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Smarter health care




      Stimulating healthcare with IBM
      Healthcare solutions for the American Recovery and
      Reinvestment Act



                                                                                       Healthcare in the U.S.: A diagnosis
                                                                                       Health systems in this country are being
                                                                                       stretched to their limits as they strive to
                                                                                       address health issues such as increas-
                                                                                       ing costs and complexity, inconsistent
                                                                                       quality and access to timely care. The
                                                                                       majority of healthcare consumers feel
                                                                                       increasingly uninformed, disconnected
                                                                                       and helpless. Here are some startling
                                                                                       facts about the state of healthcare in
                                                                                       the U.S.:


                                                                                       ●   Each year, 98,000 to 195,000 people
                                                                                           are killed by medical mistakes and
                                                                                           1.5 million are harmed because of
                                                                                           errors in the way medications are
                                              The American Recovery and                    prescribed.
                    Highlights                Reinvestment Act of 2009 (ARRA) is an    ●   Every year, 8,000 U.S. lives are lost
                                              unprecedented effort to jumpstart the        because of insurance coverage gaps.
      ■   IBM solutions for healthcare help
                                              U.S. economy, making funding available   ●   24 percent of Americans report that
          government agencies and organi-
                                              to address specific healthcare chal-          they do not get medical care because
          zations implement, use and sup-
                                              lenges. With this economic stimulus          of cost and more than 15 million peo-
          port electronic health records
                                              funding comes the opportunity for gov-       ple are underinsured, many of whom
                                              ernment healthcare agencies and              are working.
      ■   IBM solutions for healthcare sup-
                                              organizations to implement healthcare    ●   This year, $2.5 trillion will be spent on
          port the secure exchange of
                                              solutions from IBM that can help them        healthcare—that’s 17.6% of the
          healthcare information
                                              enhance the quality of care they cur-        U.S. GDP. By 2015, that number will
                                              rently provide.                              rise to $4 trillion and almost 20% of
      ■   IBM offers healthcare solutions,
                                                                                           the GDP.
          services and financing developed
          to meet the American Recovery
          and Reinvestment Act of 2009
Consumers are demanding more from            These issues are set against a back-        challenges. From planning and imple-
their providers. Individuals are taking on   drop of shortages of clinicians, general    mentation to optimization and transfor-
more financial burdens and greater            practitioners and medical specialists.      mation, these offerings can help all
responsibility for their own health and      The need for progress is clear. Funding     healthcare stakeholders prepare and
care. The Internet-driven, instantly con-    from the ARRA and solutions from            contribute to a more effective health
nected world of today presents chal-         IBM and IBM Business Partners can           system. These solutions include clinical
lenges to healthcare organizations as        help bring the U.S. back from the brink     and patient portals, clinical analytics
they face:                                   of this crisis.                             and performance management, clinical
                                                                                         services that optimize and advance
●   Rising consumer expectations for         Improving the prognosis: IBM steps          electronic health record implementa-
    greater value from the healthcare        forward                                     tions, and health information
    system                                   The ARRA makes it possible for hospi-       exchanges. All of these offerings can be
●   Increased visibility into quality and    tals and physician practices to take that   tailored to ARRA requirements and
    patient-safety issues                    all-important critical first step toward     include electronic health records, secu-
●   Increased transparency of informa-       electronic medical records—one that         rity, services, financing and more.
    tion, which enables consumers to         can address the challenges mentioned
    make decisions based on the cost         previously and yield positive results for   Electronic health records
    and quality of healthcare services       healthcare organizations and their          Today’s health records are scattered
                                             patients in the U.S.                        over myriads of patient-based reposito-
Savvy and demanding consumers are                                                        ries. If a patient has a primary care
only part of the challenges providers        With funds from the ARRA and help           physician and gets treated by an ortho-
face. Many lack funding and capital to       from IBM, government agencies and           pedic practice, separate paper records
provide the kind of care needed by           organizations can implement healthcare      are maintained for that patient at each
many patients. Medical records cannot        solutions that help them deal with their    location. If a patient is admitted to a
be easily shared between providers and       current healthcare issues. IBM provides     hospital trauma center for treatment, is
that can lead to some of the mistakes        a comprehensive offering portfolio to       discharged, but then needs to return to
previously mentioned. Incompatible for-      help support healthcare reform,             that hospital for surgery, the patient
mats, such as paper medical files and         advance strategic initiatives and, ulti-    might have two separate records at the
electronic x-rays, are part of the reason;   mately, to empower a healthier society.     hospital—or even more. There might be
another contributor to the challenge is                                                  information in a patient’s primary care
the lack of infrastructure that can pro-     IBM and IBM Business Partners               physician’s file record that a surgeon
mote information sharing.                    together deliver end-to-end clinical,       needs but cannot access because the
                                             business and infrastructure solutions       record is only available to the primary
                                             that help address many of the health-       care physician.
                                             care industry’s most complex
Electronic health records provide           and current best practices in medicine       clients apply advanced analytics to
healthcare providers with patient med-      enable proliferation of ongoing improve-     improve medical research, diagnosis
