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

2. The Health Infrastructure Optimisation ROADSHOW 2007 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”

3. The Health Infrastructure Optimisation ROADSHOW 2007 Patient Safety and IT 900,000 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.ukwww.nao.org.uk

4. NHS Common User Interface Programme NHS CUI

5. The Health Infrastructure Optimisation ROADSHOW 2007 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

6. The Health Infrastructure Optimisation ROADSHOW 2007 NHS CUI Timeline 20032004200520062007200820092010 Phase 1 Phase 2 EnvisioningEnvisioning Programme Vision

7. The Health Infrastructure Optimisation ROADSHOW 2007 7 Improving patient outcomes and the bottom line. NHS CUI Focus Areas Clinical Applications and Patient Safety Information Worker Efficiency IM&T Tools

8. Clinical Applications and Patient Safety NHS Common User Interface Programme

9. The Health Infrastructure Optimisation ROADSHOW 2007 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

10. 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:

11. The Health Infrastructure Optimisation ROADSHOW 2007 Same Information – Different Systems

12. The Health Infrastructure Optimisation ROADSHOW 2007 Clinical Safety Adoption of CUI Icon standards

13. The Health Infrastructure Optimisation ROADSHOW 2007 Clinical Safety Adoption of CUI Icon standards Informative Alerts Warning alerts (Missing Data)

14. The Health Infrastructure Optimisation ROADSHOW 2007 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

15. The Health Infrastructure Optimisation ROADSHOW 2007 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

16. The Health Infrastructure Optimisation ROADSHOW 2007 Clinical Application - Demonstrator

17. The Health Infrastructure Optimisation ROADSHOW 2007 1 st stage2 nd stage3 rd 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

18. The Health Infrastructure Optimisation ROADSHOW 2007 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 CUI Toolkit ISV Innovation Safe, Compelling, Clinical UX

19. The Health Infrastructure Optimisation ROADSHOW 2007

20. Information Worker productivity in the NHS Common User Interface Programme

21. The Health Infrastructure Optimisation ROADSHOW 2007 Medical Research Services Enables users to research clinical terms without leaving the context of the work they are doingresearch clinical terms Increases the value of the existing investment by the NHS in clinical research facilities

22. Medical Research Services

23. The Health Infrastructure Optimisation ROADSHOW 2007 Medical Research Services: DeskBar Search

24. IT Infrastructure in the NHS Common User Interface Programme

25. The Health Infrastructure Optimisation ROADSHOW 2007 Focus “To assist NHS Entities in achieving an easily deployable, well managed, and more secure desktop and server infrastructure.” Costs Manageability Safety Productivity

26. The Health Infrastructure Optimisation ROADSHOW 2007 CUI Desktop & Infrastructure Guidance

27. The Health Infrastructure Optimisation ROADSHOW 2007 Roadmap

28. The Health Infrastructure Optimisation ROADSHOW 2007

29. 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 Model Business Intelligence Enterprise Content Management Collaboration Unified Communications Enterprise Search Business Productivity Infrastructure Optimization Model Development SOA and Business Process Business Intelligence User Experience Data Management Data Protection and Recovery Desktop, Device, and Server Mgmt Identity and Access Management Security and Networking Core Infrastructure Optimization Model IT and Security Process BASIC STANDARDIZED RATIONALIZED DYNAMIC BASIC STANDARDIZED RATIONALIZED DYNAMIC BASIC STANDARDIZED RATIONALIZED DYNAMIC

30. The Health Infrastructure Optimisation ROADSHOW 2007 Standardized Dynamic Rationalized Basic Data Protection and Recovery Identity and Access Management Security and Networking IT and Security Process Desktop, Device, and Server Management Core Infrastructure Optimization Model

31. The Health Infrastructure Optimisation ROADSHOW 2007 Dynamic Proactive Optimizing Costs and Quality Agile Self Assessing and Continuous Improvement “Taking The Lead” Proactive Accountable Increased Monitoring Formal Change Management SLAs Improvement Predictability “Quality Driven” Standardized Reactive Stable IT Request Driven Change Management and Planning “Keeping It Running” Basic Reactive Ad hoc Problem- Driven “Avoiding Downtime” Rationalized Infrastructure Optimization Model Stage Characteristics

32. The Health Infrastructure Optimisation ROADSHOW 2007 Standardized Rationalized Basic IO Improves IT Efficiency Accomplish More with the Same Resources PCs managed per IT FTE 100 200 300 400 700 0 Organization 500 600 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

33. The Health Infrastructure Optimisation ROADSHOW 2007 StandardizedRationalizedBasic $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/PCAutomated 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/PCAutomated user provisioning $50/PC Source:http://www.microsoft.com/technet/io (Desktop, AD, & SMS), IDC, 2006http://www.microsoft.com/technet/io $580/PC Infrastructure Optimization Industry Best Practices Drives Down Costs

34. The Health Infrastructure Optimisation ROADSHOW 2007 Infrastructure Optimisation Assessment Results – Before CUI Security and Networking Identity and Access Management Desktop Device and Server Management Data Protection and Recovery

35. The Health Infrastructure Optimisation ROADSHOW 2007 Infrastructure Optimisation Assessment Results – After CUI Security and Networking Identity and Access Management Desktop Device and Server Management Data Protection and Recovery

36. Thank you Evaluation 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