Ensure Quality of Care and Patient Safety - · PDF fileEnsure Quality of Care and Patient Safety ... Healthcare and Orion Health because we ... COMPANY PROFILE CHALLENGES &

Ensure Quality of Care and Patient Safety

Presenter’s NamePresenter’s Title

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The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decision. The development, release, and timing of any features or functionality described for Oracle’s products remains at the sole discretion of Oracle.

Safe Harbor Statement

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Agenda

• Leadership in Healthcare

• Innovation in Quality of Care and Patient Safety

• Results Achieved by Oracle Customers

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Oracle inHealthcare

Did You Know?

20 of the top 20 US health insurers run Oracle Applications

70% of the top multi-hospital systems in the US run Oracle technology

10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

More than 350 leading healthcare providers run Oracle Applications

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The Challenges We’re Hearing

Mitigate Cost and Comply with

Regulations

“How can I gain efficiencies in my clinical and administrative operations? How can I comply with regulatory requirements?”

In an Economist Intelligence Unit Survey, 73% of Healthcare Providers who responded stated a key challenge was Government pressure to lower medical costs.

“How can I identify and retain the best healthcare staff?”

Current data indicate that the demand for registered nurses is expected to grow by 40% between 2000 and 2020. In contrast, the current projection for growth of this workforce during this same period is only 6%.

Attract and Retain the Healthcare

Workforce

Ensure Quality of Care and Patient

Safety

“How can I gain a comprehensive view of the patient acrossthe healthcare continuum, in order to deliver safe, qualitycare?”

“The First National Report Card on Quality of Healthcare in America” found that adults receive about half the recommended care for their condition.”

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0 20 40 60 80 100

Alcohol dependence

Pneumonia

Diabetes

High Cholesterol

Asthma

Coronary artery disease

Depression

Stroke

Hypertension

Quality of Care Varied Substantially Across Conditions (Rand Study 2006)

Percentage of Recommended Care Received • With the growing knowledge that millions of patients are being harmed daily…the urgency could not be greater for patient safety solutions…” Dennis O’Leary MD President JCAHO

•Transparency of quality and pricing information was selected as the most important aspect of a sustainable system by the leaders in Europe and Canada, according to HealthCast 2020 survey PwC Global Report “Creating a Sustainable Future”

Ensure Quality of Care and Patient

Safety

“How can I gain a comprehensive view of the patient acrossthe healthcare continuum, in order to deliver safe, qualitycare?”

“The First National Report Card on Quality of Healthcare in America” found that adults receive about half the recommended care for their condition.”

Rand Corporation Study, 2006

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Agenda




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Requirement Oracle Capability The Oracle Difference

Ensure security and privacy of patient information with comprehensive data protection

Security, Access and Identity Management

Provides the only integrated enterprise solution for secure provider collaboration

Gain insight into patient conditions, treatments and outcomes achieved

Business Intelligence

Only solution able to aggregate clinical data meaningfully across disparate systems

Improve the accuracy and availability of clinical information

Health Information Exchange (HIE)

Only complete standards-based, semantically interoperable HIE

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Pharma and Med Products

RHIO Utility

Provider Citizen

Payer

National and Local Public Health Authorities

Concept: Integrated Data Across the Healthcare Ecosystem

• Disease/Bio Surveillance• Outbreak & Countermeasure

Response• Health Alerts• Drug Surveillance• Medical Research• Registries

• ePrescribing• Referral generation• E.H.R.• Universal scheduling• Cohort ID for research• Clinical quality programs

• PHR• Provider transparency• Treatment options• Disease education• Wellness orientation

• Translational research• Drug surveillance• Clinical data from providers• Post trial surveillance

• Claims processing and payment• Coordination of Benefits• Care management• Provider Management

Information GovernancePrivacy & Security Management

Data Retrieval andData Management

Data Manipulation Services

Data Analytics

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The Challenges and Benefits of Information Sharing

ChallengesMultiple disparate clinical systems resulting in inability to have a clear understanding of care delivered and required across the continuum of care

Inability/costly to report quality metrics due to lack of interoperability

Shrinking workforce and growing patient requirements with potential for decreased quality of care

SolutionsDevelop an interoperability platform that supports continuity of care across the continuum, knowledge bases, and evidence based clinical practice

Provide users with business intelligence tools that are able to collate data from across the enterprise/community/globally

Provide clinical decision support tools to ensure patient safety and best practice outcomes

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Oracle Health Information Exchange (HIE) Improve the Accuracy and Availability of Secure Clinical Information

