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© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.

HP in the Healthcare Sector

Catalin Ionut Fota MDHealthcare Business Development ManagerSouth East Europe


The complexity of healthcare delivery

Source: Life Magazine


2013 Healthcare World Wide Trends

- Costs keep increasing: growing / aging population

- Consumers (customers / patients / citizens) are better informed and more demanding

- Genomics are becoming more and more present- Personalized medicine: genome generation costs dramatically reduced - Regenerative medicine: stem cells

- Evidence Based Medicine (EBM) and Medicine Protocols- Checklists- EHR source of practice through BI and Analytics- Accountable care organizations: pay for outcomes vs. Procedures volume- Non-MD providing care: Nurses, assistants, etc.


- Patient empowerment- Social networks- Patient portals- Patient association

-Higher influence of cost in clinical decisions- Behavioral economics: smoking / toxic habits, weight, etc.- Payment innovation: outcomes vs. Procedures volume- Accountable care organizations- Payers decide “quality adjusted life years” of potential treatment- Growing role of Philanthropy: not all can be just efficiency

- New cost effective ways of healthcare / wellness- Prevention- Tele-health: tele-monitoring, telemedicine, etc.- Healthcare tourism

2013 Healthcare World Wide Trends

© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.5

eHealth Building Blocks

Interoperability & Integration platform / Secured Infrastructure

Access Management / Portal

HC Prof.

Registry

Single Sign On

Secure Communicati

on

Consent

Management

Master Patient Index

Anonymisatio

n

Prescription

catalogGeneric Services

Electronic Health Records

Affiliation Control

(eligibility)

E-Prescrip-

tion

Decision Support (Analytics

)

Personal Health Records

Laboratory

Radiology

Value AddedServices

Payers Information

System

Claim and Quality Management


Transformation RoadmapE

cosy

stem

Inte

grat

ion

Quality of Care & OutcomesEfficiency gains

– Stand-alone– Best of breed– Fragmented systems

Digital Hospitals with – Integrated EMR, EHR, CPOE, Imaging,

Med-Tech, facility mgmt., processes– Real time alerts & messages– Hospitals / primary care integration

– Health Info Exchanges, EHR ‘s– Patient & Providers Access to Data via Health portals– e-prescription– Telehealth & home care

Today’sHealthcare

ConnectedHealthcare

Integrated Healthcare

Low High

Low

Hig

h

Automating manual processes at hospitals, clinics and physician offices

Interconnected Provider environment;EHR enabled Information flow

Integrated Care Management

– Clinical & Administrative Workflow automation– EHR enabled real-time Information flow– Personalized, Predictive & Preventive – Patient centric care management – Providers, Payers, Life Sciences HIE

Connected Healthcare ecosystem Real-time Information accessOrchestrate care across multiple levels


Top Healthcare challenges

- Increasing Operations Efficiency /

Lowering Costs

- Improve quality and accessibility of care /

Mitigate risks

- Speed innovation to transform Healthcare

- Enabling Care Coordination

- Improving Healthcare Outcomes

- Regulations and compliance


HP in Healthcare


HP in Healthcare & Life SciencesPr

ovid

ers

Paye

rs

HP Revenue $1,490 Mn



Note: Revenues as of CY 2010, Source: IDC

Life

Sci

ence

s

•• World’s #1 provider of health & life sciences IT Technology & Services

• #1 provider of BPO services in healthcare & managed care markets

• Deep vertical expertise in healthcare, with 40+ years history of serving healthcare clients

Proven Credentials

• Targeted clinical and IT solutions • Extensive partner ecosystem• 50+ years of proven technology;

$10B annually; 7,000+ professionals• Strategic client relationships worldwide for

commercial and government• 250 MDs on US HP staff only !

Global Thought Leader


HP Patient centric approach


HP eHealth References

* Implementation in progress

• Spain: National Health Service – 92 public hospitals and five of the largest hospitals run HP Healthcare

Information System (HP HCIS) as do additional hospitals in Portugal and India

• Spain: e-Prescription and medication process management

• Czech Republic: Payers, Claims disbursing, National Registry, e-Prescription, e- Health Card, Healthcare

portal

• Romania: Payers, Claims disbursing, National Registry, e-Prescription, e- Health Card, Telemedicine

• Norway: St. Olav and Ahus Hospitals – state of the art new hospitals

• Hungary and Lithuania: eHealth Infrastructure initiatives

• Israel: implemented an advanced Hospital Info System in 22 MoH hospitals

• United Kingdom: maintaining and enhancing 12 hospitals PAS, Pharmacy systems

• Germany: Managing 200 hospital payrolls through Business Process Outsourcing

• Israel: Countrywide HIE deployment

• USA (Texas): Health Information Exchange with EHR-lite portal

• USA (Oklahoma): Health Information Exchange *

• USA – Medicaid/Medicare Administrative Contractor for more than 25 US states

• US Veterans Health Administration: VistA system, 158 hospitals, 6M veterans; 10-year contract for

applications development, maintenance, enhancements and modernization services


HP eHealth References

HP signed up with Northern Ireland’s Department of Health to implement a new e-prescription system. The Electronic Prescribing and Eligibility System (EPES), is designed to fight the problem of prescription fraud, saving 8M$ in the process.

HP Non-Stop servers give Kiwok the 24-hour non-stop reliability needed to produce its BodyKom Series heart monitoring technology.

