HCL Healthcare: Meeting Reform Challenges

Pradep Nair Senior Vice PresidentSenior Vice President Healthcare Practicepnair@hcl.com

Agenda

Healthcare Industry: Drivers of Change

HCL H lth O iHCL Healthcare Overview

Healthcare Sub-Verticals Ph ti lPharmaceuticalsPayerProvider

Success StoriesOrlando Health, Inc.,Merck & Co., Inc.

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Healthcare Industry: Drivers of Change

Continued Governmental Regulations and Reporting Requirements

B i O St k h ld Sh h ld D d tBusiness Owners, Stakeholders, Shareholders Demand to Drive Out Costs

Emerging Technologies Changing the Face of Customer InteractionEmerging Technologies Changing the Face of Customer InteractionCould Computing, Mobility, Social Media, SaaS etc.

Demand for Real Time InformationDemand for Real-Time InformationEMRs, bio-information, personalized medicine, wellness, etc.

Standards: One Language for All UserStandards: One Language for All UserInformation as an “asset”

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HCL Definition of Healthcare Industry

Compliance

Sales Automation

Drug Discovery

Drug Development EnterpriseIT

Core Adjudication Systems

mac

eutic

alPayer

Sales & MarketingLines of Businesses

Clinical ManagementAnalytics

Manufacturing

Phar

m r

Regulatory Compliance

Fo ndational

HIE

Clinical CRM

Revenue Cycle

Foundational

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Provider

HCL Healthcare Growth Strategy

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Excellence in Service Delivery through investments for the future… The Business Analyst Academy

Product Specialists in Drug Discovery, CMS, LIMS,

Service Delivery Excellence

A strong panel of Business Analysts and product

specialists in the Healthcare Ser ices domain f nctions

1p g y

Manufacturing, Sales & Marketing, ICD 9-10, EMR, HIE, Compliance, Meaningful Use…

Strong Domain and Functional knowledge across the Pharma Payer & Provider Landscape2

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Services domain, functions and technologies

Pharma, Payer, & Provider Landscape

Deep Business, Technology and soft skills3

Healthcare Partnerships

Pharma

Payer

Provider

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HCL Life Sciences:Select Customers

Drug Discovery Merck & Co., Inc Pfizer, Inc.

Drug Development

Merck & Co., Inc

p

Manufacturing Pfizer Inc& SCM IT

Sales & Marketing

Merck & Co.

Pfizer, Inc.

Distribution/

& Marketing

Merck & Co., Inc

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Enterprise IT

HCL Life Sciences: Investment in Domain Expertise

Somnath Mukherjee Masters in Biotech and BioInformatics and Over 15 years experience in LIMS and Lab AutomationExtensive experience in LIMS, ELN, SDMS, Interface Technologies, LIMS Analytics and Product Development

Navaneeth Expert in “Regulatory Compliance – Pharmaceuticals” 17 years of experience in multiple functional areas such as Quality Control, Quality Assurance, Regulatory Affairs & Technologies, LIMS Analytics and Product Development

Core Strength in Program Management and Offshoring Lab automation implementation

Dr. Gowri Balani Over 14 years experience in the Clinical Domain with an

Analytical Research and Development of Pharmaceutical Industry.

Stuart Pyle 20 f H l h & Ph i d h h ldOver 14 years experience in the Clinical Domain with an

Ivy league EducationExtensive experience in Clinical Research and Drug Safety and Domain Consulting for various Pharmaceutical and Technology companies.Core Strength in off shoring and outsourcing clinical and drug safety space

20+ years of Healthcare & Pharma experience and has held various leadership positionsLeads HCL’ Pharma Analytical Services CoEExtensive functional knowledge of Clinical Trials, Drug Development, Medical Devices, Commercialization, Compliance & Validation spaces

Lakshmipathi Raju 20+ of Pharma and IT experience Expertise include Software Design, Development and implementation in regulated environment, PoC in e-Submissions e-Lab notebook LIMS support validation

Vijay Kumar Mallavarapu 16+ years of Pharmaceutical and IT experienceExtensive experience in performing Computer System Validation and Equipment/Instrument validationStrong management skills of leading teams successfully inSubmissions, e-Lab notebook, LIMS support, validation

of Infra, COTS, data migration

Krishna Das SM 21 years of Pharmaceuticals experience in Sales & Marketing

Strong management skills of leading teams successfully in audits of USFDA/ MHRA

Deborah A. Cenci 19 years of Global Regulatory Affairs and Quality15 years of Regulatory Submissions

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gPrevious experience include Astra Zeneca and Dr.Reddy’s LabsBachelor’s degree in Life Sciences

15 years of Regulatory Submissions14 years of Drug Safety Reporting & CRO Management.12 years of experience in Research & Development to Commercial Launches

Life Sciences:Emerging Services & Customer Trends

New offeringsRegulatory Affairs and Compliance Officer Universal Content ManagerLIMSInformation Ontology for R&De-Pedigree

Customer Interest inDrug Safety & Clinical OperationsDrug Safety & Clinical OperationsMulti Channel MarketingDiscovery Services in ChinaCloud computing for SaSCloud computing for SaSMobile Technologies

Expanded Partnerships and Alliances

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Deloitte and BoozPistoia

HCL Payers & Providers:Select Customers

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Payer: Investment in Domain Expertise

Frank Balco Over 30 years of experience in running payer operations.

