Interoperability: Connected Ecosystem or Modern Tower of Babel

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Interoperability: Connected Ecosystem or Modern Tower of Babel Lisa R Esch Chief Population Health Innovation officer Americans Healthcare and Life Science DXC Technology

A little about me Work for DXC Technology which is the world s leading independent, end-to-end IT services company which was brought about by the merger of CSC and HP in 2016. Responsibilities focus on Population health, IT innovation and digital transformation Experience as a clinician, hospital leader and consultant. Favorite's include Big 10 football, watercolor painting, traveling, and family lesch2@dxc.com T: @lisaesch

HealthCare 3.0... Is an Integrated Journey Precision Medicine Machine Learning Artificial Intelligence Payer/Provider Convergence Closed Loop Risk Management Clinicians & Nurses Healthcare and Social workers Pharmacists GPs Home Help Outside-in approach to assets and capabilities Nano Technologies Robotics Intervention Block Chain TeleServices Cognitive Computing Care Analytics Next Gen. Medical Technology PATIENT Clinical Care Services Interoperability New Care and Incentive Models Chronic Care Mgmt. Clinical Care Mgmt. Care Coordination Population Health Mgmt. Multiple EMRs Changing funding models Integrated (care) cost analysis Health Optimisation and Coordination Personal Health Record API Economy IOT Aggregation Digestible Sensors Integrated Delivery Networks Specialist Networks Clinical Transformation & Population Health Management Requires a New Approach Replace text box with chapter logo

Broad Shifts in the IT Industry are Happening Siloed IT Functions Data center and asset rich Integrated, collaborative, shared processes across Development and Operations Cloud and asset light Technology / Services Business solution services IT Metrics Business Metrics Managed / Limited Partners Governed / Many Partners / Ecosystems Homogenous Heterogeneous & Hybrid Traditional applications Cloud native/aware application / microservices

Digital disruption is the next big cycle for IT services Paradigm Shift For IT Services Outside-in innovation Digital platforms Digitization of Impact on all Consulting fatigue workflow at scale sectors Beyond Just IT Product, service, business model Enterprise transformation Customer experience CEO top of mind Requiring Excellence On Multiple Dimensions Scale & skills Agility & cost efficiency Technology access Customer intimacy

Interoperability where are you today? Outside-in approach to assets and capabilities PATIENT Clinical Care Services Care Analytics Next Gen. Medical Technology Interoperability New Care and Incentive Models Personal Health Record API Economy IOT Aggregation Digestible Sensors Integrated Delivery Networks Specialist Networks Are the challenges of interoperability contributing to patient, consumer, provider and physician burnout? Replace text box with chapter logo

A few questions to think about. Has digital transformation moved faster than your organization can plan, fund and execute? Are you stuck in an interoperability strategy that is not supporting where you need to go toady? Can the EMR really be the center of all things? What can we learn from other industries? How are you thinking about blockchain and can there be use cases that can be applied today? How can we manage security around all this connectedness? Where does workplace and mobility fit into interoperability? How can we really drive and support customer engagement? Clinical Transformation & Population Health Management Requires a New Approach Replace text box with chapter logo

An Interoperability Success Story

UPMC We wanted to create a Golden Record for our 5.8 Million patients where the majority of UPMC staff can effectively and efficiently interact with them and no longer be required to work from source systems like our EMR. UPMC www.umpc.com An integrated global nonprofit health enterprise that has 60,000 employees, over 20 hospitals with more than 5,000 licensed beds, 500 clinical locations including outpatient sites and doctors offices, a 3 million-member health insurance division.

Thank You! lesch2@dxc.com T: @lisaesch