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IBM Smarter Healthcare
- 1. IBM Smarter Healthcare
How healthcare players could benefit from new service models
implemented in the market around cloud computing
Stefan Henze, Director Public Sector Industry IT Consulting DACH
Rüschlikon, 05.11.13
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 2. IBM Smarter Healthcare
Forward-thinking companies are redefining their
business strategy with cloud
http://www.youtube.com/watch?v=8qoRSBTuC_k&feature=youtu.be
2
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 3. IBM Smarter Healthcare
Agenda
Typical situation and challenges in a larger clinical IT environment
(Cloud-) Sourcing as an appropriate solution
Governance model as prerequisite for successful sourcing
Use Case: eFA (electronic patient record) UK Aachen
3
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 4. IBM Smarter Healthcare
Agenda
Typical situation and challenges in a larger clinic IT environment
(Cloud-) Sourcing as an appropriate solution
Governance model as prerequisite for successful sourcing
Use Case: eFA (electronic patient record) UK Aachen
4
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 5. IBM Smarter Healthcare
Status quo –
What does a typical IT infrastructure look like?
Devices
Server
Standard-software
....
5
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 6. IBM Smarter Healthcare
Today's IT areas
Monitoringsystems
Deviceprovisioning
Systemmanagement
Archive
Clinical Applications
Databaseprovisioning
Virtualization
Groupware
HIS
Maintenance
Med. Databases
Backup
IT-Security
CITIRX
Mobility
LIS
Electronic patient record
Monitoringsystems
12.11.2013
SAP
EPA
Intensivedocumentation
6
Ticketsystem
Telemedicine
Cablemanagement
Businessintelligence
Storage
IBM Smarter Healthcare
© 2013 IBM Corporation
- 8. IBM Smarter Healthcare
IT Sourcing could be a solution to overcome the current
issues. The following areas are primarily in focus:
Standard applications without clinical relation
Operation and administration of a data center
Device support
Hotline & ticket-system service
Multimedia telecommunication
8
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 9. IBM Smarter Healthcare
Areas with a need for action in a typical hospital
Significant backlog demand for “hardware”
investments of approximately 3 times the annual IT
budget.
Annual maintenance fees for the current inventory eat
up almost entire IT budget assigned
New hardware investments cannot be financed any
longer
Lack of skills, reduced headcounts in IT and overall
high average age of employees leads to a critital
situation to constantly meet quality of service
requirements
9
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 10. IBM Smarter Healthcare
Agenda
Typical situation and challenges in a larger clinic IT environment
(Cloud-) Sourcing as an appropriate solution
Governance model as prerequisite for successful sourcing
Use Case: eFA (electronic patient record) UK Aachen
10
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 11. IBM Smarter Healthcare
Important challenges for companies are cost issues,
service-portfolio optimization and reduction of business risks
Costs
High
Low
Low
High
Low
High
IT Environment
Business risks
11
12.11.2013
Service portfolio
IBM Smarter Healthcare
© 2013 IBM Corporation
- 12. IBM Smarter Healthcare
The need to control business risks and maintain service quality under
existing cost pressures lead to a focus on core competencies
Costs
High
Low
Low
High
Low
High
IT Environment
Business risks
Provisioning
External
12
12.11.2013
tial
n poten
ovatio
igh inn
H
Service portfolio
Operation
Optimization
Technology
Mgmt.
Internal
Business Mgmt.
