What Is the Promise of the Information Architecture Dell Is Building?

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So I think that the broad promise is to really do three things in my view. One is, as I said at the very beginning is make our health care system more efficient and thereby more cost effective, right. We can learn, how do we get two more patients done in the operating room every day in hospital X? How do we cut the waiting in the emergency room at hospital Y? These are not health care per se meaning, but if we can do that we can A.

save cost and B. they think experience for the patient's that much better. Nobody really likes waiting an hour in the emergency room. If we can turn that down to 15 or 20 minutes, that's a significant improvement from a patient experience point of view, a patient-centeredness point of view.

So that's one broad area. The second broad area as I mentioned before is bringing information to the point of care. How can we provide data using this architecture, using sort of this broad base information architecture that helps the clinician, doesn't replace the because I don't believe maybe I'm just as a physician, I have a biasness, but I don't believe we're going replace physicians, we still need the art of medicine as well as the science.

But we could be better clinicians and better caregivers if we knew a little bit more that was focused knowledge around that patient that this patient with these characteristics fits into this group and therefore might be, might be, better treated in one way versus another way, and a great example of that by the way is genomics, we know that there are many genetic abnormalities that people have, that will determine their reaction to a specific drug.

A great example is Plavix. Plavix is a very good drug that is used after a patient gets a heart stent, a coronary artery stent, to be sure that they don't clot. On the other hand, 30% of European ancestry Americans and up to 50% of Asian ancestry Americans, have a mutation that says they won't respond to Plavix.

So wouldn't it be nice if the doctor knew which patient had that mutation and therefore could treat that patient a little bit differently than the more typical patient. That patient is likely to do better overtime. So there are simple things like that, and the last think I think is, we can share best practices by providing data, by giving data to physicians about how things work better.

Brent James in Intermountain healthcare has been a pioneer of this since the 70s, and he's shown some very interesting things, which is that if you give physicians data about their patients, and how their patients are doing compared to other physicians in a similar situation, either in their hospitals or in their neighborhood or whatever, everybody gets better, because physicians particularly are pretty competitive people, we didn't get into med school by not being competitive, and therefore we want to do well.

There is no physician I know who says, oh I don't care about my patients, everyone of them wants to take better care of their patients and what they want know is how I'm I doing, alright? And can I do better? And the answer is if you can show me how I am doing and what other people are doing that I'm not, I'm likely to do that because I want better outcomes for my patients.