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THE DORENFEST GROUP THE DORENFEST GROUP THE DORENFEST CHINA HEALTHCARE GROUP THE DORENFEST CHINA HEALTHCARE GROUP CHINA HEALTHCARE TECHNOLOGY CHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT DELEGATION VISIT OPPORTUNITIES IN CHINA OPPORTUNITIES IN CHINA HEALTHCARE HEALTHCARE WASHINGTON, D.C. MARCH 4, 2008

CHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT

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CHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT. MARCH 4, 2008. WASHINGTON, D.C. OPPORTUNITIES IN CHINA HEALTHCARE. AGENDA. ABOUT THE DORENFEST GROUP OVERVIEW OF OPPORTUNITIES IN CHINA HEALTHCARE CHINA H.I.T. MARKET SUMMARY QUESTIONS AND ANSWERS. THE DORENFEST GROUP. - PowerPoint PPT Presentation

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THE DORENFEST GROUPTHE DORENFEST GROUP THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE TECHNOLOGYCHINA HEALTHCARE TECHNOLOGYDELEGATION VISITDELEGATION VISIT

OPPORTUNITIES IN CHINA OPPORTUNITIES IN CHINA HEALTHCAREHEALTHCARE

WASHINGTON, D.C. MARCH 4, 2008

THE DORENFEST GROUPTHE DORENFEST GROUP 2 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

AGENDAAGENDA

ABOUT THE DORENFEST GROUPABOUT THE DORENFEST GROUP

OVERVIEW OF OPPORTUNITIES IN CHINA HEALTHCAREOVERVIEW OF OPPORTUNITIES IN CHINA HEALTHCARE

CHINA H.I.T. MARKETCHINA H.I.T. MARKET

SUMMARYSUMMARY

QUESTIONS AND ANSWERSQUESTIONS AND ANSWERS

THE DORENFEST GROUPTHE DORENFEST GROUP 3 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

THE DORENFEST GROUPTHE DORENFEST GROUP

HEALTHCARE CONSULTING AND INVESTMENT FOCUSHEALTHCARE CONSULTING AND INVESTMENT FOCUS

OFFER HEALTHCARE IMPROVEMENT SERVICES TO SUPPORT A MORE POSITIVE OFFER HEALTHCARE IMPROVEMENT SERVICES TO SUPPORT A MORE POSITIVE WORLD FUTUREWORLD 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 VARIETY WE ARE NOW OPERATING IN PHASE 1 OF THIS PROGRAM, OFFERING A VARIETY OF CONSULTING, TRAINING, AND EDUCATION SERVICES TO THE CHINA OF CONSULTING, TRAINING, AND EDUCATION SERVICES TO THE CHINA HEALTHCARE SYSTEMHEALTHCARE SYSTEM

WE EXPECT TO ENTER PHASE 2 OF OUR ACTIVITIES IN CHINA IN 2009 WHEN WE WE EXPECT TO ENTER PHASE 2 OF OUR ACTIVITIES IN CHINA IN 2009 WHEN WE WILL BEGIN TO MAKE INVESTMENTS IN WELL-DEFINED, GOOD BUSINESS WILL BEGIN TO MAKE INVESTMENTS IN WELL-DEFINED, GOOD BUSINESS PROJECTS, IN PARTNERSHIP WITH CHINESE HEALTH BUREAUS AND HOSPITALS PROJECTS, IN PARTNERSHIP WITH CHINESE HEALTH BUREAUS AND HOSPITALS

THE DORENFEST GROUPTHE DORENFEST GROUP 4 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

BRIEF SUMMARY OF SHELDON’S PAST EXPERIENCE IN H.I.T.BRIEF SUMMARY OF SHELDON’S PAST EXPERIENCE IN H.I.T.

FORMED COMPUCARE 1969; CEO 1969-1976FORMED COMPUCARE 1969; CEO 1969-1976

FORMED SHELDON I. DORENFEST & ASSOCIATES, LTD. IN 1976; CEO 1976-2004FORMED SHELDON I. DORENFEST & ASSOCIATES, LTD. IN 1976; CEO 1976-2004

– LONG, RICH HISTORY OF MAJOR CONTRIBUTIONS TO HEALTHCARE I.T. LONG, RICH HISTORY OF MAJOR CONTRIBUTIONS TO HEALTHCARE I.T. UNDERSTANDING AND PROGRESSUNDERSTANDING AND PROGRESS