en t i al
rgy pot
ne
High sy
IBM Smarter Healthcare
© 2013 IBM Corporation
- 13. IBM Smarter Healthcare
The role of corporate IT continues to evolve
2011 – 2015
IT as service integrator
2006 – 2010
2000 – 2005
IT as application
implementer
IT as head of virtualization
and standardization
Widespread SaaS and cloud
adoption
Highly standardized and
virtualized, delivered as
a service
Even less staff, many more
suppliers and new modes
of delivery
Early SaaS and cloud adoption
Acceleration of virtualization and
standardization
Less staff, multiple suppliers
Expansive, on-premise
applications
Highly customized, with dedicated
hardware
Internal staff and external trusted
advisor
13
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 14. IBM Smarter Healthcare
IT sourcing market has changed dramatically
in recent years
IT Selective Sourcing Market
SAP Hosting
Fullscope Outsourcing
(new Business) – often combined
with Asset + Employee takeover)
2nd + 3rd generation outsourcing
(Contract-extension / provider
exchange)
High standardization,
contents entirely cross and
international
14
12.11.2013
Changes in
the market
Cloud Services
Data Center
Services
(IaaS / PaaS)
SO Outsourcing Market
Managed
Converged
Communication
ASP Hosting
(SaaS)
Managed
Security
Selective
Service Desks
DR / Data Center
Housing
IBM Smarter Healthcare
© 2013 IBM Corporation
- 15. IBM Smarter Healthcare
Vertical sourcing offerings are driven by Cloud and
Managed Services Models and have changed the way
services are tailored
Typical sourcing candidate
areas of the last years:
Vertical sourcing as Cloud
or Managed Service
Business Units
Vertical x
Plan
Build
Development &
Deployment
Run
Systems
Operations
Command
Center
User Help
Desk
BPaaS
App1
App2
App n
SaaS
Application
AaaS
Platform /
Middleware
…
PaaS
Infrastructure
IaaS
Command
Center
Internal IT
15
12.11.2013
Candidate for ext. Sourcing
IBM Smarter Healthcare
© 2013 IBM Corporation
- 16. IBM Smarter Healthcare
A layered, open Cloud Architecture is emerging
Software Services
Business
Applications as
components
Service Oriented
Architecture
Open Standards / Source
Driven by customer
use cases
Cloud
Interoperability is
key for adoptance
Platform Services
Operational (OSS)
and Business
(BSS) Support
Services
OSLC
Infrastructure
Services
Compute, Storage,
Network
Backplane
Specialized
implementations
and “drivers”
“Fit for purpose”
workloads
16
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 17. IBM Smarter Healthcare
A successful service integration starts with a
well defined governance model
Many expert opinions regarding internal
and external service delivery…
but no „End to End“ statement
User-Incident:
„Application XY is non performant
“
Or „Network is slow!“
Client LAN:
„OK“
User
17
12.11.2013
Service
Provider 1
„Host transactions
below 1 Sec.“
WAN Provider:
„No WAN
issue“
Service
Provider 2
„Middleware
?
Moderately
utilitzed“
„No problem in
the Server LAN
environment“
Internal
IT-X
Service
Provider 3
IBM Smarter Healthcare
Internal
IT-Y
© 2013 IBM Corporation
- 18. IBM Smarter Healthcare
Service integration covers an important portion of the
processes required to manage the interface between
business units, end users and IT
Business Units / End Users
Retained IT
Processes as an interface between business & IT
-BU 1
-BU 2
…
End Users
Project Portfolio
Management
Service Portfolio
Management
Service Catalogue
Management
Service Performance
Monitoring & Service
Level Management
Security & Compliance
Management
Requirements
Management
Architecture
Management
Financial
Management /
Chargeback
Service Desk /
Incident
Management
Provider Management
(Portfolio, Coordination, etc.)
Sector …
Overall Governance
Sector …
-BU 1
-BU 2
Service Delivery
Internal IT
Service
Delivery
Service
Provider 1
Service
Provider 2
...
