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IBM Healthcare & Life SciencesBusiness & Strategy Overview
Health System Transformation & Global Experience
Sean Hogan
VP & General Manager
IBM Healthcare
IBM’s Involvement in Healthcare
Buyer/Consumer of Healthcare
• 600,000 lives; $2B in investment
• Partner to promote innovation and value
Change agent transforming healthcare
• Influencer to national level reform and eHealth
• IBM Research -- 600+ healthcare patents, systems thinking
• IBM and Apple partnership for enterprise mobility
Solution provider across the continuum
• Intersection of business and technology for Payers / Providers / Life Sciences / Devices
• Business services, process and workflow integration
• Big Data, information management and analytics
• Secure, optimized transaction processing
• Infrastructure build and optimization
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Collaborate for prevention and wellness
Improve operational effectiveness
Achieve better quality and outcomes
Our solution and investment focus
Dynamic Infrastructure
EMRs, Images, Records, Forms Lifecycle Management, Clinical Trials, Assets and Devices
Information compliance, availability and security
Retrospective
to Prospective
to Predictive Quality
and Care Management
Personalized
Healthcare Value
Integration /Interoperability
Collaboration and Automation
Health Integration Framework
Optimize
Analyze
Engage
Where is IBM helping?
Build sustainable healthcare systems
Health System Performance & Optimization
Increase access to healthcare
Individual Insights & Engagement
Optimize
Analyze
Engage
Collaborate to improve care and outcomes
Population Health Insights & Care Management
Build sustainable healthcare systems
Health System Performance & Optimization
Increase access to healthcare
Individual Insights & Engagement
Optimize
Analyze
Engage
Collaborate to improve care and outcomes
Population Health Insights & Care Management
Where is IBM helping?
Cleveland Clinic Abu Dhabi
Design & Build: 2012 - 2015
� Application Implementation 25 Applications including ERP & Radiology
� Integration All Hospital systems involving about 160 integration points
� Testing Managing the overall test program for the Hospital IT
� Training IT Training for all the staff, including the core EMR system (Epic)
� Infrastructure configuration, set up, operations and data center management
Run: 2014 – 2017
� Managed Infrastructure, Service Desk, NOC & Security
� Clinical and Business Application Support
� Support, Maintenance & Refresh: Multi-vendor Management & regular deployment
Innovate:
� Reinvented services with analytics and automation
Case Study: Cleveland Clinic Abu Dhabi
IBM Commitments to Kaiser Permanente
An innovation partner
Easy to do business with
� Headquartered in Oakland, California� Over 174,000+ employees� Approximately 10 million health plan members
"This agreement, grown out of our long-standing strategic relationship with IBM, will allow us to build on our leadership in health care technology, staying focused on the safety, satisfaction and privacy of our members and patients and ensuring that our physicians and clinicians continue to deliver real-time, personalized health care." - Phil Fasano, CIO for Kaiser Permanente
Increasing availability and focusing on healthcare intelligence for Kaiser Permanente
Hybrid CloudSecurityAnalytics
� System availability, onsite support and increased reliability
Business Problem
IBM Solution
� Re-badge Kaiser Permanente employees
� Transfer operations of server environment
� Change management and project support for Unix and Intel systems
Results and value
� Improved system availability, stability, reliability
� Analytics for improved transparency and reporting
� Reduction in cycle time to provision IT resources
Increased visibility
Case Study: Kaiser Permanente
Automation
� Largest nonprofit health plan in U.S.
� Integrated health caredelivery system
� 10 million members
� 17,000+ physicians
� 48,000+ nurses
� 174,000+ employees
� 38 hospitals
� 600+ medical offices/ outpatient facilities
� $53.1 billion operating revenue**Source: 2013 Kaiser Permanente Annual Report
Mid-Atlantic Region
Georgia Region
Colorado Region
NorthernCalifornia Region
Hawaii Region
Northwest Region
Southern California Region
Convenience/Service
14.8million
secure physician &clinician emails
13.1million
visits to KP.org &KP Mobile
3.6million
Online appointments
Affordability
26%reduction
in office visits per member
8%reduction
in follow-up visits per Member
11% reduction
in emergency room visits
Quality
57%reduction
in medication errors
50%fewer
hospitalizationfor diabetics
73% reduction
in cardiac mortality
Technology Platforms� EHR, Lab, Pharmacy, Appointment Scheduling
Integrated Solutions� Support over 1.5 billion transactions per month and connect over 2,000 interfaces
Strategic Outsourcing� Run data centers providing high availability of mission critical applications
At Kaiser Permanente, patient care is highly coordinated through state-of-the-art technology and multispecialty physician group practice
Case Study: Kaiser Permanente
IBM investments in the
region – Cloud and
services center
Application
management
Services
®
New common systems in
hospitals
Application
consolidation
Transformation
and outsourcing of
infrastructure
Integrating care
across the health
and social
ecosystem
Region of Catalonia - Spain
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Outcomes:
� $190M saved over 8 years
� Six Platforms consolidated to two
� Increased performance (220%) with fixed staff
� Single enterprise storage network
� Storage capacity up 660%; Windows 317%
� New ventures created include SmartRoom; CCM
“We don’t worry about computer capacity and performance
anymore, it’s just there. Having the newly transformed,virtualized infrastructure behind the scenes is contributing to
improving our patient care and lowering costs.”
