2
The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decision. The development, release, and timing of any features or functionality described for Oracle’s products remains at the sole discretion of Oracle.
Safe Harbor Statement
3
• Leadership in Healthcare
• Innovation in Healthcare Solutions
• Results Achieved by Oracle Customers
Agenda
4
Oracle inHealthcare
Did You Know?
20 of the top 20 US Health Insurers run Oracle Applications
10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications
More than 350 leading healthcare providers run Oracle Applications
More than 80 Healthcare Payers run Oracle Applications
5
Address Post-merger Integration and Governance
“How can my organization face industry consolidation and continue to meet increasing national and regional governance demands?”
“Our enterprise applications are strategic, allowing Wellpoint to quickly integrate acquisitions and still meet regulatory requirements.”
“How can I make healthcare information transparent through self-service channels so that customers are empowered to make the right health choices?”
“The Blues are committed to developing long-term and thoughtful policy solutions to the challenges of rising healthcare costs and the growing number of uninsured Americans.”
Enable Consumerism
Create An Agile Profitable Business
“How do I respond rapidly to a dynamic market and improve profitability?”
“Companies that operate in many different markets need to accurately address the profitability of members and adjust rates accordingly."
The Challenges We’re Hearing
6
• “Consumerism in health care is based on the idea that individuals should have greater control over decisions affecting their health care”
• As consumers share less of the direct costs of healthcare they become less concerned about costs
“How can I make healthcare information transparent through self-service channels so that customers are empowered to make the right health choices?”
“The Blues are committed to developing long-term and thoughtful policy solutions to the challenges of rising healthcare costs and the growing number of uninsured Americans.”
Enable Consumerism
0
10
20
30
40
50
60
1960 1980 2000
Share of NationalHealthExpenditures Paidby Consumers
The Challenges We’re Hearing
7
Enable Consumerism
Requirement Oracle Capability The Oracle Difference
Understand provider quality metrics to support pay for performance
Healthcare Business Intelligence
Most complete set of capabilities to support pay-for-performance initiatives
Support collaboration amongst the plan, providers and members
Healthcare Information Exchange (HIE)
Only next-generation, standards-based technology for meaningful healthcare information exchange
Create effective medical management programs
Claims Service,Member Outreach, Claims Intelligence
Most advanced analytics to target member populationsfor medical outreach
8
Enable Consumerism
Requirement Oracle Capability The Oracle Difference
Understand provider quality metrics to support pay for performance
Healthcare Business Intelligence
Most complete set of capabilities to support pay-for-performance initiatives
Support collaboration amongst the plan, providers and members
Healthcare Information Exchange (HIE)
Only next-generation, standards-based technology for meaningful healthcare information exchange
Create effective medical management programs
Claims Service,Member Outreach, Claims Intelligence
Most advanced analytics to target member populationsfor medical outreach
9
Three Key Customer Challenges
Improving Customer SatisfactionIncreasingly, customer satisfaction is synonymous with the brandDissatisfaction with any channel causes higher costs A superior customer experience increases retention
Improving ProductivityLeveraging customer “Self-Service” claims via the webSupport online eligibility verificationManaging Health Savings Accounts
Reducing CostsReduce claims adjustmentLessen group administrative burdenEliminate claim re-work Minimize fraud and appeals
2
1
3
Enable Consumerism Claims Service, Member Outreach
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Enable Consumerism Claims Service, Member Outreach, Claims IntelligenceClaims Service
Network ManagementEnterprise Analytics
BPELBPEL
Enterprise Integration
NetworkNetworkPlanPlan
