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1 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved. EMC HEALTHCARE SOLUTIONS HEALTH IT FOR NEXT-GENERATION CARE DELIVERY Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

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Page 1: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

1 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC HEALTHCARE SOLUTIONS HEALTH IT FOR NEXT-GENERATION CARE DELIVERY Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

Page 2: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

2 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Industry Drivers:

• Clinical applications

• Compliance Requirements

– HITECH, EMR MU

– HIPAA, EU Data Directives

• FutureCare-enabling technologies for cloud, Big Data, mobile, & social

Source: IDC /EMC Digital Universe Healthcare Industry Brief

HEALTHCARE DATA GROWING AT 48%% PER YEAR THROUGH 2020

http://www.emc.com/analyst-report/digital-universe-healthcare-vertical-report-ar.pdf

Page 3: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

3 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Information Generation

Creation

Hospital

Pharmacy

Lab

Ambulatory

Clinic

Research Organization

Public Health

Insurer

Payer

Data

Secure Sharing Collaborative Analysis

Traditional Emerging

Discovery Population Management Business

Intelligence

Research and Business Analytics

Page 4: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

4 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

HEALTHCARE BIG DATA ARCHITECTURE DESIGN STORAGE, PROCESSING, & APPLICATION SERVICES FOR THE FUTURE

Ingest Store Analyze Surface Act

Capture data from range of

sources: Legacy / New

Store everything in standardized environment:

tiered, archived / protected

Use Big Data analytics to

discover predictive patterns – clinical /

business ops

Share across the Enterprise – Clinicians, Executives &

Patients

Project future opportunities: ACO,

Patient Engagements,

Growth & Population Health Preparedness

Data Lake

Page 5: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

5 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Challenge

Rheumatologists see patients every

three to four months, but symptoms of

rheumatoid arthritis (RA) change on a

weekly or daily basis.

Opportunity

Create a mobile app that generates a

summary report that visually depicts the

changes in joint pain, morning stiffness,

medication, etc.

Solution

MyRATM is an iOS app that enables

patients to easily track their RA

symptoms and share with physicians.

Page 6: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

6 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Challenge

Tracking, recording and monitoring blood

glucose readings can be time-consuming and

difficult.

Opportunity

Create a mobile app that minimizes the

possibility of human error from manual

tracking.

Solution

iOS app syncs with 19 meters to

automatically record readings. Users can

email reports to their physician. Other

features include automatic logging, food

database integration, email integration,

Facebook integration, and note-taking.

Page 7: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

7 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Real-time alert system for high-risk respiratory patients Customer

Large vertically-integrated healthcare provider

Business Problem

The cost of treating respiratory patients is greatly increased by urgent care visits

Challenges

Identify urgent care risk factors and propose interventions to reduce risk of urgent care visit.

Solution

• Predict risk of acute care encounter using prescription refill history, air quality data, and socioeconomic indicators.

• Build a real-time application for alerting patients and physicians to take preventative action

Page 8: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

8 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Predicting Hospital Length of Stay for AMI

Business Problem

Effective scheduling and coordination of patient hospital discharge is hindered by lack of physician or system-based LoS estimates

Challenges

• Accurate LoS requires computationally-intensive aggregation and analysis of a wide variety of data sources

• Currently LoS models have poor granularity and incorporate few features

Solution

• Rapidly created hundreds of features using HAWQ reducing processing time from hours to seconds

• Created LoS ensemble models resulting in a 50% increase in accuracy for customer

• Generated accurate classifiers to predict discharge type

Page 9: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

9 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Interactive Application for Feature Generation from Patient Histories to Predict Hospital Readmissions

Business Problem

The expertise and time to create meaningful features for predictive analytics is a major bottleneck in hospital readmission modeling.

Challenges

Create an interactive application that

1. Enables non-technical domain-experts to generate features they believe are meaningful in predicting hospital readmissions

2. Leverage all available data in real-time.

Solution

• Designed an intuitive and interactive web-based app that allows user to input (1) aggregation levels for ICD-9 codes and (2) display summary statistics of the resulting data in the application.

