Unified Medical Solutions

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1 January, 2011

2 Table of Contents Healthcare Challenges Clinical End User Adoption... 3 Innovative End User Solutions - Provider Efficiency & Effectiveness... 3 Why partner with Unified Medical Solutions (UMS)... 4 UCare Beneficiaries CMO, CNO, Clinical Providers... 5 UCare Beneficiaries CIO, CTO, IT Organizations... 5 UMS Core Competencies... 6 UCare Value Proposition... 7 UCare - Implementation Management Methodology... 7 Client Responsibilities:... 8 UCare Summary

3 Healthcare Challenges Clinical End User Adoption With the recent release of the final HITECH Meaningful Use criteria and the increase in health system adoption of new clinical systems and EHR capabilities, more nurses and physicians today are confronted with the challenge to effectively use clinical systems they perceive as difficult to use. Unnecessary delays in the care delivery process can be minimized so that the goals of improved quality of care through more effective application use are realized. Many studies have shown that provider adoption remains one of the greatest barriers to realizing the full benefits of mature clinical systems. Through easy to use applications and minimal administrative steps, physicians and nurses will be able to see more patients while becoming far more efficient and effective in treating their existing ones. Simplified use of CPOE for medications, Clinical Documentation, Results Inquiry along with Medication Administration and Medication Reconciliation programs at point of care can be implemented. These capabilities beg for easy to use end user devices, logon/logoff and quick access to only those applications required by a given provider. Recent experience indicates that between minutes per shift can be saved by each clinician through more efficient access to needed end user devices and clinical applications. Unified Medical Solutions (UMS) is completely focused on helping Health Systems solve these end user challenges with innovative approaches and highly reliable end user device implementations. Innovative End User Solutions - Provider Efficiency & Effectiveness With the advances made in identity management, access management, proximity technologies, virtual server and virtual desktop technologies over the past 5 years, the integration of these diverse technology products in innovative ways allow more efficient end user use of clinical and EHR products. Few health systems today have simplified access to their EHR and departmental systems to be as simple as an ATM withdrawal. Unified Medical Solutions has proven its ability to assist health systems to dramatically re-engineer their end user experiences, workflows and associated provider productivity. Clinical systems must be intuitive and simple to navigate. The UCare solution from UMS is a technology architecture combined with new care workflow processes to promote and enable point of care information review and collection. Nurses, Physicians and departmental clinicians are now able to interact with advanced clinical systems without the inefficient and confusing navigation of non-intuitive systems multiple logins/passwords, application timeouts, and immediate access to user applications. Additionally, UCare goes one step further to simplify use of new more accessible end user devices in new care setting locations (including in the patient s room). Clinicians are now able to benefit from and more easily feed information into clinical applications where and when they need to access them. While UCare is primarily technology architecture and an integration solution, the UMS team works closely with your clinical staff to identify the critical areas and departments for UCare deployment. Working closely with nurses, physicians and department heads, UMS will identify and recommend new devices, new care workflows and simplified access to all applications used by each clinician. 3

