Cloud Corporate Overview

Welcome to Cloud9

What does Cloud9 do?

● Provides Next Generation Solutions for the Healthcare Enterprise.

● Cloud9 specializes in Solutions for large scale Multi Disciplinary Healthcare Delivery Enterprises.

● Designs, develops and delivers, clinical, connectivity, financial, administrative and transactions systems for:

● Hospitals

● GPs, specialists, aged and community care providers

● Home care

● Government and private healthcare funders

● Delivers Information ( Clinical, Financial and Administrative ) to assist in patients care to all stakeholders

● Provides the Next Generation of Healthcare solution to move Clinicians to evidence based medicine

Business Strategy

● Our business plan lays out the strategy for the creation of a Healthcare Information, Communication, Technology and outsourcing business that will be delivering recurring revenues of over USD$50million within 5 years and an enterprise value of USD$200million

● To be the leader in our chosen markets

● To deliver systems at a lower price point to the whole health community

● To demonstrate the use of data…. To motivate and provide the tools that will allow all our healthcare professionals to move from opinion based medicine to evidence based medicine

● To demonstrate how technology can be used to deliver greater number of services to the community for the same spend

Cloud9 Health Care Eco-system

Benefits of the Cloud9 Eco System

Strategy behind Plan

● The plan is to turn the traditional health IT strategy on its head where the focus is traditionally on a fragmented under funded, politically grid locked hospitals to a regional or nationwide health information system based on primary and community health institutions and where the hospital is just another node where healthcare is delivered

● New target markets will include NGO’s, Local Government, Regional Governments and the Health Funders

● To position ourselves to capture opportunities in the traditional and emerging healthcare market place including;

● Community care

● Elderly care

● Payor markets

Business scope

● Key Market Segments

● Community (includes traditional GP) , Aged Care & Consumer/Citizen. This includes a personal patient record accessible (any where, anytime, on any thing ) by the citizen in partnership with their healthcare provider

● Regional healthcare (including community and aged care) delivery

● Hospital networks, Community networks and Aged Care networks

● Insurance, payment and POC mechanisms

● Pharmaceutical management (including clinical trials) and delivery systems through to the end user

● Population Health and chronic disease management

In only 14 months…

● Clarity –

● Completed Phase 1 of product development and secured 4,500 new

Subscribed users which will be coming onto our new platform:

● We inherited an existing footprint in Primary Care (Monet)

● We would develop a new code base that gave us extended

capability – with at least the same functionality as Monet

● Development of Practice Management & Patient Administration

● Development of Clinical

● Development of full PAS functionality

Remarkable Progress

In only 19 months…● The Spine…

● a platform providing a comprehensive set of tools that fully addresses the administrative and clinical information managements requirements of citizens, patients, healthcare professionals, researchers and health funders:

● It includes:– A federated governance model including:

● Process integration

● Organizational integration (including an EMPI)

● Imbedded Systems integration and supporting components

● Distributed public key infrastructure

Remarkable Progress

Remarkable Progress

The Spine – transformational nature

● CDR – based on a health record architecture (HIPPA accredited)

● providing information at the point of care

● facilitating access to information for research into new treatments ; and

● allows information to be fed back , in an interactive learning environment, to improve the safety and effectiveness of treatments

● Universal discovery system

● Designed to co-exist with existing systems and absorb them over time, reduces the disruption to the organisation

● Provides lower cost of ownership

Remarkable Progress

● Developed Synchronicity

● Cloud based integration and interoperability platform

● Integration Event Processing, incorporating CEP

● Very high performance transaction processing

Looking to the next 12 months

● Using the same proven formula, we’ll focus on extending our product portfolio further into the continuum

● HIS

● LIS

● RIS

● Pharmacy

● Ambulance/ Mobile emergency

● Telehealth and Air Ambulance

● PPR

Outlook

Quality and engaged Partners

● Sonic – A$7b company. Continue to consolidate relationship, out sourcing and new business opportunities

● IPN Australia's largest operator of medical practices, over 212multi disciplinary medical centers. Cover over 9.5 million patient consultations, 2,100 general practitioners and 2,500 healthcare professionals. – continue roll out of Clarity and new business opportunities