• Created a generalizable, novel and fast approach that aggregates ICD-9 codes, processing hundreds of millions of records in a few minutes.

Page 10: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

10 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Fraud/Waste/Abuse Detection

Customer Specialty Benefits Management Business Problem Pre-authorization Fraud/Waste/Abuse (FWA) detection. Challenges • Need for real time detection as

retrospective pay and chase approaches are not effective

• No training data labeled by medical professionals as fraudulent or wasteful

• Solution needs to incorporate real time ordering physician data to patient history and physician profile data

Solution

• Built models to predict physician responses to triage deviations from expected responses

• 600 models with custom feature sets trained in 3 minutes

Page 11: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

11 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Constituent Segmentation Customer

A major health insurance company

Business Problem

The company, in its analytics infancy, needed a foundational study to learn more about the consumers and providers it serves

Challenges

• They had no way of connecting data across lines of business

• There was no explicit data on profitability of consumers or providers

Solution

• Created keys to connect information across LOBs

• Clustered both the consumer and provider bases to learn about their makeup and preferences

Page 12: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

12 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

8th International Conference on Health Informatics (HealthINF 2015) http://www.fandry.net/pub/ANDRY_ET_AL_HealthINF15.pdf

Page 13: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

13 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Challenge

‘Expertise gap’ towards building an app that

would make it easy for caregivers to get

involved in caregiving activities for aging

parents and special needs children.

Opportunity

Leverage our expertise and agile

development process to release an app that

aligns with InvolveCare’s goals and timelines.

Solution

Leverage our expertise and agile

development process to release an app that

aligns with InvolveCare’s goals and timelines.

“We were able to do two things with Pivotal Labs – first, create social tools including commenting, audio recording and pictures for every single interaction that occurs in the app, and second, add contextual follow-up events based on prior user interactions. That’s hard to do, but Pivotal Labs made it look easy.”

- David S. Williams, CoFounder

Page 14: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

14 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Predicting Unplanned Transfers to ICU Using Patient History, Monitor Feeds and Hospital Data

Customer

Large Hospital Network

Business Problem

Using granular physiological and operational data predict which encounters may have an unplanned visit to the ICU unit.

Challenges

There is a well-performing logistic regression model that has a handful of features. The goal is to improve the existing model by

• Exploring the new data sources quickly and identify areas of interest

• Engineering new features

• Experimenting with different model forms

Solution • Produced a significantly more accurate

model to predict unplanned transfers to ICU

• Engineered 60+ features utilized in this model and applicable to other models

• Created insightful visualizations that determine what features would be of interest

Page 15: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

15 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Forensic Accounting to detect Fraud/Waste/Abuse Customer Large vertically-integrated healthcare provider Business Problem Fraud and waste in accounts payable is common in any large, geographically-distributed company. Detecting fraudulent invoicing, errors resulting in duplicate payments and wasteful purchasing behavior is necessary to avoid loss of revenue. Challenges Traditional approaches apply rules to filter and flag transactions that resemble prior fraudulent or wasteful activity and fail to identify new anomalies Tracking activity is difficult due to large number of transactions and variety of vendors

Solution

• Build approaches to use fuzzy string matching for smarter detection of duplicate invoicing or entries

• Identify related vendor networks (e.g. company acquisitions) to build invoicing baseline behavior for anomaly detection

• Leverage Benford’s law to identify falsified invoices

• Build similarity models between business units using purchasing behavior profiles to detect anomalies (and wasteful) purchasing patterns

R1216035 RI216035

217092011 2171092011

9136S0900043 9316S0900043

Invoice ID Matching Invoice ID

Page 16: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

16 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Cross Channel Engagement Model Customer

A major health insurance company

Business Problem

Each call to the call center has a significant cost. Our customer has made a considerable investment to provide capabilities on their website so that members can self serve.

