2Regulations for Fire Alarms HousekeepingRestroomsRest BreaksRegulations for Fire AlarmsRetire the Phone (or at least on silent please!)Relax and enjoy the sessions!
3Morning agenda for Roadshow Introduction & welcomeMicrosoft & NHS Partners Showcase & ExhibitorsMicrosoft in HealthcareWorldwide & UKNHS Connecting for HealthEnterprise Agreement & NHS Infrastructure Maturity ModelNHSmailNext generation NHSmailLocal Community ICT Strategy & PlansLocal perspective on IM&T PlansSmart procurementGet the best out of the EA and Software Asset ManagementNHS Resource CentreeLearning, HUP, EPP, News, Collaboration
4Afternoon agenda – Partner NHS Showcase Connect – Infrastructure optimization SCCCollaborate – Collaboration online and off-line IOKO & D2iCollaborate – Unified Communications & Collaboration HPInform – Business Intelligence University Hospitals South Manchester & 21C
5Bytes Technology Group Smart Licensing ProcurementNHS Software Asset ManagementHere today:Ian Holroyd – NHS North West/West Midlands Account ManagerLuke McAllister – NHS Internal Account ManagerChris Hibbert – NHS Service Delivery ManagerAndrea Perrot – NHS/Public Sector Team Manager
921C - Knowledge-Driven Healthcare Solutions Daniel Wakefield – Sales DirectorA Practical Approach to NHS Information Managementusing the Microsoft Product Framework:Case Studies fromUniversity Hospital South Manchester (Integrated Portal Solutions using MOSS 2007)Kent & Medway Partnership Trust (Mental Health Performance Management using SQL/MOSS/PerformancePoint)Wandsworth Primary Care Trust (EMIS Performance Management using SQL/MOSS/PerformancePoint)
11NHSmail is moving to Microsoft Exchange 2007…. …providing a user-friendly front end based on Outlook Web Access 2007 and greater opportunities for additional features.NHSmail will become a service at the forefront of developmentBenefits for organisations:a secure service that can be used for exchanging clinical and other sensitive information;a service based on Exchange 2007, effectively a service upgradecentrally funded, so free at the point of use;an to SMS facility can be used to send patient appointment reminders, free of charge, reducing DNA rates;frees up budget currently spent on maintaining and upgrading servers.“NHSmail is uniquely placed to provide secure communications to the NHS and my objective for the service is to see it become as ubiquitous as phones or bleeps and to be understood by everyone that it is THE way to communicate securely with their colleagues.”Dr Simon Eccles, Consultant in Emergency Medicine & NHSmail Senior Responsible Officer
12Ardentia – Solutions Healthware Manager: Pathway Manager: making sure hospital information is reliable and accessible where and when you need it.Pathway Manager:take control of referral to treatment monitoring.PLC Patient Level Costing:give clinicians the tools to improve hospital performance Delivering SLR and PLC to NHS Trusts
14Healthcare and Electronic Document and Records TOWER Software’s EDRM solution, TRIM Context enables organisations to comply with legislation, the ISO Document Records Management Standard and the NHS Code of Practice for Records ManagementTRIM Context applies all the necessary structures and rules for ERM without impacting the end user. Documents can be saved directly into the system from with desktop applications and clients and SharePoint (MOSS 2007) collaboration sites.WHY TOWER and SharePoint (MOSS)?Has achieved VERS certification and complies with ISO Document Records Management Standard and the e-GIF/e-GMS UK Government standardsAudit trail/security around accessing of informationInformation stored electronically does not take up storage spaceInformation readily available to those who are authorised to view itView, access & create TRIM documents/records via SharePoint WindowsLeverage collaboration features of SharePointDerby Hospitals NHS FoundationTRIM Context supports 7000 users by managing all non-clinical documents and improve access to information to support remote workers. As part of the Trust’s ongoing ‘Reshaping Health Services’ project, the system will enable a move away from paper-based processes, thus reducing the space & cost associated with the physical storage of files and documentation.
