engage patients, reduce manual processes and drive key insights with interoperability

Engage Patients, Reduce Manual

Processes and Drive Key Insights with

Interoperability

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Perficient is a leading information technology consulting firm serving clients throughout

North America.

We help clients implement business-driven technology solutions that integrate business

processes, improve worker productivity, increase customer loyalty and create a more agile

enterprise to better respond to new business opportunities.

About Perficient

• Founded in 1997

• Public, NASDAQ: PRFT

• 2013 revenue ~$373 million

• Major market locations throughout North America• Atlanta, Boston, Charlotte, Chicago, Cincinnati,

Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles, Minneapolis, New York City, Northern California, Oxford (UK), Philadelphia, Southern California, St. Louis, Toronto and Washington, D.C.

• Global delivery centers in China, Europe and India

• >2,200 colleagues

• Dedicated solution practices

• ~85% repeat business rate

• Alliance partnerships with major technology vendors

• Multiple vendor/industry technology and growth awards

Perficient Profile

BUSINESS SOLUTIONS

Business Intelligence

Business Process Management

Customer Experience and CRM

Enterprise Performance Management

Enterprise Resource Planning

Experience Design (XD)

Management Consulting

TECHNOLOGY SOLUTIONS

Business Integration/SOA

Cloud Services

Commerce

Content Management

Custom Application Development

Education

Information Management

Mobile Platforms

Platform Integration

Portal & Social

Our Solutions Expertise

Nicholas Lecker,Director of Healthcare Architecture and

Interoperability, Perficient

• Trends in Healthcare

• Interoperability & Integration Best Practices

• Examples of Interoperability

• Walkthrough of Specific Use Cases

Agenda

Consumer Experience

Operational Excellence

Value based Care

Healthcare Reform Initiatives

Trends in Healthcare

• Rapid changes are driving many shifts in healthcare.

– Regulatory

– Meaningful Use

– ACOs

– Personalized Care

– Patient Engagement Models

– Value-Based Purchasing

– Population Health

– Narrow Networks

– Health Insurance Marketplace

– Pay for Performance

– Mergers & Acquisitions

– The list can go on….

• Agility of the business

– Business needs to change and flex to meet market demands

– IT systems and processes need to flex and be nimble

– Availability of information – moving to near real time

• Cost pressures are changing

– Organizations are now having to address cash flow as they are losing bread and butter services to their competition

• Consumers are cost conscious and shopping for value

• ACA is changing the landscape of competition for consumers dollars

– The end patient is now becoming the customer rather than the group/employer

– Consumers are expecting more and more information and expecting their data to be available in manners like their financial portfolio

– Consumers demand a richer experience with their healthcare information (portal, mobile, social)

– CRM is not just customer service – need to address the whole lifecycle of CRM

Issues that Need to

Be Addressed





Agenda

Where Does Interoperability Fit?

• Interoperability:

– The ability to collaborate, whether systematically or organizationally, within and across domains, in a manner easily done with the results being easily understood

• Governance

– Data (vocabulary, code sets, structure, dictionary/glossary)

– Process (complex, serial conversations & rules)

– Service (directory, transport)

– Security

• Information Backbone/ESB

– Messaging Service

– Adapters

– Master Data Management

– Data Quality/Cleansing

– Transformation

– Translation

– ETL

The Need for Interoperability

Sustainability

Need

Value Cost

Collaborate

Governance

• IT supporting the Business

– IT continues to feel the pressures to deliver value

– IT needs to leverage the systems in place

– IT needs to provide operational excellence through

Interoperability

• Architecture/Framework

• Security

• Data Governance

• Transactions/Messages (X12, HL7)

• Translation

• Trust

• Availability

Technical and Business Challenges

z

Architecture – Shared understanding of your strategic, business, solution and information

architectures creates a common nomenclature

Initiative

Program

Mission

Vision ScopeRoadmap

Business Case

Vision

ObjectiveObjective Objective

KPIKPI KPI

InitiativeInitiativeInitiativeInitiative

Business Case

MajorProcess

Business Process DecompositionProcess flows / SIPOC

Methods & Procedures Documentation / Training Materials

Mega Proce

ss

SubProcess

Objective

SubProcess

MajorProcess

SubProcess

SubProcess

Activity

Activity

Activity

Decision

Activity

Tasks:• Step

1• Step

2• Step

3

DomainFamily

Solution Domain MapBusiness Requirements

Backlog / BRD

Domain

Family

SolutionDomain

(Scenario)

Objective

DomainFamily

SolutionDomain

(Scenario)

SolutionDomain

(Scenario)