MessageNormalization

(RIM or IHE) Clinical DataWarehouse

TransformMessages

into aCommonFormat &

Route

Normalized Clinical DataRepository

TerminologyNormalization

TranslateDisparate

Vocabularies& Concepts

Clinical Information Reuse

Custom or 3rd PartyApplications

Handheld Support

Regional Health Networks

Message Services

Person Services

Security & Auditing

Healthcare Transaction BaseFMW/SOA Suite DW/SOA Suite/FMW

Security, Access & Identity Management

Clinical Decision Support


SourceSystemsPharmacy

Labs

CIS

KnowledgeBases

Clinics

DataModel

Healthcare Portal / MPI / Knowledge Bases (ISV Partners)

Healthcare specific services architectureStandards based (meaningful clinical data)Web access for patient centered care

MD Office

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Stockholm County Delivers Clinical IT Services Using SOA

COMPANY OVERVIEWLargest county in Sweden, serving 1.9m citizens, namely 20% of the population. Consists of 26 municipalities spread over 6’500 km2 with total Healthcare IT spend of $200m per annumProvide Healthcare services to citizens including 22’000 GP visits, 7’000 hospital admissions, 500 operations, 60 births and 6’000 dental visits per day

CHALLENGES / OPPORTUNITIESComputerised islands of Electronic Medical Record information with over fifteen systems in the county Many systems developed in the 1970’s and lacking in flexibilityStrong IT departments at each hospital with limited coordination of budgets, developments, projects and procurements

GOALS / SOLUTIONSPatient centered common lifetime medical recordActive self care by the patient (“The Internet Patient”)Effective care process supportSOA approach to future systems developmentCommon storage, web services, clinical applications, presentation and security services for Healthcare IT

RESULTS• Basic infrastructural building blocks,

including common storage, services, application and portal layers developed

• First pilot rollout to group of GPs underway, with live patient data

• SOA platform will enable consolidation of existing applications with increased quality of service and enable the vision for ‘One Person, One Health Record’

Stockholms läns landsting

CUSTOMER PERSPECTIVE“Stockholm County has chosen to implement a Service Oriented Architecture to support future Healthcare It development because…”Jack Robinson, IT Manager Stockholm County

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Son Dureta Delivers Meaningful Clinical Data to Clinicians

CUSTOMER PERSPECTIVE"Hospital Son Dureta has chosen to implement a normalized clinical database combined with web-based clinical applications with technology from Oracle Healthcare and Orion Health because we believe that this offers the most solid IT platform to assist our clinicians in their work."Joan Marquès Faner, CIORESULTS• Integrated and relevant clinical data is

stored in a comprehensive standards-based repository

• Clinicians can search and view information and order tests electronically through a clinical web portal

• An electronic display shows up-to-date information about patients currently in the emergency department

COMPANY OVERVIEWLargest health facility in Spain’s Balearic Islands, operating 900 beds and employing 3600 people across 5 facilities, hosting the islands’ reference laboratory, used for specialist tests that cannot be performed elsewhere.

CHALLENGES/OPPORTUNITIESDifferent IT systems (LIS, RIS, HIS) operate independently; clinical data is stored in a multitude of formats and terminologies vary between departmentsDoctors in emergency room only receive information onpaper from triage zone, orders are made on paper andhanded to lab and radiology, doctors need to wait for testresults to arrive on paperThe current systems cannot be adapted to store new typesof information such as imaging

SOLUTIONSOrion Health and Oracle SolutionOracle Healthcare Transaction BaseOrion Health Rhapsody Integration Engine and ConcertoClinical apps portal (including CPOE)CDRED apps with integrated clinical data

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Biobank Advances Clinical Research with Data Integration

COMPANY OVERVIEWThe UK Biobank project is set to become one of the world’s largest resources for studying the role of nature and nurture inhealth and disease It involves collecting biological samples and data on the medical history and lifestyles of up to half a million participants ages 40-65 and monitoring their health changes over a 30-year periodThe results will help researchers understand the biology of health and disease and could lead to the prevention and cure of many later-life disorders

CHALLENGES/OPPORTUNITIESBuild a secure repository to protect the confidential medical, health, and lifestyle data collected on participant and ensure that access to it is restricted to authorized parties

SOLUTIONSHealthcare Transaction Base (HTB)Oracle Access, Security and Identity ManagementOracle DatabaseOracle partner JoraPh Consulting

