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Dale Potter, SVP, The Ottawa Hospital

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Thank you

Rank: Cave Painter

Dale:

   thanks.   I learned a lot.  

 

Will

Thinkernetter

Thank You!

Rank: Cave Painter

Its good to see that people are supporting Analytics solutions in Hospitals.I want to see how effective (in terms of reducing costs) this transistion is.

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Thanks, @Mary. I am moving to sleepy time. Good night everybody! 

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Everyone: Please feel free to carry on your chatting. I am moving to another task at present. Thank you for joining us today!!

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@Dale: Thanks for being here today. 

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Thank you for your time, Dale. And on behalf of everyone here, it was terrific.

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Thanks for joining us, Dale! Great session!

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@Mary  My pleasure  Sorry if I did not adress all of the questions.  It was a fast paced discussion.  I am on Twitter @Dale_C_Potter  Thanks for the interesting chat

 

Dale

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Very helpful, Dale, thanks.

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@Dale-So you see A lot of support  for more IT spending Today?

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Why have hospitals been more resistant to electronic records than other industries?

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@Kim  I think there is a co-reliance between the physicians and care providers and those like IT, who provide solutions for them.  I am focused on partnering with the providers and patients to develop solutions which respect or enhance their capabilities

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@Dale-Have you had the chance to compare the Quality of Healthacre in America with that in Canada?

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Dale, many thanks for joining us today.

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Kim asked earlier about why hospitals are still so bogged down with paper forms and charts. Why is that?

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@Dale - Yes, I see. thanks for clarifying that. 

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Good question, Kim!

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Any further questions for Dale before we set him free?

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@Mitch  You seem to miss the point in my comparison with airline.  I am not refering to satisfaction persay but the safety of airline travel and how this is managed.

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Dale, do you foresee a battle between information specialists and clinicians for control of healthcare -- not necessarily at your own hospital, but generally.

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@Dale-So you are able to justify increased IT Spending on Analytics??The Finance Department sees definite ROI?

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@Mary  Our communications department manages communicati0ns through media like facebook and twitter.  I reply on behalf of the hospital to inquiries on social media.

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@aum007  Yes.  Analytics have reduced healthcare cost certainly in areas like re-admissions and hospital aquired infection management.  I think we are just seeing the tip of the iceberg though

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@MItch-The reason is because people are always pernnially dissatisfied!

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@Dale. Thanks. Will the hospital devote any resources to supervise Facebook, Twitter, et al for comments?

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@Dale-How much of a Difference has it made in terms of both timeliness as well Costs?

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@Dale - But the airline industry has a high degree of customer dissatisfaction. How do you separate the good from the bad with that comparison?

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@Mary  I don't think ayone would disagree that our patients and families are becoming more informed and will become more demanding in terms of thier participation in care.  Social media will definitately have a play here

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@Dale-Have you seen the anlaytics solutions actually reduce Healthcare costs?

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Very interesting comparison, Dale. But I see the similarities: safety, marshalling of many people, security on a number of levels.

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@Dale: Are you using telemedicine in any form of it?

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@Dale: Thanks. I still believe there are other words, I suppose you are talking about the patient's relatives? 

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@Mitch  If you look at most other industries there is something that could perhaps be applied to Healthcare.  One industry I watch closely for example is airline industry where the focus is on flow, safety and security of passengers.  Similar to healthcare so there must be some lessons we can learn there.

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Good question, Mary!

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@Kim-Yes that would be really fascinating.

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@Dale: So what about social media? Is it really applicable in any form to healthcare?

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@Kim  We use analytics extensively for clinical decision support.  The challenge is collecting this information in a timely way so that it is current and we can use it to make real time care decisions.

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Dale, I want to come back to something you said at the top of the interview: That healthcare can learn lessons from other industries. Can you talk about that a bit please?

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@Mitch: Agreed. Let's make the most of our time with Dale.

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<-- Went to college with a girl named Dale Hoover. 

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Argh, Dale Potter. Sorry. 

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aum007 - Let's not turn this into a debate on Obamacare. Plenty of places to talk about that elsewhere on the Internet. Whereas this is the only place to talk with Dale Hoover about what he's doing. 

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@Susan Fourtane  I don't disagree that patient seems the most appropriate term.  My only concern that is exclusionary of other key people in the circle of care

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@Dale-The reason I ask about Cost Inflation is because I have heard from lot of advocates of Obamacare that having a Single supplier of Healthcare(like in Canada or the UK) helps to reduce cost of Medical care[Economies of Scale apparently].