CLOUD9 CORE SOLUTIONS

Spine

● Provides a comprehensive set of tools that fully address the administrative and clinical information management requirements of citizens, patients and healthcare professionals

● Provides complete support for end-to-end care, removing barriers between care settings

● Supports healthcare outside of the hospital, clinic and surgery and into the home

● Design to co-exist with existing system and absorb them

● Enables systems to be upgraded and replaced incrementally

● Easy adaptation to user/ country specific needs

● Scalability

Spine Manages the 3 dimensions

of Healthcare delivery

● The personal health dimension supports individuals in managing their

own wellness and healthcare decision-making. It includes a personal

health record that is created and controlled by the individual or family,

plus non-clinical information such as self-care trackers and directories of

healthcare and public health service providers.

● The healthcare provider dimension promotes quality patient care by

providing access to more complete and accurate patient data on the

spot, around the clock. It encompasses such information as provider

notes, clinical orders, decision-support programs, digital prescribing

programs, and practice guidelines.

● The population health dimension includes information on both the health

of the population and the influences on it. The population health

dimension makes it possible for public health officials and other data

users at local, State, and national levels to identify and track health

threats, assess population health, create and monitor programs and

services including health education campaigns, and conduct research.

Emergency Depts

Intensive Care Units

Operating Theatres

Acute Wards

Sub-acute Wards

Community Health

Programs

Hospital inThe Home

Pathology

LaboratoriesMedicalSpecialists

Practitioners

Spine - Operating System for Healthcare Networks

The Spine Engine

● SOA Fabric Layer

● Federated Governance Model Based on Distributed Public Key Infrastructure (PKI).

● Central registry to store all services, associated metadata, plus business and technical policies.

● Directory services (UDDI) that accurately certify, identify, and categorize clients (white pages) and providers (yellow pages) of health care services.

● Federated identity, verification, and authorization with biometrics.

Supports Federated model of care delivery

Emergency Depts


Operating Theatres

Acute Wards

Sub-acute Wards

Community HealthPrograms

Hospital InThe Home

Pathology


Emergency Depts


Operating Theatres

Acute Wards

Sub-acute Wards

Community HealthPrograms

Hospital inThe Home

Pathology


Practitioners

Connectivity Bus

Person Registry

A Person Registry is a federated collective of Nervos nodes housing clusters of objects

representing person’s demographics and biometrics information. Person object clusters are

interfaced via services which are handled by the platform Web Services subsystems. Intrinsically,

they are subjected to the federation’s access control and identity management policies and regulations.

WS

WS

WS

WS

WS

Spine - Registry(s)

Patient Registry

A Person Object is the common denominator for organizing various registries into a collective.

The object knows where role-based information about its subject (person) exists.

Person Registry

Financial Registry Military Registry

To insure scalability and respect ownerships, different person objects are mapped to different patient

registries. The mapping is transparent to any business model use-case scenarios or workflow since the

responsibility is handled by the person object themselves.

Patient Registry

Person Registry

Patient Registry

Patient Registry

CDR Clinical Data Repository

A patient object much like its predecessor (person object) can take on the responsibility of maintaining

the whereabouts of its subject health related data. Again to insure scalability and ownerships, the objects

are housed in one or many distinct yet federated cluster nodes.

Patient Registry

CDR CDR

Person Registry

The CDR accumulates snapshots of clinical documents in CCR object model under one patient as

they are posted by the registered clinicians. The results is a comprehensive chronologically ordered continuity-of-care

health records of participating patient population. In this registry each patient would have many cluster of CCR objects

in a read-only status. Objects are generally owned by the submitting entity.

Timeline

CCR Document CCR Document CCR Document CCR Document CCR Document

Patient Registry

Person Registry

CDR Clinical Data Repository

A Very First Nationally Scoped

Federated-Data-Warehouse

For Continuity of Care Records

Cloud-based e-Health Clinical Data

Repository

CLARITY A COLLECTIVE INTELLIGENCE PLATFORM

Clarity Platform

● Is the implementation of a well-established, enterprise/ nation-wide level, health informatics infrastructure coupled with the standardized point-of-care clinical, financial and administrative applications to significantly improve healthcare delivery whilst providing the ability to manage costs.