EXPECTED RESULTS• Scalable healthcare information

repository• Integrated and comprehensive view of

patient information• Integration of clinical record data with 30

year research study• Best of class data access, identity

management and security• On time and on budget implementation

February 2007

CUSTOMER PERSPECTIVE“We chose Oracle Healthcare Transaction Base for its robust, high performance infrastructure, proven functionality, compliance with national an international protocols, and adherence to the strictest, globally recognized data access and security standards.”Steve Walker, Chief Information Officer UK Biobank

http://www.ukbiobank.ac.uk/

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Sample Oracle’s Health Information Exchange Customers

COMPANY PROFILE CHALLENGES & SOLUTIONS RESULTSOPPORTUNITIES

Clinical data exchange for lab orders, results, and payment between providers and payers.

Aggregate disparate clinical data from multiple health entities normalized to make it comparable for point of care info and bio-surveillance

Longitudinal EHR & Physician Portal

Dated integration solutions

FMWLive, processing data . Competed against all major IE vendors

HTBBPELOBI

HTBFMW

FMW

Standards based integration platform for M&A growth , modernization, efficiencies

Integrated and normalized clinical data stored in a standards-based repository for clinician search and viewing of lab results, bio-surveillance and consumer empowerment

Better information at the point of care for better quality of care. Just completed User Acceptance Test

Clinical data exchange within and across disparate entities.

AmeriPath

ONC/NHIN Prototype

Louisiana HIE

Military Health System

Children's Health System (Alabama)

Mississippi Medicaid

Data aggregation and content normalization for longitudinal EHR for patient identification, allergies, meds, labs and clinical documentation

Aggregate disparate claims and clinical data; Normalized to make it comparable

Oracle HTBFMWIdentity Management

Oracle HTBFMWAnalytics

Fraud and abuse detection

Aggregation of clinical data

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Business IntelligenceGain Insight Into Patient Conditions, Treatments and Outcomes Achieved

Oracle’s BI Product Strategy• Integrated Business Intelligence Database

• Business Intelligence & Data Mining Functions Integrated in Database• Integrated Business Intelligence Tools

• Best-of-Breed, Next Generation Business Intelligence Technology Platform• Integrated Analytic Applications

• Enterprise Wide, Industry Specific Analytic and Corporate Performance Management Applications

• Fastest Time to Value & Lowest TCO• Pre-packaged Performance Management & Analytic Applications• Across Siebel, PeopleSoft, e-Business Suite, JDEdwards, & other systems

Utilizes Any Information Technology Environment

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To:From:


Pervasive useAnalysts only

Real-time, predictive dataHistorical data

Unified infrastructure and prebuilt analytic solutionsAnalytic tools

Insight-driven business process optimizationReporting results

Unified, enterprise viewFragmented view

Enterprise Performance Management System

Planning silos with limited BI

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OracleBI Server

OLTP & ODSSystems

Data WarehouseData Mart

OraclePeopleSoft, Siebel,

Custom Apps

FilesExcelXML

BusinessProcessEssbase

Multidimensional Calculation and Integration Engine

Intelligent Caching Services

Intelligent Request Generation and Optimized Data Access Services

Common Enterprise Information Model

Ad-hoc Analysis

Interactive Dashboards

ProactiveDetectionand Alerts

MS Office& OutlookIntegration

Reporting & Publishing

Disconnected& MobileAnalytics

Data Integration

Essbase Analytics

Extended and Unified Clinical/Business Intelligence Infrastructure

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An Enterprise Performance Management System

Oracle Business Intelligence Foundation

OLTP & ODSSystems

Data WarehouseData Mart

OraclePeopleSoft, Siebel,

Custom Apps

FilesExcelXML

BusinessProcessEssbase

Common Enterprise Information Model

Reporting

Modeling Planning Budgeting FinancialManagement Consolidation Scorecards

PlanningOperational BI

Clinical ClinicalAnalytics

HumanResources

Order Management& Fulfillment

SupplyChain

Service &ContactCenter

Scorecarding


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•Oracle Identity Management allows enterprises to manage end-to-end lifecycle of user identities across all enterprise resources both within and beyond the firewall

•Deploy applications faster

•Apply the most granular protection to enterprise resources

•Automatically eliminate latent access privileges

•Leverage the Oracle Identity and Access Management Suite in its entirety or deploy individual components of the suite to meet your unique needs

•Oracle Identity Management is a member of the Oracle Fusion Middleware family of products, which brings greater agility, better decision-making, and reduced cost and risk to diverse IT environments today

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• Complete, unified security solution• Coherent and comprehensive security for entire software stack• “Cross-silo” integrated security, no point-to-point solutions