– WAS RECOGNIZED AS THE LEADING SOURCE OF INFORMATION ABOUT WAS RECOGNIZED AS THE LEADING SOURCE OF INFORMATION ABOUT HEALTHCARE I.T. AND A LEADING HEALTHCARE CONSULTING FIRMHEALTHCARE I.T. AND A LEADING HEALTHCARE CONSULTING FIRM

– KEY BUSINESS UNITS INCLUDED THE DORENFEST INTEGRATED KEY BUSINESS UNITS INCLUDED THE DORENFEST INTEGRATED HEALTHCARE SYSTEM DATABASE™ AND HOSPITAL OPERATIONS HEALTHCARE SYSTEM DATABASE™ AND HOSPITAL OPERATIONS IMPROVEMENT AND MEDICAL SUPPLIER CONSULTINGIMPROVEMENT AND MEDICAL SUPPLIER CONSULTING

SOLD THE DORENFEST INTEGRATED HEALTHCARE DELIVERY SYSTEM+ (IHDS+) SOLD THE DORENFEST INTEGRATED HEALTHCARE DELIVERY SYSTEM+ (IHDS+) DATABASE™ TO HIMSS ANALYTICS IN JULY, 2004DATABASE™ TO HIMSS ANALYTICS IN JULY, 2004

DONATED ASSETS TO THE HIMSS FOUNDATION TO FORM THE DORENFEST DONATED ASSETS TO THE HIMSS FOUNDATION TO FORM THE DORENFEST INSTITUTE FOR HEALTH INFORMATION TECHNOLOGY RESEARCH AND INSTITUTE FOR HEALTH INFORMATION TECHNOLOGY RESEARCH AND EDUCATION.EDUCATION.

THE DORENFEST GROUPTHE DORENFEST GROUP 5 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

DORENFEST ACTIVITIES IN OTHER COUNTRIESDORENFEST ACTIVITIES IN OTHER COUNTRIES

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

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.

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

WORLDWIDE EDUCATIONAL SERVICESWORLDWIDE EDUCATIONAL SERVICES

THE DORENFEST GROUPTHE DORENFEST GROUP 6 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

DORENFEST INVESTIGATION OF HEALTHCARE IN CHINADORENFEST INVESTIGATION OF HEALTHCARE IN CHINA

1.1. VISITED 17 CITIES IN CHINAVISITED 17 CITIES IN CHINA

2.2. VISITED WITH HUNDREDS OF LEADERS IN THE HEALTHCARE INDUSTRY IN CHINA TO VISITED WITH HUNDREDS OF LEADERS IN THE HEALTHCARE INDUSTRY IN CHINA TO LEARN ABOUT HEALTHCARE REFORM IN CHINA – ITS PROGRESS, ITS PROBLEMS, AND LEARN ABOUT HEALTHCARE REFORM IN CHINA – ITS PROGRESS, ITS PROBLEMS, AND ITS NEXT STEPSITS NEXT STEPS

3.3. VISITED WITH OVER 100 HOSPITALS TO GAIN AN UNDERSTANDING OF HOSPITAL VISITED WITH OVER 100 HOSPITALS TO GAIN AN UNDERSTANDING OF HOSPITAL OPERATIONS IN CHINA, THEIR CURRENT STATUS, AND OPPORTUNITIES FOR OPERATIONS IN CHINA, THEIR CURRENT STATUS, AND OPPORTUNITIES FOR IMPROVEMENTSIMPROVEMENTS

4.4. VISITED WITH PROVINCIAL AND CITY HEALTH BUREAUS TO LEARN WHAT THEIR GOALS VISITED WITH PROVINCIAL AND CITY HEALTH BUREAUS TO LEARN WHAT THEIR GOALS ARE FOR THEIR PROVINCIAL AND CITY HOSPITALSARE FOR THEIR PROVINCIAL AND CITY HOSPITALS

5.5. VISITED PRIVATE HOSPITALS TO OBSERVE THE RESULTS OF HEALTHCARE REFORM VISITED PRIVATE HOSPITALS TO OBSERVE THE RESULTS OF HEALTHCARE REFORM PRIVATIZATION EFFORTS IN CHINAPRIVATIZATION EFFORTS IN CHINA

