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Misys Open Source Solutions (MOSS) – Healthcare . Redwood MedNet Presentation A Practical Application of Open Source Strategies in a Not-So-Conventional Health Care Company Tim Elwell VP, Misys Open Source Solutions May 20, 2009. $1B revenues, 4,500 employees,

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slide1

Misys Open Source Solutions (MOSS) – Healthcare

Redwood MedNet Presentation

A Practical Application of Open Source Strategies in a Not-So-Conventional Health Care Company

Tim Elwell

VP, Misys Open Source Solutions

May 20, 2009

misys integrated businesses before oct 2008
$1B revenues, 4,500 employees,

1st software company listed on FTSE100

Substantial Expertise

30 years experience in Banking

25 years experience in Healthcare

Installed Base

1,200 financial institutions, including every one of the world’s top 50

110,000 Physician users

Global Footprint

Customers in more than 120 countries,

36 Offices around the World

Market Position

Award-winning solutions across each business unit,

Market leader in banking IT worldwide by customer base

Banking

Treasury

& Capital

Markets

Health-

care

experience

solutions

results

Global

Services

Open

Source

Misys Integrated Businesses – Before Oct. 2008

2

misys integrated businesses post oct 2008
Misys Integrated Businesses – Post Oct. 2008

Banking

  • Allscripts &

Misys Healthcare

Solutions

  • NASDAQ: MDRX
  • Glen Tullman

CEO

  • Mike Lawrie

Chairman

Treasury

& Capital

Markets

Health-

care

experience

solutions

results

MOSS

Global

Services

Open

Source

Misys plc

FTSE: MSY.L

CEO: Mike Lawrie

4

the innovator s dilemma by clayton m christensen
“The Innovator’s Dilemma” by Clayton M. Christensen
  • In doing what a company is expected to do (and is rewarded by the market), that company is preparing a way for its own disruption.
  • BUT, it also is the beginning of the innovator’s solution.
2009 opportunity
2009 Opportunity
  • ARRA
    • 19.2
    • 17.2
    • 2
    • 300
    • 100
  • CareSpark
    • 18
    • 40
moss purpose
MOSS Purpose
  • Meaningfuldisruption

Causes change to happen

Generates Revenue

open source solutions healthcare
Open Source Solutions –Healthcare
  • Objective: Committed to improving healthcare delivery using a standards-based, open source approach tobuild interoperability tools between disparate electronic medical records (EMR) systems and healthcare enterprises.
  • Organization: Independent division inside of Misys plc
  • Community: The team is collaborating with prominent medical informatics, technology companies, and policy influencers to support and develop Health Information Exchange (HIE).
  • Goal: Support US-based Nationwide Health Information Network (NHIN) initiatives to provide lower cost, higher quality options that will result in greater EMR adoption and improved healthcare delivery.
  • Market Opportunity: Estimated that the creation of a NHIN will reduce the cost of healthcare expenditures by $77.8 billion annually. (1)
  • Business Model: HIE organizational consulting, customer application development, hosting, and support.

(1) Walker, Jan, Pan, Eric, Johnson, Douglas, Adler-Milstein, Julia, Bates, David W., Middleton, Blackford. The Value of Health Information Exchange and Interoperability. Marketwatch Health Tracking. Jan. 19, 2005.

uses case scenarios
Uses Case Scenarios
  • Ambulatory Specialist Referral
  • Provider to Emergency Department Referral
  • Unplanned Access to Patient Medical Summary
  • Ante-Partum Care Delivery
scale 2008 moss coming out updated plan based on customer needs
SCALE 2008 – MOSS “Coming Out”Updated Plan Based on Customer Needs
  • IHE library
    • A basic set of IHE profiles implemented in Java.
    • This library has been accepted to and successfully completed the Connectathon for the last three years.
  • Connect application
    • A basic eMPI application
    • A viewer to retrieve and view a patient record that encompasses all practices in the community (the longitudinal patient record).
  • Server – Side Concentration
    • PIX-PDQ
    • XDS Registry and Repository

X

XX

X

X

moss mission
MOSS - Mission

Objectives

Create broad-base adoption of the MOSS Platform

Develop lower cost Health Information Exchange (HIE)

