Windows* 8 and Intel®-Based Mobile Devices: “Huge Opportunity” for Enterprise Application DevelopersGreenway Medical Technologies drives sales and increases end-user value with a native Windows 8 version of PrimeMOBILE* for Intel-based devices

Building a Smarter Healthcare System Greenway Medical Technologies is a fast- growing, 15-year-old company with a mission to help create a smarter, sustainable healthcare system. Greenway provides integrated information solutions for ambulatory healthcare providers. Its flagship PrimeSUITE* and other health information solutions use a single-data-base design to integrate electronic health record (EHR), practice management (PM), and interoperability capabilities. Hitting the sweet spot of rich functionality, value, and ease of use, PrimeSUITE has earned 13 Best in KLAS awards from the indepen-dent research company KLAS Enterprises, LLC1, and is helping U.S. healthcare providers deliver higher-quality, more efficient care.

EXECUTIVE SUMMARYIntel®-based mobile devices and Windows* 8 give developers new opportunities to expand market share and deliver customer value. One company that’s been quick to jump on the opportunity: Greenway Medical Technologies. Making its first foray into Windows mobile app development, Greenway created a native Windows 8 version of its PrimeMOBILE* app in just six weeks. In this case study, Greenway’s head of PrimeMOBILE development and industry affairs manager tell how they’re using Windows 8 on Intel-based devices to help their healthcare customers save time and improve care—and why PrimeMOBILE is critical to their company’s growth strategy.

Greenway’s user community ranges from primary care and specialty physician practices and ambulatory clinics to integrated health systems, hospitals, and other care venues. The company also serves independent practice associations, worksite and retail health sites such as Walgreens Take Care* clinics, and other alternate care sites. The Greenway solution family includes PrimeEXCHANGE,* which facilitates cross-organizational informa-tion exchange, PrimeRESEARCH,* which connects life sciences researchers with ambulatory practices, and other applica-tions. Greenway Marketplace* application programming interface (API) and Greenway Developer Portal increase innovation and expand the range of solutions that can inte-grate with the Greenway product suite.

“My advice for developers is

to take the time to really

understand the Modern UI

design pattern. There’s a lot of

opportunity to build very fast,

robust applications that use the

touch, handwriting, and speech

capabilities to provide really rich

experiences. That’s what will

make the difference for your

users and set your app apart

from all the apps that are going

to be there in the marketplace.”

– Tony Gerena Director of PrimeMOBILE Development Greenway Medical Technologies

CASE STUDYSoftware Development for Windows* 8 and Intel®-Based DevicesDeveloping Mobile Applications for Healthcare

Customer Need, Business Growth, and a Perfect Storm PrimeMOBILE is an integrated component of PrimeSUITE, enabling healthcare providers to access patient data and other functionality whether they’re rounding in the hospital, responding to on-call questions while at home, or simply want to enter data in the exam room without turning away from the patient. “Our vision is to deliver a mobile solution that’s as feature-rich as our flagship PrimeSUITE product, but provides mobility on a device that providers can carry around and not have to be at the practice to do their job,” says Tony Gerena, director of Prime- MOBILE development at Greenway.

Greenway already offered PrimeMOBILE for the iOS* and Android* operating sys-tems, but the company’s leadership team recognized big growth potential in the introduction of Windows 8 and tablet and other mobile devices.

“We’re really seeing a perfect storm of hardware, software, and customer need,” says Gerena. “Clinicians have been yearn-ing to go mobile. They don’t want to be tied to a desktop and keyboard. They have let us know loud and clear: I don’t want to have to go back to a desk or have my back to the patient. They want a mobile device where they can view the data and do everything they could do at the desktop.

They want it to be fast and easy, and they want to take it with them on the go. With the technology we have today, it is finally realistic to do that.”

Value for End Users and ITThe Windows 8 Modern User Interface (UI) enables ISVs such as Greenway to create easy, intuitive ways for users to interact with their software. “The Windows 8 touch capabilities are fully usable, and new features like Semantic Zoom are very intuitive,” Gerena says. “To have the really usable touch capabilities plus the new gesturing capabilities and be able to use the mouse, stylus, or even speech—it opens up a whole new world for innova-tive applications.”

Running Windows 8 on Intel-based devices adds further value. “The Intel-based mobile devices are extremely usable,” says Gerena. “The speed, power, and battery life are on another level from past generations, and the different form factors and detachable keyboards give users a lot of flexibility to run their touch-enabled mobile apps and traditional Windows applications.”

The combination of Windows 8 and Intel-based devices increases convenience and protects customers’ investments in Windows applications and client infra-structure. “Our customers run a wide range of software,” says Brian Bracey, Greenway’s industry affairs manager. “If they’re using an Intel-based tablet with Windows 8, they have a full-functioning Windows device. They can run their traditional applications—such as image archiving, financial software, spread-sheets, and word processing—right alongside their new, touch-enabled apps. That’s something you really can’t do with a Windows RT, iOS, or Android solution.”

