CHINA COMPUTERWORLD THE DORENFEST GROUP CHINA COMPUTERWORLD RHN CONFERENCE CHINA COMPUTERWORLD RHN CONFERENCE EVOLUTION OF RHNs AROUND THE WORLD AND WHAT

CHINA COMPUTERWORLDCHINA COMPUTERWORLD THE DORENFEST GROUPTHE DORENFEST GROUP

CHINA COMPUTERWORLD CHINA COMPUTERWORLD RHN CONFERENCERHN CONFERENCE

EVOLUTION OF RHNs AROUND THE EVOLUTION OF RHNs AROUND THE WORLD AND WHAT IT MEANS TO WORLD AND WHAT IT MEANS TO RHNs IN CHINARHNs IN CHINA

BEIJING, CHINA SEPTEMBER 12, 2009

CHINA COMPUTERWORLDCHINA COMPUTERWORLD 2 THE DORENFEST GROUPTHE DORENFEST GROUP

PRESENTATION AGENDA PRESENTATION AGENDA

ABOUT THE DORENFEST GROUP AND ITS CHINA BUSINESS APPROACH ABOUT THE DORENFEST GROUP AND ITS CHINA BUSINESS APPROACH

EVOLUTION OF RHNs AROUND THE WORLD EVOLUTION OF RHNs AROUND THE WORLD

EVOLUTION OF RHNs IN CHINAEVOLUTION OF RHNs IN CHINA


ABOUT THE DORENFEST GROUP ABOUT THE DORENFEST GROUP

HEALTHCARE CONSULTING AND INVESTMENT FOCUSHEALTHCARE CONSULTING AND INVESTMENT FOCUS

OFFER HEALTHCARE IMPROVEMENT SERVICES TO SUPPORT A MORE OFFER HEALTHCARE IMPROVEMENT SERVICES TO SUPPORT A MORE POSITIVE WORLD FUTUREPOSITIVE WORLD FUTURE

HELP HEALTHCARE ORGANIZATIONS TO IMPROVE HEALTHCARE SERVICES HELP HEALTHCARE ORGANIZATIONS TO IMPROVE HEALTHCARE SERVICES WHILE REDUCING COSTS BY IMPROVING WORK PROCESSES, MANAGEMENT WHILE REDUCING COSTS BY IMPROVING WORK PROCESSES, MANAGEMENT SYSTEMS, SERVICES TO PATIENTS, AND QUALITY OF MEDICAL CARESYSTEMS, SERVICES TO PATIENTS, AND QUALITY OF MEDICAL CARE

IN 2006 THE DORENFEST GROUP FORMED THE DORENFEST CHINA IN 2006 THE DORENFEST GROUP FORMED THE DORENFEST CHINA HEALTHCARE GROUP, BASED IN SHANGHAI, TO BRING OUR SKILL, HEALTHCARE GROUP, BASED IN SHANGHAI, TO BRING OUR SKILL, TECHNOLOGY, AND CAPITAL TO CHINA IN A TWO-PHASE PROGRAMTECHNOLOGY, AND CAPITAL TO CHINA IN A TWO-PHASE PROGRAM

WE ARE NOW OPERATING IN PHASE 1 OF THIS PROGRAM, OFFERING A WE ARE NOW OPERATING IN PHASE 1 OF THIS PROGRAM, OFFERING A VARIETY OF CONSULTING, TRAINING, AND EDUCATION SERVICES TO THE VARIETY OF CONSULTING, TRAINING, AND EDUCATION SERVICES TO THE CHINA HEALTHCARE SYSTEMCHINA HEALTHCARE SYSTEM

WE EXPECT TO ENTER PHASE 2 OF OUR ACTIVITIES IN CHINA BY THE END OF WE EXPECT TO ENTER PHASE 2 OF OUR ACTIVITIES IN CHINA BY THE END OF 2010 2010 WHEN WE WILL BEGIN TO MAKE INVESTMENTS IN WELL-DEFINED, GOOD WHEN WE WILL BEGIN TO MAKE INVESTMENTS IN WELL-DEFINED, GOOD BUSINESS PROJECTS, IN PARTNERSHIP WITH CHINESE HEALTH BUREAUS AND BUSINESS PROJECTS, IN PARTNERSHIP WITH CHINESE HEALTH BUREAUS AND HOSPITALSHOSPITALS


