Technology Perspectives The power of the possible

Introductions Gary Birks • HCLS Business Development Director • >15 years of healthcare IT experience – Client Executive, Acute Delivery Manager, Programme Manager – Head of IM&T at NHS Enfield Primary Care Trust – Consultant to the Department of Health • EDS, BASF, 3M Mary Cooper • EMEA Professional Services Practice Leader • >25 years of healthcare clinical, managerial and IT experience – Board Advisor to a London Private Provider – Director of Modernisation, Director of IT, at The Royal Surrey County Hospital – Performance Manager Department of Health South East Regional Office 2

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HOW CAN CURRENT AND EMERGING TECHNOLOGY ACCELERATE PRACTICAL PROCESS INNOVATION?

The rapid pace of change is changing the game 2000 - The internet then… • 46% of adults use internet • 5% with broadband at home • 0% connect to internet wirelessly • <10% use “cloud” = slow, stationary connections built around my computer 2012 - The internet now… • 80% of adults use internet • 65% with broadband at home • 88% own a mobile phone • 63% connect to internet wirelessly • >two-thirds use “cloud”= fast, mobile connections built around outside servers and storage Source: The Pew Research Center's Internet & American Life

How social media is changing our world 1B Users on Facebook 34,722 every minute of the day “likes” for brands on Facebook 600M Facebook users accessing via mobile 465M+ Twitter accounts 140M+ active Twitter users 100K every minute of the day tweets sent by users 3.7B Worldwide instant messaging accounts 48 hrs every minute of the day new video uploaded to YouTube 2 new members per second on LinkedIn 2M every minute of the day Google search inquiries 187M+ Professionals on LinkedIn 3,600 every minute of the day New photos shared via Instagram If Facebook were a country, it would be the world’s 3rd largest. Sources: 2012 Facebook, Twitter, LinkedIn, www.domo.com/social, www.radicati.com “Social media is the empowerment of the individual at the expense of the system.”

Social Media in action The Digital Operations Centre (Digi-Doc) Command Center enabled the American Red Cross to anticipate, “listen” and respond to 542,947 social conversations during Hurricane Sandy.

Social Media in action

Social Media in healthcare • Major incident tracking and planning • Epidemic and pandemic management • Patient to patient networks • Patient feedback and satisfaction • Professional networks • Patient services

Patient Services • Digital mental health and wellbeing service • High Impact Innovation by the National Health Service • Personalised pathways to recovery through a range of safe therapeutic services • Outcome Headlines – 95% of members feel better as a result and 73% share an issue for the first time – 80% of members self-manage their psychological issues through BWW – Two thirds of members would not normally have sought help for mental health issues – 70% recovery rate from BWW LiveTherapy service – BWW saves £37,000 per 100 members for its mental health services

Social Media in action

“We want to consume technology not manage it” Medical Imaging data is growing 42% Year on Year Clinicians use 6.4 different mobile devices on a daily basis Healthcare organisations are planning to enable EPR, OCS, PACS, Secure messaging, and VoIP on smartphones and tablets Pathology slide 10GB 3D CT Scan 1GB 3D MRI 150MB Mammograms 120MB X-Ray 30MB By 2015 the average hospital will generate 665 Terabytes of data 80% of data is unstructured i.e. images, video and email 81% of healthcare organisations store patient data on mobile devices 50% of healthcare organisations storing patient data on mobile devices take no steps to secure it

Customer… Challenges • Utilisation of data has not been achieved to improve decision making and patient care. • Technology reducing the ability to be innovative, agile and efficient. • Traditional IT provision, restricting the organisations service improvement plans. • Perceived lack of value for money with regards to IT spend. • IT service provided by multiple partners, creating siloes and inefficiency, increasing supplier management challenges. Requirements • Improved patient care through flexibility and innovation • Ensuring that technology infrastructure can provide data in an accurate and timely manner. • Independence from technological and commercial lock-in • Simplification of supplier management • New IT service provision to drive down IT spend or provide value for money

Customer – The Solution User • Access from any device • Access from any location • Continuity of use • Improved and simplified communications • Ease of recording and accessing information • Consistent user experience • Access to clinical and business applications Technical • Secure access from any device • Mobile device management • Standardised access from any location • Standardised desktop • Standardised devices • Session persistence • Improve communications by unifying current communication tools • Single point of accountability and ownership

The Solution

“We want to consume technology not manage it” Internet MDM SaaS Security TEM DaaS Hosted Cloud IaaS

The Cloud Concepts On Site Private Cloud (Customer- or Supplier-Managed) Infrastructure as a Service Software as a Service Destop as a Service Off Premise (Hosted) Public Eco-system Multi-Tenant via Partners Hosted Managed Single-Dedicated Community Vertical Compliant Supplier Cloud 3rd Party Cloud Platform as a Service

The Role of Technology A Patient View Source: Deloitte Center for Health Solutions Consumer Survey, 2012 (4,000 adult consumers)

Collaborative Healthcare Connecting the patient and care providers without being limited by location or device Desktop Remote Sites Conference Rooms Voice Mobile Patient Data Email & Calendar Web Collaboration Video with Presence

Collaborative Healthcare Patient Care

Collaborative Healthcare Multi-disciplinary Teams • Cancer Multi-discplinary Teams – Linking PACS together – MDT Case Management • Two major oncology centres – Guy’s and St. Thomas’ – King’s College Hospital • Ten referring locations – South East England region

Collaborative Healthcare Medical Education • Specialist heart valve repair pioneer (Mr Praksah Punjabi – Imperial College Hospital NHS Trust) – Mitral valve repair – Replaces heart transplant • Surgical masterclass – Travelling between UK, USA & India – Sharing knowledge and skills with colleagues

Big Data Volume, Velocity, Variety • 150 TB of data to date • > 1.1B online posts • 11,000+ medications & 13,000+ conditions • Thousands of websites analyzed to date • > 150-200M user posts can be processed per day • Cloudera Apache Hadoop Open Source • Assessment of User Generated Content • Identifies, collects, analyzes, indexes, and aggregates UGC

Big Data and Genomics Translational Genomics Research Centre (Tgen) http://www.dell.com/learn/us/en/uscorp1/corp-comm/childrens-cancer- care

The alternative approach…

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Questions and Thank You