© Hitachi Data Systems Corporation 2011. All Rights Reserved.

Hitachi Data Systems

Vendor Neutral Healthcare Solutions –

Unlock potential from data to outcomes

15 November, 2011

Raj Singh

Solutions Lead

e-Health & Life Sciences - EMEA

•© 2011 Hitachi Data Systems

Agenda

Hitachi Data Systems & Healthcare market presence

Understanding the Healthcare Challenges

Clinical/Non-Clinical Solutions & Capabilities

1

2

3

4 Klinikum Wels Case Study

Hitachi, Ltd. (NYSE:HIT/TSE:6501)

Founded in 1910 910 subsidiaries

390,000 employees

Over 700 PhDs

Total FY09 sales of $112.2B

FY10 R&D Investment: $4.3B

Approx. 40% in Information Systems and Telecommunications

Approx. $5.6B in cash

One of the

world’s largest integrated electronics companies

One of the

Storage System Technologies

RFID Solutions

Biotechnology

Nanotechnology

Networking

Thermo-Nuclear Fusion

Electron Microscopy

4

Hitachi Commitment to Healthcare

• Maintaining a clean,

constant environment HitachiAir Conditioning

• Viewing activity

within the brain:

Optical topography

• Testing and analyzing

in the laboratory and

surgery

• Advice on management,

and change in the

organization

• Essential services from the data center: Reliable,

efficient storage designed for clinical and workflow data

applications to provide information at the point of care • Control and monitor access to

buildings, equipment and confidential patient records: Hitachi VeinID biometrics

• Training and presenting to

staff, digital signage,

ultrathin displays,

projectors &

Hitachi Starboard

• Advanced diagnostics:

• Hitachi MR, CT and ultrasound

• Specialist solutions for elastography and

sonography

• Track, trace and

monitor with

integrated RFID

technology

• Advanced cancer treatment

Hitachi proton beam

therapy

5

Understanding

the Healthcare

Challenges

6

Clinical Data Is Growing at Extraordinary Rates

The amount of healthcare data

being generated quadruples every

two years * National Institutes of Health, 2009

Many decisions are made at a

departmental level without

consideration for the enterprise,

and so creating disparate

information silos

Radiology

Pharmacy

Emergency

Laboratory

Pathology

7

Challenge: Most of it is Unstructured Data

Unstructured content grows faster

than traditional information or

structured content

70% of Healthcare related data is

unstructured

Unstructured data is growing at 10x

the rate of structured data

• How to gain value from this data and

turn it into useable information

• How to scale and support different

workloads without more or larger silos

8

•

For the Healthcare Enterprise It Means

A single point of access for healthcare staff

A patient-centric view of information

Access to the data needed to make patient care decisions

Infrastructure to implement healthcare transforming technologies

A Growing Demand to Access All Relevant Patient Data

Laboratory IS

Microbiology

Radiology IS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

9

Evolving Regulatory Requirements

•

For the Healthcare Enterprise It Means

Medical needs and even geographical requirements could

require data be stored for 30+ years.

Complicated management of data destruction policies

Data encryption and security becomes more difficult with data

mobility

Laboratory IS

Microbiology

Radiology IS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

•© 2011 Hitachi Data Systems

Agenda

Hitachi Data Systems & Healthcare market presence

Understanding the Healthcare Challenges

Clinical/Non-Clinical Solutions & Capabilities

1

2

3

4 Klinikum Wels Case Study

11

Hitachi: Delivering on the Vision of IT Agility

A successful thought leader in storage technology

The world’s only vertically-integrated storage company

Focused on delivering a vision for Healthcare that is:

• Virtualised

• Automated

• Cloud-ready

• Sustainable

• Open

“Organisations are

looking at ways to cut

costs, better utilise

assets, and reduce

implementation and

management time and

complexity.

Virtualization addresses

all of these concerns.”

