If there is such a thing as a general consensus about the proposed rules for "meaningful use" of health IT, it's that the current HHS plan is fairly solid, but in need of some tweaking. It's fairly certain there will be some changes before HHS finalizes its definition this spring; CMS officials have said as much. How much change, and what kind, is up in the air, but it appears that the most common criticism of the Dec. 30 proposal is that the timetable is too short--even though CMS said providers would only have to demonstrate meaningful use for 90 consecutive days to earn the full incentive…
Healthcare IT
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Fierce Health IT
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Short EHR implementation timeline could lead to errors
8 Feb 2010 | 11:44 am -
Obama budget calls for more funding for ONC, comparative effectiveness
8 Feb 2010 | 11:08 amThe Office of the National Coordinator for Health Information Technology would get a $17 million funding boost, to a total of $78 million, under the Obama administration's budget proposal for fiscal year 2011. This includes $4 million for ONC to "to identify consumer perspectives on consumer e-health tools and the development of patient decision aids; anticipate and mitigate unintended consequences of the electronic exchange of health information; and support state governments as they implement their HITECH grants," InformationWeek reports. In total, the White House is asking Congress for… -
HIT vendor contracts must be aligned with meaningful use rules
8 Feb 2010 | 10:42 amWe're still waiting for a final definition of "meaningful use" of electronic health records, but with a proposed rule out there for more than a month now and a good sense of where the industry is headed, it's probably not a bad time for healthcare organizations to review their IT strategies and contracts. Jeffery Daigrepont, senior VP at health IT consulting firm Coker Group, suggests that providers need to take this time to make sure vendor contracts are aligned with the proposed rules for meaningful use so they stay on the right path toward earning federal stimulus money. "Many vendors… -
IBM to purchase Initiate Systems
8 Feb 2010 | 10:16 amIBM, which long ago abandoned plans to develop an electronic medical record, is making a deeper push into health information exchange by agreeing to acquire Initiate Systems. Privately held Initiate produces software to manage data integrity and create master patient indices for the purpose of sharing electronic health information. Terms of the deal were not disclosed, though the two companies say they have been collaborating for about five years. "This is all about growth and synergy," Arvind Krishna, general manager of information management at IBM, said, according to the Chicago Sun-Times. -
'Stories of Success!' highlight 16 organizations using HIT to improve quality
8 Feb 2010 | 9:52 amLast fall, HIMSS and the American Society for Quality solicited case studies of healthcare organizations that have successfully employed IT to improve patient safety and the quality, effectiveness and efficiency of care. Now, the two groups have introduced the first 16 peer-reviewed case studies for the "Stories of Success! Leveraging HIT, Improving Quality & Safety" program. Six organizations--including some that might not be so obvious--achieved "Tier 1" designation, meaning they aligned most closely with the goals of the program, while 10 more were listed as "Tier 2" by virtue of…
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The Healthcare IT Guy
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Event: Find out how to tap the billions of dollars being spent by the government on healthcare technology
26 Jan 2010 | 11:50 amIf you’re in the DC area, you might be interested in attending FedSources InFocus Event on Healthcare Technology. FedSources is a company that provides market intelligence around government contracting and opportunities. I’ll probably be attending so if you’re planning on attending let me know and we can catch up at the event. The event is being held at the McLean Hilton in Tysons Corner, VA on Thursday January 28 at 5:00p. -
$99 Wii Balance Board Outperforms $17,885 Medical Device
25 Jan 2010 | 4:10 pmI love these kinds of stories. Last week Gizmodo posted In Early Tests, $99 Wii Balance Board Outperforms $17,885 Medical Rig which was initially reported in New Scientist’s Wii board helps physios strike a balance after strokes. Basically, the story revolves around a paper published by Ross Clark in which Clark’s team compared a $99 Wii Balance Board (used in gaming and exercising while connected to the Wii console) to an almost $18,000 force platform. The paper confirms that the $100 device is clinically comparable to the $18k device. As reported by New Scientist, Clark says:… -
Let there be light: HHS publishes interim final rules on Initial Set of Standards, Implementation Specifications, and Certification Criteria for EMRs
31 Dec 2009 | 6:30 amScrambling to meet the end of year deadline set forth in the ARRA HITECH statute, HHS hits the mark with its release of the interim final 45 CFR Part 170, Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology. I will have more to say about the contents over the coming days and weeks as I review it. My initial reaction is that the content is pretty good — it’s not very precise nor is it actually independently verifiable (yet) but the folks at HHS have done well. The meat of the materials for most EHR firms starts… -
Beware EMR bullies quoting federal stimulus rules
21 Dec 2009 | 3:14 pmI’ve been hearing a lot of stories these days about EMR companies telling potential physician customers that they need to buy a sophisticated or “full blown” EMR right now in order to get any stimulus funds. Some of my readers have asked whether this is true or not so let me set the record straight. Yes, it’s true that the ARRA HITECH Act clearly states (in section 4101, page 353) that the government shall provide “incentives for adoption and meaningful use of certified EHR technology.” Specifically, the language in the bill (page 353) says: Subject to the… -
Social networking 101 for physicians
18 Dec 2009 | 5:31 amMassachusetts Medical Law Report’s Social networking 101 for physicians is a great summary for physicians who are looking to get into social networking or have already been participating for some time. It’s got some great tips that sound obvious but should be heeded carefully: Be mindful of patient confidentiality. Remember that your patients are not your ‘friends.’ Monitor your web presence regularly. Take advice from online doctors’ forums with a grain of salt. Be aware that you’re never truly anonymous on the web. It may seem like the article is scaring you into not…
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HIStalk
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Readers Write 2/8/10
8 Feb 2010 | 3:22 pmSubmit your article of up to 500 words in length, subject to editing for clarity and brevity (please note: I run only original articles that have not appeared on any Web site or in any publication and I can’t use anything that looks like a commercial pitch). I’ll use a phony name for you unless you tell me otherwise. Thanks for sharing! First Impressions of the iPad in Healthcare By Trey Lauderdale I don’t think we have ever seen a piece of technology as polarizing as the recently released Apple iPad. Being vice president of innovation at a healthcare-focused iPhone development company,… -
Monday Morning Update 2/8/10
6 Feb 2010 | 1:13 pmFrom Nasty Parts: “Re: Sage. COO Lindy Benton resigned Thursday night.” Confirmed with Sage. Betty Otter-Nickerson starts as CEO this week. From iSOFTen: “Re: UM Medical Centre in Kuala Lumpur, Malaysia. IBA/iSOFT have been invited to the exit door because of repeated product delivery failures. This casts long shadows over the future of their German-developed strategic lab product, planned for the still pending at Welsh procurement. And with regard to iSOFT’s alliance with Picis, it was because of IBA/iSOFTS’s product delivery failures.” Unverified. Listening: Midlake, a Texas… -
