HP in Healthcare Ecosystem

© Copyright 2013 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.

HP’s Engagement in the Health and Life Sciences Ecosystem

Samik Bhattacharya

Hewlett-Packard Enterprise Services

© Copyright 2013 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. 2

Why HP? • 45+ years’ experience in the Health & Life Sciences industry

• 10,000+ Health & Life Sciences IT-services professionals

• 250+ clinical professionals

• HP performs 2.4 billion healthcare transactions annually, including 1 billion in healthcare claims

• HP provides Medicaid in 21 states in the United States, making it the largest provider of Medicaid services.

• 13 of the top 15 Life Science companies (by revenue), are HP clients

- HP received the National Governors Association - 6th Annual Public-Private Partnership Award for the Medical Assistance Provider Incentive Repository (MAPIR) application; the solution was chosen as an example of how technology and innovation can help states achieve real cost containment and efficiency.

- HP Labs drives HLS Industry innovation in the areas of: Analytics; Clinical Informatics, Electronic Health Records, and Decision Support Systems; Situational Awareness in Healthcare; and systems to Improve Patient Safety, Operational Efficiency and enhance Patient-Staff Experiences.

http://www8.hp.com/us/en/hp-news/press-release.html?id=1189510&jumpid=reg_r1002_usen







http://www.hpl.hp.com/


Pan-HP Healthcare & Life Sciences Industry Footprint

• Pan-HP Footprint > $10B (estimated)

• #1 Technology Provider in Healthcare and Life Sciences, surpassing IBM

• Shifting business mix from transactional to solutions-based offerings

93%

0 1000 2000 3000 4000 5000

RicohDell

CiscoFujitsu

MicrosoftIBMHP

0 200 400 600 800 1000 1200 1400

RicohCSC

CiscoDell

MicrosoftIBMHP

HE

ALT

HC

AR

E

PR

OV

IDE

RS

H

EA

LTH

CA

RE

P

AY

ER

S

LIFE

S

CIE

NC

ES

Source: IDC Health Insights’ “Worldwide Life Sciences, Healthcare Payer and Healthcare Provider Revenues for the Top 25 IT Vendors”

0 1000 2000 3000 4000 5000

CiscoFujitsu

SAPDell

MicrosoftIBMHP

HP Revenue $1,145 Million




HP’s Global Accounts in Health and Life Sciences


HP in the Health and Life Sciences Ecosystem


Digitization of the Healthcare Ecosystem

Digital Record-Keeping System for mothers2mothers

HP is currently working with a HIV awareness NGO, mothers2mothers (m2m) to develop an IT solution that will move their existing paper-based record-keeping systems to a digital system.

Scale: 700 sites spread across 9 countries.

Electronic Medical Records System for Ila Trust

HP is developing Ila Trust's new Electronic Medical Records system, to replace the existing paper-based processes, for delivering health services to at-risk populations.

Doctors to enter and retrieve patient information from the field, and track health trends.


HP Enterprise Services Improve Patient Service Outcomes through End-to-End IT Outsourcing

“HP was without doubt the strongest contender on technical evaluation of the solution, delivery capabilities, infrastructure management and innovative processes in the IT field.”

– Spokesperson, Grant Government Medical College & Sir J.J. Group of Hospitals

Digitization and Interconnection of GoM Hospitals & Medical Colleges

Staff shortages and a time-consuming manual system were causing long patient waiting times at the Grant Government Medical College & Sir J.J. Group of Hospitals in Maharashtra, India. HP servers, storage and desktop computers were combined into an efficient computerized system, delivered through an HP outsourcing agreement.

Primary Objectives: • Create a unique health ID record and permanent

medical number for every patient visiting a hospital

• Reduce registration waiting times

• Make all reports and images instantly available to clinicians on-screen

• Patient records would be stored electronically so they could be accessed from any hospital, transparency would be introduced to the clinical audit trail and pilferage loopholes would be plugged.

