FIU Final 042910 Moss

8/8/2019 FIU Final 042910 Moss

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IHE Standards based, Open Source, Health Information Exchange

, ,Commissioner, CCHIT; Board Member, Open Health Tools

Konda Mullapudi, Program Manager, MOSSCCHIT Work Group Member for Health Information Exchange

HIE Executive Session April 29, 2010

Florida International University


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Companys Promise . . .

British software group Misys is expected to announce a major strategic gamble this week.

Under new American management, the company is planning to embrace the "open

" ,

programmers. Two new products are planned in healthcare and financial markets thatMisys hopes will become industry standards: one offering a platform for trading carbon

.

London Dail Tele ra h

July, 23, 2007

Mike Lawrie, CEO

experience, solutions, results


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Misys Integrated Businesses

Post Oct. 2008

Bankin

Treasury& Ca ital

Allscripts &Misys HealthcareHealth-

experiencesolutions

results

Markets o u ons

NASDAQ: MDRX

GlobalServices

OpenSource

en u manCEO

Mike Lawrie

a rman

Misys plc

3

FTSE: MSY.L

CEO: Mike Lawrie


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experience, solutions, results


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Misys plc

Consolidated income statement for the year ended 31 May 200** All figures in millions for 2009and2008Continuingoperations

2009 2008Revenue 692.4 492.3Operating profit before exceptional items 107.5 77.8Exceptional items 7.9 (25.4)Operatingprofit 115.4 52.4Finance costs (22.7) (5.0)Finance income 1.5 1.5Net finance costs (21.2) (3.5)

Profitbeforetaxation 94.2 48.9Taxation (4.6) (13.8)

Profitaftertaxationfromcontinuingoperations 89.6 35.1

1.072B Revenue

Market Cap (4/26/10) = $2.1B


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MOSS Mantra

"First they ignore you,,

then they fight you,

Open Source Solutionsexperience, solutions, results

then you win."


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Whats needed today in healthcare?



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Transparency



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Innovation



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Disruption



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17%



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Single Digits


> 90%


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EMRs have been around for 45 YEARS!

1960s

1966 Dr. Larry Weed introduced the concept of the Problem OrientedMedical Record (PROMS) into medical practice First EMR

1967 Homer Warner LDS HELP System Coding, Decision support(DSS), 3M

1968 Octo Barnett MGH Communit Clinic Codin DSS encounternote documentation, COSTAR, NEJM 1968.



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Single Digits


> 90%


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"Those who do not remember history are doomed to repeat it"-Poet/Philosopher George Santayana, 1905

"Mobius Stripan "impossible" figure with no beginning,

no end and only one edge



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ea t n ormat on xc ange prov es anOpportunity to get it right . . .



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MOSS Historical Summary



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It is time to blow up what we are doing. We can look

resulting in transformational improvements in products,delivery of service, and business models. That is the

.

Steve ONeill

Chief Information Officerar or osp a



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Roger McNamee

New Normal The collective impact of changes that have suddenlyaltered our lifestyle, along with an acknowledgement that we are never

going back to where we once were.



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Free: The New Economy

Tim Berners-Lee

arc n reessen

Milton Friedman



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Recession



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April 2009

Jan 2009O enPIXPDQ



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Forrester ResearchNov. 2006

John Rymer

Contracted by CHCF



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We forecast that open source will provide a 20%boost to RHIN adoption in 2014

70%

48%

60%

50%

60%Without Open Source

Alternative

With Open Source

35%

33%

30%

40%

erna ve

10%

16%

25%

13%

22%

10%

20%

1% 2%4%

6%

2%3%

5%

0%

2006 2007 2008 2009 2010 2011 2012 2013 2014



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< 10%

60%60%

70%

Without Open Source

Alternative

48%46%

40%

50% With Open Source

Alternative

25%

22%

33%

20%

30%

1% 2%4%

6%

10%

2%3%

5%

8%

13%

0%

10%

Open Source Solutionsexperience, solutions, results Copyright HIE Services, Inc. 2008

2006 2007 2008 2009 2010 2011 2012 2013 2014


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Whats needed today in healthcare?

Trans arency

Innovation

Disruption



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Fundamentally Different EMR StrategyOutside-IN

EMR

EMREMR

EMR


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Mashable Universe StrategyINSIDE--OUT

Meaningful

By our customer


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Misys Open Source Solutions (MOSS)

A Service Oriented Architecture (SOA) compliant, open

source standards-based core infrastructure that rovides aframework for the creation of a

Heath Information Exchange.

This framework would allow mashable, value-added

application portlets to be joined together to create newextensible a lications.

experience, solutions, results Company Confidential 30


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Misys Open Source Industry Solutions

Healthcare

Address need of meaningful users by providing alow-cost interoperability exchange solution that

enables secure and free exchange of healthrecords across communities.

Leverage power of portal & aggregation ofcommunity data by providing value to users through

access of clinical groupware (EHR-lite)components.



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Business Strategy

Sell Low Cost Health Information Exchange Solution into Medium /Small Community Space Hospitals


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MOSS-H Assets Created in FY 2010

Community Development

OpenPIXPDQ Available NOW Server side implementation of IHE PIX/PDQ profile, focusing on PIX Manager and PDQ Supplier actors https://openpixpdq.projects.openhealthtools.org/

nge

Server side implementation of IHE XDS.b profile including both XDS Repository and Registry Actors

https://openxds.projects.openhealthtools.org/OpenATNA Available NOW

Server side implementation of IHE ATNA profile with Audit Record RepositorytEx

cha

. . .

OpenEMPI Available NOW Created by a Partner to plug into the MOSS Stack Enterprise Master Person Index developed with the help of our partner https://openhie.projects.openhealthtools.org/

O enXCA Available S rin 2010 But was certified in Connectathon 2010s

Connec

Server side implementation of IHE Cross Community Access profile

OpenXUA Available Summer 2010 -- But was certified in Connectathon 2010 Server side implementation of the Cross-Enterprise User Assertion that provides a means to communicate claims about the

identity of an authenticated principal

Mis

Misys Connect Portal Available NOW Proprietary SOA platform Clinical Data Repository



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Hybrid Business Models



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Solution-on-a-Slide

Enabling

Open Source Solutionsexperience, solutions, results 35


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Clinical Document Exchange


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Typical IHE based HIE (Hybrid Model)

3737experience, solutions, results Company Confidential


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Strategic Location Easy Access to VIPs



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Demonstration


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OpenSourceSolutions

, ,

41experience, solutions, results Company Confidential

FIU Final 042910 Moss

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