Oracle Business Intelligence Foundation
ODSSystem
Data Mart
Custom Apps
FileEssbase
Common Enterprise Information Model
BPEL
11
Enable Consumerism: Claims IntelligenceLeverage Claims Data
Mine claims data to understand utilization trendsImprove customer service through embedded analytical insightsEnsure network mix and geographic distribution match membership needs
HEALTHCARECLAIMSDATA
ACCOUNT MANAGEMENTUnderwritingPerformance Reporting
MEMBER SERVICESClaims inquiriesCDHP SupportPersonal Health Record
MEDICAL MANAGEMENTWellness ProgramsDisease ManagementCase ManagementUtilization Review
PROVIDER MANAGEMENTClaims InquiriesPerformance AssessmentContract NegotiationsPay-for-performanceNetwork Adequacy Evaluation
PRODUCT MANAGEMENTProfitability by LOB, etc.Benefit Change ImpactPricing
12
Case Management / Medical & Utilization Management
Handle Complex Case Management• Multiple distinct case stages• Case Serialization• Case / Sub-Case Management• OOTB support for many case types
Simplify forms processing• Integration to Adobe Form Server• Automatically output Siebel information to
standardized Adobe (PDF) formats
Improve case management and utilization review through Siebel UCM
First and Only Enterprise Case Management Solution
Case management for: fraud and abuse; benefits; adjudication; appeals and grievances
Enable ConsumerismClaims Intelligence
Horizon Significantly Reduces Business Costs and Improves Customer Service
CUSTOMER PERSPECTIVE“We’ve added 200,000 new members while reducing call wait times 20%.”Bill Marino, CEO
COMPANY OVERVIEWIn business for over sixty years, Blue Cross Blue Shield of New Jersey is the largest health care provider in New Jersey. Blue Cross Blue Shield of New Jersey has won many awards, including an award for having the top ranking in the New Jersey HMO Performance Report in 2004 and the 2004 Brand Excellence Award from the Blue Cross Blue Shield Association.As New Jersey’s largest health insurer, Horizon Healthcare Services, Inc. provides coverage to more than 2.9 million people throughout the state.
CHALLENGES/OPPORTUNITIESNeeded to upgrade call center and sales force system to better serve its customersNeeded to reduce administrative costs
SOLUTIONSOracle’s Siebel Call Center
Siebel Sales
Siebel Service
RESULTS• Reduced training for new hires from 20 to
4 weeks• Improved representative productivity by
15%• Reduced call times by 20%• Reduced call wait times by 20%
14
Horizon Healthcare Services is #1 with Oracle CRM
March 2005Horizon Blue Cross Blue Shield Of New
Jersey Wins Brand Excellence Award For The Second Consecutive Year
(Newark, NJ, March 17, 2005) – Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) has received a Brand Excellence Award from the Blue Cross and Blue Shield Association for the second consecutive year. Horizon BCBSNJ was selected based on its brand awareness as well as its member experience in its market. Horizon BCBSNJ ranked first among all Blue Cross Blue Shield plans nationwide in member experience, a composite measure of overall customer satisfaction, likelihood to recommend the plan, and likelihood to renew with the plan. Horizon BCBSNJ ranked third in member experience last year.
Horizon Healthcare Services, Inc. Leverages Siebel Healthcare [Oracle] to Earn Number One Ranking for Member Experience; New Jersey's Largest Health Insurer Uses Siebel Healthcare to Provide World-Class Service to 3.1 Million Members
SAN MATEO, Calif. --(Business Wire)-- May 16, 2005 --Siebel Systems, Inc. [now Oracle], the leading provider of customer-facing solutions, today announced that Horizon Healthcare Services, Inc. was ranked number one for Member Experience by independent research firm Synovate. The survey evaluated 62 healthcare markets, and Horizon's performance advantage over its New Jersey competitors was the widest margin of any plan in Synovate's national market research. Horizon is a long-time Siebel Systems customer, and since deploying Siebel Healthcare in 2002, Horizon has achieved year-over-year improvement in its ranking by Synovate, this year earning the number one spot. Siebel Healthcare is designed to integrate member and provider communications channels, consolidate member and provider information across claims systems, and reduce plan administration costs.
