1. © All Rights Reserved Douglas Goldstein e-Futurist & President, Medical Alliances Lead…Innovate…Transform www.MedicalAlliances.com 703.626.0798 doug@medicalalliances.com The Future of Health IT Open Solutions

2. Solutions for Performance Excellence TM

3. © All Rights Reserved Let’s Explore… Medical Informatics 20/20 - Open Solutions & Open Source Software Health IT Open Solutions - The Future

4. © All Rights Reserved “Always and everywhere, free resources have been crucial to innovation and creativity” Lawrence Lessig, The Future of Ideas: The Fate of the Commons in a Connected World, Random House, 2001 “Open Source Everywhere - Software is just the beginning … open source is doing for mass innovation what the assembly line did for mass production. Get ready for the era when collaboration replaces the corporation.” Thomas Goetz, Editor, Wired Magazine November 2003

5. Consumer Centric Continuum of Support - ‘ConsumerMD TM Health@Anywhere’ Copyright 2005, Douglas Goldstein Web of Care Smart eHomes ePHR Health Robots Implantable eCare Wearable BioSensors NanoCare @Decision Support

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10. Open Source Software 50+ flavors of licenses Open Source Software – Membership Shared Source

11. Software Assets Available for Member Sharing CRM Application Digital Assets Management Workflow Framework Integration Adapter Factory Enterprise Reporting Engine Corporate Open Source Support Project Open Source Software - Membership

12. © All Rights Reserved To provide an innovative, first in the industry, IT platform that our customers may use to: Help achieve healthcare industry goals for IT transformation Establish an open source model for a shared software application portfolio Engage Perot Systems in their IT strategic planning at all levels of service To provide an innovative, first in the industry, IT platform that our customers may use to: Help achieve healthcare industry goals for IT transformation Establish an open source model for a shared software application portfolio Engage Perot Systems in their IT strategic planning at all levels of service Perot Systems Open Source Software - Membership

13. The PÉRADIGM Community: a unique environment Source: Perot Systems

14. Community Pass Healthcare’s Open Source Model Library for IT Environments Portfolio 2.0 PÉRADIGM Software Portfolio: Community Pass Source: Perot Systems

15. Future Community Pass Releases Examples of applications to be included in quarterly releases –Personal Health Record (PHR) –Workflow Manager –Patient Billing Account Receivables –Healthcare Information Portal (HIP) [payer] –Enterprise PERspective Knowledge Manager –Performance Dashboard –Denials Management –HR Management System –Inventory Material Management System Source: Perot Systems

16. http://www.microsoft.com/resources/sharedsource/default.mspx

17. © All Rights Reserved Beam Me Up Scotty – What is Next?... Beam me up, Scotty... Olivia Adler 1998

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20. Open Solutions is the future for health information technology Right for Patients Right of Public Health Right for National Defense Right for Quality

21. Douglas E. Goldstein Practical Futurist…Beyond Theory to Action Author & Speaker… Leadership, Technology and Innovation President, Medical Alliances Other Recent Publications: Quality, Safety and Cost Effectiveness through Leadership and Health Information Technology eHealthcare: Harness the Power of Internet e-Commerce & e-Care Best of the Net Guides to Health and Wellness and Healthcare and Medicine New Book: Medical Informatics 20/20: Quality and EHRs through Collaboration, Open Solutions and Innovation www.DouglasGoldstein.comwww.DouglasGoldstein.com703-626-0798

22. © All Rights Reserved Solutions for Performance Excellence TM

23. Third Generation Knowledge Management and Web Services Strategy Veterans Health Administration eStrategy, Health Information Technology Sharing, RHIO Analysis, and Open Source Software and VistA Assessment Consulting Research…Strategy…Development Copyright, All Rights Reserved 2004 Medical Alliances EHR Implementation Guide for Physicians TM

24. Services TM Copyright, All Rights Reserved 2004 Medical Alliances TM