IBM Smarter Healthcare

© 2013 IBM Corporation

How healthcare players could benefit from new service models implemented in the market around cloud computing

Stefan Henze, Director Public Sector Industry IT Consulting DACH

IBM Smarter Healthcare

12.11.2013

Rüschlikon, 05.11.13




Forward-thinking companies are redefining their business strategy with cloud

2 IBM Smarter Healthcare12.11.2013

http://www.youtube.com/watch?v=8qoRSBTuC_k&feature=youtu.be



Agenda

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Typical situation and challenges in a larger clinical IT environmentTypical situation and challenges in a larger clinical IT environment

Governance model as prerequisite for successful sourcing Governance model as prerequisite for successful sourcing

Use Case: eFA (electronic patient record) UK AachenUse Case: eFA (electronic patient record) UK Aachen


(Cloud-) Sourcing as an appropriate solution(Cloud-) Sourcing as an appropriate solution



Agenda

4 12.11.2013

Typical situation and challenges in a larger clinic IT environmentTypical situation and challenges in a larger clinic IT environment







Status quo –What does a typical IT infrastructure look like?


DevicesDevices

ServerServer

Standard-softwareStandard-software

........



Today's IT areas


Monitoring-

systems

Device-provisioning

System-

management

Ticket-

system

SAP

CITIRX

Cable-management

Business-

intelligence

Archive

Database-provisioning

Virtualization

Groupware

Monitoring-systems

StorageBackup

HIS

EPA

Intensive-documentation

LIS

IT-Security

Electronic -patient record

Maintenance

Med. Databases

Mobility

Tele-

medicine

Clinical ApplicationsClinical Applications



Devisions & tasks in a typical IT-department (FTE distribution)


Datacenter



IT Sourcing could be a solution to overcome the currentissues. The following areas are primarily in focus:


Standard applications without clinical relation

Operation and administration of a data center

Device support

Hotline & ticket-system service

Multimedia telecommunication



Areas with a need for action in a typical hospital


Significant backlog demand for “hardware”investments of approximately 3 times the annual IT budget.

Annual maintenance fees for the current inventory eat up almost entire IT budget assigned

New hardware investments cannot be financed any longer

Lack of skills, reduced headcounts in IT and overall high average age of employees leads to a critital situation to constantly meet quality of service requirements



Agenda

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Important challenges for companies are cost issues, service-portfolio optimization and reduction of business risks


Low

Low

High

Low

High

High

IT Environment

Costs Costs Costs

Business risksBusiness risksBusiness risks Service portfolioService portfolioService portfolio



The need to control business risks and maintain service quality under existing cost pressures lead to a focus on core competencies


Low

Low

High

Low

High

High

IT Environment

Costs

Business risks Service portfolio

ProvisioningProvisioning Operation Operation OptimizationOptimizationTechnology Mgmt.

Technology Mgmt.

Business Mgmt.Business Mgmt.

External

Internal

High synergy potential

High innovation potential



The role of corporate IT continues to evolve


2000 – 2005

2006 – 2010

2011 – 2015

IT as applicationimplementer

� Expansive, on-premise applications

� Highly customized, with dedicated hardware

� Internal staff and external trusted advisor

IT as head of virtualizationand standardization

� Early SaaS and cloud adoption� Acceleration of virtualization and

standardization� Less staff, multiple suppliers

IT as service integrator

� Widespread SaaS and cloud adoption

� Highly standardized and virtualized, delivered as a service

� Even less staff, many more suppliers and new modes of delivery



IT sourcing market has changed dramatically in recent years


Fullscope Outsourcing

(new Business) – often combined

with Asset + Employee takeover)

2nd + 3rd generation outsourcing

(Contract-extension / provider

exchange)

SO Outsourcing MarketSO Outsourcing Market

High standardization,

contents entirely cross and

international

SAP HostingSAP Hosting

Data Center Services

(IaaS / PaaS)

Data Center Services

(IaaS / PaaS)

ASP Hosting(SaaS)

ASP Hosting(SaaS)