4 Why partner with Unified Medical Solutions (UMS) UMS is systems integration and Solutions Company dedicated 100% to healthcare. Its founder, David Holdan, has over 15 years of advanced technology design and implementation successes in many different healthcare organizations across the United States. His partner, George Marshalek, has 30+ years in leading the successful deployment and adoption of new technologies in many different healthcare settings. All UMS employees are trained and experienced on the proven UMS assessment and design methodologies. While deep in technology and systems integration expertise, UMS provides strategic planning, operational assessment, iterative design, pilot implementation, business readiness and workflow redesign skill sets. In addition to UCare and major EHR implementations, UMS has been actively engaged in full scale deployment of numerous enterprise networks, virtualized server environments, desktop management programs and sophisticated security and access solutions. All in Healthcare settings! As a result, UMS has a unique value proposition to healthcare in its knowledge of healthcare s unique: Context Management requirements of clinical applications Integration of integrated clinical applications and vendor products Clear understanding of role-based approaches to access and security Clinical presentation portals and rapid access approaches Back-end clinical applications interfacing With a multi-phased approach to analyze and design the right solution for each unique client, UMS blends the right mix of critical skills not only in the complex and demanding technology world, but additionally providing strong Project Management, end user workflow design, activation readiness skills along with post-live support and success measurement programs. Ultimately, not only are the IT goals of a highly reliable, cost effective and resilient architecture in place, but the end user world is equally validated as stable, productive, satisfied and successful. In order to realize the most cost effective and technically reliable solutions, UMS maintains a strong position of promoting leading vendor solutions in all technology components. UMS also continues to regularly expand its partnership with leading technology vendors supporting advanced product features and vendor participation in all major UMS projects. A quick scan of the recent client successes indicates the value of this approach: Chester County Hospital, West Chester, Pa. CCH recently went live on a deployment of UCare which began across the Maternity Child Care Departments. The project included a comprehensive clinical end user computing strategy, device selection and deployment process which resulted in in-room arms and devices being implemented within all patient rooms to provide ubiquitous access to patient records at the point of care. A server based desktop computing model was selected for the virtual desktop which supported all clinical applications across all clinical departments including Siemens Medication Administration Checking (MAK), Siemens Soarian EMR, Siemens EDM and other departmental clinical applications. All nursing station, COWs and in-room devices were implemented to support UCare RFID 4

5 authentication methods and each application was enabled for single sign-on providing an easy roaming desktop tap-in/tap-out experience for users across all UCare enabled devices. CCH quickly and effectively deployed UCare across all care settings, even into the Radiology department where tapin/tap-out technology is now universally in place. Community Medical Center, Scranton, PA UMS has provided strategic and technical consulting and managed services to CMC for many years and has been actively involved with the operational support and implementation of many critical IT infrastructure and end user computing technologies. CMC recently began to move towards the UCare solution in support of its imminent EHR selection and implementation initiative. CMC recognizes the need and value of the UCare solutions approach as a necessary step towards a successful EHR implementation and meeting meaningful use measures. UMS is currently engaged in the upgrade of the existing pervasive Citrix Presentation Server environment to XenApp6 and XenDesktop which will serve as the virtual desktop foundation for the full UCare solution. Pocono Health System, East Stroudsburg, PA PMC recently engaged UMS in a comprehensive UCare solution initiative for a new End User Computing architecture that began with a strategic assessment and a design. UMS is currently engaged in the pilot implementation phase of the project. The PMC UCare solution includes the implementation of new technologies: virtual desktop infrastructure, a distributed desktop virtualization solution, single sign-on, access management, password management, workspace management, printer management, RFID readers and ID badges. UCare Beneficiaries CMO, CNO, Clinical Providers As UCare is primarily designed and built to simplify clinician access to their role specific applications, it has the potential to benefit most, if not all, clinician communities. Recent UCare implementations have been deployed across the following provider communities: Hospital Nursing Staff Hospitalists, Attending Physicians and Clinic Physicians ED, OR and Critical Care Unit providers Major ancillary departments Radiology, Pharmacy, etc. Whether Siemens, McKesson, Epic, or Cerner all clinical applications are accessible quickly and easily at the point of care. Ideally, UCare can be implemented as part of a new clinical systems implementation or as part of an optimization effort to improve clinician productivity and efficiency. UCare Beneficiaries CIO, CTO, IT Organizations With its primary capabilities based in complex IT operational challenges, UMS provides a level of expert IT consulting typically seen only in very large organizations. With years of experience in the diverse technology components, UMS is highly skilled and actively involved in the many different dimensions of complex desktop management solutions. Minimally, the UMS project team will actively engage in analysis, design and implementation of technology components in the following areas: Server virtualization and desktop alignment strategy 5