15
Enable Consumerism
Requirement Oracle Capability The Oracle Difference
Understand provider quality metrics to support pay for performance
Healthcare Business Intelligence
Most complete set of capabilities to support pay-for-performance initiatives
Support collaboration amongst the plan, providers and members
Healthcare Information Exchange (HIE)
Only next-generation, standards-based technology for meaningful healthcare information exchange
Create effective medical management programs
Claims Service,Member Outreach, Claims Intelligence
Most advanced analytics to target member populationsfor medical outreach
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Pharma and Med Products
RHIO Utility
Provider Citizen
Payer
National and Local Public Health Authorities
• Disease/Bio Surveillance• Outbreak & Countermeasure
Response• Health Alerts• Drug Surveillance• Medical Research• Registries
Concept: Integrated Data Across the Healthcare Ecosystem
•ePrescribing•Referral generation•E.H.R.•Universal scheduling•Cohort ID for research•Clinical quality programs
•PHR•Provider transparency•Treatment options•Disease education•Wellness orientation
•Translational research•Drug surveillance•Clinical data from providers•Post trial surveillance
•Claims processing and payment•Coordination of Benefits•Care management•Provider Management
Information GovernancePrivacy & Security Management
Data Retrieval andData Management
Data Manipulation Services
Data Analytics
17
The Challenges and Benefits of Information Sharing
ChallengesMultiple disparate clinical systems resulting in inability to gain clear understanding of care delivered and required across the continuum of care
Cost and complexity of reporting quality metrics due to lack of interoperability
Shrinking workforce and growing patient requirements with potential to adversely impact quality of care
SolutionsDevelop an interoperability platform that supports continuity of care across the continuum, knowledge bases, and evidence based clinical practice
Provide users with business intelligence tools that are able to collate data from across the enterprise/community/globe
Provide clinical decision support tools to ensure patient safety and best practice outcomes
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Oracle’s: Health Information Exchange (HIE)Improve the Accuracy and Availability of Secure Clinical Information
MessageNormalization
(RIM or IHE) Clinical DataWarehouse
TransformMessages
into aCommonFormat &
Route
Normalized Clinical DataRepository
TerminologyNormalization
TranslateDisparate
Vocabularies& Concepts
Clinical Information Reuse
Custom or 3rd PartyApplications
Handheld Support
Regional Health Networks
Message Services
Person Services
Security & Auditing
Healthcare Transaction BaseFMW/SOA Suite DW/SOA Suite/FMW
Security, Access & Identity Management
Clinical Decision Support
Business Intelligence
SourceSystems
Pharmacy
Labs
CIS
KnowledgeBases
Clinics
DataModel
Healthcare Portal / MPI / Knowledge Bases (ISV Partners)
Healthcare specific services architectureStandards based (meaningful clinical data)Web access for patient centered care
MD Office
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Stockholm County Delivers Clinical IT Services using SOA
CUSTOMER PERSPECTIVE“Stockholm County has chosen to implement a Service Oriented Architecture to support future Healthcare IT development because …"Jack Robinson, IT Manager Stockholm County
COMPANY OVERVIEW
Largest county in Sweden, serving 1.9m citizens, namely 20% of the population. Consists of 26 municipalities spread over 6’500 km2 with total Healthcare IT spend of $200m per annumProvide Healthcare services to citizens including 22’000 GP visits, 7’000 hospital admissions, 500 operations, 60 births and 6’000 dental visits per day
CHALLENGES / OPPORTUNITIESComputerised islands of Electronic Medical Record information with over fifteen systems in the county
Many systems developed in the 1970’s and lacking in flexibility
Strong IT departments at each hospital with limited coordination of budgets, developments, projects and procurements
GOALS / SOLUTIONSPatient centered common lifetime medical recordActive self care by the patient (“The Internet Patient”)SOA approach to future systems developmentCommon storage, web services, clinical applications, presentation and security services for Healthcare IT
RESULTS• Basic infrastructural building blocks,
including common storage, services, application and portal layers developed
• First pilot rollout to group of GPs underway, with live patient data
• SOA platform will enable consolidation of existing applications with increased quality of service and enable the vision for ‘One Person, One Health Record’
• <Plus quantifiable business benefits>
Stockholms läns landsting
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Son Dureta Delivers Meaningful Clinical Data to Clinicians
CUSTOMER PERSPECTIVE“Hospital Son Dureta has chosen to implement a normalized clinical database combined with web-based clinical applications with technology from Oracle Healthcare and Orion Health because we believe that this offers the most solid IT platform to assist our clinicians in their work.”Joan Marquès Faner, CIO, Son Dureta
COMPANY OVERVIEWLargest health facility in Spain’s Balearic Islands, operating 900 beds and employing 3600 people across 5 facilities, hosting the islands’ reference laboratory, used for specialist tests that cannot be performed elsewhere.
