Modernizing Healthcare

Transcription

1 Modernizing Healthcare

2 Vision Mission: Transforming how healthcare information is created, consumed, and utilized to increase efficiency and improve outcomes.

3 Physicians as programmers Built by physicians to make practicing medicine easier and save time Continuous updates as medicine changes Natural workflow Designed to meet changing compliance rules

4 Mobile solutions ipad iphone Cloud-based solution Instantaneous, high performance, high availability No onsite servers No hardware or maintenance cost Adaptive learning engine learns how you practice Seamless photo integration Integrates with any PM system

5 Core EMA applications that will benefit from APIs Business Analytics Scheduling, Registration, Billing Document Management Integration Laboratory Structured Data Clinical Specialties Mobile Medicine

6 Modernizing Medicine

7 Specialties Dermatology Launched ,212 practices 3,932 providers Ophthalmology Launched practices 768 providers GI Urology Rheumatology In beta 28% Market Share Plastic Surgery Launched 2014 Orthopedics Launched 2014 Otolaryngology Launched 2014

8 Modernizing Medicine INDUSTRY DRIVERS

9 INDUSTRY DRIVERS Market Continues to Demonstrate Demand Age Contribution 135% growth of people over age 65 by % of population over 65 by 2030 Regulatory Incentives Driving EHR/EMR Adoption May 2014 NHS Report; 2001 (18.2%) to 2012 (71.8%) EMR Adoption Consolidation of Providers to Create Leverage 9

10 INDUSTRY DRIVERS Access to Data for Outcomes Global HIE market growth $558m (2013) - $878m (2018) Wireless Market growth 20% w/in 5 years ($24B to $59B) Remote Healthcare 10

11 Modernizing Medicine COMPLIANCE CMS SHIFTS TO PAY-FOR-PERFORMANCE (MU, CQMS, PQRS)

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14 Better, Smarter, Healthier CMS Historic Announcement Jan 26, 2015 Goal: 85% of all traditional Medicare payments to quality or value by % by 2018

15 What will the fed bring us in 2015? CMS reimburses Value not Volume Government Compliance ups the ante. (MU 3%, PQRS 4%) ICD-10 Deadline for Real

16 icd10illustrated.com ICD-10

17 Late EHR Adopters relying on Superbills

18 Modernizing Medicine CONVERGENCE OF FORCES

19 Convergence in Technology

20 Born in the Cloud

21 Born of Structured Data

22 Born for Mobility Asynchronous mobile application on both ios and Andriod based devices.

23 Mobile

24 Modernizing Medicine WORKFLOW, DATA

25 Front-End Rich, Visual, Informative, User Interface

26 Workflow

27 Workflow

28 Workflow

29 Workflow

30 Workflow

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32 Modernizing Medicine DATA: OUTCOMES BIG DATA

33 Structured Data L S62.606P S01.111A C B T15.12XS S90.461A L H C4A.22 S05.12XA

34 Outcomes Clinical Validated Scales Longitudinal tracking Patient reported outcomes Computed scales

35 Grand Rounds Moving beyond Rx patterns into overall treatments Adding filters by age, race, ethnicity, gender, comorbidities

36 schema Powered by Watson Selected by IBM to be a part of the first cohort of companies in the IBM Watson Ecosystem schema harnesses the power of cognitive computing to bring answers to the point of care and enable the practice of evidence based medicine.

37 The Goal gives physicians the power and advantage of using cognitive computing to query thousands of medical journal articles in seconds at the point of care, enabling them to practice enhanced evidence-based medicine

38 Using the power of IBM Watson s cognitive computing at the point of care Harness the computational power to save doctors valuable time otherwise spent researching Deliver results with degree of confidence Enhanced patient confidence in physician and treatment powered by IBM Watson

39 The Solution

40 Modernizing Medicine A BRIEF PEEK OF THE ARCHITECTURE

41 Design and Architecture

42 Amazon Web Services: Design and Architecture The service provider allocating hardware, software, network solutions designed for hosting. Availability Zone: The equivalent of a data center. POD: Virtual machines (servers), integrated and deployed across Availability Zones.

43 Database (DB) Fun Facts: Real time replication. DB traffic is encrypted on all paths. Clustering is High Availability (HA) - auto-failover. The Database If master fails, a DR is seamlessly promoted to master, EMA stays up! And all traffic is redirected. EMA DR (replica, far away) DB4 DB1 DB2 DB3 Master (zone 1) Secondary (replica, zone 2) Tertiary (replica, zone 3)

44 Reliability & Security Amazon S3 Technology: Stores all images (attachments, PDF, etc.). Data is private. Data is encrypted. Designed to be 99.99% available (online). Designed to be % reliable (no data loss). If you stored 10,000 objects in S3, you could expect to lose one object every 10,000,000 years!! So we backup S3 to another S3 on the other coast %

45 Q A