6 Virtual Desktop Infrastructure Operating System streaming Server based computing models Distributed desktop virtualization (type 1 Hypervisor) Application distribution alternatives Physical and virtual printer management End user experience and workspace management Identity Management, Single Sign-On, Access Management, Password Management and User provisioning strategies Authentication modalities including Biometric, Passive RFID, Active RFID, and two factor Physical and logical access control alignment and integration End to end monitoring solutions on-site or as a managed cloud based service The following diagram illustrates the architectural overview and the inter-relationships of the many systems components to be more effectively managed in the future: UMS Core Competencies UMS is focused on meeting real world IT and clinician challenges with viable and practical solutions. Within all UMS work, UMS delivers solutions that leverage our experience to deliver: Strategic end user and IT Solutions built on ROI and immediate value and impact Proven project management, technology management and clinical care support models 6

7 Business readiness support along with post-live system optimization approaches with end users and IT infrastructure staff Expert technology and advanced integration solutions capabilities The UCare Virtual Desktop Management solution and related systems integration capabilities End user device strategies, options, evaluations and recommendations Leading vendor approach to finding the most cost effective and manageable technologies UCare Value Proposition Once implemented and deployed, UMS clients realize many benefits from the UCare solution: Ease of access and effective use of EHR technology by all clinicians increased efficiency, productivity, quality of care, volume of care and provider acceptance Support for attainment of Meaningful Use core and menu measures Support for patient safety, patient quality of care, medication administration and other clinical care initiatives Access to patient information systems in seconds IT value and cost reduction Simplification and centralization of physical and virtual desktop environments Clinical Desktop Management Strategy (strategic technology management program) - Easily scaled, administered and maintenance of a complex IT solution Leverage existing infrastructure investments with no major full-scale forklifts required Through UCare, health systems can assure their clinicians that access to and use of clinical systems will be as painless as possible. UCare - Implementation Management Methodology The UMS approach to effective design and deployment of the UCare solution is based on a 5 step implementation methodology. This time tested approach allows significant client influence, leverages existing strategies and IT investments while identifying new opportunities for improved end user capabilities. The UCare Implementation Methodology follows the following major project steps: Strategic Alignment - clarify and document strategic objectives for clinical systems deployment/optimization, provider efficiency and effectiveness along with IT infrastructure services, current and future vendors and strategic IT products Baseline Assessment evaluate current applications, infrastructure technologies and critical care processes to ensure the current baseline is understood as a foundation of future solutions 7

8 Solution Design - develop the next generation solution to provide efficiency through care process and technology, including new End User Computing architecture and enhanced end user devices with simplified application access Proof of Concept deploy new care processes, infrastructure solutions and end user training in a pilot setting and assess results against business and IT goals with broad based optimizations Enterprise Deployment - detailed plan and associated client and UMS support for a full scale deployment of UCare within the client s Clinical Systems and IT deployment plans (Optional) Managed Services - to maintain, monitor and enhance the underlying technology infrastructure components of UCare in a production setting to validate reliability, availability and ongoing maintenance quality Client Responsibilities: No project of the size and complexity of an UCare implementation can be planned, designed and implemented without significant leadership and involvement by the client organization. There are several critical dependencies on the client that should be factored into all UCare plans: Existence of a Strategic Clinical Systems deployment plan including a formal Meaningful Use Program. The primary drivers for a UCare solution are planned projects with: o Certified EHR implementation (in progress or being optimized) o Care workflow redesign, focused on a new approach to end user devices o Commitment to implement new and enhanced care process efficiencies o New policies and procedures to mandate and support clinical data collection Validation of a role-based access management strategy who, what, when, where Committed investments in new or to be upgraded IT infrastructure components such as o Virtual Desktop Management o Identity and Access Management and Single Sign-on solutions o RFID badges o New end user devices o Systems Monitoring & Management tools Committed involvement of CMIO, Informatics and Infrastructure champions to manage the full adoption and successful deployment of UCare capabilities UCare Summary With the many new and optimized clinical systems projects required today, understanding the obstacles and potential solutions to clinician adoption is a critical business step in the current healthcare setting. UMS is committed to working with their clients to understand their current environment and plans while jointly designing and implementing systems capabilities for the clinical systems of the future. Only through simplified solutions for provider access, to those applications when and where they need them, will health systems realize the full potential of major clinical systems investments. Whether planning on a new clinical system implementation or evaluating needed optimization enhancements, UMS is there to leverage their extensive experience to be a trusted partner. 8

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