6.6. VISITED WITH COMPANIES SELLING PRODUCTS AND SERVICES TO THE HEALTHCARE VISITED WITH COMPANIES SELLING PRODUCTS AND SERVICES TO THE HEALTHCARE INDUSTRY IN CHINA AND WHAT THEY BELIEVE ARE APPROPRIATE NEXT STEPS FOR INDUSTRY IN CHINA AND WHAT THEY BELIEVE ARE APPROPRIATE NEXT STEPS FOR REFORMING THE CHINESE HEALTHCARE SYSTEMREFORMING THE CHINESE HEALTHCARE SYSTEM

7.7. EVALUATED A GROUP OF HOSPITAL MANAGEMENT AND OWNERSHIP OPPORTUNITIES EVALUATED A GROUP OF HOSPITAL MANAGEMENT AND OWNERSHIP OPPORTUNITIES THAT WERE PRESENTED TO THE DORENFEST GROUP TO BECOME MORE FAMILIAR WITH THAT WERE PRESENTED TO THE DORENFEST GROUP TO BECOME MORE FAMILIAR WITH THE ALTERNATIVE WAYS TO PROCEED IN BUILDING A “MODEL HOSPITAL” IN CHINATHE ALTERNATIVE WAYS TO PROCEED IN BUILDING A “MODEL HOSPITAL” IN CHINA

8.8. DEVELOPED A STRATEGY FOR BRINGING DORENFEST SKILL AND EXPERIENCE TO CHINADEVELOPED A STRATEGY FOR BRINGING DORENFEST SKILL AND EXPERIENCE TO CHINA

THE DORENFEST GROUPTHE DORENFEST GROUP 7 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE TECHNOLOGY DELEGATION VISITCHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT

OVERVIEW OF OPPORTUNITIES IN CHINA OVERVIEW OF OPPORTUNITIES IN CHINA HEALTHCAREHEALTHCARE

THE DORENFEST GROUPTHE DORENFEST GROUP 8 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

0

5000

10000

15000

20000

25000

30000

1980 1990 1995 2000 2002 2003 2004 2010 2010

HEALTHCARE COST AS A PERCENT OF GDP ($ AND RMB IN BILLIONS)HEALTHCARE COST AS A PERCENT OF GDP ($ AND RMB IN BILLIONS)

$1.8$1.8

(14 RMB)(14 RMB)

3.17%3.17% $9.6$9.6

(75 RMB)(75 RMB)

4.03%4.03%

$74.7$74.7

(579 RMB)(579 RMB)

5.51%5.51%$84.9 $84.9

(659 RMB)(659 RMB)

5.62%5.62% $97.0 $97.0

(759 RMB) (759 RMB)

5.55%5.55%

GovernmentGovernment

Social InsuranceSocial Insurance

Out-of-pocketOut-of-pocket

3.69%3.69%$27.8$27.8

(216 RMB)(216 RMB)

5.13%5.13%$59.1$59.1

(459 RMB)(459 RMB)

Forecast atForecast at

7% of GDP7% of GDP

$276.9 $276.9

(2146 RMB) (2146 RMB)

7.00%7.00%

$356.0 $356.0

(2759 RMB) (2759 RMB)

9.00%9.00%

Forecast atForecast at

9% of GDP9% of GDP

30,00030,000

25,00025,000

20,00020,000

15,00015,000

10,00010,000

5,0005,000

00

RMB inRMB in

BillionsBillions

$ in$ in

BillionsBillions

3,000 3,000

2,500 2,500

2,000 2,000

1,500 1,500

1,000 1,000

500 500

0 0

SOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOKSOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOK

THE DORENFEST GROUPTHE DORENFEST GROUP 9 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

AVERAGE MEDICAL EXPENSE PER OUTPATIENT HOSPITAL VISITAVERAGE MEDICAL EXPENSE PER OUTPATIENT HOSPITAL VISIT

0

50

100

150

1995 2000 2004 2005

$5.1 (39RMB)$5.1 (39RMB)

$11.1 (85RMB)$11.1 (85RMB)

$15 (118RMB)$15 (118RMB)$16 (126RMB)$16 (126RMB)Medical ServicesMedical Services

Exam/TestExam/Test

DrugDrug

SOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOKSOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOK

THE DORENFEST GROUPTHE DORENFEST GROUP 10 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

AVERAGE MEDICAL EXPENSE PER INPATIENT HOSPITAL STAYAVERAGE MEDICAL EXPENSE PER INPATIENT HOSPITAL STAY

0

1000

2000

3000

4000

5000

1995 2000 2004 2005

$215.2(1667RMB)$215.2(1667RMB)

