His Bestprofile Chapter I Global Weighted Selection

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Hospital group

Hospital
Information
System
Global weighted selection case

Functional valuation case
Chapter I- HIS solution selection
“State of the art - valuation 2011”

HIS “State of the art valuation case”
Index
About us

Market Options
About us Introduction Selection Results
options valuation

© 2011, all rights reserved to bestprofile - International management consultancy best profile ®

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“Networking for you” Expertise

Customers- Public Sector International and local, health, home care and
tourism leader market players, global organizations, investors, education,
insurers, global banking.

Expertise- More than 20 years managing international and local projects
focussed on strategy, innovation, management, planning, rolling-out,
commerce, BPR, health, wellbeing, life and health sciences, IT, banking, logistics
and Education.

Netting- Combine our loyal expertise areas with the team multi-skilled abilities
for contribution to your driven company projects management; implement
solutions, transform core business and find new income sources for your
iniciatives, through continuos valuation of the added value of the “business as
is” and real opportunities considerations.

Strategy, finance, transformation, knowledge management, TICS & Innovation.


HIS “State of art valuation”
About us
Index
About us

Expertise Vision Experiences Portfolio Where


best profile ® Expertise

Networking, Eficiency, Timing , Innovation, New business , Globality

Hotels Insurances Pharma
Health Tourism Hospitals and Industry
Care Homes Clinics

Strategy, valuation, eficiency, management

Technology information management

Support for decision making

International project management

CONTACT: information@bestprofile.eu

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© 2011, all rights reserved to bestprofile - International management consultancy rivadeneiraconsulting



Hoteles Seguros Industria
Turismo Hospitales farmacéutica
sanitario Clínicas
Residencias
Estrategia, evaluación, eficiencia y dirección

Gestión de tecnologías de la información

Soporte para la toma de decisión

Gestión de proyectos internacionales

CONTACTO: information@bestprofile.eu

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© 2011, todos los derechos reservados a bestprofile - International management consultancy rivadeneiraconsulting



Hotels Versicherungen Pharmazeutische
Gesundheits- Krankenhäuser industrie
tourismus Kliniken
Wohnanlagen
Strategie, effizienz, wertsteigerung, management

Management informationstechnik

Support entscheidungsfindung

Management internationaler projekte

KONTAKT: information@bestprofile.eu

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© bestprofile, 2011 Alle Rrchte vorbehalten. Internationale Managementberatung in den Bereichen Business and Technology rivadeneiraconsulting

Vision
About us

Vision Credibility Innovation Linking

Focused on our areas of Be reliable business Be finders that show Form a nexus of
relationships to
knowledge, manage the and technology loyal our customer the
advisors for decision short cut to achieve develop business
bestprofile project players, makers that need to the expected goals between partners
networks and relationships develop in our sectors and reduce the and contribute to the
to ensure fine international of expertise. competence GAP welfare beyond the
expectations of the
business practice and improving new best
practices parties in emergent
technology countries.
collaborating with
high quality project
partners.

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© 2011, todos los derechos reservados a bestprofile - International management consultancy rivadeneiraconsulting

Strategy-Venture capital M&A Experiences

Home care and care homes strategic market positioning analysis

CUSTOMER SATISFACTION NEED
Neutral valuation of an international business opportunity.

A European venture capital sought assurance on a potential investment in a main Spanish player of
the sector based on the current market analysis and the company positioning.

RESULTS

The venture capital firm took a controlling stake in the care home groups equity.

FRAME
• One of the top five care home players and an important European venture capital firm.
to acquire a participation between 5% and 10% of the equity.

WORK TO DO

• Analyse market tendencies, key players figures and their positioning.
• Identified the business drivers and a standard costing model.
• Summarized the benefits and risks of investment.


MIS-HIS and ERP international implementation Experiences
of a multi-business group.

CUSTOMER NEED : New hospital group and hotels TICS

Through bestprofile, a Dutch multinational specialized in Dynamics NAV were
contracted by an african government as Consortium project manager to implement
business and finance IT solutions, bestprofile is developing as health-tech-applied
expert; the BPR, requirement collection, valuation, selection ERP HIS and its
integration with Dynamics NAV and departments modules.

EXPECTED RESULTS-(In course)

Valuation accepted, solution decided and Phase I launched.
(Consortium Dynamics NAV integrated with the health management IT solution).
Phase I: patients entries and inventories managed with the new solution.
Phase II-paperless electonic clinical history, department solutions.

