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Tackle Healthcare Interoperability
Challenges and Improve
Transitions of Care
facebook.com/perficient
@PRFT_Oracle
@Perficient_HC
linkedin.com/company/perficient
Agenda
• Introductions
• About Perficient
• Healthcare Challenges
• The Big Picture
• Portal and Mobility
• SOA Suite for Healthcare
• Oracle Master Person Index
• Summary
Perficient is a leading information technology consulting firm serving clients throughout
North America.
We help clients implement business-driven technology solutions that integrate business
processes, improve worker productivity, increase customer loyalty and create a more agile
enterprise to better respond to new business opportunities.
About Perficient
• Founded in 1997
• Public, NASDAQ: PRFT
• 2013 revenue ~$373 million
• Major market locations throughout North America
• Atlanta, Boston, Charlotte, Chicago, Cincinnati, Columbus,
Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los
Angeles, Minneapolis, New York City, Northern California,
Oxford (UK), Philadelphia, Southern California, St. Louis,
Toronto and Washington, D.C.
• Global delivery centers in China, Europe and India
• >2,200 colleagues
• Dedicated solution practices
• ~85% repeat business rate
• Alliance partnerships with major technology vendors
• Multiple vendor/industry technology and growth awards
Perficient Profile
BUSINESS SOLUTIONS
Business Intelligence
Business Process Management
Customer Experience and CRM
Enterprise Performance Management
Enterprise Resource Planning
Experience Design (XD)
Management Consulting
TECHNOLOGY SOLUTIONS
Business Integration/SOA
Cloud Services
Commerce
Content Management
Custom Application Development
Education
Information Management
Mobile Platforms
Platform Integration
Portal & Social
Our Solutions Expertise
Partnership & Expertise:
• Oracle Platinum Partner
• Oracle Certified Education Training Partner
• 12+ year relationship of loyalty and trust
• Hundreds of successful implementations
• Over 200 delivery consultants on-shore and off-shore
• Six pillar practices
Oracle Partnership
Connected
Health
Business Intelligence
and Analytics
Interoperability
and Integration
Information
Exchange
Regulatory
Compliance
Solutions & Services
Experts in Consumer-Driven Healthcare Technology
HEALTH PLAN PROVIDER
CONSUMERS
Select Clients
Healthcare PracticeGlobalDeliveryCenters/OffshoreDelivery
Chris DeBracy
Director, Oracle Technology
Sean Keane
Director of Healthcare Interoperability, Oracle
Our Speakers
8
Healthcare Challenges
The Big Picture
Challenges 2014
• Meaningful Use Stage 2
– It is here
– Interoperability
• Data sharing – secure and auditable
– Patient engagement
• Final rule on clinical labs
• Transitions of care
• ACO – Accountable Care Organizations
– Data sharing for cost containment and TOC
Challenges 2014
• IOT* & Big Data
– Expectation that device data will be acted upon
– Medical home
– At home monitoring
– Filter signal from the noise
• Mobile
– Expectation that data can accessible on the go
– Secure communications
– Device management
*IOT – Internet of Things
Challenges 2014
• Not just Technology
– Population health
– Chronic disease
– Aging population
– Access to care
• Worldwide population is increasing
• 135K Births vs 56K deaths per year – 7.2 billion
• But, technology will help!
Enterprise
Healthcare
Analytics
Prescribing Health
Management
Platform
Health Information Access Layer
Connectivity Packaged Database Messaging
Orchestration
Transformation
& Routing
? ETL
Terminology
Management
Health
Information
Manager
Healthcare Infrastructure Services
Vendor-Neutral
Imaging Archive
Clinical Data
Repository
Data Repositories
RIS/PACS
Systems
ADT
Systems
EMR & Dept.
Systems
ERP & Billing
Systems
Existing Legacy Applications
Identity and
Access
Mgmt Suite
Business
Activity
Monitoring
OHIB
Application Server & Database
E-Health Applications
CRM Healthcare Master
Person Index
Data
Warehouse
SOA Suite for healthcare integration
WebCenter
Content for HC
Healthcare
Transaction Base
Healthcare
Data Model
Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence
The Big Picture
Clinical Portal +
Medical Imaging Viewer Translational
Research
Center
Enterprise
Terminology
Services
Portal & Mobility
• Interoperability Drivers:
– Mobile application to enter vitals, monitor glucose levels, monitor activity levels
– Secure patient portal allowing for virtual visits with Dr. and staff
– Electronic health records for easy access of information by Dr.