$397(3083RMB)$397(3083RMB)

$552.8(4284RMB)$552.8(4284RMB)

$601.4 (4661RMB)$601.4 (4661RMB)

Medical ServicesMedical Services

Exam/TestExam/Test

DrugDrug

SOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOKSOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOK

THE DORENFEST GROUPTHE DORENFEST GROUP 11 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHALLENGES OF THE CHINESE HEALTHCARE SYSTEMCHALLENGES OF THE CHINESE HEALTHCARE SYSTEM

1.1. ALMOST 60% OF ALL HEALTHCARE COSTS ARE PAID BY PATIENTS OUT-OF- ALMOST 60% OF ALL HEALTHCARE COSTS ARE PAID BY PATIENTS OUT-OF- POCKETPOCKET

LACK OF MEDICAL INSURANCE OPTIONS LACK OF MEDICAL INSURANCE OPTIONS

LOW GOVERNMENT FUNDINGLOW GOVERNMENT FUNDING

2.2. ACCESS TO HEALTHCARE FOR THE POOR IS LIMITEDACCESS TO HEALTHCARE FOR THE POOR IS LIMITED

3.3. THE MIDDLE AND UPPER CLASSES ARE DISSATISFIED WITH HEALTHCARE THE MIDDLE AND UPPER CLASSES ARE DISSATISFIED WITH HEALTHCARE SERVICESSERVICES

4.4. THE WAY DOCTORS EARN THEIR INCOME RESULTS IN A WEAK DOCTOR-THE WAY DOCTORS EARN THEIR INCOME RESULTS IN A WEAK DOCTOR-PATIENT RELATIONSHIPPATIENT RELATIONSHIP

5.5. DRUGS AND DIAGNOSTIC TESTS ARE TOO IMPORTANT TO THE FUNDING OF DRUGS AND DIAGNOSTIC TESTS ARE TOO IMPORTANT TO THE FUNDING OF THE HEALTHCARE SYSTEMTHE HEALTHCARE SYSTEM

6.6. HOSPITALS NEED TO MAKE PROFITS TO SUPPORT THEMSELVESHOSPITALS NEED TO MAKE PROFITS TO SUPPORT THEMSELVES

7.7. PRIMARY CARE IS NOW IN THE EARLY STAGES OF BEING OFFERED PRIMARY CARE IS NOW IN THE EARLY STAGES OF BEING OFFERED SEPARATELY FROM HOSPITALS THROUGH NEWLY DEVELOPED COMMUNITY SEPARATELY FROM HOSPITALS THROUGH NEWLY DEVELOPED COMMUNITY CLINICSCLINICS

8.8. AS THE COUNTRY CHANGES ITS HEALTHCARE SYSTEM, THE COST OF AS THE COUNTRY CHANGES ITS HEALTHCARE SYSTEM, THE COST OF HEALTHCARE TO THE COUNTRY WILL RISE RAPIDLYHEALTHCARE TO THE COUNTRY WILL RISE RAPIDLY

THE DORENFEST GROUPTHE DORENFEST GROUP 12 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CURRENT ENVIRONMENT CREATES BUSINESS OPPORTUNITIES CURRENT ENVIRONMENT CREATES BUSINESS OPPORTUNITIES IN CHINESE HEALTHCAREIN CHINESE HEALTHCARE

1.1. THERE IS RAPID GROWTH IN HEALTHCARE SPENDING AND A DESIRE TO THERE IS RAPID GROWTH IN HEALTHCARE SPENDING AND A DESIRE TO IMPROVE HEALTHCARE SERVICESIMPROVE HEALTHCARE SERVICES

2.2. THERE IS A DESIRE TO MOVE TOWARD INTERNATIONAL STANDARDS FOR THERE IS A DESIRE TO MOVE TOWARD INTERNATIONAL STANDARDS FOR SERVING THE GROWING MIDDLE CLASS AND WEALTHY POPULATIONSERVING THE GROWING MIDDLE CLASS AND WEALTHY POPULATION

3.3. THERE IS LIMITED SKILL IN CHINA TO ACCOMPLISH CHINA’S HEALTHCARE THERE IS LIMITED SKILL IN CHINA TO ACCOMPLISH CHINA’S HEALTHCARE IMPROVEMENT OBJECTIVESIMPROVEMENT OBJECTIVES