“Outsourcing patient registration and office management for our inpatients, outpatients, and casualty departments has enabled us to reduce average waiting times by90 percent.”

– Spokesperson, Grant Government Medical College & Sir J.J. Group of Hospitals

Government of Maharashtra Medical Education and Drugs Department (MEDD)


HP offers clients a variety of enterprise-grade Cloud Computing solutions, including public, hybrid, and private. This enables Healthcare and Life Sciences organizations to reduce datacenter costs and make data more accessible, from any part of the globe.

Doctor in a Box

A standard shipping container converted into a Health Center, leveraging HP Cloud platform, that can be deployed (even air lifted) to remote areas.

Aliyabad, Andhra Pradesh: 20000 patients in 10 Villages.

Chausala, Maharashtra: 4,000 patients in first 100 days.

HP Mobile Cloud Solution to Track Malaria Outbreak

Healthcare workers in Botswana, Africa, gather Malaria information via a life saving Mobile App. and upload the data (along with pictures and video) to the HP Cloud.

Health Ministry officials in Botswana access this data on the Cloud solution, to respond to, track and prevent Malaria epidemics.

Rural Outreach and Disease Information Collection using HP’s Enterprise Cloud Solutions


HP is tapping into the power of mobile technologies to pioneer new models and processes for patients to access health care, as well as for the health providers to provide life saving care at every stage of the health cycle.

Revolutionizing Healthcare using Mobile Technology

Founding Member of

mHealth Alliance

HP is partnering with mHealth Alliance (mHA) to advance mobile healthcare - or mHealth .

HP also supports Health Un-Bound (HUB) online community, which facilitates global knowledge sharing and collaborative mobile solution development.

HP develops Mobile Drug Authentication System

• Medicines contain a code printed on the

packaging • Individuals sends code via SMS message • m-Pedigree System responds with SMS

confirming if medication is authentic.

The mobile drug authentication program was launched in Nigeria and Ghana in Dec 2010.


Enabling Automation thro’ Workflow and Document Mgmt.

HP & Kofax Archiving System for Bayer Schering Pharma

Implemented a more efficient way to store and retrieve vendor documents after investigating market options for suitable Document Management System.

NNE Pharmaplan adopts Paperless Validation Process

HP helped the client to reduce cost and improved competitive advantage by implementing a paperless validation process using the approach of ensuring full transparency and work within limits of highly regulated industries.

HP TRIM Implementation at Japanese Pharmaceutical Major

HP TRIM was chosen for eliminating risk of non-compliance for Records Management. It was endorsed by Australian Ministry of Agriculture.

• Safe, fully-compliant Records Management System

• Includes web content management, imaging, workflow & document centric collaboration


Collaboration between research and clinical practice requires:

handling very, very large quantities of data

over long distances and

capability to mine the data or analyze it at a very massive scale.

HP provides proven platform environments and special software engineering that can handle the massive scale and volume of scientific data (large-scale genome sequencing, digital pathology, high content screening), and collaboration capabilities, in order to help life science organizations enhance innovation and accelerate product development.

Collaboration between Researchers and Clinicians

Partners Healthcare Center for Genomic Medicine (PCPGM) • Integrated worktools for genetic analysis

(GIGPAD) with genomic LIMS

• Improved collaboration between researchers and clinicians

• Integrated multiple workflows into a single secure platform

http://www.google.co.in/imgres?imgurl=http://www.healthcareglobal.com/partners-healthcare.jpg&imgrefurl=http://www.healthcareglobal.com/sectors/finance-insurance/partners-healthcare-impressive-195-million-profits-posted&usg=__5G6jm5Z6H44fmYlMuObBiuohgfc=&h=335&w=610&sz=22&hl=en&start=1&zoom=1&tbnid=7AHWXuFTxREfHM:&tbnh=75&tbnw=136&ei=W_2pT9LKIIHC6AG21vyjBA&prev=/search?q=PARTNERS+HEALTHCARE&um=1&hl=en&sa=N&gbv=2&tbm=isch&um=1&itbs=1


Collaboration between Trading Partners

HP handles 1.3 Billion Healthcare Administrative

transactions among 110,000 Trading Partners.