• Application-centric security• Protecting business processes and web services (SOA)• Security as infrastructure, not bolt-on layer

• Hot-pluggable• Standards-based• Works across leading applications, web servers, application servers,

portals, databases, and other IT systems• Best-of-breed components as well as integrated IAM suite


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Oracle Access Manager• Benefits

• Centralized and consistent security across heterogeneous environments

• Reduced administration cost• Improved end user experience

• Features• Web single-sign-on• Common policy management• Multi-level, multi-factor authentication management• Self-service and delegated administration• Workflow engine• Web Services interfaces

Oracle AccessOracle AccessManager Manager (Web)(Web)



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Oracle Identity Manager• Benefits

• Reduced administration cost• Cost effective regulatory compliance• Improved security• Improved service level

• Features• Identity life-cycle management for the heterogeneous enterprise• Approval and provisioning workflows• Role based access control• Complete integration solutions: OOTB connectors & Adapter Factory• Deep integration to ERP and HRMS• Audit and compliance reporting and process automation

OracleOracleIdentity ManagerIdentity Manager



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Industry Analyst RecognitionLeader in

Enterprise Identity Provisioning

“(Oracle’s) IAM Roadmap looks the best of all vendors”

2006 Gartner UP MQ

“…move Oracle to the shortlist of enterprise customers looking to deploy a full suite of applications with secure identity management capabilities across their ever-changing IT landscapes”(*)

“Oracle can now be viewed as a Premier Provider of Identity and

Access Management Technology” **

Leader in Web Access Management

“(Oracle) Access Manager ranks as one of the more fully featured WAM

products"

2006 Gartner WAM MQ


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Leader in Magic Quadrants

User Provisioning, 1H 2006 Web Access Management, 2H 2006


Magic Quadrant Disclaimer: The Magic Quadrant is copyrighted by Gartner, Inc. and is reused with permission. The Magic Quadrant is a graphical representation of a marketplace at and for a specific time period. It depicts Gartner's analysis of how certain vendors measure against criteria for that marketplace, as defined by Gartner. Gartner does not endorse any vendor, product or service depicted in the Magic Quadrant, and does not advise technology users to select only those vendors placed in the "Leaders" quadrant. The Magic Quadrant is intended solely as a research tool, and is not meant to be a specific guide to action. Gartner disclaims all warranties, express or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

http://gartner.com/silentlocalechooser.jsp?locale=wcw

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Kuakini Expects to Have Secure EMR

COMPANY OVERVIEWKuakini Medical Center is a non-profit subsidiary of KuakiniHealth System whose mission is to improve the health status of the community by: providing comprehensive health care at reasonable cost to the public; continuously improving the quality of health care services and programs; encouraging clinical research; support training and educational programs for health care personnel; and offering health education and community service programs. Kuakini Medical Center as well as affiliated services such as geriatric care, recently selected Oracle Identity Management.

1500 FTEs Annual revenues of $150M.

CHALLENGES/OPPORTUNITIES“Need to scale existing resources to meet patient privacy, confidentiality and other security requirements, and advance our goal of becoming a ‘paperless’ environment.”

SOLUTIONSOracle Enterprise Single Sign-On Suite Oracle Identity and Access Management Suite for 1500 employeesOracle Application Server Standard EditionOracle Database Standard EditionOracle Consulting

EXPECTED RESULTS• Best of class data access, identity

management and security• The ability to safely support an

electronic medical record for both patients and providers

CUSTOMER PERSPECTIVE“With increasing compliance requirements for the healthcare industry, Kuakini searched for an identity and access management product that would cost effectively meet the unique regulatory requirements of our industry and decrease the need for manual compliance controls while leveraging our existing IT infrastructure.”Ron Uno, Manager, Information Management for Kuakini Health Systems

February 2007

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Cerner Corporation Improves the Speed and Quality of Decisions with Secure Data

COMPANY OVERVIEW• Leading supplier of healthcare information technology• Industry: Healthcare• Employees: 7,300 • Revenue: US$1.16 billion

CHALLENGES/OPPORTUNITIES• Empower the company’s marketing, sales, professional

services, and support organizations to make more effective, data-driven decisions.

SOLUTIONS• Deployed Cash Management Analytics solution based on Oracle

Business Intelligence Suite Enterprise Edition• Based on the success of the initial application, Cerner has since

developed over a dozen additional applications such as Sales Opportunity Analytics, Service Analytics, and Time and Expense Analytics.

