Connected Health. Cem YENER. Increasing quality & reach in Healthcare through the Network. Healthcare Business Development

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1 Riyadh, KSA February 4, 2013 Connected Health Increasing quality & reach in Healthcare through the Network Cem YENER Healthcare Business Development

2 Topics Challenges of Healthcare Providers Approach to Connected Health Build-Up Cisco Healthcare Architecture Overview Cisco Healthcare Solutions Portfolio Connected Health Summary 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 2

Over the past decade, have risen than wages in the US

the due to the cost of healthcare In, the of the rate of

Organization Towers Watson 2011 Global Medical Trends

3 Over the past decade, have risen than wages in the US Globally, about people suffer annually while are pushed the due to the cost of healthcare In, the of the rate of Source: 2009 NHE projections Source: World Health Organization Towers Watson 2011 Global Medical Trends 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 3

6 of health patients leaders indicated surveyed they would put be PATIENT willing to SWITCH EXPERIENCE HOSPITALS among FOR their A BETTER TOP FIVE PATIENT PRIORITIES EXPERIENCE Source: HealthLeaders Media Council: The New Patient Experience Imperative 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 6

American Information National Week Standards Institute 2012

7 BREACHES OF PATIENT PRIVACY of doctors use MOBILE DEVICES at work have occurred over the past two years Source: American Information National Week Standards Institute 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 7

8 people LACK ACCESS to health care systems Source: Population Reference Bureau: Improving the Health of the World s Poorest People 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 8

Week Healthcare IT 2012 Priorities Survey 2012

10 A Strategic Approach Policy, Business, Legal & Fiscal Context Business Architecture Blueprint Business Capabilities Required Leadership, Competency Governance Technology changes Source: Cisco IBSG 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 10

11 Criteria for Success.. Working Together Acute, Surgery, Retail Pharmacy, Nursing Home Data Centre Mobile Health & Care Worker, Expert on Demand Patient & Carers, At home, work, mobile Source: Cisco IBSG 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 11

Criteria for Success Importance of innovation Importance of collaboration Importance of information Acute, Surgery, Retail Pharmacy, Nursing Home Data Centre Mobile Health &

12 Criteria for Success Importance of innovation Importance of collaboration Importance of information Acute, Surgery, Retail Pharmacy, Nursing Home Data Centre Mobile Health & Care Worker, Expert on Demand Patient & Carers, At home, work, mobile Source: Cisco IBSG 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 12

Criteria for Success Build an Innovation Platform 2012 Cisco and/or

Switzerland Netcare project The vision Pharmacy as a future point-of-care

of hours and weekend treatment only in emergency Results Strong collaboration

Swisscom (Service Provider) Cisco (Technology Provider) Pilot project with

medical devices to measure vital-signs and clinical HDcameras planned as next

14 Switzerland Netcare project The vision Pharmacy as a future point-of-care Challenges Shortage of regular doctors cities as well as in remote areas Out of hours and weekend treatment only in emergency Results Strong collaboration Helsana (Insurance company) Medgate (established Telemedicine Provider) Swisscom (Service Provider) Cisco (Technology Provider) Pilot project with 200 pharmacies in different locations in Switzerland Implementation of medical devices to measure vital-signs and clinical HDcameras planned as next steps 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 14

15 Cisco Healthcare Architecture & Solutions Overview Consumers Patient Clinicians Hospital Staff Administrator Clinical Applications HIS/HIT PACS EMR/EHR Technology Solutions BioMed NAC MDES Remote Expert & Telehealth BYOD Context Aware Healthcare Digital Signage Core Architecture Borderless Network Collaboration Data Center Core Infrastructure Storage Network Storage Compute Data Center 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 15

16 Three Solution Portfolios. One Secure Foundation Care-at-a-Distance and Clinical Workflow Compliance and Medical Device Management Continuing Health Education and Business Collaboration Cisco Medical-Grade Network 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 16

Care-at-a-Distance Solutions Deliver better care and wellness whenever and

Disaster Translation Services 2012 Cisco and/or its

18 Care-at-a-Distance Use Cases Tele-health/ Tele-medicine Tele-radiology Mobile Care & Natural Disaster Translation Services 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 18

19 Cisco HealthPresence Combine HD video, audio, and data Expand secure access to healthcare Reach underserved communities Involve scarce experts Inclusive, immersive collaboration between doctors, patients, and specialists 2010 Cisco and/or its affiliates. All rights reserved. EDCS Cisco Confidential 19

Counselling Centre Psychological Counselling Centre Rehabilitation Centre Mobile Clinics

23 Hong Kong-Sichuan Rehabilitation Center Huaxi Hospital Chengdu Chengdu People s Hospital Rehabilitation Centre Prince of Wales Hospital Hong Kong Rehabilitaton and Psychological Counselling Centre Psychological Counselling Centre Rehabilitation Centre Mobile Clinics Hand-held devices 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 23

Across Healthcare Teams 2010 Cisco and/or

26 Clinical Workflow Use Cases Priority Assignment & Follow-up Asset & Patient Tracking Proximity-Based Care Pre-diagnosis & Central Routing 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 26

Real-Time Resource Location Information and

Provide an Optimal Patient Experience Asset

Monitoring Patient and Staff Safety Patient

BUSINESS VALUE Manage medical equipment,

with condition alerts 2012 Cisco and/or its

27 Cisco Context Aware Context-Aware Healthcare Improves Clinical Processes with Real-Time Resource Location Information and Access to Environmental Information to Help Provide an Optimal Patient Experience Asset Management Equipment Maintenance Condition Monitoring Patient and Staff Safety Patient Flow Asset, Patient, and Staff Visibility BUSINESS VALUE Manage medical equipment, hospital beds and controlling assets Issue patient location alerts and cost-effectively locate staff Reduce waste with condition alerts 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 27