Generates over $6 B in yearly revenue and employs over 26,000 people
CHALLENGES/OPPORTUNITIESDifferent IT systems (LIS, RIS, HIS) operate independently; clinical data is stored in a multitude of formats and terminologies vary between departmentsDoctors in emergency room only receive information onpaper from triage zone, orders are made on paper andhanded to lab and radiology, doctors need to wait for testresults to arrive on paperThe current systems cannot be adapted to store new typesof information such as imaging
SOLUTIONSOrion Health and Oracle Solution
Oracle Healthcare Transaction BaseOrion Health Rhapsody Integration Engine and ConcertoClinical apps portal (including CPOE)CDRED apps with integrated clinical data
RESULTS• Integrated and relevant clinical data is
stored in a comprehensive standards-based repository
• Clinicians can search and view information and order tests electronically through a clinical web portal
• An electronic display shows up-to-date information about patients currently in the emergency department
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Biobank Will Improve Clinical Research with Oracle Applications
COMPANY OVERVIEWThe UK Biobank project is set to become one of the world’s largest resources for studying the role of nature and nurture inhealth and disease It involves collecting biological samples and data on the medical history and lifestyles of up to half a million participants ages 40-65 and monitoring their health changes over a 30-year periodThe results will help researchers understand the biology of health and disease and could lead to the prevention and cure of many later-life disorders
CHALLENGES/OPPORTUNITIESBuild a secure repository to protect the confidential medical, health, and lifestyle data collected on participant and ensure that access to it is restricted to authorized parties
SOLUTIONSHealthcare Transaction Base (HTB)Oracle Access, Security and Identity ManagementOracle DatabaseOracle partner JoraPh Consulting
EXPECTED RESULTS• Scalable healthcare information
repository• Integrated and comprehensive view of
patient information• Integration of clinical record data with
30 year research study• Best of class data access, identity
management and security• On time and on budget implementation
February 2007
CUSTOMER PERSPECTIVE“We chose Oracle Healthcare Transaction Base for its robust, high performance infrastructure, proven functionality, compliance with national an international protocols, and adherence to the strictest, globally recognized data access and security standards.”Steve Walker, Chief Information Officer UK Biobank
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Centers for Medicare and Medicaid Services
COMPANY OVERVIEW• The Medicare and Medicaid programs were signed into law
on July 30, 1965. The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law on December 8, 2003. This historic legislation added an outpatient prescription drug benefit to Medicare. Medicaid provides health care services to low-income children and families, caretakers, elderly, the blind and individuals with disabilities. It includes numerous servicesincluding periodic screening, pregnant women and infant care and a prescription drug rebate program.
