Oracle in the Healthcare & Life Sciences Industry
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Oracle in the Healthcare & Life Sciences Industry Sofia, February the 1st, 2006 EMEA Healthcare and LifeSciences Giancarlo Ruscitti, Business Development Director. Agenda. Healthcare IT market overview Oracle’s vision and strategy. Clinical/ Administrative Systems. Wireless systems.

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Agenda

Oracle in the Healthcare & Life Sciences IndustrySofia, February the 1st, 2006EMEA Healthcare and LifeSciencesGiancarlo Ruscitti, Business Development Director


Agenda
Agenda

  • Healthcare IT market overview

  • Oracle’s vision and strategy


Outlook blueprint for the healthcare community

Clinical/ Administrative Systems

Wireless systems

Outlook: Blueprint for the Healthcare community

Security access control

Supply chain systems

Medical Systems

ElectronicPatient Records

Integration architecture

Database infrastructure

Systems with potential Oracle participation in red font


Hc it a huge industry
HC IT: A huge industry

Breakdown of EMEA HC IT market (2004)

$Bn

$1.6Bn

$7.8Bn

$0.93Bn

$0.93Bn

Payors

R&N(1)

Maintenance

Services

Primary

care

Clinical

& other(2)

Non-

acute

Acute

hospitals

Hardware

License

ERP

D'base

tools

Software

D'base

Total IT

spend

SW

spend

Customers

Product

(1) Regional & National initiatives plus military (2) Hospital departmental systems, GP systems, desktop SW, payor back office solutions, etc.

Sources: National statistics bodies; OECD; WHO; Gartner; Dresdner KW; Silicon Bridge Research; IDC


Highest growth of all industries
Highest growth of all industries

Growth of IT spending in Western Europe (selected industries) 2003 - 2008

Growth p.a.

Source: IDC


Leading business trends why is the european market different
Leading Business Trends Why is the European market different?

  • The common healthcare challenges

    • Increasing pressure to reduce costs

    • Improving quality of care delivery

    • Secure, self-service access to healthcare information and services

  • The healthcare challenges in EMEA

    • Medical Progress

    • Ageing population

    • Rising healthcare costs and social security deficits

    • The move to citizen-centered care


Key healthcare concerns regarding healthcare systems
Key Healthcare ConcernsRegarding healthcare systems

  • Excellence in clinical care

    • Provider access to critical information at the point of care

  • Financial management and tarification

    • Increased financial and regulatory oversight

  • Managing human resources and retaining skills

    • Proactive staff management to reduce workforce turnover


Requirements for healthcare it information technology trends
Requirements for Healthcare ITInformation Technology Trends

  • Adherence to global industry standards

  • Consolidation and integration of healthcare systems

  • Management of the scale and complexity of the healthcare infrastructure

  • Robustness and security in healthcare systems


Basic pain points
Basic Pain Points

  • Who is my patient ?

  • Where is he ?

  • Did he come to me before ?

  • Does he have a clinical history ?

  • Are his medications and lab tests results available ?

  • Can I access medications and lab tests results ?

  • Can I leave a message to my colleagues about my patient ?

  • Can I share informations about my patient and exchange with my colleagues about him ?


It driven by known challenges
IT driven by known challenges

Stakeholder

Pain points

IT solutions

  • Provider

    • Clinician

    • Nurse

    • Dentist

    • Radiologist

    • Lab

    • Pharmacist

    • Management

  • Payer/regulator

  • Patient

  • Lack of comprehensive accessible clinical patient notes both in and outside of normal office hours

  • Inability to communicate easily with colleagues

  • Increasing administrative workload

  • Increasing litigation concerning medical/drug errors

  • Need to fulfil continual educational requirements

  • Increasing demand (leading to longer waiting lists)

  • Increasing need to report performance metrics

  • Lack of comprehensive organisation-wide information to facilitate planning

  • Staff shortages

  • Lack of IT skills

  • Lack of transparency of provider information

  • Inability to integrate data from different providers

  • Lack of population level statistics

  • Difficult/expensive communication with individual customers/providers eg individual eligibility checks

  • Increasing cost of medical care

  • Poor access to medical services eg long waiting times, difficult to access services out of hours etc

  • Lack of choice of care providers

  • Insufficient information to make informed decisions

  • Electronic Patient Record (EPR)

  • e-booking

  • e-prescribing

  • Decision support systems

  • Clinical databases

  • Management information systems

    • Finance

    • HR

    • Payroll

    • Procurement

  • e-learning

  • Web/telephone based patient information services

Addressedby ITsolutions

At the same time IT penetration (1.5 % – 2%) lowest among information intensive industries


His level of sophistication
HIS Level of Sophistication

Infra in US > Europe!