17Our Growing Commitment A large partner ecosystem supported by more than 700 Microsoft employeesOur Growing Commitment2007Acquisition of Global Care Solutions1995MSHUG formationGrowing Healthcare PresenceActive X for HealthcareWindows NTSQL ServerPartner ecosystem development2005Health SolutionsGroupPeter NeupertRe-joins Microsoft from Drugstore.com to incubate and lead HSG2006Acquisition of Azyxxi1995Microsoft Healthcare Teamestablished2007Acquisition of Medstory2007US launch of HealthVault1999health & fitness199519961998200020022003200520062007Microsoft CorporationConfidential and Privileged
25Microsoft UK & the NHSNHS / Microsoft Enterprise Wide Agreements have been in place since 2001Current framework extends to 2012Microsoft UK Healthcare team extends to over 50 staff working across :Account Team – supporting NHS Customers & PartnersOnline Team – NHS Resource CentreNHS CUI Development ProgrammeCAPS ; IM&T and Knowledge Worker toolsConsultancy and SupportNHS CfH; CSC; C&W, NHS TrustsMicrosoft Premier Support Services
29NHS Infrastructure Maturity Model Level 1 BasicDisjointed, manual InfrastructureKnowledge not sharedReactive & ad-hocUnpredictable service performanceUser driven “who shouts loudest”Focus is to Avoid DowntimeLevel 2 ControlledCoordinated, manual Infrastructure.Knowledge silos existReactive with some planning in placeServices manageable & getting predictableProblem drivenFocus is to Get ControlLevel 3 StandardisedStandardized InfrastructureIndividual Level collaboration and knowledge sharingReactive & becoming proactiveStable & architected IT InfrastructureRequest drivenFocus is to Adopt Standards & Best PracticeLevel 4 OptimisedConsolidated and virtualized InfrastructureTeam level knowledge sharing & collaborationProactive & accountableContinuous service improvementService drivenFocus is on EfficiencyLevel 5 InnovativeIT & business stakeholders work in partnershipEnterprise level knowledge sharing & collaborationStrategic assetDrives service innovationValue drivenFocus is to become a Catalyst for InnovationThe NHS have launched their own infrastructure maturity model – NHS Infrastructure Maturity Model (NIMM).NIMM provides guidance and direction forNHS Trusts to objectively benchmark their infrastructure capabilitiessuppliers so they create infrastructure solutions that the NHS needs (and is ready for)NIMM can be used by NHS Trusts tobuild a plan for coordinated capability improvementdescribe their infrastructure roadmap in IM&T plansset investment (people & money) prioritiesunderstand desired outcomes at each maturity stage
30More Pressure Than Ever on NHS IT Budgets Regulatory ComplianceTechnologyInnovationMaintain StrictSecurityInformationGovernance80% ReactiveCritical BusinessUptime- With 80% on maintenance, CIO can’t redeploy budget and resources to shift IT to strategic business assetCost Efficiencies20%ProactivePatient & CustomerConnectionsImproveClinical & AdminProductivityImproved Results & Patient experience
31CUI Programme Goals CUI Programme Mission To support NHS Connecting For Health in achieving the following:Increasing patient safetyIncreasing clinical effectivenessIncreasing the ease of adoption and relevance of Microsoft Windows and Microsoft Office to the NHSCUI Programme Mission“Delivery of best-practice guidance and solutions that will supportNHS Connecting For Health and their suppliers in delivering theNational Programme for IT, such that NHS employees are able towork within a more consistent, relevant, productive and managedenvironment.”
32CUI Programme Focus Areas Clinical Applications and Patient SafetyDelivers technology agnostic standards and Microsoft Windows-based components which all clinical applications should adopt in order to be easy to use, enable patient safety, and provide consistency of user experience across the whole of the NHS.IM&T and Knowledge Worker Tools EfficiencyDelivers best practice advice and guidance to assist NHS Entities in moving towards a more mature, secure, centrally managed workstation and server infrastructure.Delivers additional Microsoft Office functionality to support NHS clinical and business processes, and provide the NHS with a more productive information worker environment.