Mahesh Vijayaraghavan 18+ Years of experience in IT industry

6+ years of Healthcare IT experiencep

Held various senior management positions including COO for BCBS.

Recognized by the industry as a thought leader

Expert in creating CoE for Payer Products

Played Key roles in Product Implementations, Program Management, IP and Solutions Development

Sanjay Logabiraman 18 years of IT and Healthcare Payer experience

MBA, PMP, Six Sigma Green Belt certified

Managed Business Integrations related to M&A for

Dr. Vishal Tahiliani Qualified Physician with 15 years of Healthcare (Clinical and IT) experience

Member of IMA, MCGP and certified Healthcare Quality Managed Business Integrations related to M&A for UnitedHealth group (UHG)

Heading the group that builds solutions for Payer business pain points

yAuditor for NABH Accreditation

Experience include Clinical Trials and large Healthcare IT application development and implementation projects

Rajesh Krishnamurthy 1 years experience in the Healthcare Domain

Certified HIPAA consultant with expertise in Healthcare Integration Standards: HIPAA, X12, HL7

Worked with large payers and clearing houses to

Anirban Mukherjee 10+ Years of Payer IT industry experience Expertise in the operational areas for payers including claims administrationPlayed key roles in solution development, competency b ildi d b i l i

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Worked with large payers and clearing houses to implement innovative solutions for transaction processing

building and business analysis Worked with leading payers including BCBS and regional health plans

Payer:Emerging Services & Customer Trends

New offeringsICD 9 to 10 Transition: Migration & TestingMember Management from “Quote to Card” and change management controlMember Management from Quote to Card and change management control Automate Prescription Drug prior authorization and medical management processing to meet compliance mandatesProvider Data Base Management HIPAA Partner Enablement Program

Customer Interest inPega solutionsgIndependent Testing servicesPBM compliance related to prior authorizations of prescription drugs Reform: Open Enrollment, i.e. Quote to Card automation including application of Underwriting and early Risk Assessment rules

Expanded Partnerships and AlliancesDeloitte

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AlphapointForesight

HCL Provider: Investment in Domain Expertise

Anil Kumar 25+ years in IT services and 16+ years in healthcare industry

Mike Martinez 20 + years of IT executive management experience in acute care, specialty care, long term care and physician y

Deep domain knowledge in healthcare standards, regulations and business processes; product companies and providers to plan, select and implement their electronic health records (EHR)

organizations

Implementation experience with major HIT vendor applications (inpatient and outpatient)

Focus areas: ICD-10, HIE, CPOE, and Meaningful Use

Michelle Mercer 20+ years executive healthcare leadership in hospital, health plan and corporate settings

Ground floor development for two start-up h lth i

Zena Jacobi 20+ years experience in the Healthcare Domain

Expert in Healthcare Integration Standards: HIPAA X12healthcare companies.

Registered Nurse. Certified R.N. Coder.

Focus areas: Quality Measures and Meaningful Use.

Expert in Healthcare Integration Standards: HIPAA, X12, HL7

Worked with large provider and standards organizations

Dr. Varsha Mishra 7+ years of experience in healthcare provider industry

Focusing Meaningful use of EMR, CPOE, & Quality measures Certified professional in

Dr. Vinod Sanjay 14+ years of experience in the Healthcare Provider Industry with specialization in Clinical Systems,

Laboratory Information Systems, HL7 integration and Health Intelligence

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Hospital Information System

Extensive functional knowledge of hospital clinical workflows, EMR, Diagnostic

Health Intelligence

Experience in Healthcare Product companies serving the US, UK, German and Australian markets

HCL Provider: Emerging Services and Customer Trends

New OfferingsStandards transformation and quality complianceE t i f i t (Q lit i t )Enterprise performance improvement (Quality improvements)Financial performance (top line and bottom line impact)

Customer Interest InFederal mandates for standards transformations:

5010 EDI transformationICD 10 conversion

Quality compliance and reporting initiatives comprising:ARRA led MU incentive programs for EHR adoption, utilization and care measuresProspective payment systems across LOB and clinical settings under reform

Sustained Quality impact beyond reformSustained Quality impact – beyond reformQuality based healthcare purchasing model

Expanded Partnerships & Alliances

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Health LanguageWellogic

Provider: Emerging ServicesActive Care Excellence - ACE™ Solutions Suite

A set of solutions that improves1. Standards transformation and quality compliance2 Fi i l f (t li d b tt li i t)2. Financial performance (top line and bottom line impact)3. Enterprise performance improvement (Quality improvements)

ACEManagement

Solutions

ACE Quality

Compliance Solutions

ACEStandards

Transformation Solutions

ACEExecutive

Intelligence Solutions

ACE O i tiACE 5010 X

Solutions Solutions Solutions

ACE Organization Advisor ACE Quality Manager

ACE Care Messenger

ACE 5010 X Conversion

ACE Provider Analytics

ACE Technology AdvisorACE ICDX Toolset

ACE Communicator

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AnalyticsAdvisor