Post on 12-Sep-2014
description
© 2010 IBM Corporation
Let’s Build A Smarter Planet: Healthcare
George Mattathil -
4/15/2011
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Forces at work across healthcare systems are impacting us all.
Growing expectations for value from increasingly costly health systems.
Broad global awareness of quality and patient safety challenges.
Increasing need for citizens to make better health and wellness choices.
Emerging approaches to promoting health and delivering care such as e-health
and medical tourism.
Expanding resource challenges.
Increasing cost sharing among public and private health insurers and individuals.
The world is connected:
economically, socially and technically.
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
The need for progress is clear.
The proportion of
developed countries
where people with higher
incomes have better
access to physicians than
those with lower incomes.5
50% Percent of diagnoses that
are inaccurate or
incomplete.3
15% People worldwide pushed
below the poverty line by
personal healthcare
expenditures each year.1
100 million
With poor urban
governance, life
expectancy within
developing countries
can be as low as
35 years.6
35 years The estimated number
of patients affected by
healthcare-related
infections in the EU.4
1 in 10 The average ratio of total
healthcare spending to
GDP growth in all OECD
countries, growing from
7.8% in 2000 to 9.0%
in 2008.2
9%
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
The opportunity for progress is clear.
Smarter healthcare:
Geisinger Health System
This leading, fully-integrated
provider in Pennsylvania
leveraged its ten years’
experience with advanced
EHR systems to build a
comprehensive repository
of clinical information, assist
doctors in providing best
practices patient care and
support medical research.
10 years experience
Smarter healthcare:
UPMC
This renowned academic
medical center projects a
US$104 million reduction
in capital and operating
costs and more than a
220% increase in
processing capacity,
to meet an ambitious
clinical agenda.
$104 million in cost savings
1 million individuals Smarter healthcare:
Extremadura Regional
Government of Spain
Deployed an electronic
prescription system in more
than 400 primary care
centers and 680 pharmacies,
providing the ability to
prescribe and dispense
prescription medications
electronically.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Healthcare leaders see change coming—and are challenged to use complexity to their advantage.
Feel prepared for expected complexity.
88%
59%
Feel prepared for expected complexity.
Full sample
CEOs expect high/very high level
of complexity over 5 years.
79%
49%
Source: 2010 IBM CEO Study: Capitalizing on Complexity
Healthcare
CEOs expect high/very high level
of complexity over 5 years.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
For healthcare organizations, this means finding a way to lead in a new environment shaped by four key factors.
SUSTAINABILITY CONCERNS Healthcare’s share of country budgets continues to increase, threatening competitiveness and financial
stability. At the same time, stakeholders expect greater value, better outcomes and dramatic
improvements in efficiency.
PATIENT AND CONSUMER EXPECTATIONS More informed consumers are demanding greater value for their healthcare dollars—and governments
are demanding accountability for healthcare expenditures. Hospitals will be increasingly measured by
clinical performance and the cost of care.
NEW HEALTH AND CARE MODELS Increased use of technology is accelerating changes in how care is delivered and funded, how quality is
determined and how patients experience care. New health and care models aligned with personal values
and well-being are signaling a fundamental shift in how healthcare organizations will compete and
operate in the next decade.
RESOURCE SHORTAGES Healthcare organizations will experience shortages in care professionals in areas such as prevention,
prediction, early detection and treatment, evidence-based medicine and care coordination.
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
To prepare for the more dynamic world ahead, healthcare organizations are working to:
HEALTHCARE
ACHIEVE BETTER
QUALITY AND OUTCOMES
Applying integrated insights
to deliver high-quality, safe
care and services while
achieving better clinical
outcomes, proactively
managing chronic disease
and improving the cost-
effectiveness of care.
IMPROVE OPERATIONAL
EFFECTIVENESS
Building flexibility into
operations to support cost
reduction and excellence in
clinical and business
performance and practices.
COLLABORATE FOR PREVENTION
AND WELLNESS
Partnering to deliver comprehensive,
coordinated, integrated and personalized
care for better healthcare value.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
An opportunity for health systems
to think and act in new ways.
Collaborate for
prevention and
wellness.
Achieve better
quality and
outcomes.
Improve
operational
effectiveness.
+ + =
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Improve operational effectiveness.
SMART IS
Tracking equipment to improve patient
care and reduce costs, without slowing
down busy healthcare professionals. Saint Michael’s Medical Center:Used ultrasound
sensor tags on critical mobile assets to track equipment
location, generating automatic alerts when devices move
to an unauthorized area or inventories in a supply closet
are low, improving patient care, reducing costs and
increasing staff productivity and compliance with
regulatory requirements.
