Connecting
the disconnect
Jonathan Bush
Chairman and CEO, athenahealth
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Luncheon/Keynote Session (Jonathan Bush)
Luncheon/Keynote Session (Jonathan Bush)
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.
7
Intra-operability
HL7 was designed to glue together
departments within the 4 walls of a hospital
Intra-operability
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.
13
Inter-access
Inter-access
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
Meaningful Use Stage 2 is an essential enabler
of a cross-organization network facesheet
Luncheon/Keynote Session (Jonathan Bush)
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.
Luncheon/Keynote Session (Jonathan Bush)
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
“the network
is the computer”
Open platforms allow us to
work as one.
What is your
strategy?
Luncheon/Keynote Session (Jonathan Bush)
Luncheon/Keynote Session (Jonathan Bush)
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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