways
Clinical
Processes
Appointments
GP & Hospital
Systems Access
Healthcare
Professionals
Professional
Groups & Teams
Professional
Permissions
Professional
Access History
Business Components
Data Access Logic Components
Databases
Microsoft Connected Health Framework
33
Connected Health Framework
Technical Framework
• The CHF Technical Framework addresses:
–
–
–
–
–
–
Multiplicity of services, sources of data and systems
Management of patient and clinician identity
Integration across multiple systems
Flexibility and agility
Security
Scalability, Performance and Availability
• It provides a Reference Architecture for Health
Microsoft Connected Health Framework
34
Technical Framework
Communication
Operations Management
Security
Collaboration, Presentation and Point of
Access, Identity Management, Privacy and
Security Services
Service Publication and Location, Shared
Services
Connected Health Services Hub
Integration Services
Service Component Interface
Business Components
Data Services
System Management Services
Communication Services
Microsoft Connected Health Framework
35
Connected Health Framework Architecture
Communication
Operations Management
Security
Collaboration Services
Presentation and Point of Access Services
User Processes
AGILE
Identity Management Services
Privacy and Security Services
Service Publication and Location
Business Processes
Shared Services
Connected Health Services Hub
Integration Services
Service Component Interface
STABLE
Business Components
Data Access Logic Components
Data Services
System Management Services
Communication Services
Options For Storing Clinical Data
Mostly a matter of ownership and policy
• Centralized model
– Central repository holds replica of full health record
– Clinical Data Exchange (CDX) Gateway publishes full
health record and manages data synchronization
• Federated model
– Central repository holds no personal data
– CDX Gateway publishes registration events and
caches full record obtained from multiple sources
• Hybrid model
– Central repository holds record summary
– CDX Gateway publishes record summary and caches
full record
– Could be multi-tier, with many data stores
Microsoft Connected Health Framework
37
Flexibility in Deployment
Microsoft Connected Health Framework
38
Connected Health Framework: Levels and Components
• Connected Health Framework
is Microsoft’s multi-year world-wide industry strategy, encompassing
our industry solutions, partner strategy, platform offering and policy
initiatives.
• Connected Health Framework –
Architecture and Design Blueprint
represents a vendor agnostic set of best practices and approach based
on Services Oriented Architecture (SOA) for architecting e-Health
solutions for health information networks ranging from within
healthcare regional, national and cross-agency systems
• Microsoft Connected Health Platform
is Microsoft technology offering and prescriptive architecture guidance
for e-Health solutions built on the Microsoft platform.
– Health Connection Engine (HCE)
is a reference implementation part of Microsoft’s Connected Health
Platform. HCE accelerates the deployment of solutions based on the
guidance in the CHF – Architecture and Design Blueprint
Microsoft Connected Health Framework
39
Microsoft Connected Health Platform
Communication
Operations Management
Security
Collaboration Services
Windows Mobile
Office System,
Presentation
and PointLiveMeeting,
of Access Services
IdentityExchange,
Management Services
User Processes
Windows
Privacy andServer
Security System
Services
Office System
Service Publication and Location
Business Processes
Shared Services
Connected Health Services Hub
BizTalk Server,
.NET
Framework
Integration
Services
Service Component Interface
Business Components
Visual Studio,
.NET Framework
Data Access Logic Components
SQL Server
Data Services
System Management
Services
Operations
Manager,
Communication
Services
System Center
Reference Implementations
• Health Connection Engine (HCE)
– Community project on http://www.CodePlex.com/hce
– Accelerates the development and deployment of connected solutions
• Adapters SDK
• Standard set of Web Services
– Based on BizTalk, SQL Server and the .NET Framework
• Microsoft Common Health User Interface (MSCUI)
–
–
–
–
Available at http://www.mscui.net
Community project on http://www.CodePlex.com/mscui
Facilitates development of consistent and safe clinical user interfaces
Based on .NET Framework
• IHE Cross-Enterprise Document Sharing-b (XDS.b)
– Community project on http://www.CodePlex.com/ihe
– Implements standard IHE Integration Profile to facilitate sharing of
clinical and health documents
– Based on .NET Framework and SQL Server
Microsoft Connected Health Framework
41
Knowledge Driven Health
> Solutions for Health and Social Services
Dr Ilia Fortunov
Industry Technology Strategist - EMEA
Microsoft Worldwide Health
Key Issues Facing
Health and Social Services Systems
43
Creation of single client
record, ensuring that
identification of
citizens is consistent
and reliable, including
services and outcomes
Integration of existing
systems on different
platforms, ensuring
interoperability
Increasing demand for
services, constrained
resources, and
increasing client
expectations
Address major business
problems without
resorting to a risky “rip
and replace” approach
Communication with
remote and mobile
employees, systems
and/or locations
Integrating
information from
disparate systems
Knowledge Driven Health
Knowledge Driven Health
connects people and systems,
improving collaboration for
more informed decision
making.
