The Health Infrastructure Optimisation ROADSHOW 2007 David Dembo & Neil Slater Microsoft ® Corporation.

The Health InfrastructureOptimisation ROADSHOW 2007

David Dembo & Neil SlaterMicrosoft® Corporation


National Health Service (NHS)

The NHS vision

“to have a more modern, efficient, patient-led health service and to give patients more choice and control over their own health and care”


Patient Safety and IT900,000 patient safety incidents per year

8% result in death

£2bn per year extra cost in bed days

After falls, medication errors, record documentation error and communication failure were the most common cause

IT can reduce these errors by 53% - 83%

Source: National Audit Office, 2005 www.nao.org.uk

http://www.nao.org.uk/

NHS Common User Interface Programme NHS CUI

NHS Common User Interface Programme NHS CUI


NHS CUI Programme Goals

Support NHS Connecting for Health in:

Increasing patient safety

Increasing clinical effectiveness

Increasing the ease of adoption & relevance of Microsoft Windows and Microsoft Office to the NHS


NHS CUI Timeline

20032003 20042004 20052005 20062006 20072007 20082008 20092009 20102010

Phase 1Phase 1 Phase 2Phase 2

EnvisioningEnvisioning

Programme VisionProgramme Vision


7Improving patient outcomesand the bottom line.

NHS CUI Focus AreasClinical Applications and Patient Safety

Information Worker Efficiency

IM&T Tools

Clinical Applications and Patient Safety Clinical Applications and Patient Safety

NHS Common User Interface Programme


Clinical Applications and Patient Safety

Clinicians currently required to use a disparate set of systems from multiple vendors to do the same set of tasks

Lack of consistency for commonly performed and safety critical functions within and across systems

A need to increase User proficiency without increasing training nor compromising patient safety

Patient Safety: Focus Areas

Information Display Standards

Information Input Standards

Abbreviations and Acronyms

Terminology

Decision and Knowledge Support

Ordering and Scheduling

Patient Administration

Patient Record Views

Reports

Noting and Assessment

Structured Planning of Care

Consistent Navigation Model

Accessibility

Agent to Agent Communication

Medications Management

Generic / Miscellaneous

73 NHS Trusts have been engaged with over 200 front-line clinicians and patient-safety experts participating in research, development and testing 100 areas of Design Guidance across the following categories:


Same Information – Different Systems


Clinical SafetyAdoption of CUI Icon standards


Clinical Safety

Adoption of CUI Icon standards

InformativeAlerts

Warning alerts(Missing Data)


Design Guidance

Developers / Designers are often inconsistent – especially with simplest of items

1/2 ? Half

01:02 ? Maybe a time

1/2/7 ? Maybe a date

Feb 1 ? What year

01/02/07 ? February (UK) or January (USA)

01-Feb-2007 Clear, Unambiguous, International


Medications Overview - Summary Guidance• Prioritise the display of drug or item name –

spatially and stylistically

• Use dm+d term

• Use generic name (all lowercase) unless there is a specific requirement otherwise

• DO NOT abbreviate the item name

• DO NOT truncate the item name

• Avoid wrapping the item name

• DO NOT use frequency abbreviations

• Separate dose from item name with at least 2 spaces

• Always use labels where the value could be associated with more than one attribute

• Use useful forms of data (today) to increase clarity


Clinical Application - Demonstrator


1st stage 2nd stage 3rd stage

Incremental Development of Guidance & Components

CUI produces guidelines & components

Not building a complete user interface

Building common-controls for clinical applications

Focus is on safety, utility & usability

Leaving plenty of room for innovation


Faster, Easier Development of Clinical UI

• Pre-built controls implementing CUI Design Guide guidelines

• Familiar Visual Studio developer experience• Builds on the .NET Framework and Microsoft AJAX

extensions• Provides an extensible framework for Design

Guidance and Controls

Clinical UI Standards

CUIToolkit

ISV Innovation

Safe, Compelling, Clinical UX


Information Worker productivity in the NHS Information Worker productivity in the NHS

Common User Interface Programme


Medical Research ServicesEnables users to research clinical terms without leaving the context of the work they are doing

Increases the value of the existing investment by the NHS in clinical research facilities

Medical Research Services


Medical Research Services: DeskBar Search

IT Infrastructure in the NHS IT Infrastructure in the NHS

Common User Interface Programme


Focus

“To assist NHS Entities in achieving an

easily deployable,

well managed,

and more secure

desktop and server infrastructure.”

Costs

Manageability

Safety

Productivity


CUI Desktop & Infrastructure Guidance


Roadmap



Infrastructure Optimization

• Provides capability framework to help you build an optimized infrastructure (not Microsoft-specific)

• Establishes a foundation based on industry analyst, academic, and consortium research

• Provides guidance and best practices for step-by-step implementation

• Drives cost reduction, security and efficiency gains

• Enables agility

Application Platform Optimization ModelApplication Platform Optimization Model

Business IntelligenceBusiness Intelligence

Enterprise Content ManagementEnterprise Content Management

CollaborationCollaboration

Unified CommunicationsUnified Communications

Enterprise SearchEnterprise Search

Business Productivity Infrastructure Optimization ModelBusiness Productivity Infrastructure Optimization Model

DevelopmentDevelopment

SOA and Business ProcessSOA and Business Process

Business IntelligenceBusiness IntelligenceUser ExperienceUser Experience

Data ManagementData Management

Data Protection and RecoveryData Protection and Recovery

Desktop, Device, and Server MgmtDesktop, Device, and Server Mgmt

Identity and Access ManagementIdentity and Access Management

Security and NetworkingSecurity and Networking

Core Infrastructure Optimization ModelCore Infrastructure Optimization Model

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StandardizedStandardized DynamicDynamicRationalizedRationalizedBasicBasic

Data Protection and Recovery

Identity and Access Management

Security and Networking

IT and Security Process

Desktop, Device, and Server Management

Core Infrastructure Optimization Model


DynamicDynamic

• Proactive

• OptimizingCosts and Quality

• Agile

• Self Assessingand ContinuousImprovement

• “Taking The Lead”

• Proactive

• Accountable

• Increased Monitoring

• Formal ChangeManagement

• SLAs

• Improvement

• Predictability

• “Quality Driven”

StandardizedStandardized

• Reactive

• Stable IT

• Request Driven

• Change Management and Planning

• “Keeping ItRunning”

BasicBasic

• Reactive

• Ad hoc

• Problem-Driven

• “AvoidingDowntime”

RationalizedRationalized

Infrastructure Optimization ModelInfrastructure Optimization ModelStage CharacteristicsStage Characteristics


StandardizedStandardized RationalizedRationalizedBasicBasic

IO Improves IT EfficiencyAccomplish More with the Same Resources

PCs managed

per IT FTE

100100

200200

300300

400400

700700

00

Organization Organization

500500

600600

Avg PC’s per/IT FTE

IT Labor/PC

Source: IDC data analyzed by Microsoft 2006

20%

60%20%

76$1,320

172$580

442$230


StandardizedStandardized RationalizedRationalizedBasicBasic$1,320/PC $230/PC

Limited PC Security• PC firewall• Auto patching

PC Security $130/PC Savings

Comprehensive PC Security• Anti Spyware• Enforced security compliance

with Network Access Control

Minimal PC Security• Anti-virus• Manual patching• No enforced sec. compliance

Standardization• Defined PC lifecycle• Limited policy based PC mgt• Many software configs

Stds Compliance• Defined PC life cycle, stds enforcement• Full policy based PC mgt• Minimal hw, sw configs

None• No PC life cycle strategy• No policy based PC mgt• Many hw, sw config

Standardized desktops $110/PC Centrally managed PC config $190/PC

Limited sys mgmt• Single sys mgt tool• Software packaging• Software distribution

No system-wide mgmt• Poor sys mgt tool coverage• Duplicate mgmt tools• Manual sw, patch deploymt

Comprehensive sys mgt• Hw, sw inventories• Hw, sw reporting• Auto/targeted sw dist.

Single system management tool $110/PC Automated software distribution $120/PC

Multiple Directories• Many auth. directories• No dir synchronization• Manual user provisioning

Single directory for Auth• One authentication dir.

Automated provisioning• Single Sign-on• Auto password reset• Auto user provisioning

Comprehensive directory solution $120/PC Automated user provisioning $50/PC

Source: http://www.microsoft.com/technet/io (Desktop, AD, & SMS), IDC, 2006

$580/PC

Infrastructure OptimizationIndustry Best Practices Drives Down Costs


Infrastructure OptimisationAssessment Results – Before CUI




Desktop Device and Server Management





Infrastructure OptimisationAssessment Results – After CUI








Thank youEvaluation form

www.microsoft.com.au/health/roadshow

©2007 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only.Microsoft makes no warranties, express or implied, in this summary. 11064-1007/MS

The Health Infrastructure Optimisation ROADSHOW 2007 David Dembo & Neil Slater Microsoft ® Corporation.

Documents

patient safety

patientsafety experts

clinical applicationsfocus

item namedo

item nameavoid

areas of design guidance

spacesalways use labels

net framework