Service Delivery
18
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 19. IBM Smarter Healthcare
Service integration is a mandatory core competency of
IT organizations with multi sourcing strategies
Retained IT Organization
Service Integrator
Contract
Supplier 1
Contract
Supplier 2
Contract
Supplier n
Service Integration capabilities:
Internal
Services
Coordination and orchestration of Service
Providers
End to end services representation
Escalation Management
*) OLA = Operational Level Agreement
Appropriate skills
Cultural Change
19
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 20. IBM Smarter Healthcare
Agenda
Typical situation and challenges in a larger clinic IT environment
(Cloud-) Sourcing as an appropriate solution
Governance model as prerequisite for successful sourcing
Use Case: eFA (electronic patient record) UK Aachen
20
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 25. IBM Smarter Healthcare
Integrated access to electronic patient record
Medication
AIS
Medistar
jesaja.net
medico
UKA
EKG
PACS
UKA
PACS
Stolberg
FallAkte Plus
X-Ray Image
Transfer Report
CT
OP-Reports
Results
X-RayThorax
© 2013 IBM Corporation
- 27. IBM Smarter Healthcare
Medication review & customization
with focus on specific patient
Medicationsrules
medico
ID Diacos
Pharma
UKA
AIS
Medistar /
jesaja.net
PACS
UKA
PACS
Stolberg
FallAkte Plus
X-Ray Image
Medikatio
Transfer Report
Medication
n
OP-Reports
Results
EKG
X-RayThorax
© 2013 IBM Corporation
- 29. IBM Smarter Healthcare
Integrated data acquisition
medico
AIS
Medistar /
jesaja.net
ID Diacos
Pharma
UKA
PACS
UKA
Physician Letter
PACS
Stolberg
i.s.h.med
Düren
SonoResult
FallAkte Plus
X Ray Images Medication
Transfer-Report
CT
EKG
OP-Report
Results
X-RayThorax
© 2013 IBM Corporation
- 30. IBM Smarter Healthcare
Integrated data acquisition
medico
AIS
Medistar /
jesaja.net
ID Diacos
Pharma
UKA
PACS
UKA
PACS
Stolberg
i.s.h.med
Düren
FallAkte Plus
X Ray Images Medication
Transfer-Report
EKG
OP- Report
Results
X-Ray Thorax
© 2013 IBM Corporation
- 32. IBM Smarter Healthcare
Acquisition of relevant documents in the primary systems
medico
AIS
Medistar /
jesaja.net
ID Diacos
Pharma
UKA
PACS
UKA
PACS
Stolberg
i.s.h.med
Düren
FallAkte Plus
Skull
Medication
Transfer-Report
CT
EKG
Physician Letter
OP-Report
X-Ray Result SonoReport
X-Ray-Thorax
© 2013 IBM Corporation
- 33. IBM Smarter Healthcare
Access to electronic patient record
medico
AIS
Medistar /
jesaja.net
ID Diacos
Pharma
UKA
PACS
UKA
PACS
Stolberg
i.s.h.med
Düren
FallAkte Plus
X Ray Images Medication
Transfer-Report
EKG
OP-Report
Physician Letter
SonoX-Ray Result
Result
X-ray Thorax
© 2013 IBM Corporation
- 34. IBM Smarter Healthcare
Solution Outline
Duria
PVS
KH4 KIS
KH1 medico
EFA-Box
medatixx
Jesaja.
CGM-AIS
Soarian
Net
KH2 i.s.h.med
Integrated Care
CompuGroup
Siemens
KH3 iMedOne
CGM-AIS
IBM Private Cloud
(PaaS)
© 2013 IBM Corporation
- 35. IBM Smarter Healthcare
IBM basis
IBM basis
IBM options
IBM options
Hospital/
Siemens
Service portfolio of private IBM Cloud
Customizing of the Soarian
Application,
App-development and support
CommunicationMonitoring
Database
Management
Storage and BackupManagement
Operating-System and
Server- Management
Installation and configuration of new
servers
Maintenance of CMDB
Daily Housekeeping
Log File analysis
Start, Stop and Relocate of VMs
Image-Service
Incident Management
2nd and 3rd level support
Hospital
Capacity Management
Hosting Center- and
Network-Management
Patch Management
Service Management
35
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation
- 36. IBM Smarter Healthcare
Service portfolio of private IBM Cloud
Operating and scaling options
Providing of a private cloud on the hospital
campus
Protected private cloud with computing
resources required for the eFA
What is performed by IBM? Hardware,
software, operation, maintenance, monitoring
Scaling options depending on the load and
storage requirements
Optional use for other applications
Test- and migration-environment
Architecture planning with the hospital and
Siemens Healthcare
36
12.11.2013
Technology and processes
High Performance IBM System x Server
IBM cloud services with virtualization platform
Server, storage and network based on System
X VMware, IBM V7000 and Cisco technology
Secure VPN through separate management
and data networks
Certified operation team to manage data with
high protection needs
IBM Smarter Healthcare
© 2013 IBM Corporation
- 37. IBM Smarter Healthcare
Your Contact
Stefan Henze
Stefan Henze
Senior Manager Industry Sales Public & CSI – DACH
Global Technology Services
Location: Düsseldorf, DE
49-(0)1717844057
stefan.henze@de.ibm.com
37
12.11.2013
IBM Smarter Healthcare
© 2013 IBM Corporation