How Does VMware Uniquely Enable Leaders in

Healthcare Electronic Medical Records

to Improve Quality of Care and

Meet Unique Industry Requirements

Farid Agahi, VMware

OPT5887

#OPT5887

2

VMware in Healthcare

VMworld 2013

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Topics to Cover

Healthcare industry & expectations from IT

Perspectives from physicians and CIOs

Approach by two top EMR ISVs

VMware’s relevance in healthcare

Summary and conclusions

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“There is a sea change coming in how

healthcare is going to be paid for…. it’s not

just the volume of services that’s going to

end-up determining how much providers

and hospitals get paid but it is the quality,

coordination, safety, seamlessness and

patient centered-ness”

Farzad Mostashari, MD, ScM

National Coordinator for Health Information Technology

U.S. Department of Health and Human Services

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Healthcare Transformation Core Constructs

Quality of care

Coordination of care

Patient Safety

Care delivery seamlessness

Patient centered-ness

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Current State of Healthcare in the US

One out of every six dollars are spent on healthcare - on track to be

one out of every five dollars by 2020

Healthcare is the largest industry in the US

$2.8 trillion spent on healthcare in 2012 – more than all federal

taxes collected in 2012.

By 2020 healthcare will be 21% of GDP

80,000 patients are harmed every year by medication errors

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Meaningful Use Stages

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Healthcare Transformation

Top Down View

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Healthcare Transformation – Top Down Dependencies

Shift from quantity to quality

• Patient-centric

• Population care

• Applications

• End-user computing

Foundation for information

management

Paperless, all-digital

Care

Delivery

Information

Tools

Electronic

Medical Records

Clinical Practice

IT Infrastructure

Source: VMware Healthcare Practice

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• Agility

• Availability

• Security

• Mobility

Healthcare Transformation - Core IT Commitments

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Physician community

Healthcare Transformation Key Stakeholders

CIO

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EHR Vendor Core IT

Physician Perspective

Electronic

Health

Record

Platform

Information

Technology

Infrastructure

Clinical

computing

Always ON

Multi-

functional

workspace

Device

agnostic

Ultra mobility

Secure

Access

Clinical

workflow

efficiencies

MU Stage 1,

2, 3

Practice

design

Registry

functions

Drug-drug

alerts

Decision

support

Pharmacy

interface

……….

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CIO Perspective

Electronic

Health

Record

Platform

Information

Technology

Infrastructure

Agility: • Application

• Resource

• Compliance

• Use-case

Always-on

services

Next-gen

clinical

computing

Higher

efficiencies

Lower costs

High

availability

Implementati

on costs

Operational

costs

Mobility

Scalability

EHR Vendor Core IT

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Where does VMware fit in the

continuum of care delivery?

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EHR vendor adoption

Clinical productivity

Healthcare provider business

IT infrastructure

VMware’s Unique Contribution to Healthcare

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EHR vendor adoption

Clinical productivity

Healthcare provider business

IT infrastructure

VMware’s Unique Contribution to Healthcare

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Adoption by two of the top EHR vendors

Epic Systems

Cerner Inc.

VMware’s Unique Contribution to Healthcare

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Epic EHR Application Suite

Epic Windows

Services

EpicWebCare

Everywhere

Print

Service

Relay

Service

Care

Everywhere

Service

SOAP

Proxy

Web

Blob

Service

System

Pulse

CantuHaiku

ePrescribeInterconnect

Error DB

EHR

Link

…...

Citrix Xenapp

Infrastructure

Web

Interface

Presentation

Servers

Zone Data

Collector

License

Manager

…….

Hyperspace Client +

Ancilliaries

Epic

OLTP

(Cache

DB)

Epic

Clarity

Analytics

Database

Ep

ic H

yp

ers

pace

Clien

tSpecific components and quantities vary by deployment and functional capabilities

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Epic EHR Application Suite

Epic Target Platform

Citrix Xenapp

Infrastructure

Web

Interface

Presentation

Servers

Zone Data

Collector

License

Manager

…….

Hyperspace Client +

Ancilliaries

Epic

Clarity

Analytics

Database

XenApp

Sunset

Strategy

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Cerner Millennium EHR Platform

Large-scale application hosting

Support for client virtualization since 2011 – for on-premise

deployments

One of the largest Xenapp deployments in the world

20% projected annual growth in virtual machines through 2016

Virtualizing most of the application platform

Focus on performance and capacity management in a multi-tenant

application environment

VMware’s private cloud platform used as compute foundation for

expansion in service offerings

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VMware’s Core Value for EMR ISV’s

Epic:

• Reduce implementation cost and complexity

• Improve performance, availability and manageability

• Productivity gains in clinical computing

Cerner:

• Reduce cost of operating a large world-class multi-tenant application farm

• Ensure rapid and flexible growth in a massive XenApp infrastructure

• Create the virtualization foundation for growth in service offering

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EHR vendor adoption

Clinical productivity

Healthcare provider business

IT infrastructure

VMware’s Unique Contribution to Healthcare

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Clinical Productivity:

Multi-functional clinical workspace

Roaming virtual workspace

Borderless Mobility

Device agnostic access

VMware’s Unique Contribution to Healthcare

9 month payback

based on clinical

efficiencies

33% gain in

productivity for dictation

50% reduction in time

to view patient data

Source: MetroHealth, Cisco study, 2011

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EHR vendor adoption

Clinical productivity

Healthcare provider business

IT infrastructure

VMware’s Unique Contribution to Healthcare

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VMware’s Unique Contribution to Healthcare

Healthcare Provider Business:

Acquisition/consolidation: fast/low-cost EUC integration

Remote clinics

Safe harbor data protection

Bring-your-own-device strategy

HIPAA & HITECH compliance

TCO reduction

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EHR vendor adoption

Clinical productivity

Healthcare provider business

IT infrastructure

VMware’s Unique Contribution to Healthcare

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VMware’s Unique Contribution to Healthcare

IT Infrastructure:

Mature virtual clinical computing platform

Certified support by key EHR vendor – Epic

Hybrid cloud services for DR/BCP

VMware’s partnership in the Pivotal Initiative for big data

applications

Software Defined Data Center as a solution for multi-instance EHR

environments

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Summary

Healthcare industry is looking to VMware as a significant enabler

Top EHR vendors consider VMware solutions to be complementary

to their offerings

Clinical computing is poised to break out of its constraints and

transform with VMware’s solutions

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Conclusion

Healthcare IT plays a crucial role in the journey to transform

healthcare

VMware has earned the privilege for being a strategic partner to

healthcare providers across the continuum of care delivery

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OPT5887

THANK YOU

How Does VMware Uniquely Enable Leaders in

Healthcare Electronic Medical Records

to Improve Quality of Care and

Meet Unique Industry Requirements

Farid Agahi, VMware

OPT5887

#OPT5887