A presentation outlining the benefits and value of Doctations.

1. Doctations
Medical Informatics Update
p
Getting Value from the EMR
Columbia University Department of Biomedical Informatics
C l bi U i it D t t f Bi di l I f ti
& Center for Advanced Information Management
December 10, 2008
,
Louis Cornacchia, M.D., F.A.C.S.
President & CEO
600 Old Country Rd
Garden City, NY 11530
1-877-DOC-PATIENT

2. The Problem:
‣ Industry where EVERY stakeholder is at odds and locked in indecision,
blinded by the lack of a clear technology solution that solves problems
and catalyzes change. The potential to create a true solution exists but
there is little impetus to do so.
‣ U.S. Healthcare: Tops in tech, research. But 37th in delivery.
‣ Spiraling Cost: $2.1T, increasing 10% this year.
‣ Every week 1000’s people declare bankruptcy 2ndary medical bills and
3% to 10% have no medical insurance.
‣ Medicare insolvent by 2019.
• Increasing HC Complexity = Increasing Need for Coordination
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‣ Wall Street Melt-down = less money available to solve problems,
insurance industry downturn, physician reimbursements squeezed.

3. Current Technologies are not and
will not solve these problems:
‣ Siloed EMR/PMS Systems
‣ Web Multi-instance Architecture
‣ EMR uptake: 4%
‣ RHIO business model: non sustainable no grants = failure
non-sustainable,
‣ NHIN: not real time, who pays?, non-sustainable = failure
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‣ Google, Microsoft, Dossier answer: PHR??? <6% uptake

4. Who are we?
‣ The Doctations project began in 2002 when we realized that the
current EMR/PMS evolutionary pathway will not fix
healthcare.
‣ Doctations, Inc., was founded in June 2005 to provide the world
with its first comprehensive, multi tenant (ie., mySpace like)
multi-tenant mySpace-like)
internet-based healthcare system to:
• Improve healthcare delivery efficiency
efficiency.
• Improve healthcare delivery quality.
• Improve doctor-patient relationship.

5. What is Doctations?
• Doctations is a fully integrated, highly
customizable subscription based
Practice Management / Electronic
Medical Record (“PM/EMR”) Multi-
tenancy Software As A Service (SAAS)
solution.
sol tion
• Unlike legacy Client/Server or ASP
based PM/EMR applications, Doctations
is a true Internet-enabled solution which
extends beyond the physical walls of the
Doctor’s office and allows physicians to
exchange patient information in a secure
way over a high speed internet
connection and regardless of whether
the physician is a member of Doctations.
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6. What is Doctations?
•Multi-tenancy Software As A Service (SAAS) solution.
Multitenancy refers to the Software design principle, where a single instance of the
software runs on a software-as-a-service (SaaS) vendor’s servers, serving multiple
client organizations (tenants). Multitenancy is contrasted with a multi-instance
architecture where separate software instances ( hardware systems) are set up
p (or y ) p
for ff
f different client organizations. With a multitenant architecture, a software
f
application is designed to virtually partition its data and configuration so that each
client organization works with a customized virtual application instance.
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7. What is Doctations?
‣ DocPatient Network creates a secure on-line
healthcare community for Doctors and Patients to
interact, to manage multiple provider relationships,
reduce healthcare cost and improve quality of life.
‣ Doctations service offerings:
• Doctations
- For Doctors
• iMedicalHome
- For Patients
• iStaffWell
- For Service Providers
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8. Enables physicians to achieve the
maximum possible efficiency quality
efficiency,
of care and quality of life.
‣ Enables physicians to manage their practice from anywhere,
to enhance communications with patients, staff and vendors
and to grow through seamless collaboration.
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‣ On-Demand Healthcare Systems = Better Quality of
Care
- Access to medical records anytime from anywhere through a
secure internet connection.
- Access to multiple databases of medical and disease
management information.
- Access to shared patient database (SPDB) to all providers
involved in the treatment of the patient.
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9. iMedicalHome.com i th f
iM di lH is the free website f
b it for
patients to join the DocPatient Network.
iMedicalHome gi es patients the freedom to pro acti el
gives pro-actively
communicate with their doctors, maintain a detailed medical
history across all healthcare providers and share important
medical information even if their doctor is not a Doctations
Member.
‣ Using iMedicalHome, you will be able to:
- Receive summaries of your d t ’ visits and b more
R i i f doctors’ i it d be
connected to your healthcare team;
- Interact with of your children's doctors, ask questions and get
responses that you can understand;
- Be part of your parents’ healthcare; be connected to all of
their doctors without missing a day of work;
- Collaborate with your doctors and maintain your medical
ith o r o r
profile.
- Maintain a personal, highly secure, health record that
organizes all of your doctors notes labs, MRI reports etc
doctors’ notes, labs reports, etc.
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10. iStaffWell enables service staff to provide
physicians and medical institutions with the
highest q
g quality support and operations
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services at the lowest possible cost.
‣ Integrated Transcription ‣ In Line
In-Line Dictation
‣ Secure Messaging ‣ Integrated Transcription
‣ Voice Recognition
‣ Revenue Cycle Management
‣ Billing Collections Management
‣ Integrated Document
Management
‣ Rules Based Denial
Management
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‣ Workflow and Task Management
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12. Doctations: We are what our competition would like
to be...True Internet Technology

