HP in Healthcare Ecosystem

HPs Engagement in the
Health and Life Sciences

Ecosystem
Samik Bhattacharya
Hewlett-Packard Enterprise Services
Copyright 2013 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
Why HP?
45+ years experience in the Health & Life Sciences industry
10,000+ Health & Life Sciences IT-services professionals
250+ clinical professionals
HP performs 2.4 billion healthcare transactions annually,
including 1 billion in healthcare claims
HP provides Medicaid in 21 states in the United States, making it

the largest provider of Medicaid services.
13 of the top 15 Life Science companies (by revenue), are HP clients

- HP received the National Governors Association - 6th Annual PublicPrivate Partnership Award for the Medical Assistance Provider Incentive
Repository (MAPIR) application; the solution was chosen as an example of
how technology and innovation can help states achieve real cost
containment and efficiency.
- HP Labs drives HLS Industry innovation in the areas of: Analytics; Clinical
Informatics, Electronic Health Records, and Decision Support Systems;
Situational Awareness in Healthcare; and systems to Improve Patient
Safety, Operational Efficiency and enhance Patient-Staff Experiences.
2
Pan-HP Healthcare & Life Sciences Industry Footprint

HEALTHCARE
PROVIDERS
HP Revenue $4,254 Million

HP
IBM
Microsoft
Fujitsu
Cisco
Dell
Ricoh
0
1000
2000
3000
4000
5000
HEALTHCARE
PAYERS
Pan-HP Footprint > $10B (estimated)
#1 Technology Provider in Healthcare and

Life Sciences, surpassing IBM
Shifting business mix from transactional to

solutions-based offerings
HP
IBM
Microsoft
Dell
Cisco
CSC
Ricoh
0
200
400
600
800
1000
1200
1400
LIFE
SCIENCES

HP
IBM
Microsoft
Dell
SAP
Fujitsu
Cisco
93%
1000
2000
3000
4000
5000
Source: IDC Health Insights Worldwide Life Sciences, Healthcare
Copyright
2013Healthcare
Hewlett-Packard
Development
L.P.25The
information contained herein is subject to change without notice.
Payer and
Provider
Revenues Company,
for the Top
IT Vendors
HPs Global Accounts in Health and Life Sciences
HP in the Health and

Life Sciences Ecosystem
Digitization of the Healthcare Ecosystem
Digital Record-Keeping System

for mothers2mothers
Electronic Medical Records

System for Ila Trust
HP is currently working with a HIV

awareness NGO, mothers2mothers (m2m)
to develop an IT solution that will move
their existing paper-based record-keeping
systems to a digital system.
HP is developing Ila Trust's new Electronic

Medical Records system, to replace the
existing paper-based processes, for delivering
health services to at-risk populations.
Scale: 700 sites spread across 9 countries.
Doctors to enter and retrieve patient

information from the field, and track health
trends.
HP Enterprise Services Improve Patient Service

Outcomes through End-to-End IT Outsourcing
Government of Maharashtra Medical
Education and Drugs Department (MEDD)
Digitization and Interconnection of
GoM Hospitals & Medical Colleges
Staff shortages and a time-consuming manual
system were causing long patient waiting
times at the Grant Government Medical
College & Sir J.J. Group of Hospitals in
Maharashtra, India. HP servers, storage and
desktop computers were combined into an
efficient computerized system, delivered
through an HP outsourcing agreement.
Primary Objectives:
Create a unique health ID record and permanent

medical number for every patient visiting a hospital
Reduce registration waiting times
Make all reports and images instantly available to
clinicians on-screen
Patient records would be stored electronically so
they could be accessed from any hospital,
transparency would be introduced to the clinical
audit trail and pilferage loopholes would be
plugged.
HP was without doubt the strongest contender on technical

evaluation of the solution, delivery capabilities, infrastructure
management and innovative processes in the IT field.
Spokesperson, Grant Government Medical College & Sir J.J. Group of Hospitals
Outsourcing patient registration and office

management for our inpatients, outpatients,
and casualty departments has enabled us to
reduce average waiting times by90 percent.
Spokesperson, Grant Government Medical College &
Sir J.J. Group of Hospitals
Rural Outreach and Disease Information Collection

using HPs Enterprise Cloud Solutions
HP offers clients a variety of enterprise-grade Cloud Computing solutions,
including public, hybrid, and private. This enables Healthcare and Life Sciences
organizations to reduce datacenter costs and make data more accessible, from
any part of the globe.
Doctor in a Box
A standard shipping container converted
into a Health Center, leveraging HP Cloud
platform, that can be deployed (even air
lifted) to remote areas.
Aliyabad, Andhra Pradesh:

