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Health Informatics New Zealand
                                           www.hinz.org.nz




         Collaborative Service Networks (CSN)
                    Next Generation IP Network (eHealth)
                                   (Smart Internet document # CSN-M0002-2)



                           Author:        Tim Hibberd - R&D Commercialisation Manager
                           Date:          Nov 2006
                           Version:       1.1



                               Commercial In Confidence
                    (Not to be distributed without prior approval of Smart Internet)




                               Smart Internet CRC
Smart Internet CRC acts as a facilitator between commercial vendors, universities, and
government bodies to stimulate the market production of a Collaborative Service Network
that meets or exceeds customer requirements within 18 months (Healthcare Initially).



 • Commercial requirements discussion, analysis & documentation


 • R&D assistance to vendors & customers across multiple vertical markets


 • Stimulation of commercial market development with at least one product trial


 • Focal point for university research in Collaborative Service Networks


 • Ongoing advanced Collaborative Service Networks R&D


 • Founder of the Australian National Collaborative Service Networks Test Centre



   Dated May 2006                       © Copyright Smart Internet, 2006                Slide 2




                                                                                                  1
Health Informatics New Zealand
                              www.hinz.org.nz




    IT & Telecommunications Convergence



                                       Enterprise
                                      Applications                                 Application Networks
                                                                                   Application Networks
                                                                                 1.
                                                                                 1.   eHealth
                                                                                      eHealth
                                                                                 2.
                                                                                 2.   eProcurement
                                                                                      eProcurement
        Enterprise                      Application                              3.
                                                                                 3.   eHumanServices
                                                                                      eHumanServices
                                                                                 4.
                                                                                 4.   eEducation
                                                                                      eEducation
       Applications                      Networks                                5.
                                                                                 5.   eTravel
                                                                                      eTravel
                                                                                 6.
                                                                                 6.   eRealEstate
                                                                                      eRealEstate
                                                                                 7.
                                                                                 7.   eInsurance
                                                                                      eInsurance
                                                                                 8.
                                                                                 8.   eFinance
                                                                                      eFinance
            Core                            Core
          Networks                        Networks


         1980-2000                           2000+




Dated May 2006           © Copyright Smart Internet, 2006                                                           Slide 3




           The New Global Service Network




                             Source: B2Bi and Web Services An Intimidating Task, Web Services Architect, Jan 2002




Dated May 2006           © Copyright Smart Internet, 2006                                                           Slide 4




                                                                                                                              2
Health Informatics New Zealand
                                                               www.hinz.org.nz




  Benefits of a Service Network Economy




Dated May 2006                                            © Copyright Smart Internet, 2006                                       Slide 5




                                 The Current Market Gap
                                                          Service Providers
                                                            Enterprise Service Bus (ESB)


                                                             Collaborative
                                                                Service
                        Enterprise Service Bus (ESB)
        Organisations




                                                               Network
                                                                                             Web Browser / Plug-in




                                                                                                                     End Users




                                                               Policy Driven
                                                            Application Network


                                                                  Application
                                                                   Network

                                                                     Core
                                                                    Network




Dated May 2006                                            © Copyright Smart Internet, 2006                                       Slide 6




                                                                                                                                           3
Health Informatics New Zealand
                                    www.hinz.org.nz




  Infrastructure Upgrade vs. Custom Solution



                    Personal                                           Professional
                     Data                                                  Data
                    Storage                                              Storage




                                      Government
                                       Wideband
                                      IP Networks




   Dated May 2006               © Copyright Smart Internet, 2006                                                     Slide 7




         Initial Target Market – Home Telecare
                                                                     COLLABORATIVE SERVICES




IMPROVED AND MORE EFFICIENT CASE MANAGEMENT                                                   •      Empowering the
                                                                                                     patient
                                                                           NETWORKS




ASSISTED SELF MANAGEMENT
                                                                                              •      Improving
                                                                                                     Outcomes
                                                                                              •      Reducing Costs
BETTER USE OF AVAILABLE HUMAN RESOURCES




                                               HACC 2006-09 Expenditure Priorities in Victoria: Consultation Paper
                                                Aged Care Branch, Department of Human Services February 2006


