Avanade Health Collaborative Care

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© 2012-2013 Avanade Inc. All Rights Reserved.

IntroducingAHCC

Presented by:

Joe SchurmanSolutions Architecture & EvangelismAvanade Software & Cloud Services (SCS)


A personal passion & the genesis of change…

Undiagnosed Condition and Diagnosed with Crohn’s Disease and possible Leukemia August 2011.

Began intensive medical care in September 2011 through Memorial Healthcare system.

Removed Gallbladder Moved to St. Luke’s in November

2011 32 individual procedures and

tests Moved to Baylor Medical Center

March 2012 Reconstructed esophagus

and fundoplication surgery. 2


Digital Health

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Evidence & Challenges

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80%

Patients without a Primary Care Physician

35%

Obese adults in the United States…in 2012

20% increase US-wide obesity rates in each state

79 Million

Americans with Diabetes 20 years & older

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Physician Communication Challenges

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Inability to connect with external / non-medical center PCPs and Specialists

Disconnected data from conferencing service

Additional hosted or on-premise costs for conferencing services ($100 to $300 per month per host)

Little or no archiving capability for HIPAA compliance

No mobile or multi-device support


Live Patient Care Challenges

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Limited access to Electronic Medical Record (EMR)

Mobile/Remote end-user accessibility challenges

Lack of API integration with Healthcare Medical Software platforms

Multiple end-user device and operating system support challenges

Lack of innovation, typically web-based services only


Opportunities & Solutions

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Virtual Care – Big Rocks Declining reimbursement (PCP Medicare 2% a year) Aging population (10,000 new Medicare patients everyday) Physician shortage (37% of PCP have quit taking new Medicare

patients) Physician compensation (PCP’s losing $100,000+) Health status of citizens (36% of Tennesseans are obese) 47 million people do not have insurance pre-2014 Primary Care physician office not structured or operated for

preventive care


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90% Enterprise Customers who have deployed Microsoft SharePoint

Microsoft LyncSeats Sold

Annual Microsoft revenue generation$2B

Enterprise Customers who have purchased Microsoft Lync

70% 1 Million+

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Defining CEBPCommunications Enabled Business Processes

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Avanade HealthCollaborative Care (AHCC)

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AHCC Legal NoticeThe Avanade Health Collaborative Care (AHCC) solution is a combined set of software development accelerators and frameworks to assist organizations in enhancing existing capabilities and producing solutions for patient care and physician collaboration. AHCC software is not commercially available for purchase. The AHCC solution modules are enabled to accelerate software application development through professional services consulting engagement. Any and all AHCC software frameworks, source code, and integration modules are considered Avanade Intellectual Property (IP) with all rights reserved. Organizations installing, integrating, and deploying any or all AHCC software must meet applicable federal and industry certification, regulation, and compliance measures according to both FDA and FCC statutes, including medical device compliance and certifications, and applicable obligations under the Health Insurance Portability and Accountability Act (HIPAA).

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AHCC Legal Notice (Continued)The following images, screenshots, and diagrams are examples of capability provided through application development and consulting services, leveraging the Avanade CEBP Framework for Microsoft Unified Communications software, services, and devices.

International Use DisclaimerOrganizations purchasing and deploying any AHCC Solution Accelerator offering and/or component, operating outside of the United States must adhere to Regional, State, and/or Country-specific regulatory compliance.


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Introducing AHCCAvanade Health Collaborative CareAHCC Components: Live Health Chat Patient Portal Mobile Health

Kiosk Health

Professional Unified Desktop

CEBP in Healthcare

For demonstration purposes only


Live Health Chat

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CEBP through the Connected Medical CenterAHCC Live Physician Chat

Web Chat & Contact Center

CEBP in Healthcare



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Web-Browser Patient Interface

Lync-enabled Physicians Real-Time Presence

Integration Click-to-Communicate

Escalation Web Chat (IM) Audio / Voice Video Healthcare Plug-in

Integration Patient Surveys & Reports


CEBP in Healthcare



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Lync EMR & PHR Integration

Click-to-Communicate Escalation

Web Chat (IM) Audio / Voice Video HealthVault

Device Integration


CEBP in Healthcare



Patient Portal21


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CEBP through the Connected Medical CenterAHCC Patient Portal (Patient Dashboard)

CEBP in Healthcare

Digital Health Community

Live Chat



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CEBP through the Connected Medical CenterAHCC Patient Portal (Diet)

