Mobile Clinical Computing

Mobile Clinical ComputingCustomer Name

Date

Healthcare and Life Sciences

Dell believes: Better healthcare starts with better information.

Dell Healthcare connects people to the right technology and

processes to create information-driven

healthcare and accelerate innovation.


46 States that have issued breach notification laws

300 Billion dollars in combined federal spending cuts to hospitals

80 Staff hours required to rollout a new application in a 400 bed hospital

40 Percent of time doctors spend looking for patient records

38 Percent of HC costs that go to administrative overhead

260 Thousands of projected nursing shortage by 2025

Challenges Facing Today’s Hospitals

Dell Mobile Clinical Computing

Clinician - drivers

Confidential4 13/04/2023


Director of IT - drivers



Chief of Operations - drivers


$Revenue

generation

Cost optimization


Dell’s Mobile Clinical Computing Vision

Provide IT with the ability to CENTRALIZE CONTROL of

all end-user data and images…

…while still enabling END-USER FLEXIBILITY to work

from anywhere and on any device…

…allowing CLINICIANS to spendmore time with patients

deliveringBETTER CARE.

Healthcare and Life Sciences8

Mobile Clinical ComputingMobile Clinical Computing combines the benefits of desktop virtualization technologies, with features that enhance clinical efficiency.

Clinical Efficiency

• Single Sign On

• Fast login

• Application auto-launch

• Session Transfer

• Follow-me printing

• Shared Workstations

• Ease of Use

Data Security

• Information stored in the data center – not the endpoint

• Simplified Regulatory Compliance (HIPAA)

• Role based delivery of info

• Multi-factor authentication

• Eliminates tendency for generic logins

IT Staff Productivity

• Dynamic provisioning of user applications, data, and personalization

• Patch Management for image and applications

• Fewer help desk calls

• Standardization and Simplification = reduce downtime AND increase speed of resolution


How Do We Get There?

…toward managing the

end user’s “digital identity.”

Shift from managing an ever-growing number of devices…

OPERATING SYSTEM

APPLICATIONS

DATA

USER PREFERENCES


MCC: The Digital Identity Is Mobile

Dell Mobile Clinical Computing Confidential11 13/04/2023

Digital Identity Connection Broker

Healthcare and Life SciencesConfidential12

Dell’s Mobile Clinical Computing Solution Proven solution stack with hardware, software and service capabilities that unlocks and expands upon the benefits of desktop virtualization to enhance clinical efficiency

Security• Regulatory Compliance

(HIPAA), by storing information in the data center instead of endpoints

• Role-based delivery of apps/ data

Clinical Efficiency• Single Sign On &

application auto launch

• Session Transfer

• Follow-me printing

• Clinical context

IT Staff Productivity• Dynamic provisioning of

user applications, data, and personalization

• Simplified Patch Management for image and applications

1.Fast Login– Card/Badge, biometric, password, etc.– Single Sign-on Instant access to apps

2.Individual Desktops– Custom for each user by role

3.Security – Information stored in the data center,

not the endpoint– Role-based delivery of apps/ data

4.Session Transfer– Active session follows user to each

device

5.Remote Access– Remote access via secure browser

session

Doctor’

s Clinic

Hospita

l 1st

FloorHospita

l 2nd

Floor


MCC Trial

13 Confidential 13/04/2023


Proving the Business Value of the Solution• In association with Intel across Europe• Ten trial hospitals across 6 European countries• Mix of clinical settings• Benefits tracked by audience – Clinical, IT and Hospital

management• Monitored, tracked and recorded in technical whitepapers


Dell Mobile Clinical Computing Confidential15 13/04/2023

‘Static users’ ‘High intensity shared users’

‘Clinical nomads’

‘Senior reviewers’

User profiles studied in the MCC trial


Topline results

• Up to 215+ minutes per user per week productivity gain (9% improvement)

• Economic value of productivity can be up to $15,000 per user per annum

• The average annualized costs is just $75 per device, and each device may be used by multiple users

• Appropriate Security delivers information security that’s workable for users

• Improves patient safety, quality of care and patient satisfaction


EMEA Healthcare and Life Sciences Marketing

EMEA Pilot - Summary Conclusions

* Extrapolation from trial results. Trial findings ranged from 6mins to 117mins** Average time saving (UHB Trial 92% E4B and 94% MAU, OLVG 77% and COL 71%)

Session Mobility

Persistent Session which can roam from device to device as needed

Single Sign On

SSO access to core clinical and other applications**

Swipe in – Swipe Out

RFID card swipe or single key stroke suspension of session

Faster Start Up

Av 83%** faster app start up on shared computers. From minutes to seconds

Improved Security

Removal of the need for shared/generic logins. No data on devices.

Appropriate Security

Delivers appropriate, information security that’s workable for users

Clinical Use

MCC Solution

IT Management

Improved Productivity & Staff Satisfaction

Potential of 10-215+ mins per person per week*

Patients Benefit

Reduction in information access related delays & faster informed decisions

Enhances rather than disrupts Workflow

Helps existing systems align with workflow

Simplified Management

Provisioning, Support and User Device optimisation potential at reduced cost

Optimized Devices

Device types optimised for task (WoW/LT/DT) & user population.