Problem Statement

For a web session predict the propensity to call the call center within 24 hours conditioned on the characteristics of the web visit, engagement history of the member, and member profile

Challenges

Unstructured text data requires considerable preprocessing

Solution

Engineered features to capture the browsing experience, user engagement preferences, and member profile

Built a model to predict propensity to call

Created a topic model based on the call logs to learn what these customers were calling about to identify areas

Page 17: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

17 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

RNA Sequencing

Customer

Translational Pathology Department of a University

Business Problem

Reducing time spent on processing and analyzing RNA sequences

Challenges

The center identified three bottleneck steps in their RNA sequencing pipeline: Alignment, splice junction detection, and gene level expression

Solution

Algorithms implemented in UAP are three times faster than the client’s existing platform.

In addition to improving the algorithm run time, we identified modifications to the method capable of improving prediction on short exons.

Page 18: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

18 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

HEALTHCARE PROVIDER SPENDING IN FUTURECARE TECH INCREASING IN 2015

46% say by 10% or more

46% say by 10% or more

How do you expect your 2015 IT spending to change for each of the following areas?

MOBILE

72% say increase

BIG DATA

67% say increase

CLOUD

62% say increase

SOCIAL

60% say increase

43% say by 10% or more

35% say by 10% or more

FutureCare: Cloud, Big Data, Mobile and Social Optimize the EMR,” MeriTalk/EMC

Study with 151 Health IT Leaders www.TransformHealthIT.com/FutureCare

Page 19: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

19 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC COMPETENCIES TO ACCELERATE NEXT-GENERATION CARE DELIVERY

Remove Silos and Reduce Cost With a

Secure 360° Patient View

Address Patient Care Needs With Greater Agility

Keep Integrated

Practice Units in Sync

Enable Predictive Care & Better Population Health Outcomes

Advanced Medical

Imaging

Patient Data Intelligence

Healthcare Hybrid Cloud

EMR Optimization

H

Page 20: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

20 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC HEALTHCARE SOLUTIONS

ENTERPRISE GRC AND SECURITY

ADVANCED CONSULTING AND PROFESSIONAL SERVICES

CONVERGED INFRASTRUCTURE AND DATA PROTECTION

ADVANCED MEDICAL IMAGING

PACS

Storage VNA

DICOM VNA

Research Workloads

EMR OPTIMIZATION

Application Certified Solutions

Next-Generation Storage

Content-enabled EMR

Clinical Archive

HEALTHCARE HYBRID CLOUD

Infrastructure Transformation

Application Transformation

Operating Model Transformation

Service Provider Ecosystem

PATIENT DATA INTELLIGENCE

Clinical & Operational Analytics

Healthcare Data Lakes

Enterprise Analytics Strategy

Page 21: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

21 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

TRENDS & CHALLENGES THE EMC ADVANTAGE

Access to images by collaborating clinical departments and caregivers at the point of care.

Increased use of telemedicine requires fast, secure sharing of medical images.

Control of rising medical imaging costs.

Ability to share diagnostic images easily, securely, and cost effectively.

Strategic partnerships with integrated PACS and VNA applications.

Best-in-class infrastructure to consolidate, virtualize, store, and safely share medical images.