• Additional benefits:
– Improved monitoring of targeted “at risk” patient populations
– Leverage a reduced number of specialists (e.g. regional lab pathologist
expertise)
– Increased panel size of home health staff (Dr., RN, MSW)
TeleHealth & Remote Monitoring
Hospital Enterprise Portal
Use Case: TeleHealth and
Remote Patient Monitoring
• Mobile application to
enter vitals and other
patient stats
• Proactive
notifications
• Review My Journal
• Access trend reports
on patient stats
• Patient can IM,
email, Video Chat
with Dr. from portal
• Immediate contact
• Dr. can review health
records and images
online
• Interoperability and
connectivity to
multiple data sources
TeleHealth & Remote Monitoring
Patient Portal - MyJournal
Patient Portal MyJournal
Mobile entries on
patient homepage
Oracle SOA Suite for Healthcare
Oracle SOA Suite 12c
• Oracle Cloud Adapters
– Fusion, Salesforce, SDK
• Mobile Enablement
– JSON, REST, Secure Communications
• Rapid Install
• Unified Design Interface with JDeveloper
• Templates & BPEL subprocesses
• Improved Debugging and Testing
Oracle SOA Suite 12c
• New Adapters
– SAP R/3
– JDE World
– Coherence
• Enterprise Scheduler
Service
• Native XSLT and XQuery
Editor
• Improved Enterprise
Manager
• MFT – Managed File
Transfer
BAMOEPEM
POLICY
MANAGERJDEV
ERP MAINFRAME SERVICES EVENTS
BPEL PROCESS MGR
BUSINESS RULES
HUMAN WORKFLOW
SERVICE BUS
DATA INTEGRATOR
REG/REP
Adapters, B2B & HL7
PARTNERSDB
Oracle SOA Suite Platform
• Designer
• Configuration
• Document Protocol,
Endpoint Configuration,
Callout, Mapset
• Administration
• Admin Setting, Internal
Delivery Channel,
Import/Export
• Dashboard
• Endpoint Status, Message
Details
SOA Suite for Healthcare Integration
• Reports
• Message Status,
Resubmit
• End to End Visibility
• MetaData, Search, Audit
• Enterprise Manager
• Enhanced Troubleshooting
• Test and Debug
• Enterprise Visibility
• Configure and Manage
SOA Suite for Healthcare Integration
• Used as a service
(inbound)
• Connection Mode - Server
• To receive messages from
external systems and deliver
them to SOA composite
applications
• Used as a
reference
• Connection Mode - Client
• To send messages from the
SOA composite application to
external applications
• Pre-built message
libraries
• All HL7 v2.x , V3, CDA, X12, EDI
SOA Suite for Healthcare Integration
Oracle Master Person Index
(OHMPI)
OHMPI Flow
OHMPI Features
• Single source of truth - One single view of a patient or
provider across your enterprise healthcare landscape
• Integration with Oracle SOA Suite for Healthcare
• Support multiple source systems
• Ability to update source systems
• Merge/unmerge support
Matching Rules
Phonetics
• 8 different built-in encoding schemes
OHMPI Features
• Data cleansing uses built in and custom rules to “polish
and scrub” data moving in and out of the system
• Using WebLogic Server, you can scale horizontally as your
capacity needs increase
• Merge/unmerge records
• Audit who accessed the data, when and what type of
access
• Security restricts access by role
Enterprise
Healthcare
Analytics
Prescribing Health
Management
Platform
Health Information Access Layer
Connectivity Packaged Database Messaging
Orchestration
Transformation
& Routing
? ETL
Terminology
Management
Health
Information
Manager
Healthcare Infrastructure Services
Vendor-Neutral
Imaging Archive
Clinical Data
Repository
Data Repositories
RIS/PACS
Systems
ADT
Systems
EMR & Dept.
Systems
ERP & Billing
Systems
Existing Legacy Applications
Identity and
Access
Mgmt Suite
Business
Activity
Monitoring
OHIB
Application Server & Database
E-Health Applications
CRM Healthcare Master
Person Index
Data
Warehouse
SOA Suite for healthcare integration
WebCenter
Content for HC
Healthcare
Transaction Base
Healthcare
Data Model
Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence
The Big Picture
Clinical Portal +
Medical Imaging Viewer Translational
Research
Center
Enterprise
Terminology
Services
As a reminder, please submit your
questions into the chat box.
We will get to as many as possible.
Oracle Open World
Stop by and see us at Oracle
Open World
Healthcare Industry Pavilion –
Marriott Marquis Atrium Level and
Moscone South Hall - Booth #2221
Sept. 28 – Oct. 2
San Francisco, CA
Session Reminder
Brazilian Ministry of Health:
National Health Information
Exchange Solution
Wednesday, Oct 1 | 4:30 PM - 5:15PM
Marriott Marquis | Salon 10/11
Daily unique content
about content
management, user
experience, portals
and other enterprise
information technology
solutions across a
variety of industries.