HIStalk Interviews Scott Weingarten
5 Feb 2010 | 6:50 pmScott Weingarten, MD, MPH is president and CEO of Zynx Health. What was your reaction when you saw the proposed Meaningful Use criteria? When you look at what was published on December 30, I don’t think there were any huge surprises based on what we saw over the summer that was published in June and July. There was a continued focus on clinical decision support, which we anticipated based on the earlier information. We believe that that is a good thing. We think clinical decision support can lead to improved quality and safety of care, as well as less costly care. We believe that’s where… -
News 2/5/10
4 Feb 2010 | 3:37 pmFrom Farrell: “Re: Microsoft. Substitute Epic for Microsoft in this article and it holds true.” The article, written by a former Microsoft VP, observes that Microsoft is a “clumsy, uncompetitive innovator” whose products are “lampooned” and its marketing “inept” as it loses market share in nearly every important category, milking profits from Office and Windows but falling slowly into irrelevance otherwise. Company bureaucracy and infighting are blamed. From Nell: “Re: McKesson. W-2 forms have always listed the employer as McKesson Corporation. The ones just sent out say… -
HIStalk Interviews Jim Giordano
3 Feb 2010 | 3:17 pmJim Giordano is president and CEO of CareTech Solutions. What are the biggest problems hospital IT departments are having these days, and what are their greatest opportunities? I think there are three areas that hospitals are challenged with from an IT perspective. The first is the complexity of the required systems that are now needed. The second is the return on investment focus. The third would be the timeframe for putting in this complex technology to meet the funding deadlines for the ARRA, the American Reinvestment and Recovery Act. I think the opportunities for the hospitals’…
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HealthNex
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Join The SeeClickFix Challenge on the Smarter Cities Scan
8 Feb 2010 | 7:49 amSeeClickFix empowers residents to actively care for and improve their neighborhoods. Welcome to the SeeClickFix Challenge: Feb 8-21 on the Smarter Cities Scan Smarter Cities asked if this great new service wanted to use our platform to share user suggestions and success stories on its citizen-powered service. So here’s the SCF challenge: over the next two weeks share your SeeClickFix story. How can communities and towns put SCF to new uses. Got a question? Use the Ask feature and you shall be answered. Got something fixed via SCF? Post a story. Fixed something? Do tell. Already have a… -
“Lord of the Rings” meets Smarter Healthcare | A Smarter Planet Blog
12 Jan 2010 | 7:11 am“Lord of the Rings” meets Smarter Healthcare | A Smarter Planet Blog.in silico modeling creates images of liver inflammation and cancer that are similar to what might be seen under the microscope. At the University of Pittsburgh’s McGowan Institute for Regenerative Medicine, researchers are using IBM technology to open up new dimensions in biological modeling. With the help of an IBM Shared University Research (SUR) Award and an IBM supercomputer, Pitt is using leading-edge in silico biological research, which uses computer simulations to explore biological pathways and test therapeutic… -
AsthmaMD iPhone App Helps Asthma Sufferers, Gathers Aggregate Research Data
11 Jan 2010 | 3:11 pmA Smarter Planet. AsthmaMD iPhone App Helps Asthma Sufferers, Gathers Aggregate Research DataEach day 11 people die of asthma in the U.S., and it accounts for one-quarter of all emergency room visits. Since 1980 the asthma death rate overall has increased by 50%. A new iPhone app called AsthmaMD, which was created by am Pejham (a doctor and researcher) and Salim Madjd, aims to help some of those sufferers. The application let’s them keep a diary of attacks, helping them keep records of the severity of attacks, medications used, etc. -
New Device Prints Human Tissue: Smarter Planet | Tumblr
29 Dec 2009 | 10:48 amA Smarter Planet. infoneernet:New Device Prints Human TissueInvetech has delivered what it calls the “world’s first production model 3D bio-printer” to Organovo, developers of the proprietary NovoGen bioprinting technology. Organovo will in turn supply the devices to institutions investigating human tissue repair and organ replacement.Keith Murphy, CEO of Organovo, based in San Diego, said the units represent a breakthrough because they provide for the first time a flexible technology platform for organizations working on many different types of tissue construction and organ… -
IBM tips microfluidic device for immunodiagnostics
20 Nov 2009 | 4:59 amA Smarter Planet. IBM tips microfluidic device for immunodiagnostics - Small TimesScientists from IBM Research in Zurich, Switzerland, have created a diagnostic test using a silicon chip to more quickly diagnose diseases. Their collaborative work with the U. Hospital of Base, published in the December issue of Lab on a Chip, uses capillary forces — the process whereby liquid rises in narrow tubes, or drawn into tiny openings — to analyze tiny samples of serum or blood to find disease markers, t
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Neil Versel's Healthcare IT Blog
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About all my HIMSS meeting requests
3 Feb 2010 | 6:58 amI am sitting on several dozen e-mails requesting meetings at the upcoming HIMSS conference. Some of them have been in my inbox for nearly a month. If you sent one, I promise I will respond before the end of this week. I can't promise I'll be able to accommodate every request, though. -
A real, hard number on ARRA funding for HIT
28 Jan 2010 | 10:19 pmThe spending estimate for health IT provisions in the American Recovery and Reinvestment Act seems like a moving target. (I guess that's the nature of estimates, anyway.) The popular number thrown around for a year has been $19.2 billion for EHRs. But that's a net figure based on expected efficiency gains. I've heard that the real outlay is anywhere from $25 billion to $45 billion. Well, I happened upon the HHS ARRA Web site tonight, where the graph on the home page shows $48.8 billion for health IT. That's more than just the EHR incentive program and the $2 billion in ONC discretionary… -
RIP Revolution Health's PHR
28 Jan 2010 | 1:41 pmTed Eytan and others are reporting that Revolution Health has sent out a letter notifying PHR users that the product is being discontinued at the end of February. Another PHR is dead. Again, don't believe the hype. Ask for hard numbers on users, and you aren't likely to get an answer.Here's the text of the e-mail: Thank you for being a loyal user of the Revolution Health Personal Health Record. Unfortunately we will be discontinuing this service as of the end of February 2010 and removing all records, information, and data from the Revolution Health Web site. So that you don’t lose the… -
Podcast: TriZetto's Jeff Margolis
22 Jan 2010 | 4:16 pmJeff Margolis, founder, chairman and CEO of The TriZetto Group, has written a book, called "The Information Cure." In it, Margolis discusses his vision for "integrated healthcare management," the combination of information technology and process improvement on both the administrative and clinical sides of healthcare to change deeply ingrained behaviors.We recorded this way back on Sept. 10, the day after President Obama pitched his healthcare bill to a joint session of Congress, and I unfortunately sat on this recording for more than four months. The legislation may have changed considerably… -
Physicians and social media
13 Jan 2010 | 10:09 amI neglected to post this a couple of months ago, but I had my first-ever story published at Medscape back in November, on the subject of physicians and social media. Feedback is appreciated.