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Bumping up my earlier question:

@Dale:  Have you made any headway with imposing standardization of procedures and therapies, based on analytics, or are individual clinicians too jealous of their independence?

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@Dale: Does social media have any role in your healtcare system? Should it play a role in any healthcare system?

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@Dale: Great. Thanks.

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Although it seems to me that when we in the US talk about getting away from a fee-for-service model, we're talking about getting away from a commercial transaction. It becomes like teaching, police, or fire protection -- the person pays a fee and gets the service, no matter what that service entails. 

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@Mary: Yes, I object to "customer" and "client". Patient is th eonly word that works for me in heathcare issues. 

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@Mary  We are not using 'public' cloud services but have created private cloud capabilities within our hospital and the Provincial health system in a secure way.

 

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@Dale: If you are using cloud services, are they public, private, hybrid? All?

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Kim, there is no question it's a commercial relationship. Money is changing hands for services. But ... well, I don't know. Maybe I'm talking myself out of this. 

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The issue about Costs is important (in my opinion);simply because we are entering a period where more and more Retirees for less workers(through most of the Developed world).

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Mary - Good point. 

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@Mitch: Rethinking professional and caregiver relationships in commercial terms.

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Kim, which major tide am I turning back?

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@aum007  I am not sure of directly how the economics of healthcare compare in Canada to the US.  Surely there is agreement that healthcare spending needs to be controlled and then reduced to sustain the system

 

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@Mitch: I dislike the word patient because it implies a helpless victim patiently waiting.

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Kim - "Stakeholder" = Buffy the Vampire Slayer. 

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@Susan-I am willing to wait!!

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Kim, which tide is that?

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@Dale: I meant to ask you whether you're using cloud services.

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@Dale-Do Institutions enforce aggressive liabilities?

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I :wub: "stakeholder."

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Mary, yes, I think I do. What's wrong with the word "patient?" 

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Trying to turn back a major tide there, Mitch.

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@Ashish: I am not in any mood for fights-across-the-ocean for any reason. Let's agree upon we don't agree on this topic, and let's just continue the conversation. (And remember, I am never interested in politics.) 

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Do those of you who object to the word customer also object to the term client?

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@aum007 The legislation around responsibility for data breaches is not increased for IT administrators.  It is still the primary responsibility of the institutions

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This may be unrelated, but I also dislike the term "internal customer" as used in IT. 

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Dale should be with us shortly.

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@Dale-How much is Healthcare Inflation (on an Annual basis) today?Is it higher/lower than in America?

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Actually, I don't mind the term client.

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@aum007 - True. But the relationship is not primarily financial. Same as police, firefighters, clergy, teachers, and parents. Not everything is business. 

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Dale, thanks, learnt a lot.

Rank: Cave Painter

@Mitch: Exactly, the primary relationship is from healthcare provider to patient. 

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@MItch-At the end of the day;somebody has topay the costs.

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@Dale: I don't agree with the terms "business and "customer" in healthcare for any reason. They don't belong to a place where people are fighting for their health or their life. I simply think it's cold and unethical. 

Thinkernetter

Very exiting just like a WWII recon team (wind talker), just radio contact without actually storing into on device. Great use of old concept.

Rank: Cave Painter

@Susan-I am not surprised.You are used to a nice Medical System.Too bad it can't work veyr well in Gigantic countries.

Thinkernetter

@Dale:  Have you made any headway with imposing standardization of procedures and therapies, based on analytics, or are individual clinicians too jealous of their independence?

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My question first is: Do you think the resistance to your use of the business terms, including "customer," is really strong, or can it be changed or shifted you think?

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I'm not enthusiastic about using the term customer in healthcare. It might be OK in some circumstances. But the primary relationship is one of healthcare provider to patient. There are other obligations that supersede the financial. 

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Great stuff.

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Welcome Dale! Thank you for joining us.

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Thanks, @Dale, and @Mary!

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Thanks, Mary and Dale. Great event. 

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No, I don't agree with those terms in healthcare

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@KIm-Yes,I agree.Less Data retention is the key.Undoubtedly.

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@Mary: so the info goes to the cloud?

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Oh, doesn't retain the info.  I get it.