This flexibility helps Greenway expand its footprint and deliver greater value to its customers. “Windows 8 with Intel-based devices mean that providers can run PrimeMOBILE for quick data access with the Modern UI while they’re with the patient, and then use that same device

between rounds or after hours to run PrimeSUITE and the desktop UI and do everything else associated with running a practice,” Bracey adds. “It’s a great way to help them transition from a desktop application to the new mobile versions.”

Security is a critical concern for health-care users, and here again, Greenway’s leaders see value in Intel-based devices running Windows 8 beyond other mobile platforms. “Because it’s a fully functional Windows device on the Intel architecture, administrators can supply the extra security that comes along with Active Directory and centralized management,” says Gerena. “They can manage the devices remotely, add them to domains, and manage group policies. If there’s a new antivirus patch, they can apply it centrally. Those capabil-ities really stand out when we talk to customers.”

PrimeMOBILE further enhances security by avoiding the storage of protected health information (PHI) on mobile devices. The company is exploring ways to enable PHI to persist securely on mobile devices. Customers whose mobile devices include Intel® Advanced Encryption Standard New Instructions (Intel® AES-NI)2 can use it with software such as Microsoft BitLocker* to accelerate encryption and decryption for applications that use these functions.

User-Focused Design, Real-World FeedbackGreenway has trademarked the phrase, “What Is Your Experience?” to emphasize its commitment to giving customers a great product experience and a collab-orative relationship with the company. Greenway’s development team brought this customer focus to developing the native Windows 8 version of PrimeMOBILE, starting with workflow analysis to optimize their mobile solution for clini-cians’ requirements.

“As new solutions come to market, we know our customers are going to want to buy them and run our products, so it behooves us to stay out in front of them,” Gerena says. “In this case, we looked at

SEMANTIC ZooM : A CloSER lookOne of many UI enhancements in Windows*

8, Semantic Zoom is a touch-optimized

technique that helps developers give users

simple, powerful ways to move through

large sets of related data or content within

a single view. To simplify content organi-

zation and presentation, developers can

classify content in a flat, “all-up,” zoomed-in

structure within a data set, or in a zoomed-

out mode that displays items in groups for

quick browsing. In both modes, users take

advantage of simple pinch and stretch mo-

tions to easily navigate data sets ranging

from patient lists to image files.

2

Software Development for Windows* 8 and Intel®-Based Devices

the new experience Windows 8 offers and envisioned what PrimeSUITE could be like on this new platform, and we really liked what we saw.”

By using the Windows 8 Modern UI, Green-way helps healthcare providers save time, easily access a wide range of information, and share information with patients. “For physicians, it’s all about time. They see a lot of patients and need to deal with a lot of information quickly,” explains Gerena. “With the Modern UI design pattern, they can quickly open the app, see the top-level data, and if they want to drill down to additional data, it’s just a tap or a pinch, and not several clicks or using a mouse or a keyboard. It’s fast and easy, and that’s really where the value is for a physician. That experience has been well received.”

Once the solution was in beta, Greenway worked with Pediatric Associates—an 80-provider, physician-owned Seattle-based practice and a lead user of Prime-SUITE—on a proof-of-concept to validate PrimeMOBILE’s support for mobile health-care workflows. Pediatric Associates’ input helped Greenway streamline the app’s navigation, making it easier for providers to move through PrimeMOBILE and multi-task between applications.

“If you’re looking at a patient’s chart and you pop out to check your schedule for the day, you want to be able to go back to the same chart view,” Gerena says. “We implemented a new navigational structure using the app bar, so providers can toggle between user-level modules and patient-level modules and not lose that patient context. We’re also taking advantage of Windows 8’s Semantic Zoom, to make it easy for provid-ers to share a chart or image with the patient without having a cluttered screen. It’s also very easy, when they’re face-to-face with a patient, to move between the full-blown PrimeSUITE on a docked machine to PrimeMOBILE when they want to show the patient some graphs or data. It allows for a lot of interactiveness between the physician and the patient.”

The net result is a big win for Greenway and its users. “Every time we demo this, whether to existing customers, prospects, or anyone else in the healthcare industry, they see where this is headed and they like what they see,” says Gerena. “The fluid user experience, the Semantic Zoom, the integration with older applications that you can run in desktop mode—they are really seeing the value.”

