The Virtuous Cycle of Cost Effective Patient Care

Alex BrownCEO, 10th Magnitude

Dan BlakeSVP of Software Product Development, Valence Health

Cloud, Mobility and Integrated Care

10th Magnitude and Valence Health

10th Magnitude is an all-cloud software and services firm specializing in Microsoft’s Windows Azure platform. They develop custom software applications, provide application management and enable Microsoft Azure migration to help businesses of all sizes innovate and compete more effectively. 10th Magnitude is an Azure Circle partner and sits on Microsoft’s cloud advisory committee.

Valence Health offers a complete suite of solutions that empower provider organizations as they transition to value-based care. With 20 years of experience and unique data collection and analysis solutions, Valence Health is a leader in population management and clinical integration, serving more than 35,000 physicians and 115 hospitals, helping them manage the health of over 15 million patients nationwide.

The Opportunity

The combination of cloud and mobility will revolutionize the way healthcare is delivered.

Enterprise A

Evolving Healthcare Architecture

Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.

“Traditional” Architecture

Application

Healthcare App Infrastructure

Enterprise A

Evolving Healthcare Architecture

Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.

“Traditional”

Application

Healthcare App Infrastructure Enterprise A

“Modern” Architecture

Application #1

Enterprise Healthcare App Infrastructure

Application #2

Enterprise A

Evolving Healthcare Architecture

Today’s Data Silos prevent a complete cross-enterprise patient view, making collaboration difficult, costly and error-prone.

“Traditional”

Application

Healthcare App Infrastructure

Enterprise A

Application #1

Enterprise Healthcare App Infrastructure

Application #2

“Modern”

Enterprise A

“Future” Architecture

Application #1

Enterprise Healthcare App Infrastructure

Enterprise B

Application #1

Enterprise Healthcare App Infrastructure

Shared Healthcare App Infrastructure

Key Architectural Components

Many components are required for cross-enterprise information sharing and collaboration.

Cloud technology is uniquely positioned to provide these in a enterprise-agnostic way.

Shared Healthcare App Infrastructure

Consent Management

Patient Identification and

Matching

Provider Directory / SecurityShared Schemas

Data Exchange Standards• Document /

Repository• Federated

Workflow / Messaging

Just Keeping the Lights On Versus Innovating For Patients—Without Raising CostsWhich of the following IT projects are completed or will be completed within the next 24 months?

Base: 363 respondents in January 2013 and 337 respondents in January 2012 working at a doctors’ practice, hospital, healthcare center or other healthcare providerData: InformationWeek Healthcare IT Priorities Survey of business technology professionals

EMR or EHR

Computerized physician order entry

E-prescribing

Storage Upgrade

Network Upgrade

Patient Management System

Patient web access to personal health record

Picture archiving communications system

Clinical decision support

BI tools for analyzing medical data

Chronic disease management

Personalized medicine

Telemedicine or telehealth

Fraud identification systems

Predicative analysis (clinical)

Big data analytics

Robotics for patient treatment or care

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%2012 2013

Without cloud these Basics take up time, resources and capital.

All the Nice to Have projects become financially viable with cloud.

Cloud Knocks Down the Barriers

Diversity of Marketplace Technology Providers

Secure public clouds, such as HIPAA-compliant Windows Azure, disrupt the current barriers to data interchange.

VENDORS

SILOS

TECHNOLOGY

SECURITY

DIRECTORY

FEDERATION

Legal/Regulatory Impediments

Lack of system Interoperability

What are the barriers?

Stable Infrastructure; Agile Applications

CommunicationsOperations Management

Security

Connected Health Services Hub

User Processes

Business Processes

Integration Services

Business Components

Service Interfaces

Data Access Logic Components Data Services

use

Collaboration Services

Presentation and Point of Access Services

Identity Management Services

Authentication, Authorization and Privacy Services

Service Publication and Discovery ServicesElectronic Care Record Services

Care Domain Services

Registry Services

use

System Management Services

Communication Services

use

AGILE

STABLE

Mobile Devices Exponentially Expand Agile Application Opportunities

• Seamless data exchange across care continuum will facilitate intergroup and cross-enterprise collaboration

• Mobile devices enable true collaborative telemedicine and telehealth scenarios regardless of patient and doctor location.

Cloud-Enabled Mobile Access: The Possibilities

• Complete longitudinal patient record from ambulatory, in-patient and ancillary settings

• Integrated Electronic Medial Record (EMR) with near-real-time physiological monitoring data

• Integrated longitudinal workflow across healthcare enterprises • Seamlessly integrated Personal Health Record (PHR) • Fully integrated provider-to-provider real-time messaging and

voice/video conferencing• Social media-like patient-to-provider collaboration• Cross-enterprise patient-centric analytics and population health

management

Making Seamless Mobile Patient Information a Reality: Healthcare Cloud Infrastructure is the Next Step

We need to achieve interoperability at the architectural, syntactic and semantic levels with LOB applications.

Shared cloud infrastructure is key to making this a reality.