CHALLENGES / OPPORTUNITIES• Provide a “document” centric view of the data in Oracle COTS
financial modules• Trace a source document form initiation to completion and
track all related financial and non-financial activity• Automate manual processes to facilitate customer service
support• Improve technology performance• Enhance functionality• Meet Federal mandates
SOLUTIONS• Oracle eBusiness Suite• Oracle Application Server 10g
CUSTOMER PERSPECTIVE“Under John Stanley’s direction (Oracle) the custom HTB ETL component was re-architected and fortified to meet rigid operational standards and guidelines required by CMS for production implementation. This effort culminated in the recent production go love of the HTB solution for HIGLAS on May 1, 2007 for one of the Medicare contractors. The remaining contractors are targeted to be transitioned to the HTB production solution by September 30, 2007 which coincides with the end of FY07 for CMS.”
RESULTS• Achieved an additional $9 million of interest earned
in trust funds during first seven months utilizing Oracle Financials General Ledger
• Document centric view of transactions• Faster access to history of claims• First contractor was implemented smoothly• There was a dedicated Oracle and IBM team
focused on jointly resolving issues; therefore, debugging and fixes were turned around quickly
23
Sample Oracle’s Health Information Exchange Customers
COMPANY PROFILE CHALLENGES & SOLUTIONS RESULTSOPPORTUNITIES
Clinical data exchange for lab orders, results, and payment between providers and payers.
Aggregate disparate clinical data from multiple health entities normalized to make it comparable for point of care info and bio-surveillance
Longitudinal EHR & Physician Portal
Dated integration solutions
FMWLive, processing data . Competed against all major IE vendors
HTBBPELOBI
HTBFMW
FMW
Standards based integration platform for M&A growth , modernization, efficiencies
Integrated and normalized clinical data stored in a standards-based repository for clinician search and viewing of lab results, bio-surveillance and consumer empowerment
Better information at the point of care for better quality of care. Just completed User Acceptance Test
Clinical data exchange within and across disparate entities.
AmeriPath
ONC/NHIN Prototype
Louisiana HIE
Military Health System
Children's Health System (Alabama)
Mississippi Medicaid
Data aggregation and content normalization for longitudinal EHR for patient identification, allergies, meds, labs and clinical documentation
Aggregate disparate claims and clinical data; Normalized to make it comparable
Oracle HTBFMWIdentity Management
Oracle HTBFMWAnalytics
Fraud and abuse detection
Aggregation of clinical data
24
Enable Consumerism
Requirement Oracle Capability The Oracle Difference
Understand provider quality metrics to support pay for performance
Healthcare Business Intelligence and Provider Billing
Most complete set of capabilities to support pay-for-performance initiatives
Support collaboration amongst the plan, providers and members
Healthcare Information Exchange (HIE)
Only next-generation, standards-based technology for meaningful healthcare information exchange
Create effective medical management programs
Claims Service,Member Outreach, Claims Intelligence
Most advanced analytics to target member populationsfor medical outreach
25
Strategy Development
Capital Allocation
Revenue Cycle Management
• What services do I make money? Lose money? Why?• In which services should I invest? Divest? Improve financial performance? • How do my hospitals services compare across the health system?• How can I optimize service location? Should I consolidate services?• How can I influence physician behavior to affect quality and efficiency?
• What is my profitability across service lines by hospital?• Where should I focus my cost reduction initiatives? How do I track success?• Why are costs for X service increasing, is it labor, supplies or physician practices? How can we decrease
these costs?• Are patient care processes following protocols? Why not? Is it physician or patient complexity driven?• What physician should set standards for others?
• What impact to my bottom line will a rate change create? Can I afford to sign this managed care contract? Can I afford not to?
• What types, how much and where are my denials originating?• How relative is my pricing to cost? Comparatively throughout my system?• Are my payors paying correctly? Timely?• Can I compare my payors profitability and score them?• Am I charging for all the services I am performing?
Operations Improvement
• What services should I invest capital? What financial return can I expect?• What is the ROI for a capital purchase?• What incremental ancillary capacity will be affected by additional capital purchases?
Hospitals must have reliable information to address strategic decisions as well as daily operational insights in running the business
Copyright © 2007 Deloitte Development LLC. All rights reserved.
