1. Russia Symposium 2012

2. InterSystems People
1300 People, 35 Offices, 6 Continents

3. Strength to Invest Strategically
400 • Consistent growth and $383M
profitability
300 • Private, no outside
investors, no debt
200 • Customers in 100+
countries
100
0 1978 2011

4. A Breakthrough Is …
Breakthrough (brāk’thrōō) noun
1. an act or instance of removing or
surpassing an obstruction or restriction
2. any significant or sudden
advance, development, achievement, or
increase, as in scientific knowledge or
diplomacy, that removes a barrier to
progress

5. Breakthrough Applications
“A breakthrough application changes
the way that the user does his work.
It doesn’t just automate processes:
it innovates and alters them, often
radically. They can have such a
dramatic effect that they change
the way an entire organization
functions.”

6. Barriers to New Applications
Economic uncertainty
keeps funding tight
Past failures make any
new project risky
Resistance to change adds
to project cost and time
Key Competitor: “Do Nothing”

7. Breakthrough Apps Are Different
Different Better

8. Attributes of Breakthrough Apps
1 Deliver Mass Personalization
• Breakthrough Applications deliver
whatever information the user
requires, in whatever format is most
appropriate, on whatever platform the
user has at hand

9. Attributes of Breakthrough Apps
1 Deliver Mass Personalization
2 Unlock All Data
• Breakthrough Applications access any
type of data, from conventional
structured records to content
(text, images, …) and device data
• Breakthrough Applications eliminate
data silos

10. Attributes of Breakthrough Apps
1 Deliver Mass Personalization
2 Unlock All Data
3 Drive Informed Action
• Breakthrough Applications go beyond
mere process automation to facilitate
decision making and prompt actions to
be taken

11. Keys to Breakthrough Applications
• Multi-dimensional database
Caché for complex structured and
unstructured data
Ensemble • Scalability to 10,000s of users
to handle largest applications
• Reliability, availability, manag
HealthShare eability to safely handle life &
death systems
TrakCare

12. Caché @ MFS
• Creator of first mutual fund
• $250B in assets under management

13. Caché @ MFS
Compliance
Decide Execute
Checks
• New algorithmic trading
systemfor portfolio managers
• Designed to cope with increased
volatility and stringent compliance checks
• Caché delivers real time performance for
$ billions in trades

14. Caché @ Schneider Electric
• €22B global energy and industrial technology
company
• Using Caché for systems to design, monitor
and manage industrial systems in real time
• Caché object technology delivers high
performance for millions of objects, without
relational overhead

15. Caché @ Kaiser / Epic
• World’s largest private sector
electronic health record system
• Connects 8.6M people, 454
medical offices, 36 hospitals
• 36 of 66 HIMSS Stage 7 Hospitals
• 3.7M members use PHR, sending
850K secure emails per month to
care providers

16. Caché @ Kaiser / Epic
65,000 Users
100 Terabytes
Wealth of Information

17. Keys to Breakthrough Applications
• Most powerful solution for
Caché interconnecting systems in
healthcare and beyond
Ensemble • Powerful technologies
(workflow, event
processing, BPM, …) for
HealthShare driving action in connected
applications
• Complete SOA development
TrakCare and execution platform

18. Ensemble @ Baxa
• Fully integrated IV room
workflow
manager, addressing
highest risks for
medication errors
• Ensemble, used as
application platform and
integration technology
• Delivered as SaaS

19. Ensemble @ Baxa
• 16M doses processed
• 500K potential medication
errors prevented
• 90 customers operational
with no significant
unscheduled downtime

20. Ensemble @ UC Davis
Award winning IDN and Medical School
Serving Northern California

21. Ensemble @ UC Davis
• Implements California
law that requires
•Radiation doses to be
recorded in patient health
DICOM records
RDSR
•Overdoses to be reported to
Ensemble patients, treating
doctors, and Public Health
Dose • Support research into
Registry radiation dosing

22. Ensemble @ Jayex
• Standards-based connectivity for
demographic and clinical data
• Cost-effective and reliable deployment
with a wide variety of applications
PAS
Touch Screen Ensemble
Self- Check-In
Kiosk EMR

23. Ensemble @ CSC
Local Service Provider for
60% of England under the
NHS National Programme for IT

24. Keys to Breakthrough Applications
• Platform for connected /
Caché coordinated care at
local, regional, national level
Ensemble • Healthcare-specific active
analytics for driving care
improvements for individual
HealthShare patients and populations
TrakCare

25. HealthShare in USA
Residents Physicians
Illinois 12M 34K
Missouri 6M 16K
New York 19M 65K

26. HealthShare in Denmark
Enables sharing of patient information
by healthcare providers, government
agencies,and citizens nationwide

27. Path to Improved Outcomes
Act
Understand
Share
Capture
Strategic healthcare
informatics platform

28. HealthShare @ MemorialCare
“HealthShare’s wide range of capabilities is
offered on a technology platform that makes
communication with physician practices of
any size consistent and manageable”

