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Document LifeCycle ManagementSOFTWARE SOURCING APPROACHHospital clinical information systemarchitectures have historicallyused best-of-breed applicationsfor electronic patient record,departmental systems, CPOE,medical imaging and laboratories.These fragmented architecturesand proprietary data models havetypically focused on leading-edgebusiness capabilities for a smallgroup of administrative or clinicalusers, which did not favor buildinga consistently integrated patientrecord, not even within individualhospitals.True end-to-end suites, including all administrative and clinicalprocesses could solve the patient data integration issue andwould ensure consistent management of the platform. Butat this stage of market maturity, there are no real end-to-endsuites that can satisfy all clinical and administrative users.Rather, they are loosely coupled modules offered by thesame software provider. Sometimes they are running withdifferent UIs and on different database, application server,and operating system versions that force users to customizecode and build add-ons that jeopardize the out-of-the-boxconsistency.Figure 12A best-of- suite approach provides a more sustainable modelwith core data and business capabilities that are sitting in onesuite of products with ancillary capabilities and data beingsupported by other systems. It is in a best-of-suite scenariothat solutions like document life-cycle management andvendor neutral archive can add value by not only automatingregulatory compliance, but stitching together structured andunstructured data to create integrated patient records.(See Figure 12)WESTERN EUROPE HOSPITAL SECTORINTERDEPENDENCE BETWEEN INVESTMENTSIN DOCUMENT LIFE-CYCLE AND OTHER SOLUTIONS35%39%33%17%EHR44%39%50%21%21%DOCUMENT LIFECYCLENo plans to investMaintain CurrentPlans to invest in next 12 months41%62%VNA28% 39%38%12%26%33%21%Hospital executives that plan to investin document life-cycle managementsolutions in the next 12 months are alsomore likely to invest in EHR, particularlyin Western Europe.This investment forms the architecturalfoundation for federated access acrossthe health value-chain and in vendorneutral archives, which is a key pieceto complete the patient data repositorywith medical images coming fromdifferent PACS solutions.No plansto investMaintain currentsolutionPlans to invest innext 12 months23