ical history in concise electronic format   ments in healthcare efficacy.                and treatment with the ultimate objec-
that can be shared among multiple                                                        tive being to improve patient care and
healthcare entities easily. For example,    Everyone is on the electronic health         help reduce healthcare costs.
the exchange of healthcare information      records bandwagon—from Microsoft®
has the potential to boost patient safety   to typical infrastructure providers to       Security
by making it easier for different physi-    independent software vendors. This           For healthcare organizations, IBM and
cians and hospitals to access the list of   is a hotly competitive area with over        IBM Business Partners provide solu-
medications a patient takes regularly or    200 independent software vendors in          tions and the supporting infrastructure
a list of allergies a patient might have.   the marketplace who are rapidly con-         to safeguard patient privacy and ensure
                                            solidating. IBM’s approach is different,     that only the appropriate parties have
Electronic health records can also help     however.                                     secure and immediate access to critical
reduce overall healthcare costs. For                                                     data. Our offerings help secure elec-
example, one of the major sources of        IBM is playing a critical role during this   tronic health records and protect sensi-
rapid growth in healthcare costs comes      time in history because we touch more        tive data from unauthorized access and
from medical imaging. Medicare Part B       points in healthcare than anyone else—       malicious threats so hospitals can focus
spending on imaging rose from               from connecting electronic medical           on what is important—patient care:
$6.80 billion in 2000 to $14.11 billion     records to doctors, hospitals and phar-
in 2006. Access to a patient’s images in    macies to improve care and reduce            ●   Advanced security intelligence from
an electronic health record is an effec-    cost to accelerating medical research            the IBM Internet Security Systems
tive way to avoid duplicating expensive     with analytics. Rather than concentrat-          X-Force® research and development
imaging procedures. Another high            ing solely on an electronic healthcare           team healthcare organizations and
cost to healthcare is the printing and      record-specific solution, we are offering         agencies anticipate and block
mailing of checks. America could save       a more connected healthcare system               Internet threats before they affect the
$11 billion annually if all medical pay-    that delivers better care with fewer mis-        network.
ment transactions in the U.S. were han-     takes, predicts and prevents diseases        ●   Managed protection for healthcare
dled electronically by direct deposit.      and empowers people to make better               agency and organization network,
                                            choices.                                         servers and desktop protects sensi-
An electronic health records system can                                                      tive medical data and assets and
also help reduce medical errors and         IBM is also working with our Business            healthcare organization reputation.
boost worker productivity by providing      Partners to provide solutions that inte-
healthcare workers with decision sup-       grate data so doctors, patients and
port. Fast access to medical literature     insurers can share information seam-
                                            lessly and efficiently. IBM also helps
●   IBM Virtual Patch® shields vulnerabili-     ●   IBM healthcare analytics services         initiatives so healthcare agencies and
    ties at the network level.                      help agencies and organizations           organizations can start their projects
●   IBM Virtual Security Operations                 transform data into intelligence so       now without having to wait for the dis-
    Center is a secure, Web-based tool              they can improve the quality of care      tribution of funding.
    that healthcare organizations can use           they provide and make increasingly
    to monitor the security of their sys-           informed clinical decisions.              IBM Global Financing programs can
    tems continuously and easily.               ●   IBM medical imaging and storage vir-      help healthcare organizations and agen-
                                                    tualization services, such as Grid        cies streamline the entire IT infrastruc-
Additionally, IBM provides guaranteed               Medical Archiving Solution, facilitate    ture life cycle—including planning,
offerings and performance-based serv-               cost-effective digital image storage,     procurement, budgeting, payment and
ice level agreements—resulting in up to             access and workflow and enable             asset disposition. Organizations and
$50,000 cash payment if service level               remote diagnosis and consultation in      agencies maximize their spending
agreements are not met.                             the hospital and beyond.                  power with flexible ways to fund their
                                                ●   IBM mobility services, such as wire-      acquisitions.
Services                                            less infrastructure, hands-free com-
IBM Global Business Services and                    munication, RFID technology,              Conclusion: Why IBM?
Global Technology Services consultants              integration middleware and the            IBM’s broad and deep experience in the
have deep and broad expertise with the              enabling technologies, help provide       healthcare industry and relationships
implementation of comprehensive                     immediate, secure access to patient       with all major healthcare IT vendors
healthcare systems and solutions. For               information at the point of patient       help ensure that we deliver integrated
example:                                            care.                                     solutions that incorporate best prac-
                                                ●   IBM portal solutions and services         tices to address healthcare business
●   IBM hospital planning and                       help make information available inter-    problems. We have applied our health-
    design/build services combine infor-            nally and externally to providers, pay-   care knowledge, technology and
    mation systems expertise with clinical          ers and potential patients.               research to deliver innovative solutions
    and business expertise to develop the                                                     that help clients solve problems of any
    combination of people, processes            Financing                                     scale or complexity.
    and care best suited to the health-         Since the ARRA was signed into law,
    care organization.                          IBM has been helping healthcare               Providers need a proven leader with
●   IBM healthcare business consultants         organizations establish the infrastruc-       experience in helping organizations
    are highly skilled in optimizing clinical   tures that can allow them to spur             undergoing change—one with the
    processes and implementations. In           growth in their communities and               financial stability to see them through
    2006 and 2007, IBM’s healthcare             improve service levels. In this spirit,       over the long haul. As a healthcare
    business consulting services were           IBM Global Financing has earmarked            industry leader, IBM is committed to
    ranked no. 1 in clinical implementa-        special financing programs for IT              helping healthcare provider organiza-
    tions by KLAS, the independent                                                            tions thrive in the new world ahead.
    healthcare ranking organization. In
    2007, they were ranked no. 3 in clini-
    cal planning and assessment.
Feature                                  Benefits