● The Clarity Platform facilities external interoperability whilst resolutely embracing the concept of enterprise / nation-wide health information exchange

● The Clarity Platform provides information at the point-of-care where patients are treated; facilitates access to information for research into new treatments; and allows information to be fed back, in an interactive learning environment. Thus replacing opinion-based-decision making with evidence-based decision making.

Clarity Platform

Our Clinical goal:

● to provide systems that allow the clinician to move from opinion based medicine to evidence based medicine where the clinician has the ability to form a diagnosis on the basis of current worlds best practice and treatments of illness allowing for better patient outcomes. Against the current reliance on opinion formed on the basis of the clinicians reliance on past experience and the (impossible) ability to keep up to date with literature

Move from opinion based medicine to evidence based medicine

Clarity Platform

Clarity for the Clinician

● Clarity allows the clinician (to consistently) pick the right combination of tools to innovate and improve efficiency of his practice.

● Incorporating registration, scheduling (rescheduling) the clinical dashboard for full clinical notes (structured and templates for free text) , observations, letters, referrals, guidelines, multi disciplinary care plans, medication management, active monitoring for clinical risk, task management, distributed to-do-list with escalation reminders and automatic completion flow management and work flow automation, results tracking, order entry & sets and tracking

● The Clarity decision support engine monitors all data flowing through the system and can trigger alerts and notifications

Clarity Platform

Clarity for the Clinician (continued)

● Supports healthcare outside of the clinic and surgery and into the citizens home including community and care settings

● Supports care delivery through identifying patients who interact with multiple parts of the health care system to monitor equity of access and care provision

● Supports more efficient commissioning of services and payment by results and audit of clinical practice

Clarity Platform

Clarity for the administrator

● Clarity provides comprehensive data-driven care management services with minimal technology overhead. Each patient encounter transparently percolates and spreads from the point-of-care solution, merges with other enterprise data and eventually finds its way back to the participating stakeholders resulting in an evolving and sustainable knowledge network, whether clinical, financial or administrative.

SYNCHRONICITY

What is Synchronicity?

● Synchronicity is an event driven, service-oriented, integrated platform for the development, deployment and management of processes for the integration of applications.

What can you do with Synchronicity?

Synchronicity

Data

Migration

Process

Automation

Composite

Applications

Application

Integration

Others…

Enable an

SOA

Parts of Synchronicity● Synchronicity Studio

● the tools for designing, developing, testing and deploying Synchronicity Processes

● Synchronicity Runtime

● the container into which Synchronicity Processes are deployed for execution.

● Synchronicity Management

● a web site that allows support staff to administer, manage and monitor both Synchronicity runtimes and their deployed Synchronicity Processes

External Applications External Applications External Applications

External Applications External Applications External Applications

Synchronicity

BusA message

with content

to fit into

this box for

display

purposes

only

A message

with content

to fit into

this box for

display

purposes

only

A message

with content

to fit into

this box for

display

purposes

only

Unified

ConnectivityTCP/IP HL7 HTTP/S

JMS

JDBC

XMPP Web Services

File

FTP/S

Others..

Synchronicity

ServicesMessage Parsing

(Text, CSV, HL7, EDI,

Custom..)

Transaction

Management

(XA and Local)

Message Transform

(One to One, One to

Many, Many to One,

Many to Many)

Content Based

Routing

(Dynamic VML)

Unified Security

(Transport, WS-

Security and Access)

Logging and Trace

Services

(Audit, Event, Trace

and Debug)

Service / Process

Execution

Management

Services

(JMX, XMPP)

Service and Process Composition,

Configuration and Development

Service and

Process Management

Sy

nch

ron

icit

y

Log Files

SMTP, POP3, IMAP

Synchronicity Processes

● Workflow definition of the steps necessary for an integration use-case.

● Implements the logic of an interaction

● which usually involves the parsing, conversion, transformation, manipulation of data either passed to the process or obtained by the process interacting with external resources, systems or applications.