   Dated May 2006               © Copyright Smart Internet, 2006                                                     Slide 8




                                                                                                                               4
Health Informatics New Zealand
                                                                                               www.hinz.org.nz




                                                                                      Expected Benefits

                         • Visits to GPs can decrease by 40%

                         • Outpatient visits can reduce by 17%

                         • A&E visits can reduce by 50%

                         • Hospital admissions can be halved

                         • Hospital LOS can be halved

                         • Medicine intake is regulated or reduced

                         • Days off work can reduce by 50%
                                                                                                                                   Source: UK Department of Health: Self Care – A Real Choice
                                                                                                                                              Self Help Support – A Practical Option, Jan 2005
                                                                                                                                  Research evidence available at http://www.dh.gov.uk/SelfCare


                Dated May 2006                                                                      © Copyright Smart Internet, 2006                                               Slide 9




                                                                                  Key Issue Targeted
 Applications not designed to connect or collaborate force people to be the decision
 orchestrator for information flows that grow in volume and complexity daily*.



                Orchestrating Disconnected Applications                                                                                  Orchestrating Disconnected People & Systems
                                 Corporate       Business       Enterprise                           Customer
                  W arehouse                                                       Customer
                                Com pliance       Process      Performance                          Relationship
                  Managem ent                                                     Management
                                Management      Management     Managem   ent                        Managem  ent




 Enterprise
                                                                                                                   Sales Force
 Resource
                                                                                                                   Automation
  Planning



Field Service                                                                                                       Business
M anagement                                                                                                        Intelligence



                                                                                                                    Enterprise
Distribution
                                                                                                                   Information
Management
                                                                                                                   Integration


 Expense                                                                                                           Knowledge
Management                                                                                                         Management



                                                                                                                     Product
Supply Chain
                                                                                                                    Lifecycle
Management
                                                                                                                   Managem  ent




                                                                     Human
                                  Inventory         Hum an                            Marketing         Content
                  Procurement                                        Capital
                                 Managem  ent      Resources                         Managem  ent     Management
                                                                   Managem  ent


                                                                                                                                                                              Source: ICTWave, Feb 2006


                                                                                      * Healthcare is a classic example

                Dated May 2006                                                                      © Copyright Smart Internet, 2006                                              Slide 10




                                                                                                                                                                                                          5
Health Informatics New Zealand
                                   www.hinz.org.nz




                   Collaborative Service Networks
Shared EHR data is only one form of data exchanged in a health network and is only the
third most important element of a collaborative service environment.




  • Interoperable Processes
        • Why does the data need to be exchanged?

  • Interoperable Services
        • What type of data processing is required?

  • Interoperable Data
        • What is the specific data that is required?


  Dated May 2006               © Copyright Smart Internet, 2006                Slide 11




 Healthcare Collaborative Service Networks




                                                                  CSN
                                                                                          Source: ICTWave, Feb 2006




                                        CSN




  Dated May 2006               © Copyright Smart Internet, 2006                Slide 12




                                                                                                                      6

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Collaborative Service Networks for eHealth

