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Medical Memory Systems. MMS. 1. 12/8/2003. Medical Memory Systems. Project Manager Jeff McCreary. Resources/Marketing EMR/WBS Richard Strosahl. Web Designer/Budgeting Software WBS Daniel Anderson. Funding/Prototyping Research Plan Megan Babb. Timeline/Logistics WBS Rabia Haq.

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Medical Memory Systems

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Medical memory systems

Medical Memory Systems

MMS

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Medical memory systems1

Medical Memory Systems

Project Manager

Jeff McCreary

Resources/Marketing

EMR/WBS

Richard Strosahl

Web Designer/Budgeting

Software WBS

Daniel Anderson

Funding/Prototyping

Research Plan

Megan Babb

Timeline/Logistics

WBS

Rabia Haq

Support Stats/

Risk Analysis

Chris Fronda

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Preview

  • Communication breakdowns in the Healthcare Industry

  • Developed solution

    • Technical Innovations

    • Market Plan and Analysis

    • Evaluation Plan

    • Project Management Plan

    • Resource, Staffing, Schedule and Budget

    • Cost and Profit

    • Funding

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The Institute of Medicine (IOM) concludes that 44,000 to 98,000 patients annually die from systematic medical errors, caused by “miscommunication or a breakdown in workflow”, which resulted in patients being given the “wrong treatment or no treatment at all”.

Article by Greg Gillespie, Managing Editor of Health Data Management .com

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Diagnostic Radiology

Clinical Physician

Surgeon

Dr. Bennett, Staff Radiologist with Medical Center Radiologist (MCR)

Lori Prowant RT(R), Director of Maryview Medical Center Radiology

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Problem Statement

Current means of accessing medical information are too slow, inadequate, or outdated to meet the demands for inter-facility communications.

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Goals

  • Save Time

    • Reduced time in tracking down history

  • Save Money

    • Decrease number of procedures done in error

  • Save Lives

    • More complete medical history

    • Increase quality of service

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Current Methodology

  • Verbal

    • Inaccurate

  • Written

    • Illegible

  • Electronic – Current Methods

    • Not practical

    • Not cost effective

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Diagnostic Radiology

MMD

Clinical Physician

Surgeon

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  • Our Solution

    • MMD

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  • Small

  • Durable

  • Light weight

  • Non volatile

Memory Button by MacSema

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Modem

EMR Server

Backup Copy to Printer

Validation Upload Download

Internet

System Validation

Validation Server

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Important Medical Information

  • Allergies

  • Current medications

  • Laboratory results

  • Recent surgery finding

  • History and physical

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Connectivity

  • Integration – HL7 (Health Level Seven)

    • EMR Communication Standard

  • Our software data structure will be governed by XML.

  • Dataflow

    • Data written in XML format

    • Encryption mechanism

    • To MacSema interface

    • To memory device

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Quality Attributes

  • Easily updated

  • Accurate

  • Secure

  • Durable

  • Inexpensive

  • Wearable

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Customers

  • Initial Market

    • Hampton Roads, Washington DC, Raleigh Durham Research Triangle

  • Clinical Physicians

    • Over 3,000 physicians in Hampton Roads

    • Over 15,000 in Initial Market

  • Patients

    • Initial Market Population – 7.5 Million *

    • Elderly Population – 750,000 (10%) **

      *Hampton Roads: Demographics (Census 2000) **http://www.hreda.com/pdfs/Data_for_web_site/Demographics_2000.pdf

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The Elderly

  • Increased amount of medical history

  • Decrease memory

  • Decrease comprehension

  • Two to four times more likely for medical injury

    Local Market

  • Hampton Roads

    • Bon Secour’s

    • Sentara Lee

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Number of Physicians using

Some form of EMR

http://www.stanford.edu/~topham/market.htm

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In 3 years…

Frost and Sullivan's technology survey

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Clinic

Clinic

Clinic

Hospital

Evaluation Strategy

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Evaluation Phase

  • Durability

  • Functionality

  • Frequency

  • Usability

  • Impact

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Marketing

  • Medical Facilities

    • Medical Representatives

    • Proof of effectiveness

    • Conventions and Seminars

  • General Public

    • Standard forms of Advertisement

    • Educational Material

    • Medical Advise

      General Goal – Name Recognition

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Project Management Plan

  • Management Plan

  • Work Breakdown Structure

  • Project Manager Responsibilities

    • Schedule

    • Budget

    • Quality Control

  • Risk

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High Level Concerns

  • HIPAA

    • Record Activity

      • Audit’s

    • Encryption

      • Protect patient’s health information (PHI)

    • System Validation

      • Appropriate user’s

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Risk

  • Developing Customer Base

    • Level – High

    • Resolution – Aggressive Marketing

  • Inconsistent Use

    • Level – High

    • Resolution – Patient Education and Ease-of-use

  • Pricing

    • Level – Medium

    • Resolution – Aggressive Marketing leads to bulk sales and purchasing

  • Competing Products

    • Level – Medium

    • Resolution – Pratical and unique product line

  • Training

    • Level – Low

    • Resolution - Ease-of-use and Tutorials

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Additional Personnel

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  • Total Cost for Phase I and II - $609760

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MMD Cost

  • Less than $50 for 8 MB

  • 20$ to $60 range for jewelry casing

    Full EMR Installments - $12,000

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  • Profitability

    • Licensing - $2500 (3 physicians)

    • Annual fee - $500

      • System support

      • Validation services

    • Goals

      • Phase I and II total - $609,760

      • Breakeven target - $900,000 (breakeven target)

    • 3 Metropolitan’s - Populations

      • Hampton Road’s

      • Washington DC

      • Raleigh Durham Research Triangle

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  • Total population – 7.5 million people

  • 200 doctors to 100,000 people in metropolitan area’s*

    • Total physicians – 15,000

    • Average licensing fee per physician - $833

    • To reach break-even target of $900,000

      • 1081 single licenses (360 3-user license)

      • Capture 7.2% of market

      • Does not include annual support fee

*www.bna.com

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MMD profits

  • 7.2% of population – 540,000 people

  • 10% of that – 54,000 (represents elderly population)

  • 10% profit margin - $5 per unit sold

  • .7% of patient market yields - $270,000

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Funding

  • SBIR

    • Year 1 – $359,229.79

    • Year 2 – $250,530.40

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Conclusion

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References

Article by Greg Gillespie, Managing Editor of Health Data Management .com

Interviews with:

  • Dr. Bennett, Staff Radiologist with Medical Center Radiologist (MCR)

    • MCR provides radiologist for Sentara and Bon Secour’s of Hampton Roads facilities

  • Lori Prowant RT (R), Director of Maryview Medical Center Radiology

  • Hampton Roads: Demographics (Census 2000)

  • http://www.hreda.com/pdfs/Data_for_web_site/Demographics_2000.pdf

  • http://www.stanford.edu/~topham/market.htm

  • www.bna.com

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Solution Characteristics

  • Complete and Historically up-to-date

  • Easily accessible to appropriate medical organizations

  • Information obtained from reliable sources

  • Reliable physical components

  • Cost effective

  • Portable

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Out of 180,000 annual deaths from medical injury

Due to

Preventable

Medical Injury

124,000 Death’s

(69%)

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Annual cost due to medical injury- $200 Billion

Due to

Preventable

Medical Injury

$138 Billion

(69%)

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EMR Expenditures

in million’s

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