Perficient.com/SocialMedia
Facebook.com/Perficient
Twitter.com/PRFT_Oracle
Twitter.com/Perficient_HC
Thank you for your participation today.
Please fill out the survey at the close of this session.

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Tackle healthcare interoperability challenges and improve transitions of care v3

  • 1. Tackle Healthcare Interoperability Challenges and Improve Transitions of Care facebook.com/perficient @PRFT_Oracle @Perficient_HC linkedin.com/company/perficient
  • 2. Agenda • Introductions • About Perficient • Healthcare Challenges • The Big Picture • Portal and Mobility • SOA Suite for Healthcare • Oracle Master Person Index • Summary
  • 3. Perficient is a leading information technology consulting firm serving clients throughout North America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities. About Perficient
  • 4. • Founded in 1997 • Public, NASDAQ: PRFT • 2013 revenue ~$373 million • Major market locations throughout North America • Atlanta, Boston, Charlotte, Chicago, Cincinnati, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles, Minneapolis, New York City, Northern California, Oxford (UK), Philadelphia, Southern California, St. Louis, Toronto and Washington, D.C. • Global delivery centers in China, Europe and India • >2,200 colleagues • Dedicated solution practices • ~85% repeat business rate • Alliance partnerships with major technology vendors • Multiple vendor/industry technology and growth awards Perficient Profile
  • 5. BUSINESS SOLUTIONS Business Intelligence Business Process Management Customer Experience and CRM Enterprise Performance Management Enterprise Resource Planning Experience Design (XD) Management Consulting TECHNOLOGY SOLUTIONS Business Integration/SOA Cloud Services Commerce Content Management Custom Application Development Education Information Management Mobile Platforms Platform Integration Portal & Social Our Solutions Expertise
  • 6. Partnership & Expertise: • Oracle Platinum Partner • Oracle Certified Education Training Partner • 12+ year relationship of loyalty and trust • Hundreds of successful implementations • Over 200 delivery consultants on-shore and off-shore • Six pillar practices Oracle Partnership
  • 7. Connected Health Business Intelligence and Analytics Interoperability and Integration Information Exchange Regulatory Compliance Solutions & Services Experts in Consumer-Driven Healthcare Technology HEALTH PLAN PROVIDER CONSUMERS Select Clients Healthcare PracticeGlobalDeliveryCenters/OffshoreDelivery
  • 8. Chris DeBracy Director, Oracle Technology Sean Keane Director of Healthcare Interoperability, Oracle Our Speakers 8
  • 10. Challenges 2014 • Meaningful Use Stage 2 – It is here – Interoperability • Data sharing – secure and auditable – Patient engagement • Final rule on clinical labs • Transitions of care • ACO – Accountable Care Organizations – Data sharing for cost containment and TOC
  • 11. Challenges 2014 • IOT* & Big Data – Expectation that device data will be acted upon – Medical home – At home monitoring – Filter signal from the noise • Mobile – Expectation that data can accessible on the go – Secure communications – Device management *IOT – Internet of Things
  • 12. Challenges 2014 • Not just Technology – Population health – Chronic disease – Aging population – Access to care • Worldwide population is increasing • 135K Births vs 56K deaths per year – 7.2 billion • But, technology will help!
