This document discusses how VMware enables leaders in healthcare electronic medical records (EMRs) to improve quality of care and meet industry requirements. It describes how the two largest EMR vendors, Epic and Cerner, have adopted VMware's platform to reduce costs and improve performance, availability, and manageability. It also explains how VMware helps improve clinical productivity, supports healthcare provider business needs like mobility and compliance, and provides a mature virtual clinical computing platform and hybrid cloud services for EMR infrastructure. In summary, VMware has become a strategic partner for healthcare organizations by enabling EMR vendors and improving many aspects of clinical care delivery and IT operations.

1. How Does VMware Uniquely Enable Leaders in
Healthcare Electronic Medical Records
to Improve Quality of Care and
Meet Unique Industry Requirements
Farid Agahi, VMware
OPT5887
#OPT5887

2. 2
VMware in Healthcare
VMworld 2013

3. 3
Topics to Cover
 Healthcare industry & expectations from IT
 Perspectives from physicians and CIOs
 Approach by two top EMR ISVs
 VMware’s relevance in healthcare
 Summary and conclusions

4. 4
“There is a sea change coming in how
healthcare is going to be paid for…. it’s not
just the volume of services that’s going to
end-up determining how much providers
and hospitals get paid but it is the quality,
coordination, safety, seamlessness and
patient centered-ness”
Farzad Mostashari, MD, ScM
National Coordinator for Health Information Technology
U.S. Department of Health and Human Services

5. 5
Healthcare Transformation Core Constructs
 Quality of care
 Coordination of care
 Patient Safety
 Care delivery seamlessness
 Patient centered-ness

6. 6
Current State of Healthcare in the US
 One out of every six dollars are spent on healthcare - on track to be
one out of every five dollars by 2020
 Healthcare is the largest industry in the US
 $2.8 trillion spent on healthcare in 2012 – more than all federal
taxes collected in 2012.
 By 2020 healthcare will be 21% of GDP
 80,000 patients are harmed every year by medication errors

7. 7
Meaningful Use Stages

8. 8
Healthcare Transformation
Top Down View

9. 9
Healthcare Transformation – Top Down Dependencies
Shift from quantity to quality
• Patient-centric
• Population care
• Applications
• End-user computing
Foundation for information
management
Paperless, all-digital
Care
Delivery
Information
Tools
Electronic
Medical Records
Clinical Practice
IT Infrastructure
Source: VMware Healthcare Practice

10. 10
• Agility
• Availability
• Security
• Mobility
Healthcare Transformation - Core IT Commitments

11. 11
Physician community
Healthcare Transformation Key Stakeholders
CIO

12. 12
EHR VendorCore IT
Physician Perspective
Electronic
Health
Record
Platform
Information
Technology
Infrastructure
 Clinical
computing
Always ON
 Multi-
functional
workspace
 Device
agnostic
 Ultra mobility
 Secure
Access
 Clinical
workflow
efficiencies
 MU Stage 1,
2, 3
 Practice
design
 Registry
functions
 Drug-drug
alerts
 Decision
support
 Pharmacy
interface
 ……….

13. 13
CIO Perspective
Electronic
Health
Record
Platform
Information
Technology
Infrastructure
 Agility:
• Application
• Resource
• Compliance
• Use-case
 Always-on
services
 Next-gen
clinical
computing
 Higher
efficiencies
 Lower costs
 High
availability
 Implementati
on costs
 Operational
costs
 Mobility
 Scalability
EHR VendorCore IT

14. 14
Where does VMware fit in the
continuum of care delivery?