DORENFEST ACTIVITIES IN OTHER COUNTRIESDORENFEST ACTIVITIES IN OTHER COUNTRIES

1.1. CONDUCT MARKET STUDIES AND CONSULTING ASSIGNMENTS ON USE OF CONDUCT MARKET STUDIES AND CONSULTING ASSIGNMENTS ON USE OF INFORMATION TECHNOLOGY IN HEALTH CARE IN A NUMBER OF COUNTRIESINFORMATION TECHNOLOGY IN HEALTH CARE IN A NUMBER OF COUNTRIES

2.2. CONDUCT WORLDWIDE STUDIES COMPARING THE STATE OF THE ART IN CONDUCT WORLDWIDE STUDIES COMPARING THE STATE OF THE ART IN HEALTH CARE I.T.HEALTH CARE I.T.

3.3. CONTINUOUSLY MONITOR AND UPDATE OUR UNDERSTANDING OF CONTINUOUSLY MONITOR AND UPDATE OUR UNDERSTANDING OF WORLDWIDE HEALTH CARE I.T. THROUGH A VARIETY OF ONGOING WORLDWIDE HEALTH CARE I.T. THROUGH A VARIETY OF ONGOING ACTIVITIES:ACTIVITIES:

IN-PERSON AND TELEPHONE DISCUSSIONS WITH NUMEROUS HOSPITAL IN-PERSON AND TELEPHONE DISCUSSIONS WITH NUMEROUS HOSPITAL EXECUTIVES AND I.T. SUPPLIER PERSONNELEXECUTIVES AND I.T. SUPPLIER PERSONNEL

REVIEW OF I.T. IN USE AT HOSPITALS THROUGHOUT THE WORLDREVIEW OF I.T. IN USE AT HOSPITALS THROUGHOUT THE WORLD

4.4. WORLDWIDE EDUCATIONAL SERVICESWORLDWIDE EDUCATIONAL SERVICES


SOME RECENT CLIENT EXAMPLES IN CHINASOME RECENT CLIENT EXAMPLES IN CHINA

1.1. EXAMPLES OF HEALTH BUREAU CLIENTS RHN PLANNING CLIENTSEXAMPLES OF HEALTH BUREAU CLIENTS RHN PLANNING CLIENTS

SHENZHENSHENZHEN

CHONGQINGCHONGQING

2.2. EXAMPLES OF HOSPITAL CLIENTSEXAMPLES OF HOSPITAL CLIENTS

SHANGHAI CHANGNING MATERNITY AND INFANT HEALTH INSTITUTESHANGHAI CHANGNING MATERNITY AND INFANT HEALTH INSTITUTE

PEKING UNIVERSITY MEDICAL COLLEGE #3 HOSPITALPEKING UNIVERSITY MEDICAL COLLEGE #3 HOSPITAL

RIZHAO CITY PEOPLE’S HOSPITAL RIZHAO CITY PEOPLE’S HOSPITAL

3.3. EXAMPLES OF HELPING CLIENTS FROM OTHER LOCATIONS TO BRING THEIR EXAMPLES OF HELPING CLIENTS FROM OTHER LOCATIONS TO BRING THEIR SKILLS TO MAINLAND CHINA SKILLS TO MAINLAND CHINA

HONG KONG HOSPITAL AUTHORITY HONG KONG HOSPITAL AUTHORITY

MICROSOFTMICROSOFT


CHINA COMPUTERWORLDCHINA COMPUTERWORLD

EVOLUTION OF RHNs EVOLUTION OF RHNs AROUND THE WORLDAROUND THE WORLD


RHNs WERE FIRST INTRODUCED AS CHINS IN THE U.S. IN THE EARLY 1990sRHNs WERE FIRST INTRODUCED AS CHINS IN THE U.S. IN THE EARLY 1990s