  • 13. Enterprise Healthcare Analytics Prescribing Health Management Platform Health Information Access Layer Connectivity Packaged Database Messaging Orchestration Transformation & Routing ? ETL Terminology Management Health Information Manager Healthcare Infrastructure Services Vendor-Neutral Imaging Archive Clinical Data Repository Data Repositories RIS/PACS Systems ADT Systems EMR & Dept. Systems ERP & Billing Systems Existing Legacy Applications Identity and Access Mgmt Suite Business Activity Monitoring OHIB Application Server & Database E-Health Applications CRM Healthcare Master Person Index Data Warehouse SOA Suite for healthcare integration WebCenter Content for HC Healthcare Transaction Base Healthcare Data Model Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence The Big Picture Clinical Portal + Medical Imaging Viewer Translational Research Center Enterprise Terminology Services
  • 15. • Interoperability Drivers: – Mobile application to enter vitals, monitor glucose levels, monitor activity levels – Secure patient portal allowing for virtual visits with Dr. and staff – Electronic health records for easy access of information by Dr. • Additional benefits: – Improved monitoring of targeted “at risk” patient populations – Leverage a reduced number of specialists (e.g. regional lab pathologist expertise) – Increased panel size of home health staff (Dr., RN, MSW) TeleHealth & Remote Monitoring
  • 17. Use Case: TeleHealth and Remote Patient Monitoring • Mobile application to enter vitals and other patient stats • Proactive notifications • Review My Journal • Access trend reports on patient stats • Patient can IM, email, Video Chat with Dr. from portal • Immediate contact • Dr. can review health records and images online • Interoperability and connectivity to multiple data sources TeleHealth & Remote Monitoring
  • 18. Patient Portal - MyJournal
  • 19. Patient Portal MyJournal Mobile entries on patient homepage
  • 20. Oracle SOA Suite for Healthcare
  • 21. Oracle SOA Suite 12c • Oracle Cloud Adapters – Fusion, Salesforce, SDK • Mobile Enablement – JSON, REST, Secure Communications • Rapid Install • Unified Design Interface with JDeveloper • Templates & BPEL subprocesses • Improved Debugging and Testing
  • 22. Oracle SOA Suite 12c • New Adapters – SAP R/3 – JDE World – Coherence • Enterprise Scheduler Service • Native XSLT and XQuery Editor • Improved Enterprise Manager • MFT – Managed File Transfer
  • 23. BAMOEPEM POLICY MANAGERJDEV ERP MAINFRAME SERVICES EVENTS BPEL PROCESS MGR BUSINESS RULES HUMAN WORKFLOW SERVICE BUS DATA INTEGRATOR REG/REP Adapters, B2B & HL7 PARTNERSDB Oracle SOA Suite Platform
  • 24. • Designer • Configuration • Document Protocol, Endpoint Configuration, Callout, Mapset • Administration • Admin Setting, Internal Delivery Channel, Import/Export • Dashboard • Endpoint Status, Message Details SOA Suite for Healthcare Integration
  • 25. • Reports • Message Status, Resubmit • End to End Visibility • MetaData, Search, Audit • Enterprise Manager • Enhanced Troubleshooting • Test and Debug • Enterprise Visibility • Configure and Manage SOA Suite for Healthcare Integration
  • 26. • Used as a service (inbound) • Connection Mode - Server • To receive messages from external systems and deliver them to SOA composite applications • Used as a reference • Connection Mode - Client • To send messages from the SOA composite application to external applications • Pre-built message libraries • All HL7 v2.x , V3, CDA, X12, EDI SOA Suite for Healthcare Integration
  • 27. Oracle Master Person Index (OHMPI)
  • 29. OHMPI Features • Single source of truth - One single view of a patient or provider across your enterprise healthcare landscape • Integration with Oracle SOA Suite for Healthcare • Support multiple source systems • Ability to update source systems • Merge/unmerge support
  • 31. Phonetics • 8 different built-in encoding schemes
  • 32. OHMPI Features • Data cleansing uses built in and custom rules to “polish and scrub” data moving in and out of the system • Using WebLogic Server, you can scale horizontally as your capacity needs increase • Merge/unmerge records • Audit who accessed the data, when and what type of access • Security restricts access by role
  • 33. Enterprise Healthcare Analytics Prescribing Health Management Platform Health Information Access Layer Connectivity Packaged Database Messaging Orchestration Transformation & Routing ? ETL Terminology Management Health Information Manager Healthcare Infrastructure Services Vendor-Neutral Imaging Archive Clinical Data Repository Data Repositories RIS/PACS Systems ADT Systems EMR & Dept. Systems ERP & Billing Systems Existing Legacy Applications Identity and Access Mgmt Suite Business Activity Monitoring OHIB Application Server & Database E-Health Applications CRM Healthcare Master Person Index Data Warehouse SOA Suite for healthcare integration WebCenter Content for HC Healthcare Transaction Base Healthcare Data Model Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence The Big Picture Clinical Portal + Medical Imaging Viewer Translational Research Center Enterprise Terminology Services
  • 34. As a reminder, please submit your questions into the chat box. We will get to as many as possible.
  • 35. Oracle Open World Stop by and see us at Oracle Open World Healthcare Industry Pavilion – Marriott Marquis Atrium Level and Moscone South Hall - Booth #2221 Sept. 28 – Oct. 2 San Francisco, CA Session Reminder Brazilian Ministry of Health: National Health Information Exchange Solution Wednesday, Oct 1 | 4:30 PM - 5:15PM Marriott Marquis | Salon 10/11
  • 36. Daily unique content about content management, user experience, portals and other enterprise information technology solutions across a variety of industries. Perficient.com/SocialMedia Facebook.com/Perficient Twitter.com/PRFT_Oracle Twitter.com/Perficient_HC
  • 37. Thank you for your participation today. Please fill out the survey at the close of this session.