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Medical Connectivity
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Medical Device Interoperability Workshop
17 Jan 2010 | 3:59 pmThere is a FDA (CDRH) Workshop on Medical Device Interoperability scheduled for January 25 - 27 at the FDA’s White Oak Campus in Silver Springs, MD. Here’s a link to the meeting’s official web site, which includes a number of downloadable files on the agenda, meeting logistics and background. There is little question the workflow automation and intelligence offered by interconnecting medical devices can improve patient safety. There’s also little doubt that there is significant market demand for such solutions. For example, if hospitals could purchase PCA pumps and… -
Tim Gee Affiliates with Santa Rosa Consulting for Provider Consulting
30 Dec 2009 | 9:01 pmThis month marks the end my 5th year as an independent consultant. Over that time, I’ve had the opportunity to complete many great projects for a variety of clients, large and small. A basic objective has always been to provide services to both manufacturers and health care providers. The general knowledge gained — both current trends and the depths of complex issues — from working with providers has always benefited my manufacturer clients, the same holds true for providers based on the perspectives gained working for manufacturers. While I’ve done projects for some… -
FDA Posts New Draft Guidance on Computer-Assisted Detection Devices Applied to Radiological Images and Radiological Data (CADe)
9 Nov 2009 | 9:03 amIt may be helpful to compare these new guidances with the pending MDDS rule, discussed here, in which the proposed rule defines an MDDS as Class I, the class with the lowest FDA scrutiny. Unlike MDDS, in the current case these CADe devices are not newly defined. However the FDA does acknowledge that the terminology may not widely known or used. A CADe system is not in the same class as an MDDS, and therefore is not an MDDS, because of the degree to which it analyzes medical device data. The Federal Register posting defines CADe’s as “computerized systems that incorporate pattern… -
Market Trends Series #3: Shift from Dept to Enterprise Focus
3 Nov 2009 | 4:32 pmFrom what I have observed over many years, Hospitals have historically approached medical device connectivity projects as a tactical issue to be dealt with. Up until relatively recently, technology alone could be used to solve the connectivity issue (i.e. getting data from point A to point B) with little to no negative impact on clinical workflow. Further, the scope of connectivity projects has been mainly departmentally focused and deployments have been relatively basic. By basic, I refer to projects that have focused on connecting one or two bedside medical devices to a single CIS… -
What (if anything) can the recent Sidekick problem teach us?
27 Oct 2009 | 2:32 pmOn October 12 the NY Times headline read “Some Users May Lose Data On a T-Mobile Smartphone”. Those phones use software and support from Microsoft/Danger for their data applications. According to the article a “technical glitch” had resulted in customers losing personal information held on at least in part an associated cloud computer service. Another story here by Eric Savitz, led with the question: “So how sure are you that you want all of your data to live in the cloud?” The precursor to the Times story had appeared earlier in a number of places including here on October 5th.
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HealthBlog
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5 Healthcare IT Decisions to Avoid….. and 1 to Embrace
4 Feb 2010 | 4:44 pmIn Today’s Healthcare IT News , Jeffery Daigrepont, senior vice president for healthcare IT consulting company the Coker Group , offers some sage advice on “ Five Healthcare IT Decisions to Avoid ”. They are: Buying defective software Buying non-compliant...(read more) -
A “right-sized” EMR? Tablet PC + Microsoft Office OneNote
27 Jan 2010 | 12:12 pmWhile the media will be focused today on Apple’s Tablet announcement, I’d like to remind HealthBlog readers that there’s nothing new about Tablet devices. I have been evangelizing the use of Tablet PCs in health for nearly a decade. ...(read more) -
Health System Innovation and the Low Hanging Moss
21 Jan 2010 | 9:26 amYesterday I provided the opening keynote address and participated on an expert panel for the BayCare Health System’s annual Innovation Day retreat. The retreat was held just outside of Tampa, Florida, at the Safety Harbor Resort . BayCare is a community...(read more) -
Ontario Flies High on Opportunities in eHealth
15 Jan 2010 | 12:26 pmI just returned from an overnight trip to Toronto, Canada. If you plan on making the trip yourself, let me warn you. Flying back to the States is a major hassle these days. I spent more than 2 hours waiting in four different lines of...(read more) -
Microsoft Health Tech Today—New program segments for January
7 Jan 2010 | 10:03 amOn January 13th we will launch the third program in our monthly, on-line video series “ Health Tech Today ”. The show features two entirely new segments and two encore segments from earlier programs (yes, not only did HealthBlog take a break over...(read more)
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Candid CIO
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6 Management Lessons I Learned by Watching Tabitha’s Salon Takeover
4 Feb 2010 | 8:44 pmI am in the process of a significant IT Reorganization. The goals of the reorganization are: make IT Operations more reliable and improve the overall efficiency of the IT team so we can complete more projects (the demand keeps increasing). One of the new IT leadership positions is a supervisor to manage the work of support techs in each of our 5 IT regions. As you would expect, the candidates are primarily the existing support techs. I have had the greatest time talking to these men and women about their interest in the position and their ideas to provide end users with a better service. -
All I want for Christmas is ARRA answers
6 Dec 2009 | 12:45 pmIt’s December and I am excited. Sure, I am excited for the holidays, but I may be more excited to see the official ARRA “meaningful use” guidelines. The HIT Policy Committee’s draft is simply not detailed enough to use to develop a good IT strategy. There are so many vendor assertions being made that have multi-million dollar implications. Here are my top questions I am wishing will be answered when the the first draft of the rule is published: 1. Is the hospital CPOE standard for inpatient orders, or all orders in the hospital? A number of sellers of Emergency… -
The Magic Answer
19 Nov 2009 | 2:26 pmEvery good geek (and Google) knows that the answer to life and everything is 42. This is a famous line from The Hitchhiker’s Guide to the Galaxy. But it seems like there is a more sensible magic answer: In order for things to go well, there needs to be a high level of specification. Yes, ambiguity kills. In fact, it literally kills according to a study by Spear and Schmidhofer that was recently published in the Annals of Internal Medicine. The authors found that high performing organizations achieve results “by specifying how work is expected to proceed—who will do what… -
Social Media Policy and Employee Guidance
