1	Implementing Collaborative Technology for Healthcare: Lessons Learned Jack Corley, ATI
2	The Motivations for Change
3	Problem as we saw it in 1992 ... Today's healthcare information is paper-based, fragmented, and trapped within closed systems. Paperwork is 20-25% of total healthcare costs. Nurses spend over 40% of their time on paperwork. 15-20% of diagnostic tests are performed because records of prior tests are unavailable.
4	Ted Kennedy on June 18, 2002 Administrative costs account for almost a third of total health care spending ($400 Billion). A health care transaction costs as much as $25. A bank transaction costs less than a penny - by using information technology. Reducing health care administrative costs to that of other industries would save enough to finance universal health care several times over.
5	“Top 10” costs of paper medical records Physician time spent on paperwork: 38% Nurse time spent on paperwork: 50% Charts missing: 30% of encounters Tests duplicated: 11% because results lost Cost to find and file a chart: $5-$25 Cost of transcription: > $10,000/yr/MD Paper forms to fill in: > 20,000/yr/MD Errors: illegible prescriptions, miscommunication with patients, incomplete data for consultants Privacy risks: no audit trail of accesses, entire chart copied on request
6	Key Opportunity
7	The Technology Needs
8	Integrated Multimedia Internet-Based, Workflow Enabled Tools
9	Delivering Best Practice Knowledge Where and When Needed
10	Information Protection
11	Internet-based Healthcare Collaboration
12	Expected Macro Changes Clinician transition from: “Omniscient” data source to data processor and decision maker Physical presence to virtual presence Interdisciplinary team expanding: Informed patient Information resources Healthcare transitioning from: Treating illness to promoting wellness and preventing illness Treatment specialized by functional area to patient-centered, population-based disease management Pressing Emphasis on Emergency Response
13	Stakeholders Consumer educators Healthcare providers hospital, clinics, labs First responders Clinicians Payers Government Employers Insurance companies Employers Community Vendors/suppliers
14	Advances Making Future Health Vision Attainable
15	The Solution...