The National Cancer Institute Foundation in Italy teamed up with HP to create a new solution for total tracability in the blood transfusion system using HP iPAQs and Radio Frequency Identification technology.

The National Reimbursement Agency for Primary Care in Ireland appointed HP to automate the board‘s payment processes and Business Intelligence solution. It includes a national health index, integration, authentication (PKI), Oracle DW, access & portal

E-prescription Tele-monitoring RFID enabled blood tracking

Health Info Exchange

The Spanish Ministry of Defense chose HP to implement a medical Communication and Information System thatgives military medical staff easy access to bothhealthcare and corporate management information –wherever in the world

The Lithuanian Ministry of Health selected HP to develop an e-Health system architecture and pilot, with clinical information collection, storage and exchange, ensuring interoperability and security of data.

Payers, Claims disbursing, National Registry,

Budget Administration

Telemedicine

e-Prescription,

e- Health Card

IB-Salut, the healthcare department of the Balearic Islands‘ local government, implemented a new healthcare information system, designed and implemented by HP services

Electronic Health Records & RFID

Electronic Health Records Integrated Health Management Information System

Electronic Health Records


Thank you


Akershus University Hospital

HP wins top Norwegian hospital contract – with a little help fromits friends“We have a lot of experience through the co-operation of the different parties involved. We have a strong value chain that utilises the top competencies of all the sub-contractors and that is what enabled us to win this significant contract.”

Kaare Finbak, AHUS project manager, HP Norway

Objective Approach Results

• Due for completion in 2008, the new NOK7.6 billion Akershus University Hospital (AHUS) near Oslo will be a high tech establishment with the vision of being ‘a paperless hospital’

• Medical and non-medical work processes will be digitised, patient information will be recorded only once, patients will have their own bedside monitors with a choice of entertainments and medical staff will have instant access to patient records wherever they are over Local Area Network (LAN) or wireless network

• Providing the telephony and technology infrastructures for AHUS is a complex task that demands a spread of specialities that no one vendor can supply.

• When the project went out to tender, the winning bid came from a consortium headed by HP and Norway’s largest telecoms group, Telenor - beating competition from an IBM/Ementor partnership and another consortium of local companies.

• HP will control some 15 areas, including the LAN and wireless networks, installation of HP OpenView, building the operations platform, arranging the migration of applications from an existing hospital, plus operations and maintenance support

• Telenor will be responsible for the telephony infrastructure, HP partner Accenture will be responsible for vital training of end-users, the messaging systems are under the control of Cardiac, audio-visual systems are being provided by YIT and the catalogue/registration services are coming from ABEO

• Once completed, AHUS will provide a high standard of medical services to a population of 340,000 people in Norway’s Eastern Regional Health Authority area.

• It is destined to be ‘one of the most patient-oriented hospitals in the country’

• Use of technology will streamline its efficiency which will help AHUS cut waiting times for the local population


15 18 February 2013

Landstinget GavleborgGävleborg’s medical images are secure yet available with HP archiving

“Using HP Medical Archiving solution for the secure storage and high availability of our medical images helps us to provide more efficient healthcare for the 300,000 residents of Gävleborg.”

Ulf Wallquist, CIO, Landstinget Gävleborg

Objective Approach Results

• Sweden’s Landstinget Gävleborghealth authority wanted secure, efficient storage and retrieval of medical images.

• Landstinget Gävleborg chose to implement an HP Medical Archive solution (MAS) with HP StorageWorks EVA5000 disk arrays.

IT improvements• Automatic short and long term

archiving eliminates the need for backup.

• Time is saved by cutting out manual disk handling.

• Many different image formats can be stored on the same framework.

• Easier management of both primary and secondary storage.

• More storage capacity is available.Business Benefits• Having a secure and highly available

archive solution supports the delivery of efficient patient care and shorter waiting lists.

• Storage on MAS arrays is more cost effective and less demanding on manpower.

• This scalable storage solution aligns with business needs and will provide the council with the agility it needs to meet future service level demands.

Internal Use Only


SIUI –Sole Integrated Information System for Health Insurance

Objective Components Benefits

q HP designed, built and delivered a nation-wide integrated IT system for NHIH. The system went live in 2008 and has been upgraded technologically in 2010

q The maintenance phase (until 2021) includes software updates to allow NHIH to comply with the changing legislation in the health insurance sector in Romania

IT infrastructure ü Top of the line servers, storage and

networking from HPCustom built software applicationü Covers all aspects of the health

insurance business of NHIHü Available at central (NHIH) level,

county (CHIH) level and medical and pharmaceutical provider level

Integrated Enterprise Resource Planning (ERP) sub-system

ü Customized for use according to the requirements of NHIH

q The SIUI system is a centralized systemHigh performance and scalable IT

infrastructure centralized into one main Data Center and based on the latest products and technologies for HP

q On-line and centralized reporting of medical and pharmaceutical service providers

The service providers report into the SIUI system the medical services/drugs as they are performed/prescribed or dispensed

q Fraud-detection capabilitiesBy means of multiple on-line cross-checks

and identifications of deviations versus average

q On-line access to insurance statusThe service providers have access into the

system in order to check on-line the insurance status of patients

q Secure reporting via the Internet for the medical and pharmaceutical service providers

The service providers access the system from the Web in a secure way by means of public digital certificates and they sign digitally the data they report into the system

“Romanian National Health Insurance House (NHIH) is the public institution that manages the social health insurance fund in Romania (population of ~22 million and ~27 000 medical and pharmaceutical service providers)

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