Medical data integration                 ●   Facilitates electronic health records so provider organizations, physician practices, clinics,
                                             laboratories, patients and insurers can share information seamlessly and efficiently

IBM Maximo® Asset Management             ●   Enables you to track and manage your critical, expensive medical equipment

Advanced security intelligence from      ●   Helps anticipate and block Internet threats before they affect the healthcare network
IBM Internet Security Systems X-Force®

Managed protection for healthcare        ●   Helps protect sensitive medical data and assets
agency and organization network,
servers and desktop

IBM Virtual Patch®                       ●   Shields vulnerabilities at the network level

IBM Virtual Security Operations Center   ●   Continuously monitors the security of healthcare systems and data

IBM hospital planning and design/build   ●   Combines information systems expertise with clinical and business expertise to develop
services                                     the combination of people, processes and care best suited to the healthcare organization

IBM Healthlink Solutions                 ●   Streamlines implementations, optimizing an agency’s current processes and investments
                                             and enabling new solutions such as electronic health record systems

IBM healthcare analytics services        ●   Helps transform data into intelligence

IBM security and privacy/disaster        ●   Helps protect patient data from internal and external threats, helps ensure 24/7 availability,
recovery services                            helps provide business continuity and meet regulatory demands

IBM medical imaging and storage          ●   Facilitates cost-effective digital image storage, access and workflow and enables remote
virtualization services, such as Grid        diagnosis and consultation in the hospital and beyond
Medical Archiving Solution

IBM mobility services                    ●   Exploits wireless technology, including RFID, to provide immediate, secure access to
                                             patient information at the point of patient care

IBM portal solutions and services        ●   Helps make information available internally and externally to providers, payers and
                                             potential patients