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That requires a very reliable network connnection of course. 

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@field-I agree.Nobody can claim/Design a system which is 100% foolproof today.So you want to design something which is heavily De-centralized.This gives hackers/attackers less chance/incentives to do more damage[I am speaking from my experience as a Security Professional here].

Its a different matter that most Foolish Governments are going in the reverse direction today.

Thinkernetter

No personal info on the device?

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On one hand "Everybody knows everybody back in older days", but now the village is getting 'much' bigger. But on the other hand, someone can hurt you real bad with those information is what people really scared about.

Rank: Cave Painter

@Dale-Do IT Administrators/Consultants have to face personal liability for Data Breaches?

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All one has to do is Google Search for NHS breach-Its insane the number of incidents!!!

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@Susan-How many people were fired after the NHS DataBreach?Nobody.

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@Mary: This is a great chance to know more about EMR in Canada. Could you ask Dale?

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@Mitch-Correct!In America we have more faith in the Private Sector ;while in Europe its the State.

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That's not just like that, @Ashish. Not quite accurate.

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Can you imagine Incidents like the NHS Privacy Breach(In the UK) happening in America?

Again and again and again;I amazed no reaction from the people.IN america ,people would get violent for sure!

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aum007  - There is greater suspicon of private sector privacy in Europe though, from what I've seen in the news. Google Street View, for example. 

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Nobody in Europe cares if the Govt takes all your Data and stores it in hundreds of Databases because practically everyone is dependnt on the Government for some form of assistance from the State.

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@Susan-Yes thats true! Its primarily because Invasion of Privacy is not such a Big Deal in Europe ;while in America its a very Big-Big Deal!

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@Mitch: Calif is doing pretty good in EMR adoption comparing to other states, though.

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This isn't surprising me: so many habitual procedures are based around paper flow.

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Resistance is futile. :)

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@Mitch: The U.S. is quite behind in EMR adoption comparing to Europe. The EMR leading adopters are EU countries.

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Question for @Dale: How is the iPad project he mentioned in his earlier IE video progressing? He said they had 3,000 iPads in use. How is the m-healthcare being used? How are the doctors, nurses, etc, responding? 

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Electric Health Records are part of a huge government mandate in the US. 

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My question is always why hospitals, in my experience, are still so bogged down with paper forms and charts.

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@Dale-Do you see tremendous demand to do more with less?[Most Hospitals in Canada are owned by The Government;so pressure should be less on cost-cutting issues]

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What I would like to know is how intense(or otherwise) is the presssure on Hospitals in Canada to cut IT costs?

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Any questions for Dale Potter? Leave them in chat and we'll relay them. He'll also be joining us for the chat in a half-hour. 

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Listening now...talk to you all after the show

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Welcome, Dale! Hi, Ashish!

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yay! Mary is on! :D

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Wow! Everyone is super-early!!!

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@Kim, so yes, it was the New Yorker then

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Hi, @Mitch! Hmm, maybe TNY, not sure.

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Welcome, Dale!

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Welcome, Dale.

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Yes, Susan, I was trying to extrapolate some points about analytics from a New Yorker article which compared Cheesecake Factory's approach to serving a large audience, with the healthcare industry's approach to its much larger market.

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Hello, @Dale! Welcome to IE. We are all excited you can be here with us.

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HI, Susan! I'm guessing The New Yorker. 

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Greetings, Internet Evolutionaries!

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I have to read your Cheescake Factory article, @Kim. I read something about it elsewhere, just I don't remember where. :/

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Hello.  I will be online with you shortly

 

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It's timely for me, too, @Kim. I recently wrote about telemedicine and m-healthcare. 

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Yes indeed Susan!

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Yes, I want to know everything about that iPad project. You are going to ask him, aren't you? :)

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Hi, @Mary, and @Kim :D

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Healthcare is such a crucial sector!

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This is very timely for me.  I've been thinking about healthcare and analytics since writing that blog on The Cheesecake Factory. 

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Hi Susan! Yes, the iPad project is cool, isn't it?

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Yes, Mary. Thanks for the link. Great video. It was nice to know they have 3,000 iPads at the works for their m-healthcare program.

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Hello, hello. Early bird reporting. :)

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FYI all: Dale Potter was featured in a video on IE earlier this year. Check it out.

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This is where we'll be chatting with Dale Potter tomorrow.

Thinkernetter
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