38NHS CUI – IM&T Tools - Focus “To assist NHS Entities in achieving an easily deployable, well managed, and more secure desktop and server infrastructure.”CostsManageabilitySafetyProductivityThe IM&T Tools Project will contribute to the following outcomes:Increasing infrastructure maturity, to provide a solid foundationReducing diversity, to provide a common platformSimplifying deployment, to provide efficient implementationsRealising value from the Enterprise AgreementThe IM&T Tools Project will contribute to the following outcomes:Increasing infrastructure maturity, as measured by the NHS Infrastructure Maturity Model (NIMM), to provide a solid foundation for NHS line of business applications and NHS CUI solution enablersReducing diversity in the infrastructure across NHS Entities, to provide a common platform that maximises the value to the NHS of IT training and reduces the burden of IT support through reuse of familiar toolsSimplifying deployment and operations of NHS desktops and supporting infrastructure through guidance and tools, to provide efficient implementations of a platform that has lower operating costsRealising value from the Enterprise Agreement
56UK Healthcare Information Needs Payment by Results“focuses on improving the quality of patient level data that underpins the effective operation of payment by results”Practice based Commissioning“Expert, imaginative commissioning is central to a patient-led NHS and changes to the organisation of primary care are in making the NHS fit for the 21st century”18 Week Care pathways“‘Pioneers’ who have been working since the start of the year to look at how we track and measure the timeliness of patients’ progress from referral to treatment”Patient Level Costing?Our Health, Our Care, Our Say10 year plan to become more responsive to patient needs and prevent ill health by the promotion of healthy lifestyles – Predictive Healthcare
58NHS BI Proof of ConceptA demonstrable method of managing the performance of a Trust, Hospital or shared serviceAutomation of manual effort – current systems are error prone and take many days to compile management dataFewer people working smarter – “moving people up the value chain”
59NHS Trust Hospital Scorecard FINANCIALACTIVITYMaintain Break Even PositionReduce waiting list / timesDeliver Value for MoneyReduce cancellationsReduce Budget by x% over n yearsReduce re-admission and DNAsMaximize bed availabilityReduce hospital acquired infectionsMeet contract targetsPATIENT FACINGPEOPLEImprove patient satisfactionReduce sickness / absenceImprove quality and access to informationEveryone has an appraisal every yearImprove # patients who choose hospitalMeeting headcount targetsReduce # complaintsManage locum consultant appointments
60NHS BI Proof of Concept80GB of anonymous data offered by Portsmouth for Live VPC Demo with Exec teamsEasy step by step demo built for Partners and virtual Healthcare teamOffice Web component IntroductionSQL Server Reporting Services IntroductionExcel 2007 formattingExcel 2007 forecastingInformation Integrated with Vision and MapPointReport Builder Demonstration
62Introducing | Microsoft Amalga Amalga, the Unified Intelligence System, turns information into critical knowledge by unlocking the power of data sitting in clinical, financial and administrative silos.Unified Microsoft Amalga provides a single point for unified access to the wealth of information present in healthcare organizations. This system helps users correlate information from multiple systems.Flexible With its innovative and flexible data capture, storage and presentation capabilities, Microsoft Amalga quickly delivers rich, role-based, customizable views and allows users to adapt the system to their own workflow and preferences. It helps users to be immediately productive with minimal disruptionManageable Designed from the inside out for simplified deployment and support, Microsoft Amalga allows for changes and organic evolution without added burden to the organization. The system is built on widely used and supported Microsoft products for high availability, scalability and data storage with security features.62