20000 patients in 10 Villages.
Chausala, Maharashtra:
4,000 patients in first 100 days.
HP Mobile Cloud Solution to

Track Malaria Outbreak
Healthcare workers in Botswana, Africa,
gather Malaria information via a life saving
Mobile App. and upload the data (along
with pictures and video) to the HP Cloud.
Health Ministry officials in Botswana access
this data on the Cloud solution, to respond
to, track and prevent Malaria epidemics.
Revolutionizing Healthcare using Mobile Technology

HP is tapping into the power of mobile technologies to
pioneer new models and processes for patients to access
health care, as well as for the health providers to provide life
saving care at every stage of the health cycle.
Founding Member of
mHealth Alliance
HP is partnering with mHealth Alliance
(mHA) to advance mobile healthcare - or
mHealth .
HP also supports Health Un-Bound (HUB)
online community, which facilitates global
knowledge sharing and collaborative mobile
solution development.
10
HP develops Mobile Drug

Authentication System
Medicines contain a code printed on the

packaging
Individuals sends code via SMS message
m-Pedigree System responds with SMS
confirming if medication is authentic.
The mobile drug authentication program was

launched in Nigeria and Ghana in Dec 2010.
Enabling Automation thro Workflow and Document Mgmt.

HP & Kofax Archiving System for Bayer Schering Pharma
Implemented a more efficient way to store and retrieve vendor documents after
investigating market options for suitable Document Management System.
HP TRIM Implementation at
Japanese Pharmaceutical Major
HP TRIM was chosen for eliminating risk of noncompliance for Records Management. It was
endorsed by Australian Ministry of Agriculture.
11
Safe, fully-compliant Records Management

System
Includes web content management, imaging,
workflow
& document
centric
collaboration
Copyright
2013 Hewlett-Packard
Development
Company,
L.P. The information contained herein is subject to change without notice.
NNE Pharmaplan adopts Paperless

Validation Process
HP helped the client to reduce cost and improved
competitive advantage by implementing a paperless
validation process using the approach of ensuring full
transparency and work within limits of highly regulated
industries.
Collaboration between Researchers and Clinicians

Collaboration between research and clinical practice requires:
handling very, very large quantities of data

over long distances and
capability to mine the data or analyze it at a very massive scale.
HP provides proven platform environments and special software engineering that can handle the
massive scale and volume of scientific data (large-scale genome sequencing, digital pathology, high
content screening), and collaboration capabilities, in order to help life science organizations
enhance innovation and accelerate product development.
Partners Healthcare Center for

Genomic Medicine (PCPGM)
Integrated worktools for genetic analysis
(GIGPAD) with genomic LIMS
Improved collaboration between
researchers and clinicians
Integrated multiple workflows into a single
secure platform
12
Collaboration between Trading Partners
HP Business Exchange Services
HP handles 1.3 Billion

Healthcare Administrative
transactions among
110,000 Trading Partners.
13
Genomics as a Service Lowering barrier to Innovation

Next-Gen Sequencing Platforms
for Pharma
HP and the Swiss Life Science Center has
developed and demonstrated platforms to
supply cloud-based, Next-Generation
Sequence (NGS) data for Pistoia Alliance1.
Interoperability of R&D processes
Pharma companies GlaxoSmithKline,

AstraZeneca, Roche, Novartis and
Lundbeck shared funding for the project.
Functional Platform Offering Complete Coverage of NGS

Workflows
14
1 The Pistoia Alliance is a global, not-for-profit, precompetitive alliance of life science companies, vendors, publishers, and academic groups that aims to lower barriers to innovation by improving the interoperability of R&D business processes.
HP D3 Platform
Integrated view across data
types through user query
mechanisms
Support for multiple data sites,

and allows for more to be added
A personalized system with an
intuitive user interface
Maps between research and

clinical data
Extensible platform for
integrating with other
organizational systems
15
HP D3 Platform is the first of its kind to integrate genomic,

transcriptomic, and proteomic data, as well as connect to
the clinical systems to address the needs of researchers.
Payer Enablement Solutions