Hospital A

Doctor’s Office Doctor’s Office

GovernmentReimbursement

Blood BankHome Health Agency

Hospital B

Patient DataDoctor’s Office

Insurance Payor

Nursing Home

Outpatient Clinic

Outpatient Clinic

Outpatient Clinic


SUMMARY OF EVOLUTION OF RHNs IN THE U.S.SUMMARY OF EVOLUTION OF RHNs IN THE U.S.

COMMUNITY HEALTH INFORMATION NETWORKS (CHINs) BEGAN IN 1990 AS COMMUNITY HEALTH INFORMATION NETWORKS (CHINs) BEGAN IN 1990 AS THE FIRST GENERATION OF RHNs IN THE UNITED STATES THE FIRST GENERATION OF RHNs IN THE UNITED STATES

– FORMED WITH A BROAD VISION OF SHARING INFORMATION AMONG FORMED WITH A BROAD VISION OF SHARING INFORMATION AMONG HEALTH ORGANIZATIONS WITHIN A CITY OR STATE HEALTH ORGANIZATIONS WITHIN A CITY OR STATE

– UNCLEAR OBJECTIVESUNCLEAR OBJECTIVES

– LACK OF VALUE TO POTENTIAL PARTICIPANTSLACK OF VALUE TO POTENTIAL PARTICIPANTS

– MUCH MONEY INVESTED BY MANY CHIN PROJECTS MUCH MONEY INVESTED BY MANY CHIN PROJECTS

INTEGRATED DELIVERY OWNERSHIP MODELS EMERGED IN 1993 AS THE INTEGRATED DELIVERY OWNERSHIP MODELS EMERGED IN 1993 AS THE HOSPITAL ANSWER TO THE CLINTON HEALTHCARE REFORM PROPOSAL HOSPITAL ANSWER TO THE CLINTON HEALTHCARE REFORM PROPOSAL

BY THE MIDDLE 1990s, INTEGRATED DELIVERY SYSTEMS EMERGED IN EVERY BY THE MIDDLE 1990s, INTEGRATED DELIVERY SYSTEMS EMERGED IN EVERY CITY IN THE UNITED STATES, AND THE CHIN CONCEPT DISAPPEARED BY 1996 CITY IN THE UNITED STATES, AND THE CHIN CONCEPT DISAPPEARED BY 1996


THE VISION OF INTEGRATED DELIVERY SYSTEM OWNERSHIP MODELS THE VISION OF INTEGRATED DELIVERY SYSTEM OWNERSHIP MODELS

Hospital A

Doctor’s Office Doctor’s Office

GovernmentReimbursement

Blood BankHome Health Agency

Hospital B

Patient DataDoctor’s Office

Insurance Payor

Nursing Home

Outpatient Clinic

Outpatient Clinic

Outpatient Clinic


RHIOs EMERGE IN THE DECADE OF THE 2000s RHIOs EMERGE IN THE DECADE OF THE 2000s

RHIOs WERE THE SECOND GENERATION OF RHNs IN THE U.S.RHIOs WERE THE SECOND GENERATION OF RHNs IN THE U.S.

– MANY DIFFERENT ORGANIZATIONS PROMOTED THEM IN THE EARLY MANY DIFFERENT ORGANIZATIONS PROMOTED THEM IN THE EARLY 2000s2000s

– BY 2004, NATIONAL POLICY EMERGED THROUGH THE OFFICE OF THE BY 2004, NATIONAL POLICY EMERGED THROUGH THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY (ONCHIT) (ONCHIT)

IN THE ENSUING SEVERAL YEARS BETWEEN 2004 AND NOW, ALMOST 100 IN THE ENSUING SEVERAL YEARS BETWEEN 2004 AND NOW, ALMOST 100 OFFICIALLY DESIGNATED RHIOs EMERGEDOFFICIALLY DESIGNATED RHIOs EMERGED

