When an integrated delivery system has disparate information systems that don't "talk" to each other well, that can spell headaches for patients and physicians alike. Patients face the hassle of having to answer the same questions over and over again each time they visit a different site. And doctors have to overcome hurdles to access every component of a patient's record.

St. Jude Medical Center in Fullerton, Calif., and its sister clinic, St. Jude Heritage Medical Group, are curing these headaches by using several technologies. These include an enterprise master patient index as well as context management software.

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