HPs e-Prescription Solution
HPs Metavance Administration and

Finance Solution
16
Automates core administrative processes

across multiple LOBs and products (ADD,
long term care, dental, etc.)
Member-centric model
Supports tailored benefits for members and
dependents
Integrates with healthcare, medical and
care mgmt. systems
Web-access tools facilitates self-service
Connects practitioners and pharmacies to

patients data in MMIS preferred drug lists,
prior authorizations, quantity limitations,
co-payments
Provides complete drug references and
legible prescriptions at point-of-service
Enables quick counseling for pharmacists
on constituent safety and program costs
Leads to increased constituent compliance
with medication therapy
Enables quick identification and resolution
of issues when writing prescriptions.
enabling the journey to

personalized medicine delivery
HP and Medicaid
HP is the largest provider of Medicaid services in the United
States. HP Runs Medicaid systems in 21 states.
Its hard to separate where the State ends and HP
begins. HP is central to just abut every aspect of this
project.
Steve Groff, Deputy Director,
Delaware Division of Medicaid & Medical Assistance (DMMA)
Delaware Division of Medicaid &

Medical Assistance (DMMA)
HP assisted the State of Delaware
with its Transformation Grant and
developed a solution to enable the
states requirements for electronic
presciptions, access to medication
histories, alerts, and point of care
information.
17
Arkansas Medicaid
HP conducted a Kaizen assessment and
streamlined the process, resulting in:
Streamlined the enrollment process by
32%
Rework reduced by 25%
Reduced processing time for applications
from 3-4 months to 10-14 days.
HP and Medicaid (contd.)

HP is extremely approachable. We have a
very collaborative relationship. Were
improving accuracy and consistency from
one care manager to the next. Our data is
more standardized and consistent, and
our analysis and reporting is more
useful.
Marlene Asmussen, Director
Care Management & Medical Authorization Services,
Oklahoma Health Care Authority
Oklahoma Health Care Authority

(Atlantes)
HP implemented Atlantes as a complementary system to SoonerCare MMIS
Supported the evolution of Atlantes to
accommodate demand for further
automation of healthcare mgmt.
Developed a collaborative case
management framework
18
Regulatory Compliance The Critical Factor in Life Sciences

HP Quality Framework
GxP Compliance requires:
Written procedure for maintenance of the computer system

System to control changes to HW/SW, including documentation
Documented checks of I/O for accuracy
Electronic records must be controlled, including record backup,
security, and retention
HPs Experience and Expertise in GxP Compliance:
19
FDA compliance is baked in to HPs

processes
It all starts with ISO 9001 compliance
at the center, with HP processes
layered around to add the
functionality for FDA compliance
HP BTO for FDA Compliance of S/W & Infrastructure

HP Business Technology Optimization (BTO)
Software for FDA Compliance enables bio-pharma
companies to implement standard processes across
an enterprise, with proper approval controls and
mechanisms.
Automates common processes for ITIL and GxP
Maintains a compliant IT infrastructure.
Integrates 21 CFR Part 11 compliance
Electronic automation of the process flow
Reduce paperwork for document compliance.
The HP Business Technology Optimization

(BTO) for FDA Compliance portfolio includes:
20
HP Service Management Center

Genilogixs QC eApprove Solution
by partner Genilogix
HP Quality Center
HP Performance Center
HP and Genilogix Validation Test Management (VTM) solution

In the VTM solution, HP Quality Center provides a Web-based system for
automated software quality testing and management, while Genilogix QC
eApprove adds functionality for 21 CFR Part 11 compliance.
HP ClinicalWorks A Pharmaco-vigilence Solution for

Adverse Event Tracking and Reporting
Data management regarding post-marketing
surveillance (PMS) for pharmaceutical
business
HP ClinicalWorks Pharmacovigilance / Adverse Drug Reaction
(ADR) Solution
MRs record/ report AE cases remotely from

field via mobile devices
Centralized MedDRA coding
Information aggregation & synthesis
Identify patterns and launch investigation
Approval workflow
Report to legal/ HQ
Supports both Clinical Trial and Post Marketing Adverse Events

Compliant with ICH* regulations
Compliant with Title 21 CFR Part 11 of Code of Federal Regulations
21
*ICH: The International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use
Transforming Litigation through e-Discovery

