1. Exit Presentation University of Miami School of Medicine Industrial Engineering’s Role in Health Care

2. Exit Presentation Future HealthCare Model Objective: Objective: Lead the transition of the Clinical Care Process from a primarily manual system to a technology-driven paperless solution.

3. Exit Presentation Recognizing the value of information Access to information Simultaneous access Online, real-time best practice protocols and alerts Managing interactions AND transactions Eliminate/reduce paper Eliminate manual processes to support the paper Time costs Creating a collaborative business environment Integrating business process and data What are the Issues?

4. Exit Presentation Challenges for Physicians Concern re: time sink for on-line interactions Solutions must decrease physicians’ time or increase revenue Legal liability concerns Confidentiality requirements HIPAA regulations Critical mass of connected patients

5. Exit Presentation Challenges for Patients Engaging, understandable, useful functionality Security (both real and perceived) Confidentiality, authenticity Data sharing Lack of universal identifiers Lack of standard lexicon Translation into lay language Need to provide tools to enable patients to make safe decisions regarding access, integration Functionality requires physician/health care provider connectivity

6. Exit Presentation Trends to Watch By 2005, more than half of U.S. consumers will have high household incomes, some college education, and access to a computer at home or work. Health care consumers of the future will be more actively involved in making decisions about the health care they receive. They will expect: high levels of choice control consumer service interaction with health care providers, and access to information They will use the Internet to help meet those expectations.

7. Exit Presentation Single point of clinical integration (patient centric) Document management, imaging and image enabling Computer generated report processing (COLD) Automation of business processes Provides automated data storage management Closed loop emergency room Foundation for Enterprise Resource Management (ERM) Add value to our applications UM Electronic Medical Records Strategy

8. Exit Presentation UM Information Integration Strategy EDI/XML Standardized Forms On-line Application Process driven Data/Info Customized Views Paper/Image/FAX Capture/Archive

9. Exit Presentation UM Information Management Vision Create/capture any data once and at the source Manage and secure information Distribute to any user at any location Store and retain information Retrieve any information related to need Present/viewanyinformation Patient Information Transactional Data Internet Intelligence Patient Access Business Documents Enterprise Information Medical Records Billing/Collections Managed Care Administrative Decision Making Enterprise Intelligence Data Warehouse Clinical Management Workflow

10. Exit Presentation UM Clinical Integration Vision Clinical Data, Business Data, Forms, Paper, Documents, EDI, Phone, FAX, Web Registration Appointment Clinical Mgmt. Pharmacy Decision Support Lab Radiology EMPI

11. Exit Presentation UM - Systems Integration Model

12. Exit Presentation University of Miami School of Medicine Industrial Engineering’s Role in Health Care Automate the care process Connect the health care professional Structure the knowledge Close the loop