Gartner

12

Admissions

Hospital Information Systems Patient Administration

Community-wide Scheduling

HR & Staffing Functions

Finance & Administration

Clinical Information Systems Laboratory Information Systems

Pharmacy Systems

Quality Outcomes & Abstracting

Clinical Research Systems

To Provide the Right Data in the Right Place at the Right Time to improve delivery of High-Quality Patient Care

Point-of-Care Systems Patient Care Systems

Order Entry (OE)

PACS & Radiology

Cardiology

Patient Tracking

Doctors’ Notes

Patient Treatment

Care Monitoring

Support Services

Electronic Prescribing

Laboratory

Patient Discharge

EPR

Information at the Point of Care

13

Back Office

Systems

Disparate Data Silos That Neither Share nor Integrate

Hospital

Information

Systems

eMail Clinical and Non Clinical Applications HR &

Finance

Document

Management

Systems

Integration and Data Sharing

Utilisation of asset and cost of

ownership

Laboratory IS

Microbiology

Radiology IS

& PACS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

Challenges

Departmental systems with islands of storage and access points

No Patient-Centric view of information

Integrating services require complex and multiple data interfaces

Legacy system lock-in

Complex data management & low utilisation leads to higher cost

of ownership.

14

Virtualised

Pool of

Storage

Hospital

Information

Systems

Tier 1

Tier 2

Tier 3 Tier 3

How to eradicate Silo’s to enable integration…… ……And why is Storage Virtualisation so important?

Relocate/

Clone/Backup

Integrate

Migrate

Tier 4

Back Office

Systems

Hospital

Information

Systems

eMail Clinical and Non Clinical Applications HR &

Finance

Document

Management

Systems

Laboratory IS

Microbiology

Radiology IS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

New

System

Resultant Benefits

Placement of data becomes “application independent”

Vastly improves utilisation of existing assets

Facilitates data sharing for existing and new hospital applications

Provides non-disruptive migration paths

Reducing cost and complexity across multiple disciplines (ROI & ROA)

Simplifies management of storage assets

15

Back Office

Systems eMail HR &

Finance

Document

Management

Systems

Virtualised

Pool of

Storage

Hospital

Information

Systems

Tier 1

Tier 2

Tier 3 Tier 3

How to cope with that growing mountain of data

Tier 4

Hospital

Information

Systems

Laboratory IS

Microbiology

Radiology IS

& PACS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

Hitachi Content

Platform

Consolidated

Search & Retrieval

Hitachi Content Platform - Preserve, Protect & Optimise

P

21 May 21 2036

May

Protection

Policies to enforce document retention,

authentication & file replication combine to

secure valuable digital assets

Immutability and Retention

Write once, read many file system

Encryption of Data at Rest

Transparently encrypts all content,

metadata and search index

X X X X X X X X X

X X X X X X X X X

X X X X X X X X X

Shredding Guarantees the contents of an object are

permanently removed (scrubbed)

De-Duplication & File Compression

Enables greater storage efficiencies,

scalability and enhances TCO

Single Archive Name Space

Open and easy to navigate with

standard tools and applications

16

Virtualised

Pool of

Storage

Hospital

Information

Systems

Tier 1

Tier 2

Tier 3 Tier 3

The final leap – Application Independence for all your clinical information

Tier 4

Hospital

Information

Systems

Laboratory IS

Microbiology

Radiology IS

& PACS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

Hitachi Content

Platform

17

Our Healthcare Vision

HTML DICOM

HL7

XML PDF XLS HTML HL7 HL7 XML JPEG

Laboratory IS

Microbiology

Radiology IS

& PACS

Emergency

Pharmacy

Nursing

Blood Bank

Accounts

Payable

ADT

Registration CPOE

18

Store, share and view any type of medical image/report

acquired from any type of device

independent of manufacturer

anywhere within the hospital\clinic

using a completely open standards approach

Single Unified Patient Record

19

Radiology

PACS

Pathology

CIS

RIS

PAS/HIS

Cardiology

PACS

Virtualised

Storage

Hitachi Clinical Repository

20

HCP

Web

Portal

Dicom

Connector HL7

•Hitachi Clinical Repository

XML

PACS XDS

XDSi

HIS/PAS

RSI/xIS

EMR/EPR

Integration

USP/AMS

Image (Dicom)

Image (XML)

Image (Dicom)

Image (XML)

HNAS

Image (Dicom)

Image (XML)

