1. Cloud, Mobility and
Integrated Care
The Virtuous Cycle of Cost
Effective Patient Care
Alex Brown
CEO, 10th Magnitude
Dan Blake
SVP of Software Product
Development, Valence Health

2. 10th Magnitude and Valence Health
10th Magnitude is an all-cloud software and services firm
specializing in Microsoft’s Windows Azure platform. They
develop custom software applications, provide application
management and enable Microsoft Azure migration to help
businesses of all sizes innovate and compete more
effectively. 10th Magnitude is an Azure Circle partner and
sits on Microsoft’s cloud advisory committee.
Valence Health offers a complete suite of solutions that
empower provider organizations as they transition to
value-based care. With 20 years of experience and unique
data collection and analysis solutions, Valence Health is a
leader in population management and clinical
integration, serving more than 35,000 physicians and 115
hospitals, helping them manage the health of over 15
million patients nationwide.

3. The Opportunity
The combination of
cloud and mobility will
revolutionize the way
healthcare is delivered.

4. Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient
view, making collaboration difficult, costly and error-prone.
“Traditional” Architecture
Enterprise A
Application
Healthcare App Infrastructure

5. Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient
view, making collaboration difficult, costly and error-prone.
“Traditional”
Enterprise A
Application
Healthcare App
Infrastructure
“Modern” Architecture
Enterprise A
Application #1
Application #2
Enterprise Healthcare App
Infrastructure

6. Evolving Healthcare Architecture
Today’s Data Silos prevent a complete cross-enterprise patient
view, making collaboration difficult, costly and error-prone.
“Modern”
“Traditional”
Enterprise A
“Future” Architecture
Application
Enterprise A
Healthcare App
Infrastructure
Enterprise B
Application #1
Application #1
Enterprise
Healthcare App
Infrastructure
Enterprise
Healthcare App
Infrastructure
Shared Healthcare App Infrastructure
Enterprise A
Application
#1
Application
#2
Enterprise Healthcare App
Infrastructure

7. Key Architectural Components
Many components are
required for crossenterprise information
sharing and collaboration.
Cloud technology is
uniquely positioned to
provide these in a
enterprise-agnostic way.
Shared Healthcare App Infrastructure
Patient
Identification and
Matching
Data Exchange
Standards
• Document /
Repository
• Federated
Workflow /
Messaging
Consent
Management
Shared Schemas
Provider Directory
/ Security

8. Just Keeping the Lights On Versus Innovating
For Patients—Without Raising Costs
Which of the following IT projects are completed or will be completed within the next 24 months?
2013
Without
cloud these
Basics take
up
time, resou
rces and
capital.
2012
0%
20%
40%
60%
80%
EMR or EHR
Computerized physician order entry
E-prescribing
Storage Upgrade
Network Upgrade
Patient Management System
Patient web access to personal health record
Picture archiving communications system
Clinical decision support
BI tools for analyzing medical data
All the Nice to
Have projects
become
financially viable
with cloud.
Chronic disease management
Personalized medicine
Telemedicine or telehealth
Fraud identification systems
Predicative analysis (clinical)
Big data analytics
Robotics for patient treatment or care
Base: 363 respondents in January 2013 and 337 respondents in January 2012 working at a doctors’ practice, hospital, healthcare center or other healthcare provider
Data: InformationWeek Healthcare IT Priorities Survey of business technology professionals

9. Cloud Knocks Down the Barriers
What are the barriers?
Secure public
clouds, such as HIPAAcompliant Windows
Azure, disrupt the
current barriers to
data interchange.
Legal/Regulatory
Impediments
Diversity of
Marketplace
Technology
Providers
Lack of system
Interoperability

10. Stable Infrastructure; Agile Applications
Communications
Operations Management
Security
Collaboration Services
Presentation and Point of Access Services
User Processes
AGILE
use
Identity Management Services
Authentication, Authorization and Privacy Services
Service Publication and Discovery Services
Business Processes
use
Electronic Care
Record Services
Care Domain
Services
Registry
Services
Connected Health Services Hub
Integration Services
Service Interfaces
STABLE
Business Components
Data Access Logic Components
use
Data Services
System Management Services
Communication Services

11. Mobile Devices Exponentially Expand Agile
Application Opportunities
• Seamless data exchange across care continuum will facilitate
intergroup and cross-enterprise collaboration
• Mobile devices enable true collaborative telemedicine and
telehealth scenarios regardless of patient and doctor
location.

12. Cloud-Enabled Mobile Access: The Possibilities
• Complete longitudinal patient record from ambulatory, in-patient and
ancillary settings
• Integrated Electronic Medial Record (EMR) with near-real-time
physiological monitoring data
• Integrated longitudinal workflow across healthcare enterprises
• Seamlessly integrated Personal Health Record (PHR)
• Fully integrated provider-to-provider real-time messaging and
voice/video conferencing
• Social media-like patient-to-provider collaboration
• Cross-enterprise patient-centric analytics and population health
management

13. Making Seamless Mobile Patient Information a Reality:
Healthcare Cloud Infrastructure is the Next Step
We need to achieve
interoperability at the
architectural, syntactic and
semantic levels with LOB
applications.
Shared cloud
infrastructure is key to
making this a reality.