Konnected & Ogg Hc Functional Requirements And Architecture 4.12.2010
1. Diagnosis for a Smarter Planet:
A SaaS Healthcare Services Model
Rick Rowley
VP, Global Enterprise Solutions
2. Problems with the U.S. healthcare system are well documented – and endlessly debated
◦ Rising costs, limited access, high error rates, lack of coverage, poor response to chronic disease
◦ Duplication and handoffs are rampant; deep wells of lifesaving information are inaccessible
◦ What's not so apparent is that many of these problems arise because our healthcare system isn't, in fact, a
system.
Many of these issues could be improved if we could link diagnosis to drug discovery to
healthcare providers to insurers to employers to patients and communities
A “smarter” healthcare system (Instrumented – Interconnected – Intelligent) starts with better
connections, better data, and faster and more detailed analysis
Integrate data and center it on the patient, so each person owns one view of his or her information and has access to
a networked team of collaborative care
Applying analytics to vast amounts of data, to improve outcomes
Moving away from paper records to reduce medical errors and improve efficiencies
This enables us to make smarter decisions and deliver higher quality care, all because we can
easily turn information into actionable knowledge
“Smart” functionality and technology can be replicated across an increasingly efficient, interconnected and intelligent
global system
In other words, we'll have a true healthcare system, with the focus where it belongs—on the patient.
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3. Marketing Promotions
Patient-Focused Messaging &
Workflow
Branding
Determine client promotional activities
Cross-sell or up-sell additional services tied to direct marketing
initiatives.
Plan mass media buys by determining where users live, their
media preferences and common demographics.
Communications conducted in a highly personalized, timely,
private, yet cost-effective manner across multiple mediums
Provide the tools to communicate with patients and members the
way THEY want to be communicated with.
Automating message creation Communicate with patients in a
consistent, direct manner — cut through the clutter
Engage members through use of audience-appropriate multi-
media channels
Use of multi-channel and multi-media messages employing video,
the internet
Immediacy and instant feedback of these channels
Multi-channel voice, SMS text, and email messaging
Deliver high-quality, consistent, branded messaging
Introduce brand to new prospective patients
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4. Campaign Management
Automated Event Triggers
Campaigns run automatically
Target key member segments with tailored messages.
Execute HTML-style email communications
Collect email addresses as a preferred response channel for
future fulfillment
Direct marketing campaigns
Execute Payer direct mail campaigns online
Generate hundreds of campaigns
Personalized interactive messages
Schedule communication triggers based on our clients’ timeline
Automate notification and resolution of scheduling, billing,
insurance and other issues
Communications that run automatically based on pre-set business
rules
Tie communications to relevant events
Ability to set maximum budgetary limits
Trigger a new patient communication
Customized logic and event trigger communications
New Members Program automatically triggered to run based on
client preferences
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5. Compliance & Security
Analysis & Reporting
Comply with healthcare regulatory structures and security models
Interactive right-party verification
Ability to create, manage, and analyze data on the performance of
channels, mediums, and members
Learn about new patients’ communication preferences and areas
of interest
Provide analytical and data visualization tools to view patients,
non patients and key metrics
Algorithm tools allow clients to segment and view data
geographically.
Analytical tools allow insight into demographic characteristics of
patients
Dynamic report generator showing breakdown of demographic
characteristics
Estimate market potential for specific products and services
Provide quantifiable data for estimates of market potential for
specific healthcare products and services
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6. Content Management
Integration
Offer up “one view” of the patient
Survey template used to mine information
Collect email addresses and other pertinent information about
consumers in their market area
Online Health Risk Assessments (OHRA)
Integrate into an enabling automated collections payments
platform
System connects to other patient and consumer touch points
Integrate with wellness programs
Integrated web-to-print solution
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7. Accelerate Your Business
Performance
“Deliver high-quality, consistent, branded messaging that supports targeted marketing promotions and retention
communications while complying with healthcare regulatory structures and security models.”
8. Business Challenges
◦ Build a cloud-based solution (CRM + Open-Source CMS + Big Notification Engine + 3rd Party Analytics/Reporting +
Branding Capabilities) for the Healthcare Industry
◦ Design a platform that will scale to support large, global organizations from the start
◦ Provide greater visibility into treatment history, clinical and behavioral trends that might impact a marketing or
acquisition strategy
The SaaS Application Model
◦ Focus on innovation and integration, but not infrastructure
◦ Analytics and customized reporting capabilities let the client track attributes of a patient to provide better treatment
options and care
◦ Organize workflows, capture and store patient data – including medications and technician visits – and present
results in an easy-to-use format for physicians, technicians, neurologists, etc.
◦ Security levels comply with the Health Insurance Portability and Accountability Act (HIPPA) and other Industry
regulations
◦ Use Web services API to deliver custom functionality and mobile integration
◦ Create a healthcare-specific data model including multiple addresses and many-to-many account affiliations
◦ Could potentially leverage more than 60 custom objects and 400 – 500 custom fields
Functional and Technical Requirements
◦ Research and a requirements phase needed for accurate SDLC planning and cost estimates
◦ SWAG is $1.75 - $3M, assume buy vs. build, moderate level of rule sets, prototype phase and a selection process for
key front-and-back-end components
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