4.4. FOREIGN SKILLS ARE CONSIDERED IMPORTANT AND MANY UNIVERSITIES AND FOREIGN SKILLS ARE CONSIDERED IMPORTANT AND MANY UNIVERSITIES AND HOSPITALS ARE HELPING BY BRINGING THEIR SKILLS TO CHINAHOSPITALS ARE HELPING BY BRINGING THEIR SKILLS TO CHINA

THE DORENFEST GROUPTHE DORENFEST GROUP 13 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE TECHNOLOGY DELEGATION VISITCHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT

CHINA H.I.T. MARKETCHINA H.I.T. MARKET

THE DORENFEST GROUPTHE DORENFEST GROUP 14 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

FINANCE SYSTEMS (1970s)FINANCE SYSTEMS (1970s)

LIMITED CLINICAL SYSTEMS (LATE 1970s AND 1980s)LIMITED CLINICAL SYSTEMS (LATE 1970s AND 1980s)

MORE ADVANCED CLINICAL SYSTEMS (1990s)MORE ADVANCED CLINICAL SYSTEMS (1990s)

ELECTRONIC HEALTH RECORDS (2000s)ELECTRONIC HEALTH RECORDS (2000s)

U.S. H.I.T. HAS GONE THROUGH 4 GENERATIONSU.S. H.I.T. HAS GONE THROUGH 4 GENERATIONS

THE DORENFEST GROUPTHE DORENFEST GROUP 15 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

THE DORENFEST GROUP’S INTRODUCTION TO CHINATHE DORENFEST GROUP’S INTRODUCTION TO CHINA

WHEN WE FIRST CAME TO CHINA IN LATE 2004 TO STUDY THE HEALTHCARE WHEN WE FIRST CAME TO CHINA IN LATE 2004 TO STUDY THE HEALTHCARE INDUSTRY, ATTITUDES TOWARDS H.I.T. WERE VERY CONSERVATIVE:INDUSTRY, ATTITUDES TOWARDS H.I.T. WERE VERY CONSERVATIVE:

– HOSPITAL MANAGEMENT WAS NOT HAPPY WITH I.T. SYSTEMS IN USEHOSPITAL MANAGEMENT WAS NOT HAPPY WITH I.T. SYSTEMS IN USE

– FUNCTIONALITY OF APPLICATION SOFTWARE AVAILABLE FOR PURCHASE IN FUNCTIONALITY OF APPLICATION SOFTWARE AVAILABLE FOR PURCHASE IN CHINA WAS VERY LIMITED AND THE MOST FUNCTIONAL SYSTEMS WERE CHINA WAS VERY LIMITED AND THE MOST FUNCTIONAL SYSTEMS WERE SELF-DEVELOPEDSELF-DEVELOPED

– THE SKILLS TO MANAGE MAJOR I.T. UPGRADES WERE FELT TO BE IN SHORT THE SKILLS TO MANAGE MAJOR I.T. UPGRADES WERE FELT TO BE IN SHORT SUPPLYSUPPLY

– AS A RESULT, HOSPITAL MANAGEMENT WAS HESITANT TO INVEST IN MAJOR AS A RESULT, HOSPITAL MANAGEMENT WAS HESITANT TO INVEST IN MAJOR UPGRADES TO I.T. SYSTEMS UPGRADES TO I.T. SYSTEMS

– FOR THESE REASONS, THERE WAS VERY LIMITED BUYING OF MAJOR NEW I.T. FOR THESE REASONS, THERE WAS VERY LIMITED BUYING OF MAJOR NEW I.T. SYSTEMS IN CHINESE HOSPITALS IN EARLY 2005SYSTEMS IN CHINESE HOSPITALS IN EARLY 2005

DURING THE PAST 3 YEARS, THE SITUATION HAS CHANGEDDURING THE PAST 3 YEARS, THE SITUATION HAS CHANGED

– MANY HOSPITALS ARE CONSIDERING MAJOR UPGRADES OF I.T. SYSTEMSMANY HOSPITALS ARE CONSIDERING MAJOR UPGRADES OF I.T. SYSTEMS

– BIG BUDGETS ARE STARTING TO BECOME AVAILABLE TO MOVE TOWARD BIG BUDGETS ARE STARTING TO BECOME AVAILABLE TO MOVE TOWARD DIGITAL HOSPITALS WITH PHYSICIAN WORKSTATIONS, ELECTRONIC MEDICAL DIGITAL HOSPITALS WITH PHYSICIAN WORKSTATIONS, ELECTRONIC MEDICAL RECORDS, PACS, AND OTHER SYSTEMSRECORDS, PACS, AND OTHER SYSTEMS