Standard’s based

Support Nationwide Health Information Network (NHIN) initiatives

Improve healthcare delivery by increasing EHR adoption

EHR ‘on-ramp’ through the creation of Clinical Groupware

Approaches

Provide standard-basedIHE interoperability options

Develop open source IHE infrastructural components

Leverage core – monetize plug-ins and SaaS; Consulting and Support

Open Source Solutions

experience, solutions, results

14

ihe standards based healthcare network
IHE Standards Based Healthcare Network

Open Source Solutions

experience, solutions, results

15

pix pdq server openpixpdq
PIX/PDQ Server - OpenPIXPDQ

Open Source Solutions

16

ihe standards based healthcare network1
IHE Standards Based Healthcare Network

Open Source Solutions

experience, solutions, results

17

ihe profiles server components april 2009

Open Health Tools Presentation: BOCA Chart

IHE Profiles: Server ComponentsApril 2009
  • Deleted/Changed:
  • Full ATNA/CT moved to post 2Q09 (may use Connect Code)
  • Pressures:
  • Moving project from Source Forge
  • Continue harmonization work with the IHE Profiles project
  • Demonstrate community value, establish precedent for committer status
  • Tooling harmonization
  • Dependencies:
  • JDK 1.5  or 1.6
  • JBoss: 4.0.5 or above
  • Hapi: 0.5.1
  • Braid: 1.1
  • PostgreSQL 8.3
  • Apache: Commons, Log4J, Xerces, Axis2
  • OpenEMPI
  • Beepcore
  • Jaxb
  • Plan Content:
  • Committed:
  • PIX Manager (PIX Feed, PIX Query & PIX update notification)
  • PDQ Supplier (PDQ Query)
  • ATNA transactions specific to PIX/PDQ
    • Audit Log (Audit Trail Client)
    • TLS Secure Transaction
    • Actor Configuration
  • eMPI & eMPI Adapter
  • XDS Repository
  • XDS Registry
  • Proposed:
  • PIX v3 Manager (PIX Feed, PIX Query and PIX Update Notification)
  • PDQ v3 Supplier (PDQ Query)
  • Added:
  • IHE Client Libraries harmonization
  • IHE Profiles roadmap harmonization
  • XCA
  • Milestones:
  • Jan ’09 – go-live for project home
  • Jan 16 - pre-connectathon MESA testing for openPIXPDQ
  • March 31 - post connectathon milestone: move openPIXPDQ from Source Forge
  • April 15 - HIMSS milestone
  • 2Q09 – XDS Repository/Registry development begins
  • 3Q09 – IHE Client Library harmonization
  • Configurations:
  • JBoss 4.0.5
  • PostgreSQL 8.3
  • Braid 1.1
  • JDK 1.5/1.6
moss oht roadmap
MOSS – (OHT) Roadmap

ATNA/CT/XCA

2009

IHE Client library harmonization

3Q 2009

Begin XDS Development

2Q 2009

Connect Gateway Code Review

2Q 2009

HIMSS Showcase

April ‘09

Connect-a-thon

February ‘09

Move OpenPIXPDQ to OHT March ‘09

OHT Charter Project Approval December ‘08

IHE Project harmonization

January ‘09

Begin OpenPIXPDQ Development

October ‘08

portal decomposition
Portal Decomposition

Clinical Groupware

Value-AddComponents &

Portal

Viewer—Liferay

Clinical Data Repository

Core

Open Source

Infrastructure

XDS Registry& Repository

PIX/PDQeMPI

ATNA

Misys Connect

Server Platform:

SaaS

IHE CORE

Misys SaaS

Platform

Misys SaaS

Lab Orders Mgmt.

Encounter Mgmt.Document Mgmt.

E-Prescribing

Scheduling

Reporting

Billing

CRM

experience, solutions, results World Congress

20

20

mashable universe strategy inside out
Mashable Universe StrategyINSIDE--OUT

Meaningful

Use as defined

By our customer

information and related technology governance
Information and Related Technology Governance

Open Source Solutions

The CoBIT framework is the property of the Information Systems Audit

and Controls Association and has been referenced with permission.

slide24

Consulting Plan

Value Alignment Approach

• Multi-stakeholder strategic planning session

Identify

• Stakeholder value

• Milestone development

• Governance Framework

• Policies and Procedures

• Funding resources

• Business model analysis

  • Solution approach
  • Collect and translate business
  • As-is  To-be
  • Map requirements to technical utility
  • Introduce “best practices”
  • Create detailed milestone development
  • Recommend architectural platform
  • Leverage open source components
  • Utilize standards-based approach
  • Include customer resources
  • Development Approach
  • Leverage open source center of competence
  • Iterate with continuous feedback
  • Leverage customer resources

Open Source Solutions

thank you
Thank you
  • Questions?