IBM Global Financing solutions for       ●   Low rates and flexible payment options, deferred payment plans, structured lines of credit
ARRA                                         and specialized project financing packages that align payment streams throughout the
                                             course of the project to anticipated benefits
For more information                 © Copyright IBM Corporation 2009
                                       IBM Corporation
To learn more about IBM and
                                       Route 100
IBM Business Partner solutions for     Somers, NY 10589
                                       U.S.A.
healthcare, please contact your
                                       Produced in the United States of America
IBM marketing representative or        September 2009
IBM Business Partner, or visit:        All Rights Reserved
                                       IBM, the IBM logo and ibm.com are trademarks
                                       or registered trademarks of International
●   ibm.com/healthcare                 Business Machines Corporation in the
                                       United States, other countries, or both. If these
●   ibm.com/smarterplanet/stimulus
                                       and other IBM trademarked terms are marked
                                       on their first occurrence in this information with
                                       a trademark symbol (® or ™), these symbols
                                       indicate U.S. registered or common law
                                       trademarks owned by IBM at the time this
                                       information was published. Such trademarks
                                       may also be registered or common law
                                       trademarks in other countries. A current list of
                                       IBM trademarks is available on the Web at
                                       “Copyright and trademark information” at
                                       ibm.com/legal/copytrade.shtml
                                       Microsoft is a trademark of Microsoft
                                       Corporation in the United States, other
                                       countries, or both.
                                       Other product, company or service names may
                                       be trademarks or service marks of others.




                                       HPS03002-USEN-00

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Stimulating Healthcare: Healthcare Solutions from IBM