26
Source System(s)
Excel,Various Report Writers
ERP / Supply Chain
Source System(s)
Revenue Cycle
Source System(s)
CIS
Source System(s)
DSS
End UsersEnd Users
End Users End Users
Decision Makers
End Users
Decision Makers
Decision Makers
Datawatch MonarchReports
CrystalReports
Excel, Proclarity, Others
Ad Hoc Analyses: • Clinical outcomes analysis• Case-mix analysis• Denials management reporting• Expense variance analysis
• Clinical pathway variance analysis
• Medical claims analysis• Financial planning analysis
• Purchasing analysis• Market share analysis and
forecasting• Patient satisfaction analysis
Multiple Audiences Have Resulted in Multiple Reporting Systems and Inconsistent Data
Copyright © 2007 Deloitte Development LLC. All rights reserved.
27
• Reduction in surgical site Infection rates
• Reduction in inpatient mortality associated with AMI
• Reduction in nosocomial infection rates
• Reduction in ventilator associated pneumonia (VAP)
Clinical Outcomes
Operational Quality
Surgical Patients• Antibiotics administered 1 hour prior to surgical
incision• Appropriate pre-operative hair removal through
clipping• Glucose levels at or below 200mg.dl
AMI• Aspirin at arrival• Beta-blockers at arrival• Thrombolytics within 90 minutes of arrival• Smoking cessation counseling prior to discharge
Patient Safety
• Reduction in adverse events/ 1000 patient days
• Reduction in ADE/ 1000 doses
• Reduction in patient falls/ 1000 days
• Reduction in Type III & IV pressure ulcers/ 1000 days
Service Excellence
• Overall Patient Satisfaction
• Staff and departments worked together as team
• Staff’s efforts to include you in decisions about your treatment
• Overall cheerfulness of staff
• Staff Satisfaction
• RN Turnover rate
Metrics that MatterA Few Representative Examples
Copyright © 2007 Deloitte Development LLC. All rights reserved.
28
End Users ExecutiveTeam
Information
Quality Management Information
Physician/Clinical Management Information
FinancialInformation
Managed CareInformation
Data Integration(Comprises the processing engine to collect, cleanse,transform, and aggregate data from diffferent sources)
Enterprise Portal(Provides a single, secure and integrated point of access to reports, content, and applications)
Data Aggregation and Storage(Comprises the data repository of historical details and summary transaction data)
Access / AuthorizationPresentation, Personalization
Views Views Views Views Views Value Delivered
Business Intelligence(Provides reporting and analytic capabilities across varying levels of granularity and timeliness (e.g., historical, operational, predictive and what-if analysis) CI
S
Supp
ly C
hain
DSS
Reve
nue
Cycl
e
Infrastructure(Comprises the infrastructure platformto host, maintain and operate the BI solution)
Online Analytical ProcessingPre-Defined Data CubesPre-Defined Reporting
Data ConsolidationHistorical data
Data ExtractionData CleansingData Loading
Data Sources, Real time dataCertain operational reports
Data Acquisition(Comprises internal, external, reference,and shared sources of data)
Hardware, SoftwareNetwork Operations
ERPCISRevenue Cycle Decision Support
Information Management Eco-System
Copyright © 2007 Deloitte Development LLC. All rights reserved.