29. HealthShare
Customer Solutions
Strategic
Healthcare
Informatics
Platform

30. Composite
Health Record
Patient Index
Provider
Directory
Clinician
Viewer
Consent
HealthShare Components
Management
Terminology
Clinical Message
Delivery
Power and Flexibility to Address
Active
Toughest Connected Care Challenges
Analytics

31. HIE Platform Leader
InterSystems
HealthShare
Rated Leader

32. Keys to Breakthrough Applications
• Holistic solution for clinical
Caché and administrative needs
across continuum of care:
hospital, mental
Ensemble health, clinic, lab, community,
…
HealthShare • Incredibly adaptable to global
healthcare practices
• Web-based, for lowest-cost
TrakCare delivery

33. Gartner Magic Quadrant
Global Enterprise EHR
“Of all the global enterprise
EHR products developed
outside the U.S., TrakCare
is the more mature.”

34. TrakCare @ UFH
• International standard
healthcare organization
in China
• Serving Chinese and
expatriate patients in
Beijing, Guangzhou,
Shanghai, Tianjin

35. TrakCare @ NHLS
• National Health Laboratory
System provides complete lab /
pathology services for 42 million
people in South Africa
• Centralized system for 5700+
staff in 228 labs

36. TrakCare @ Scotland
• National program to make
patient care safer and more
effective by making available
the right information in the
right place at the right time
• Initial five health boards
represent more than half
of population, ranging from
very small / rural to very
large / urban

37. TrakCare @ Scotland
2010 2011 2012
• Broad range of PAS & clinical functionality
• Contract to live in 18 months
• Deployment of additional functionality ongoing

38. Keys to Breakthrough Applications
Caché
4 Products, 1 Goal
Ensemble
Empowering You
HealthShare To Deliver
Breakthroughs
TrakCare

39. Keys to Breakthrough Applications
Caché Breakthrough
Technologies
Ensemble DeepSee
HealthShare iKnow
TrakCare

40. Breakthrough Technologies
• Delivers direct analytic
access to transactional data
DeepSee
• Enhances the value of
existing systems
Real Time Drive
Data Informed
Access Action

41. DeepSee
• Embeddable, to provide access in
context at the point of action
• With iKnow, enables quantitative and
qualitative analytics
• Connectable, to drive insight to the
point of action

42. Caché @ vision4health
One of Europe’s leading
suppliers of laboratory
and diagnostic software
solutions

43. DeepSee @ vision4health
Intuitive Analysis
For Users At
Every Level
• Embedded dashboards
for end users
• Real-time process control for
lab operations
• Extensive capabilities for power users

44. Real Time Analytics @ Hunterdon
“We can use dashboards to monitor real-time
data and it’s totally transparent to our users
that the information is coming from multiple
systems”

45. Real Time Analytics @ Hunterdon
Focus On
• Improving quality of care
• Reducing readmissions
Across Multi-Site
Care Delivery System

46. Breakthrough Technologies
• Focused on unlocking the
information in unstructured
iKnow data
• Enables sophisticated
display, navigation, matching,
…
Volcanic ash grounds presidential plane
Concept Relation Concept

47. iKnow @ Customer Support
?
?
?
Problem: How to assign support questions
to “best” person for quick and
accurate response?

48. Typical Approach
?
? Tag with Matchwith
? Keywords Skills DB
Skills
• Expensive to maintain skills DB Support
Database
• May not be effective at routing
questions to best responder

49. iKnow Approach
?
? Match viaSimilarity
? to Prior Questions
• No need to create ontology or skills
database in advance
• Can incorporate past performance Support
(e.g. speed to answer, satisfaction Database
rating) into routing decision
• System gets smarter over time

50. iKnow Is …
Uses in
Domain-
healthcare, media, legal, real
Independent
estate, contact centers …
Multi- Content routing, discrete data
Purpose extraction, tone analysis ...
Multi- English, Spanish, French, Portugu
Lingual ese, German, Dutch …
No need for upfront
Pro-
knowledge, dictionaries, expert
Active
input ...

51. iKnow @ Immobilien Scout 24
Largest German website for
real estate transactions, with
7M unique visitors per month

52. iKnow @ Immobilien Scout 24
Aim: Enhance search • Year of
construction
using facts not included • Type of heating
in structured listings • Property area
Existing
iKnow Enhanced
Real Estate
Listings
Listings*
Results
Hit Rate: 85 – 90%
Error Rate: 1 – 2%
* 40% Free Text

53. Advanced Technology Built-In
Caché Ensemble
Enterprise Enterprise
DeepSee DeepSee
iKnow iKnow
HealthShare TrakCare
Enterprise
DeepSee DeepSee
iKnow iKnow

54. InterSystems Is
A Creative Technology Partner
With a Passion
For Excellence
And Customer Success

55. Russia Symposium 2012