Medical Memory Systems MMS 1 11/12/2003 Medical Memory Systems Project Manager Jeff McCreary Funding/Prototyping Megan Babb Timeline/Logistics Rabia Haq Web Designer/Budgeting Daniel Anderson Support Stats/ Risk Analysis Chris Fronda Funding/Budgeting Bola Orenuga Resources/Marketing/EMR Richard Strosahl 2 11/12/2003 Medical Memory Systems Preview • Communication breakdowns in the Healthcare Industry • Develop solution • Evaluate solution • • • • • • • • Market Analysis Risk Marketing Resources Budget Funding Prototype Development Schedule 3 11/12/2003 Medical Memory Systems 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 4 11/12/2003 Medical Memory Systems Diagnostic Radiology Clinical Physician Surgeon 5 11/12/2003 Medical Memory Systems Problem Statement Current means of accessing medical information are too slow, inadequate, or outdated to meet the demands for inter-facility communications. 6 11/12/2003 Medical Memory Systems Current Methodology • Verbal • Written • Electronic 7 11/12/2003 Medical Memory Systems Diagnostic Radiology Clinical Physician Surgeon 8 11/12/2003 Medical Memory Systems We Propose: • Wearable Medical Memory Device (MMD) 9 11/12/2003 Medical Memory Systems 10 11/12/2003 Medical Memory Systems Memory Button by MacSema •Small •Light weight •Durable •Non volatile 11 11/12/2003 Medical Memory Systems EMR Server Validation Upload Download Backup Copy to Printer Internet System Validation Modem Validation Server 12 11/12/2003 Medical Memory Systems Important Medical Information • • • • • Allergies Current medications Laboratory Results Recent surgery finding History and Physical 13 11/12/2003 Medical Memory Systems 14 11/12/2003 Medical Memory Systems 15 11/12/2003 Medical Memory Systems 16 11/12/2003 Medical Memory Systems Connectivity • Integration – HL7 (Health Level Seven) • Our software data structure will be governed by XML. • Diagram data written in XML format to encryption mech. to MacSema interface to memory device 17 11/12/2003 Medical Memory Systems Quality Attributes • • • • • • Easily updated Accurate Secure Durable Inexpensibe Wearable (must look good!) 18 11/12/2003 Medical Memory Systems Customers • Clinical Physicians • Over 600 physicians in the Tidewater region • Diagnostic Facilites • Over 10 Hospitals in the Tidewater region • Over 5,800 Hospitals in the United States • Patients • Regional Population – 1,052,814 * • Elderly Population – 104,089 * *Hampton Roads: Demographics (Census 2000) http://www.hreda.com/pdfs/Data_for_web_site/Demographics_2000.pdf 19 11/12/2003 Medical Memory Systems Number of Physicians using Some form of EMR 27% 73% Currently With Currently without http://www.stanford.edu/~topham/market.htm 20 11/12/2003 Medical Memory Systems In 3 years… 28% 72% With EMR Without EMR Frost and Sullivan's technology survey 21 11/12/2003 Medical Memory Systems Testing Strategy Clinic Clinic Hospital Clinic Clinic Clinic Hospital Clinic Clinic Clinic Clinic Clinic Clinic Clinic Clinic Hospital Hospital Clinic Clinic Clinic Clinic Clinic Clinic 22 11/12/2003 Medical Memory Systems High Level Concerns HIPAA • Record Activity • Encryption • System Validation 23 11/12/2003 Medical Memory Systems Risk • Developing Customer Base • • Level – High Resolution – Aggressive Marketing • Inconsistent Use • • Level – High Resolution – Patient Education and Easy-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 - Easy-of-use and Tutorials 24 11/12/2003 Medical Memory Systems Marketing • Medical Facilities • Proof of effectiveness • Medical Representatives • Conventions and Seminars • General Public • Standard forms of Advertisement • Educational Material • Medical Advise Immediate Goal – Name Recognition 25 11/12/2003 Medical Memory Systems • Marketing Means • Advertisement • Promotional items • Sales Promotions • Special Discounts • Marketing group • Provides research demographics and case studies 26 11/12/2003 Medical Memory Systems Facilities: • Direct Marketing – medical representatives • Seminars Public Acceptance • • • • Talk Radio – gear to medical institutions Ads to generate public adoption Web site to explain services Medical magazines Newsletters Press release Education handouts 27 11/12/2003 Medical Memory Systems Marketing Budget Promotions Website Banners $30,000 $8,000 Newspaper AD. $23,000 Medical Magazines $20,645 Radio AD. Total $8,000 $89,645 28 11/12/2003 Medical Memory Systems Organizational Budget 20 Personel Computers Office Network, Switches, Printers Servers Wireless needs $36,000 $11,000 $15,000 $1,800 Total $64,000 29 11/12/2003 Medical Memory Systems Personnel Budget Marketing Legal Software Customer Service Clerical Website Development Research Supply $160,218 $161,221 $210,242 $89,423 $110,631 $70,999 $46,147 $40,040 Total $888,921 30 11/12/2003 Medical Memory Systems Medical Facility Cost Desktop Computer Laptop Printer Tape Backup Server Switch Wireless Needs Total $1,798.00 $3,468.00 $1,249.00 $1,744.00 $3,157.00 $499.00 $1,029.00 $12,944.00 31 11/12/2003 Medical Memory Systems Medical Memory Device Memory Button Jewelry Component $30.00 $30.00 Total $60.00 32 11/12/2003 Medical Memory Systems Budget Summary •Development Cost - $1.3 Million Profitability •$2,500 per 3 physician license •$500 annual fee •Software support •System Validation 33 11/12/2003 Medical Memory Systems Profit Expectation •Software Profit Margin – $800 •Hardware Profit Margin - $7 per unit •Target Goal •50% of Physicians (300 license’s) •$240,000 •48,000 patients •$336,000 34 11/12/2003 Medical Memory Systems Profit Summary •Expected Profit - $576,000 for initial market •Expected Expenditures for Phase I and II - $1.3 Million •Investment Recovery – 3 markets of projected size 35 11/12/2003 Medical Memory Systems Prototype Development • 1 MB Memory Button - $32 • 1 USB Button Link - $126 36 11/12/2003 Medical Memory Systems Phase 0 Summary 37 11/12/2003 Medical Memory Systems Phase 1 Summary 38 11/12/2003 Medical Memory Systems Phase 2 Summary 39 11/12/2003 Medical Memory Systems 40 11/12/2003 Medical Memory Systems 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 41 11/12/2003 Medical Memory Systems Diagnostic Radiology Clinical Physician Surgeon 42 Medical Memory Systems 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 43 Medical Memory Systems Interviews: • Dr. Bennett, Staff Radiologist with Medical Center Radiologist (MCR) • Lori Prowant RT(R), Director of Maryview Medical Center Radiology 44 Medical Memory Systems Out of 180,000 annual deaths from medical injury 124,000 Death’s Due to Preventable Medical Injury (69%) 45 Medical Memory Systems Annual cost due to medical injury- $200 Billion $138 Billion Due to Preventable Medical Injury (69%) 46 Medical Memory Systems EMR Expenditures $800 $700 $600 $500 $400 $534 $748 2000 2004 EMR $300 $200 $100 $0 in million’s 47