Advanced healthcare solutions for

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1 Advanced Software For Breakthrough Applications Robert Nagle Delivering Breakthroughs Advanced technology for developers of data-intensive applications Advanced healthcare solutions for providers, communities and nations 1

2 Business Segment Revenues Breakthrough Attributes Connectable 2

3 Brashers Replacing traditional auction, which necessitates transportation of vehicles to a central location with virtual auction, saving time, money and CO2 Brashers CSP Web Users Brashers Openbook Application Caché Web Service HTTP Google Maps Book Value Data Consigners 3

4 Breakthrough Attributes Connectable Adaptable Navantia Leader in military shipbuilding Working with navies to Enhance operational capabilities Significantly reduce crew sizes 4

5 Navantia Monitor and manage sensors and systems throughout the ship Navantia Caché Delivers Rich data model to represent objects and relationships Performance for event processing and sophisticated user interface 5

6 Breakthrough Attributes Connectable Adaptable Insightful Lead Horse Technologies Enhancing quality of care and patient safety through real-time access to Adverse Drug Reaction data Medloom answers are usually returned within seconds because it is built on the world s fastest database InterSystems Caché 6

7 Advanced Software Advanced technology for developers of data-intensive applications Caché Ensemble DeepSee Shared Product Attributes t Rapid application development and deployment Excellent performance and scalability from smallest to largest systems Simplicity and frugality of management and support High reliability and availability Caché Advanced technology for developers of data-intensive applications Caché Ensemble DeepSee High-Performance Object Database Rapidly create and deploy applications that run lightning-fast, scale to many thousands of users, and require minimal hardware and administration 7

8 European Space Agency Goal: Make the largest, most precise 3-D map of our Galaxy Monitor 1,000,000,000 stars over 5 years, precisely charting position, movement, and brightness Expected to discover hundreds of thousands of new celestial objects Gaia European Space Agency Challenge: Capture data for 1 billion celestial objects 1,000,000,000 objects X 100 observations per object X 600 bytes per observation 60,000,000,000,000 (60TB) Solution: Caché, delivering 70,000+ sustained inserts per second per server, stored as real objects with SQL access 8

9 Caché Database Mirroring App Server App Server App Server ECP Mirror Set Server 1 Server 2 Built-in in High Availability and Automatic Failover, without complex and costly hardware and software Identity Management Problem How to accurately identify people (customers, products, ) across multiple applications and systems Solution Advanced d indexing i and matching technology for identification and de-duplicationduplication 9

10 Identity Management Caché Identity Matching Advanced Indexing Advanced indexing and matching capabilities provided as part of database engine Ensemble capabilities available for connectivity and workflow requirements Identity Management Easy to embed in applications Fully SQL enabled Works with existing data Caché Identity Matching High performance with no memory-bound scalability limits Supports distributed database configurations Advanced Indexing 10

11 Recent / Upcoming Releases Caché Caché Caché Released July 2009 Released February 2010 Field Test Underway Ensemble Advanced technology for developers of data-intensive applications Caché Ensemble DeepSee Connected Application Platform Dramatically cut the time and cost of developing new applications that link and build upon existing systems, in order to transform organizations into real-time connected td enterprises. 11

12 Rush Medical Center Nationally-ranked US university medical center Replacing legacy vendor and more than 600 interfaces Expanding beyond traditional interfacing to device integration and business process optimization We operate in a fast-changing environment and Ensemble makes it possible to focus on development rather than middleware The bottom line is that Ensemble enables our team to deliver projects at a quicker, more consistent pace and, ultimately, reduce our project backlog. CSC / NHS Responsible for healthcare IT in England s North, Midlands, d and East regions 60% of population Ensemble used As Trust Integration Engine for several hundred healthcare trusts As the central integration software for hosted applications and national systems 12

13 Ensemble for Personalized Genetics First-ever electronic transfer of comprehensive genetic data From Boston-based Partners Healthcare to Intermountain Healthcare in Salt Lake City Key milestone for VariantWire, a standardsbased network for exchanging genetic data Ensemble Packaging Services Events Messages Ensemble Healthcare Integration Engine Rapid development and deployment of sophisticated i connected applications Easy integration for healthcare systems and devices 13