BusinessRequirement

BusinessRequirement

BusinessRule

DataFacet

Conceptual ModelLogical ModelPhysical Model

ETL Architecture

Subject

Area

Entity Objective

DataFacet

Entity Entity

Fact Fact Fact Dimension

Metric Metric Dimension

Dimension

Attribute

Attribute

STRATEGY ARCHITECTURE BUSINESS ARCHITECTURE SOLUTION ARCHITECTURE INFORMATION ARCHITECTURE

Foundational Architectural

Approach One View

Agenda





A Small Healthcare System

Success Story

Challenges

• Client had separate EMR

systems for its two hospitals

and practice management and

needed to merge into one

centralized healthcare system

in order to continue to provide

a seamless total healthcare

experience for healthcare

consumers

• In addition to converting to

Epic, the client was upgrading

several critical systems

including cardiology, radiology

and pharmacy

• Needed to migrate more than

150 application-to-application

integration interfaces from its

legacy HL7 integration engine

called eGate. Oracle was ending

support for its current product

and the client was not able to

rapidly adjust to changes in its

business due to an outdated

platform

About the Company

• A full-service, not-for-profit health

system in the Midwest.

• Formed in 1995 has more than 80

locations providing clinical,

educational, preventive and social

programs.

• The health system also has non-

hospital services which include:

– Physician practice management

– Fitness centers and fitness center

management

– Occupational health centers

– Home health and hospice care

Solution Deployed

Change management solution to manage rollouts with collaborative technical response

Established a strong knowledge transfer and training to client teams

IBM Integration Bus as the primary integration engine for key exchanges with systems such as Epic

IBM Connectivity Pack for Healthcare, HL7

Tivoli/Omnibus monitoring provided real-time monitoring and a dashboard to identify problems before the field experienced them

Business Value Delivered

• Better overall patient experience and quality of service

• The ability to get to information more quickly improved the overall efficiency of doctors

• System integration is highly scalable and flexible

Efficiency

• Real-time monitoring reduced lost or dropped messages, with controls in place for auditing

• Implementation of HL7 standards established a framework to maintain compliance with government regulations (EMR, etc.)

Compliance

• Knowledge transfer to technical team enabled support of existing implementations and future changes

• Program oversight established to break down walls and establish a collaborative team for operational improvements

Ability to Support Solution Proliferation

Challenges

• eGate replacement for a

healthcare provider with 25

hospitals

• Legacy system soon to lose

vendor support (eGate) – cost

prohibitive support

• Multiple failure points leading

to a brittle system

• Excessive moving parts J2EE,

UNIX scripts, eGate, Queues

• Inadequate monitoring

resulting in diagnostic

overhead

• Maintenance issues leading to

additional expense and client

satisfaction issues

• Using older unsupported

message model (HL7 v2.1,

NO CDA, no MDI)

A Large Hospital

Success Story

About the Company

• One of the largest nonprofit

integrated health care delivery

systems in the United States

• The system's primary service area

is home to over 6 million people

and has 25 acute-care and short-

stay hospitals

• It consists of nearly 4,000

licensed beds and over 5,500

physicians at its hospitals

Solution Deployed

IBM Integration Bus-based solution, leveraging the Healthcare Connectivity Pack

Created a custom framework that sits on top of Healthcare Connectivity Pack and tailors the system to the client’s existing eGate architecture

Integration patterns that facilitate eGate flow migration, making the data sharing easier and faster

Change management solution to manage rollouts with collaborative technical response

Establish a strong knowledge transfer and training to client teams

The technical solution used messaging bus with HL7 adapters as the primary integration engine for key exchanges with systems such as Epic

Business Value Delivered

Data sharing and application integration is facilitated through the IBM Integration Bus system, making the exchange of records faster and easier

The Healthcare Connectivity Pack paired with the IBM Integration Bus solution is customized to the current system, facilitating the transition from the eGate platform

Increased visibility into data flow allows the client to identify and resolve bottlenecks

Summary

• Enables the flow of data to deliver effective patient care

• Supports huge range of use cases from mobile to home health

• Flexibility to support your business wherever it needs to grow

Integration is the key to realizing value in healthcare

• Supports key healthcare standards HL7, DICOM and CDA

• Provides high value use cases including analytics and mobile

• Expert patterns simplify common integration use cases

• Complies with all relevant industry regulations (FDA MDDS)

IBM Connectivity Pack for Healthcare providers and payers

• Fully supported product runs on all editions of IBM Integration Bus

• Robust, scalable and high performing and more systems are integrated

• Easy to deploy and manage in all form factors including virtualised

Builds on top of the #1 integration product worldwide

• Integrate all your siloes of information including ERP, CRM and more

Unparalleled range of connectivity options and capabilities

As a reminder, please submit your

questions in the chat box.

