LEAD Presentation 1

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    A Simple, Accurate andUsable System toManage Patients

    Medications:

    Leveraging MayosUnique Position

    G. Anton Decker, M.B.B.Ch., M.R.C.P., M.H.A.2011-2012 LEAD Program

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    Medication errors = death and injury

    > 1 million serious medication errors

    annually

    Joint Commission

    Opportunities in modern EMR

    Current MCA workflow chaotic and

    Background

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    COMPLEX

    INACCURATE

    NOTUSABLE

    Curr

    entState

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    Where is the Truth?

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    Develop a whitepaper of the workflow and

    IT infrastructure required to support a

    codified single medication repository thatallows healthcare providers to verify and

    time-stamp medication lists, thereby

    holding the patient and the doctor

    accountable to a usable, temporal,

    retrievable, single source of truth that can

    Primary Project

    Objective

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    Medication List on 8/31/2011 at08h45

    Medication List on 06/24/2010 at10h45

    Medication List on 05/23/2008 at

    14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Medication List on 09/07/2011 at09h00 Varified by

    Anton Decker,MD

    Lisinopril 10 mg a day

    Hydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a dayDucosate 100mg twice a day

    Medication List on 09/07/2011 at09h00

    All medications areentered in codified

    fields

    Verified byAnton Decker,

    MD

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    Lisinopril 10 mg a dayHydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a dayDucosate 100mg twice a day

    Medication List on 8/31/2011 at08h45

    Medication List on 06/24/2010 at10h45

    Medication List on 05/23/2008 at

    14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Medication List on 09/07/2011 at09h00 Verified by

    Anton Decker,MD

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    Lisinopril 10 mg a day

    Hydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a dayDucosate 100mg twice a dayMetoprolol XL 50 mg a day

    Medication List on 05/23/2008 at

    14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Verified byJohn Smith,

    MD

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    Medication List on 05/23/2008 at

    14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Certified byJohn Smith,

    MD

    Lisinopril 10 mg a dayHydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a dayDucosate 100mg twice a dayMetoprolol 50 mg a dayDiltiazem LA 80 mg a day

    Medication List on 12/28/2005 at15h12 Verified by

    Sarah Doe,MD

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    Lisinopril 10 mg a dayHydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a day

    Ducosate 100mg twice a day

    Medication List on 8/31/2011 at08h45

    Medication List on 06/24/2010 at10h45

    Medication List on 05/23/2008 at

    14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Medication List on 09/07/2011 at09h00 Verified by

    Anton Decker,MD

    di i i 2 28 200

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    Lisinopril 10 mg a dayHydrochlorthiazide 25 mg a dayAtorvastatin 80 mg a dayDucosate 100mg twice a day

    Medication List on 8/31/2011 at08h45

    Medication List on 06/24/2010 at

    10h45

    Medication List on 05/23/2008 at14h30

    Medication List on 03/22/2006 at13h33

    Medication List on 12/28/2005 at15h12

    Medication List on 09/07/2011 at09h00

    HypertensionCoronary artery diseasePeptic ulcerDepressionHypercholesterolemia

    Problem List on 8/31/2011 at

    08h45

    Problem List on 06/24/2010 at10h45

    Problem List on 05/23/2008 at14h30

    Problem List on 03/22/2006 at13h33

    Problem List on 12/28/2005 at15h12

    Problem List on 09/07/2011 at09h00

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    Develop a whitepaper of the workflow and

    IT infrastructure required to support a

    codified single medication repository thatallows healthcare providers to verify and

    time-stamp medication lists, thereby

    holding the patient and the doctor

    accountable to a usable, temporal,

    retrievable, single source of truth that can

    Primary Objective

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    Project Life Cycle

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    Project Feasibility

    Analysis

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    Stretch

    Project Feasibility

    Analysis

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    Stretch

    SupportStra

    tegic

    Objectiv

    e

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    Stretch

    SupportS

    trategic

    Objective

    MeasurableResult

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    Stretch

    SupportS

    trategic

    Objective

    Support

    Strategic

    Objective

    Colla

    bo

    ratio

    n

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    Stretch

    Support

    Strategic

    Objective

    SupportStrategic

    Objective

    Colla

    boratio

    n Support

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    Stretch

    SupportStrat

    egic

    Objective

    Suppor

    tStrategic

    Objecti

    ve

    Colla

    bor

    atio

    n

    Support

    Leader

    ship

    Develop

    ment

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    The greater danger for most of uslies not in setting our aim too high

    and falling short; but in setting ouraim too low, and achieving ourmark. Michelangelo