ࡱ> BA+( / 0LDArialܖ 0ܖ0tt2 0@ .  @n?" dd@  @@`` @3       0AA@ʚ;ʚ;g40d0d> 0ppp@ <4dddd@w 0t1<4BdBd@w 0t1 0___PPT10 Z___PPT9<4 ? -O  =/Reinventing the Electronic Medical Record (EMR)Position We are making a national investment of billions of dollars to scale up the use of EMRs to improve the access, quality and cost of care in the US. There are seven major challenges to using our current products (EMR 1.0) to achieve that goal. Fortunately, we can meet all seven challenges but doing so requires a complete rethinking of products and approaches. We need to develop an EMR 2.0. d PPPP \7 Seven EMR 1.0 ChallengesImplementation Complexity High Cost and Low Interoperability Limited and Delayed Value Lack of Cognitive Support Information Sharing Disincentive Improved Care Disincentive Threaten Provider Business Model 8" 1. Implementation Complexity$EMR 1.0 Implementations are long, complex and involve large software modules that cause significant disruptions to operations6wx  EMR 2.0 Rearchitect from transaction-oriented modules to small components and services that can be implemented quickly and used as needed >  x%2. High Cost and Low Interoperability&&$EMR 1.0 Costs are too large for many clinics and hospitals. Patient data is locked in as EMR 1.0 does not promote exchange between payers and providers<ZZZ  EMR 2.0 Use cloud computing to dramatically lower costs and achieve interoperability within the enterprise, across enterprises, regionally, nationally and globally (e.g. medical tourism)F ZZZ3. Limited and Delayed Value$DEMR 1.0 Benefits can take years to realize and are hard to measure6<= w EMR 2.0 Focus first on creating value not simply turning paper forms into electronic documents (value informatics)> mp4. Lack of Cognitive Support$}EMR 1.0 Does not provide natural support for strong situational awareness, making effective decisions or changing behaviors6uv  EMR 2.0 Go from data to semantic content and knowledge to provide a world-class level of cognitive and behavior change support> x{ $5. Information Sharing Disincentive  %#$\EMR 1.0 Have to spend time capturing, using and sharing information with no direct benefit<ZZTZU  EMR 2.0 Provides a fee for information service, to those that have vital information but do not directly receive a benefit from capturing, sharing or using itD ZZZ 6. Improved Care Disincentive  $LEMR 1.0 Sharing information and improving care will lower provider revenue<ZZDZE  EMR 2.0 Create an electronic marketplace to implement P4P incentives to accelerate the adoption of best practices in preventative, acute and chronic careD ZZZ  &7. Threatens Provider Business Model  '%$EMR 1.0 Allows new entrants to influence patient s consumption decisions and threatens providers business model. You are eating my lunch!6 w EMR 2.0 Offer forward thinking providers caught on the wrong side of the value migration an opportunity to reinvent> mp  Recap of EMR 2.0 SolutionsVDevelop a service-oriented architecture (SOA) for EMRs Deliver EMR services from a cloud computing platform Build high value applications from the cloud-based services rather than automating forms and paper charts Develop semantic or knowledge-based services that directly support situational awareness, decision making and behavior change Provide a mechanism for determining, tracking and paying P4P incentives to support the information sharing and improved care needed to drive EMR 2.0 services Offer new information-based revenue opportunities to providers that face business model disruption WZW2!   0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғ3y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> .&(    6s  `}  T Click to edit Master title style! !  0tv  `  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  0D{ ^    b2Copyright 2009, New Value Streams Consulting LLC33   0` ^   Z*  0< ^ `  Z*H  0޽h ? 3380___PPT10.@ Q Default Design 0 zr< (  < < 0n P    P*   < 00s     R*  d < c $ ?   < 0.-@Arial-. g2 > @We are making a national investment of billions of dollars to sc.-@Arial-. "2 >{ale up the use of .-@Arial-.  2 B EMRs.-@Arial-. a2 B<to improve the access, quality and cost of care in the US. .-@Arial-.  2 G.-@Arial-. g2 G @There are seven major challenges to using our current products (.-@Arial-. 2 G EMR 1.0) to .-@Arial-. $2 K achieve that goal. ).-@Arial-.  2 O.-@Arial-. g2 O @Fortunately, we can meet all seven challenges but doing so requi.-@Arial-. 2 Ores a .-@Arial-. O2 S 0complete rethinking of products and approaches. .-@Arial-.  2 X.-@Arial-. 42 X We need to develop an EMR 2.0..-3f-- $dqqd--'@Arial-. O2 j0This presentation describes the challenges with .-@Arial-. N2 o/scaling EMR 1.0 and how EMR 2.0 will meet them. .-՜.+,0     On-screen Show Knowledge DynamicsLJ   ArialDefault Design0Reinventing the Electronic Medical Record (EMR)Seven EMR 1.0 Challenges1. Implementation Complexity&2. High Cost and Low Interoperability3. Limited and Delayed Value4. Lack of Cognitive Support%5. Information Sharing Disincentive 6. Improved Care Disincentive '7. Threatens Provider Business Model Recap of EMR 2.0 Solutions  Fonts UsedDesign Template Slide Titles %_L 0Mark K. ClareMark K. Clare  !"#$%&()*+,-./02345678:;<=>?@CRoot EntrydO)Current User9SummaryInformation('PowerPoint Document(LDocumentSummaryInformation81