SMART IS
Using integrated asset management to
keep equipment in healthy condition.
BG Trauma Hospital Hamburg (BUKH):Implemented an
integrated asset management solution that provides a
holistic view of all technical, medical and facility assets
and automatically generates inspection or repair orders
according to defined schedules.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Improve operational effectiveness. (continued)
SMART IS
Automatically discovering anomalies
in the process of analyzing claims and
invoices to catch fraudulent activity. Zorg en Zekerheid:Deployed a predictive analytics
software solution that catches potential anomalies in
claims and accelerating the analysis process from
weeks to days, doubling financial results each year.
SMART IS
Leveraging predictive analytics to help
hospitals optimize the efficiency of
payment collections. MedeAnalytics:Developed a solution that analyzes
massive volumes of patient data and identifies patients
more likely to pay, helping hospitals to reduce write-offs,
increase collections and reduce collections staff.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Improve operational effectiveness. (continued)
SMART IS
Designing safety into the process
of handling dangerous medicines,
anticipating potential threats to
patients and staff. Masarykuv Onkologicky Ustav (MMCI):Built a first-of-its-
kind solution that integrates MMCI’s pharmacy system with
hospital information systems and deploys an innovative
RFID solution to significantly improve the accuracy and
efficiency with which it traces drug agents, enhancing
patient and staff safety as well as reducing administrative
time and costs.
SMART IS
Protecting your patients and staff
through immediate connection and
visibility to their physical location. Toronto East General Hospital:In response to a growing
number of security incidents, implemented a wireless
communications system that allows immediate
communication throughout the one-million-sq-foot facility. Two
taps to a wireless communication badge opens a connection
to the hospital’s entire security force. Security response
times were reduced by an estimated 61 percent.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Improve operational effectiveness. (continued)
SMART IS
Creating a more effective IT foundation
for transformational clinical initiatives.
Swedish Medical Center:Designed and brought a
world-class data center online in less than 12 months to
support its transition to a major clinical information
system, enhancing quality and speed of medical services
and providing noticeable financial savings 24x7.
SMART IS
Automating and streamlining how benefit
plans are created to accelerate the ability
to respond to government mandates NASCO:Worked with IBM Research to build a tool
thatanalyzes benefit rules and codes in a more
automated way, easing benefits personalization,
improving accuracy and lowering the cost of benefit
plan customization.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Groupe Mutuel:Built an SOA-based infrastructure
across all units that reduced operational costs, the
time and cost of integrating new acquisitions and the
time to market for new insurance products.
SMART IS
Building more flexibility into back office
processes to more quickly launch new
products and services.
Smart healthcare: Improve operational effectiveness. (continued)
SMART IS
Modernizing legacy processes and
applications to gain the flexibility needed
to compete in a consumer-driven health
insurance market. Highmark:Established initiatives to realize more value
from SOA investments by fostering new ideas to
accelerate adoption, improving ability to differentiate
based on personalized insurance offerings and enabling
faster, lower-cost integration of acquired companies.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Improve operational effectiveness. (continued)
SMART IS
Automatically tracking and recording the
position of each patient or device to
improve patient care and optimize
asset utilization. Hannover Medical School (Medizinische Hochschule
Hannover, MHH):Created a comprehensive patient and
asset tracking solution to improve patient experience and
optimize treatment processes, increase patient security
and reduce costs. The scalable, adaptable solution
enables the hospital to add other tracking capabilities.
SMART IS
Streamlining insurance and
medical processes with accessible,
real-time data. Health Insurance Institute of Slovenia:IBM joined with
the Institute to deploy an electronic health insurance
card system that creates a centralized store for medical
insurance data. Medical facilities, patients and insurers
can now access and update patient records in real-time.
And patient insurance cards now only bear a digital
certificate to support authentication.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Trillium Health Centre:Teamed with IBM to launch a
centralized health information system offering real-time
insight into hospital operations and patient status. Advanced
analytics tools help to better direct multi-department patient
treatment efforts. Patients have increased visibility into their
medical information through a public information portal.
Smart healthcare: Achieve better quality and outcomes.
SMART IS
Establishing a strategic governance
structure and health analytics environment
to speed the development of disease
treatments.
University of North Carolina:Defined a governance
structure and developed a health analytics
environment that enables researchers to analyze vast
amounts of patient data, providing clearer insights
leading to faster diagnoses and treatment decisions
SMART IS
Improving patient care with unified treatment
plans and more accessible records.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Accurately simulating interactions of HIV
treatment drugs within a human body
EuResist Network GEIE:Partnered with IBM Research to
develop the world’s largest database and prediction engine
focused on HIV resistance and treatment response. The
prediction tool and repository are accessible to medical staff
across Europe, helping to improve treatment for HIV
patients across Europe.
