1. SQL SERVER AND HEALTHCARE HEALTHY RELATIONSHIP? Scott Shaw

2. CURRENT ENVIRONMENT

3. ALPHABET SOUP MEANINGFUL USE HIPAA ARRA AMBULATORY CARE HIT HIMSS EHR EMR HL7 CCHIT CPOE HITECH HIE RHIO NHIN REC PACS

4. GOVERNMENT AND REGULATORY SOUP

5. VENDOR SOUP

6. HEALTHCARE SYSTEM

7. FOLLOW THE MONEY

8. $86.8 billion for MedicaidMedicaid $25.8 billion for health information technology investments and incentive paymentshealth information technology $25.1 billion to provide a 65 percent subsidy of health care insurance premiums for the unemployed under the COBRA programCOBRA $10 billion for health research and construction of National Institutes of Health facilities $2 billion for Community Health CentersCommunity Health Centers $1.3 billion for construction of military hospitals (military) $1.1 billion to study the comparative effectiveness of healthcare treatments $1 billion for prevention and wellness $1 billion for the Veterans Health AdministrationVeterans Health Administration $500 million for healthcare services on Indian reservationsIndian reservations $300 million to train healthcare workers in the National Health Service CorpsNational Health Service Corps $202 million for a temporary moratorium for certain medicare regulations

9. HIGHLIGHTS REGIONAL EXTENSION CENTERS HITREC 20 Million Provide training and support services to assist doctors and other providers in adopting EHRs Offer information and guidance to help with EHR implementation Give technical assistance as needed

10. HIGHLIGHTS COMMUNITY COLLEGE CONSORTIA 36 Million Train 10,500 IT Professionals 5 regional groups of more than 70 member community colleges in all 50 states. Community colleges received $36 million in grants to develop or improve non-degree health IT training programs. Students can complete in six months or less

11. HIGHLIGHTS State Health Information Exchange Cooperative Agreement Program STATE HIE 548 Million Funds states’ efforts to rapidly build capacity for exchanging health information across the health care system both within and across states.

12. HIGHLIGHTS Strategic Health IT Advanced Research Project SHARP 4 Years, 15 Million Security (University of Illinois) Patient-Centered Cognitive Support (University of Texas) Application and Network Design (Harvard University) Secondary Use of EHR Information (Mayo Clinic) http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&o bjID=3152http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&o bjID=3152

13. Highlights Meaningful Use 3 Stages 1 st Stage Data Capture and Sharing – 80% EHR by 2012 2 nd Stage Advanced Clinical Processes – Quality and EEI 2013 3 rd Stage Improved Outcomes – Safety and Efficiency 2015 As of now 53% of hospitals cannot meet 10 of the 14 core stage 1 requirements

14. FOLLOW THE TRENDS When asked to identify the top three IT spending priorities for the next 12 months: 44.3 percent said backup/disaster recovery 37.7 percent said picture archiving and communications systems (PACS) 34.9 percent said digitizing paper records 32.1 percent said archives 2010

15. FOLLOW THE TRENDS Data Archiving Consolidation of Data from Multiple Sources Sharing Data Between Multiple Systems Business Intelligence Reporting

16. WHERE IS MICROSOFT

17. MICROSOFT HIT PRODUCTS **** Not for sale in the US

18. MICROSOFT HIT PRODUCTS

19. Vergence – fully managed workstation (acquired from Sentillion) proVision – security management (acquired from Sentillion) expreSSO – single sign-on solution (acquired from Sentillion) Way2Care – proximity cards (acquired from Sentillion)

20. WHAT ELSE CAN MICROSOFT DO?

21. OR…… Do Nothing. WHY?

22. SQL IS PERVASIVE

23. MERCY EXAMPLE 26 Major Hospital Systems 350 Production SQL Servers ~2,500 Databases 36,500 Co-Workers 4,000 Physicians

24. MERCY EXAMPLE Financial Imaging Software Nurse-on-Call Applications Dictation Software Dietary Applications EHR Monitoring Software Home Healthcare Software Hospital Inventory Application Patient Monitoring Software Credentialing

25. SUMMARY Open Book Consider Healthcare IT Training It’s All About the Patient

26. RESOURCES MICROSOFT HEALTHCARE SITE http://www.microsoft.com/industry/healthcare/default.mspx MICROSOFT HEALTHCARE USERS GROUP http://www.mshug.org/ HHS HIT SITE http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__home/1204 HIMSS SITE http://www.himss.org/ASP/index.asp

27. QUESTIONS?

28. Scott Shaw Email: spshaw70@gmail.comspshaw70@gmail.com Twitter: @shawsql LinkedIn: http://www.linkedin.com/in/scottpshawhttp://www.linkedin.com/in/scottpshaw CONTACT INFORMATION