63Unified | …To Data FUSION Electronic Medical RecordMedication AdministrationLabsPathologyCardiologyProcedure DocumentationOR ManagementEmergency DepartmentImagingPharmacyDictationChartingHemodynamicsCPOEClinical NotesMedication DispensingPACSOrdersMobile DataICU/ Critical CareNursing Workflow/ DocumentationVIEWERSDATA COREFUNCTIONSAdvanced AnalyticsImage DistributionRISAmalgaAmalgaAmalgaFinancial/ ERPEnterprise SchedulingContract ManagementDocument ImagingRevenue ManagementBed ManagementBusiness Decision SupportInventoryPhysician PracticeFor years we’ve heard people in healthcare asking “now that we have all this data, how can we use it to do a better job?” Azyxxi is the answer to that question. It is an enterprise-wide clinical and financial with powerful built-in capabilities for viewing and analysis, that lets hospitals to create knowledge from all the existing data. Azyxxi allows a health system to tie together these separate elements into a single view – taking these IT systems, aggregating patient data (including computer generated, text, images, video, scan data, etc.) so that clinicians can get an instant picture of all the data in all the hospital’s systems at any time. It spans both user and business processes to provide customized data that spans clinical, financial and administrative systems thus maximizing the value of information in order to make the most informed and timely decisions.PurchasingMedical Records CodingRegistrationStaff/Nurse SchedulingOutcomes ManagementTranscriptionAccess ManagementClaims ManagementCall ManagementMicrosoft Amalga is the new way to capture, consolidate, store,access and quickly present data in meaningful ways63
64Flexible | Base View Client Viewer Displays title of viewNavigation and function buttonsDisplays current patient countNavigation and function buttonsFilterSortTimeframeData ScopeInfoInputFormsClient ViewerAABBCDEFGCD123456789101112EFDetails and values displayed in columnsGDetails and values displayed in columnsNameAge/SexDate/Time InChief ComplaintVital SignsPast Medical HistoryLab ResultsRadiology ResultsMedications OrderedX-Ray ImagesDictationsCT Scan Images12The top right field, displays the current patient count captured in the view.Use different colors for A – G and 1 – Highlight derived fields!345678910Patients displayed in rows1112
65Flexible | People-Ready Amalga Orthopedic Unit NurseFinance ManagerQuality ManagerMicrosoft Amalga ClientBuilt by clinicians for cliniciansRich client architecture provides powerful, rich user functionalityProvides relevant, unique experience based on user roleHighly accessible; no data more than two clicks awayEasy and fast to use and access dataSimple to use, requires little trainingLet’s take a look at how some of your organization’s users could use Microsoft Amalga to improve workflow and optimize decision making.Resource PlannerCardiologistCompliance Officer
66Manageable | How Amalga Works Amalga is designed with a layered architecture to support:A high level of redundancyDeferred data decisionsEfficient and speedy data retrievalMinimized interdependenciesTransparency and traceability from the original message to end
67Amalga Customers Name Type First Use MedStar Health System Operations Johns HopkinsAcademic TeachingCore MeasuresNew York PresbyterianClinical OperationsFinancial & ClinicalWisconsin Health Information ExchangeHealth Info Exchange for Emergency RoomsEmergency Room LinkageNovant Health SystemH. Lee Moffitt Cancer Center & Research Inst.Oncology & ResearchSupport Research EffortsSt. Joseph Health SystemOperations & Quality
68Summary | Amalga Is Unique Unlocks data that sits in clinical, financial and administrative silos across organizationsRolls up all patient centric, financial and operational data into one unified databaseEnables people to create customized, flexible views for immediate, on-the-fly analysisOffers a manageable enterprise platform to capture, store and present the data from across all existing systemsProvides instant access to people that need to turn the data into critical knowledge
70In Summary Microsoft is in Healthcare for the long term The NHS EWA offers a wide range of outstanding productsSolution Envisioning is a key part of our strategyIOI / NIMM offers evolutionary track to increase operational efficiency and deliver greatest value for EWAMicrosoft & Partner Services can offer key to successEnjoy the day!