  • 1. Smarter health care Stimulating healthcare with IBM Healthcare solutions for the American Recovery and Reinvestment Act Healthcare in the U.S.: A diagnosis Health systems in this country are being stretched to their limits as they strive to address health issues such as increas- ing costs and complexity, inconsistent quality and access to timely care. The majority of healthcare consumers feel increasingly uninformed, disconnected and helpless. Here are some startling facts about the state of healthcare in the U.S.: ● Each year, 98,000 to 195,000 people are killed by medical mistakes and 1.5 million are harmed because of errors in the way medications are The American Recovery and prescribed. Highlights Reinvestment Act of 2009 (ARRA) is an ● Every year, 8,000 U.S. lives are lost unprecedented effort to jumpstart the because of insurance coverage gaps. ■ IBM solutions for healthcare help U.S. economy, making funding available ● 24 percent of Americans report that government agencies and organi- to address specific healthcare chal- they do not get medical care because zations implement, use and sup- lenges. With this economic stimulus of cost and more than 15 million peo- port electronic health records funding comes the opportunity for gov- ple are underinsured, many of whom ernment healthcare agencies and are working. ■ IBM solutions for healthcare sup- organizations to implement healthcare ● This year, $2.5 trillion will be spent on port the secure exchange of solutions from IBM that can help them healthcare—that’s 17.6% of the healthcare information enhance the quality of care they cur- U.S. GDP. By 2015, that number will rently provide. rise to $4 trillion and almost 20% of ■ IBM offers healthcare solutions, the GDP. services and financing developed to meet the American Recovery and Reinvestment Act of 2009
  • 2. Consumers are demanding more from These issues are set against a back- challenges. From planning and imple- their providers. Individuals are taking on drop of shortages of clinicians, general mentation to optimization and transfor- more financial burdens and greater practitioners and medical specialists. mation, these offerings can help all responsibility for their own health and The need for progress is clear. Funding healthcare stakeholders prepare and care. The Internet-driven, instantly con- from the ARRA and solutions from contribute to a more effective health nected world of today presents chal- IBM and IBM Business Partners can system. These solutions include clinical lenges to healthcare organizations as help bring the U.S. back from the brink and patient portals, clinical analytics they face: of this crisis. and performance management, clinical services that optimize and advance ● Rising consumer expectations for Improving the prognosis: IBM steps electronic health record implementa- greater value from the healthcare forward tions, and health information system The ARRA makes it possible for hospi- exchanges. All of these offerings can be ● Increased visibility into quality and tals and physician practices to take that tailored to ARRA requirements and patient-safety issues all-important critical first step toward include electronic health records, secu- ● Increased transparency of informa- electronic medical records—one that rity, services, financing and more. tion, which enables consumers to can address the challenges mentioned make decisions based on the cost previously and yield positive results for Electronic health records and quality of healthcare services healthcare organizations and their Today’s health records are scattered patients in the U.S. over myriads of patient-based reposito- Savvy and demanding consumers are ries. If a patient has a primary care only part of the challenges providers With funds from the ARRA and help physician and gets treated by an ortho- face. Many lack funding and capital to from IBM, government agencies and pedic practice, separate paper records provide the kind of care needed by organizations can implement healthcare are maintained for that patient at each many patients. Medical records cannot solutions that help them deal with their location. If a patient is admitted to a be easily shared between providers and current healthcare issues. IBM provides hospital trauma center for treatment, is that can lead to some of the mistakes a comprehensive offering portfolio to discharged, but then needs to return to previously mentioned. Incompatible for- help support healthcare reform, that hospital for surgery, the patient mats, such as paper medical files and advance strategic initiatives and, ulti- might have two separate records at the electronic x-rays, are part of the reason; mately, to empower a healthier society. hospital—or even more. There might be another contributor to the challenge is information in a patient’s primary care the lack of infrastructure that can pro- IBM and IBM Business Partners physician’s file record that a surgeon mote information sharing. together deliver end-to-end clinical, needs but cannot access because the business and infrastructure solutions record is only available to the primary that help address many of the health- care physician. care industry’s most complex
  • 3. Electronic health records provide and current best practices in medicine clients apply advanced analytics to healthcare providers with patient med- enable proliferation of ongoing improve- improve medical research, diagnosis ical history in concise electronic format ments in healthcare efficacy. and treatment with the ultimate objec- that can be shared among multiple tive being to improve patient care and healthcare entities easily. For example, Everyone is on the electronic health help reduce healthcare costs. the exchange of healthcare information records bandwagon—from Microsoft® has the potential to boost patient safety to typical infrastructure providers to Security by making it easier for different physi- independent software vendors. This For healthcare organizations, IBM and cians and hospitals to access the list of is a hotly competitive area with over IBM Business Partners provide solu- medications a patient takes regularly or 200 independent software vendors in tions and the supporting infrastructure a list of allergies a patient might have. the marketplace who are rapidly con- to safeguard patient privacy and ensure solidating. IBM’s approach is different, that only the appropriate parties have Electronic health records can also help however. secure and immediate access to critical reduce overall healthcare costs. For data. Our offerings help secure elec- example, one of the major sources of IBM is playing a critical role during this tronic health records and protect sensi- rapid growth in healthcare costs comes time in history because we touch more tive data from unauthorized access and from medical imaging. Medicare Part B points in healthcare than anyone else— malicious threats so hospitals can focus spending on imaging rose from from connecting electronic medical on what is important—patient care: $6.80 billion in 2000 to $14.11 billion records to doctors, hospitals and phar- in 2006. Access to a patient’s images in macies to improve care and reduce ● Advanced security intelligence from an electronic health record is an effec- cost to accelerating medical research the IBM Internet Security Systems tive way to avoid duplicating expensive with analytics. Rather than concentrat- X-Force® research and development imaging procedures. Another high ing solely on an electronic healthcare team healthcare organizations and cost to healthcare is the printing and record-specific solution, we are offering agencies anticipate and block mailing of checks. America could save a more connected healthcare system Internet threats before they affect the $11 billion annually if all medical pay- that delivers better care with fewer mis- network. ment transactions in the U.S. were han- takes, predicts and prevents diseases ● Managed protection for healthcare dled electronically by direct deposit. and empowers people to make better agency and organization network, choices. servers and desktop protects sensi- An electronic health records system can tive medical data and assets and also help reduce medical errors and IBM is also working with our Business healthcare organization reputation. boost worker productivity by providing Partners to provide solutions that inte- healthcare workers with decision sup- grate data so doctors, patients and port. Fast access to medical literature insurers can share information seam- lessly and efficiently. IBM also helps
