The Volume and Velocity of Knowledge Processing Required for Care Delivery

• Medical literature doubling every 19 years

• • Doubles every 22 months for AIDS care

• 2 Million facts needed to practice

• Genomics, Personalized Medicine will increase the problem exponentially

• Typical drug order today with decision support accounts for, at best, Age, Weight, Height, Labs, Other Active Meds, Allergies, Diagnoses

• Today, there are 3000+ molecular diagnostic tests on the market, typical HIT systems cannot support complex, multi-hierarchical chaining clinical decision support