Single Sign-on for Healthcare

1. Single Sign-on for Healthcare Catherine Waldron, Novell Field Sales Executive Gabriel Waters, Carefx Channel Director

3. Secure Identity ManagementUser Complexity – Multiple ID’s and passwords

4. The Business Case “Password management products provide a high, easily demonstrated return on investment (ROI) and meet various business goals, including user convenience, system security and reduced IT or help desk overhead.” (Giga, May 2002) A quantifiable ROI can be achieved with Secure Identity Management and CCOW. Addresses the HIPAA requirements and minimizes the regulatory impact.

5. Solution Set

6. Achieving single sign-on CCOW enabled applications provide the single sign-on and context management, but require the application to be CCOW-enabled, which may not make sense for all applications Single sign-on products provide single sign-on to legacy applications, but aren’t CCOW aware Until now … Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users.

7. The Novell® & Carefx solution – Providing single sign-on to health care By bringing together enterprise single sign-on and the context management, organizations can have single sign-on to all their applications. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users.

8. Novell and Carefx solution features User logs in once User gets single sign-on to all CCOW and non-CCOW applications Fusion User Channel sets user context for CCOW applications Novell SecureLogin sets user context for non-CCOW applications Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users.

9. How we enable single sign-on Novell SecureLogin for enterprise applications Web Windows Terminal server/Citrix Host/Terminal Emulator-base Java applications and applets based on Swing and AWT Carefx Fusion User Channel CCOW enabled applications Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users.

10. How it works:Login experience – before NSL

11. How it works:Login experience – with NSL

17. Clinical Context Object Workgroup(API-Integrated Single Sign-On) Health Level 7 (HL7) Standard (ISO Organization) Context Management Architecture Synchronize participating applications at the point of use by establishing a common clinical context The user accessing the applications The patient whose data the user is accessing A particular encounter the user is accessing Other relevant clinical ‘subjects’ The application must be ‘CCOW-enabled’

18. Carefx Context Manager Carefx provides a context manager implementing the HL7 CCOW standard that Synchronizes diverse applications around a common clinical desktop context Enables users to control the context creating a patient-centered, user-driven clinical workspace Coordinates fat client, Citrix/WTS, and web-based applications on the same desktop Provides single sign-on and common patient selection to CCOW-enabled applications Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users. Secure Identity Management solves a key business problem CIOs of organizations today face: How do I cost-effectively deliver real-time, role-based resources to my distributed workforce, partners and customers from any location –- wired or wireless -- yet keep my systems safe? Novell’s Secure Identity Management solution offers a comprehensive answer that is flexibly designed and gives you the agility you need to keep pace with tomorrow’s dynamic, service-oriented system environment. The Novell Secure Identity Management solution enables you to securely extend resources to the people who power your business. In business today, every decision you make about giving people access to your business resources or delivering services and content is based on identity. So it is essential that you have a robust identity and access management foundation at the heart of your systems. That’s the only way you can know who your users are. This knowledge empowers you to safeguard your resources from intruders while connecting people you have relationships with to the tools they need to work productively and to conduct business with you efficiently and cost effectively. The Novell Secure Identity Management solution puts your business rules to action – your systems recognize and deliver the resources you want a person to have based on who they are and their role or relationship with your organization. And, the moment that role changes, resource access is rescinded or modified as appropriate –- ensuring that your proprietary resources are safe. With the Novell Secure Identity Management foundation, you can confidently extend your business resources to internal and external users.

19. Fusion User Channel user experience

20. Fusion User Channel client setup

21. Setup

22. API-Integrated Single Sign-On With Carefx’s Context Manager (CCOW Standard)

23. Automated Single Sign-On WithNovell Secure Login (NSL)

24. Mixed Single Sign-on Solution

25. Novell/Carefx architecture

26. Fusion Architecture With Novell SSO

27. Novell Single Sign-on Architecture

28. Why Carefx and Novell?Experience Domain Knowledge Healthcare Information Systems Over 100+ collective years of experience in the health care industry Understanding of Clinical Environment A common goal of designing solutions that help clinicians navigate more easily and securely to their applications and data Market focused solution Breadth of Solutions Secure Access Solution to network and applications Portal Infrastructure --- Real-time access to specific patient information Partners with the leading HIT and access vendors Improve the safety of patient care because it decreases the likelihood of having the wrong patient.Improve the safety of patient care because it decreases the likelihood of having the wrong patient.

29. Why Carefx and Novell?Experience Implementation Success Carefx and Novell will work with you to ensure a successful implementation Carefx assigns project managers whose sole responsibility it is to see that the project is a success Strong client references Partnerships Strong partnerships with key vendors

30. Why Carefx and Novell?Features Improved End-User Experience Graceful logoff allows automated or single event-trigger logout of a user from all applications leveraging that applications native mechanism Application Support Novell’s maturity as a single sign-on vendor results in application support that surpasses the competitions Supports more terminal emulators, Java applications, Win32, and web applications Has provided single sign-on to more applications than the competition Supports complex application characteristics such as combo boxes, drop down lists, radio buttons, and menu items Supports recognition of multiple and/or subsequent events within an application Sentillion’s architecture was built for context managementSentillion’s architecture was built for context management

31. Why Carefx and Novell?Architecture Directory integration The competition requires a separate identity store separate from your existing directory infrastructure All the directory design must be recreate for a proprietary directory that is far inferior to the leading directories on the market Multi-master replicas Partitioning Carefx and Novell use your existing LDAP directory Allows your organization to leverage best of breed directory Citrix/Netilla/Terminal Server For those environments where a workstation can’t have client software and must provide access to the Citrix/Terminal Server environment The competition requires software on the client Carefx and Novell can provide full functionality in the Citrix environment without software on the client Roaming sessions Hardware Carefx and Novell are flexible with hardware requirements and support most server class hardware configurations

32. Why Carefx and Novell?Architecture Context Management Performance The competitions architecture requires that all communication with the context manager go through the primary server This has proven to be a bottle neck for customers Creates a single point of failure The Carefx architecture allows clients to communicate with any available context manager Scalability The competitions architecture only supports vertical scaling Adding bigger servers The Carefx and Novell architecture supports vertical AND horizontal scaling Adding bigger and more servers Fault Tolerance If one of the competitors server goes down, a standby/hot swap server must be manually booted If a Carefx or Novell server goes down, clients will automatically be redirected to other servers online

33. Why Carefx and Novell?Architecture Administration The competitions architecture requires the administrator to connect to the client device to configure Carefx and Novell can provide automatic upgrades to client workstations and will work with the leading application delivery vendors Client Impact The competition requires that their client and GINA be installed on the desktop in order to provide single sign-on to non-CCOW applications. No support for third party advanced authentication vendors All GINA-based services dependent on a standard client fail

34. Question and Answer

36. This means that no work is lost with either the Novell Nsure UDDI corporate or testing solution. Enterprises that build their UDDI solutions with Novell Nsure UDDI Server, are not only leveraging the deep experience Novell Identity Management foundation brings to the standard, they are securing their own future by building on an open standard implementation that will grow and scale with their corporate needs.This means that no work is lost with either the Novell Nsure UDDI corporate or testing solution. Enterprises that build their UDDI solutions with Novell Nsure UDDI Server, are not only leveraging the deep experience Novell Identity Management foundation brings to the standard, they are securing their own future by building on an open standard implementation that will grow and scale with their corporate needs.