Process Improvement: Nottingham H@N Old H@N System Ward pages H@N Repeat if line busy H@N calls Ward H@N logs task H@N pages doctor Repeat if line busy Doctor Calls H@N H@N allocates task & logs

28 Process Improvement: Nottingham Old System Ward pages Repeat if line busy calls Ward logs task pages doctor Repeat if line busy Doctor Calls allocates task & logs Doctor Completes Task (not logged) New System Ward enters task (logged) allocates task while on ward (logged) Doctor accepts task (logged) Doctor Completes task (logged) 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 28

Compliance and Medical Device Management Solutions Reduce ongoing cost while improving

31 Compliance and Medical Device Management Use Cases Bio Med NAC Compliance and Data Security Mobility Interoperability 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 31

Cisco BioMed NAC (Network Access Control) Cisco Biomed Network Admission Control (NAC) Is an

Devices to the Network, Eliminating a Time- Consuming Manual Process Securely Connecting Medical

infrastructure Reduces overall operational expenses Improves and optimizes care delivery Improves

32 Cisco BioMed NAC (Network Access Control) Cisco Biomed Network Admission Control (NAC) Is an Effective Way for Hospitals to Automate the Process of Connecting Biomedical, IT, and Guest Devices to the Network, Eliminating a Time- Consuming Manual Process Securely Connecting Medical or Non-Medical Devices on a Single Network BUSINESS VALUE Leverages existing network infrastructure Reduces overall operational expenses Improves and optimizes care delivery Improves patient and staff experience 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 32

Medical Data Exchange (MDES) Health Information Exchange (HIE) Cisco AXP Network Module Cisco ISR Router Keep data locally but everywhere accessable with all needed security Start with a single HC

35 Medical Data Exchange (MDES) Health Information Exchange (HIE) Cisco AXP Network Module Cisco ISR Router Keep data locally but everywhere accessable with all needed security Start with a single HC entity and scale up to large international projects Unique solution with an IHE based hierarchical Patient Index (MPIX) 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 35

Klinikum Wels-Grieskirchen Improves Access to Patient Records CHALLENGE Improve quality of care by providing access to

different organizations SOLUTION Medical Data Exchange Solution to provide collaborative tools for cross-facility communication

standards-based interoperability between disparate systems Increased staff productivity and efficiency Created a modernized,

36 Klinikum Wels-Grieskirchen Improves Access to Patient Records CHALLENGE Improve quality of care by providing access to patientcentered data Supply information to authorized personnel where and when needed Combine complex patient indexes from two different organizations SOLUTION Medical Data Exchange Solution to provide collaborative tools for cross-facility communication Platform for application integration Application software for tabulating disparate patient data BUSINESS VALUE Enabled standards-based interoperability between disparate systems Increased staff productivity and efficiency Created a modernized, flexible, and easy-to-use interface to patient data for doctors and nurses 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 36

Laboratory and Radiology Findings Picture 2012

37 MDES ehealth Reference, Austria NÖ ELGA Web-Portal Patient Master Data Discharge Information, Laboratory and Radiology Findings Picture 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 37

MDES ehealth Project, Geneva/Switzerland 2012 Cisco

39 Health Education and Collaboration Solutions Collaborate to innovate using video for R&D, sales and marketing, manufacturing supply chains, corporate functions, and more 2010 Cisco and/or its affiliates. All rights reserved. Cisco Public 39

Administrative Communications 2012 Cisco

40 Health Education and Business Collaboration Use Cases CME Certification Education and Employee Communication Research Trials Training and Administrative Communications 2012 Cisco and/or its affiliates. All rights reserved. EDCS (7/11) Cisco Connect 40

Germany, Poland, Sweden: Pomerania 2012 Cisco and/or its

42 Innovative partnerships and technologies that empower care team collaboration and business efficiency to drive quality outcomes 2010 Cisco and/or its affiliates. All rights reserved. Cisco Public 42

43 Healthcare Services Exchange Portal Cisco Collaboration Suite SSO to all applications (Secure) ESB Imaging CHP eprescribe Medical Records Imaging Billing Claims Eligibility Telemedicine Add an HSX Service 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 43

effectively Provide and support for clinicians Move datacenter and/or services

44 What Are Your CURRENT INITIATIVES? Provide to improve quality and access to care Improve the Manage and more effectively Provide and support for clinicians Move datacenter and/or services to the Control and mitigate data loss and patient privacy issues 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 44

Cisco in Healthcare CISCO TECHNOLOGY ENABLES HEALTHCARE TO IMPROVE QUALITY OF PATIENT CARE CISCO TECHNOLOGY IS IMPROVING ACCESS TO CARE VIDEO COLLABORATION IS CHANGING THE

45 Cisco in Healthcare CISCO TECHNOLOGY ENABLES HEALTHCARE TO IMPROVE QUALITY OF PATIENT CARE CISCO TECHNOLOGY IS IMPROVING ACCESS TO CARE VIDEO COLLABORATION IS CHANGING THE PATIENT EXPERIENCE CISCO TECHNOLOGY PROVIDES A SAFER ENVIRONMENT BY PROTECTING PATIENT PRIVACY AND DATA SECURITY 2012 Cisco and/or its affiliates. All rights reserved. Cisco Connect 45

46 Thank you.

Cisco Patient Connect Solution

Solution Overview Cisco Patient Connect Solution Personalize the patient experience at every point in the healthcare journey: Connect. Inform. Educate. Engage. The patient experience has always been a