HP Business Exchange Services


1 The Pistoia Alliance is a global, not-for-profit, precompetitive alliance of life science companies, vendors, publishers, and academic groups that aims to lower barriers to innovation by improving the interoperability of R&D business processes.

Genomics as a Service – Lowering barrier to Innovation

Functional Platform Offering Complete Coverage of NGS

Workflows

Interoperability of R&D processes

Next-Gen Sequencing Platforms for Pharma

• HP and the Swiss Life Science Center has developed and demonstrated platforms to supply cloud-based, Next-Generation Sequence (NGS) data for Pistoia Alliance1.

• Pharma companies GlaxoSmithKline, AstraZeneca, Roche, Novartis and Lundbeck shared funding for the project.


HP D3 Platform

HP D3 Platform is the first of its kind to integrate genomic, transcriptomic, and proteomic data, as well as connect to the clinical systems to address the needs of researchers.

• Integrated view across data types through user query mechanisms

• Support for multiple data sites, and allows for more to be added

• A personalized system with an intuitive user interface

• Maps between research and clinical data

• Extensible platform for integrating with other organizational systems


Payer Enablement Solutions

HP’s Metavance Administration and Finance Solution

• Automates core administrative processes across multiple LOBs and products (ADD, long term care, dental, etc.)

• Member-centric model

• Supports tailored benefits for members and dependents

• Integrates with healthcare, medical and care mgmt. systems

• Web-access tools facilitates self-service

HP’s e-Prescription Solution

• Connects practitioners and pharmacies to patients data in MMIS – preferred drug lists, prior authorizations, quantity limitations, co-payments

• Provides complete drug references and legible prescriptions at point-of-service

• Enables quick counseling for pharmacists on constituent safety and program costs

• Leads to increased constituent compliance with medication therapy

• Enables quick identification and resolution of issues when writing prescriptions.

… enabling the journey to personalized medicine delivery


HP is the largest provider of Medicaid services in the United States. HP Runs Medicaid systems in 21 states.

Delaware Division of Medicaid & Medical Assistance (DMMA)

• HP assisted the State of Delaware with its Transformation Grant and developed a solution to enable the state’s requirements for electronic presciptions, access to medication histories, alerts, and point of care information.

HP and Medicaid

“It’s hard to separate where the State ends and HP begins. HP is central to just abut every aspect of this project.”

Steve Groff, Deputy Director, Delaware Division of Medicaid & Medical Assistance (DMMA)

Arkansas Medicaid

HP conducted a Kaizen assessment and streamlined the process, resulting in:

• Streamlined the enrollment process by 32%

• Rework reduced by 25%

• Reduced processing time for applications from 3-4 months to 10-14 days.


Oklahoma Health Care Authority (Atlantes)

• HP implemented Atlantes as a comple-mentary system to SoonerCare MMIS

• Supported the evolution of Atlantes to accommodate demand for further automation of healthcare mgmt.

• Developed a collaborative case management framework

HP and Medicaid (contd.)…

HP is extremely approachable. We have a very collaborative relationship. We’re improving accuracy and consistency from one care manager to the next. Our data is more standardized and consistent, and our analysis and reporting is more useful.”

Marlene Asmussen, Director Care Management & Medical Authorization Services, Oklahoma Health Care Authority


Regulatory Compliance – The Critical Factor in Life Sciences

HP’s Experience and Expertise in GxP Compliance:

• FDA compliance is “baked in” to HP’s processes

• It all starts with ISO 9001 compliance at the center, with HP processes layered around to add the functionality for FDA compliance

GxP Compliance requires: • Written procedure for maintenance of the computer system • System to control changes to HW/SW, including documentation • Documented checks of I/O for accuracy • Electronic records must be controlled, including record backup,

security, and retention

HP Quality Framework


HP BTO for FDA Compliance of S/W & Infrastructure HP Business Technology Optimization (BTO) Software for FDA Compliance enables bio-pharma companies to implement standard processes across an enterprise, with proper approval controls and mechanisms.

