Microsoft NHS regional road-show introductions

Tim Gee, Healthcare Business Manager, Microsoft UK

timgee@microsoft.com

Housekeeping

• Restrooms• Rest Breaks• Regulations for Fire Alarms• Retire the Phone (or at least on silent

please!)• Relax and enjoy the sessions!

Morning agenda for Roadshow• Introduction & welcome

– Microsoft & NHS Partners Showcase & Exhibitors• Microsoft in Healthcare

– Worldwide & UK• NHS Connecting for Health

– Enterprise Agreement & NHS Infrastructure Maturity Model• NHSmail

– Next generation NHSmail• Local Community ICT Strategy & Plans

– Local perspective on IM&T Plans• Smart procurement

– Get the best out of the EA and Software Asset Management• NHS Resource Centre

– eLearning, HUP, EPP, News, Collaboration

Afternoon agenda – Partner NHS Showcase

• Connect – Infrastructure optimization SCC• Collaborate – Collaboration online and off-line

IOKO & D2i• Collaborate – Unified Communications &

Collaboration HP• Inform – Business Intelligence University

Hospitals South Manchester & 21C

Bytes Technology Group

• Smart Licensing Procurement• NHS Software Asset Management

Here today:• Ian Holroyd – NHS North West/West Midlands Account Manager • Luke McAllister – NHS Internal Account Manager• Chris Hibbert – NHS Service Delivery Manager• Andrea Perrot – NHS/Public Sector Team Manager

SCC Slide

Taran Sohal Business Development Manager ioko (Carelink)

MOSS solutions – Intranet, Information Governance & E-FormsN3 Hosting – web, application, spine aggregation

Sophy TaylerSenior Account Manager D2i

Building Collaborative SolutionsPeople * Knowledge * Technology

Steve ProkopiuPractice ManagerIM Group

Business Intelligence and Performance Management ConsultancyGlobal MS Business Intelligence Partner of the Year – 3 years running

Ongoing relationships with several NHS organisations including:

- Bradford and Airedale PCT- Lincolnshire Teaching PCT- London Ambulance Service- Warwickshire PCT

HP Slide

21st century information management

www.21C.it

21C - Knowledge-Driven Healthcare SolutionsDaniel Wakefield – Sales DirectorA Practical Approach to NHS Information Managementusing the Microsoft Product Framework:

Case Studies from• University Hospital South Manchester (Integrated Portal Solutions using

MOSS 2007)• Kent & Medway Partnership Trust (Mental Health Performance

Management using SQL/MOSS/PerformancePoint)• Wandsworth Primary Care Trust (EMIS Performance Management using

SQL/MOSS/PerformancePoint)

Mini partner expo

• NHSMail – Cable & Wireless• 18wk wait & Patient Costing - Ardentia• Connected Health – SIMPL• Electronic Document & Records Management –

Tower Software

NHSmail is moving to Microsoft Exchange 2007….…providing a user-friendly front end based on Outlook Web Access 2007 and

greater opportunities for additional features.

NHSmail will become a service at the forefront of email development

Benefits for organisations: • a secure email service that can be used for exchanging clinical and other

sensitive information;• a service based on Exchange 2007, effectively a service upgrade• centrally funded, so free at the point of use;• an email to SMS facility can be used to send patient appointment reminders,

free of charge, reducing DNA rates;• frees up budget currently spent on maintaining and upgrading email servers.

“NHSmail is uniquely placed to provide secure communications to the NHS and my objective for the service is to see it become as ubiquitous as phones or bleeps and to be understood by everyone that it is THE way to communicate securely with their colleagues.”

Dr Simon Eccles, Consultant in Emergency Medicine & NHSmail Senior Responsible Officer

Ardentia – Solutions

• Healthware Manager:• making sure hospital information is

reliable and accessible where and when you need it.

• Pathway Manager: • take control of referral to treatment

monitoring.• PLC Patient Level Costing:

• give clinicians the tools to improve hospital performance Delivering SLR and PLC to NHS Trusts

Simpl Slide

Healthcare and Electronic Document and Records• TOWER Software’s EDRM solution, TRIM Context enables organisations to comply with

legislation, the ISO 15489 Document Records Management Standard and the NHS Code of Practice for Records Management

• TRIM Context applies all the necessary structures and rules for ERM without impacting the end user. Documents can be saved directly into the system from with desktop applications and e-mail clients and SharePoint (MOSS 2007) collaboration sites.

• WHY TOWER and SharePoint (MOSS)? Has achieved VERS certification and complies with ISO 15489 Document Records Management Standard

and the e-GIF/e-GMS UK Government standards Audit trail/security around accessing of information Information stored electronically does not take up storage space Information readily available to those who are authorised to view it View, access & create TRIM documents/records via SharePoint Windows Leverage collaboration features of SharePoint

• Derby Hospitals NHS Foundation TRIM Context supports 7000 users by managing all non-clinical documents and improve access to information to support remote workers. As part of the Trust’s ongoing ‘Reshaping Health Services’ project, the system will enable a move away from paper-based processes, thus reducing the space & cost associated with the physical storage of files and documentation.