20 Oct 2009 | 9:11 amThe creation of a social media policy has been a time consuming process for my organizations. There has been a lot of education and various leaders were in very different positions that we needed to reconcile. If you have been charged with this task for your organization be prepared to spend a lot of time to bring people along. Also, have a plan to get the policy out to managers, then staff. That order is important because your managers need to have the dialogue before they are in a position to effectively support the policy. Education of the staff is the greatest value of the… -
After the Brainstrom
10 Oct 2009 | 5:37 pmSometimes I see people cling to old habits, even though there are clearly easier ways to do things. I am not talking about something that would require a new computer system and a large IT project. Just day-to-day stuff. Here is one example… I love whiteboards. I love to use them to brainstorm ideas. Once upon a time SmartBoards were popular. They were a way cool, but expensive, way to capture those notes on paper. They are no longer necessary. An average digital camera can capture a large whiteboard with enough detail to preserve and share your moments of inspiration. …
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Lab Soft News
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Comments about Cerner's Remote Hospital Option (RHO)
9 Feb 2010 | 5:17 amMr. HIStalk raised the issue of Cerner's remote hosting option (RHO) in a recent Q and A item (see: HIStalk):Q: From FreddieMac: “Re: Cerner. In order to improve cash flow, the company is aggressively pursuing complete IT outsourcing deals (like MU) among its client hospitals through any any back door they can. Of course, they think RHO Millennium translates into knowing how to run all the other aspects of health IT. I believe they got Naples Community and are trying for some other academics. Beats the hell out of trying to compete with Epic for new sales.” A: It’s a good strategy,… -
Organizational Innovation with a Political Overlay; Lessons from Microsoft
8 Feb 2010 | 5:27 amAn elusive goal for many companies is the quest for innovation. It's not merely a question of buying talent. It's frequently more about establishing a corporate culture that fosters new ideas and products even at the risk of cannibalizing its current product line. In my opinion, innovation is a quality that is sorely lacking in the U.S. EMR market today, prompting the comment that Epic sells well because its the best of a bad lot. A recent article analyzing Microsoft's lack of an innovative spirit by a former executive of innovation caught my eye (see: Microsoft’s Creative… -
Patient Symptoms Inadequate Way to Diagnose Ovarian Cancer
5 Feb 2010 | 5:39 amOne of the challenges of malignant neoplasms like ovarian and pancreatic cancer is that the early signs and symptoms are either absent or nonspecific. A recent article that discussed this problem for ovarian cancer is not encouraging (see: Symptoms Poor Indicators Of Ovarian Cancer, Study Finds). Below is an excerpt from it:Only about 1% of women who experience symptoms of ovarian cancer, such as persistent bloating or pelvic pain, actually have the cancer, according to a study published Thursday in the Journal of the National Cancer Institute.... Lead author Mary Anne Rossing...said,… -
Lab Soft News Named One of the Fifty Top Healthcare IT Blogs
4 Feb 2010 | 6:05 amI recently received an email from James J Atkinson, The Health Sensei, telling me that he has chosen Lab Soft News as one of the top fifty healthcare IT blogs (see: Top 50 Healthcare IT Blogs). The picks are categorized (e.g., CIO and IT Technician Blogs, HIT News & Opinion Blogs, etc.) rather than displayed in rank order. Lab Soft News falls into the second bucket. The recognition is well appreciated but check out the others -- it's a great list. Take some time to savor them and bookmark the page for later reference. -
Some Salty Facts Keeping to a Healthy Diet
4 Feb 2010 | 5:50 amI have come to view certain common food ingredients (e.g., salt, sugar, and fat) as "toxic" in the sense that they should be consumed only in small quantities. The current recommendation regarding salt consumption, calibrated in terms of sodium, is to consume less than 2,400 milligrams (mg) per day. This amounts to about 1 teaspoon of table salt daily. Understanding that salt is a flavor enhancer, I have personally been looking for ways to reduce my dietary salt input but not to the point where my meals become tasteless. A recent article about dietary salt contained some very…
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GNU/Linux And Open Source Medical Software News
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ClearHealth 3.0 Training at SCALE on Feb. 20th
There will be a ClearHealth 3.0 Community Edition intensive training event on Saturday, February 20th at SCALE 8x in Los Angeles. Learn about the features, operations, technical info, and installation details of the 3.0 edition at this seven-hour event. Event information and updates can be found on the DOHCS blog and tickets can be purchased here. -
Shopping for Health Software, Some Doctors Get Buyer's Remorse
Huffington Post has this article about: "...Hundreds of companies--big and small, new and old--sell health information technology but industry analysts expect a wave of consolidation in the market, creating uncertainty that certain products will stay in the marketplace or even if some vendors will survive. Amatayakul said she found that up to 70 percent of vendors moved in and out of the market in some years, through mergers, acquisitions or on occasion, bankruptcy. Congress did not address the possibility that federal incentives could be spent on products from companies with shaky finances… -
GNUmed 0.6.0 released
Friends, I'm glad to announce GNUmed 0.6.0. It's happened. The big improvements are - LaTeX based letter writing - medication handling -
GT.M Comes of Age While VistA Rumbles
Fidelity Information Services Free/Open Source GT.M Mumps database is gaining traction outside of private-sector Veterans Affairs VistA Electronic Health Record. Veterans Affairs VistA development in the private sector is proceeding at a furious rate. Companies such as M/Gateway, Astronaut (owned by the same conspiracy that owns Linux Medical News) Medsphere, DSS and others are making announcement after announcement of new development in the Veterans Affairs VistA Electronic Health Record or closely related space. -
Astronaut Live Training February 4-7th, Early Bird Registration open.
Introduction to VistA System Administration with Astronaut will be held in Houston, Texas, February 4-7th. More details and enrollment can be found here.
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eHealth
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Medpedia adds Clinical Trials
3 Feb 2010 | 7:17 pmMedpedia continues to add vetted health information. In addition to health topics in a Wikipedia style, they had added news and RSS feed from blogs (including this one). Now they have developed integration with ClinicalTrials.gov. The unique approach they are promoting is linking from articles to related clinical trials. I tried this for myself and was able to find that it worked particularly well for some terms like “diabetes.” Also, the search function has good features and the advanced search, called “Clinical” includes Study Type… -
PHRs, EHRs and Social Media – Where are We Headed?
