Oracle Solutions for Healthcare- a strategic decision

Guy Staals

Technology Sales Director

Health Sciences EMEA

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Agenda

• Healthcare key factors & industry trends

• Oracle solutions for the Healthcare Industry

• Customer projects

• Oracle’s footprint in the Healthcare Industry

Healthcare key factors & industry trends

General HC industry trends

Educated and more demanding population

• Able and willing to be empowered in managing their disease

• Looking for more transparency

Ageing population

• Use Healthcare services for a longer time

• More complicated to treat (e.g. multiple illness / comorbidities)

Medical advances

• More effective drugs if patients are compliant

• Technology allows effective mobile monitoring

• Predictive analysis is making progress

Funding is under pressure

• A decreasing working/non-working population ratio

• Average country HC budget > 20% of GDP in 2050

• Governments are revising the role of Payer and Provider

• Providers are increasing being placed in a competitive environment

Key Factors in Healthcare

Oracle solutions for the Healthcare industry

Oracle solutions for Healthcare

Integration Framework (RFID, SOA)

Technology platform (DICOM support)

Healthcare Transaction Base

Clinical library

HL7 V3 RIM based repository

Partner Applications

HIS / EHR

Medication Management

Homecare

etc

Life Science Apps

Oracle Clinical

Trial Management

Life Science Data Hub

ERP ApplicationsE-Business Suite

• Financials

• Procurement & Logistics

• Facility

• HRM

Customer / Patient Relationship Management

Management Informatie (Health Intelligence)

Key Factors in Healthcare

Customer Success ProfileTalent Management

CHALLENGES/OPPORTUNITIES

• Build on the advantages of the NHS’s Electronic Staff Record (ESR) initiative by integrating staff training records for mandatory courses to provide a single, up-to-date file on competencies achieved by all employees

• Streamline compliance with NHS Litigation Authority (NHSLA) requirements in preparation for the hospital’s annual audit

• Enable staff to benefit from the integrated, consistent, innovative e-learning program developed by the NHS National Learning Management System (NLMS)

SOLUTIONS

• Oracle Learning Management as part of ESR

RESULTS

• Achieved NHSLA Level 3 compliance at the

organization’s 2008 audit

• Enabled the hospital to monitor staff performance

against training key performance indicators with built-in

analytics tools

• Easy access to mandatory training to all employees

contributed to staff achieving the competency levels

required to guarantee patient safety and then lower

insurance premiums

• Realize annual savings of US$ 1 million in insurance

premiums

CUSTOMER PERSPECTIVE

“Oracle Learning Management provides us with comprehensive, accurate, up-to-date records for all mandatory staff training, which improves clinical governance and reduces

the risk of negligence and malpractice”malpractice ”David Woods, Director of HR and Corporate Services, Countess of Chester Hospital NHS Foundation Trust

A 580-bed, single-site general hospital located on the outskirts of Chester. The hospital provides a range of medical services to more than 400,00 patients per year from an area covering Western Chestire, Ellesmere Port, Neston, and North Wales. It has 3,500 employees