This allows organizations to
empower employees to provide
improved services to a broader
population, help protect and
promote good health, and
enhance citizens’ health status
and outcomes while also
managing the cost of delivering
care and services.
44
Knowledge Driven Health
for Health and Social Services
Knowledge
Driven Health - People and systems connect and collaborate to make
Case Management
informed decisions. Organizations can provide improved services to more people
while protecting and promoting health, and managing the cost of delivering care and
services while enhancing patient health outcomes.
Solutions
Health
Information
Care
Management
Health Back
Office
Public Health
Delivery
Transformation
Shared Services
Disease Surveillance
Policy
Infrastructure
Connected Health Platform
45
Business Productivity
Architecture and
Design Blueprint,
Reference
Implementations
Application Platform
Content Management, CRM,
Common Client Index (CCI),Core Infrastructure
Search
Privacy
Usability
Accessibility
Security
Standards
Interoperability
Connect  Collaborate  Inform
Business Solutions
Knowledge Driven Health Benefits
Connect
•
Create electronic client
records, providing a single
unified view of the client
•
Pull records from multiple
agencies into one client
record via common client
ID
•
•
•
46
Create interoperability
within IT infrastructure, to
tie into older systems, and
to move data between old
and new systems
Share and integrate data
appropriately with
security-enhanced
technologies
Create service-oriented
architecture.
Collaborate
Inform
• Improved decisionmaking through
increased real-time
collaboration, using data
from across agency silos
• Quick and easy access to
data and information via
enhanced analytical tools,
dashboards and business
intelligence
• Improved content and
data management
reducing the time spent
searching for info
• Share citizen records as
appropriate to speed
services and avoid
duplication, using
security-enhanced
technologies
• Maximize Enterprise
Search capabilities that
help people find and
share information
• Integrated collaboration
capabilities such as
automated workflow
• Collaborate seamlessly
virtually anywhere on
virtually any device.
• Improved access to
information and services
including Search
• View data from multiple
agencies in a single
repository
• More informed decisionmaking.
Addressing the Challenges
1
Challenge
Siloed functions within an organization that
potentially leads to duplication and nonoptimal client care.
2
Challenge
Deliver appropriate care and services to the
appropriate individual, at the appropriate
time, increasing time spent with citizens, and
decreasing administration.
3
Challenge
Compromised and outdated methods used to
plan, budget, and resource. Make information
more readily available to plan, evaluate,
predict and model.
47
Resolution
Connect seamlessly via interoperable
technologies and shared services, to
resources and information across the
organization.
Resolution
Unite systems and share appropriate
citizen information from multiple
geographic locations, 24/7, in real-time.
Resolution
Improve business intelligence with
increased access to dashboards, analytical
tools, mapping tools and reports for more
informed decision-making.
Resolution 1:
Overcoming the Ubiquitous Problem
Coordination
M
a
n
a
g
e
m
e
n
t
Regional Health and
Social Services Agency
Case Coordination
happens mainly
through manual
outreach
Divisions of Youth
& Families, and
Child Support
ELIGIBILITY
48
Limited crossagency reporting
hinders ability to
secure funding
Caseworkers must
duplicate data
entry in separate
systems
Community Based
Services: Mental
Health, Elder Care,
Developmental
Disabilities
Healthcare
Department
Division of Public
Health Services
COMMUNITY MENTAL
HEALTH CENTERS,
HOME CARE
POLICY AND
ANALYSIS.
HEALTH PLANS, CALL
CENTERS
COMMUNITY HEALTH
Clients in Multiple Programs Struggle to access services
across programs; experience gaps and overlaps.
Resolution 2:
Unite systems and share appropriate citizen information from
multiple geographic locations, 24/7, in real-time.
• Common Client Index (or eID) provides a single unified view of the citizen or
outbreak related data, across multiple agency databases (silos), reducing
duplication and errors in client care and services
• Increase amount and quality of time spent with citizens in their own surroundings,
with deeper context and information for interaction, evaluation and delivery of care
and/or services
• Access information online using familiar Microsoft tools and technologies
• Proven technology platform to support Health and Social Services needs
• Increased mobility options providing greater flexibility, allowing agencies to be
more proactive.