2 Feb 2010 | 7:35 pmTwo coincidental articles were published today. First, in iHealthBeat, John Moore and Matthew Holt talk about why ”Consumers Not Ready for Do-It-Yourself PHRs.” In response to the decision by Revolution Health to discontinue their PHR, the experts comment that “the direct-to-consumer market for PHRs just doesn’t work.” But they say that populated records are the future, those tethered to EHRs, like Kaiser’s and how Google Health and Microsoft HealthVault enable this kind of population of data from other sources. In the future, as it is now for some, the… -
Models of Care: Can They be Copied?
28 Jan 2010 | 7:18 pmCan good models of efficient care be emulated in other hospitals. Much has be touted about the Mayo Clinic, Cleveland Clinic and others. The lower costs of these models has been documented. See the Dartmouth Health Atlas report on chronic care (see table on page 9). In a video on Huffington Post Video last month, the interview at the Cleveland Clinic about the successful EMR still questions whether this success can occur elsewhere. Yes, the implementation was expensive and expensive to maintain but the benefits over paper are quantifiable in terms of quality of care and improved outcomes. -
Medicine: Cottage Industry or Post-Industrial Care Process?
21 Jan 2010 | 7:30 pmIn the New England Journal of Medicine this week there is a health care reform piece titled, “Cottage Industry to Postindustrial Care — The Revolution in Health Care Delivery.” The article, by leaders in health care quality, raises significant questions about the problems in health care delivery and a path to a solution through “standardization of value-generatingprocesses, performance measurement, and transparent reportingof quality.” The authors address concerns about “cookbook medicine” but rightly describe medicine as a cottage industry:… -
Major Robert Wood Johnson Foundation Report on PHRs
19 Jan 2010 | 7:25 pmThe Robert Wood Johnson Foundation has published an 7 chapter online book about Personal Health Records. The book is a great summary of the current state of PHRs as well as initiatives promoted by Project Health Design. Chapters are: Chapter 1: Personal Health Records 101 Chapter 2: Project HealthDesign and the Next Generation of Personal Health Records Chapter 3: Observations of Daily Living Chapter 4: The Health Information Technology Landscape Chapter 5: Personal Health Records and Health Information Technology—Costs, Policies and the Incentives Driving Adoption Chapter 6: Privacy and…
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EMR and HIPAA
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EMR Meaningful Use Matrixes
9 Feb 2010 | 8:41 amI’ve been collecting a number of the various matrixes that people have put together around the EMR meaningful use criteria. I’m sure there are a number of meaningful use matrixes/reviews that I’m missing. If you know of one not listed, please leave the link to it in the comments and I’ll add them to the post. I’d like to get as many as possible so that I can use them to provide my own feedback on the meaningful use objectives. Ok, here’s the start to my list: HIT News’ List of Meaningful Use Objectives HISTalk Meaningful Use Matrix (excel file… -
EMR Documentation by Exception or Veracity
8 Feb 2010 | 8:27 amIf you’ve been reading me for a while, you know that I have a few hundred draft posts (basically ideas) for future posts. However, the news about meaningful use is coming out so quickly that it’s not that often that I have to go back and use those draft posts. I probably should do it more. Well, when I was working on my soon to be released e-Book on EMR selection, I ran across this comment about two different ways of documenting in an EMR. It’s written by Matt Chase from Medtuity and likely was originally posted on EMRUpdate (sadly, I don’t have the original link). -
Imagine an EMR World…
7 Feb 2010 | 8:20 amImagine a world without HIPAA Imagine a world without 100 zillion insurance companies (each with different policies) Imagine a world where people didn’t shop for drugs Imagine a world where patient care was the only reason for health care Never going to happen. However, I can’t help but wonder the type of EMR software we could create if we didn’t have to worry about the above items. Related posts:EMR Updates in SaaS EMR World When I was writing my last post about updating your... CCHIT EHR Certification Enters EMR Usability World I’ve been sitting on this post for a… -
US Airways “Sully” Sullenberger to Speak at HIMSS
6 Feb 2010 | 8:53 amAs always, on the weekend I write a little less focused and intense content. Well, I’d say that writing about the US Airways pilot “Sully” Sullenberger on an EMR site is way out there. However, he’ll be a keynote speaker at HIMSS and the guy is a hero. So of course I find the guy incredibly interesting. Plus, someone sent me this video rendering of “Sully” landing Flight 1549 in the Hudson and I gained even more respect. The first few minutes of the video are slow, but then it’s absolutely intense hearing the radio communication and the communication… -
Government Makes Meaningful Use Comments Public
5 Feb 2010 | 9:42 amIn a move of more transparency the government (CMS) has made the comments on meaningful use public. You can find the comments on the Regulations.gov site. So far there have only been 24 comments made. Granted, there’s still a month available for people to comment. CMIO has done a summary of the EHR comments: I find myself discouraged that we will ever be able to comply with this meaningful use definition. I also reflect on the last eight years of using the EHR and wonder how a new user of an EHR would qualify as well. Just installing and getting everyone using electronic records is a…
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Medgadget
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Biodegradable Scaffold Helps Incubate Stem Cells for Safer, Faster Growth
8 Feb 2010 | 12:54 pmGrowing stem cells efficiently and preventing contamination is a major stumbling block in developing them for therapeutic applications. Still these days, animal byproducts are used in Petri dishes that grow stem cells, leading to infection that may trigger an immune response once these cells are transplanted into the body. To overcome this issue, researchers at University of Washington in Seattle have developed a 3 dimensional structure to serve as a nesting site for stem cells to comfortably grow and propagate. Zhang's [Miqin Zhang, UW professor of materials science and engineering]… -
Medtronic's ENT Scope Sheath Proves Effective for Germicidal Protection
8 Feb 2010 | 10:56 amA study out of Boston University School of Medicine, presented last week at the annual Triological Society meeting, has looked into the effectiveness of Medtronic's Slide-On Sensory Sheath as an alternative to germicidal immersion for flexible nasopharyngolaryngoscopes in between procedures. The condom-like device is wrapped over the fiber optic cable to prevent ENT scopes from getting dirty in the first place. The scope still requires an "enzymatic detergent cleaning and disinfection with 70 percent alcohol" when switching between patients, but the Slide-On should still save time during busy… -
Jamie Heywood of PatientsLikeMe at TEDMED 2009
8 Feb 2010 | 10:55 amJamie Heywood founded a website called PatientsLikeMe. Just like other social networks, PatientsLikeMe provides a place for people to discuss their condition, exchange information on countless diseases, etc. What makes PatientsLikeMe unique is the information that the firm mines from the content contributed by users. Here's Heywood giving a TEDMED talk about how his website can serve a similar function as large scale clinical trials and what useful data can be obtained from it. Link: PatientsLikeMe... TEDMED... -
Dental Hearing Aid Technology from Sonitus Medical
8 Feb 2010 | 10:53 amSonitus Medical out of San Mateo, California is a company that's betting on bone conducting dental hearing implant technology. The SoundBite Hearing System that the firm is developing consists of a unit that has a microphone and wireless transmitter, and a tiny speaker that attaches to rear teeth to resonate and transmit the audio mechanically to the cochleae. The idea for this technology is not new and maybe risky, but Sonitus Medical seems confident it can earn regulatory approval and introduce an all new hearing aid technology to market. The SoundBite hearing system consists of both a BTE… -
The Cordis Manual FAIL for their RX Nitinol Stent System
8 Feb 2010 | 10:09 amTake a break form your day to have a quick laugh at the expense of Cordis (a J&J company) and their accidental product manual that wasn't much of, well, a manual...