Level 1 : PAS-Patient Administration System

Level 2 : Common MPI-Master Patient Index, integration around patient number

Level 3 : Clinical Order, results, advanced medical library

Level 4 : Decision Support, ePrescribing

Source : HINE 2005


His level of sophistication differences between countries
HIS Level of Sophistication Differences between countries

  • Spain indicates rather sophisticated approach with 100% of hospitals – highest results after Sweden

  • 531 workstations per hospital (mobile WS 3% in Germany and Italy, 7% in UK/Eire)

  • 3.52 staff per workstation

  • 1.1 screen per bed

  • Mobile technology (11% in Sweden, 17% in Norway)


Agenda1
Agenda

  • Healthcare IT market overview

  • Oracle’s vision and strategy


Healthcare and life sciences strategy
Healthcare and Life Sciences Strategy

Evaluate, Compare, Analyse and Pay

REAL TIME !

Payer

Ask for More

Medical Efficiency

Pay taxes and insurances

Safety

EXPENSES

GROWTH !

  • Life Sciences

    • Pharma Labs

    • Research Centres

    • Medical Societies

  • Patient

    • Satisfaction

    • Well-being

    • Health

MEDICAL

PROGRESS

Medical Activity

Budget

Personalize

Define

Indications

Clinical Pathways

Best Practices

Deliver Care

Provider

WAITING LIST!

DEFICIT !

Allocate Service Budget

Optimize Care Processes

Monitor Financial Performance


Oracle s vision in healthcare
Oracle’s Vision in Healthcare

Providing a robust healthcare platform and enterprise applications enabling organizations to:

  • Reduce healthcare IT complexity

  • Lower total cost of ownership

  • Improve scalability, security and availability of IT systems


Oracle has a strong position in the hc market
Oracle has a strong position in the HC market

  • Oracle is the leading worldwide database provider for payors and hospitals

    • In Europe 50% - 80% (depending on country) of all healthcare payors and providers use Oracle Technology

  • More than 300 leading healthcare providers and more than 80 healthcare payors run Oracle applications

  • Oracle is the leading provider of Clinical Trial Management Systems

    • 15 of the top 20 Pharma companies use Oracle Clinical

  • Oracle is the only company to offer a health data repository and integration platform based on the open standard HL7 v3 Reference Information Model (RIM)


4 product families for the hc market
4 product families for the HC market

  • Third Party / Partner Applications

    • Clinical Suite

    • Medication Management

    • Chronic Disease Management

    • Patient Safety alert

    • Home care delivery

    • HC transportation

    • Health Insurance Front Office

    • Public Health Reporting

  • Oracle Pharmaceutical Applications (OPA)

    • Oracle Clinical

    • Adverse Event Reporting

    • Thesaurus Mana- gement

    • Trial Management

  • Oracle EBS Applications:

  • Financial

  • Human Resources

    • Procurement, Order Mgt, SCM

    • Sales

    • Service

    • Projects

    • CRM

  • Oracle Health Transaction Base (HTB)

    • Health Data Repository

    • Application Development Platform

    • Integration Platform

  • Base technology

    • Database (incl. HC-specific options like DICOM support)

    • Application Server

    • Collaboration Suite

    • Business Intelligence


Oracle products support future hc trends
Oracle products support future HC trends