•Database •Data

Discovery

•PACS & Radiology

FC HTTP CIFS

•Business

•Intelligence

Hitachi Clinical Repository

21

Hitachi Clinical Repository - Process Overview

EPR/EHI

HL7

Connector

Web

Server

XDS

Connector

Dicom

Connector

→ ADT Create

→ ADT Update

→ ADT Merge

← ORU Image Availability

Dicom 3.0

→ C-Store

→ C-Find

→ C-Get/C-Move

← Storage Commit

XDS.b/XDS-I.b Option

← Provide & Register (REP)

→ Provide & Register (Source)

← Retrieve (REP)

← Register (REP)

Image Review Option

a) Thumbnails

b) Jpegs (fast, not diagnostic)

c) Full Dicom (Part10 data)

d) Dicom via ActiveX viewer

A

B

C

SQL D/B

Hitachi

Content

Platform

HCR

22

Turning Data into Information…...

Full Clinical & Non-Clinical Repository for all departments

Central Image and Data Storage with performance & availability

Standards based architecture DICOM/HL7/IHE supporting all Image & Data Types

Integrated Web Viewer for EPR/EMR Integration - Optional

Highly Scaleable, Vendor Neutral Long Term Repository

Turning Data Information…

Information leads to better decision making…

In turn, improving patient outcomes!

23

Consolidate Data

Centralized enterprise wide

management of any type of clinical

data generated by a healthcare

institution

Improve the organization,

accessibility, discoverability and long

term value of data through metadata

indexing

Enable a facility wide central

repository of intelligent data that can

be viewed as a single longitudinal

patient record via an enterprise

health record (EHR)

Metadata

Index metadata and store it in a single

content repository, facilitating

consistency of updates and changes to

the information.

Enables improved data quality

management, an enterprise

perspective of the patient's data and a

sharing of this data.

Developing a metadata repository

improves the interoperability of

information and virtualizes data within

and between systems

Enhances clinical efficiencies, reduces

healthcare delivery costs and improves

patient care decisions.

Our Healthcare Vision Addresses Real-world Challenges

•© 2011 Hitachi Data Systems

Agenda

Hitachi Data Systems & Healthcare market presence

Understanding the Healthcare Challenges

Clinical/Non-Clinical Solutions & Capabilities

1

2

3

4 Klinikum Wels Case Study

25

Hitachi Case Study – Klinikum Wels, Austria

Hospital Grieskirchen

Location Grieskirchen

• Since January 2008: One hospital on four sites

• 1000 bed Hospital in Wels merged with 260 bed

Hospital in Grieskirchen and 60 bed Psychiatric

Hospital in Wels

• 1,349 beds with over 80.000 inpatients per year

• 37 departments, 26 different specialties

• 37 outpatient departments with approx. 290.000

outpatient visits /yr

• 30.000 operations and 2.600 births per year

• Number of staff is 3.800 (including 500 doctors

and 1200 nurses)

• Budget: approx. 288 million Euro

The largest Convent Hospital in Austria and the 5th largest Hospital in Austria

Private Clinic PKA

Location Wels

Psychiatric Clinic

Location Wels Main Clinic Wels-Grieskirchen

Location Wels

Main Clinic

Wels-Grieskirchen

Location Grieskirchen

Facts about Klinikum Wels Grieskirchen A Cooperation of Fraternities Kreuzschwestern / Franziskanerinnen

27

Official

Austrian

eHealth

architecture

Portal

local

eHealth

Extranet RIS/

PACS

(DICOM

Long

Term

archive)

Data search

& Analytics

SOARIAN

CIS

(Physician

Letter /

Results)

Laboratory

Information

System

Virtualised Storage

Environment

ICO

Appl.

Non-

Dicom

archive

Klinikum Wels Affinity Domain

Receipts' archive

& SAP DB

archiving

SUN JAVA CAPS 6

Meta Data Robot

Custom Meta Data

& Object Archive

Hospital Portal / Search Engine

Hitachi Case Study – Klinikum Wels, Austria

Pathway

Adm.

IHE

R

epository

Hospital

Example: EHR for Nursing Homes and General Practioners

Patient

GP

Registration Befunde

Dis.

EHR Portal

GP

Webportal IHE

Repository

HCP

Results Results

Search result

via HDDS from

HCP

GP Portal View

IHE Application

Example: eHealth CDA 2 Level 2

30