1. 1 Investing in technology to improve the patient experience Chris Cook, Group IT Director, Nuffield Health

2. 2 KEY ISSUES & TRENDS ACROSS HEALTHCARE Technology ! Care Improvement Patient safety—technology enabled change Clinical outcomes and operational excellence New care delivery models Patient safety—technology enabled change Clinical outcomes and operational excellence New care delivery models Access to Patient Health & Care Information National, regional, community electronic health records Integrate health, social services and local government Patient identity, security and confidentiality/privacy National, regional, community electronic health records Integrate health, social services and local government Patient identity, security and confidentiality/privacy Rising Cost of Healthcare Move to Shared Services Shift to pay for performance New contracting models–risk sharing Quality monitoring Move to Shared Services Shift to pay for performance New contracting models–risk sharing Quality monitoring Ageing Population, Obesity, & Chronic Diseases Patient segmentation Technology enabled proactive care management Patient tools for self-care Patient wellness programs Cost reduction pressures Patient segmentation Technology enabled proactive care management Patient tools for self-care Patient wellness programs Cost reduction pressures

3. 3 NUFFIELD HEALTH Largest not-for-profit health services provider in the UK 31 hospitals with 5,000 end users 750,000 inpatient visits per year Provide integrated healthcare services for the UK National Health Service (NHS) 150 health and fitness centres Business strategy is dependent on IT “As Britain’s longest standing not-for- profit group of independent hospitals, Nuffield Health (formerly Nuffield Hospitals) is committed to providing healthcare excellence that is accessible and affordable to as many people as possible”

4. 4 Single purpose

5. 5 The UK Healthcare market A time of change “Patient Choice” More competition New entrants UK NHS improving Increased focussed on preventative healthcare

6. 6 The transformation required Simpler, faster, fitter Offer services across the healthcare spectrum More productive Standardised processes Lower cost base Shared services Procurement control Materials management Highest priority is still Patient Care

7. 7 IT to support the transformation Nuffield IT in 2003 Nuffield IT in 2008 PAS: iSoft MIS: Business Objects Risk Management: Datix Pathology Labs: CliniSys Imaging: Agfa PACS/RIS CRM: Microsoft Master Patient Index: Initiate Integration: BridgeForward Basic IT Market leading, best of breed IT ERP?

8. 8 ERP requirements Enterprise-wide (31 hospitals and 100+ sites) Modern technology Web-based for ease of deployment and access Scalable Financials Procurement Requisition self service Materials management Management reporting Workflow Best practice in Health Care

9. 9 Best practice in Healthcare 500+ healthcare customers 4,500+ customer sites

10. 10 What we bought Lawson S3 version LSF9 / SQL Server: Financials Procurement Requisition Self Service (RSS) Inventory Management Mobile Supply Chain Management (MSCM) Lawson Business Intelligence (LBI)

11. 11 Business process design 300 business processes designed

12. 12 Integration

13. 13 Schedule 2006 2007 Design / Config /Testing Pilot 3 sites Set up Shared AP Rolled out to 37 hospitals

14. 14 WHAT WE’VE ACHIEVED More focus on patient care Process improvements allows mean focus on our highest priority: Patient Care Procurement savings Major cost savings achieved through procurement controls: Approved vendors Authorisation controls Major cost savings achieved through procurement controls: Approved vendors Authorisation controls Improved decision making Enterprise-wide management information reporting Shared financial services An enterprise-wide system to support the implementation of shared financial services

15. 15 Questions? Thank You! Chris Cook Group IT Director, Nuffield Health, UK +44 7900 048 898