Workstation Availability

Reduction of Workstation monopolisation and time required for interactions


Mobile Clinical Computing

• Lots of apps, many requiring their own password

• Countless staff hours to launch a new app or push updates

• Limited end-point functionality, workstations missing critical apps

• Staffing constraints – both IT and clinical

• Wasted time each day looking for right WS for job

• Sensitive data on client systems notebooks and desktops

• Poor end-user experience

18

•Over 200 apps

•80 hours to setup new app

•Staffing constraints

•60 min/day to look for right WS

•Sensitive data on notebooks and desktops

•Poor end-user experience

WITH MCC

•SSO to all apps

•New apps provisioned in minutes

•No more searching for devices or applications

•Data stored securely in DC

•Users are happy and more productive

Silver Cross Hospital

HOSPITAL SITUATION


MCC 2.0 Technology Line-Up

Confidential19

Technology Terminal ServicesShared apps,

Shared desktop, App Streaming

Virtual Desktop Virtual Desktop

Connection Broker

Symantec WSC Citrix XenApp 6.0Citrix

XenDesktop 5.0VMWare View 4.5

Single Sign On Symantec WSC

Citrix PWD MgrImprivata OneSignIndigo

Citrix PWD MgrIndigo

Imprivata OneSignIndigo

AuthenticationPassword

Proximity Card

PasswordProximity, Smart Card/Biometric

PasswordProximity,Smart Card,Biometric

PasswordProximity,Smart

CardBiometric


A Structured, Defined Path

Take a structured approach to navigating virtualization decision making

Trial

• 2nd or 3rd Step• Production Environment• Cross-Org Team• “skin” in the game

Understand the Potential

Make Informed Decisions

Lay the Path for Success Capture the Value Ongoing Success

• Understand business & enterprise-IT Strategy

• Infrastructure requisites• Application Portfolio• End-User needs

• Requires cross-organizational team effort

• Gain empirical data• Evaluate desktop

candidates• Determine application

usage• Implementation gap

Analysis• Create “digital

footprint”

• Sizing• Virtual platform location

decision• Define initial Use

Cases• Deployment Planning

• Installation & Configuration

• Image Builds• Application

Packaging• End-user profile,

data & device migration

• Monitoring and Support

• Patch OS & Apps• Performance

Reporting• Capacity Planning• SLA Reporting



Thank You for coming to see us!


Backup


MCC FOR MEDITECH

Streamline Workflow – Tap and Go• User taps badge or swipes finger to reconnect to desktop

• Single click SSO to all Clinical Applications

• User disconnects from desktop with card tap

• Desktop maintained on server as user roams

Wireless WOWThin Client

Laptop Remote Physicians Office

Nurses Station Desktop

Also Includes• Password Management/Reset

• Automatic Compliance Reporting

• Support for various authentication modalities

• Reauthentication support – i.e. drug

dispensing


Solution Partners And Suppliers

• Assess, Design and Implementation Services• End-to-end Platform Management• Enterprise hardware • Client devices• Installation and ongoing management; desktop

deployment and asset recycling

• Hypervisor and VM management • Connection broker and SSL

• ‘Digital Footprint’ Assessment• User Data and User Profile migration tool• Virtual Desktop performance management,

monitoring and reporting

• Network hardware

• Multi-Form Authentication• Single Sign-On• Context Management

http://www.imprivata.com/


Mobile Clinical Computing

SERVICES

HW & SW

+

SOFTWARE (example)

+

• PowerEdge Servers• EQL Storage

• OptiPlex Desktops• Latitude Notebooks

• Symantec Workspace Corp•Citrix Provisioning Server• Dell Easy Connect

• Terminal Services• SQL Server• Active Directory

ProConsult• Assessment • Design• Deployment

ProSupport• 24x7 Help Desk• Parts and Labor• Collaborative SW Support

ProManage•Manage•Host•As-a-Service


Delivering Solutions The Way Customers Want Them

Globally Consistent Service Delivery ModelCustomized Service Model

Optimized Platform – Standard Architecture Customized Reference Architecture

Customer Data Center“On Premise”

Customer or Dell Data Center“Dedicated”

Dell Enterprise Platform

Reference Architecture

Dell ManagedCustomer Managed

Purchase reference architecture and hires Dell to implement

Purchase reference architecture and hire Dell to adjust architecture & implement

Dell implements, operates, and manages customer’s infrastructure in either location

Dell implements, operates, and manages dedicated Dell infrastructure in either location

Dell implements, operates, and manages optimized Dell infrastructure in Dell Data Center

Customer provides own architecture, purchases Dell components and self implements.

Services Only

Dedicated Infrastructure

Enterprise Cloud

Custom Architecture

OEM BundleDIY

Dell helps you do it Dell does it for you

Business Ready Configs

Build & Transfer

As-a-Service Delivery

Build & Operate

A flexible delivery model that suits your unique needs and goals

Deep Domain Expertise (Clinical, Business and Technical)


Approximately one hour per day per user reclaimed for patient care*

100% application availability on all workstations** Applications provisioned in minutes instead of hours* Average rounding time reduced from six hours to

four** As many as 10 users share the same workstation

during course of day** One keystroke suspension of computing session** Persistent session despite location change Enhanced, not disrupted, workflow 94% faster start up on shared computers – from

minutes to seconds** No more “workstation squatting”

Clinical Efficiency Data Points

*Silver Cross Hospital case study**Genesys Regional Medical Center case study

Silver Cross Hospital

Genesys Regional Medical


MCC is Greater Than…

MCC

•Flex•Virtual Desktop•Thin Client•Citrix•VMware•Symantec•SSO


Single Sign On (SSO) Saves Time & Money SSO technology saves clinicians an average of 9.51

minutes a day (122 hours per year) 83% of respondents believe SSO simplifies access to

applications and data Prior to SSO, users had an average of 6.4 different

passwords or pins required to access critical applications and patient data

Approximately 70% of respondents believe SSO is important or very important to the adoption of EMR and related systems

60% of all respondents believe SSO solutions support their organizations' efforts to demonstrate the "meaningful use" of EMR and related information

On average, respondents said they have between 11-30 applications using single sign-on

80% of SSO users would recommend the technology to others

DELL delivers SSO & VDI via MCC Source: Healthcare IT News May, 31, 2011