Exist is a software engineering company with expertise in building enterprise healthcare solutions.

1. “Successful implementation of HIT is mostly
about people and process, not technology.”
- Frank Richards, CIO Geisinger Health Systems

2. Challenges in Healthcare
✦ Improve operational efficiency >> making things
easier in more ways than one
✦ Transformation of data -- unstructured and
structured -- into accessible & actionable
intelligence
✦ Advances in medicine & technology
✦ Demand for high quality patient care
✦ Regulations & standards

3. Buy and Build
✦ IT Team Size
✦ With smaller IT teams, the propensity to procure or acquire systems is higher
✦ Type of System
✦ Front line or core systems are build decisions
✦ Identify which are commoditized
✦ Cost
✦ Commoditized systems aren't often economical
Healthcare IT is mostly about compromise,
so it's rarely a pure buy or a pure build
✦ VENDOR FLEXIBILITY, LOCK-IN & SCALABILITY issue.

4. What’s more important?
✦ Create strong Governance
processes that align with
BUSINESS priorities
✦ Think BIG, start small
✦ Case: 2009 >> Filmless HA,
Hong Kong wide eHR

5. What’s more important?
✦ Create strong Governance
processes that align with “IT strategic planning must be
BUSINESS priorities tied into operations, not just
rolling out widgets,”
✦ Think BIG, start small
✦ Case: 2009 >> Filmless HA, - Charles Christian, CIO Good Samaritan Hospital
Hong Kong wide eHR

6. What’s more important?
✦ Create strong Governance
processes that align with
BUSINESS priorities
✦ Think BIG, start small
✦ Case: 2009 >> Filmless HA,
Hong Kong wide eHR

7. What’s more important?
✦ Create strong Governance
processes that align with
BUSINESS priorities
✦ Think BIG, start small
✦ Case: 2009 >> Filmless HA,
Hong Kong wide eHR

8. What’s more important?
✦ Create strong Governance
processes that align with
BUSINESS priorities
✦ Think BIG, start small
✦ Case: 2009 >> Filmless HA,
Hong Kong wide eHR

9. How Exist can help you
✦ Exist is in the forefront of using
technology as an agent of
INNOVATION for healthcare
✦ 10 years of product engineering
experience and a portfolio of
healthcare IT projects
COLLABORATION + COMMUNICATION + COMMUNITY

10. HIT Projects
✦ Hospital Information System w/
admission, ordering, billing, discharge,
and an ancillary results management
system
✦ Integrations
✦ Clinical applications
✦ eReferral health system

12. What’s HL7?
RIS HIS
Doctor tells him to go through an X-ray on the same day. Thanks to
HL7, John doesn’t need to fill up a new form, and his checkup may
John sprains his ankle. He goes to the hospital to have it checked. be scheduled quickly & easily, saving time and paperwork.
Hospital
patient Information hello hello
information System
John registers (fills up form) at front desk. New record is created in HL7 is like a a common language among systems so they can
Hospital Information System. understand each other.

13. Let’s Talk
e: healthIT@exist.com
t: @ExistHealthIT
w: www.exist.com