1 – Gartner Report Nov 2004



Integrated hospital solution

Integrated Hospital Solution

Solution

Partners

References


Integrated hospital solution1
Integrated Hospital Solution

Revenues

Orders + Planning

CLINICAL

FINANCIAL

PATIENT BILLING

43 M€

PATIENTRECORD

ISVs with or

without HTB

as CDR

BI

CDR

10 M€

HRMS

87 M€

LIS

RIS

PHARMAPACS

ERP

38 M€

Results + Reports +

Drug Dispensing


Integrated hospital solution2
Integrated Hospital Solution

Revenues

Orders + Planning

CLINICAL

FINANCIAL

PATIENT BILLING

Performance

43 M€

  • Reference

  • Organizations

  • Persons

  • Roles

  • Terminologies

PATIENTRECORD

BI

CFDR

HTB

10 M€

HRMS

  • Persistence

  • Acts

  • Participation

  • Security

87 M€

LIS

RIS

PHARMAPACS

Expenses

ERP

38 M€

Results + Reports +

Drug Dispensing


Integrated hospital solution3
Integrated Hospital Solution

Financial

Medical

Billing

Medical

Labs

ICD-10

SNOMED-CT

Processes

Radiology

Repository

Pharmacy

Blood

DRG

ERP

Payroll

Budget

Analysis

Optimization


Integrated hospital solution4

Core

Applications

Oracle

CFDR

ISVs

HTB

EBS

Integrated Hospital Solution

Revenues

Orders + Planning

CLINICAL

FINANCIAL

PATIENT BILLING

Performance

43 M€

PATIENTRECORD

BI

CFDR

HTB

10 M€

HRMS

87 M€

LIS

RIS

PHARMAPACS

Expenses

ERP

38 M€

Results + Reports +

Drug Dispensing


Agenda

Project

Management

Change

Management

Recruitment

Location/

Office

Organisation

Design

Oracle And Partner CoreCompetencies

Package

Enabled

Reengineering

Method

European and

Local SIs

Core

Applications

Configuration

and

Architecture

Process

Design


Infomentis process

Analyst Input

Healthcare GTMi’s

Shared Service Centre

Integrated Hospital Solution

Medication Management

Chronic Disease Mgt

  • Key Business Requirements

  • KBR 1

  • KBR 2

Key Business

Drivers

Solution 2

Solution 1

Infomentis process


Business flows for administrative processes
Business Flows for Administrative Processes

  • Procure to Pay (I-Procurement, Purchasing)

  • Fulfilment (Order Management)

  • Inventory management (Inventory)

  • Accounting to Financial Reporting (Financials)

  • Budget to Investment (Projects)

  • People to Paycheck (Human Resources)


Analyze to agreement process
Analyze to Agreement: Process

PR0131

Analyze

Sourcing Requirements

PR0134

Evaluate Supplier Contract Performance

PR0133

Maintain Negotiated Supplier Agreements

PR0152

Publish Specification and Sourcing Doc

  • This process covers reviewing the suppliers performance against the negotiated contract..

  • Identify strategic sourcing opportunities

  • Establish Sourcing Strategy – types of sourcing, RFx Stages, Evaluation Criteria

  • Add, Modify or renew negotiated agree-ments as necessary.

  • Agreements can be purchase orders, blankets or contracts.

  • The process of providing specifications and requests for quotation to a supplier.

PR0148

Maintain

Approved Supplier List

PR1005

Maintain

Suppliers

  • Maintain a list of approved suppliers per item.

  • Maintain supplier / creditors information.

  • Maintain bank information for electronic payment

Analyze to Agreement: Process

Analyze

Define Sourcing Requirements

Publish Request

PR0137

Define Sourcing Rules of Engagement

PR0135

Determine Item Requirements

PR0136

Select Suppliers

  • Set starting and ending times

  • Specify Bidding/Quoting Rules

  • Identify Item Attributes (Quality) and Relative Scores & weights for Bid Analysis

  • Identify Supply Reqs (Delivery Reqs, Packaging)