SMART IS
Driving improvements in patient care
by opening up access to research data BioGrid Australia:Melbourne Health created a research
initiative and virtual repository of roughly 25 million medical
records for users from various hospital systems. The cross-
organization initiative has yielded greater insight from
research studies by expanding average sample size and
equipping physicians with complex analysis tools that help
them choose more effective treatment plans for patients.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Having access to a person’s full
medical and familial history and
coaching them on care provider
selection and health.
Geisinger Health System:Integrates real-time clinical,
financial, operational, claims and other medical information in
a massive clinical decision intelligence system, assisting
doctors to provide best practice care and supporting innovative
medical research and treatments.
SMART IS
Using powerful algorithms to
pinpoint potential problem areas
within medical images and flag
them based on the probability of
abnormality.
Mayo Clinic:Worked with IBM to deploy an advanced image
processing capability and created new analytic algorithms,
integrating them seamlessly into its radiology workflow. The
automated system gives radiologists a powerful new
diagnostic tool and source of insight that helps them improve
patient care through better, earlier detection. A 50 time
reduction in motion correction processing enables radiologists
to provide results in minutes, not hours.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Speeding the discovery of compounds to
combat disease outbreaks through
applying the power of grid technology. University of Texas Medical Branch:Accelerated
research to discover cures for deadly, untreatable
disease by performing the equivalent of thousands
of years of comprehensive calculations in less than
one year, using the World Community Grid.
SMART IS
Engaging computational resources to
reduce a complex AIDS research work
project from five years to six months. The Scripps Research Institute:With the aid of
World Community Grid, researchers on the
FightAIDS@Home project, virtually screened 2,000
drug candidates against 270 wild type and mutant HIV
proteases, discovering potential leads to new
medications.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Removing inhibitors that are slowing
progress on cancer research.
The Cancer Institute of New Jersey, Rutgers University
and UMDNJ-Robert Wood Johnson Medical
School:Using World Community Grid, created a Web-
based, robotics prototype for automatically imaging,
analyzing, archiving and sharing digitized tissue
microarrays. New levels of speed and sophistication can
enable advances in cancer biology, drug discovery and
therapy planning.
SMART IS
Analyzing large-scale population data to
identify trends and member values.
A major health insurance company:Created a first-of-
its-kind aggregation of healthcare data that yields trends
and insights to users nationwide, delivering information
on how people receive medical treatments that is
protected by exceptional security features.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Taking a holistic approach to healthcare
management with IBM and SAP.
Institut Català de la Salut (ICS):With IBM, implemented a
suite of SAP ERP applications. The combination of SAP
ERP for general business management and SAP for
Healthcare provides a comprehensive range of integrated
systems for ICS, where it is possible to control all
operational processes from within a single environment.
SMART IS
Using business intelligence to boost
nonprofit hospital efficiency. Federação das Santas Casas e Hospitais Beneficentes
do Estado de São Paulo (Fehosp):Implemented a business
intelligence solution that evaluates key performance
indicators of 22 member hospitals. Organizations can now
analyze and monitor key hospital performance indicators
covering operational, medical and human resources metrics,
helping to improve decision-making processes.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Achieve better quality and outcomes. (continued)
SMART IS
Speeding the discovery of treatment of
childhood cancer with the World
Community Grid.
SMART IS
Accelerating genomic research by tapping
into a computing environment that can
accurately compare genes from multiple
genomes. Oswaldo Cruz Foundation (Fiocruz):By teaming with World
Community Grid (Fiocruz Genome Comparison Project),
performed a complete pair-wise comparison between all
predicted protein sequences, creating a reference repository
for biologists and a head start on understanding how to
develop drugs to combat a disease tied to a particular protein.
Chiba Cancer Center Research Institute
(CCRI):Worked with World Community Grid to perform
experiments to test the fit between cancer proteins and
each of three million drug candidates. Nine million
experiments can be run in parallel, reducing the project
time to just over two years.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness.
SMART IS
Proactively engaging with patients to
personalize care, enabled by powerful
healthcare analytics. Duke University Health System:Teamed with IBM
to create the HealthView Portal, a one-stop source of
healthcare information and services for its patients.
Predictive analytics help identify high-risk scenarios and
create new insight, improving caregiver training and
patient safety, increasing patient engagement and
satisfaction and improving outcomes.