49
Resolution 2:
CHF – Architecture & Design Blueprint
50
Resolution 2:
CHF – Architecture & Design Blueprint
51
•
Architecture and Design Blueprint is a set of best practices for building electronic health
solutions. This framework provides Health and Social Services organizations an
architectural approach to developing information networks with common business and
technical design definitions. There will be a continued evolution to help move
Healthcare, Health and Social Services, and Public Health agencies towards a broad
system of:
– Interconnectedness
– Reliability
– Efficient Services
•
Microsoft’s Connected Health Framework – Architecture and Design Blueprint puts your
clients at the center with dependable, economical, and connected technology services.
With a network of productive staff members, caseworkers, and administrators your
client’s needs will be better met. The Microsoft Connected Health Framework is designed
to use cost-effective commercial software, such as Dynamics CRM, to integrate
knowledge driven systems among multiple organizational components.
Resolution 3:
Improve Business Intelligence with increased access to
dashboards, analytical tools, and reports for more informed
decision-making.
• Consistent data framework
• Speed to adoption and training time via use of familiar tools
• Knowledge driven decisions improve care and services provided to citizens,
and provide peace of mind to service and care givers
• Track, evaluate and report on results within and across agencies, with realtime access to information, 24/7
• Make information more readily available to plan, predict, manage and model,
by providing a single unified view of the citizen or the outbreak
• Increased need for modality—broadcast voicemail, email, Web alerts and SMS
alerts, relative to citizens and outbreaks.
52
Resolution 3:
Business Intelligence: All Data to All
DELIVERY
Users
SharePoint ® Server
Reports
Excel
Dashboards Workbooks
Analytic
Views
Scorecards
Plans
END USER TOOLS & PERFORMANCE MANAGEMENT APPS
Excel ®
PerformancePoint ®
Server
Services
BI PLATFORM
SQL® Server
Reporting Services
SQL® Server
Analysis Services
SQL® Server RDBMS
SQL ® Server Integration Services
Other
53
Summary
1. Bridging the Silos – Bridge isolated silos and
apply cross-agency collaboration for a single
view of citizen or outbreak-related data,
integrating disparate systems in a securityenabled environment
2. Making the business process of planning,
managing and delivering Health and Social
Services more efficient – Knowledge-driven
decisions improve care and services provided to
citizens, and provide peace of mind to service
and care givers
3. Balancing increasing caseloads and demand for
services with limited resources - Improve
Business intelligence with increased access to
dashboards, analytical tools, and reports for
more informed decision-making.
54
Executive balanced scorecard for health
Information driven Leadership
Team working and x boundary collaboration
Nick Umney
HealthCare Platforms
Live demo of multi-disciplinary team working
Mark Fitzsimons
NI Team – Business Productivity
Summary
Peter Russell
NI Team Manager
Some Relevant Case Studies.....
•
St Olavs Digital Hospital – Norway Digital Hospital
– Production increase of 26% expected in 10 years saving 500 person years by 2015
• NHS Scotland
– Live Meeting / Web Conference project to share and collaborate on case management.
Projected 20% time savings.
• Wakefield Local Council Social Services
– Key benefits; Improve effectiveness, reduce costs, improve morale and improve security
• Blackpool Fylde and Wyre Hospital NHS Trust
– UK NHS Trust Saves £50k p.a. With Timely Software Update
• Leeds Mental Health Trust
– UK Mental Health Trust improves knowledge transfer with Technical Support Contract
saving 200 work hours per year.
Some Relevant Case Studies.....
• Eastern and Coastal Kent Primary Care Trust
– Aims to dramatically reduce unscheduled hospital admissions by using Microsoft
Groove to improve collaboration among health professionals and ensure such care is in
place.
• Latham House Medical Practice
– Medical Centre Improves Flexible working, reduced IT support time. Team now has 20
per cent more time to help Latham employees learn how to use technology to increase
productivity and collaboration.
•
The Dudley Group of Hospitals NHS Trust
– Dudley cuts waiting times with Ardentia’s Pathway Manager to 18 weeks
• Eastern Health Australia
– Healthcare Provider Improves Patient Outreach with Unified Messaging Solution.
Improved responses, greater productivity, extended mobility and reduced costs.
Microsoft Connected Health Framework
61
Questions?
© 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks
in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date
of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and
Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS,
IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.