HPs e-Discovery Solution
22
Industry-first eDiscovery platform
Hundreds of data formats, including Audio and over 100

languages, for preservation, collection and processing of
data
Proprietary analytics for rapid identification of patterns,

uncovering of hidden facts and custodians in repository
Early case assessment capability to estimate risk

exposure
Technology-assisted review to cluster and allocate

documents
Tool used successfully for:

- Largest litigation of the century (non-medical)
- Multi-party litigation involving over 2 Million+
documents and 50+ hours of voicemail
- Litigation involving 145 Million f documents and
email
The average cost of a

single case can easily
exceed $1.75 million.
-- Gartner
The Risk
Lost or settled cases due to mismanagement of
information can lead to erosion of shareholder value
Over collection or over processing of data can lead to
excess downstream review costs
enabling legal teams

to protect their brands.
and Innovating for the Future of Life Sciences

1. Smart phone based micro fluid platform
for healthcare
2. An Open SaaS for Big Data on Life
Sciences:
1. Smart phone based micro fluid platform for healthcare:

This solution leverages inkjet integrated micro fluidics and circuit technologies on a chip to
create a simple to use, Smartphone or tablet configurable diagnostic chip. The chip enables
quick diagnostic testing at home or in a clinical setting.
3. Digestible RFIDs:
4. Chemical sensing technology
5. E-Health Care solution by HP

6. Solution to keep tab on counterfeiting
across supply chain
7. Digestible Dispensing
8. HP Moonshot
23
and Innovating for the Future of Life Sciences (contd.)

for healthcare
Sciences:
2. An Open SaaS for Big Data on Life Sciences

This system was designed to address the unique requirements in the field of Life sciences, so
that it would be scalable to additional data types, analysis tools, and workflows.

across supply chain
8. HP Moonshot
24

for healthcare
Sciences:
3. Digestible RFIDs
Digestible RFIDs passively transmit a simple code that can be used as an identifier & they can be
made small enough to be eaten to track a patients food and later naturally break it down, in the
stomach, into a tiny amount of silver that's less than what one would find in tap water.

across supply chain
8. HP Moonshot
25

for healthcare
Sciences:

A consumable spectroscopic chemical detection nanosensor, that provides ultra-sensitive
molecule detection and identification, mimicking smell and taste.

across supply chain
8. HP Moonshot
26

for healthcare
Sciences:

The Cloud enabled e-Health Centre (eHC) has been conceptualized and created to provide
affordable healthcare in the remotest of locations, leveraging HP technology. The aims to
provide healthcare to the last mile.

across supply chain
8. HP Moonshot
27

for healthcare
Sciences:
6. Solution to keep tab on counterfeiting across supply chain

HP's anti-counterfeiting strategy incorporates the application of variable data printing to
security labels which provides different degrees of security verification depending on the
hardware available to query a label.

across supply chain
8. HP Moonshot
28

for healthcare
Sciences:
The solution relies on ability of HPs Scalable Printing Technology to reliably & rapidly dispense
compound volumes using any number of discrete picoliter drops to create titrations without
requiring time-consuming serial dilution steps.

across supply chain
8. HP Moonshot
29

for healthcare
Sciences:
7. HP Moonshot
HP Moonshot delivers 89% less energy, 80% less space, and 77% less cost than traditional
servers (1,000s of servers per rack, Processor neutral infrastructure, scales seamlessly by
adding servers).

across supply chain
8. HP Moonshot
30
to enable the Digital Health Ecosystem An Universe of Business

Models and Opportunities resulting from Technology Convergence
Mobile Health
Management
Solutions
Wireless
Patient
Monitoring
Principal Outcomes of Technology

Convergence For Digital Health
Crowd
sourced Drug
and Trial
Innovation
New Business Models Focused on Wellness

Patient
Driven Health
Plan Vending
Wellness
Management
Services
Digital
Health
Ecosystem
Patient Enablement for Self Care

Clinical
Community
Social
E-Health
Kiosks
Networks
Personal
Genetics
Management
Smart
Monitoring
Models
Disruptive Modalities of Patient Monitoring
Quantum
Computing
Driven
Molecular
Diagnostics
Reduced Costs of In-Patient Monitoring

Improved 360 degree Healthcare Decision Management
Patient Driven Clinical Trial Management
Reduction of drug costs due to crowdsourcing and global alliance
formation between Hospitals, Life Sciences companies and
Patients
Source:
The Innovators Prescription; HP Global Analytics
31
Selected Client Testimonials: Akzo Nobel