– HEAVY INVESTMENT IN THESE RHIOs WITH MOST FUNDS USED IN HEAVY INVESTMENT IN THESE RHIOs WITH MOST FUNDS USED IN THEIR START-UPTHEIR START-UP

– MANY WERE UNABLE TO FIND A SUSTAINABLE OPERATING MODEL AND MANY WERE UNABLE TO FIND A SUSTAINABLE OPERATING MODEL AND APPROACHED FINANCIAL COLLAPSEAPPROACHED FINANCIAL COLLAPSE

– SOME LONG TERM SUCCESSES EMERGED TO SHARE LIMITTED DATASOME LONG TERM SUCCESSES EMERGED TO SHARE LIMITTED DATA


WHAT ARE THE LESSONS TO BE LEARNED?WHAT ARE THE LESSONS TO BE LEARNED?

BROAD VISIONS NEEDS DETAILED PLANS BROAD VISIONS NEEDS DETAILED PLANS

OVERSIMPLIFIED IMPLEMENTATION APPROACHES CREATE FLAWED AND OVERSIMPLIFIED IMPLEMENTATION APPROACHES CREATE FLAWED AND LIMITTED SUCCESSLIMITTED SUCCESS

LACK OF STAKEHOLDER COMMITMENT CREATED FAILED PROGRAMSLACK OF STAKEHOLDER COMMITMENT CREATED FAILED PROGRAMS

HEAVY INVESTMENT IN POORLY CONCEIVED IDEAS WASTED MONEYHEAVY INVESTMENT IN POORLY CONCEIVED IDEAS WASTED MONEY

SUCCESS ACCOMPLISHED THROUGH LIMMITTED, WELL THOUGHT THROUGH SUCCESS ACCOMPLISHED THROUGH LIMMITTED, WELL THOUGHT THROUGH FIRST STEPS AND STRONG STAKEHOLDER PARTICIPATION AND SUPPORTFIRST STEPS AND STRONG STAKEHOLDER PARTICIPATION AND SUPPORT


CHINA COMPUTERWORLDCHINA COMPUTERWORLD

EVOLUTION OF RHNs EVOLUTION OF RHNs IN CHINAIN CHINA


EVOLUTION OF RHNs IN CHINAEVOLUTION OF RHNs IN CHINA

THE MINISTRY OF HEALTH (MOH) GUIDELINES FOR HEALTH I.T. DEVELOPMENT THE MINISTRY OF HEALTH (MOH) GUIDELINES FOR HEALTH I.T. DEVELOPMENT CALLED FOR REGIONAL HEALTH NETWORKS AND DIGITAL HOSPITALS TO BE CALLED FOR REGIONAL HEALTH NETWORKS AND DIGITAL HOSPITALS TO BE IMPLEMENTED THROUGHOUT CHINA BETWEEN 2003 AND 2010IMPLEMENTED THROUGHOUT CHINA BETWEEN 2003 AND 2010

THIS PROVIDED MUCH MOMENTUM AS MANY HEALTH BUREAUS UNDERTOOK THIS PROVIDED MUCH MOMENTUM AS MANY HEALTH BUREAUS UNDERTOOK REGIONAL HEALTH NETWORK AND DIGITAL HOSPITAL INVESTMENTREGIONAL HEALTH NETWORK AND DIGITAL HOSPITAL INVESTMENT

IN THE LAST FEW YEARS DATA SHARING HAS BEGUN TO EMERGE IN CHINA AS IN THE LAST FEW YEARS DATA SHARING HAS BEGUN TO EMERGE IN CHINA AS SOME RHNs SHARE LIMITED DATA SUCH AS TEST/DIAGNOSTIC RESULTS AND SOME RHNs SHARE LIMITED DATA SUCH AS TEST/DIAGNOSTIC RESULTS AND SOME PATIENT INFORMATIONSOME PATIENT INFORMATION