  • Determine Sourcing Strategy to be used for Item

  • Review and Select Incumbent Suppliers

  • Assess local capabilities

  • Identify external sources

Multi-Round Sourcing Process – e.g Rfi plus Reverse Auction

Evaluate and Award Responses

Finalise Legal Contract

Contract Maintenance

PR0139

Manage

Supplier

Responses

PR0132

Evaluate

and Award

Negotiations

PD1096

Develop Legal Terms and Conditions

  • Collect and evaluate responses to award the contract or agreements

  • Qualify suppliers if Rfi

  • Complete evaluation

  • Create new round if needed

  • Make award decisions based on item/supplier strategy

  • Create Procurement Contract or Blanket Agreement

  • Submit Contract or Blanket Agreement for approval

  • Finalise incentives and penalties

  • Develop business agreement between Provider and Supplier

  • Approve/make Contract or Blanket Agreement available for use

Suppliers

Roles

Items

PR0142

Maintain

Supplier

Catalogs

Manager Purchasing

PD1096

Maintain

Products and Items

Buyer

Pharmacist

  • Prices are maintained on purchase agreements, Contracts, or loaded in iProcurement directly.

  • Items in Purchase agreements or Contracts are loaded in the iProcurement catalog.

  • Add or modify items

  • Maintain additional information for inventory items, e.g. planning parameters, default locators, etc.

  • Integration req’d between Oracle Inventory and ProCure for Items

Supplier


Business flow for clinical processes like medication management
Business Flow for Clinical Processes like Medication Management

  • There are four main business flows associated with Medication Management:

    • Evaluation

      • Reviewing all clinical information to ensure that the appropriate course of treatment is selected

    • Prescribing

      • The act of selecting amedication from an approved formulary

      • Fulfilment

      • The method by which the drugs identified in the prescription are made available for administration

    • Dispensing(Pharmacy or Hospital)

      • Delivery of drug to the point of care

    • Administration

      • The process by which the drug selected during the prescribing process is given to the person

        Associated with all four business processes is the management of compliance


Medication management right use of drug in an hospital

25% Drugs

75% Others

Supply

Medication ManagementRight Use of Drug in an Hospital

75% Staff

25% Supply

Budget

A bad use of drug leads to an increase of pharmaceutical expenses and a bad use of medical staff


Proof points
Proof points

  • Dutch Hospitals – E-Business Suite with Business Flows

    • > 15 others (EBS only) including

      • OLVG

      • MC Haaglanden

  • France

    • Hospices Civils de Lyon

    • CHU Montpellier (started implementation) – E-Business Suite Only

    • Creteil and Montreuil (mid implementation) – E-Business Suite and HTB

    • Institut Claudius Regaud

  • Belgium

    • 4 hospitals including

      • ZNA Antwerp hospital group

  • UK shared services

    • >150 Hospitals in UK including

      • Cardiff and Vale NHS Trust (2nd Largest in UK)

      • University College London Hospital

      • Sandwell and City Hospitals


Le havre hospital group in france
Le Havre Hospital Group in France

  • Objectives

    • Consolidation of clinical data

    • Enable management reporting

  • Solution

    • Healthcare Transaction Base at the core of the solution

      • Aggregation of persons clinical data from disparate systems

        • person, activity, orders, medications, results etc.

      • Clinical viewer developed on HTB

  • Benefits

    • Improve clinical processes and provide improved decision support

    • Enable changes in French reimbursement model

  • Status

    • Prototype complete

    • Demonstrator available for reference visits

    • Not in live use


Le havre hospital group a full oracle fusion hospital
Le Havre Hospital Group : A full Oracle Fusion Hospital

ISVs

Patient

GP/Referrer

Point of Care

Community

HR

ADT

Finance

Supply

Chain

Others….

10g Portal, SSO, OID, Mobile Technology (GSM, GPRS, UMTS, Wifi), RFID

CollabSuite

CRM

ERP

(master)

HRMS

ilearning

BI

Admin

Partner Apps

Financial

Partner Apps

Clinical

Partner Apps

RAC

HTB Repository

+ EBS Repository

10g JDev

OC4J

BPEL

10g AS

BC4J

Workflow

10g DB

Enterprise Service Bus

Partner Interface Engine (Connectors, Apps & Biomedical Devices) – HL7 V3 messages

Labo

Apps

Radio

Apps

Pharmacy

Apps

HAD

Apps

Clinic

Apps

Biomed

Device

Biomed

Device

Biomed

Device


Azienda ospedaliera di circolo busto arsizio project live
Azienda Ospedaliera Di Circolo Busto ArsizioProject Live