Daniel Martich, MD, Chief Medical Information Officer, UPMC
Leading integrated healthcare system in Pennsylvania
• $12.0 billion in revenue
• 20 hospitals
• 62,000 employees,
• 3,400 physicians
Objectives:
� Reduce cost
� Improve performance and stability
� Consolidate and virtualize
� Autonomic computing
� Create new innovation capabilities
Proliferation of medical literature
~700 K new scientific articles / year Clinical
Genomics
Exogenous data(Behavior, Environment, Device)
1,100 Terabytes
6 Terabytes
0.4 Terabytes
Data Generated (per life)
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PUBLISHED KNOWLEDGE POPULATION INSIGHTS
IBM Watson Health CloudStandard based, massively scalable, regulatory Compliant
SolutionsIBM & Ecosystem Solutions
DataStructured & unstructured
InsightsCognitive & Advanced
Analytics
ProvidersPayersResearchersIndividuals PharmaGovt.
LearnAdvance with Watson
learning analytics engine designed for the future
ActCoordinate care, engage
your population, and scale your PCMH care
management team
InformImplement a scalable clinical &
financial big data platform across the enterprise to
support FFS & VBC
Solutions
Population HealthManagement
ConditionSpecific Care
Healthand Wellness
Social Programs
DiscoverySolutions
Real WorldEvidence
IBM Watson
Partnerships Clients
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Our global integrated delivery utilizes consistent processes and procedures for the areas of operations
we manage
Guadalajara
Mexico City
Edmonton
Calgary
Vancouver
San Jose
Caracas
Lima
Asuncion
Brazil sites
Hortolandia
Sao Paulo
Sao Salvadore
Rio de Janeiro
Nova Lima
Montevideo
Buenos AiresMartinez
TorontoBarcelona
Madrid
Caceres
Eastern European sites
Vilnius (Lithuania)
Bucharest (Romania)
Prague (Czech Republic)
Szekesfehervar (Hungary)
WroClaw (Poloand)
Global
Regional
Application Services Global Delivery Center (GDC)
Johannesburg
Capetown
India sites
Bangalore
Pune
Kolkata
Chennai
Hyderabad
Delhi/Gurgaon
China sites
Dalian
Shanghai
Shenzhen
Tokyo
Ho Chi Minh
Metro Manila
Hanoi
Perth
Adelaide
Ballarat
Melbourne
Brisbane
Sydney
Canberra
Rochester, MN
Dubuque, IA
San Francisco, CA
Boulder, CO
Tucson, AZ
Southbury, CT
Gaithersburg, MD
Lexington, KY
Atlanta, GA
West Palm Beach, FL
Tier III & IVFacilities
Server SystemServices
StorageSystemServices
NetworkOperationsServices
ApplicationManagementServices
SecurityManagementServices
EndUser
Services
BusinessContinuityServices
� Delivering outsourcing services for over 20 years
� 379,00 employees worldwide serving customers in 175 countries
� 260,000 IT services professionals
� 52 languages supported at Help Desks globally
� 430 data centers (170 IBM owned/leased; 260 client data centers)
� 2.0M sqft IBM data centers; 2.6M sqft client data centers
� Over 140,000 non-IBM servers under management
� Leader in privacy and security services
� Manage over 4M End User Seats
� Leader in providing remote support using global resources
� Patent leader for 22 years
Global deliveryat-a-glance
07/10/2015 HELSE SØR-ØST and IBM & Partners 20
Our vision and value to HSØ and Sykehuspartner
Infrastructure
• Network
• Data centers
• End-user computing
• Telecom
Applications
• Regional Clinical Solution
• Clinical system SSO
• End user experience
• Early mobility
• Speech to text
• Video conferencing
Advanced Clinical Services
• Telemedicine
• Remote monitoring
• Patient portals
• BYOD / wearables
• Information exchange
Cognitive Computing
• Streaming analytics
• Genomic research
• Population health
1. IBM & Partners will help SP to become a stronger and more valued partner for HSØ by freeing-up resources and
continuously infusing IT-Clinical experts from UPMC and IBM that based on experience from achieving HIMSS level
7 and beyond will be able to raise the capability, relevance and value of Sykehuspartner to HSØ
2. IBM & Partners will enable HSØ to become a role model for high value health care through a mutual journey
similar to what UPMC has done, but faster and more safely due to the learning points achieved at UPMC and IBM’s
capabilities to fund, lead and deliver
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