  • 4. IBM Virtual Patch® shields vulnerabili- ● IBM healthcare analytics services initiatives so healthcare agencies and ties at the network level. help agencies and organizations organizations can start their projects ● IBM Virtual Security Operations transform data into intelligence so now without having to wait for the dis- Center is a secure, Web-based tool they can improve the quality of care tribution of funding. that healthcare organizations can use they provide and make increasingly to monitor the security of their sys- informed clinical decisions. IBM Global Financing programs can tems continuously and easily. ● IBM medical imaging and storage vir- help healthcare organizations and agen- tualization services, such as Grid cies streamline the entire IT infrastruc- Additionally, IBM provides guaranteed Medical Archiving Solution, facilitate ture life cycle—including planning, offerings and performance-based serv- cost-effective digital image storage, procurement, budgeting, payment and ice level agreements—resulting in up to access and workflow and enable asset disposition. Organizations and $50,000 cash payment if service level remote diagnosis and consultation in agencies maximize their spending agreements are not met. the hospital and beyond. power with flexible ways to fund their ● IBM mobility services, such as wire- acquisitions. Services less infrastructure, hands-free com- IBM Global Business Services and munication, RFID technology, Conclusion: Why IBM? Global Technology Services consultants integration middleware and the IBM’s broad and deep experience in the have deep and broad expertise with the enabling technologies, help provide healthcare industry and relationships implementation of comprehensive immediate, secure access to patient with all major healthcare IT vendors healthcare systems and solutions. For information at the point of patient help ensure that we deliver integrated example: care. solutions that incorporate best prac- ● IBM portal solutions and services tices to address healthcare business ● IBM hospital planning and help make information available inter- problems. We have applied our health- design/build services combine infor- nally and externally to providers, pay- care knowledge, technology and mation systems expertise with clinical ers and potential patients. research to deliver innovative solutions and business expertise to develop the that help clients solve problems of any combination of people, processes Financing scale or complexity. and care best suited to the health- Since the ARRA was signed into law, care organization. IBM has been helping healthcare Providers need a proven leader with ● IBM healthcare business consultants organizations establish the infrastruc- experience in helping organizations are highly skilled in optimizing clinical tures that can allow them to spur undergoing change—one with the processes and implementations. In growth in their communities and financial stability to see them through 2006 and 2007, IBM’s healthcare improve service levels. In this spirit, over the long haul. As a healthcare business consulting services were IBM Global Financing has earmarked industry leader, IBM is committed to ranked no. 1 in clinical implementa- special financing programs for IT helping healthcare provider organiza- tions by KLAS, the independent tions thrive in the new world ahead. healthcare ranking organization. In 2007, they were ranked no. 3 in clini- cal planning and assessment.
  • 5. Feature Benefits Medical data integration ● Facilitates electronic health records so provider organizations, physician practices, clinics, laboratories, patients and insurers can share information seamlessly and efficiently IBM Maximo® Asset Management ● Enables you to track and manage your critical, expensive medical equipment Advanced security intelligence from ● Helps anticipate and block Internet threats before they affect the healthcare network IBM Internet Security Systems X-Force® Managed protection for healthcare ● Helps protect sensitive medical data and assets agency and organization network, servers and desktop IBM Virtual Patch® ● Shields vulnerabilities at the network level IBM Virtual Security Operations Center ● Continuously monitors the security of healthcare systems and data IBM hospital planning and design/build ● Combines information systems expertise with clinical and business expertise to develop services the combination of people, processes and care best suited to the healthcare organization IBM Healthlink Solutions ● Streamlines implementations, optimizing an agency’s current processes and investments and enabling new solutions such as electronic health record systems IBM healthcare analytics services ● Helps transform data into intelligence IBM security and privacy/disaster ● Helps protect patient data from internal and external threats, helps ensure 24/7 availability, recovery services helps provide business continuity and meet regulatory demands IBM medical imaging and storage ● Facilitates cost-effective digital image storage, access and workflow and enables remote virtualization services, such as Grid diagnosis and consultation in the hospital and beyond Medical Archiving Solution IBM mobility services ● Exploits wireless technology, including RFID, to provide immediate, secure access to patient information at the point of patient care IBM portal solutions and services ● Helps make information available internally and externally to providers, payers and potential patients IBM Global Financing solutions for ● Low rates and flexible payment options, deferred payment plans, structured lines of credit ARRA and specialized project financing packages that align payment streams throughout the course of the project to anticipated benefits
  • 6. For more information © Copyright IBM Corporation 2009 IBM Corporation To learn more about IBM and Route 100 IBM Business Partner solutions for Somers, NY 10589 U.S.A. healthcare, please contact your Produced in the United States of America IBM marketing representative or September 2009 IBM Business Partner, or visit: All Rights Reserved IBM, the IBM logo and ibm.com are trademarks or registered trademarks of International ● ibm.com/healthcare Business Machines Corporation in the United States, other countries, or both. If these ● ibm.com/smarterplanet/stimulus and other IBM trademarked terms are marked on their first occurrence in this information with a trademark symbol (® or ™), these symbols indicate U.S. registered or common law trademarks owned by IBM at the time this information was published. Such trademarks may also be registered or common law trademarks in other countries. A current list of IBM trademarks is available on the Web at “Copyright and trademark information” at ibm.com/legal/copytrade.shtml Microsoft is a trademark of Microsoft Corporation in the United States, other countries, or both. Other product, company or service names may be trademarks or service marks of others. HPS03002-USEN-00