14 DICOM The major standard for exchange of images and structured data between PACS, RIS and modalities Wide variety of diagnostic information with the metadata that makes it useable Ensemble will now route and transform DICOM messages as it already does with other healthcare messaging protocols New Portal 14

15 Recent / Upcoming Releases Ensemble Ensemble Ensemble Released July 2009 Released February 2010 Field Test Underway DeepSee Advanced technology for developers of data-intensive applications Caché Ensemble DeepSee Embedded d Real-Time Business Intelligence Empowering decision-makers at all levels of an organization by providing insight at the point of action 15

16 BI Convergence the ess e Run t Busin Improve the Business Continually Run the Business Better Embedded Real-Time Business Intelligence The Evolution of BI Traditional Periodic data extract from production systems Focused on strategic decisions Focused on specialist users, delivered through stand-alone alone tools Expensive site-by-site connection to applications DeepSee Direct, up-to to-the-minute access to critical data Focused on strategic and operational decisions Available to wide variety of users, delivered as integral part of applications Pre-connected to applications out of the box 16

17 Adding Embedded BI Application Module Module Module Application Module Module Module Module Advanced BI technology Predefined data model Task-specific optimization capabilities embedded in application workflows Starter set of reports, graphs, dashboards DeepSee Evolution Parallel Query Execution Portal Query Result Data Model Multi-Level Caching Engine Cached Results 17

18 DeepSee Evolution Portal Data Model Engine Improved DeepSee Data Models Existing Class Definition DeepSee Model Class DeepSee Model Class DeepSee Evolution Portal Data Model Add Screen Shot Engine 18

19 Advanced Software Advanced technology for developers of data-intensive applications Advanced healthcare solutions for providers, communities and nations Connected Healthcare Advanced healthcare solutions for providers, communities & nations TrakCare HealthShare Connected Healthcare Information System Advanced Web-based, based, patient-centric healthcare information system that rapidly delivers Electronic Patient Record benefits 19

20 TrakCare TrakCare Clinicals Electronic Patient Record Patient Index Integration Platform TrakCare PAS Comprehensive solution with EPR at the core Built from inception for the international marketplace Used in 25 countries (not U.S.) NHLS Hospitals & Clinics Nationwide Johannesburg Data Center National Health Laboratory System will provide complete lab / pathology services for 42 million people in South Africa Centralized system for staff in 228 labs KZN Region 58 Labs Northern Region 74 Labs Coastal Region 59 Labs Central Region 37 Labs 20

21 Hong Kong Baptist Broad set of administrative and clinical functionality for leading 800-bed private hospital Providing both Western and Traditional Chinese medicine Clear demonstration of flexibility to adapt to local workflows Sharjah New state-of-the-art teaching hospital opening summer

22 Scotland This contract will enable Health Boards across Scotland to implement a single, nationally available patient management system that will play a major role in improving patient services. Clinicians and patients will both be winners from a system which will track patient journeys from referral to discharge. It means clinicians will have easier and quicker access to medical records and patients will benefit from having more time with healthcare professionals. Nicola Sturgeon, Health Secretary TrakCare Strategic Product Focus Supporting Care across the Continuum Providing Business Process Flexibility Enhanced Usability Knowledge at the Point of Care 22

23 Connected Healthcare Advanced healthcare solutions for providers, communities & nations TrakCare HealthShare Health Information Network Platform First comprehensive solution for building electronic health records to share clinical data across multiple organizations on a regional or national basis HealthShare in the U.S. 4 leading RHIOs covering more than 7M patients 23

24 Sweden National Patient Summary Creates nationwide summary record linking all providers Aims to improve clinical results, patient safety, efficiency, and patient influence First county live in 2009 Roll Out HealthShare Architecture Identification Data Security Consent thshare Bus Portal Clinician EMR Terminology Registry Healt Gateways Content Provider 24

25 Healthcare Analytics Advanced healthcare solutions for providers, communities & nations Share Improve Optimize Capture Healthcare Analytics Caché Ensemble DeepSee Healthcare Data Model Healthcare Analytics Solution Global Healthcare Experience New product under development Ideas welcome 25

26 Your Creative Technology Partner Caché Ensemble DeepSee TrakCare Creative technology partner with a passion for excellence and client success HealthShare Advanced Software For Breakthrough Applications 26