Tackle Healthcare Interoperability

Challenges and Improve

Transitions of Care

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Agenda

• Introductions

• About Perficient

• Healthcare Challenges

• The Big Picture

• Portal and Mobility

• SOA Suite for Healthcare

• Oracle Master Person Index

• Summary

Perficient is a leading information technology consulting firm serving clients throughout

North America.

We help clients implement business-driven technology solutions that integrate business

processes, improve worker productivity, increase customer loyalty and create a more agile

enterprise to better respond to new business opportunities.

About Perficient

• Founded in 1997

• Public, NASDAQ: PRFT

• 2013 revenue ~$373 million

• Major market locations throughout North America

• Atlanta, Boston, Charlotte, Chicago, Cincinnati, Columbus,

Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los

Angeles, Minneapolis, New York City, Northern California,

Oxford (UK), Philadelphia, Southern California, St. Louis,

Toronto and Washington, D.C.

• Global delivery centers in China, Europe and India

• >2,200 colleagues

• Dedicated solution practices

• ~85% repeat business rate

• Alliance partnerships with major technology vendors

• Multiple vendor/industry technology and growth awards

Perficient Profile

BUSINESS SOLUTIONS

Business Intelligence

Business Process Management

Customer Experience and CRM

Enterprise Performance Management

Enterprise Resource Planning

Experience Design (XD)

Management Consulting

TECHNOLOGY SOLUTIONS

Business Integration/SOA

Cloud Services

Commerce

Content Management

Custom Application Development

Education

Information Management

Mobile Platforms

Platform Integration

Portal & Social

Our Solutions Expertise

Partnership & Expertise:• Oracle Platinum Partner

• Oracle Certified Education Training Partner

• 12+ year relationship of loyalty and trust

• Hundreds of successful implementations

• Over 200 delivery consultants on-shore and off-shore

• Six pillar practices

Oracle Partnership

Connected

Health

Business Intelligence

and Analytics

Interoperability

and Integration

Information

Exchange

Regulatory

Compliance

Solutions & Services

Experts in Consumer-Driven Healthcare Technology

HEALTH PLAN PROVIDER

CONSUMERS

Select Clients

Healthcare PracticeG

lob

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very

Cen

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/Off

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Deli

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Chris DeBracyDirector, Oracle Technology

Sean KeaneDirector of Healthcare Interoperability, Oracle

Our Speakers

8

Healthcare Challenges

The Big Picture

Challenges 2014

• Meaningful Use Stage 2

– It is here

– Interoperability

• Data sharing – secure and auditable

– Patient engagement

• Final rule on clinical labs

• Transitions of care

• ACO – Accountable Care Organizations

– Data sharing for cost containment and TOC

Challenges 2014

• IOT* & Big Data

– Expectation that device data will be acted upon

– Medical home

– At home monitoring

– Filter signal from the noise

• Mobile

– Expectation that data can accessible on the go

– Secure communications

– Device management

*IOT – Internet of Things

Challenges 2014

• Not just Technology

– Population health

– Chronic disease

– Aging population

– Access to care

• Worldwide population is increasing

• 135K Births vs 56K deaths per year – 7.2 billion

• But, technology will help!

EnterpriseHealthcareAnalytics

Prescribing HealthManagement

Platform

Health Information Access Layer

Connectivity Packaged Database Messaging

Orchestration

Transformation

& Routing? ETL

Terminology Management

Health Information

Manager

Healthcare Infrastructure Services

Vendor-Neutral Imaging Archive

Clinical Data Repository

Data Repositories

RIS/PACS

Systems

ADT

Systems

EMR & Dept.

Systems

ERP & Billing

Systems

Existing Legacy Applications

Identity andAccessMgmt Suite

BusinessActivityMonitoring

OHIB

Application Server & Database

E-Health Applications

CRM Healthcare Master Person Index

DataWarehouse

SOA Suite for healthcare integration

WebCenter

Content for HC

Healthcare

Transaction Base

Healthcare

Data Model

Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence

The Big Picture

Clinical Portal +Medical Imaging Viewer Translational

ResearchCenter

Enterprise

Terminology

Services

Portal & Mobility

• Interoperability Drivers:

– Mobile application to enter vitals, monitor glucose levels, monitor activity levels

– Secure patient portal allowing for virtual visits with Dr. and staff

– Electronic health records for easy access of information by Dr.

