Microsoft
Briefing to
London NHS IT Directors
Mark Treleaven & Richard Lane
Microsoft UK – NHS team
Microsoft in Healthcare World Wide StrategyMicrosoft in the NHS The NHS Enterprise Agreement Demonstrating value The Common User Interface Programme Infrastructure Maturity model
Engaging with Microsoft
Agenda
Knowledge
Driven Health
Connecting people and systems, enabling improved collaboration for
more informed decision making, improving patient safety, personal health
and clinical outcomes.
Privacy
Accessibility
Usability
Security
Standards
Interop
Policy
Connected Health Platform
Architecture and Design Blueprint
And Reference
Implementations
Systems
Management, Privacy and Security, IdM, Data Access, Integration
Collaboration,
Presentation and Point of Access
Service Oriented Architecture, Business Intelligence & Reporting,
Shared Services
Infrastructure
“Shared Services“– Common Client Index, Content. Management, Enterprise Search,
Forms Management,
CRM
Business Solutions for
Healthcare
Delivery
Transformation
Public
Health
Health
Back Office
Care
Management
Health
Information
Solutions
Connect Collaborate Inform
What is it 9 year framework 3 year breakpoints 2007, 2010
Server Client licenses Windows OS Incl Terminal services/AD Database/BI - SQL Management - SMS Collaboration – SPS Messaging - Exchange
NHS Benefits Computer based training for MS Office System Hosted for NHS by Microsoft
Home User Programme For s/w contained in NHS Enterprise Agreement
Employee Purchase Programme For MS products not included.
NHS Resource Centre Best practice/ Community portal
NHS Wide Enterprise Agreement
Acute Trust Portal - PoC
Acute Trust – Dashboard - PoC
NHS
CfH - CUI - Goals
Safety
Improved patient safety through consistent user interfaces across clinical applications.
Technology Adoption
Increased adoption of technology by clinicians in all care settings as a consequence of useful, usable and compelling interfaces.
Productivity
Increased productivity and effectiveness of clinicians.
Reducing Costs
Reduced cost of ownership of
NHS CfH systems gained by reducing the level of end user training and support needed.
The CUI project will achieve “a consistent infrastructure and user interface, reduced costs and increased patient safety across the whole NHS”
The
4 CUI Workstreams
Design Guide –Production of safe
user interface standards and guidelines to
create a safer, more effective and
compelling common look and feel to
clinical applications.
Promoting common look and feel to clinical applications Increasing patient safety Increasing clinician effectiveness and efficiency Reducing training costs for clinical systems Increasing clinical take-up of systems ISV Developers’ Toolkit – Creatingfree code for Healthcare ISV developers
to enable easy adoption of Design Guide
components as standard in their
commercial product development.
Ease of adoption for ISVs of the Design Guide materials through Microsoft built components Reduce the need for training and user support for clinical systems Maximise the value of training through reuse of familiar tools when clinical applications have similar User InterfacesNHS Office – A series of office
software “extensions” which enable
access to the right medical information
pathways (medical libraries, medical
abbreviations, etc) for the benefit of
healthcare information workers and
patients.
Increasing clinical take-up of systems Improving clinical effectiveness & efficiency Improving patient safety Reducing training costs Assist NHS in realising the benefits of investment in the MS desktop environment and their Enterprise Agreement Desktop & Infrastructure –
Assisting the NHS in developing images,
standards and guidelines for a more
mature, secure, centrally managed
workstation and server infrastructure.
Improve consistency and repeatability of the Microsoft infrastructure by creating and sharing best practice Assisting NHS Entities in moving towards a more, mature, secure, centrally managed workstation and server infrastructure Assist NHS in realising as much value as possible from their Enterprise AgreementInfrastructure
Optimisation in the NHS
Richard Lane
Account Technology Strategist
Microsoft Healthcare
10
The
Microsoft
Infrastucture Optimisation Model
Models
Basic
Standardized
Rationalized
Dynamic
Application
Platform
Business
Productivity
Core
Infrastructure
Cost
Center
More
Efficient Cost Center
Business
Enabler
Strategic Asset
What Capabilities are Measured?
What
are the benefits?
