4. ADHERENCE TO QUALITY INDICATORS McGlynn et al NEJM 2003

7. “ HEALTH CARE INFORMATION TECHNOLOGY CHANGES THE ECOSYSTEM OF PRACTICE” William W. Stead

13. Overview of CINA Technology

14. Overview of CINA Technology

15. Point of Care Decision Support Patient Specific Automated Produced for every patient , at every visit , regardless of the Reason for Visit Utilized by all providers (MD, NP, PA, nurses)

23. DNA Baseline Data

24. Improvements In Prevention in Primary Care with Point of Care CDSS

25. Improvements In Diabetes Management in Primary Care with Point of Care CDSS

26. Diabetes Measures: Showing Consistent Improvement from both High Performing & Low Performing Clinics

34. INTRODUCTION OF I.T. SHOULD BE APPROACHED AS AN INTERETIVE PROCESS-- A FAMILY OF APPROACHES, EACH WITH DISTINCT ADVANTAGES AND DISADVANTAGES William W. Stead MD

35. IT HAS BEEN HARD TO SHOW QUALITY IMPROVEMENT. THE FAILURE IS RELATED TO SOLVE A COGNITIVE PROBLEM BY SIMPLY INSERTING AUTOMATION INTO OLD PROCESSES William W. Stead MD

36. WHILE BETTER I.T. DESIGN CAN MINIMIZE MISFIT, DOCS ARE RESPONSIBLE FOR MANAGING THEIR PEOPLE-PROCESS-TECHNOLOGY SYSTEMS TO GET THE PROPER OUTCOME William W. Stead MD