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Informaticopia
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Data Standards and Terminologies Masterclass
9 Feb 2010 | 3:14 amThe Yorkshire Centre for Health Informatics (YCHI) has recently won a grant proposal from the UK Faculty of Health Informatics to explore how data standards and terminologies are being used in education. We will be running a one-day masterclass event on Thursday, 11th March 2010, where we hope to attract participants from academe, industry and the NHS to discuss their experiences of data -
Could video calling make iPads a healthcare contender? | MobileHealthWatch
3 Feb 2010 | 5:36 pmCould video calling make iPads a healthcare contender? MobileHealthWatch -
Give Nurses A Bigger Role In Improving Health Care - Kaiser Health News
20 Jan 2010 | 8:56 amGive Nurses A Bigger Role In Improving Health Care - Kaiser Health News -
"Are Your Ears Burning?- 20 Tools for Tracking Social Media Marketing"
14 Jan 2010 | 6:12 pmAre Your Ears Burning?- 20 Tools for Tracking Social Media -
Guy Kawasaki's foreword for Presentation Zen
14 Jan 2010 | 5:03 pmCheck out this SlideShare Presentation: I am as guilty as the resr when it comes to ppthttp://om.ly/eExb
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Dalai's PACS Blog
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EU Disturbs The Magnetic Force
3 Feb 2010 | 7:32 pmWhen we're done here, I want you to sign THIS petition. You'll see why momentarily. The European Union, perhaps the prototype for a world-government that some in our country seem to desire, is about to do radiology, and thus humanity, a disservice. It seems that the folks over there in charge of such things issued a Phyical Agents (Electromagnetic Field) Directive in 2004, which was to take effect in 2008, but has now been postponed to 2012. Feel free to read the entire Directive at your leisure, but here are some of the salient Whereases: (1) Under the Treaty… -
FREE iPAD! Really!
31 Jan 2010 | 4:09 pmThrough extensive research, I have found a site giving iPAD away for free! Yes, folks, it's true. Would I lie to you? Of course not! Click THIS LINK for details. Oh, wait, you thought I meant a free Apple iPad? Oh, sorry, silly me, I can't get that for free. It isn't even for sale yet! It seems that Stanford offers its iPAD software free to the radiologic community, at least those who have Mac's and use OsiriX. From Stanford's BIMM (Biomedical Image Metadata Manager) website:iPAD is an annotation tool for radiology images, to make the… -
Star Wars Vs. Star Trek
31 Jan 2010 | 11:53 amFinally, someone answers the question: which is better?Fantastic amateur videography, although any Trekkie knows the sensor dish on the front of the Enterprise is not a phaser emitter! -
The Doctor Dalai Show Looks At The iPad
30 Jan 2010 | 3:32 pm -
The Tablet
26 Jan 2010 | 1:25 pmI have to admit some level of curiosity about the upcoming Apple Tablet, the iSlate, or the iPad, or the iTablet, or the iWhoCaresIt'sCool, or whatever. By this time tomorrow, we'll all know whether the hype is deserved or not. Some photos of the device have supposedly leaked already:andThe only things we know so far is that there will be something introduced tomorrow, almost certainly a tablet, and whatever it is, it will have a 10" screen, based on Apple's orders from its suppliers. Having had a Newton 110 way back when, I can attest to the fact that while Apple was always…
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Future of Health IT: Trends and Scenarios
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links for 2010-02-04
4 Feb 2010 | 8:01 pmi2b2: Informatics for Integrating Biology & the Bedside Workshop from ~2 years ago on i2b2 from a developer and informatician perspective. (tags: information+science i2b2 health+informatics clinical+research) -
Can Open Source solve the health information integration problem?
4 Feb 2010 | 6:11 amI have a vested interest in better health informatics at the primary care level, both because I am a patient and because of my consulting relationship with Cielo Medsolutions LLC. In the current political environment, with its emphasis on throwing money at the problem, I fear for the public health. Bad health IT is worse than no health IT. How would I define good health IT at the primary care level? I define it in terms of accuracy and completeness. For your electronic health record (EHR) to be accurate and complete, the information in it must be up-to-date and cover all key facts about the… -
links for 2010-02-03
3 Feb 2010 | 8:00 pmReal-time webcam images painted onto Google Earth - tech - 29 January 2010 - New Scientist 'Google Earth may put conventional maps to shame, but its satellite and aerial imagery shows the world as it used to be, rather than as it is. A new project taps a huge database of ever-updated webcams streaming views from every part of the world to keep the virtual world more up-to-date.' (tags: hci google augmented+reality) Mind-control mobile-phone games | News | The Engineer 'Mobile-games researcher Dr Paul Coulton and PhD student Will Bamford of InfoLab21 recently unveiled their new game ‘Brain… -
links for 2010-02-02
2 Feb 2010 | 8:01 pmAxial Exchange Axial, via our last-mile open-source appliance, enables health care systems of all types--hospital systems, EHRs, lab systems, HIEs, etc.--to share data to solve key business problems. An Axial subscription gives clients 360-degree interoperability via the Axial Appliance, which stays up-to-date with the latest software, connectors and policy content via the Axial Network. Additionally, subscribers receive unlimited technical support from Axial engineers. (tags: open+source health+informatics ehr) Can open source save US health care? | opensource.com our fee-for-service… -
The Cost of Fear | Why Docs Don't Embrace Technology (Dr. Rob)
29 Jan 2010 | 9:30 amI recently read a post on Dr. Rob's Musings of a Distractibel Mind blog on the barriers to adoption among primary care providers and their consultants. I found it very insightful. It opens with a description of an interaction between Dr. Rob and a consultant, in which he offers to exchange information via email and met with silence followed by a polite refusal. He goes on: This is a typical reaction I get from my colleagues when suggest using the new-fangled communication tool called email. The palms sweat, the speech stumbles, and the awkwardness is thick in the air. It’s as if I am…
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Australian Health Information Technology
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The Australian General Practice Network (AGPN) Pushes E-Health.