  • 1. Health Informatics New Zealand www.hinz.org.nz Collaborative Service Networks (CSN) Next Generation IP Network (eHealth) (Smart Internet document # CSN-M0002-2) Author: Tim Hibberd - R&D Commercialisation Manager Date: Nov 2006 Version: 1.1 Commercial In Confidence (Not to be distributed without prior approval of Smart Internet) Smart Internet CRC Smart Internet CRC acts as a facilitator between commercial vendors, universities, and government bodies to stimulate the market production of a Collaborative Service Network that meets or exceeds customer requirements within 18 months (Healthcare Initially). • Commercial requirements discussion, analysis & documentation • R&D assistance to vendors & customers across multiple vertical markets • Stimulation of commercial market development with at least one product trial • Focal point for university research in Collaborative Service Networks • Ongoing advanced Collaborative Service Networks R&D • Founder of the Australian National Collaborative Service Networks Test Centre Dated May 2006 © Copyright Smart Internet, 2006 Slide 2 1
  • 2. Health Informatics New Zealand www.hinz.org.nz IT & Telecommunications Convergence Enterprise Applications Application Networks Application Networks 1. 1. eHealth eHealth 2. 2. eProcurement eProcurement Enterprise Application 3. 3. eHumanServices eHumanServices 4. 4. eEducation eEducation Applications Networks 5. 5. eTravel eTravel 6. 6. eRealEstate eRealEstate 7. 7. eInsurance eInsurance 8. 8. eFinance eFinance Core Core Networks Networks 1980-2000 2000+ Dated May 2006 © Copyright Smart Internet, 2006 Slide 3 The New Global Service Network Source: B2Bi and Web Services An Intimidating Task, Web Services Architect, Jan 2002 Dated May 2006 © Copyright Smart Internet, 2006 Slide 4 2
  • 3. Health Informatics New Zealand www.hinz.org.nz Benefits of a Service Network Economy Dated May 2006 © Copyright Smart Internet, 2006 Slide 5 The Current Market Gap Service Providers Enterprise Service Bus (ESB) Collaborative Service Enterprise Service Bus (ESB) Organisations Network Web Browser / Plug-in End Users Policy Driven Application Network Application Network Core Network Dated May 2006 © Copyright Smart Internet, 2006 Slide 6 3
  • 4. Health Informatics New Zealand www.hinz.org.nz Infrastructure Upgrade vs. Custom Solution Personal Professional Data Data Storage Storage Government Wideband IP Networks Dated May 2006 © Copyright Smart Internet, 2006 Slide 7 Initial Target Market – Home Telecare COLLABORATIVE SERVICES IMPROVED AND MORE EFFICIENT CASE MANAGEMENT • Empowering the patient NETWORKS ASSISTED SELF MANAGEMENT • Improving Outcomes • Reducing Costs BETTER USE OF AVAILABLE HUMAN RESOURCES HACC 2006-09 Expenditure Priorities in Victoria: Consultation Paper Aged Care Branch, Department of Human Services February 2006 Dated May 2006 © Copyright Smart Internet, 2006 Slide 8 4
  • 5. Health Informatics New Zealand www.hinz.org.nz Expected Benefits • Visits to GPs can decrease by 40% • Outpatient visits can reduce by 17% • A&E visits can reduce by 50% • Hospital admissions can be halved • Hospital LOS can be halved • Medicine intake is regulated or reduced • Days off work can reduce by 50% Source: UK Department of Health: Self Care – A Real Choice Self Help Support – A Practical Option, Jan 2005 Research evidence available at http://www.dh.gov.uk/SelfCare Dated May 2006 © Copyright Smart Internet, 2006 Slide 9 Key Issue Targeted Applications not designed to connect or collaborate force people to be the decision orchestrator for information flows that grow in volume and complexity daily*. Orchestrating Disconnected Applications Orchestrating Disconnected People & Systems Corporate Business Enterprise Customer W arehouse Customer Com pliance Process Performance Relationship Managem ent Management Management Management Managem ent Managem ent Enterprise Sales Force Resource Automation Planning Field Service Business M anagement Intelligence Enterprise Distribution Information Management Integration Expense Knowledge Management Management Product Supply Chain Lifecycle Management Managem ent Human Inventory Hum an Marketing Content Procurement Capital Managem ent Resources Managem ent Management Managem ent Source: ICTWave, Feb 2006 * Healthcare is a classic example Dated May 2006 © Copyright Smart Internet, 2006 Slide 10 5
  • 6. Health Informatics New Zealand www.hinz.org.nz Collaborative Service Networks Shared EHR data is only one form of data exchanged in a health network and is only the third most important element of a collaborative service environment. • Interoperable Processes • Why does the data need to be exchanged? • Interoperable Services • What type of data processing is required? • Interoperable Data • What is the specific data that is required? Dated May 2006 © Copyright Smart Internet, 2006 Slide 11 Healthcare Collaborative Service Networks CSN Source: ICTWave, Feb 2006 CSN Dated May 2006 © Copyright Smart Internet, 2006 Slide 12 6