FRAME
800 employees from 53 countries.(Equatorial Guinea-Germany-Spain)
100 concurrent users.
Business Units: 2 Hotels, and 2 hospitals, 100 Million Euros billing.

WORK TO DO
Benchmark 17 solutions for functional and technical compliance and select top 3.
Review all health business unit procedures.
Health systems implementation and finance interfacing and know how handover to end users.


Strategic planning Experiences

Hospital restructuring

Keep the hospital working

A non for profit hospital incurring losses for several years needs a business rescue
and requires from us a restructuring and a new business model.

RESULTS-The hospital survive today
Stategy, business plan, new activities and segmentation put in place.
(Customer satisfaction paragraph in linkedIn -Luis Silva Ponte)

ENVIRONMENT
One of the biggest business of the city in terms of employment with additional participation in the
Public Health, 250 beds, parking, restaurant , 60 Million Euros Billing, 425 employees.

WORK TO DO
Analysis of local market possibilities and customer segmentation based on the hospital negotiation
power and negotiate future services with the public health sector and trade unions.

Identified and discuss feasible business models, defined and quantified the restructuring plan.


About us Experiences

Project finance model-Public Private Partnership Hospital

CUSTOMER SATISFACTION NEED: Business tender proposal: Excellence.

Preparation of a financial model based on the technical specifications and the economic
conditions required by the local government.

RESULTS

The tender was accepted by the government and won by the final customer

FRAME

Infrastructure for an area of 200,000 inhabitants.

WORK TO DO

Defined the financial statements and the local accounting statement.
Defined the project finance, consortium partners and negotiation.
Defined the capital expenditure policy for renewals.
Fix a per capita fee by user.



Eficiency- Central of purchasing

+ space, - working capital, alternative source of income, cost savings, logistics, TICS

A large European hospital public private partnership player wanted the know how to centralise
these functions for all their managed hospitals in an autonomous entity in coordination with a
major health insurance group and, with other private hospitals groups further.

RESULTS

Defined the “Newco” proposal for the board of directors.
The board of the customer decided to set-up a purchasing central Newco.

FRAME
Start-up with four public private partnership hospitals and 1000 beds, 10 insurance hospitals.
Circa 1000 Million Euros billing.

WORK TO DO
Analysis of references consume and identify Pareto optimum.
Evaluate the decision between buying an existing entity or create one from scratch.
Define the new organizational model and implementation steps.
Define the new business plan and financials.


About us
Experiences

Strategy and eficiency
IT strategic plan and implementation


A European infrastructure company wants to redesign the IT department to
centralize management in the Head Quarter , improving control over all the Spanish
branches .

RESULTS

Centralized in the Head Quarters the IT function.
Optimized IT cost through the new right sized System.

FRAME
14 branches, 60 civil works.
>600 users.
200 Million Euros.

WORK TO DO
Audit the former IT infrastructure.
Identify technical and functional requirements & select required software and hardware.
Right-size IT department, design and implement the board´ balanced score card.


About us
best profile ® Experiences
Business transformation
National wire transfers management for a leader global bank


Improve the workflow of transfers department and optimize business processes through the
different IT applications integration.

RESULTS
Improved solutions for interdepartamental communication problems.
Report on improvings and implementation.

FRAME
One of the major world banks and a leader in the world.
800.000 wire transfers/day locally.
More than 1.000 local branches.

WORK TO DO
Workflow and business processes analysis, and improving identification.
Inter departments problems study.
Management of IT national wire transfers department.



International management
Hospital public private partnership take over

CUSTOMER SATISFACTION NEED- Guarantee the sucess during transition period

A European operator substitutes a former one in Africa. We are contracted to review medical
infrastructure and financials and to replace CFO and CEO temporarily in coordination with the local
Government authorities

RESULTS-Transition finished properly
Financial and medical audit report for the board, 2011 budget by direct and indirect
cost units. Contracts changing, cost savings and control suggestions

FRAME
365 employees from 50 countries
Activity based costing unexisting
Business Units: Hotel, Drug Store Pharmacy and Hospital ,30 Million Euros billing

WORK TO DO
Commercial and financial interim management.
Implemented activity based costing report & predefined distribution by diagnosys related groups


Index
Introduction

Case introduction

Market Options
options valuation

Objectives

Methodology

Valuation
Process


Objectives
Introduction

OBJETIVO DEL DOCUMENTO
The aim of this paper is to valuate the state of the art of feasible combination of HIS and ERP for
our customer, considering the peculiarities of his different business units.