• Automates common processes for ITIL and GxP

• Maintains a compliant IT infrastructure.

• Integrates 21 CFR Part 11 compliance

• Electronic automation of the process flow

• Reduce paperwork for document compliance.

HP and Genilogix Validation Test Management (VTM) solution

In the VTM solution, HP Quality Center provides a Web-based system for automated software quality testing and management, while Genilogix QC eApprove adds functionality for 21 CFR Part 11 compliance.

The HP Business Technology Optimization (BTO) for FDA Compliance portfolio includes:

HP Service Management Center

Genilogix’s QC eApprove Solution by partner Genilogix

HP Quality Center

HP Performance Center


HP ClinicalWorks – A Pharmaco-vigilence Solution for Adverse Event Tracking and Reporting

HP ClinicalWorks Pharmaco-vigilance / Adverse Drug Reaction

(ADR) Solution

• MRs record/ report AE cases remotely from field via mobile devices

• Centralized MedDRA coding

• Information aggregation & synthesis

• Identify patterns and launch investigation

• Approval workflow

• Report to legal/ HQ

Supports both Clinical Trial and Post Marketing Adverse Events

Compliant with ICH* regulations

Compliant with Title 21 CFR Part 11 of Code of Federal Regulations

*ICH: The International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use

Data management regarding post-marketing surveillance (PMS) for pharmaceutical business


HP’s e-Discovery Solution

• Industry-first eDiscovery platform

• Hundreds of data formats, including Audio and over 100 languages, for preservation, collection and processing of data

• Proprietary analytics for rapid identification of patterns, uncovering of hidden facts and custodians in repository

• Early case assessment capability to estimate risk exposure

• Technology-assisted review to cluster and allocate documents

• Tool used successfully for: - Largest litigation of the century (non-medical) - Multi-party litigation involving over 2 Million+

documents and 50+ hours of voicemail - Litigation involving 145 Million f documents and

email

Transforming Litigation through e-Discovery

The Risk Lost or settled cases due to mismanagement of information can lead to erosion of shareholder value

Over collection or over processing of data can lead to excess downstream review costs

… enabling legal teams to protect their brands.

“The average cost of a single case can easily exceed $1.75 million.”

-- Gartner


… and Innovating for the Future of Life Sciences

1. Smart phone based micro fluid platform for healthcare: This solution leverages inkjet integrated micro fluidics and circuit technologies on a chip to create a simple to use, Smartphone or tablet configurable diagnostic chip. The chip enables quick diagnostic testing at home or in a clinical setting.

1. Smart phone based micro fluid platform for healthcare

2. An Open SaaS for Big Data on Life Sciences:

3. Digestible RFIDs:

4. Chemical sensing technology

5. E-Health Care solution by HP

6. Solution to keep tab on counterfeiting across supply chain

7. Digestible Dispensing

8. HP Moonshot


2. An Open SaaS for Big Data on Life Sciences This system was designed to address the unique requirements in the field of Life sciences, so that it would be scalable to additional data types, analysis tools, and workflows.








8. HP Moonshot

… and Innovating for the Future of Life Sciences (contd.)


3. Digestible RFIDs Digestible RFIDs passively transmit a simple code that can be used as an identifier & they can be made small enough to be eaten to track a patient’s food and later naturally break it down, in the stomach, into a tiny amount of silver that's less than what one would find in tap water.








8. HP Moonshot



4. Chemical sensing technology A consumable spectroscopic chemical detection nanosensor, that provides ultra-sensitive molecule detection and identification, mimicking smell and taste.








8. HP Moonshot



5. E-Health Care solution by HP The Cloud enabled e-Health Centre (eHC) has been conceptualized and created to provide affordable healthcare in the remotest of locations, leveraging HP technology. The aims to provide healthcare to the last mile.








