Nick Sophinos is a software developer and the founding partner of WDean Medical and the creator of the CareFirst Practice Manager, an open source medical and wellness practice management software as a service.

1. HOW WE GOT HERE
PARALLELS BETWEEN PRE-INTERNET BUSINESS AND HEALTHCARE.

2. NICK SOPHINOS, FOUNDING PARTNER, WDEAN MEDICAL

3. CAREFIRST PRACTICE MANAGER
An open source medical and wellness practice management software as a
service.

5. 30 YEARS AGO: BIG PROPRIETARY VENDORS, FEW COMMON STANDARDS

6. NEXT TO NO INTEROPERABILITY

7. NO REASON TO MESS WITH A GOOD THING

8. UNIX AND TCP/IP TO THE RESCUE

10. RESULT: COMMUNICATION AND COMMERCE EXPLOSION

11. IBM NOW AN OPEN SOURCE LEADER

12. Moral of Story:
Big vendors only adopt
standards when it is too
painful not to.

13. • Jan 2004: You will use Windows, Oracle,
Websphere
• July 2004: You can use Solaris, MySql, Tomcat
• Dec 2004: You can use Linux, MySql, Tomcat
• March 2005: You will use Linux, MySql, Tomcat

15. THE PROMISE OF INTERACTIVE TELEVISION FROM THE TELCOS

16. TELCOS TOO BIG AND CONSERVATIVE TO DELIVER

18. No reason to mess with a good thing.

19. EXAMPLE: SKI TRIP TO ASPEN

20. PRIVACY AS AN EXCUSE FOR BAD POLICY
?

21. ACA ENDED UP COVERING LESS, NOT MORE

22. SELF-PAY BEGINS WHERE INSURANCE ENDS

23. INNOVATION FROM THE LONG TAIL OF MEDICINE

24. MEDICAL SPECIALTIES AND WELLNESS, OFTEN ELECTIVE MEDICINE
Sports Medicine
Anti-aging
Audiology
Behavioral Health
Botox
Chinese Medicine, Acupunture
Chiropractor
Concierge GP
Cosmetic Surgery
Dentistry
Dermatology
Electrolysis
Fertility
Functional Medicine
Hair Restoration
Home Health Care
Laser Skin Care
Lasik Eye Correction
Massage Therapy
Med Spa
Weight Loss
Optometry
Performance Medicine
Pediatric OT

25. BIG HEALTHCARE WILL ONLY ADOPT STANDARDS WHEN IT IS TOO PAINFUL NOT TO

26. VERY LARGE INSTITUTIONS WILL CHANGE LAST

27. INNOVATION COMING FROM THE EDGES