ADVANCED MEDICAL IMAGING SHORTEN TIME TO DEFINITIVE DIAGNOSIS

IMAGE DATA MANAGEMENT INCREASES POINT-OF-CARE ACCESS AT LOWER COST

• PACS

• Storage VNA

• DICOM VNA

• Research Workloads

Page 22: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

22 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

ADVANCED IMAGING ARCHITECTURE RELIABLY DELIVER IMAGES AT THE POINT-OF-CARE

APPLIANCE

Viewer VM

PACS VNA VM

CloudArray VM

Converged Infrastructure Compute, Network Storage

HEALTHCARE PROVIDER LOCATION

Hypervisor

CLOUD SERVICE PROVIDER

DR ARCHIVE

Geo-Dispersed Object Archive

A-sync replication

EHR Modality

On-Prem Scale out NAS Shared

Cache 1 or 2

Database & Cache 1 Storage

CloudArray Gateway converts

Block/file to Object

Archive Storage Object on Isilon

or ECS

+ +

Object API Storage Extension

Page 23: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

23 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Challenges

Images from several departments not feeding into EMR

Clinician workflow suffering from lack of universal viewer

Large silos of non-DICOM data and pathology images across the system

Solutions VNA scorecard and selection: EMC Healthcare Consulting

Long term archive: Isilon scale out storage

Vendor Neutral Archive: TeraMedica

Results

Incorporated all images across the enterprise into a universal archive

Epic Hyperspace has been image enabled with all patient images

Avoided future data migrations with scale out storage

Improved workflow with deployment of universal viewer

Secure access to common images to improve workflow

NEW YORK ACADEMIC MEDICAL CENTER CREATES ENTERPRISE UNIVERSAL ARCHIVE THAT LOWERS COST

ADVANCED MEDICAL IMAGING CUSTOMER SUCCESS

Page 24: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

24 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

REDUCE COSTS, IMPROVE CARE COLLABORATION AND DELIVERY

TRENDS & CHALLENGES THE EMC ADVANTAGE

Increasing service level demands for mission-critical applications to enable a single patient view at the time of care.

Growing need to reduce operational costs and avoid data breaches.

Increasing demands on IT to support EMR Meaningful Use Stage Two & Three.

Industry-proven healthcare infrastructure.

Secure, integrated, real-time data at the point-of-care.

High performance all-flash solutions with inline database and VDI deduplication.

EMR OPTIMIZATION PROVIDE PHYSICIAN ACCESS TO 360° PATIENT VIEW

• Application Certified Solutions

• Next-Generation Storage

• Content-enabled EMR

• Enterprise App Decommissioning

Page 25: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

25 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

SHARE PATIENT INFORMATION ACROSS SILOS QUICKLY & SECURELY

EMC SOLUTIONS FOR EMR OPTIMIZATION

CONVERGED INFRASTRUCTURE

ENTERPRISE

Next-Gen Scale,

Performance,

and Availability for

Expanding EMR

Environments

FLASH

High Performance

All-Flash Powered

with Inline

Deduplication

for Database and

VDI Environments

DATA

PROTECTION

Integrated, Highly

Scalable Data

Protection with

Deduplication for

Clinical and Enterprise

Application Use Cases

SCALE-OUT

ARCHIVE

Scale-out Storage

with Built-In

Data Protection and

WORM for Long Term

Storage for Blob and

Content Systems

CONTENT

AND IMAGE

ENABLEMENT

Powerful Content

Integration

to Image-Enable

and Power

Legacy Application

Decommissioning

Page 26: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

26 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

• Strategy for prioritizing and planning retirements

• Trusted environment

– Maintains chain of custody

– Provides date based retention and legal hold

– Future Proof XML format

• Dynamic reporting and search capabilities

– Multiple applications

– Multiple data stores

• Comprehensive product implementation, training & knowledge transfer establish ongoing service

ENTERPRISE APPLICATION DECOMMISSIONING SOLUTIONS

Unstructured Structured

ARCHIVE SERVICES

INGESTION MANAGEMENT

InfoArchive/xDB

ARCHIVE STORAGE

DDS GUI

ENTERPRISE ARCHIVE SYSTEM

LEGACY APPLICATIONS

DATA ACCESS

Page 27: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

27 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMR OPTIMIZATION

Challenges

Legacy applications consuming IT resources and budget

Needed to retire, re-platform, and migrate legacy clinical applications into a single EMR

Solutions

Utilized Content Enabled EMR—Connector for Epic and Healthcare Integration Portfolio (HIP) solutions to provide access within Hyperspace to records ingested from other systems and facilitate sharing across the system.