8 Feb 2010 | 9:56 pmThe following appeared a few days ago. Primary care reform needs $830m kickstart: AGPN Elizabeth McIntosh - Monday, 1 February 2010 THE Federal Government needs to make a “critical down-payment” on general practice with $830 million in infrastructure grants to fund health reforms, according to the AGPN. As part of its 2010-11 federal Budget submission, the network has restated previous calls from United General Practice Australia for the Government to invest $530 million in general practice. A further $300 million is also needed to help practices transform into comprehensive primary… -
Major Trouble Seems to be Brewing in the e-Messaging Space in OZ.
7 Feb 2010 | 9:47 pmOver the last few years one of the very few success stories in e-Health has been in the area of secure messaging between healthcare providers – especially pathology and radiology practices – and their referring GPs and to a lesser extent specialists. This messaging has been provided by a range of for (some variable amount of) profit (think HealthLink, Medical Objects, Promedicus, eClinic and so on) entities, and also some virtually non-profit (essentially cost recovery) entities (think ArgusConnect). (I apologise in advance if I have mischaracterised provider’s status – let me know!). -
British Telecom To Explain To Australian Clinicians about Clinical Risk in E-Health. What?
6 Feb 2010 | 10:51 pmThis just arrived! BT wins health contract down under BT has made significant strides in the Australian health care market after winning a contract to provide BT Health Sentry - a clinical risk management system -to the country's National E -Health Transition Authority (NEHTA). The deal is a joint effort between BT Health and BT Australasia and builds on a previous contract where BT was required to audit NEHTA's clinical safety programme. BT Health head of clinical risk management, Martin Ellis, said: "BT Health has a world class clinical risk management capability. "We have delivered to the… -
How Is Successful Delivery of the HI Service Going to Be Defined?
6 Feb 2010 | 9:48 pmWe are now less than 5 months away from the time when Medicare / NEHTA are to deliver their bright shiny new HI Service upon an unsuspecting public and profession. As I presently understand things the facts are these. 1. The legislation to establish the HI Service does not seem to be going to be introduced this session so the next session (of 3 weeks) when that might be possible begins 22nd Feb and once this window passes the next session is the Budget Session in May. It would seem after the 18th of March the pollies do not come back until the 11th May. So essentially if this is not in and… -
Can Anyone Actually Trust What the Bureaucrats Say? I Don’t Think So.
6 Feb 2010 | 7:01 pmLast week the blog revealed that in March, 2009 there had been serious doubts about just how well the project to provide Health Identifiers was going. This blog can be read here: http://aushealthit.blogspot.com/2010/02/nehta-is-leaking-like-sieve-symptom.html The key paragraph is here (from the Executive Summary): “Review Approach This report details the results of a project health check undertaken of the Unique Health Identifier (UHI) project at nehta. The project review was undertaken over 10 days and involved in-depth interviews of project team members, suppliers and senior managers and…
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GNUmed for the masses
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Please support bug #518784 for Ubuntu - GNUmed in Lucid
9 Feb 2010 | 12:12 amHi all, Ubuntu is about to release a Long Term Support release (Ubuntu 10.04 aka Lucid). They have synced GNUmed (electronic medical record) client 0.6.0 and server 12.1. In the meantime we have release the bug fix release 0.6.1 and have filed a bug report against gnumed-client. Please support the effort to get the latest fixed version into Ubuntu by visiting the following page on launchpad. While there please leave a comment indicating that this affect you as well. https://bugs.launchpad.net/ubuntu/+source/gnumed-client/+bug/518784 The package is in Debian unstable but will be migrated to… -
GNUmed Live CD 0.6.1 available
8 Feb 2010 | 12:21 pmHi all,A new Live-CD for GNUmed is available. Carries GNUmed 0.6.1 and server 12.1. You can try GNUmed including a local database.Get it from http://www.gnumed.de/downloads/live-cd/gnumed-live-0.6.1.isoSebastian -
CVS source code hosting is no more ...
7 Feb 2010 | 11:32 amHi all,All development and storage of source code is now happening in GIT. That means that the CVS tree at savannah.gnu.org which has been the central storage place for source code is no longer update. Instead GIT is now used. There is no such thing as the main development tree any more. Any developer has his/her local repository. Branches are cloned or merged at release time and will result in a release tarball.Karsten Hilbert who has long been the main coder behind the GNUmed project will host a copy of his repository athttp://gitorious.org/gnumed/deutsches Tutorial:… -
GNUmed client 0.6.1 released
5 Feb 2010 | 6:31 amHello all,thanks to early adopters we can offer the first 0.6maintenance release: 0.6.1 - FIX: WRONG most-recent result displayed in measurement type tooltip - FIX: missing .GetValue() on abnormality indicator PRW on updating a test result - FIX: exception on problem with any placeholder rather than continuing with a notice - FIX: work around one more bogus PyDeadObjectError exception - FIX: re-add pt_BR translation to release tarball - FIX: missing dependencies/faulty paths in… -
GNUmed client installation on Ubuntu - video available
5 Feb 2010 | 4:19 amI have uploaded another video which shows how to install the GNUmed electronic medical record client on Ubuntu. The video covers Ubuntu Jaunty but all never versions should work alike.Have a look at http://blip.tv/file/3178833
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Healthcare Technology News
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Obama Proposes Bi-Partisan Meet on Health Care Reform
7 Feb 2010 | 9:10 pmBarack Obama took advantage of the super-sized Super Bowl pre-game audience to propose a televised half day bi-partisan summit on health care reform later this month. "I want to ask them to put their ideas on the table, and then after the recess, which will be a few weeks away, I want to come back and have a large meeting, the Republicans and Democrats, to go through systematically all the best ideas that are out there and move it forward."Obama posed the questions he has for the Republicans: "How do you guys want to lower costs? How do you guys intend to reform the insurance market so that… -
Top 50 Healthcare IT Blogs
2 Feb 2010 | 9:10 pmHealthcare Technology News is in good company with this A-list of the Top 50 Blogs in Healthcare IT. The ten noted for Healthcare IT News and Opinion include:"Chilmark Research: Chilmark Research is a healthcare industry analyst firm performing market research and analysis on healthcare information technology (HIT) adoption and use.EMR Daily News: More than news, this blog offers insight from techs who have been at the periphery of the Electronic Medical Records for several years.Health IT Buzz: Straight from the government’s computer to your eyes. This blog provides updates for citizens,… -
Privacy Survey - In Providers We Trust
31 Jan 2010 | 9:10 pmPonemon Institute published their study today surveying American opinions on privacy of their health information. Findings include:71% of Americans trust their providers with their medical information much more than they trust payers (43%), state and local government (31%), private information technology companies (27%) or the federal government (27%).Americans consider the privacy of their healthcare information important, with 75% wanting providers to ensure the privacy of their health care information.Features considered more important by patients included biometric or key security (59%),… -
Physician Use of EHR's Increasing
26 Jan 2010 | 9:10 pmIn December 2009, the CDC's National Center for Health Statistics reported the results of its National Ambulatory Medical Care Survey which included data on non-federal office-based physician use of EHR's. In line with other surveys, use of "fully functional" EHR's remains stubbornly low at 6.3%. Use of basic systems rose to 20.5% and use of "any EMR/EHR system" has climbed to 43.9%.Basic systems include: "patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and viewing laboratory and imaging results". Fully functional systems include the basics… -
HIT Standards Committee update
25 Jan 2010 | 12:30 amGuest author and Vice Chair of the HIT Standards Committee John Halamka provides an update on the HIT Standards Committee.January Meeting of the HIT Standards CommitteeAt the January 20, 2010 meeting of the HIT Standards Committee, we had an important discussion of the Interim Final Rule and Notice of Proposed Rulemaking.Doug Fridsma presented this powerpoint about the Interim Final Rule. Slide 3 illustrates the linkage between Meaningful Use objectives, Certification criteria and standards. It's a 1:1 mapping - every objective has certification criteria. Every certification criteria has…
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Healthcare & Technology
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Change Is Hard - How do you change things?