8. HP Moonshot



6. Solution to keep tab on counterfeiting across supply chain HP's anti-counterfeiting strategy incorporates the application of variable data printing to security labels which provides different degrees of security verification depending on the hardware available to query a label.








8. HP Moonshot



7. Digestible Dispensing The solution relies on ability of HP’s Scalable Printing Technology to reliably & rapidly dispense compound volumes using any number of discrete picoliter drops to create titrations without requiring time-consuming serial dilution steps.








8. HP Moonshot



7. HP Moonshot HP Moonshot delivers 89% less energy, 80% less space, and 77% less cost than traditional servers (1,000s of servers per rack, Processor neutral infrastructure, scales seamlessly by adding servers).








8. HP Moonshot



to enable the Digital Health Ecosystem – An Universe of Business Models and Opportunities resulting from Technology Convergence

Digital Health

Ecosystem

Wireless Patient

Monitoring Crowd sourced Drug

and Trial Innovation

Wellness Management

Services

Clinical Community

Social

Networks

Quantum Computing

Driven Molecular

Diagnostics Smart Monitoring

Models

Personal Genetics

Management

E-Health Kiosks

Patient Driven Health Plan Vending

Mobile Health Management

Solutions

Principal Outcomes of Technology Convergence For Digital Health

• New Business Models Focused on Wellness

• Disruptive Modalities of Patient Monitoring

• Patient Enablement for Self Care

• Reduced Costs of In-Patient Monitoring

• Improved 360 degree Healthcare Decision Management

• Patient Driven Clinical Trial Management

• Reduction of drug costs due to crowdsourcing and global alliance

formation between Hospitals, Life Sciences companies and

Patients

Source: The Innovator’s Prescription; HP Global Analytics


See Pieter Schoehuijs, CIO, talk about how HP helps in a multi-supplier environment by providing front-end support and jointly looking at business processes end-to-end: http://www8.hp.com/h20621/video-gallery/us/en/8bc85fe6bb905cc6ccfd6cc62021283826bc6a8a/r/video

Selected Client Testimonials: Akzo Nobel

“Akzo Nobel uses an elaborate structure to manage outsourcing relationships – all the way from a service delivery manager as an operational contact after the dedicated person, making account plans (something you typically only expect at/of the other side of the table), into committees – steering committees, executive contacts, etcetera – for each of our relationships. Now, where we have multiple relationships and multiple outsourcing providers of course it becomes a little bit more complex. HP has done a great job for us – because they have the firstline help desk – to also connect with other providers that we have for telecommunications, data center management, etc. and really be the front end. The structure we’ve chosen is really to try and find the metrics and the processes that are important to Akzo Nobel and not to have every single provider make their service levels, but really look at processes end to end and be jointly accountable for end-to-end management processes.”

Role in multi-supplier environment

October 2011

http://www8.hp.com/h20621/video-gallery/us/en/8bc85fe6bb905cc6ccfd6cc62021283826bc6a8a/r/video




Client Testimonials: Medco Celesio & Sanofi-Aventis

“With the help of the HP consultants, we managed to get our departments and

employees on the same page and effectively restructured our information and

knowledge management. And we saved money by eliminating and taking out

alternative applications.”

– Menno Rientjes, CIO - Medco Celesio..

• Conduct business analysis and requirement workshops with leadership and departments

• Develop and leverage information architecture

• Automate business processes

• Implement social media elements

• Enable Medco Celesio to manage the intranet independently

HP Solution

Services & Technology

• Consulting on Microsoft SharePoint 2007


HP is helping Healthcare Clients Transform

Reduce or Contain Costs & Improve Efficiency

Optimize Operations

Support Personalized Delivery

Assure Information Quality

Make More Informed Decisions

Assure Information Security & Compliance

Cost

Access

Quality


Thank you.

Documents

HP in Healthcare Ecosystem