Microsoft in Healthcare

Tim Gee, Healthcare Business Manager, Microsoft UK

timgee@microsoft.com

Nick Umney, Lead Account Technology Strategist

nicku@microsoft.com

Microsoft in HealthcareOver 700 people dedicated to Health:• Worldwide Public Sector Healthcare

– Healthcare, Health and Social Services

• Microsoft Healthcare & Life Sciences -US– Providers, Health Plans, Life Sciences

• Health Solutions Group– Consumers, Enterprise Hospitals and Health Systems

• Academic Hospitals and Medical Schools

Our Growing Commitment

1995

Microsoft Healthcare

Team established

A large partner ecosystem

supported by more than 700 Microsoft employees

2007Acquisition of Medstory

1995MSHUG

formation Growing

Healthcare Presence

Active X for HealthcareWindows NTSQL Server

Partner ecosystem development

2006Acquisition

of Azyxxi

1996 200720062003200220001998 2005

1999health & fitness

Microsoft CorporationConfidential and Privileged

1995

2005

Health Solutions

Group

Peter Neupert

Re-joins Microsoft

from Drugstore.com to incubate and lead HSG

2007US launch

of HealthVaul

t

2007Acquisition of Global

Care Solutions

Announced in February

The new version of Hospital 2000, is a state-of-the-art, integrated hospital information system designed for international markets. Amalga HIS includes an integrated Electronic Medical Record with complete patient and bed management, laboratory, pharmacy, RIS/PACS, pathology, financial accounting, materials management and human resource systems.

Its integrated architecture allows the radiologist to use a single application to manipulate images and access the entire patient medical record. The workstation interface is optimized for workflow, including support for pre-defined templates, an intuitive report editor, voice recognition and dictation capabilities. Available as a standalone system as well as a component of Microsoft Amalga HIS.

The new Microsoft Amalga family of Health Enterprise Systems

The new version of the product formerly known as Azyxxi, is the “Unified Intelligence System” that allows large hospital enterprises to unlock the power of all their data sitting in clinical, financial and administrative silos.Without replacing current systems it offers an innovative way to capture, store, access and instantly present data.

Fulfilling a vision of connected health that serves the patient by bringing together information from across the healthcare ecosystem

Partner Applications

Microsoft Health Solutions Group

Enterprise Consumer

Microsoft Technology Platform

Integrated health information solutions for hospitals

Health information integration platform that brings together data from hundreds of different sources

Consumer health information platform connecting doctors, partner applications, and devices

Consumer health search

Hospital Legacy Systems

www.microsoft.com/industry/healthcare

Microsoft Health Future Vision

Remote Monitoring

Virtual Visit with Case Manager

Hospital Rounding

Medication Management

Locating Equipment

In-Patient Visit

Virtual Consultation

Retail Clinic Services

Health Future Vision

Microsoft UK & the NHS• NHS / Microsoft Enterprise Wide Agreements have

been in place since 2001• Current framework extends to 2012• Microsoft UK Healthcare team extends to over 50

staff working across :– Account Team – supporting NHS Customers & Partners– Online Team – NHS Resource Centre– NHS CUI Development Programme

• CAPS ; IM&T and Knowledge Worker tools– Consultancy and Support

• NHS CfH; CSC; C&W, NHS Trusts– Microsoft Premier Support Services

Knowledge Driven Health

Knowledge Driven Health• Quick and easy access to data and information via enhanced analytical tools, dashboards and

business intelligence• Share citizen records as appropriate to speed services and avoid duplication, using security-

enhanced technologies• Improved access to information and services including Search• View data from multiple agencies in a single repository• More informed decision-making.

• Improved decision-making through increased real-time collaboration, using data from across agency silos

• Improved content and data management reducing the time spent searching for info• Maximize Enterprise Search capabilities that help people find and share information• Integrated collaboration capabilities such as automated workflow• Collaborate seamlessly virtually anywhere on virtually any

device.

• Create electronic client records, providing a single unified view of the client• Pull records from multiple agencies into one client record via common client ID• Create interoperability within IT infrastructure, to tie into older systems, and to move

data between old and new systems• Share and integrate data appropriately with security-enhanced technologies• Create service-oriented architecture.

Level 1 Basic

Disjointed, manual Infrastructure

Knowledge not shared

Reactive & ad-hoc

Unpredictable service performance

User driven “who shouts loudest”

Focus is to Avoid Downtime

NHS Infrastructure Maturity Model

More Pressure Than Ever on NHS IT Budgets

CostEfficiencies

Critical Business Uptime

ImproveClinical & Admin

Productivity

Patient & Customer

Connections

Technology Innovation

RegulatoryCompliance

Maintain Strict Security

Improved Results& Patient experience

Information Governance 80% Reactive

20% Proactive

To support NHS Connecting For Health in achieving the following:

Increasing patient safety

CUI Programme Goals

CUI Programme Mission

Increasing clinical effectiveness

Increasing the ease of adoption and relevance of Microsoft Windows and Microsoft Office to the NHS

“Delivery of best-practice guidance and solutions that will support

NHS Connecting For Health and their suppliers in delivering the

National Programme for IT, such that NHS employees are able to

work within a more consistent, relevant, productive and managed

environment.”