COMPANY OVERVIEW

Key Factors in Healthcare

Home Care

Nurse

Primary Care Physician

Medical

Office Staff

Orthopedic Specialist

Radiologist Payer

Healthcare InteroperabilityClinical IT Reality

GP

System

HIS

System

CIS

System

Radiology

System

Payer

System

Nursing

System

Process claim

Schedule appointment

Order test

Discharge Patient

Update medical record

Diagnosis

Submit claim

Treatment

Send discharge letterReceive report

Perform procedure

…

Write report

Start rehabilitation

Submit results Follow-up

Support patient

Refer patient

Home Care

Nurse

Primary Care Physician

Medical

Office Staff

Orthopedic Specialist

Radiologist Payer

Healthcare InteroperabilityClinical Integration Framework

GP

System

HIS

System

CIS

System

Radiology

System

Payer

System

Nursing

System

Process claim

Schedule appointment

Order test

Discharge Patient

Update medical record

Diagnosis

Submit claim

Treatment

Send discharge letterReceive report

Perform procedure

…

Write report

Start rehabilitation

Submit results Follow-up

Support patient

Refer patient

Process claim

Schedule appointment

Order test

Discharge Patient

Update medical record

Diagnosis

Submit claim

Treatment

Send discharge letterReceive report

Perform procedure

…

Write report

Start rehabilitation

Submit results Follow-up

Support patient

Refer patient

Process claim

Schedule appointment

Order test

Discharge Patient

Update medical record

Diagnosis

Submit claim

Treatment

Send discharge letterReceive report

Perform procedure

…

Write report

Start rehabilitation

Submit results Follow-up

Support patient

Refer patient

SOA Orchestration

Clinical

Portal Clinical Context

Management

Single Sign On

OHIB

Clinical

Portal

MMA

Viewer

Business

IntelligencePrescribing Homecare

Health Information Access Layer

Connectivity Packaged Database Messaging

Orchestration

Transformation

& Routing

? ETL

TerminologyEMPI EHR Index

Healthcare Infrastructure Services

MultiMedia Medical Archive

Clinical Data Repository

Datawarehouse

Clinical Data Repositories

RIS

System

PACS

System

EMR

System

Accounting

System

Existing Legacy Applications

Security

& Privacy

Management

& Monitoring

Application Server & Database

E-Health Applications

CRM

Oracle Healthcare Interoperability Blueprint

Clinical

Portal

MMA

Viewer

Business

IntelligencePrescribing Homecare

Health Information Access Layer

Connectivity

Orchestration

Transformation

& RoutingETL

TerminologyEMPI EHR Index

Healthcare Infrastructure Services

MultiMedia Medical Archive

Clinical Data Repository

Datawarehouse

Clinical Data Repositories

RIS

System

PACS

System

EMR

System

Accounting

System

Existing Legacy Applications

Security

& Privacy

Management

& Monitoring

OHIB footprint

E-Health Services

CRMConcerto OBIEE Siebel

AS&DBcIndex

BPEL

Rhapsody

ODIRhapsody

HTB – ECM DB 11g DB 11g

BAM

ESB

IAM

B2B:WLI

Oracle Healthcare Interoperability Blueprint

IB Salut Delivers Meaningful Clinical Data to Clinicians

CHALLENGES / OPPORTUNITIES

• Ib Salut wanted to improve patient care and safety by making critical medical information about patients more readily available and accessible to any health professional in any place that would care for them.

CUSTOMER PERSPECTIVE

“IB Salut has chosen to implement a normalized clinical database combined with web-based clinical applications with technology from Oracle Healthcare and Orion Health because we believe that this offers the most solid IT platform to assist our clinicians in their work.”

Luis Fernando Manzanero, CIO

RESULTS

• Clinicians have up-to-date clinical information about patients

• The clinical portal extends the EHR to health providers that do not have their own EHR solution

• Cuts costs by eliminating redundant tests

• Improves patient care by avoiding adverse events and reducing the likelihood of wrong diagnoses

COMPANY OVERVIEW

• The Balearic region consists of four islands with a population of 1,2 million

• More than 12,000 people are employed in the Healthcare sector in the region

• Eight hospitals and 3,000 acute care beds

SOLUTIONS

• Orion Health Concerto Portal provides a web-based clinical portal (single sign-on) that offers access to an electronic medical record containing data from hospitals and clinics throughout the region

• Orion Health Rhapsody Integration Engine defines the integration bus and enables the adoption of HL7 standards

• The Oracle HTB platform is a specialized data repository that integrates data from different applications to provide complete patient records

Key Factors in Healthcare

17

Reference: Resource Information System

Public Administration

Andalusia Public Health System

HealthProfessionals

Citizens

Powered by

Results: Empowered citizens with information to improve self

care and improved quality of care

ORACLE CRM

Oracle footprint in the Healthcare industry

19

CURIA BETICA

Stockholms läns landsting

EMEA customersSelection

• Clear market leader with 50-80% market share in Technology across EMEA

• Involved in and providing important components of eHealth projects

• Running largest Healthcare Shared Services environment in the world

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