1. Medical Systems Integration: “MED-Meets-IT” Dr. John Zaleski Director, Siemens HS Pre-Market Integration Lab Siemens Medical Solutions Health Services

2. 2 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Maintaining and improving quality of care while meeting the needs of an increasing patient population, and ensuring that services are affordable requires a change in the status quo: a revolution in healthcare

3. 3 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Why a revolution? Many factors drive this… BOccurrence of medical errors BLoss of staff BIncrease in age, quantity of chronically ill patients Basic tenets… BSeek out new methods, technologies that provide change incentive BPromote systems thinking by focusing on workflow, reduction in redundant and inefficient behaviors, methods BEstablish repeatable and standards-based solutions that promote a “plug-and-play” approach to integration BPromote context-based access to information, to facilitate speed and patient safety

4. 4 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Hospital Integration: Current State Clinical Information Repositories Point of care Separate Information Repositories Device-level h/w controllers; Proprietary communications interfaces; Fixed-format ASCII Proprietary interfaces: –System-specific – Hospital-specific – Vendor-specific Disjointed, Disparate Systems; “Sneaker Net”; Maintenance/support concerns; Few, consistently implemented standards; Varying interface requirements

5. 5 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Hospital Integration: The Future State Point of care Enterprise-wide, clinical patient Information Repositories; Anywhere/Anytime access to data; Wireless roaming; Location monitoring HL7 & Standards-based communications; Plug-and-play hardware; Common User interfaces Common device interfaces; context-sharing enabled; common UI; Secure; Clinical and non-clinical data available anywhere, anytime

6. 6 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Platform Integration: Syngo ®, Soarian ®, SIENET ® US Patterson, Patterson, Maria L. Date of Birth: 02/06/1932 Imagery Lab, Rx, MR CPOE & Worklists Reports Monitoring Flow sheets …All integrated into one patient-context-specific view

7. 7 ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved Bio John Zaleski is with Siemens Medical Health Services (HS) and oversees the Siemens HS Pre-market Integration Lab. He is responsible for prototyping, developing, and validating connectivity between medical devices and Siemens health information systems. Professional experience comprises systems integration, hardware, software and systems architecture, software development, and clinical studies. Doctoral work has involved predicting weaning efficacy in mechanically ventilated coronary bypass patients. He received an Award for his part in helping develop, test, and field the Siemens ICA critical care solution (operational at half-a-dozen U.S. hospitals), and received the Siemens Health Services Innovations Award in 2003 & 2004 for the most patent disclosures filed within Health Services. He has over a dozen refereed articles in journals and symposia and has chaired panels at professional societies.