Three Confluence Deployments That Will Blow You Away

Three Confluence Deployments That

Will Blow You AwayConnie Taylor of Premier IncNate Nash of BearingPoint

Tim Colson of Cisco

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Everyone loves babies (and puppies)

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Who Is Premier? Premier is bringing nationwide knowledge to improve local healthcare

Local healthcare

Owners Affiliates Perinatal Initiative

•  Owned by 200+ not-for-profit hospitals and health systems •  Serving more than 2,000 hospitals and 50,000 other providers •  Sharing of clinical, labor and supply chain data for performance improvement •  $31 billion in group purchasing volume •  Recipient of 2006 Malcolm Baldrige National Quality Award •  Together with our member healthcare providers, Premier’s core purpose is “to improve

the health of communities.”

National alliance

Shared goals: Better outcomes

Safely reducing cost

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The Objectives • To develop, implement, and measure best practices designed to improve reliability of clinical quality and improve patient outcomes in labor and delivery. • To facilitate the spread of improved healthcare delivery processes • To lower costs for the hospital and the patient

Expected Results • Improve healthcare team work and team communication • Reduce birth trauma and maternal trauma • Obtain measurable improvement in staff culture of safety • Increase consistent use of evidence-based protocols and best • practices in the perinatal area, as appropriate • Improve and measure clinical outcomes and patient satisfaction in labor and delivery • Lower the cost of care and potential liability exposure

The Premier Perinatal Safety Initiative

A 21 month collaboration of 17 hospital systems nation-wide seeking to improve perinatal patient outcomes, while improving provider communication, culture of safety, and patient satisfaction.

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Why Is Premier Doing this? Birth Trauma: Low Frequency BUT High Severity Problem

  A “blind spot” to the need for quality improvement may arise due to the low number of adverse outcomes*

•  5 birth related injuries per 1,000 deaths •  1 bad brachial plexus injury per 33 years of practice (assuming 140 deliveries per

year by physician) •  1 hypoxia-related case of Cerebral Palsy per 48 years

  Even one birth related injury or death has significant impact on all involved.

•  Victims and families •  Clinical care providers •  Legal consequences •  Insurers •  Public assistance resources

  OB claim payments and costs are the highest of all specialties.** •  $2.8 billion paid OB claims (1985-2005)-23% of total payouts •  Highest average loss of any specialty at $711,845 •  Malpractice insurance costs rank first or second highest •  Median birth injury loss $2.5 million vs. $1.18 million all others

*Journal of Maternal-Fetal and Neonatal Medicine 2003. 13:203

**Physician Insurers Association of America Data Sharing Report 10/31/06

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Premier Perinatal Safety Initiative Components

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Best Practices

Care Bundles (Induction, Augmentation,

Devices)

Shoulder Dystocia

Risk Management (1st 48 hours response)

Foundational Concepts

“Quality Basics” (Reliability Concepts,

PDCA model)

Team Building &

Communication

Reliable Metrics

and Data Development

Situational Awareness & Critical

Events Training (Simulation &

Debriefing)

Cost Analysis (Supply Chain, LOS,

Claim/Legal)

EFM (Common

Interpretation and Communication)

Goals

Reduce Harm Increase Patient Centered Care

Create High Reliability

Perinatal Units

Reduce Costs

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So where does Confluence come in?

•  The solution was needed within four months of launching the initiative and at a low cost.

•  Premier was already using Confluence (and Jira) internally for software development teams to share knowledge and manage the software lifecycle.

•  After analysis of the business requirements, the Premier IT team determined that Confluence gave us the right platform at the right price to quickly deploy and customize in order to provide the right solution.

Team Building &

Communication

Reliable Metrics

and Data Development

•  Premier needed a technology platform to support the foundation of the Perinatal Safety Initiative.

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How did we use Confluence?

•  Confluence is used to enable the participating hospitals to engage in online discussion, share best practices, and collect and report on a set of key OB metrics.

•  We created a “global” space for all hospitals to share information and individual “team” spaces for hospitals to share information within their own teams

•  Premier partnered with Customware Inc to create a theme that would support the usability and navigation requirements of our users.

•  Premier internal development created a metrics collection, repository, and reporting capability that is tightly integrated with Confluence.

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The Techie Details

•  Deployed on Confluence 2.6 in February 2008 and migrated to 2.9 in January 2009.