• 7,000 users live

RESULTS• Thousands of employees have access to information that

was previously unavailable. • Data-driven management, information democracy, and

improved decision making• Less reliance on IT for report generation

February 2007

“Cerner understands the need to provide the most secure solution possible. Oracle has been at the forefront of developing robust security technologies for the past 25 years. As a result of this commitment, the Oracle product suite delivers the best independently validated and verified technology to anchor IT systems by providing the information architecture needed to help protect the integrity, confidentiality, and availability of healthcare data. Successful completion of 17 independent security evaluations puts Oracle way ahead of all its competition. Most recently, Oracle database has passed Common Criteria evaluation at EAL 4 (Evaluation Assurance Level 4). With Oracle, security is built in, not bolted on”.

“Cerner’s Confidence in Oracle

•100% of current Cerner Millennium install base uses the Oracle database stack

•Cerner's Remote Hosting Facility uses the full Oracle database stack (9iEE, RAC, and the Management Packs) exclusively”

Bill Graff, Vice President of CernerWorksTechnology Infrastructure Division.

CUSTOMER PERSPECTIVE

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Summary

• Only solution able to aggregate clinical data meaningfully across disparate systems

• Provides the only integrated enterprise solution for secure provider collaboration

Ensure Security and Privacy of Patient Information With

Comprehensive Data Protection

Gain Insight Into Patient Conditions,

Treatments and Outcomes Achieved

• Only complete standards-based, semantically interoperable HIE

Improve the Accuracy and Availability of

Clinical Information

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The Only Complete Healthcare Solution

PlatformPlatform

PeoplePeopleProcessesProcesses

PartnersPartners

CustomerResults

CustomerResults

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Healthcare Provider Solution Map

Human Resources

Supply Chain

Compensation Financials

ProjectsFacilities Management

Helpdesk

HR IT

Integration FrameworkOracle Technology (Database, Application Server, RAC, Oblix, Times Ten)

Clinicians Consumer Employer PayersChannels

Corporate Administration

Operations

Human Resources

Financials / Supply Chain

Provider Operations

Hubs and Master Data Management (HTB, CDH) Customer Data HubInfrastructure

Analytics

Oracle

ADT

Clinical Departments

PatientAccounting

PatientScheduling

PatientRelations

DecisionSupport

CareManagement

ClinicianManagement

Clinical Research

ResourceScheduling

Health InfoManagement

EHR

Clinical Compliance

ISV Partners

Most ComprehensiveHighest RatedOnly vendor in Gartner and Forrester leader quadrants for all Middleware components.

Best-Selling••32,000+ Customers Deployed 32,000+ Customers Deployed

••70% of World70% of World’’s 50 Largest Firmss 50 Largest Firms

••$1B+ Business $1B+ Business

SOA Vendor of Choice

Source: Forrester Research ranking of Application Platform Servers, April 2005

Market-Leading Middleware Platform

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950 customers participating in Customer Advisory Boards

500 Industry & Product strategy council members

35 Fusion strategy council members

1,300 participants in early customer adoption programs

425 user groups

30,000 applications customers

220,000 database customers

5,000 middleware ISVs

1,700 application ISVs

9000 database ISVs

30,000 middleware customers

29,000 developers, support engineers and consultants

Oracle’s People Advantage

275,000 customers

benefiting from shared innovation

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Agenda




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Oracle Confidential

Manufacturing & Transportation

Government & Public Sector Healthcare

Technology & Communications

Identity Management CustomersSome Sample References

Financial Services Retail & Services

http://www.polycom.com/home/1,1254,pw,FF.html

http://www.toyotafinancial.com/

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What Customers are Achieving…

reduced inventory levels by 50% with Oracle Supply Chain Management/Advanced Procurement

will save an estimated $140M a year using a single Oracle Human Capital Management and Payroll solution for all 1.3m staff

SOA platform enabled consolidation of numerous applications with increased quality of service and the vision for ‘One Person, One Health Record’

Stockholms läns landsting

achieved an additional $9 million of interest earned in trust funds during first seven months utilizing Oracle Financials General Ledger

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The Oracle Difference

Only Oracle…

• Only complete standards-based, semantically interoperable HIE

• Only solution able to aggregate clinical data meaningfully across disparate systems

• Provides integrated enterprise solution for secure provider collaboration

Documents

Ensure Quality of Care and Patient Safety - · PDF fileEnsure Quality of Care and Patient Safety ... Healthcare and Orion Health because we ... COMPANY PROFILE CHALLENGES &