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<title>Steve Beller - Introduction</title>
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style='mso-bidi-font-weight:normal'><span style='font-size:14.0pt'>Stephen E.
Beller, </span></b><st2:nameSuffix><b style='mso-bidi-font-weight:normal'><span
style='font-size:14.0pt'>Ph.D.</span></b></st2:nameSuffix></st1:PersonName><b
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<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Hello. Following is some background information about my
company and me, which I offer as means of introduction.</p>
<p class=MsoNormal>Professionally, I�m a clinical psychologist, healthcare
practitioner, researcher, and software inventor who serves as the President/<st1:stockticker>CEO</st1:stockticker>
of National Health Data Systems, Inc. (NHDS), a privately held company founded
in 1994. </p>
<p class=MsoNormal>In 1981, while a practicing psychologist, I began developing
a healthcare information system to help me deliver the best possible care by
better understanding my patients' problems, determine the best courses of
action, evaluate outcomes (the results/consequences of such actions), and
continually learn from experience. </p>
<p class=MsoNormal>By the mid 1980�s, I had developed the key components of the
Psychological Services Index� (PSI) System and began using it in my practice. I
soon realized there was more I wanted to know. Not only did I want a way to
learn about my patients�/clients� mental health problems, but I also wanted to
a way to know about any related physiological (bodily, medical, somatic)
factors that were affecting them. To accomplish this, a team of colleagues and
I set out to create the first information technology providing a comprehensive,
in-depth, �biopsychosocial� view of patients� conditions and treatments. This
led to a 15-year journey of intensive, cross-discipline R&D (research and
development). In the late 1990�s, we succeeded in developing a universal
lifetime computerized patient record system with advanced decision support
capabilities and a virtual forum supporting interdisciplinary collaboration. We
named this software technology the Health Information Index� (Hii�) System. </p>
<p class=MsoNormal>In the early 1990�s, as our country attempted to deal with
the healthcare crisis of the 20th century, I realized that the efforts being
proposed � managed care and capitation � would have to fail because these
fiscal strategies didn�t focus on improving care effectiveness and safety.
Neither did these strategies promote continuous quality improvement through the
implementation of evidence-based practice guidelines, nor the use of
information technology for knowledge-building and decision support. And they
were fraught with dangers in which those who need healthcare most are the least
likely to get it due to things like �cherry-picking,� in which insurers recruit
the healthiest clients and avoid chronic patients with expensive health care
needs and when providers focus on offering only the most profitable healthcare
services while selectively choosing not to provide services that involve more
risk, more medical attention or time, more expense those services that do not have
a handsome return on investment; a problem that continues today. ,
Another serious problem is that these strategies squeeze providers by paying
them to treat as many patients as possible for lowest cost, without adequate
focus on the quality of care delivered. We now see the results of such failed
strategies in our current 21st century healthcare crisis.</p>
<p class=MsoNormal>In 1993, I attempted to reach our country�s leaders with a
healthcare reform proposal centered on a �national health data system� and creation
of an �electronic health information network� which, by the way, is
eerily similar our government�s recent call for a �national health information
network� (NHIN). The proposal laid out a strategic blueprint for a system
supporting collaborative teams of practitioners and researchers across the
country using advanced information technologies to build a storehouse of
scientific healthcare data. These data would be analyzed, discussed, and
transformed into evidence-based practice guidelines, which would be
disseminated to all providers. The technology I�d been developing was a step
toward realizing this vision. I received no response from the government,
however. A year later, we founded our company and named it National Health Data
Systems (NHDS).</p>
<p class=MsoNormal>At the same time, we had begun introducing the PSI System to
the mental healthcare field in an attempt to recruit a large group of
healthcare professionals to form a collaborative practitioner-researcher
network. Our mission was to have this network help evaluate and evolve the
technology, and to use it for building a large biopsychosocial knowledgebase. A
key strategy of the network was to take a proactive approach with managed care
companies by obtaining and using a wealth of scientific evidence and decision
tools to support and justify clinical interventions. Unfortunately, the mental
healthcare field was generally opposed to this approach and our attempts to
establish the network failed. We then shifted our focus away from mental
healthcare, per se, to opportunities in other healthcare fields, and beyond.</p>
<p class=MsoNormal>In 1997, I used the knowledge gained over the years to write
a patent for the CP Split� technology, which was granted a year later. The
patent describes a uniquely flexible and efficient process for exchanging and
presenting information, which is an ideal platform for supporting healthcare
decision-making and knowledge-building in collaborative environments. </p>
<p class=MsoNormal>In 1998, we developed the Joint Commission on Accreditation
of Healthcare Organizations� IMSystem, which evaluates hospital performance,
and NHDS became an approved vendor. That same year, we developed a clinical
pathways system for Merck UK, in alliance with UK physicians, which helps
diagnose and treat certain heart problems, as well as determine which
interventions are most cost-effective. We later developed computerized practice
guidelines, case management, and treatment planner tools � all of which also
focus on quality improvement. Because of these developments, we were able to
integrate the PSI system with biomedical applications, to generate the Hii
System, with its universal life-time, electronic health record with built-in
decision support.</p>
<p class=MsoNormal>Sadly, I came up against great resistance from the American
healthcare system for the past two decades as I presented our ideas and
technologies. Although supported by a small network of healthcare visionaries,
we were generally scorned or simply ignored by the healthcare industry � not
because of poor technology or faulty ideas, but because the American healthcare
system simply wasn�t ready for this type of change. So, while we continued to
develop innovative solutions, we were rendered powerless as our healthcare
system continued to deteriorate and our company struggled to survive. Why
didn�t I give up long ago? Many said I should � it was a losing battle � the
system would never change! </p>
<p class=MsoNormal>What kept me motivated during all these years of
disappointment and frustration is a personal life mission to do whatever I can
to help improve the world�s health and well-being by enabling delivery of
affordable, high-quality healthcare to all people in all nations. If our
country focuses sincerely on the same mission, I believe many of the problems
we face at home and abroad would begin to repair themselves, and we wouldn�t
have to be ashamed of the world we�re leaving our children.</p>
<p class=MsoNormal>Thankfully, a window of opportunity, for which I�ve been
waiting a quarter century, has opened in the spring of 2005 with our
government�s initiative to build a national health information network and
other strategies to improve healthcare quality and control expenditures. This
paper is our response to this opportunity. It presents a solution evolving over
the past 15 years � focusing on a wellness model and quality through knowledge
strategy that benefits all healthcare stakeholders � which is aligned with our
mission to help improve the world�s health and well-being.</p>
<p class=MsoNormal>To your health,</p>
<p class=MsoNormal><span style='font-size:14.0pt;font-family:"Script MT Bold"'>Steve
Beller
</span></p>
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