Modernizing Healthcare
Vision Mission: Transforming how healthcare information is created, consumed, and utilized to increase efficiency and improve outcomes.
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
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
Core EMA applications that will benefit from APIs Business Analytics Scheduling, Registration, Billing Document Management Integration Laboratory Structured Data Clinical Specialties Mobile Medicine
Modernizing Medicine
Specialties Dermatology Launched 2011 1,212 practices 3,932 providers Ophthalmology Launched 2013 276 practices 768 providers GI Urology Rheumatology In beta 28% Market Share Plastic Surgery Launched 2014 Orthopedics Launched 2014 Otolaryngology Launched 2014
Modernizing Medicine INDUSTRY DRIVERS
INDUSTRY DRIVERS Market Continues to Demonstrate Demand Age Contribution 135% growth of people over age 65 by 2050 20% 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
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
Modernizing Medicine COMPLIANCE CMS SHIFTS TO PAY-FOR-PERFORMANCE (MU, CQMS, PQRS)
Better, Smarter, Healthier CMS Historic Announcement Jan 26, 2015 Goal: 85% of all traditional Medicare payments to quality or value by 2016 90% by 2018
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
icd10illustrated.com ICD-10
Late EHR Adopters relying on Superbills
Modernizing Medicine CONVERGENCE OF FORCES
Convergence in Technology
Born in the Cloud
Born of Structured Data
Born for Mobility Asynchronous mobile application on both ios and Andriod based devices.
Mobile
Modernizing Medicine WORKFLOW, DATA
Front-End Rich, Visual, Informative, User Interface
Workflow
Workflow
Workflow
Workflow
Workflow
Modernizing Medicine DATA: OUTCOMES BIG DATA
Structured Data L97.311 6856605 271737000 S62.606P S01.111A 4545-0 C44.191 B35.3 62241-5 T15.12XS S90.461A L97.311 H34.811 C4A.22 S05.12XA 55781-9 21522001
Outcomes Clinical Validated Scales Longitudinal tracking Patient reported outcomes Computed scales
Grand Rounds Moving beyond Rx patterns into overall treatments Adding filters by age, race, ethnicity, gender, comorbidities
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.
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
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
The Solution
Modernizing Medicine A BRIEF PEEK OF THE ARCHITECTURE
Design and Architecture
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.
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)
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 99.999999999% 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 99.99999999999999999%
Q A