SMART IS
Developing a care management system
to effectively manage treatment of
patients with chronic disease. Precedence Health Care:Worked with IBM to develop
the Chronic Disease Management Network, allowing all
care givers to track and share information, ensuring the
effective delivery of collaborative treatment plans, and
more importantly a better quality of life for the patient.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness.(continued)
SMART IS
Sharing information across locations and
directly with patients to better coordinate
treatment efforts and deliver a higher
quality of service. Institute for Applied Telemedicine at the Heart and
Diabetes Center NRW:With IBM Business Partner
SVA Competence Center Health Care, deployed an
integrated telemedicine portal that captures patient
health data from in-home monitoring equipment and
publishes this data to the Web. The solution
integrates with existing medical systems, providing
users with a unified, roles-based view of a patient’s
complete medical history. It ensures correct and
proven treatments according to established insurance
guidelines with defined telemedical pathways.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Creating a shared electronic health
record system among community
hospitals and healthcare centers to
provide more responsive, proactive care
to patients with chronic conditions.
Peking University People’s Hospital:Teamed with IBM
Research to implement a community-wide electronic healthcare
record system based on SOA and international medical
information standards. In addition, PKUPH is building into the
platform telemedicine functionality that leverages mobile
telecommunications and real-time messaging alert services.
SMART IS
Operating and better managing
healthcare services for a fast-growing
population and cutting cost at the same
time. Chinese Provincial Health Bureau:Worked with IBM to
establish an integrated healthcare platform to standardize
public health data, create electronic health records for
citizens, and serve as a database of medical experts and
emergency resources, improving disease prevention,
emergency response and utilization of medical resources.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Developing a first-of-a-kind pedigree
analytics platform to gain new insights
into how we can treat hereditary
diseases.
Rizzoli Orthopaedic
Institute:Engaged IBM Research
to develop a first-of-a-kind pedigree
analytics platform that integrates
clinical and genomic data, medical
images and family history into a
SOA-based medical imaging
repository to which new analytical
services, content sources and
research partners can be easily and
cost-effectively connected.
SMART IS
Enabling electronic prescription
management, making it easier for patients
and doctors to monitor and control
treatment and to improve quality of care. Extremadura Regional Government of
Spain:Deployed an electronic prescription system in
more than 400 primary care centers and 680
pharmacies, providing the ability to prescribe and
dispense prescription medications electronically.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Standardizing clinical practices across
health systems, informed by integrated
information. Servicio Extremeño de Salud:Implemented a regionally
integrated system that enables patients to go to any health
center in the region knowing the doctor will be able to view
their complete, up-to-date records for faster clinical
decision-making.
SMART IS
Speeding diagnoses and treatments by
making it easier for doctors to navigate
complex patient information. Thy-Mors Hospital:Developed a first-of-a-kind patient
records system that uses a three-dimensional model of
human anatomy to easily navigate patient records,
simplifying access to electronic health information and
helping to deliver and explain treatments to patients easier
and faster by focusing solely on medical data relevant to
current diagnostic efforts.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Being able to access an individual’s full
medical history with a single trusted view.
Shanghai First People’s Hospital:Developed a reliable,
large-scale identity repository that aggregates a patient’s
historical care information while eliminating duplicate and
erroneous data, improving care through the sharing of trusted
patient information and reducing costs through efficiency
improvements.
SMART IS
Proactively driving the integration of
technology, process and people changes
back into the organization. American Hospital Dubai:Deployed an integrated
healthcare information system for the community of Dubai
and surrounding Gulf States, providing secure, real time
access to patient information and changing the way medical,
nursing and healthcare staffs perform their jobs when
utilizing technology.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Delivering a unified healthcare
management system using a single,
comprehensive electronic medical record
to share information and resources
among over 500 medical institutions.
Xicheng District Health Bureau:Leveraged a SOA
strategy to create a flexible infrastructure for exchanging
patient information, enabling users to access symptom
descriptions, search for local medical resources and refer
patients to doctors or specialists for treatment. Requests
for prescriptions are sent automatically to the patient's
local pharmacy for pick-up.
SMART IS
Upgrading its paper-based medical
records system to provide faster, more
secure patient care to thousands of
patients.
Genesys Health System:Implemented an electronic
health record system from BlueWare and IBM, using a
SOA strategy, making digitized information for all of its
outpatient services available to over 1,000 physicians
across six counties.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare: Collaborate for prevention and wellness. (continued)
SMART IS
Gaining real-time line of sight and
responses to individualized health
information. Western North Carolina Health Network:Implemented
an electronic health record exchange that enables
patient data to be securely shared across hospitals,
improving patient care through reduced medical errors
and unnecessary treatments, lowering overall costs and
speeding patient records retrieval.
