©2013AT&TIntellectualProperty.Allrightsreserved.AT&TandtheAT&TlogoaretrademarksofAT&TIntellectualProperty.ForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDeliveryTheuseoftechnologyandsmartnetworkscancreateahealthierworld.Contents2|ForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDelivery5Overview7AcademicMedicalCenter:ImprovingQualityofCare9ALargeTeachingHospital:TheProgressiveAccumulationofKnowledge11PhlebotomyCenter:ConnectingDonorsandPatients14Conclusion:SolutionsthatOfferaRoadmapforSuccess8AHealthSolutionCompany:BuildingaPatientEngagementStrategyforWellnessManagement12RegionalHealthcareSystem:UtilizingHybridStorageSolutionsforMedicalImagesForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDelivery|3OverviewWearelivinginanerawheretheimprobablehasbecomepossible.Whowouldhaveimaginedthatclinicianscouldaccesscompleterecordsfortheirentirepatientpanelfromasmartphoneortablet?Advancesinemergingtechnologiesandnetworkingsolutions,coupledwithhealthcarepolicyshiftsandanincreasingdemandforproviderstosharepatientinformation,havecreatedexcitingopportunitiestoimprovepatientoutcomes.Inthelastseveralyears,healthcarehasbeenthroughaseriesofmetamorphicchangesthathavecreatedopportunities,includingnear-realtimeintegratedcommunicationbetweenhospitalandinsurancenetworks.However,withopportunitiestherearechallenges:thehealthcaredeliverysystemhastoimplementscalablebusinessinfrastructuresthatsupportinteroperability.Thehealthcarelandscapeisamixtureofmultipleconstituents–patients,providers,andpayers–withvariouspriorities,concernsandneeds.Thefollowingusecasesdemonstratehowhealthcareorganizationsareusinghealthinformationtechnologytostreamlinecommunications,reducewaste,andimprovepatientoutcomes.4|ForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDeliveryForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDelivery|5AcademicMedicalCenterImprovingQualityofCareCreatingaHealthInformationExchange(HIE)Anacademicmedicalcenter(AMC)withthreemillionpatientencountersannuallyandnumeroushospital-physicianaffiliations–amixofmorethan20hospitals,twodozenjointambulatorysurgicalcenters,62satelliteoutpatientlocations,threeseniorcentersand173physicianorganizations–lackedacommonplatformforsharingpatientinformation.Someoftheseentitieswereutilizinghealthinformationtechnologybutothersreliedheavilyonfaxingandphonecallstoschedulepatientappointmentsorsupportconsultations.Thedisparatecommunicationmethodswerenotconducivetoprocessingreferrals,supportingprovider-to-providerinteractionsorforecastingrevenue.TheAMC’sseniorleadersunderstoodthattherewouldbeachallengeingettingmultipleconstituentsandentitieswithdifferentagendasandvaryingdegreesofaffiliationtoutilizeacommonplatform.Moreover,asystemic“ripandreplace”oftheacademicmedicalcenter’sexistingITinfrastructurewascost-prohibitiveandnotanoptionofficialswereeagertoexplore.Toimproveaccesstopatientinformationacrossthecontinuumofcare,theAMCwantedtocreateafunctional,user-friendlyHIE.BuildItandTheyWillComeOverthecourseofseveralmonthsandmultipleconsultativemeetings,AT&Tcametounderstandthemedicalcenter’sITstrengthsandchallengesaswellasitsculture,andrecommendedascalable,agnosticsolutionthatwouldfosterprovideradoptionandimprovereferrals.WorkinginconcertwithAMCseniorleaders,AT&Tcreatedamulti-steptechnologyimplementationprocessdesignedtomitigatebusinessdisturbancewhileencouragingmaximumprovideradoption.AT&TinstalledandimplementedtheAT&THealthcareCommunityOnlineHIEsolutionandlaunchedanextensivemarketingoutreachprogramfortheAMCthatincludedabrandedportal,directmailandemailcampaigns,continuingmedicaleducation(CME)webinarsandFAQsthatexpediteduseradoption.Thephaseddeploymentandend-to-endoutreachmadeiteasyforproviderstobeginusingtheAT&THealthcareCommunityOnlinesolution.Asaresult,theAMCimprovedphysician-to-physiciancommunication,streamlinedreferralsandautomatedanumberofotherprocesses.TheSolutionWithatrustedidentityframeworkforhighly-secureuseraccessanddataexchange,theAT&THealthcareCommunityOnlineplatformasaservicesolutiongavetheAMCaseriesofhighly-secure,flexibleapplicationsthatcanassistwithallphasesofmeaningfulusecompliancerequirements.Additionally,theMasterPatientIndexandRecordLocatorServicecanstoreuptofourmillionpatientrecordsandtheintegratedclinicaldatarepositoryapplicationwillenabletheAMCtostoreuptotwoyearsofdataon-site.TheAT&THealthcareCommunityOnlinesolutionfacilitatesEMR-to-EMRintegration,andworkswiththeAMC’sexistingEMRenvironment,minimizingchangetophysicianworkflows.6|ForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDeliveryForHealthSMGuide:ITSolutionsthatOptimizeHealthcareDelivery|7AHealthSolutionCompanyBuildingaPatientEngagementStrategyforWellnessManagementANewApproachtoWellnessManagementWithmorethan90millionAmericanssufferingfromoneormorechronicdiseases,1reducinghealthcarecostshasbecomeacentraltenetinimprovinghealthoutcomes.It’snosurprisethatwellnessprogramshavebecomeakeyconduitforreducinghospitalreadmissionsandimprovingpatienthealth.AfastgrowinghealthsolutioncompanythathadpreviouslypurchasedanAT&Tsolutiontomanagepatientrecordswan