Deployed Clinical Archiving solution to store—and make accessible within Hyperspace—legacy clinical data and documents that could not be loaded directly into EMR

Results

Nine month ROI with annual savings over $2M

Full EMR integration to create 360° patient view

Streamline Clinical Workflow with secure EMR Access

NE HEALTHCARE SYSTEM SAVES $2M/YEAR WITH APPLICATION DECOMMISSIONING

CUSTOMER SUCCESS

Page 28: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

28 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC FEDERATION: THE POWER OF “AND” DELIVERING SOLUTIONS AND CHOICE FOR HEALTHCARE

INFORMATION STORAGE & PROTECTION INFORMATION INTELLIGENCE

SOFTWARE-DEFINED DATA CENTER HYBRID CLOUD

END USER COMPUTING

BIG DATA SOLUTIONS

PLATFORM AS A SERVICE AGILE APPLICATION DEVELOPMENT

IDENTITY, SECURITY ANALYTICS,

GRC

ENTERPRISE DATA CENTER

PARTNERS

VCLOUD AIR

CONVERGED INFRASTRUCTURE

HEALTHCARE ISV PARTNERS

SERVICE PROVIDERS

INFORMATION CREATION

INFORMATION ANALYSIS

INFORMATION SHARING

Page 29: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

29 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

TRENDS & CHALLENGES THE EMC ADVANTAGE

Need to reduce IT costs coming from lower reimbursement rates.

Align demands of the business with ability to supply services from IT.

Greater data from growing use of mobile and IoT devices.

Trusted enterprise hybrid cloud specially designed for healthcare provider workloads

Complete, secure solution across every layer of IT.

ITaaS operations in a secure, scalable, collaborative environment.

H HYBRID CLOUD FOR HEALTHCARE INCREASE ORGANIZATIONAL AGILITY

BECOME A BROKER OF TRUSTED IT SERVICES

• Infrastructure Transformation

• Application Transformation

• Operating Model Transformation

• Service Provider Ecosystem

Page 30: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

30 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

HYBRID CLOUD FOR HEALTHCARE BALANCE CLINICAL AND BUSINESS WORKLOADS

Clinician Portal

FILE BLOCK

VM VM VM VM VM

vRealize Automation

APP APP APP APP

Care Systems Analytics

SP Partners

Integrated Provisioning, Backup, DR, HA

VSAN ScaleIO

vSphere OBJECT/ HDFS

ViPR SRM

vRealize Operations

vROps

Log Insight

RECOVERPOINT

VPLEX

Admin Portal

Data Lake

Population Health Genomics

VM

OS

VM

OS

VM

OS

VM

OS

VMWARE VCLOUD AIR

H

Page 31: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

31 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

HYBRID CLOUD FOR HEALTHCARE CUSTOMER SUCCESS

NATIONAL SYSTEM REDUCED TIME-TO-PROVISION FROM MONTHS TO MINUTES

Challenges Increasing cost and competitive pressures from Affordable Care Act

Running out of Data Center space, power and cooling — only 20% virtualized

Solutions

Consulting, design, and implementation — prototype to production in less than one year

Vblock, vCloud automation, Data Domain/Avamar backup

Self-serve portal with automated provisioning: x86 VMs, Windows/Linux OS, SQL/Oracle DB, IIS/WebSphere middleware

Clickable options for: HA/DR, Backup-as-a-Service, HIPAA/PHI protection. Operation by EMC/VCE Managed Services

Results Reduced time-to-provision from ~9 months to ~20 minutes

Accelerated virtualization to meet goal of 85% virtualization

IT seen as a credible broker of Private & Public Cloud Services

H

Page 32: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

32 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

TRENDS & CHALLENGES THE EMC ADVANTAGE

Patient data is growing rapidly: medical images, 24/7 monitoring, clinical research, wearable tech.

Move to pay-for-performance payment models.

Big Data analytics used to improve disease detection and treatment, and population health insights.

EMC Patient Data Intelligence Solutions provide Big Data analytics to:

• Identify use cases to target

• Risk stratify patient populations to reduce readmissions

• Leverage enterprise-wide data to improve both business and care decisions.

