Introduction to InterSystems Ensemble and the TIE

1. Introduction to InterSystemsEnsemble and the TIE Nigel Haines and Mark Massias – 9th January 2009

2. InterSystems at a Glance • Established 30 years • Over 700 people, offices in 19 countries • US $226Million revenue, consistent growth and profitability • Private, no outside investors, no debt • Sell directly to end users as well as with 1400+ partners • Long term supplier to the NHS

3. InterSystems Products DeepSee Creativetechnology partnerwith a passionfor excellence andcustomer success TrakCare HealthShare Ensemble Caché

4. InterSystems and the NPfIT CSC selects InterSystems for trust integration 10 Sep 2008 Computer Sciences Corporation is to use InterSystems Ensemble for the integration of all new applications it provides to existing trust systems. CSC, the local service provider for the North East and Midlands regionsin England’s NHS National Programme for IT, has selected Ensemble as the standard trust integration engine (TIE).

5. InterSystems and the NPfIT Ensemble now available from CSC as the standard Trust Integration Engine (TIE) • Centrally-defined, standard solution for existing systems integration. • Available to all NHS Trusts scheduled to deploy CSC NPfIT solutions • Ensemble TIE Licence and annual maintenance is free to Trusts • Enables connectivity between Trust-side applications and the CSC NPfIT solutions • Library of standard departmental systems interfaces • Trusts can upgrade to a full Ensemble licence

6. CSC Ensemble TIE What does a Trust get with TIE and E2?

7. What is a TIE? • Ensemble • A set of enhancements to Ensemble • A set of 50 application interfaces (adapters) • Support mechanisms • Custom training courses: • Developers course • Administration course • Available via eLearning

8. Ensemble TIE Licence • Ensemble TIE Licence and annual maintenance is FOC to Trusts • It is a unique licence only available through CSC • Ensemble TIE is part of the Core Reference Solution and is specifically licensed to meet this requirement • Characteristics: • implemented Trust-side • enables connectivity between Trust-side applications and the CSCA data centre • preconfigured components aligned with CSCA, e.g. message sequencing logic • includes shadow server (resilience) • includes development / test licence • includes departmental system adapters approved by the Trust Integration Forum • does not enable intra-Trust integration

9. Ensemble TIE Support Services • As part of an implementation of any Core Reference Solution, CSC will: • install Ensemble on Trust hardware • perform basic TIE configuration, e.g. connection, certificates • install any relevant interface assets CSC has already developed • test a “first-of-type” interface in partnership with the nominated Trust • Additional Service Request (ASR) required if Trust requires TIE services from CSC independent of the Core Reference Solution implementation • Trusts are responsible for running their TIE • Trusts are responsible for 1st and 2nd line support • 3rd line support available through the CSC Helpdesk • Trusts are fully responsible for any interfaces they develop or modify • Free access to Ensemble eLearning services • Recommended 3 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 1 day / Developer : 2 day)

10. Ensemble E2 Licence • Includes all of the functionality within the Ensemble TIE but also enables intra-Trust integration • Ensemble TIE may be upgraded at any time to an Ensemble E2 licence for a fee of £30,000 (licence) and £8,400 p.a. (annual maintenance) • Purchased directly from InterSystems • Maximum annual increase in maintenance fee of CPI +1% • Upgrade comprises: • Ensemble E2 licence with shadow server • Separate development/test licence • Maximum 2 CPU / 8 cores per server • Capacity for up to 75 interfaces

11. Ensemble E2 Support Services • Direct access to support from InterSystems WRC (worldwide resource centre) • available 24 x 7 • direct access to engineers by phone and email • customer sets priority level • Assistance from InterSystems UK Sales Engineering team • Trusts can quickly become self-sufficient • Additional Ensemble services are available through InterSystems where Trusts have a particular requirement, e.g. interface development skills • Free access to Ensemble eLearning services • Recommended 11 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 3 days / Developer : 8 days)

12. Ensemble in UK Healthcare Ensemble is already widely used by Hospital Trusts throughout the NHS as a Trust-wide integration engine • Moorfields Eye Hospital • Peterborough • Plymouth • Barts and London • Lothian Region, Edinburgh • Mid-Essex • Bolton • Royal Marsden • East & North Herts • Gateshead • Sheffield University • Sheffield Children’s • St Georges • Kings Lynn • Co Durham and Darlington • Rotherham • Mid Yorkshire • Calderdale • Barnsley • Doncaster

13. Ensemble in UK Healthcare … and in many other Healthcare environments • Jersey Hospital • Guernsey Hospital • St Vincents, Dublin • Thames Cancer Registry • Institute for Cancer Research • Northgate Information Solutions – National Hearing Screening Programme • Northwestern Cancer Registry • Northern and Yorkshire Cancer Registry and Information Service

14. Summary • Global supplier of Healthcare software • Long term supplier to the NHS • Ensemble rated as a leader / No. 1 by analysts • Widely used by NHS Trusts as a Trust Integration Engine • Standard solution in the NME Region (60% of NHS) • Experience and success in London and South • Engaged throughout the implementation • World class support

15. InterSystems and the NPfIT NHS Yorkshire and the Humber SHA Phil Molyneux, CIO “This agreement between CSC and InterSystems is part of the LSP contract and is great news for our trusts.” "It fits with our strategy to take advantage of new strategic solutions from CSC, whilst maximising the benefit that we can get from existing software products that are highly valued by the local trusts.”

16. The Trust Integration Engine (TIE) NCRS Spine LSP Core Solutions Data Centre LSP Interface Engine Trust Interface Engine Trust Trust Systems