Role in multi-supplier environment
Akzo Nobel uses an elaborate structure to manage outsourcing
relationships all the way from a service delivery manager as
an operational contact after the dedicated person, making
account plans (something you typically only expect at/of the
other side of the table), into committees steering committees,
executive contacts, etcetera for each of our relationships.
Now, where we have multiple relationships and multiple
outsourcing providers of course it becomes a little bit more
complex. HP has done a great job for us because they have the
firstline help desk to also connect with other providers that
we have for telecommunications, data center management, etc.
and really be the front end. The structure weve chosen is really
to try and find the metrics and the processes that are important
to Akzo Nobel and not to have every single provider make their
service levels, but really look at processes end to end and be
jointly accountable for end-to-end management processes.
See Pieter Schoehuijs, CIO, talk about how HP helps in a multi-supplier environment by providing front-end support and jointly looking at business
processes end-to-end: http://www8.hp.com/h20621/video-gallery/us/en/8bc85fe6bb905cc6ccfd6cc62021283826bc6a8a/r/video
October 2011
32
Client Testimonials: Medco Celesio & Sanofi-Aventis
HP Solution
Conduct business analysis and
requirement workshops with
leadership and departments
Develop and leverage
information architecture
Automate business processes
Implement social media
elements
Enable Medco Celesio to
manage the intranet
independently
Services & Technology

Consulting on Microsoft
SharePoint 2007
33
With the help of the HP consultants, we managed to get our departments and
employees on the same page and effectively restructured our information and
knowledge management. And we saved money by eliminating and taking out
alternative applications.
Menno Rientjes, CIO - Medco Celesio..
HP is helping Healthcare Clients Transform
Cost
Reduce or Contain Costs

& Improve Efficiency
Optimize
Operations
Access
Support Personalized
Delivery
Make More Informed

Decisions
Quality
Assure Information
Security & Compliance
Assure Information
Quality
34
Thank you.

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HPs Engagement in the

Health and Life Sciences

HP provides Medicaid in 21 states in the United States, making it

13 of the top 15 Life Science companies (by revenue), are HP clients

Pan-HP Healthcare & Life Sciences Industry Footprint

HP Revenue $4,254 Million

HP Revenue $1,145 Million

Pan-HP Footprint > $10B (estimated)

#1 Technology Provider in Healthcare and

Shifting business mix from transactional to

HP Revenue $3,309 Million

Source: IDC Health Insights Worldwide Life Sciences, Healthcare

HPs Global Accounts in Health and Life Sciences

HP in the Health and

Digitization of the Healthcare Ecosystem

Digital Record-Keeping System

Electronic Medical Records

HP is currently working with a HIV

HP is developing Ila Trust's new Electronic

Scale: 700 sites spread across 9 countries.

Doctors to enter and retrieve patient

HP Enterprise Services Improve Patient Service

Create a unique health ID record and permanent

HP was without doubt the strongest contender on technical

Outsourcing patient registration and office

Rural Outreach and Disease Information Collection

Aliyabad, Andhra Pradesh:

HP Mobile Cloud Solution to

Revolutionizing Healthcare using Mobile Technology

HP develops Mobile Drug

Medicines contain a code printed on the

The mobile drug authentication program was

Enabling Automation thro Workflow and Document Mgmt.

Safe, fully-compliant Records Management

NNE Pharmaplan adopts Paperless

Collaboration between Researchers and Clinicians

handling very, very large quantities of data

Partners Healthcare Center for

Collaboration between Trading Partners

HP Business Exchange Services

HP handles 1.3 Billion

Genomics as a Service Lowering barrier to Innovation

Interoperability of R&D processes

Pharma companies GlaxoSmithKline,

Functional Platform Offering Complete Coverage of NGS

Support for multiple data sites,

Maps between research and

HP D3 Platform is the first of its kind to integrate genomic,

Payer Enablement Solutions

HPs Metavance Administration and

Automates core administrative processes

Connects practitioners and pharmacies to

enabling the journey to

Delaware Division of Medicaid &

HP and Medicaid (contd.)

Oklahoma Health Care Authority

Regulatory Compliance The Critical Factor in Life Sciences

GxP Compliance requires:

Written procedure for maintenance of the computer system

HPs Experience and Expertise in GxP Compliance:

FDA compliance is baked in to HPs

HP BTO for FDA Compliance of S/W & Infrastructure

Automates common processes for ITIL and GxP

Maintains a compliant IT infrastructure.