Investing in technology to improve the patient experience

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

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

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

4. Single purpose

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

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

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

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. Business process design • 300 business processes designed

12. Integration

13. Schedule 2006 2007 Design / Config /Testing Pilot3 sites Set upShared AP Rolled out to 37 hospitals

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

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