PATIENT DATA INTELLIGENCE GAIN ACTIONABLE INSIGHTS TO IMPROVE STANDARD OF CARE

ENABLE CLINICIANS TO IMPROVE CARE OUTCOMES WITH PATIENT DATA ANALYTICS

• Clinical & Operational Analytics

• Healthcare Data Lakes

• Enterprise Analytics Strategy

Page 33: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

33 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Data Lake Solution Clinical delivery and business operations

ARCHITECTURE Deploy infrastructure for delivery flexibility, efficiency and compliance

INITIATIVES Identify use cases to optimize value propositions

INSIGHTS Accelerate application development to become a predictive enterprise

2

1

3

PATIENT DATA INTELLIGENCE SOLUTIONS ENABLE PREDICTIVE CARE

Page 34: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

34 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

PATIENT DATA INTELLIGENCE CUSTOMER SUCCESS

PARTNERS HEALTHCARE AND EMC COLLABORATE ON DATA LAKE

Challenges Speed clinical research developed across the system to clinical setting

Leverage advancing medical imaging capabilities by bringing together separate research activities

Solutions

Deployment of EMC Federation solutions & products. Use of flexible, elastic high performance computing (HPC) in hybrid cloud

Dynamic linking w/ data repositories across Academic Medical Centers

Utilization of data from Epic, imaging, genomic, and continuous instrument feeds

Results

Allows researcher & clinicians to develop insight to improve diagnostics, treatment and the lives of patients

Supports research and clinical activities across the Partners system, breaking down physical barriers for collaboration

Page 35: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

35 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

• Prevent breaches to best keep critical healthcare data safe

• Leverage security analytics to stay multiple steps ahead

• Secure data smartly in concert with governance policies

RSA SOLUTIONS HELP SAFEGUARD PHI REDUCE RISK WITH ENTERPRISE SECURITY AND GRC SOLUTONS

ECAT Live Malware

Analysis

ARCHER GRC

SECURITY OPERATIONS

Incidents

SECURITY ANALYTICS

Client

Server

SIEM

CMDB Assets

Discovery DLP

Vulns

Identity

Breaches Projects Risks

Rules | Parsers | Alerts | Feeds | Apps | Directories| Reports & Custom Actions LIVE - THREAT INTELLIGENCE

Page 36: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

36 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC SERVICES FOR HEALTHCARE

ADVANCED MEDICAL IMAGING

VNA Package Selection and Deployment

Data Migration Services

Storage Assessments

EMR OPTIMIZATION

Application Rationalization and Archiving

Virtual Clinical Desktop

HEALTHCARE HYBRID CLOUD

Cloud Advisory Services

Maturity-Level Modeling

Adaptivity

PATIENT DATA INTELLIGENCE

Big Data Strategy and Roadmap

Healthcare Data Lakes Visioning Workshop

Page 37: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

37 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

SERVICES FOR IT TRANSFORMATION CUSTOMER SUCCESS

MILITARY MEDICAL CENTER ADVANCES ITAAS AND ANALYTICS ROADMAP

Challenges IT was consumed by daily operations and lagging in ITaaS capabilities

IT wanted to demonstrate efficiency, financial transparency, and value to the Mission

Solutions

EMC Consulting IT Transformation Services: IT Transformation Workshop, IaaS Roadmap, Service Catalog, Charter & Ops Plan

Big Data Transformation Services for Medical Education, Training & Research (ETR)

Results

Deploying detailed 2-year Big Data & Analytics Roadmap which enables organization to gain insight and make improvements in ETR

Building Data Lake & User Portal Hub leveraging Pivotal

Created cost model for Service Catalog that enabled IT to quantify value back to the business

Page 38: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

38 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

• Over 6,000 Healthcare Providers Worldwide Deploy EMC Infrastructure

• 3,000+ Customers in N. America

• #14 Healthcare Informatics Top Vendors 100 (2014)

• HIMSS Member 16+ Years

• CHIME Member 11+ Years

EMC LEADERSHIP IN HEALTHCARE

2.0%

2.0%

2.0%

2.6%

6.9%

9.3%

18.7%

20.9%

21.5%

54.2%

Storage Market

Penetration

EMC

HP

IBM

Dell

Not Reported

NetApp

HDS

Philips

Alliance

Cisco

Source: HIMSS Analytics, 12/2014

*Respondents were able to select more than one storage vendor, hence percentage total is greater than 100%