  • Business Objectives

    • Improve care delivery process

    • Replacement of legacy Healthcare Information Systems

  • Solution

    • Healthcare Transaction Base

      • Central repository for Clinical Documents

      • Platform for deployment of Healthcare Information Systems

  • Additional Benefit

    • The Healthcare Transaction Base becomes the central repository for all Clinical Information

    • Enabling more effective Clinical Decision support

  • Status

    • Partner has developed application

    • Training and deployment complete

    • Acceptance received by customer

    • Change Management issues delaying project


Agenda

Integration

Engine

Healthcare Transaction Base

J2EE

ClinicalDataRepository

  • Messaging Services

  • Person Services

  • Terminology Management

  • Security and Auditing

Clinical

ADT

Azienda Ospedaliera Di Circolo Busto Arsizio Scope

Single Portal


Csam clinical system all managed oslo rikshospitalet advanced medicine in a safe environment
CSAM : Clinical System All ManagedOslo – Rikshospitalet“Advanced medicine in a safe environment”

Portal-layer:

A user logs on from a single sign-on-desktop. Single sign-on is portal function that uses a catalogue service for authorization control. Depending on the user's rights the portal presents a tailored work interface, which comprises different portal items (portlets)

Service layer:

The service layer offers components which gives access to integrated information from the different source systems. New functionality developed will also belong to the service layer (activity handling, specialized views: pre-visit)

Security architecture:

In the portal, the authorization of users to access individual data/views are controlled by giving unique access rights on a portlet level to a group of users. The groups and the individual users are stored in the OID. Each group contains a list of those members belonging to the group. A group can be a member of another group.

Integration layer:

The integration architecture focuses on the communication

between the applications and the systems. This is solved with Oracle 9 InterConnectHub-architecture.

Source applications.


Agenda
CSAM: Establishing an integrated and coherent view of patient data is essential for improving processes

Information at your fingertip:

Updated and complete patient health information when you need and anywhere you need it!

Patient information

From the journal

From LAB

From PACS/RIS

Fra scheduling tool


National and regional healthcare information infrastructure

National and Regional Healthcare Information Infrastructure patient data is essential for improving processes

Architecture

References

Medication Management


National and regional healthcare information infrastructure architecture

HL7 V3 RIM patient data is essential for improving processes

Portal

+Mob

+RFID

Core Id

Collab

Suite

HTB

OLAP

Disco

Adverse

Event

Report

BPEL

  • Persistence

  • Acts

  • Participation

  • Confidentiality

  • Reference

  • Organizations

  • Persons

  • Roles

  • Terminologies

Hospitals

Primary Care

Payors

National and Regional Healthcare Information Infrastructure Architecture

National

Disease

Registries

Prov Portal

Healthcare

Worker Portal

Common

Applications

/Services

eg E-bookings

E- prescribing

Patient consent

Terminology

Services …

Appli

Server

Access

Control

Prov Registry

Provider Registry

Pat Registry

Patient Registry

Pat Portal

Patient Portal

National

or Regional

Framework

ARR

Act Reference Registry

CFDR

Public

Healthcare

Reporting

Anonymous

Patient Info

NCR

National or Regional Care Record

Patient

Safety

Alerts

Local Systems

GP, Hosp, Insurance

Company,REHA,

Homecare

Local Systems

GP, Hosp, Insurance

Company,REHA,

Homecare

TC251 card standard

Inspired from Rene Spronk


Agenda

Customer references patient data is essential for improving processesDiraya – Receta XXI - Andalucia

Sistemas de Información de Indra para Sanidad

Escenario Global

Visión Integrada de los Sistemas de Información de Indra para la Atención Sanitaria


Agenda

SISTEMAS ASISTENCIALES patient data is essential for improving processes

  • Historia de Salud Digital

  • Cita Centralizada

  • Contact Center de Salud

  • Gestión Hospitalaria

  • Gestión SocioSanitaria

  • Segunda Opinión

  • Gestión Imagen Médica

HTB

Indra Healthcare Information System

Cuadro de Mando Integral

Misión Global

1

POLÍTICAS

  • Indicadores

  • Inductores

  • Evolución

Estrategias de Optimización

GESTIÓN

Desarrollos Tácticos y Operativos

Ciudadanos

Gestores

Información para la Planificación y Toma de Decisiones

Vigilancia Epidemiológica

2

Demanda de Servicios

Productividad y Eficiencia

Infraestructuras y Logística

  • Estadísticas

  • Reports

  • Comparativas

Actividad Quirúrgica

Actividad Farmacia

Actividad Socio Sanitaria

Recursos Humanos

Económico-Financiero

Información para la Actividad Sanitaria Vigilancia de la Salud y Gestión Operativa

