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

1. Three Confluence
Deployments That
Will Blow You Away
Connie Taylor of Premier Inc
Nate Nash of BearingPoint
Tim Colson of Cisco

2. Everyone loves babies (and puppies)
1

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.”
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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.
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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.
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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.
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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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13. Questions?
12

14. Screenshots (just in case)
13

15. Screenshots (just in case)
14

16. Screenshots (just in case)
15

17. Screenshots (just in case)
16

18. Screenshots (just in case)
17

19. Screenshots (just in case)
18

20. Shifting Thousands
Atlassian Summit
BearingPoint Enterprise Wiki

21. Agenda
 Who am I?
 Vital Signs
 Partners
 Space Exploration
 Reference Info, Questions, and Answers
© 2008 BearingPoint, Inc. 2

22. I am…
Nate Nash
 Senior Manager, Emerging
Markets
 Founding Member –
Enterprise 2.0 Capabilities
Group
 nate.nash@bearingpoint.com
© 2008 BearingPoint, Inc. 3

23. Vital Signs
 Enterprise License Crowd, JIRA, and Confluence (2-node
cluster)
 16,000 management and technology consultants across the
globe.
 Current Wiki Pages = 16,949
 Versions of Current Wiki Pages = 121,488
 Pages with Comments = 2,697
 Number of Comments = 9,008
 Unique Page Authors = 2,529
© 2008 BearingPoint, Inc. 4

24. Partners
 Contegix – Infrastructure and Managed Services
 Customware – Custom Plugin Development
Global System Message
Auto User Adder
Space Archive
Restricted File Types
© 2008 BearingPoint, Inc. 5

25. Space Exploration
 Engagement Security
 Global Intelligence
 Emerging Markets ICT Group
 Jordan Water IT Master Plan
 Clearinghouse
© 2008 BearingPoint, Inc. 6

26. Reference Info and Q and A
 Nate Tweets – http://twitter.com/natenash203
 Personal Blog – http://www.e2oh.com
 Corporate Blog – http://newthinking.bearingpoint.com
 Contegix – http://www.contegix.com
 Customware – http://www.customware.net
 nate.nash@bearingpoint.com
© 2008 BearingPoint, Inc. 7

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.
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29. Who is Tim?
2

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

34. Collaboration
SW HW Configuration
(User Activity) 3 Innovation
4

35. Innovation
iZone - community idea generation
Enterprise Theme & Spacemap
Director Summit - event registration
5

36. iZone
6

37. iZone
7

38. iZone
Small team - not IT
7

39. iZone
Small team - not IT
Built in a few weeks
7

40. iZone
Small team - not IT
Built in a few weeks
100s of ideas
7

41. iZone
Small team - not IT
Built in a few weeks
100s of ideas
7

42. iZone
Small team - not IT
Built in a few weeks
100s of ideas
7

43. Enterprise Theme
200 authors
35 spaces
2,500 pages
8

44. Enterprise Theme
200 authors 25,000 authors
35 spaces 3,500 spaces
2,500 pages 250,000 pages
8

45. Theme & Spacemap
9

46. Theme & Spacemap
9

47. Theme & Spacemap
9

48. Director Level Summit
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49. Director Level Summit
10

50. Outcome?
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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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54. The End!
Confluence provides
a platform for
collaboration and
innovation!
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