SynchronicityIntegration Event Processing (IEP)

● IEP is a new way to look at traditional data integration. Rather than simply mechanizing the process of moving data from Point A to Point B, IEP adds a new layer of sophistication by analyzing data while in transit.

● Allows real time analysis and intelligent decision-making.

● Detecting trends, exceptions and errors hidden within the data it transmits, Synchronicity offers a whole range of new possibilities not possible with previous systems

● The Complex Event Processing (CEP) engine allows sophisticated rule based handling of multiple events. An exciting new technology, Complex Event Processing consists of processing many events happening across all the layers of an organization, identifying the most meaningful events within the event cloud, analyzing their impact, and taking subsequent action in real time.

● CEP removes the need to continuously reference the source systems. Without CEP, workflows can breakdown and systems can hinder, rather than enhance productivity.

● Complex Event Processing technology allows numerous events to be evaluated and outcomes to be derived non-deterministically.

Complex Event Processing

● A scriptable workflow engine provides asynchronous real-time orchestration between multiple events based on a set of predefined business rules. While data is being routed through the system, it is also analyzed according to it’s content and context.

Adaptable Workflow Engine

● The workflow engine has the ability to make decisions and take actions based on scripted rules. Synchronicity can provide users with relevant feedback in real-time, which is crucial in settings where care givers must make decisions quickly. For example, when a physician orders a lab test, the system can ensure that the same test has not been recently conducted through another system, thereby reducing the duplication of healthcare costs.

Adaptable Workflow Engine

Synchronicity Runtime

● The Container for deployed processes

● Runtime available as

● Software only

● Virtual Appliance

● Physical Appliance

● Virtually any operating system

● Virtually any platform

● Configurable Footprint

Platform

PDA / Cellphone

Laptop

Server

Mainframe

Synchronicity Runtime – Process Network

● Multiple Runtimes and Processes can cooperate in an integrated Network


Mainframe

Synchronicity

Process

Network


Server


Laptop


PDA / Cellphone


PDA / Cellphone

Synchronicity Studio

● Integrated process design and development environment

● Eclipse based tools

● Integrates well with other Eclipse tools

● Provides full ALM features for process design development, debug, test and deployment

● Graphical process design tools

● Develop and deploy to a Synchronicity Process Network

Design

Develop

DebugDeploy

Test

● Visual Process Design

● Use a diagram to layout the workflow i.e. Model the integration

● Transformation (Map) Design

● See how source data is converted to target data

● Business Rules Design

● Visualize data to action mapping

● Abstract Process Design

● Bind process for multiple runtimes

Synchronicity Studio – Design

● Model data

● Message structure definition using standards (UML, XML etc)

● Connection Profiles Definition

● Connector and Listener configuration

● Process Binding

● Add Models, Maps, Rules, Connectors to process

● Team Working

● Share resources with others

Synchronicity Studio – Develop

● Debug Process in-situ

● Step-by-step debugging of process, check workflow and connections

● Debug Maps and Rules

● Set breakpoints, examine variables to ensure Maps and Rules work correctly

● Test Parsers, Maps, Rules in each editor

● Ensure correct behaviour prior to deployment

Synchronicity Studio – Debug

● Send Test Data to Process

● Submit sample data to process using test tools

● Monitor Events

● Examine events from remote runtimes

● Analyze Trace Data

● Drill down into detailed process trace data

● Monitor Telemetry

● Graphically display throughput and other counters

Synchronicity Studio – Test

● Process management and monitoring

● Command and control for processes

● Telemetry and Statistics

● View all monitored counters

Synchronicity – Console

● Send Test Data to Process

● Submit sample data to process using test tools

● Monitor Events

● Examine events from remote runtimes

● Analyze Trace Data

● Drill down into detailed process trace data

● Monitor Telemetry

● Graphically display throughput and other counters


● Visualize processes

● See the process and examine activity

● Event and Trace log access

● Examine and access trace events

● Sequence diagrams

● Drill down into messages


Summary

● Sophisticated tools for complex integration tasks

● Model based development

● Expose integrations as a service

● Team working

● Scalable runtime – footprint and capability

● Remote deployment and management

THANK YOU

Health & Medicine

Cloud Corporate Overview