Annual IT labour
Cost
拢660 per PC*
Plan /
Optimize
Change
Operate
Support
Plan/
Optimize
Change
Operate
Support
Plan/
Optimize
Change
Operate
Support
Plan/
Optimize
Change
Operate
Support
Annual IT labour
Cost
拢290 per PC*
Annual IT labour
Cost
拢115 per PC*
* Source: IDC, 2006
Exchange rate calculated at 拢1 = $2
Basic
Standardized
Rationalized
Limited PC Security
PC firewall Auto patchingPC
Security 拢65/PC Savings
Multiple Directories
Many auth. directories No dir synchronization Manual user provisioningSingle directory for Auth
One authentication dir.Automated provisioning
Single Sign-on Auto password reset Auto user provisioningComprehensive PC Security
Anti Spyware Enforced security compliancewith Network Access Control
Limited sys mgmt
Single sys mgt tool Software packaging Software distributionNo system-wide mgmt
Poor sys mgt tool coverage Duplicate mgmt tools Manual sw, patch deploymtStandardization
Defined PC lifecycle Limited policy based PC mgt Many software configsStds Compliance
Defined PC Lifecycle,stds enforcement
Full policy based PC mgt Minimal hw, sw configsNone
No PC life cycle strategy No policy based PC mgt Many hw, sw configMinimal PC Security
Anti-virus Manual patching No enforced sec. complianceComprehensive sys mgt
Hw, sw inventories Hw, sw reporting Auto/targeted sw dist.Source: IDC,
2006 – Exchange rate $2 = 拢1
Standardized
desktops 拢55/PC
Centrally
managed PC config 拢95/PC
Comprehensive
directory solution 拢60/PC
Single
system management tool 拢55/PC
Automated
software distribution 拢60/PC
拢660/PC
拢290/PC
拢115/PC
Automated
user provisioning 拢25/PC
Best Practices for Infrastructure Optimisation
Research Results
Basic
Standardized
Rationalized
Limited PC Security
PC firewall Auto patchingPC
Security $130/PC Savings
Multiple Directories
Many auth. directories No dir synchronization Manual user provisioningSingle directory for Auth
One authentication dir.Automated provisioning
Single Sign-on Auto password reset Auto user provisioningComprehensive PC Security
Anti Spyware Enforced security compliancewith Network Access Control
Limited sys mgmt
Single sys mgt tool Software packaging Software distributionNo system-wide mgmt
Poor sys mgt tool coverage Duplicate mgmt tools Manual sw, patch deploymtStandardization
Defined PC lifecycle Limited policy based PC mgt Many software configsStds Compliance
Defined PC Lifecycle,stds enforcement
Full policy based PC mgt Minimal hw, sw configsNone
No PC life cycle strategy No policy based PC mgt Many hw, sw configMinimal PC Security
Anti-virus Manual patching No enforced sec. complianceComprehensive sys mgt
Hw, sw inventories Hw, sw reporting Auto/targeted sw dist.Source: IDC,
2006
Standardized
desktops 拢55/PC
Centrally
managed PC config 拢95/PC
Comprehensive
directory solution $120/PC
Single
system management tool $110/PC
Automated
software distribution $120/PC
拢660/PC
拢290/PC
拢115/PC
Automated
user provisioning $50/PC
Best Practices for Infrastructure Optimisation
CUI
Desktop & Infrastructure Drivers
Screen clipping taken: 21/06/2007, 12:00
Reduce costs to deploy and maintain Increase manageability Increase productivity Increase patient safety
CUI
Desktop & Infrastructure
Guidance now available
10 Infrastructure
Optimisation assessments were carried out and 100% of these NHS Trusts
were at Basic maturity level before engagement with the NHS CUI D&I
Work stream ;
up to a Standardised maturity level following NHS CUI D&I engagement
keeping images up-to-date from 64 days to just 2 days per year
v2
avoidance of 拢177,778 by avoiding a monthly visit to each PC
NHS Business Value
Planning
Timeline Comparisons
Testimonials
“The NHS BDD will save us a lot of time. It used to take 3-4 hours to build a new image. It will now take about 10 minutes. We will also reduce the number of images required from 25 to about 8.”
Kevin Sanders, IT Service
Support Manager Hull and East Riding Health Informatics Service
“Before WSUS, we were
spending 拢7k each year on licences for a patch management tool. In
the space of two weeks, now we have patch management for free.”
Neil Harley, IT Infrastructure Engineer Sussex HIS
“Not only have we saved
250 person-hours of time, but we have also enabled our clinical staff
to begin using the new system sooner than would otherwise have been
possible.”
Terry Sandford, IT Support
Analyst, Leeds Mental Health Teaching NHS Trust
“The NHS CUI documentation was more focussed: Bang! Here‟s what it is! Here‟s what it does! Here‟s how you can use it!”
Ben Price, Senior Systems
Support Technician, North and Mid Hampshire Health Informatics Service
“The GPO documentation
was specific to the size and scale of an NHS Trust. In the past, consultants‟
recommendations have been too generic and more relevant to large commercial
organisations.”
Damian Lewsley, ICT Technical Consultant / Systems Manager, King‟s College Hospital NHS Foundation Trust
We now have a better understanding
of the technology and have identified more areas where we can improve
our infrastructure. This will save us money by enabling administrators
to focus on proactive tasks as the environment is in a more stable state.”
Lance Cook, Senior Informatics Support Officer North East Lincolnshire PCT
“Working with the NHS
CUI Deliverables has given me the ability to manage PCs at GP practices
where the only connectivity is an N3 connection. I can now deploy applications
remotely, without having to visit 120 different sites.”
Brian Lonsdale, IT Manager Newcastle and North Tyneside PCT
Next
Steps
Work with Microsoft to assess your Infrastructure:
