Misys Plc

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Misys Open Source Solutions (MOSS) Healthcare
Redwood MedNet Presentation A Practical
Application of Open Source Strategies in a
Not-So-Conventional Health Care Company Tim
Elwell VP, Misys Open Source Solutions May 20,
2009
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Misys Integrated Businesses Before Oct. 2008

• 1B revenues, 4,500 employees,
• 1st software company listed on FTSE100
• Substantial Expertise
• 30 years experience in Banking
• 25 years experience in Healthcare
• Installed Base
• 1,200 financial institutions, including every one
  of the worlds top 50
• 110,000 Physician users
• Global Footprint
• Customers in more than 120 countries,
• 36 Offices around the World
• Market Position
• Award-winning solutions across each business
  unit,
• Market leader in banking IT worldwide by customer
  base

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Misys Integrated Businesses Post Oct. 2008

Banking

• Allscripts
• Misys Healthcare
• Solutions
• NASDAQ MDRX
• Glen Tullman
• CEO
• Mike Lawrie
• Chairman

Treasury Capital Markets
Health- care
experience solutions results
MOSS
Global Services
Open Source
Misys plc FTSE MSY.L CEO Mike Lawrie
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The Innovators Dilemma by Clayton M.
Christensen

• In doing what a company is expected to do (and is
  rewarded by the market), that company is
  preparing a way for its own disruption.
• BUT, it also is the beginning of the innovators
  solution.

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2009 Opportunity

• ARRA
• 19.2
• 17.2
• 2
• 300
• 100
• CareSpark
• 18
• 40

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Healthcare and Open Source
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MOSS Purpose

• Meaningful disruption

Causes change to happen
Generates Revenue
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Open Source Solutions Healthcare

• Objective Committed to improving healthcare
  delivery using a standards-based, open source
  approach to build interoperability tools between
  disparate electronic medical records (EMR)
  systems and healthcare enterprises.
• Organization Independent division inside of
  Misys plc
• Community The team is collaborating with
  prominent medical informatics, technology
  companies, and policy influencers to support and
  develop Health Information Exchange (HIE).
• Goal Support US-based Nationwide Health
  Information Network (NHIN) initiatives to provide
  lower cost, higher quality options that will
  result in greater EMR adoption and improved
  healthcare delivery.
• Market Opportunity Estimated that the creation
  of a NHIN will reduce the cost of healthcare
  expenditures by 77.8 billion annually. (1)
• Business Model HIE organizational consulting,
  customer application development, hosting, and
  support.

(1) Walker, Jan, Pan, Eric, Johnson, Douglas,
Adler-Milstein, Julia, Bates, David W.,
Middleton, Blackford. The Value of Health
Information Exchange and Interoperability.
Marketwatch Health Tracking. Jan. 19, 2005.
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Uses Case Scenarios

• Ambulatory Specialist Referral
• Provider to Emergency Department Referral
• Unplanned Access to Patient Medical Summary
• Ante-Partum Care Delivery

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Ambulatory Specialist Referral
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Unplanned Access to Patient Medical Summary
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SCALE 2008 MOSS Coming OutUpdated Plan Based
on Customer Needs

• IHE library
• A basic set of IHE profiles implemented in Java.
  
• This library has been accepted to and
  successfully completed the Connectathon for the
  last three years.
• Connect application
• A basic eMPI application
• A viewer to retrieve and view a patient record
  that encompasses all practices in the community
  (the longitudinal patient record).
• Server Side Concentration
• PIX-PDQ
• XDS Registry and Repository

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MOSS - Mission
Open Source Solutions

• Objectives
• Create broad-base adoption of the MOSS Platform
• Develop lower cost Health Information Exchange
  (HIE)
• Standards based
• Support Nationwide Health Information Network
  (NHIN) initiatives
• Improve healthcare delivery by increasing EHR
  adoption
• EHR on-ramp through the creation of Clinical
  Groupware
• Approaches
• Provide standard-based IHE interoperability
  options
• Develop open source IHE infrastructural
  components
• Leverage core monetize plug-ins and SaaS
  Consulting and Support

experience, solutions, results
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IHE Standards Based Healthcare Network
Open Source Solutions
experience, solutions, results
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PIX/PDQ Server - OpenPIXPDQ
Open Source Solutions
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IHE Standards Based Healthcare Network
Open Source Solutions
experience, solutions, results
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IHE Profiles Server ComponentsApril 2009
Open Health Tools Presentation BOCA Chart
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MOSS (OHT) Roadmap
ATNA/CT/XCA 2009
IHE Client library harmonization 3Q 2009
Begin XDS Development 2Q 2009
Connect Gateway Code Review 2Q 2009
HIMSS Showcase April 09
Connect-a-thon February 09
Move OpenPIXPDQ to OHT March 09
OHT Charter Project Approval December 08
IHE Project harmonization January 09
Begin OpenPIXPDQ Development October 08
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Portal Decomposition
experience, solutions, results


World
Congress
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Fundamentally Different EMR StrategyOutside-IN
EMR
Afterthought
EMR
EMR
EMR
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Mashable Universe StrategyINSIDE--OUT
Meaningful Use as defined By our customer
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Information and Related Technology Governance
Open Source Solutions
The CoBIT framework is the property of the
Information Systems Audit and Controls
Association and has been referenced with
permission.
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Open Source Solutions
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Thank you

• Questions?