Louis Cornacchia*, Doctations, Inc., Garden City, United States Track: Business Presentation Topic: Personal health records and Patient portals Presentation Type: Oral presentation Submission Type: Single Presentation Building: MaRS Centre, 101 College Street, Toronto, Canada Room: CR2 Date: 2009-09-17 11:00 AM – 12:30 PM Last modified: 2009-09-09

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Client/Server EMR systems silo information within each medical
practice. Exchanging information between client/server systems
requires synchronization with a shared central system. In a world
without universal patient identifiers, sychronization algorithms
cannot achieve the level of accuracy required for mission-critical
clinical data. Furthermore, unless the synchronization is real-time,
the potential for medical errors induced by failure to upload local
client-server information to the shared central system in a timely
fashion is inevitable and with dire consequences. Furthermore,
real-time synchronization between hundreds of thousands of private
practice client/server EMR systems is not practical and the cost of
the centralized system is prohibitive. Peer-to-Peer networking systems
cannot solve these problems and introduce other difficulties. The
ultimate answer lies in multi-tenancy architectures which use cloud
computing technologies to allow millions of users to interact with a
common database through a common interface in real time. Facebook,
Salesforce.com, Google and others have validated this approach in
other industries and with millions of users. Multi-tenancy
architecture systems like Doctations.com scale to provide a secure,
private, world-wide network for doctors and patients to share internet
space to transact healthcare with greater accessibility, more
efficiency and increased quality.