CUI Programme Focus Areas

Clinical Applications and Patient Safety

• Delivers technology agnostic standards and Microsoft Windows-based components which all clinical applications should adopt in order to be easy to use, enable patient safety, and provide consistency of user experience across the whole of the NHS.

IM&T and Knowledge Worker Tools Efficiency

• Delivers best practice advice and guidance to assist NHS Entities in moving towards a more mature, secure, centrally managed workstation and server infrastructure.

• Delivers additional Microsoft Office functionality to support NHS clinical and business processes, and provide the NHS with a more productive information worker environment.

Microsoft Premier Support•Customisable Support contract•Reactive and Proactive Services Offered.•12 month Service Delivery Plan by a Technical Account Manager•Knowledge Transfer and enablement •Achieve operational efficiency in line with Local IM&T plans •16 NHS Organisations Committed

“I want to really leverage what I can get from the Enterprise Agreement [that Microsoft has with the NHS] and the Premier Support contract can help me to do that”  - John Thornbury, Director of ICT at Worcestershire Health ICT Services

Connected Health Framework ArchitectureCommunication

Operations Management

Security

Collaboration ServicesPresentation and Point of Access

ServicesIdentity Management Services

Privacy and Security Services

Service Publication and Location

Shared Services

System Management Services

Communication Services

Data Services

User Processes

Business Processes

Connected Health Services HubIntegration Services

Business Components

Service Component Interface

Data Access Logic Components

NHS CUI – IM&T Tools - Focus“To assist NHS Entities in achieving an easily deployable, well

managed, and more secure desktop and server infrastructure.”

Costs

Manageability

Safety

Productivity

The IM&T Tools Project will contribute to the following outcomes:

Increasing infrastructure maturity, to provide a solid foundation

Reducing diversity, to provide a common platform

Simplifying deployment, to provide efficient implementations

Realising value from the Enterprise Agreement

Phase 1 Guidance and Tools

Phase 2 Guidance and Tools

Launch a Video Conversation

Dr Jordan I need your help with a diagnosis

Do you have time to join me in a Video conference?

Extend to the whole team

Business Intelligence?

UK Healthcare Information Needs• Payment by Results

– “focuses on improving the quality of patient level data that underpins the effective operation of payment by results”

• Practice based Commissioning– “Expert, imaginative commissioning is central to a patient-led

NHS and changes to the organisation of primary care are in making the NHS fit for the 21st century”

• 18 Week Care pathways– “‘Pioneers’ who have been working since the start of the year

to look at how we track and measure the timeliness of patients’ progress from referral to treatment”

• Patient Level Costing?• Our Health, Our Care, Our Say

– 10 year plan to become more responsive to patient needs and prevent ill health by the promotion of healthy lifestyles – Predictive Healthcare

Business Intelligence Layers

NHS BI Proof of Concept

• A demonstrable method of managing the performance of a Trust, Hospital or shared service

• Automation of manual effort – current systems are error prone and take many days to compile management data

• Fewer people working smarter – “moving people up the value chain”

NHS Trust Hospital Scorecard

FINANCIAL ACTIVITY

PATIENT FACING PEOPLE

Maintain Break Even Position

Deliver Value for Money

Reduce Budget by x% over n years

Improve patient satisfaction

Improve quality and access to information

Improve # patients who choose hospital

Reduce # complaints

Reduce sickness / absence

Everyone has an appraisal every year

Meeting headcount targets

Manage locum consultant appointments

Reduce waiting list / times

Reduce cancellations

Reduce re-admission and DNAs

Maximize bed availability

Reduce hospital acquired infections

Meet contract targets

NHS BI Proof of Concept

• 80GB of anonymous data offered by Portsmouth for Live VPC Demo with Exec teams

• Easy step by step demo built for Partners and virtual Healthcare team– Office Web component Introduction– SQL Server Reporting Services Introduction– Excel 2007 formatting– Excel 2007 forecasting– Information Integrated with Vision and MapPoint– Report Builder Demonstration

Demo Title

NameTitleGroup

demo

Knowledge Driven Health

In Summary

• Microsoft is in Healthcare for the long term• The NHS EWA offers a wide range of outstanding

products• Solution Envisioning is a key part of our strategy• IOI / NIMM offers evolutionary track to increase

operational efficiency and deliver greatest value for EWA

• Microsoft & Partner Services can offer key to success

• Enjoy the day!

© 2008 MICROSOFT CORPORATION. ALL RIGHTS RESERVED.THIS PRESENTATION IS FOR INFORMATIONAL PURPOSES ONLY. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS

SUMMARY.