CEBP in Healthcare

Health Coach Prescribed Diets with Social Sharing & Meal

Preparation Videos



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CEBP through the Connected Medical CenterAHCC Patient Portal (Fitness)

CEBP in Healthcare

PCP & Health Coach prescribed Fitness Plans and Videos



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CEBP through the Connected Medical CenterAHCC Patient Portal (Consultation Scheduling)

CEBP in Healthcare

List of Previous & Upcoming Virtual

ConsultationsReplay Results



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CEBP through the Connected Medical CenterAHCC Patient Portal (Consultation Scheduling)

CEBP in Healthcare

Microsoft Kinect Comparative

Analysis



Mobile Health Kiosk

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CEBP through the Connected Medical CenterAHCC Kiosk

Care Coordinator

Primary CarePhysician

Specialist

Deployment Options:- Small Provider

Practices- Clinics- Employer Sites- Retail Clinics

Wellness Coach

Select Features: - Face-to-face video- Integrated EMR/PM- Calendar Integration- Role-based queuing- Availability alerts- Refer/route to others- PC, tablet, mobile

options

Deployment Considerations: - Sign-on with benefit card- Biometric authentication- Optional onsite nurse

assistance- Integrated health

monitoring - Optional PHR access- Language translation

support- Various HW options

CEBP in Healthcare



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CEBP through the Connected Medical CenterAHCC Live Patient Care (Bedside)

Windows Surface Pro

Device Mounts

CEBP in Healthcare



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CEBP through the Connected Medical CenterAHCC Virtual Consult

CEBP in Healthcare

Microsoft LyncVirtual Consult

Native Windows 8 Client



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CEBP through the Connected Medical CenterAHCC Live Diagnostics

HealthVault Wireless Scale

HealthVault Instant

Thermometer

CEBP in Healthcare

HealthVault Blood

Pressure Monitor



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CEBP through the Connected Medical CenterAHCC Kinect™ Examinations

CEBP in Healthcare

Exam Exercise Instruction

Kinect Tracking & Completion

Analysis



Health Professional Unified Desktop

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CEBP through the Connected Medical CenterAHCC Health Professional Unified Desktop (HPUD)

CEBP in Healthcare

Microsoft Lync IMLive Health Chats

Physician/Patient Contact

List

Patient Lobby for Scheduled Kiosk Visits and Live

Chats

Patient Record & Contact CardsPatient/Physician

Info Search

Microsoft LyncContact Search

Microsoft LyncPresence



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CEBP through the Connected Medical CenterAHCC HPUD (Virtual Consultation)

CEBP in Healthcare

Live PatientHD Audio/Video

Patient Record &Referral Info

Real-Time &Previous Scans



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CEBP in Healthcare

Microsoft HealthVault Device &

Microsoft Kinect Motility Scans



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CEBP in Healthcare

Real-Time Scans &Comparative

Analysis



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CEBP through the Connected Medical CenterAHCC HPUD (Physician-to-Physician Communication)

CEBP in Healthcare

Physician-to-Physician

IM, Audio/Video

Patient Records& Scan Results

Physician Search

Physician Record



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CEBP in Healthcare

Patient Scan Results

Desktop &Application Sharing



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CEBP in Healthcare

Patient Scan Results

Received

Physician/Specialist


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AHCC Demo


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Avanade Live Chat

Live Chat Plug-ins

AHCC Portal

AHCC Physician App

Translator

Patient & Physician Contacts

Patient Record

AHCC Administration & Services

AHCC Patient Telehealth

Patient Record

Device Integration (Diagnostics)

Disclaimers & Waivers Acceptance

Health Assessment

Login - Registration

Avanade Live Chat

AHCC Kiosk/Pod

AHCC Patient Home-

Health

Audio/Video Conference

PHR

Single Sign On (SSO)Services

EMR

Session Monitoring

Co-Browsing

Health CoachPages

PCP Page

Schedule

Health Chat

Admin Chat

Diet Pages

Fitness Pages

MySite

Patient Records

Physician Records

Physician Records

Patient Scans

Audio/Video & IM

Lync CWE

Lync IM

SharePoint

Content

Social

Admin

Chat UI

Active Directory

User IDs

Authentication

Service IDs

Live Chat

Content

Social

Admin

Chat UI

Lync

IM & PAudio-Video

Administration

SQL Server

SharePoint Content

Lync SettingsLive Chat Settings

Customer Admin

Customer Agent

Health Coach

Physician

AHCC Solution Architecture


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© 2012-2013 Avanade Inc. All Rights Reserved. 44

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Health & Medicine

Avanade Health Collaborative Care