Luncheon/Keynote Session (Jonathan Bush)

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U.S. News Healthcare of Tomorrow

Health & Medicine

Connecting
the disconnect
Jonathan Bush
Chairman and CEO, athenahealth
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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.

HL7 was designed to glue together
departments within the 4 walls of a hospital
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.

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

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

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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Historic underinvestment in public health has left Ecuador with one of the most inefficient health systems in the region. The Problem Little info sharing The lack of interoperable systems and records management contributes to a lack of understanding of public health needs leads to treatments that don't really address overall health issues Bureaucracy Public health employees are engaged in redundant administrative tasks that divert resources from patient care and clog system PAPER RECORDING OF INFORMATION Medical assistants need to manually fill in 5 different records (1 per prescription), they first do it in paper and then typed it in the computer since the Wi-Fi is not reliable. Excessive waits Lead times for getting appointments in and long check in processes lead to patients abandoning preventative care that could save money and improve patient outcomes Most people we surveyed complained about lead time. It becomes even more aggravating when it’s an emergency. Abuse and waste Inability to track prescriptions and inventory offer opportunity for abuse that undermines the system's overall quality The result: Costly, Inefficient and non-citizen centric public healthcare system The result: Costly, Inefficient and non-citizen centric public healthcare system

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