13. “Everything we know is moving to the Web.
Everything
And what that means in tangible terms is
that businesses and service providers and
software companies are providing layers of
functionality and data that are native to the
Web or are Web-oriented.”
Web-
Phil Waineright, analyst ZDNet, 4/6/08
The market downturn makes cashflow “king”,
low cost solutions will thrive.
thrive

14. Comprehensive, Fully Integrated Solution.
Leveraging th I t
L i the Internet.
t

15. Achieving Medical Practice Automation
‣ Software Automation of Medical Processes - IMPOSSIBLE!
‣ Doctations Internet Technology Automation of Medical Office Processes
- DONE = Internet-Based, Unified (Machine + Human Services)
Remote PM
Decision eFiling Analysis & Advice
Support
Scheduling Billing
Coding Collections
On-line Documentation/Data
eRx
Secure Task Referral
multi media
multi-media Mgmt/Tracking
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Mgmt
Messaging
Authorizations Remote
& Referrals Mailing Svc

16. Comprehensive, Fully Integrated Solution.
Clinical Processes
Cli i l P

17. Comprehensive, Fully Integrated Solution.
Revenue C l M
R Cycle Management P t Processes

18. Doctations suite of web applications
means…
‣ More Efficiency for Providers
‣ Better Access to Higher Quality Care for Patients

19. Why will this approach
work?
Not just a technology solution…it adds integration, services and purchase/negotiating
power to define a powerful economic model that is sustainable
Low cost and low risk.
Hospitals don’t have to invest much and integration and conversion are outsourced.
Doctors pay a low cost enrollment fee and a low cost monthly fee. No large capital outlays and no need
fee
to invest or manage computer hardware
Will create loyalty of the doctors to the hospital by giving them web based services that
make their practices more efficient (referrals, appointment scheduling)
Lower hospital costs by providing services such as on-line scheduling, registration, pre
admission, emergency room and post discharge monitoring.
Improved practice revenue through increased services and improved productivity
p p g p p y
Increase office productivity
Lower costs of supplies and services (malpractice) through group negotiation
Additional revenue through additional service offerings (purchase image centers, concierge, etc)
centers concierge
Creation of a repository support local health agencies and support of bio terrorism
initiatives
Facilitate physician collaboration by making it so easy to share and communicate
though the “network”
A034

20. Inter-
Inter-operability standards exist.
Doctations + I t
D t ti Internet = Inter-operability.
t Inter-
I t bilit
Data Standard Comments
Demographics vCards 12 yo open std, v.4
Scheduling/Task iCalendar 11 yo open std, v3
Documents PDF/CCR,CCD 20 yo open std, v8
Claim Info
Cl i I f EDI 20 yo open std, v3
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