29
Acquisition, Integration and TransformationETL, HL7, X12, XML, BPEL, BAM, Workflow, Data Hubs, Terminology Services
Presentation ToolsStandard/Ad Hoc Reports, Dashboards, Event Driven, Balanced Scorecards
Infrastructure ManagementConfiguration, Security, Backup, Scheduling, Identity Management
Actionable IntelligenceIndividualized AccessAccountability
Multiple Tools/ProtocolsCommon FrameworkEnterprise Enabled
Reduced ComplexityImproved PerformanceIncremental Updates
Reduced CostsIncreased SecurityImproved Compliance
Less Integration EffortImproved AccuracyReduced Latency
Virtual Single Instance Scalable, Robust, SecureDICOM Support
Business Intelligence and AnalyticsBusiness Rules, Transactional Processing, OLAP
DatabaseReal Applications Clusters
Content DeliveryAccess Unification, Personalized Portals, Un/Structured, Notifications(Email)
End UsersExecutive
TeamInformation
Quality Management Information
Physician/Clinical Management Information
FinancialInformation
Managed CareInformation
Views Views Views Views Views Value Delivered
Oracle Infrastructure for B.I.Comprehensive Solution from a Single Vendor
Copyright © 2007 Deloitte Development LLC. All rights reserved.
30
Impact of Having Provider Performance Data
Impact on Payers
• Transparency to stimulate provider accountability and improvement
• Improve compliance with guidelines, evidence-based practice and reduce variation
• Direct members to high performing providers
• Continued refinement of reliable, defensible measures supported by sufficient sample size, available data, and balanced framework
Impact on Employers
• Consumer cost, efficiency and quality awareness
• Informed purchasing and selection of services
• High performing provider networks that reduce medical costs and improve outcomes
• Meaningful measures that differentiate performance
• Measure individual providers to differentiate performance
Copyright © 2007 Deloitte Development LLC. All rights reserved.
31
Oracle Business Intelligence–What is it?
• Comprehensive Suite of Enterprise Analytic Applications across Front and Back Office
• Actionable Information for All Users
• Rich, Real-time Insights from All Enterprise Data
• Next Generation BI Platform
32
Business IntelligenceGain Insight Into Patient Conditions, Treatments and Outcomes Achieved
OracleBI Server
OLTP & ODSSystems
Data WarehouseData Mart
OraclePeopleSoft, Siebel,
Custom Apps
FilesExcelXML
BusinessProcessEssbase
Multidimensional Calculation and Integration Engine
Intelligent Caching Services
Intelligent Request Generation and Optimized Data Access Services
Common Enterprise Information Model
Ad-hoc Analysis
Interactive Dashboards
ProactiveDetectionand Alerts
MS Office& OutlookIntegration
Reporting & Publishing
Disconnected& MobileAnalytics
Data Integration
Essbase Analytics
Extended and Unified Clinical/Business Intelligence Infrastructure
33
Business IntelligenceGain Insight Into Patient Conditions, Treatments and Outcomes Achieved
Oracle’s BI Product Strategy• Integrated Business Intelligence Database
• Business Intelligence & Data Mining Functions Integrated in Database• Integrated Business Intelligence Tools
• Best-of-Breed, Next Generation Business Intelligence Technology Platform• Integrated Analytic Applications
• Enterprise Wide, Industry Specific Analytic and Corporate Performance Management Applications
• Fastest Time to Value & Lowest TCO• Pre-packaged Performance Management & Analytic Applications• Across Siebel, PeopleSoft, e-Business Suite, JDEdwards, & other systems
Utilizes Any Information Technology Environment
34
An Enterprise Performance Management System
Oracle Business Intelligence Foundation
OLTP & ODSSystems
Data WarehouseData Mart
OraclePeopleSoft, Siebel,
Custom Apps
FilesExcelXML
BusinessProcessEssbase
Common Enterprise Information Model
Reporting
Modeling Planning Budgeting FinancialManagement Consolidation Scorecards
PlanningOperational BI
Clinical ClinicalAnalytics
HumanResources
Order Management& Fulfillment
SupplyChain
Service &ContactCenter
Scorecarding
Business IntelligenceGain Insight Into Patient Conditions, Treatments and Outcomes Achieved
35
BI Accelerator Defined
What is the B.I. Accelerator?