Page 39: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

39 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC INVESTMENT IN HEALTHCARE

DEDICATED HEALTHCARE TEAM

Hospital CIOs

Partner Managers

Field Teams and Engineering

Support, Delivery, and Services

Solutions Marketing

DEDICATED HEALTHCARE ELAB FACILITY

Latest IT Software and Hardware

Healthcare Test Data

Partner Applications

Dedicated Technical Staff

Healthcare Center of Excellence

Page 40: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

40 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

MORE THAN 6,000 HEALTHCARE PROVIDERS WORLDWIDE RELY ON EMC

Dedicated to healthcare worldwide…

Dedicated to solving your toughest data challenges.

Page 41: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

41 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC UNIQUE APPROACH FOR HEALTH IT UNPARALLELED FOCUS ON HEALTHCARE BEST PRACTICES

SERVIC

E

PRO

VID

ER

S

ISV

EMC Dedicated Healthcare IT

Personnel, eLab & Services

EMC Federation

Best Health IT That

Supports Next-

Generation Care

Delivery

The Goal

6,000+ EMC Healthcare Customers

EMC Healthcare Partner Ecosystem

CLINICAL APPLICATIONS

HEALTHCARE CLOUD

STRATEGIC ALLIANCES

SOLUTION PARTNERS

Page 42: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

42 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

• Innovation Strategy

– Research & Development: 12% Investment

– Technology Acquisitions: 10% Investment

• Financial Strength

• Offerings Aligned With Hottest Tech Trends, Customer Needs

• Market-leading Technology, Products, Services, Support

• World-class, Expanding Partner Ecosystem

• Best Team In IT, 65,000+ Strong

• The Power of “AND”

WHY EMC?

Page 43: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

43 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

ENTERPRISE DATA PROTECTION FOR ALL HEALTH SYSTEM DATA FROM ACTIVE-ACTIVE TO ARCHIVE

Data Management

Backup

Archive Disaster Recovery

Availability

EMR Applications

Databases

Cloud Based Applications

VMware vCenter

Protection Storage

Primary Storage

Imaging Applications

Metadata Analytics

Extracting Additional

Value

Test & Dev

Services

Policy Reporting Catalog

Snapshot

Page 44: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

44 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Accountable Care

Cut Operational and Legacy Costs – Now!

React Faster To Enable New Growth

Healthcare Customer Business Challenges

New HIT Agenda

Provide Secure Access to Applications and Data Through

Mobile Devices

2 Use Agile Development to Build New Patient-Centric

Applications

Build Data Lakes To Deliver Insights and Applications on

Business, Clinical & Research Data

Move to Software-Defined Data Center Infrastructure and

Expand to Hybrid Clouds

Enable HIPAA With Data-Driven Security and Rapidly

Respond to Threats.

Page 45: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

45 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

AD

VA

NC

ED

SEC

UR

ITY

2

SERVIC

E P

RO

VID

ER

EN

TERPRIS

E D

ATA C

EN

TER

Federation View of Solutions

INFORMATION INFRASTRUCTURE CONVERGED INFRASTRUCTURE

Enabling Virtual Healthcare Enterprise Growth

BIG DATA SOLUTIONS PLATFORM AS A SERVICE

AGILE APPLICATION DEVELOPMENT

ENTERPRISE MOBILITY SOFTWARE-DEFINED DATA CENTER

HEALTHCARE APPS PLATFORMS

VIRTUAL WORKSPACE

HEALTHCARE DATA LAKE

SECURITY / COMPLIANCE ANALYTICS

SOFTWARE DEFINED

DATA CENTER

vCloud Hybrid Service

AD

VA

NC

ED

SEC

UR

ITY

Page 46: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

46 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Solutions Focus Enabling Modernization, Growth and Research Collaboration

SOFTWARE-DEFINED DATA CENTER

All Infrastructure Is Virtualized And Delivered As A Service

Control Of This Data Center Is

Entirely Automated By Software

PLATFORM AS A SERVICE

Pivotal ONE (Pivotal CF & Services)