SISTEMAS DE GARANTIA

SISTEMAS DE SALUD PUBLICA

3

  • Receta Electrónica

  • Tarjeta Sanitaria

  • Gestión Incapacidad Temporal

  • Gestión de Listas de Espera

  • Portal de Salud

  • Central de Compras

  • Mapa de Recursos Sanitarios

  • Centros Coordinadores de Emergencias

  • Redes de Alerta Sanitaria

  • Sistemas de Control de Enfermedades Infecciosas

  • Sistemas de Control de Drogodependencias

  • Hojas de Consulta

  • Actos Clínicos

  • Pruebas diagnósticas

  • Recetas

Datos Básicos del Sistema de Salud y Población

4

  • Hospitales

  • Médicos

  • Asegurados

Base de Datos de Usuarios/Tarjetas

Base de Datos de Recursos Sanitarios

Base de Datos de Historia Clínica

Base de Datos Cartográficas

Base de Datos de Imágenes Médicas


Stockholm county council sweden
Stockholm County Council Sweden patient data is essential for improving processes

  • Regional Healthcare Solution

    • Strategic opportunity

    • 4 Counties procuring similar solutions

  • Integration of 30+ solutions

  • Proof of Solution

    • Medication management

    • Acceptance testing December 2004

    • Live April 2005

  • Breaking the HISA stronghold

  • Partner - WM Data

  • HQAPPs approval for: -

    • Specific Pricing / HISA Compliance


Customer references stockholm county wmdata

Laboratory patient data is essential for improving processes

Laboratory

System

Abstract Layer

Emergency

Care

System

Community

Care

Primary

Care

Social

Care

Emergency Care

Primary

Care

Systems

Primary

Care

Systems

Primary

Care

Systems

HTB

Phone

Pharmacy

Systems

Pharmacy

Citizen

Acute

Care

Systems

Acute

Care

Wireless

Pager

Customer references Stockholm County – WMData

Central Standards Based

Healthcare Repository


Agenda

  • Sensium patient data is essential for improving processes

  • Sensor interfacing

  • Wireless transceiver

  • Local processing

  • filtering data

  • Personal DA

  • Wireless network

  • coordinator

  • Personal information

  • Local database

  • Health database

  • Authorized (HL7)

  • Combined

  • Aggregated

  • High qulaity

Data prepared and mined

For health personnel

Lots of fuzzy and uncoordinated data

Moderate but somewhatprocessed data

Distribute information processing


Customer references tennessee tenncare cerner

Clinical & Care Delivery patient data is essential for improving processes

(Providers)

Financing & Administration

(Health Plans)

Member

Health

Record

Electronic

Medical

Record

Unification Platform

Personal

Health Record

Shared Services

Shared Services

Community

Health Record

Informatics (Centers of Excellence)

Customer references Tennessee – TennCare - Cerner

Person


Agenda

Hospital or patient data is essential for improving processes

Payer

Regional or

National

EMPI

Pharmacy or

Payer

Labs


Agenda

National or Regional EHR patient data is essential for improving processes

3 ) Medication Passport

All “active”/historic

Medications / allergies

9) Statistical

Epidemiologic

Macro-data

  • 1) Many Prescribers

  • a) GP’s

  • - your own

  • - weekend/night

  • - away from home

  • b) Specialists

  • Med . Consultants

  • 25+ Specialties

  • c) Dentists etc

  • d) Nursing

  • Cure / Care

  • e) Self medication

  • alternatives ??

  • f) Discharge Medication

6) Execution

Add to :

Medication

Passport

Logistics

Delivery

(Make) by

A Pharmacy

Payment

Via Insurer

Pat. Direct/co

payment

4) Controls

A) Insurance

Covered ?