• Business Intelligence accelerator for Healthcare Providers – “Provider BI IndustryPrint”
• Pre-built toolkit containing 1. Preconfigured Data Model in Oracle DW2. Templates for 40+ Reports/Dashboards 3. Repository of over 250 KPIs
• Encompasses four subject areas• Clinical Quality and Patient Safety• Revenue Cycle• Supply Chain• Decision Support
• Built on Oracle utilizing• Data warehouse technology• Business Intelligence• Portal presentation layer
• A demo to see an example of the end game
What does the B.I. Accelerator enable?
• Integrated Performance Management across Healthcare operations
• Granular data analytics for decision making by hospital administrators
• Performance Measurement by service lines, DRG, departments, payors, physicians, etc.
• Extensibility for future expansion of metrics and subject areas
• Scalability across the health system and “one-stop” solution for all business intelligence needs
36
Blue Cross Blue Shield of Florida Reduces Time and Cost of Data Analysis
CUSTOMER PERSPECTIVE“Before we installed [Oracle] Siebel Analytics, .. we had to hire consultants to do the job, at a cost of $1,000 per report…Now we’re generating the reports on our own and saving about $4 million a year – the turnaround time is down to approximately three days.”Lisa Davis, Manager of Enterprise
Business Intelligence
COMPANY OVERVIEWBlue Cross and Blue Shield of Florida (BCBSFL), a leader
in the state’s health industry, serves more than 8.3 million people and holds a 29 percent market share, more than double the nearest competitor. BCBSF reported in 2005 consolidated total revenue of $6.97 billion and a profit margin of 4.9 percent. Statewide, the company provides employment for approximately 8,400 individuals in Jacksonville, Miami, Ft. Lauderdale, Orlando, Tampa and Pensacola.
CHALLENGES/OPPORTUNITIESStreamline the labor-intensive, costly and slow data analysis processAccess and analyze data stored in a number of legacy systemsDeliver reports in a timely manner; reduce turnaround time
SOLUTIONSOracle’s Siebel Analytics used by 2,000+ internal employees across the enterpriseIntegrated real-time and historical data from 15+ different database platformsLive after 45 days
RESULTS• Reduced costs of reporting/consultants
by $4 million in the first year• Reduced time for reporting and analysis
from 30-60 days to approximately 3 days or less
• Improved group medical loss ratio • Reduced time for complex security
parameter requirements for HIPAA compliance from 1,000 hours to 20 hours
37
The Only Complete Healthcare Solution
PlatformPlatform
PeoplePeopleProcessesProcesses
PartnersPartners
CustomerResults
CustomerResults
Most ComprehensiveHighest RatedOnly vendor in Gartner and Forrester leader quadrants for all Middleware components.
Best-Selling••32,000+ Customers Deployed 32,000+ Customers Deployed
••70% of World70% of World’’s 50 Largest Firmss 50 Largest Firms
••$1B+ Business $1B+ Business
SOA Vendor of Choice
Source: Forrester Research ranking of Application Platform Servers, April 2005
Market-Leading Middleware Platform
40
950 customers participating in Customer Advisory Boards
500 Industry & Product strategy council members
35 Fusion strategy council members
1,300 participants in early customer adoption programs
425 user groups
30,000 applications customers
220,000 database customers
5,000 middleware ISVs
1,700 application ISVs
9,000 database ISVs
30,000 middleware customers
29,000 developers, support engineers and consultants
Oracle’s People Advantage
275,000 customers
benefiting from shared innovation
41
• Leadership in Healthcare• Innovation in Healthcare Solutions• Results Achieved by Oracle Customers
Agenda
42
What Customers are Achieving…
increased enrollment by 200% with on-line quoting
added 200,000 new members while simultaneously reducing both member services call duration and wait times by 20% utilizing Oracle Siebel Contact Center
reduced sales and enrollment costs by 50% utilizing Oracle Siebel Healthcare Sales
reduced costs of reporting/consultants by $4 million in first year of Oracle Siebel implementation
achieved an additional $9 million of interest earned in trust funds during first seven months utilizing Oracle Financials General Ledger