Pivotal Labs

Cloud-Independent Platform For

Modernizing and Research

Collaboration

VIRTUAL WORKSPACE

Connect Users & Data While

Keeping IT In Control

SECURITY ANALYTICS

Protect Assets and PHI While Managing Compliance (HIPAA) and Consent (IRB)

HEALTHCARE DATA LAKES

Store, Manage & Deliver Value for

ACO and Precision Medicine

Traditional Applications

Next Gen Cloud Apps and Data Collaboration Standards

Based Integration

Page 47: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

47 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Converged Infrastructure

Partners

vCloud Hybrid Service

Hybrid Cloud Managed As One Cloud

Federation Solutions Focus Abstraction Layers Enabling a the New Healthcare Enterprise

PLATFORM AS A SERVICE

SOFTWARE-DEFINED DATA CENTER

VIRTUAL WORKSPACE

BUSINESS DATA LAKE

SECURITY ANALYTICS

vCloud Suite Virtual SAN & NSX Network Virtualization

VMAX, VNX, Isilon, Atmos, Elastic Cloud Storage -> Software Defined Data Services Layer Avamar, Networker, Data Domain, RecoverPoint, VPLEX

Tier 1 Applications RecoverPoint, VPLEX, SRM

Software-Defined Storage VMware Virtual SAN & EMC ECS

Visibility & Automation VASA / VSI / VVOL

Integration Points

Integration Points

SOFTWARE-DEFINED DATA CENTER

VIRTUAL WORKSPACE

Syncplicity XtremIO & ScaleIO

Horizon Workspace AirWatch

Virtual SAN

PLATFORM AS A SERVICE

Pivotal ONE (Pivotal CF & Services)

Pivotal Labs

Security Analytics Identity & Access Mgmt

Governance, Risk, & Compliance SECURITY

ANALYTICS

HEALTHCARE DATA LAKES

Object Storage

Pivotal Big Data Suite Pivotal Data Labs

Traditional Applications

Next Gen Cloud Apps and Data Collaboration Standards

Based Integration

Page 48: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

48 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Proven In Trusted Healthcare IT

15+ Years HIMSS

Membership

10+ Years Membership to CHIME

#13 of Healthcare Informatics

100

Member of Advisory Board

Page 49: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

49 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC Is Invested In Health IT

Dedicated Healthcare Staff Partner Managers

Field Teams

Support & Delivery

Marketing Specialist

Dedicated eLab Facility Latest IT SW & HW

Healthcare test data

Partner Applications

Dedicated Technical Staff

Page 50: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

50 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Global Expansion

• Innovation Hubs

– Skolkovo – Bioinformatics / Genomics Clouds

– Israel – Security Analytics and Information Exchange

– Ireland – Medical Content Management and Imaging

– India – Population Health and Telehealth

– Brazil – Academic Based R&D

• Focused New Business Expansion

– Australia / New Zealand

– South Africa

– Singapore

– Brazil

– Japan

Deep Innovation Resources and International Growth

ANNUAL INNOVATION CHALLENGE

Page 51: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

51 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

EMC Healthcare Application Partners Delivering engineered, certified, and pre-integrated solutions

for healthcare providers worldwide

Page 52: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

52 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Healthcare Strategy Summary • Maintain Market Dominance for IT Platforms

• Long Term Commitment to Healthcare ISVs

• Deliver Deep Provider Experience to Our Field

• Aligned Growth With New Businesses Born In the Cloud

• Double Down and Prepare for the Next Wave

– Big Data for Population Health Management

– Translational Research Computing and Bioinformatics

– Fat Data – NGS, Pathology, PACS in the Cloud

• Global Innovation and Expansion

Page 53: mHealth Israel_Health IT for Next Generation Care Delivery_Orna Berry, Ph.D., Corporate VP Innovation COEs and R&D Centers, June 2015

53 © Copyright 2014 EMC Corporation. All rights reserved. © Copyright 2014 EMC Corporation. All rights reserved.

Thank You!