15. 15
 EHR vendor adoption
 Clinical productivity
 Healthcare provider business
 IT infrastructure
VMware’s Unique Contribution to Healthcare

16. 16
 EHR vendor adoption
 Clinical productivity
 Healthcare provider business
 IT infrastructure
VMware’s Unique Contribution to Healthcare

17. 17
 Adoption by two of the top EHR vendors
 Epic Systems
 Cerner Inc.
VMware’s Unique Contribution to Healthcare

18. 18
Epic EHR Application Suite
Epic Windows
Services
EpicWeb
Care
Everywhere
Print
Service
Relay
Service
Care
Everywhere
Service
SOAP
Proxy
Web
Blob
Service
System
Pulse
CantuHaiku
ePrescribe
Interconnect
Error DB
EHR
Link
…...
Citrix Xenapp
Infrastructure
Web
Interface
Presentation
Servers
Zone Data
Collector
License
Manager
…….
Hyperspace Client +
Ancilliaries
Epic
OLTP
(Cache
DB)
Epic
Clarity
Analytics
Database
EpicHyperspaceClient
Specific components and quantities vary by deployment and functional capabilities

19. 19
Epic EHR Application Suite
Epic Target Platform
Citrix Xenapp
Infrastructure
Web
Interface
Presentation
Servers
Zone Data
Collector
License
Manager
…….
Hyperspace Client +
Ancilliaries
Epic
Clarity
Analytics
Database
XenApp
Sunset
Strategy

20. 20
Cerner Millennium EHR Platform
 Large-scale application hosting
 Support for client virtualization since 2011 – for on-premise
deployments
 One of the largest Xenapp deployments in the world
 20% projected annual growth in virtual machines through 2016
 Virtualizing most of the application platform
 Focus on performance and capacity management in a multi-tenant
application environment
 VMware’s private cloud platform used as compute foundation for
expansion in service offerings

21. 21
VMware’s Core Value for EMR ISV’s
 Epic:
• Reduce implementation cost and complexity
• Improve performance, availability and manageability
• Productivity gains in clinical computing
 Cerner:
• Reduce cost of operating a large world-class multi-tenant application farm
• Ensure rapid and flexible growth in a massive XenApp infrastructure
• Create the virtualization foundation for growth in service offering

22. 22
 EHR vendor adoption
 Clinical productivity
 Healthcare provider business
 IT infrastructure
VMware’s Unique Contribution to Healthcare

23. 23
Clinical Productivity:
 Multi-functional clinical workspace
 Roaming virtual workspace
 Borderless Mobility
 Device agnostic access
VMware’s Unique Contribution to Healthcare
9 month payback
based on clinical
efficiencies
33% gain in
productivity for dictation
50% reduction in time
to view patient data
Source: MetroHealth, Cisco study, 2011

24. 24
 EHR vendor adoption
 Clinical productivity
 Healthcare provider business
 IT infrastructure
VMware’s Unique Contribution to Healthcare

25. 25
VMware’s Unique Contribution to Healthcare
Healthcare Provider Business:
 Acquisition/consolidation: fast/low-cost EUC integration
 Remote clinics
 Safe harbor data protection
 Bring-your-own-device strategy
 HIPAA & HITECH compliance
 TCO reduction

26. 26
 EHR vendor adoption
 Clinical productivity
 Healthcare provider business
 IT infrastructure
VMware’s Unique Contribution to Healthcare

27. 27
VMware’s Unique Contribution to Healthcare
IT Infrastructure:
 Mature virtual clinical computing platform
 Certified support by key EHR vendor – Epic
 Hybrid cloud services for DR/BCP
 VMware’s partnership in the Pivotal Initiative for big data
applications
 Software Defined Data Center as a solution for multi-instance EHR
environments

28. 28
Summary
 Healthcare industry is looking to VMware as a significant enabler
 Top EHR vendors consider VMware solutions to be complementary
to their offerings
 Clinical computing is poised to break out of its constraints and
transform with VMware’s solutions

29. 29
Conclusion
 Healthcare IT plays a crucial role in the journey to transform
healthcare
 VMware has earned the privilege for being a strategic partner to
healthcare providers across the continuum of care delivery

30. 30
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31. THANK YOU

33. How Does VMware Uniquely Enable Leaders in
Healthcare Electronic Medical Records
to Improve Quality of Care and
Meet Unique Industry Requirements
Farid Agahi, VMware
OPT5887
#OPT5887