(2 complex compound by 2 hotels, 2 residences, 2 pharma-commercial shops and 2 hospitals).
It has been filtered 17 alternatives, preselected 6 and finally presented a 3 HIS options short-list to be
integrated with the decided ERP solution, Mycrosoft Dynamics NAV to administrate the whole group.

Related with the results, please find attached, as following, the main contents included in this project :

 Document objective: define the TICS valuation purpouse.
 Methodology: identify the valuation hitos developed.
 Valuation process: define the general features of the valuation process that provide evidence of
the different options added value.

 Market solutions alternatives: list of analyzed vendors for each identified system .
 Alternatives valuation: Valuation based on: general principles, HW, SW, time to launching, costs,
eferences, functional coverage and compatibility with the ERP solution.
 Deliverables: Future system map of the group with the short-list proposed

© 2011, all rights reserved to bestprofile - International management consultancy 18
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Index Introduction
Introduction
Case introduction

Market Options
options valuation

Objectives

Methodology

Valuation
Process


Analysis methodology
Introduction

METHODOLOGY-After the Hito V it is showed the analysis results and main conclusions.

Hito I Hito II Hito III Hito IV Hito V
Sources and
Weighted Analysis
Solutions Vendors classification
solutions results
identification show rooms of the
valuation deliverables
information

IT Valuation document
Activities Activities Activities Activities Activities
• Customer • Contact with • Recogida y • Alternatives • Valuation results
Hospital IT vendors to explotación de la valuation after the report.
Definition facilitate them información information • Demo of selected
• Identify solutions their proposal comercial de los classification solutions to
to be analysed execution. proveedores process hospital key users
• Technical • Defined an • Visits to
• Preparation of valitarion with homogeneous
check list and refeences and
the ERP vendor- valuations obtain the
plan vendors DD.BB., server systems for all the
show rooms to be decision
and parameters alternatives.
attended integration • Visit customers
that are using
candidate
solutions
(Short list)

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PROCESO DE VALORACIÓN
Analysis DE VALORACIÓN
EL PROCESO methodologyPERMITE IDENTIFICAR QUÉ SOLUCIONES COMERCIALES SON LAS IDÓNEAS
Introduction
PARA CUBRIR LAS NECESIDADES DEL FUTURO HOSPITAL DE MALABO. PARA REALIZAR LA VALORACIÓN, SE
HA ESTRUCTURADO LA INFORMACIÓN DE LOS PROVEEDORES EN DOS GRANDES BLOQUES, QUE DELIMITAN
EL ALCANCE DE LAS FUNCIONALIDADES QUE SON ANALIZADAS. A CONTINUACIÓN SE DETALLAN LOS
BLOQUES ANALIZADOS:
 Functional approach: Specific functionalities for each type of system it let us know the functional
coverage of each solution considering the GAP with the hospital requirement collection.
 Tehcnology evolution and implementation: valuated resources of the vendor, (total employees,
branches, curriculum vitae).
 Implementation costs: Software, implementation services, GAP development costs, training, post-
life support.
 Releasing, maintenance and accesibility support : It will be valuated the support levels, releases
management and updating.
 References: Principal references , weight, international projects and local projects experience,
number of years in the market and billing evolution.
 Technology and communications: Basic requirement of infomation systems equipments ahd
additionally the different proposals defined by the vendors.
 Dead line-timing: Time to launching (Time the vendor need to beguin the implementation plus time
for rolling-out.
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Systems types
How/ Comments
Requirement Yes/No punctuation
HEALTH ERP DEPARTMENTS

HIS Datawarehouse RIS / PACS Compatible with SQL Sever

Nursering ERP Blood bank Assitance response time, SLA

ICU Staffing Dialisys
Demo considerations

------------------------------
… Phase I … Phase II
Systems to be valuated Functionality check-lists

© 2011, all rights reserved to bestprofile - International management consultancy best profile22
®

Valuation process Introduction

Criteria
The exercise will be done for each solutions and lately we group results by blocks emphasizing the relative
ponderation of the most important for the customer.
 For each functionality, we measure each one under 2 considerations:
• Absolute coverage, the system cover or not the customer need.
• Relative coverage-Qualitative level-Excellence coverage level,
Valuation weight
 Once functionalities have been valuated and consolidated it is showed results for the different
functionality groups, highlighting the customer preferences and their relative importance with respect
to other less important groups.