Selective Service Desks

Selective Service Desks

Cloud ServicesCloud Services

DR / Data Center Housing

DR / Data Center Housing

Managed Converged

Communication

Managed Converged

Communication

Managed Security

Managed Security

Changes in the market

IT Selective Sourcing MarketIT Selective Sourcing Market



Vertical sourcing offerings are driven by Cloud and Managed Services Models and have changed the way services are tailored


Internal IT Candidate for ext. Sourcing

RunRun

User Help Desk

…

Command Center

PlanPlan Build Build

Systems Operations

Development & Deployment

Infrastructure

Application

Platform / Middleware

Command Center

BPaaS

SaaS

AaaSAaaS

PaaSPaaS

IaaSIaaS

Business Units

Vertical xVertical x

App1 App2 App n

Typical sourcing candidate areas of the last years:

Typical sourcing candidate areas of the last years:

Vertical sourcing as Cloud or Managed Service

Vertical sourcing as Cloud or Managed Service



A layered, open Cloud Architecture is emerging


Platform Services

InfrastructureServices

Backplane

Software Services� Business

Applications as

components� Service Oriented

Architecture

� Specialized implementations and “drivers”

� “Fit for purpose”workloads

� Operational (OSS) and Business (BSS) Support Services

� Compute, Storage, Network

Open Standards / Source� Driven by customer

use cases

� Cloud Interoperability is key for adoptance

OSLC



A successful service integration starts with a well defined governance model


User-Incident:„Application XY is non performant

“Or „Network is slow!“

WAN Provider:„No WAN

issue“Client LAN:

„OK“

„No problem in the Server LAN environment“

„Middleware ?

Moderately utilitzed“

„Host transactions below 1 Sec.“

Many expert opinions regarding internal and external service delivery…but no „End to End“ statement

Service

Provider 1

Service

Provider 2

Internal

IT-X

Service

Provider 3

Internal

IT-Y

User



Service integration covers an important portion of the processes required to manage the interface between business units, end users and IT


Internal IT Service Delivery

Internal IT Service Delivery

Sector …-BU 1-BU 2 Project Portfolio

ManagementService Portfolio ManagementService Catalogue Management

Security & Compliance Management

Service Provider 1

Service Provider 1

Service Provider 2

Service Provider 2

......

Pro

vid

er M

anagem

ent

(Portfo

lio, C

oord

inatio

n, e

tc.)

Service PerformanceMonitoring & Service Level Management

Requirements Management

Architecture Management

Financial Management / Chargeback

Service Desk / Incident Management

…

Business Units / End Users Retained IT Service Delivery

Processes as an interface between business & IT

End Users

Service DeliveryService Delivery

Overa

ll G

overn

ance

Sector …-BU 1-BU 2



Service integration is a mandatory core competency of IT organizations with multi sourcing strategies


*) OLA = Operational Level Agreement

Retained IT OrganizationRetained IT Organization

Supplier 1 Supplier 2 Supplier n

Contract

Internal Services

Internal Services

Service IntegratorService Integrator

Contract Contract

�Coordination and orchestration of Service

Providers

�End to end services representation

�Escalation Management

�Appropriate skills

�Cultural Change

Service Integration capabilities:Service Integration capabilities:



Agenda

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Accident and emergency care



PACS Stolberg

Filetranfser with DICOM-Send

X-Ray image



FallAkte Plus

PACS

UKA

medico

UKA

X-Ray image

PACS Stolberg

Integrated access to electronic patient record



Transfer to University Hospital Aachen



FallAkte Plus

X-Ray ImageCT

PACS

UKA

medico

UKA

Transfer Report

OP-Reports

Results

X-RayThorax

PACS Stolberg

AIS Medistarjesaja.net


Medication

EKG



FallAkte Plus

X-Ray image

PACS

UKA

medico

UKA

Transfer-ReportOP-Report

X-Ray-Result

X-RayThorax


PACS Stolberg



FallAkte Plus

X-Ray Image

PACS

UKA

medico

UKA

Transfer Report

OP-Reports

Results

X-RayThorax

PACS Stolberg

Medication review & customizationwith focus on specific patient AIS

Medistar /jesaja.net

ID Diacos Pharma

Medikation Medication

Medications-rules

EKG



Transfer to Düren for rehabilitation treatment



FallAkte Plus

Medication

EKG

X Ray Images CT

PACS

UKA

medico

UKA

Transfer-Report

OP-Report

i.s.h.med Düren

Physician Letter

PACS Stolberg

Sono-Result

Results

X-RayThorax

AIS Medistar /jesaja.net

Integrated data acquisition

ID Diacos Pharma



FallAkte Plus

Medication

EKG

X Ray Images

PACS

UKA

medico

UKA

Transfer-Report

OP- Report

Results

X-Ray Thorax

i.s.h.med DürenPACS

Stolberg


Integrated data acquisition

ID Diacos Pharma



Transfer for additional surgery (skull) back to University Hospital Aachen



PACS

UKA

FallAkte Plus

Medication

EKG

SkullCT

medico

UKA

Transfer-Report

OP-Report


Stolberg

Acquisition of relevant documents in the primary systems

Physician Letter

Sono-Report

X-Ray Result

X-Ray-Thorax


ID Diacos Pharma



FallAkte Plus

Medication

EKG

X Ray Images

PACS

UKA

medico

UKA

Transfer-Report

OP-Report


Stolberg

Access to electronic patient record

Physician LetterSono-Result

X-Ray Result

X-ray Thorax


ID Diacos Pharma



EFA-Box

Jesaja.

Net

Soarian

Integrated Care

KH1 medico

KH2 i.s.h.med

KH3 iMedOne

Duria PVS KH4 KIS

medatixx

CGM-AIS

CGM-AIS

CompuGroup Siemens

IBM Private Cloud(PaaS)

Solution Outline



Service portfolio of private IBM Cloud


� Installation and configuration of new

servers

� Maintenance of CMDB

� Daily Housekeeping

� Log File analysis

� Start, Stop and Relocate of VMs

� Image-Service

� Incident Management

� 2nd and 3rd level support

� Capacity Management

� Patch Management

� Service Management

Operating-System and

Server- Management

Operating-System and

Server- Management

Storage and Backup-

Management

Storage and Backup-

Management

Database

Management

IBM

basis

IBM

basis

Hospital/

Sie

mens Customizing of the Soarian

Application,

App-development and -

support

IBM

options

IBM

options

Communication-

Monitoring

Hospital

Hosting Center- and

Network-Management



Service portfolio of private IBM Cloud


� Providing of a private cloud on the hospital

campus

� Protected private cloud with computing

resources required for the eFA

� What is performed by IBM? Hardware,

software, operation, maintenance, monitoring

� Scaling options depending on the load and

storage requirements

� Optional use for other applications

� Test- and migration-environment

� Architecture planning with the hospital and

Siemens Healthcare

� Providing of a private cloud on the hospital

campus

� Protected private cloud with computing

resources required for the eFA

� What is performed by IBM? Hardware,

software, operation, maintenance, monitoring

� Scaling options depending on the load and

storage requirements

� Optional use for other applications

� Test- and migration-environment

� Architecture planning with the hospital and

Siemens Healthcare

Operating and scaling optionsOperating and scaling options

� High Performance IBM System x Server

� IBM cloud services with virtualization platform

� Server, storage and network based on System

X VMware, IBM V7000 and Cisco technology

� Secure VPN through separate management

and data networks

� Certified operation team to manage data with

high protection needs

� High Performance IBM System x Server

� IBM cloud services with virtualization platform

� Server, storage and network based on System

X VMware, IBM V7000 and Cisco technology

� Secure VPN through separate management

and data networks

� Certified operation team to manage data with

high protection needs

Technology and processesTechnology and processes



Your Contact

37 12.11.2013

Stefan Henze

Stefan HenzeStefan Henze

Senior Manager Industry Sales Public & CSI – DACHGlobal Technology Services

Location: Düsseldorf, DE

49-(0)1717844057

[email protected]




38 12.11.2013

Thank you


IBM Smarter Healthcare

Technology

Transcript of IBM Smarter Healthcare