• Additional benefits:

– Improved monitoring of targeted “at risk” patient populations

– Leverage a reduced number of specialists (e.g. regional lab pathologist

expertise)

– Increased panel size of home health staff (Dr., RN, MSW)

TeleHealth & Remote Monitoring

Hospital Enterprise Portal

Use Case: TeleHealth and

Remote Patient Monitoring

• Mobile application to enter vitals and other patient stats

• Proactive notifications

• Review My Journal

• Access trend reports on patient stats

• Patient can IM, email, Video Chat with Dr. from portal

• Immediate contact

• Dr. can review health records and images online

• Interoperability and connectivity to multiple data sources

TeleHealth & Remote Monitoring

Patient Portal - MyJournal

Patient Portal MyJournal

Mobile entries on patient homepage

Oracle SOA Suite for Healthcare

Oracle SOA Suite 12c

• Oracle Cloud Adapters

– Fusion, Salesforce, SDK

• Mobile Enablement

– JSON, REST, Secure Communications

• Rapid Install

• Unified Design Interface with JDeveloper

• Templates & BPEL subprocesses

• Improved Debugging and Testing

Oracle SOA Suite 12c

• New Adapters

– SAP R/3

– JDE World

– Coherence

• Enterprise Scheduler

Service

• Native XSLT and XQuery

Editor

• Improved Enterprise

Manager

• MFT – Managed File

Transfer

BAMOEP

EMPOLICY

MANAGERJDEV

ERP MAINFRAME SERVICES EVENTS

BPEL PROCESS MGRBUSINESS RULESHUMAN WORKFLOW

SERVICE BUSDATA INTEGRATOR

REG/REP

Adapters, B2B & HL7PARTNERSDB

Oracle SOA Suite Platform

• Designer

• Configuration• Document Protocol,

Endpoint Configuration,

Callout, Mapset

• Administration• Admin Setting, Internal

Delivery Channel,

Import/Export

• Dashboard• Endpoint Status, Message

Details

SOA Suite for Healthcare Integration

• Reports• Message Status,

Resubmit

• End to End Visibility

• MetaData, Search, Audit

• Enterprise Manager• Enhanced Troubleshooting

• Test and Debug

• Enterprise Visibility

• Configure and Manage

SOA Suite for Healthcare Integration

• Used as a service

(inbound) • Connection Mode - Server

• To receive messages from

external systems and deliver

them to SOA composite

applications

• Used as a

reference • Connection Mode - Client

• To send messages from the

SOA composite application to

external applications

• Pre-built message

libraries• All HL7 v2.x , V3, CDA, X12, EDI

SOA Suite for Healthcare Integration

Oracle Master Person Index

(OHMPI)

OHMPI Flow

OHMPI Features

• Single source of truth - One single view of a patient or

provider across your enterprise healthcare landscape

• Integration with Oracle SOA Suite for Healthcare

• Support multiple source systems

• Ability to update source systems

• Merge/unmerge support

Matching Rules

Phonetics

• 8 different built-in encoding schemes

OHMPI Features

• Data cleansing uses built in and custom rules to “polish

and scrub” data moving in and out of the system

• Using WebLogic Server, you can scale horizontally as your

capacity needs increase

• Merge/unmerge records

• Audit who accessed the data, when and what type of

access

• Security restricts access by role

EnterpriseHealthcareAnalytics

Prescribing HealthManagement

Platform

Health Information Access Layer

Connectivity Packaged Database Messaging

Orchestration

Transformation

& Routing? ETL

Terminology Management

Health Information

Manager

Healthcare Infrastructure Services

Vendor-Neutral Imaging Archive

Clinical Data Repository

Data Repositories

RIS/PACS

Systems

ADT

Systems

EMR & Dept.

Systems

ERP & Billing

Systems

Existing Legacy Applications

Identity andAccessMgmt Suite

BusinessActivityMonitoring

OHIB

Application Server & Database

E-Health Applications

CRM Healthcare Master Person Index

DataWarehouse

SOA Suite for healthcare integration

WebCenter

Content for HC

Healthcare

Transaction Base

Healthcare

Data Model

Copyright © 2014, Oracle and/or its affiliates. All rights reserved. | Commercial in Confidence

The Big Picture

Clinical Portal +Medical Imaging Viewer Translational

ResearchCenter

Enterprise

Terminology

Services

As a reminder, please submit your

questions into the chat box.

We will get to as many as possible.

Oracle Open World

Stop by and see us at Oracle

Open World

Healthcare Industry Pavilion –

Marriott Marquis Atrium Level and

Moscone South Hall - Booth #2221

Sept. 28 – Oct. 2

San Francisco, CA

Session ReminderBrazilian Ministry of Health:

National Health Information

Exchange Solution

Wednesday, Oct 1 | 4:30 PM - 5:15PM Marriott Marquis | Salon 10/11

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