HEALTHCARE REFORM CALLS FOR E-HEALTH RECORDS AND HAS PROVIDED HEALTHCARE REFORM CALLS FOR E-HEALTH RECORDS AND HAS PROVIDED SUBSTANTIAL ADDITIONAL FUNDING IN A VARIETY OF WAYS, SO IT IS SUBSTANTIAL ADDITIONAL FUNDING IN A VARIETY OF WAYS, SO IT IS EXPECTED THAT SUBSTANTIAL ADDITIONAL PROGRESS WILL BE MADE IN THE EXPECTED THAT SUBSTANTIAL ADDITIONAL PROGRESS WILL BE MADE IN THE NEXT FEW YEARSNEXT FEW YEARS

MUCH MORE ACTIVITY AND FUNDING IN MANY CITIES AND PROVINCES WITH MUCH MORE ACTIVITY AND FUNDING IN MANY CITIES AND PROVINCES WITH EVEN U.S. FUNDING FOR ONE OR TWO MAJOR PLANNING PROJECTSEVEN U.S. FUNDING FOR ONE OR TWO MAJOR PLANNING PROJECTS


THE CURRENT SITUATION WITH RHN DEVELOPMENT AND ELECTRONIC HEALTH THE CURRENT SITUATION WITH RHN DEVELOPMENT AND ELECTRONIC HEALTH RECORDS IN CHINA RESEMBLES THE U.S. SITUATION OF PAST RECORDS IN CHINA RESEMBLES THE U.S. SITUATION OF PAST

BROAD VISIONBROAD VISION

MORE MONEY AVAILABLEMORE MONEY AVAILABLE

POOR DEFINITION OF FIRST STEPSPOOR DEFINITION OF FIRST STEPS

LACK OF STAKEHOLDER COMMITMENT TO SPECIFIC DATA SHARINGLACK OF STAKEHOLDER COMMITMENT TO SPECIFIC DATA SHARING


BUILDING SUCCESS THROUGH A STRONG FOUNDATIONBUILDING SUCCESS THROUGH A STRONG FOUNDATION

CAREFULLY DEFINE FIRST STEPSCAREFULLY DEFINE FIRST STEPS

LIMITED DATA SETS WITH HIGH BENEFIT TO MANY STAKE HOLDERS WOULD LIMITED DATA SETS WITH HIGH BENEFIT TO MANY STAKE HOLDERS WOULD BE ADVANTAGEOUSBE ADVANTAGEOUS

WHEN FIRST STEPS PROVE BENEFICIAL, MORE AGGRESSIVE SECOND STEPS WHEN FIRST STEPS PROVE BENEFICIAL, MORE AGGRESSIVE SECOND STEPS CAN BE TAKEN CAN BE TAKEN


THANK YOU.THANK YOU.FOR MORE INFORMATION CONTACT:FOR MORE INFORMATION CONTACT:

SHELDON I. DORENFEST OR YU ZHIYUAN (GRACE)SHELDON I. DORENFEST OR YU ZHIYUAN (GRACE)

THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUPSUITE 908, NO. 998 RENMIN ROAD, SHANGHAISUITE 908, NO. 998 RENMIN ROAD, SHANGHAI

PHONE: 021-63203522, 63269722PHONE: 021-63203522, 63269722

WEB SITE ADDRESS: WEB SITE ADDRESS: www.dorenfest.comwww.dorenfest.com

E-MAIL ADDRESS: E-MAIL ADDRESS: [email protected]@dorenfest.com

SHELDON’S E-MAIL ADDRESS: SHELDON’S E-MAIL ADDRESS: [email protected]@dorenfest.com

YU ZHIYUAN (GRACE) YU ZHIYUAN (GRACE) : : [email protected]@dorenfest.com

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CHINA COMPUTERWORLD THE DORENFEST GROUP CHINA COMPUTERWORLD RHN CONFERENCE CHINA COMPUTERWORLD RHN CONFERENCE EVOLUTION OF RHNs AROUND THE WORLD AND WHAT