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Connecting
the disconnect
Jonathan Bush
Chairman and CEO, athenahealth
?
+
≠
+
? ≠
+
?
?
?
?
+
+
Upper-Right
Quadrant Syndrome
URQS
Upper-Right
Quadrant
Syndrome
Protect &
Defend
Compete
& Innovate
Intra-operability
- vs -
Inter-access
- vs –
Open Platform
Intra-operability
Ability of one part of yourself to
share information with another part.
7
Intra-operability
HL7 was designed to glue together
departments within the 4 walls of a hospital
Intra-operability
Intra-operability
10
Top EHR implementation challenges
•  Cost to maintain an EHR
•  Capex
•  Lack of staff onsite to manage the EHR
•  Lack of physician cooperation
SOURCE: U.S. News “Most Connected” survey, 2015 
Only 14%
of physicians have
access to usable EHR data across
care delivery sites
12
Inter-access
The ability for one entity to share
information with another one.
13
Inter-access
Inter-access
Avg. wait time under
8 min.
Avg. door to door time for patients is
45 min.
Patients register via mobile tablet,
saving
2½ minutes per patient
⅕ the cost
of the ED
Less work.
3-5min. workflow
Next day PCP appointments.
Higher patient sat.
Meaningful Use Stage 2 is an essential enabler
of a cross-organization network facesheet
Meaningful Use Stage 2 is an essential enabler
of a cross-organization network facesheet
21
It seems that the
floodgates are
starting to open.
Open Platform
The ability for users of a platform to
remotely control information on any
other platform in a market.
Open Platform:
Candescent Health
Nerve Center
monitors every case
Rules engine
routes cases to the
right radiologist Radiologist dashboard
provides performance feedback.
25
Open Platform:
Allowing for different growth chart visualizations
“the network
is the computer”
Open platforms allow us to
work as one.
What is your
strategy?
30
HospitalPractice Practice
Imaging
Lab
Population
Health
Specialty
Pharmacy
Hospital
Competitor
Hospital
Competitor
Hospital
Competitor
Hospital
Competitor
www.letdoctorsbedoctors.com
#letdoctorsbedoctors

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Luncheon/Keynote Session (Jonathan Bush)