– BUT WEAK APPLICATION SOFTWARE AND IMPLEMENTATION SKILLS ARE BUT WEAK APPLICATION SOFTWARE AND IMPLEMENTATION SKILLS ARE DELAYING PROGRESSDELAYING PROGRESS

THE DORENFEST GROUPTHE DORENFEST GROUP 16 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATIONCHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATION

CHINA HOSPITAL WORK PROCESSES ARE REDUNDANT AND ERROR PRONE CHINA HOSPITAL WORK PROCESSES ARE REDUNDANT AND ERROR PRONE WITH GREAT OPPORTUNITIES FOR IMPROVEMENT THROUGH APPROPRIATE WITH GREAT OPPORTUNITIES FOR IMPROVEMENT THROUGH APPROPRIATE USE OF I.T.USE OF I.T.

CHINESE HOSPITALS WOULD LIKE TO TAKE A BIG LEAP FORWARD IN CHINESE HOSPITALS WOULD LIKE TO TAKE A BIG LEAP FORWARD IN IMPROVING WORK PROCESSES AND IN DIGITIZING ITS HOSPITALSIMPROVING WORK PROCESSES AND IN DIGITIZING ITS HOSPITALS

THE MINISTRY OF HEALTH’S GUIDELINES FOR HEALTH I.T. DEVELOPMENT THE MINISTRY OF HEALTH’S GUIDELINES FOR HEALTH I.T. DEVELOPMENT (2003-2010) CALLS FOR ELECTRONIC MEDICAL RECORDS AND REGIONAL (2003-2010) CALLS FOR ELECTRONIC MEDICAL RECORDS AND REGIONAL HEALTH NETWORKS TO BE IMPLEMENTED PROVIDING MUCH MOMENTUM FOR HEALTH NETWORKS TO BE IMPLEMENTED PROVIDING MUCH MOMENTUM FOR HOSPITALS AND HEALTH BUREAUS TO INVEST MORE IN I.T. NOWHOSPITALS AND HEALTH BUREAUS TO INVEST MORE IN I.T. NOW

CHINESE HOSPITALS HAVE NOT INVESTED A LOT OF RESOURCES IN I.T. CHINESE HOSPITALS HAVE NOT INVESTED A LOT OF RESOURCES IN I.T. SYSTEMS AND INFRASTRUCTURE TO GET TO THE PRESENT LEVEL OF I.T. SYSTEMS AND INFRASTRUCTURE TO GET TO THE PRESENT LEVEL OF I.T. USE. WHILE CHINA WOULD LIKE TO CONTINUE THIS APPROACH AS IT TAKES USE. WHILE CHINA WOULD LIKE TO CONTINUE THIS APPROACH AS IT TAKES ITS NEXT STEPS FORWARD, CHINESE HOSPITAL I.T. GOALS WILL REQUIRE ITS NEXT STEPS FORWARD, CHINESE HOSPITAL I.T. GOALS WILL REQUIRE GREATER INVESTMENTGREATER INVESTMENT

THE DORENFEST GROUPTHE DORENFEST GROUP 17 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATION (CONTINUED)CHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATION (CONTINUED)

THERE IS CONCERN AMONG H.I.T. EXPERTS IN CHINA ABOUT THE READINESS OF THERE IS CONCERN AMONG H.I.T. EXPERTS IN CHINA ABOUT THE READINESS OF H.I.T. SOFTWARE PRODUCTS, HARDWARE PLATFORMS, AND INTEGRATION TOOLS H.I.T. SOFTWARE PRODUCTS, HARDWARE PLATFORMS, AND INTEGRATION TOOLS TO FACILITATE THE ACCOMPLISHMENT OF CHINA’S GOALSTO FACILITATE THE ACCOMPLISHMENT OF CHINA’S GOALS

THERE IS ALSO CONCERN AMONG H.I.T. EXPERTS IN CHINA ABOUT THE THERE IS ALSO CONCERN AMONG H.I.T. EXPERTS IN CHINA ABOUT THE IMPLEMENTATION SKILL AND EXPERIENCE AVAILABLE IN CHINA TO TAKE THIS BIG IMPLEMENTATION SKILL AND EXPERIENCE AVAILABLE IN CHINA TO TAKE THIS BIG LEAP FORWARD THAT IS NOW UNDERWAYLEAP FORWARD THAT IS NOW UNDERWAY