Cualitative valuation
Symbol Value

NO ADECUATE

MINUMUN COVERGAE

MEDIUM COVERAGE

MOSTLY COVERAGED

COMPLETELY COVERED


Index
Selection
Selection criteria

Market Options
options valuation

Objectives

Methodology

Valuation
Process


Index DEFINICIÓN DEL MAPA DE SISTEMAS DEL HOSPITAL LA PAZ DE MALABO Selection
Selection
LA SIGUIENTE ILUSTRACIÓN, MUESTRA POR UN LADO LA VISIÓN INTEGRAL DE UN MODELO GENÉRICO DE
HIS:Standard mapSISTEMAS, Y Phase II OTRO EL MODELO DE SISTEMAS DEFINIDO PARA EL FUTURO
Phase I
POR HOSPITAL DE MALABO
DONDE TENDRÁN CABIDA LAS DIFERENTES SOLUCIONES DE MERCADO.

Standard HIS MAP
CUSTOMER TICS

Hospital Infomation Systems Microsoft Dynamics NAV 2009-R2
Health assitance FINANCE-LOGISTICS- HHRR
Customer Service
ICU Nursering ERP-Finance HH.RR.

Staffing
Decision making support
Management control ECH Coding
Cost
Treasury
Accounting

HIS
Admission REPORTING
Beds
Emergencies Genomi (Stacks) , Unit4, Q Soft e Indra Decision making and Reports
Departments

EE.CC. SUPPORT
Surgery Laboratory Pharmacy
PATIENT Contact
BSC
CARE Center

Blood bank Dialisys
DWarehouse Directory
Image Pharrmacy

HW
Patológic A. Dietetic
Laboratory External systems
Dialysis
ERP’s Health cards
Operating
labelss (ECH) Billing
Systems RIS / PACS
Development Presence Control
Data Bases languages
IT Architecture

Systems, EAI ( Integración)
Development support
protocols Data modelling
communications MiddleWare SW life cycle

For all the map systems it has been developed a vendor solution selection under the criteria of the customer bestprofile, to be adapted quickly, with the highest
quality and eficiency, guaranting the robusty and solidity required to cover the customer needs. In this sense the standard systems and RIS/PACS investment,
presence control, KPI, contact center, active directory, reporting, treasury it has not been initially valuated because there is a high dependence of the customers
preference and their development is also conditionated by external limitations like country telecommunications infrastructure evolution (Customer attention model,
security architecture for 2 hospitals, data model, diagnosys investments,…). The implementation of those systems will be tracked during Phase II.
25

Index
Selection
HIS selection is esential and critical in the project

Health assitance
Genomi (Stacks) , Unit4, Q Soft e Indra
It is highlighted the importance of HIS valuation following this considered criteria:
ICU Nursering
• Market analysis- Special attention to peculiarities that has guided the multinational and international
manufacturers to develop and/or adquire specific Hospital Information Solutions for different markets
ECH Codification
needs matching.
• Considering the customer billing, customer peculiarities and location, HIS international market is
HIS composed by high segment solutions like Alert, track-care, Orizon, Hp HIS, Selene, SAP Ish, INDRA-
IMDH, UNIT 4-Ekon Salus. Middle market is composed and by Stacks-Genomi, Qsoft, Savac, Telvent,
Isoft, Other asiatic and american localizations.
• NAV Health vertical solutions (Florence, Sienna).
• High specific weight assesment to an excellent functional coverage. This last consideration has
guided us to avoid solutions without multi-language, multi-business unit, once we have benchmarked
the erased solutions with the accepted ones.
• Solution costs and easy database administration.
After a pre-filter the solutions selected for a deeper analisys were:
Departments

Criteria for departments solutions vendors selection
Laboratory Pharmacy
• Excellent customer needs coverage- During a second step and once it will be available the detailed
information about departments specific needs, outstanding resources (screens, servers, diagnosys tools
Blood bank Dialisys manufacturers protocols, new medical equipments, we will calculate an estimation of the required phase
II investment) to integrate departments and external systems with ERP and HIS considering the patient
Pathologic Dietetics
transaction volume, images, ECH etc.
Anatomy

RIS/PACS • Cost savings-Investment and time to go live-Is is esential during the first face if the HIS integrated
External systems
solution includes departments solutions and if the manufacturer has high experience in system
integration diversity.(NAV, Medical manufacturers propietary integration protocols, etc.)
Health cards Billing
labelss (ECH)