•  Built a Java application for the metrics collection and reporting leveraging the confluence security schema:

–  Decreased implementation time –  Simplified maintenance and administration

•  Protected both the Confluence application and the reports application with Premier’s standard single sign on tool.

–  Used the Seraph project as a great way to tie in our technology stack.

•  We were able to use a lot of the plugins within the community to enhance our site - the Calendar, Blogging, Reporting plugin, Rate Macro.

•  We have a number of custom user macros to control common display options such as footers, help sections, and some common dynamic navigation items.

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The Demo

https://communities.premierinc.com/

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What’s Next?

•  After the launch of the Perinatal Safety Initiative Premier has created additional customer facing communities to support our company goal of “improving the health of communities.”

•  Need to continue to explore how we can improve the usability of the communities for our non-technical users.

•  Providing more usage metrics for the business to assist in improving content and increasing site traffic.

•  Working towards integrating Confluence with our customer application portal built on LifeRay to also increase usage of the site.

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Lessons Learned

•  Some healthcare professionals may not have email addresses.

•  Some IT folks are now experts on the birthing process.

•  LDAP integration had some limitations regarding the ability to edit profile information.

•  We are now trying to use the Remote API for our portal integration and have concerns about its usefulness.

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Questions?

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Screenshots (just in case)

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Shifting Thousands

Atlassian Summit BearingPoint Enterprise Wiki

© 2008 BearingPoint, Inc. 2

Agenda

  Who am I?

  Vital Signs

  Partners

  Space Exploration

  Reference Info, Questions, and Answers


I am…

Nate Nash   Senior Manager, Emerging

Markets

  Founding Member – Enterprise 2.0 Capabilities Group

  [email protected]


Vital Signs

  Enterprise License Crowd, JIRA, and Confluence (2-node cluster)

  16,000 management and technology consultants across the globe.

  Current Wiki Pages = 16,949

  Versions of Current Wiki Pages = 121,488

  Pages with Comments = 2,697

  Number of Comments = 9,008

  Unique Page Authors = 2,529


Partners

  Contegix – Infrastructure and Managed Services

  Customware – Custom Plugin Development

─  Global System Message

─  Auto User Adder

─  Space Archive

─  Restricted File Types


Space Exploration

  Engagement Security

  Global Intelligence

  Emerging Markets ICT Group

  Jordan Water IT Master Plan

  Clearinghouse


Reference Info and Q and A

  Nate Tweets – http://twitter.com/natenash203

  Personal Blog – http://www.e2oh.com

  Corporate Blog – http://newthinking.bearingpoint.com

  Contegix – http://www.contegix.com

  Customware – http://www.customware.net

  [email protected]

Blow you Away!!Confluence on a large scale

Tim Colson, SW Architect, Cisco**The views expressed in this presentation are mine and do not necessarily reflect the views of Cisco.

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Who is Tim?

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Who is Tim?Geek!

• Microbiology

• Internet Developer

• Systems Architect @ Cisco

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Who is Tim?Geek!

• Microbiology



Collaborator

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Who is Tim?Geek!

• Microbiology



Collaborator

Confluence User since v1.0

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Why am I here?Experience with rapid growth and large scale wiki

Over 70,000 users

250,000 pages / 4,000+ spaces

~6K active contributors (30d)

~25K total contributors (4yrs)

~300-400K views daily

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2004 2005 2006 2007 2008 2009

500K+pages?

Collaboration

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SW

(User Activity)3 Innovation

ConfigurationHW

Innovation

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iZone - community idea generation

Enterprise Theme & Spacemap

Director Summit - event registration

iZone

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iZone

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iZone

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Small team - not IT

iZone

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Small team - not ITBuilt in a few weeks

iZone

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100s of ideas

iZone

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100s of ideas

iZone

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100s of ideas

Enterprise Theme

200 authors

35 spaces

2,500 pages

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Enterprise Theme

200 authors

35 spaces

2,500 pages

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25,000 authors

3,500 spaces

250,000 pages

Theme & Spacemap

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Theme & Spacemap

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Theme & Spacemap

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Director Level Summit

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Director Level Summit

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Outcome?

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Outcome?~2 weeks to build!

• Small focused non-IT team + CustomWare

• Development, QA, updates and two time zones

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619 invitees for 19 live & virtual events

• 90% participation!

• 20K views!

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619 invitees for 19 live & virtual events

• 90% participation!

• 20K views!

2 weeks to build!!!

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The End!

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Confluence provides a platform for

collaboration and innovation!

Technology

Three Confluence Deployments That Will Blow You Away