LIKE THE U.S., IMPLEMENTATION OF NEW I.T. SYSTEMS IN CHINA HAS OFTEN LIKE THE U.S., IMPLEMENTATION OF NEW I.T. SYSTEMS IN CHINA HAS OFTEN ADDED WORK INSTEAD OF REDUCING WORK, AND HAS CREATED UNNECESSARILY ADDED WORK INSTEAD OF REDUCING WORK, AND HAS CREATED UNNECESSARILY REDUNDANT WORK PROCESSES REDUNDANT WORK PROCESSES

SOMETIMES HOSPITAL LEADERSHIP, NOT KNOWING WHAT IT DOES NOT KNOW, IS SOMETIMES HOSPITAL LEADERSHIP, NOT KNOWING WHAT IT DOES NOT KNOW, IS USING POOR IMPLEMENTATION APPROACHES BECAUSE THEY DO NOT KNOW USING POOR IMPLEMENTATION APPROACHES BECAUSE THEY DO NOT KNOW BETTER WAYS ARE POSSIBLE, AND THERE IS A STRONG MOMENTUM TO CONTINUE BETTER WAYS ARE POSSIBLE, AND THERE IS A STRONG MOMENTUM TO CONTINUE WITH CURRENT APPROACHES WITH CURRENT APPROACHES

SO CHINESE HOSPITALS AND HEALTH BUREAUS ARE CAREFULLY CONSIDERING SO CHINESE HOSPITALS AND HEALTH BUREAUS ARE CAREFULLY CONSIDERING HOW TO TAKE THEIR NEXT STEPS SUCCESSFULLYHOW TO TAKE THEIR NEXT STEPS SUCCESSFULLY

THE DORENFEST GROUPTHE DORENFEST GROUP 18 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATION (CONTINUED)CHINA HEALTHCARE I.T. IS MOVING TO ITS SECOND GENERATION (CONTINUED)

FOR CHINA TO ACCOMPLISH ITS OBJECTIVES IN H.I.T. REQUIRES THE FOLLOWING:FOR CHINA TO ACCOMPLISH ITS OBJECTIVES IN H.I.T. REQUIRES THE FOLLOWING:

– OVERCOMING RESISTANCE TO CHANGEOVERCOMING RESISTANCE TO CHANGE

– KNOWING HOW TO MANAGE CHANGEKNOWING HOW TO MANAGE CHANGE

– LEARNING FROM THE GLOBAL EXPERIENCELEARNING FROM THE GLOBAL EXPERIENCE

– DOING MORE OF WHAT THE REST OF THE WORLD DID RIGHT AND LESS OF DOING MORE OF WHAT THE REST OF THE WORLD DID RIGHT AND LESS OF WHAT THEY DID WRONG TO AVOID THE MISTAKES OF OTHER COUNTRIESWHAT THEY DID WRONG TO AVOID THE MISTAKES OF OTHER COUNTRIES

– DEVELOPING EXPERTISE IN AREAS OF NEED DEVELOPING EXPERTISE IN AREAS OF NEED

THE DORENFEST GROUPTHE DORENFEST GROUP 19 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

CHINA HEALTHCARE TECHNOLOGY DELEGATION VISITCHINA HEALTHCARE TECHNOLOGY DELEGATION VISIT

SUMMARYSUMMARY

THE DORENFEST GROUPTHE DORENFEST GROUP 20 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

SUMMARYSUMMARY

CHINA IS TAKING MAJOR STEPS FORWARD IN HEALTHCARE SYSTEM CHINA IS TAKING MAJOR STEPS FORWARD IN HEALTHCARE SYSTEM IMPROVEMENTIMPROVEMENT

FOREIGN SKILL IS NEEDED TO HELP CHINA AVOID MISTAKES OF OTHERSFOREIGN SKILL IS NEEDED TO HELP CHINA AVOID MISTAKES OF OTHERS

MANY OPPORTUNITIES TO HELPMANY OPPORTUNITIES TO HELP

BUT THERE IS A NEED TO BE CAREFUL TO BE SUCCESSFULBUT THERE IS A NEED TO BE CAREFUL TO BE SUCCESSFUL

THE DORENFEST GROUPTHE DORENFEST GROUP 21 THE DORENFEST CHINA HEALTHCARE GROUPTHE DORENFEST CHINA HEALTHCARE GROUP

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