Presence Control
26

Index
Selection
Selection
Vendors alteratives Phase I Phase II

CUSTOMER TECHNOLOGY INFORMATION SYSTEMS AND TELECOMMUNICATIONS
Visits CONNECTING ACCESS
Hospital Infomation Systems Microsoft Dynamics NAV 2009-R2

Health assitance FINANCE-LOGISTICS- HHRR

ICU Nursering ERP-Finance HH.RR.
Phisician Work station

Web Staffing

ECH Coding
Cost
Treasury
Accounting
nursery Internet/ HIS
Intranet
REPORTING
WIFI

Decision making and Reports
Departments

Radiology Helpdesk SUPPORT
Laboratory Pharmacy
Fax
Contact
BSC
Center

Blood bank Dialisys
DWarehouse Directory
manager
Mobility

E-mail Patológic A. Dietetic
External systems

Health cards labelss
administration (ECH) Billing
Ambulance RIS / PACS

Presence Control
Security/
Access control
EAI ( Integración)
Patient care Telemedicine

27

Index Selection
HIS
Selection criteria

Market Options
options valuation

HIS

ERP


Index Selection
HIS
Selection
HIS
Assumptions

30%
Solutions global weights
25%

25%
The most valuated features for all the
market possibilities are; Functionality,
20% 15%
sustainibility, go live timing and consultancy
15%
15%
fees.
Last but not least technology infrastructure
12%

10% 9% 10% 10%

and customers references.
5%
4%

0%
Costes de Plazos Referencias Infraestructura Funcionalidades Capacidad Soporte y Costes de
Implantación Tecnológica Evolutiva Versionado Mantenimiento

HIS modules functionality weights
Ponderación de los Módulos

20%

Partial weight by HIS modules. There are
more relevant weight (10%) External
consultancy module, billing, Electronical
10%
10% 10% 10% 10% 10%
clinical history.

The outstanding modules has been
weighted with a 3% over the specific weight
3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3%

of the whole integral solution.
0%
URG QUI UCI CCE E HOSP OB S HDI A E NF RE H AP A DM I A RCH COD HCE GP E P LA N CI T GRE C FA CT

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Index Selection
. HIS
Selection
HIS-Vendors alteratives Phase I Phase II

SYSTEM

HIS Genomi-Stacks Ekon Salus-Unit4 Salus-QSoft IMDH- Indra

ICU Caresuite (Picis) Critical Care (G.E.) Isoft N/A

Nursering Gacela MoviCare (ICX/Telvent) Careview (Curaspan) eCare (Isoft)

Codification APR-DRG (3M) N/A N/A N/A

RIS/PACS PACS Impax (Agfa) Free image & Carestream General Electric Fuji

Pharmacy Farmatools (Dominion) Savac Visual Limes N/A
SERVOLAB (Dade
Laboratory Omega 2000 (Roche) Savac Berhing) Isoft

Blood bank Stacks Savac Hematos IIG (Bull) e-Delphyn (Hemasoft)

Dialisys Nefrosoft (Visual Limes) Nefrolink (AIQEI) N/A N/A

Pathologic A. Stacks Savac N/A Patwin (Isoft)

Dietetics Stacks Isoft Savac Dietools (Dominion)

30
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Index Selection
SISTEMAS ASISTENCIALES: HIS (1/6)
HIS
Selection
EN LA SIGUIENTE TABLA SE MUESTRA UN RESUMEN CUALITATIVO DE LA VALORACIÓN
HIS DE LOS SISTEMAS DE INFORMACIÓN HOSPITALARIOS.
Weighted global valuation Phase I Phase II

GENOMII FLORENCE EKON SALUS Q-SOFT SIENNA INDRA
HEALTH ASSISTANCE

Cobertura Funcional N/D N/D
ICU Nursering Capacidad Evolución e N/D
N/D
Implantación

Coste Implantación N/D N/D
ECH Coding

Costes Mantenimiento N/D N/D

HIS Soporte y Versionado N/D N/D

Referencias
NO ADECUATE

Timing N/D N/D
MINUMUN COVERGAE

MEDIUM COVERAGE Technology infrastructure N/D

MOSTLY COVERAGED Global weighted total N/D N/D

COMPLETELY COVERED

Considering global weighted valuation, the top three are Genomi , EKON Salus, Q Soft and Indra Sistemas. This last teo are not
fully multi-language neither multi-business unit. Considering the two NAV health vertical solutions and because the information has not
been available at this document date we conclude that failed for the next valuation step.

31

His Bestprofile Chapter I Global Weighted Selection

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His Bestprofile Chapter I Global Weighted Selection