SMART IS
Engaging patients in new product design
and manufacturing processes to build the
right products. Implanet:This supplier of hospital surgical implants
leveraged RFID technology and a customer portal to gain
visibility to customer demand and automated
warehousing and inventory operations, growing customer
satisfaction through richer pre-purchase support.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
At the center of smarter healthcare is an increasingly more personalized experience, focused on the wellness of the individual.
ENROLLING in healthcare programs
SHARING individual health information
UNDERSTANDING health risks
ACTIVATING preventive and value-conscious behavior
ENGAGING in a self-directed
system of care
BENEFITING from an interconnected
care-giving team
MEASURING your progress
and plan
IMPROVING your long-term health
and everyday experience
COMPLYING fulfilling your part of
the patient-doctor covenant
One result is higher satisfaction for consumers and service providers.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Individuals will be served by collaborative, coordinated health systems.
GOVERNMENTS
Address the current lack of sustainability
by providing leadership and political
willpower, removing obstacles,
encouraging innovation and guiding
countries to sustainable solutions. DOCTORS, NURSES AND
OTHER CAREGIVERS
Develop partnerships with
individuals, payers/health plans and
other stakeholders, collaborating to
promote and deliver more evidence-
based and more personalized
healthcare.
CARE DELIVERY ORGANIZATIONS
Expand the current focus on episodic, acute
care to encompass the enhanced
management of chronic diseases and the
life-long prediction and prevention of illness.
PAYERS AND HEALTH PLANS
Help individuals remain healthy and get more
value from the healthcare system while
assisting care delivery organizations and
clinicians in delivering higher-value care.
PHARMACEUTICALS AND
DEVICE MANUFACTURERS
Work collaboratively with care delivery
organizations, clinicians and individuals
to create products that improve
outcomes and lower costs.
COMMUNITIES
Make realistic, rational decisions
regarding lifestyle expectations,
acceptable behaviors, and
healthcare rights and economies.
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Achieving better quality and outcomes
to deliver high-quality, safe care and
services while achieving better clinical
outcomes, proactively managing
chronic disease and improving the
cost-effectiveness of care.
Business transformation
Health data integration
Health information
exchanges
Communications and
collaboration
EXAMPLE IBM INVESTMENT AREAS FOR A FOCUS ON…
Improving operational effectiveness
to build flexibility and resilience into
operations to support cost reduction
and excellence in clinical and
business performance and practices.
IBM’s solution strategy is aligned with the needs of the healthcare industry
Performance management
Portals for care teams, patients,
providers, members and
citizens/consumers
IBM solution for collaborative
care
Collaborating for prevention and
wellness to deliver comprehensive,
coordinated, integrated and
personalized care for better
healthcare value.
Clinical performance
Chronic disease
management
Data governance, data
integration and data quality
Medical records text
analytics
Business intelligence and
performance management
Patient / member analytics
Disease surveillance and
modeling
Business process
transformation
Enterprise mobility
Patient and equipment
tracking
Enterprise asset
management
Revenue cycle
management
Privacy, security and
resilience
Business transformation
Performance management
Core systems modernization
ICD-10 compliance
Fraud & abuse analytics
Data center optimization
Smart hospitals
Integrated service management
Virtualization
Cloud delivery models
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
The world will continue to become
smaller, flatter and smarter. We are
moving into the age of the globally
integrated and intelligent economy,
society and planet.
There’s no better time to start building
a smarter healthcare system—for
greater individual healthcare value and
sustainability.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Trademarks and notes
IBM Corporation 2011
IBM, the IBM logo and ibm.com are registered trademarks, and other company, product
or service names may be trademarks or service marks of International Business
Machines Corporation in the United States, other countries, or both. A current list of IBM
trademarks is available on the Web at “Copyright and trademark information” at
www.ibm.com/legal/copytrade.shtml
Adobe, the Adobe logo, PostScript, the PostScript logo, Cell Broadband Engine, Intel,
the Intel logo, Intel Inside, the Intel Inside logo, Intel Centrino, the Intel Centrino logo,
Celeron, Intel Xeon, Intel SpeedStep, Itanium, IT Infrastructure Library, ITIL, Java and
all Java-based trademarks, Linux, Microsoft, Windows, Windows NT, the Windows logo,
and UNIX are trademarks or service marks of others as described under “Special
attributions” at: http://www.ibm.com/legal/copytrade.shtml#section-special
Other company, product and service names may be trademarks or service marks of
others.
References in this publication to IBM products or services do not imply that IBM intends
to make them available in all countries in which IBM operates.