We will get to as many as possible.

Agenda





Kiran Ghanta, Senior Solutions Architect, Perficient.

SOA Reference Architecture

IBM Integration Tooling

Why IBM Integration Bus

Edge

IntegrationGateway Integration Bus

• Out of box built-in patterns,

Intuitive user Interface,

Graphical mapping service

• Streamline integration

• Enable intelligent

processing

• Improve operational

management

• Scalability and performance

• Universal integration capabilities

– Many connectivity protocols –

MQ, JMS, SOAP, Files, HTTP/S,

Database and core

– Many development languages –

ESQL, Java, .Net, XSL,

Graphical Data Maps (GDM)

– Application server capabilities

– Rapid development lifecycles

and prototyping

Why IIB Healthcare Pack

Why IIB Healthcare Pack

Message Models

Healthcare Nodes

Medical Device Integration

DICOM Image Integration

HealthCare Specific Patterns

HealthCare Operational Monitoring

ATNA Audit Events

HealthCare Data Analysis

IIB Design Patterns

Healthcare Pack Patterns provide additional

patterns once installed in the IIB Toolkit

Healthcare Patterns

HL 7 TransformationsHL7 to HL7HL7 to HL7 DFDL

HL7 to reports

Home Health

Medical devices to EMR

Web service to DICOM

What We Did

Utilized IBM Integration Bus with Healthcare Pack at multiple healthcare providers

At the large hospital system we migrated 560 interfaces.

At the small Healthcare provider system we migrated 150 interfaces utilizing pub sub model

Built common frameworks

Developed a common rapid development/migration approach from different legacy integration engines utilizing pattern based

approach:

Customized patterns

Developed custom patterns

Developed custom nodes

Implemented new interfaces and migrated legacy interfaces at faster pace.

• Analyzed existing legacy integration engine

• Infrastructure setup and configuration

• Built common frameworks: audit logging, error handling and monitoring, notification

• Identified and documented unique integration interface candidates for patterns

• Customized out-of-the-box patterns and created new patterns based on analysis done

• Developed significant use cases/integration interfaces per each pattern Pilot Phase

• Built project plans

• Split use cases/interface for each phase

• Executed project plans iteratively with backlog prioritization

• Enhanced common frameworks

• Rapid implementation of use cases

• Project go live for each phase

Next Phase

How We Did It

Used Perficient Enable Methodology

(Envision, Execute & Evolve)

Patterns

Large Hospital System

• HL7 to HL7

• File to HL7

• HL7 to File

• SNA to SNA

• SNA to HL7

• HL7 to SNA

• SNA to File

• File to SNA

• Medical Device Integration

Small Healthcare System

• Pub Sub Model with HL7 to HL7

Transform Your Enterprise from Being Transactional to Being Interactive

Perficient IBM Connectivity

Offerings

Solution Architecture Design/Implementation

• Integration/SOA roadmap and strategy

• Appliances-based integration solutions with data power

• Integration/connectivity solutions with WebSphere

• Cloud integration with CastIron

• API management solutions using IBM Connectivity tools

• B2B solutions using DataPower/WebSphere Partner Gateway

• Migrations to IIB – From WESB, from WMB, from ICS

• Migration from any ESB/ EAI Solutions – TIBCO, SeeBeyond eGate, Cloverleaf, Rhapsody and more

Perficient IBM Connectivity Offerings

Enablement & Mentoring

• Customizable programs for enablement/mentoring using IBM Connectivity tools (PRFT QSRs):

• IBM Integration Bus (IIB)

• WebSphere Message Broker (WMB)

• DataPower Appliances

• WebSphere MQ (WMQ)

• CastIron

• Programs include health check, best practices, methodologies, processes, document templates, design/architecture patterns, guidebooks, administration/ monitoring guidelines, provisioning, etc.

POCs/POTs/Demos

• Packaged solutions to show capabilities of IIB/WMB

• Work with IBM Labs and/or directly with Clients for POCs/POTs for IIB(WMB)/DataPower/WMQ

Perficient IBM Connectivity Offerings

Assets - Repository of Reusable Artifacts

• Design patterns using Healthcare Pack for Healthcare which accelerates development time by 25-30%

• Pre-built frameworks related to performance testing, ESB environment monitoring, auditing, error handling, error notifications, etc.

• Repeatable processes/patterns for retail and healthcare industry use cases

• Design patterns, methodology, best practices, SDLC processes, error handling/audit logging solutions, document templates etc. facilitate faster time to production for services/integrations during project implementation

Questions?

Thank you for your participation today.Please fill out the survey at the close of this session.

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