Co-payments ?

B) Safety

Interactions ?

Allergies ?

C) Effectiveness

Formulary

Dis. M Protocols

D) Economics

Alternatives

Generics

E) Promotion

Education

Instructions

2) Proposed

Medication

first time

repeating

prescription

Ware

house

5) Ordering

To Deliver

Payer

7) Patient

Compliance

Post Mk

surveillance

8) Refills

Medication Management Service & Process modelFrom Fulfillment to Compliance

L

A

B

I

M

A

G

E

S

Inspired from Leo Volbregt


Proposed solution

Doctor patient data is essential for improving processes

Patient

Pharmacist,

Nurse

Pharmaco

Vigilance

Prevent ADE

to enhance quality

Proposed Solution

EHR


Shared services

Shared Services patient data is essential for improving processes

Positioning

Different Models

NHS reference


Shared service positioning
Shared Service Positioning patient data is essential for improving processes

National or

Corporate

Governance

Shared Service

Centre

  • Strategy and Policy

  • Resource Allocation (e.g. in UK)

  • IT leadership and standards

  • Transaction processing

  • Specialised functional expertise

  • Continuous Improvement

Provider

Organisations

(Hospitals / Clinics)

  • Organisation unit for accountability

  • Provision of Care

  • P & L accountability


Different shared service centre models
Different Shared Service Centre Models patient data is essential for improving processes

Value

Transaction Processing performed in SSC

Charge for Services

Share Processes e.g Purchasing Contracts, External Catalogues

Aggregate Information

Single Instance of Application

Central IT Team

Technology. Process and People

Technologyand Process

TechnologyOnly


Agenda

  • General Ledger patient data is essential for improving processes

  • Accounts Payable

  • Treasury

  • General Ledger

  • Accounts Payable

  • Treasury

  • Accounts Receivable

  • Fixed Assets

  • Insurance

  • Accounts Receivable

  • Fixed Assets

  • Insurance

  • Tax Compliance

  • Cash Management

  • Project Management

  • Tax Compliance

  • Cash Management

  • Project Management

Finance

Finance

  • Payroll Processing

  • Compensation Administration

  • Payroll Processing

  • Compensation Administration

  • Benefits Administration

  • Training & Education

  • Benefits Administration

  • Training & Education

  • Relocation Services

  • Expense Processing

  • Relocation Services

  • Expense Processing

Human

Resources

Human

Resources

  • Standards

  • Technology/ Development

  • Standards

  • Technology/ Development

  • Applications Development

  • Application Maintenance

  • Applications Development

  • Application Maintenance

  • Telecommunications

  • Hardware & Software Acquisition

  • Telecommunications

  • Hardware & Software Acquisition

Information

Services

Information

Services

Legal/

Corporate

Affairs

Legal/

Corporate

Affairs

  • Litigation Support and Co-ordination

  • Litigation Support and Co-ordination

  • Environment, Health and Safety

  • Property Management

  • Environment, Health and Safety

  • Property Management

  • Regulatory Compliance

  • Communication Services

  • Media Relations

  • Purchasing

  • Purchasing

  • Warehousing

  • Warehousing

  • Transportation

  • Transportation

Logistics

Logistics

  • Returns Processing

  • Credit & Collections

  • Returns Processing

  • Credit & Collections

  • Order Management

  • Order Management

  • Call Centres

  • Call Centres

Customer

Service

Customer

Service

Oracle Supported Shared Service Processes


Agenda

NHS Shared Financial Services patient data is essential for improving processes

South West

West Yorkshire

  • Aim is to change the way the NHS provides financial services

2 Shared Service Centres live in April 2003 – now running 100 Healthcare Providers on Oracle E-Business Suite

Their Objectives in their words

  • Enabling Finance Directors and other local staff to concentrate on the core services: business cases, capacity planning, performance issues etc

  • Reducing pressure on accommodation through having a small number of Centres around the country, rather than every organisation requiring its own finance ‘department’

  • Supporting new organisations, for example Primary Care Trusts, with a ready-made service that meets most of their financial needs

  • A single organisation with the ability to provide common answers and solutions

  • Ensuring sustained, appropriate levels of investment in systems

Currently two pilots