Rapid Development In addition to the value Greenway could deliver to customers, Gerena was pleased with the development process. His in-house team included an architect-level .NET developer, a graphic designer, and several business analysts who gathered require-ments and identified use cases. To build the app, they used a third-party developer organization that had done great work for them before, but had no experience building apps for Windows or Intel-based platforms. Because of the availability of HTML5* and JavaScript* development languages for Windows 8, Gerena decided to give the third-party team a chance.

“It was actually pretty amazing,” says Gerena. “They had to learn Visual Studio,* but it didn’t take a lot to get their head around that, and the addition of HTML and JavaScript made it very simple to create our application. We were able to ramp up developers in a matter of days and complete our first version of the app in six weeks, which is unheard of compared to the other platforms we develop on.”

With two weeks of quality assurance testing, the app was ready for posting at the Windows Store. The team continued development, and eight weeks later posted a Rev 1.5 version that Gerena says offers feature parity with an iPad* version that has been available for over two years. “That speaks volumes to the ease of developing on this platform and the ease of the tools that are available,” Gerena says. “We have been really pleased, and we’re excited about what is next.”

DEVEloPING ENTERPRISE APPS FoR WINDoWS* 8 AND INTEl®-BASED DEVICES?

Greenway’s experts offer these suggestions:

• Get into a growing market segment. Enterprises are eager for mobile devices that can improve productivity without making users forgo their existing applica-tions or disrupting IT’s management and security practices.

• Turn Windows 8 innovations into user value. Study your users’ workflow re-quirements, then take full advantage of the Modern UI to meet them—and make the user experience fast and easy.

• Nail the design. Flesh out the design before you start coding. Windows 8 app development is not like a traditional application where you can design along the way.

• Cover a variety of form factors. Intel-based platforms for Windows 8 range from embedded devices and handheld media players to wall-sized screens. Work to maximize code reuse while providing a great experience on each device category.

• Plan ahead. Don’t wait till you’re done to start thinking about rolling out your product. Develop a plan for user acceptance testing. Make sure you understand side-loading and store submission requirements.

Software Development for Windows* 8 and Intel®-Based Devices

3

Gerena expects the ease of development is going to drive further growth. “Having HTML and JavaScript opens up a lot of opportunity for web developers that traditionally haven’t built apps on Windows to start contributing apps to the Windows 8 development ecosystem,” he comments. “I believe we’re going to start seeing a lot of adoption of Windows 8 because of that.”

looking Forward: A Huge opportunityBracey and Gerena see mobile solutions as critical to Greenway’s long-term growth strategy, and are developing a roadmap to broaden PrimeMOBILE’s functionality for Intel-based mobile devices with Windows 8. Given the rising focus on team-oriented care for patients with chronic conditions, they see home health and patient empow-

erment as highly promising areas. Greenway is researching options for integrating Bluetooth*-enabled clinical devices so that data from glucometers, blood pressure readers, weight scales, and other devices can be captured and automatically integrated into the patient record in PrimeSUITE.

Longer term, they expect more functionality to move into mobile devices, making mobile platforms more central to the clinician’s workflow. “Our long-term vision is for PrimeMOBILE to become the delivery vehicle for clinicians, with a cloud-based application to handle things like revenue cycle man-agement and configuration,” says Gerena. “PrimeMOBILE is a critical component to help us scale our product line over the next five to ten years.

lEARN MoRE

Greenway Medical Technologies: greenwaymedical.com

Intel in Healthcare: intel.com/content/www/us/en/healthcare-it/healthcare-overview.html

Business Ultrabooks: intel.com/content/www/us/en/enterprise-security/ultrabook-for-business.html

Windows 8: windows.microsoft.com/en-us/windows-8/meet

“Our customers run a wide range of software. If they’re using an Intel-based tablet with Windows 8, they have

a full-functioning Windows device. They can run their traditional applications—such as image archiving, financial

software, spreadsheets, and word processing—right alongside their new, touch-enabled apps. That’s something

you really can’t do with a Windows RT, iOS, or Android solution.”

– Brian Bracey, Industry Affairs Manager Greenway Medical Technologies

They encourage other ISVs to follow their approach. “If you look at everything you get with Windows 8 and Intel-based devices—HTML5, JavaScript, BitLocker, new memory management capabilities, a robust API, the UI capabilities like gesturing, touch, speech, and hand-writing—I think every developer should seriously look at Windows 8 as the next platform to build on,” Gerena concludes. “It is a huge opportunity.”

Software Development for Windows* 8 and Intel®-Based Devices

1 http://www.greenwaymedical.com/news/best-in-klas-awards/

2 Intel® AES-NI requires a computer system with an AES-NI enabled processor, as well as non-Intel software to execute the instructions in the correct sequence. AES-NI is available on select Intel® processors. For availability, consult your reseller or system manufacturer. For more information, see http://software.intel.com/en-us/articles/intel-advanced-encryption-standard-instructions-aes-ni/

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