7 Feb 2010 | 9:26 amLink: Switch: How to Change Things When Change is Hard On February 16th, a new book by Chip and Dan Heath, Switch: How to Change Things When Change is Hard will be released. Authors discuss the psychological impact of change and its relationship to the environment. TechCrunch describes this phenomena as "The War on Interruptions." ... people behave differently when their environment changes. When we’re in a place where people are quiet (church), we’re quiet. When we’re in a place where people are loud (stadiums), we’re loud. When we’re driving and the lanes narrow, we slow… -
Telemedicine for Diabetes Patients
7 Feb 2010 | 8:02 amLink: eGov monitor - A Policy Dialogue Platform | Promoting Better Governance.This link provides access to a brief article describing use of a telemedicine application that provides patients with diabetes the ability to access information that promotes self-help monitoring.When I think of telemedicine, I usually picture an individual at home, with a device plugged into the telephone, transmitting information to their provider. Well, that's "old school" now. A researcher at a Norwegian University developed an application that runs on a cell phone that helps individuals monitor… -
Medpedia announces Clinical Trials Search for Patients and Clinicians
2 Feb 2010 | 4:54 pmLink: Clinical Trials Medpedia What is Medpedia? I came across Medpedia some time ago and was interested in learning how the medical community created a new model (wikipedia-like) for sharing knowledge about health and medicine among medical professionals and the general public.Today I learned that they are expanding its use to make online clinical trial searches available to the public. Of course, any information obtained should not substitute for professional medical advice, but this capability adds a new dimension to availability of free and accessible online health information. Of… -
DBLG Announces Release 1.0 of the HITECH Act Survival Guide: an Open Source Law Initiative
1 Feb 2010 | 1:09 pmPress Release February 1, 2010: DBLG Announces Release 1.0 of the HITECH Act Survival Guide: an Open Source Law Initiative.As an update to readers, the HIPAA Survival Guide (HSG) now contains the HITECH Act standards and regulations. The HSG website still provides searchable and "clickable" access to an exceptional resource for those desiring better knowledge of the HITECH Act and its implications. In addition to the existing content, Release 1.0 contains HHS' recently announced interim final rules regarding HIT Standards and EHR Incentives. DBLG also distributes a FREE HITECH… -
Video: If Air Travel worked like Healthcare...
31 Jan 2010 | 2:39 pmAn entertaining (and too much like reality) 7 minute video that describes how life would change if air travel worked like healthcare...OK, this is too close to the truth... Thanks again to e-Patient Dave for posting this video on his blog. 7 minutes of a little humor.... Thoughts anyone?
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Bob on Medical Device Software
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The Challenges of Developing Software for Medical Devices
8 Feb 2010 | 8:34 pmDeveloping Software for Medical Devices – Interview with SterlingTech gives a good overview of the challenges that especially face young medical device companies. In particular (my emphasis): Make sure that your company has a good solid Quality System as it applies to software development. Do not put a Quality System into place that you can not follow. This is the cause of most audit problems. I couldn’t have said it better myself, though I think that focusing on the FDA may distract you from why you’re creating software quality processes in the first place. The real purpose of… -
Stackoverflow Overflow Update
7 Feb 2010 | 8:01 pmIn Stackoverflow Overflow I predicted 500,000 questions on 2/7/2010 at 5:31. When I checked (after the Superbowl — congratulations to NO!) at 19:42 this evening: Not bad. Only 14 hours off on a three month linear extrapolation from only two weeks of data! -
The BCI X Prize
3 Feb 2010 | 1:35 pmAs announced at a recent MIT workshop: The BCI X PRIZE: This Time It’s Inner Space: The Brain-Computer Interface (BCI) X PRIZE will reward nothing less than a team that provides vision to the blind, new bodies to disabled people, and perhaps even a geographical “sixth sense” akin to a GPS iPhone app in the brain. As I’ve discussed many times (e.g. BCI: Brain Computer Interface), “mind reading” with EEG is a huge challenge. Another hurtle they have to overcome: The foundation must court donors to make the $10 million+ prize a reality. Once funding is secured,…… -
More on the Zeo Personal Sleep Coach
17 Jan 2010 | 8:09 pmEven though it has been over 6 months, my Zeo scam post is suddenly getting some comment traction. I thought I’d respond to some of these as well as clarify my thoughts. I’m not really sure why Krunz thinks I’m an idiot. First, I never said that changes in life style do not affect the quality of sleep. They do indeed. For example, for OSA (obstructive sleep apnea): Some treatments involve lifestyle changes, such as avoiding alcohol and medications that relax the central nervous system (for example, sedatives and muscle relaxants), losing weight, and quitting smoking. Some… -
Depth of Anesthesia Reality Check
13 Jan 2010 | 8:02 pmI think this is the first time I’ve ever seen MedGadget express such a strong opinion about a technology. Masimo Invests in Anesthesia Awareness Technology. Good Move? We Don’t Think So doesn’t pull any punches. What’s interesting to me is that SEDLine was Hospira’s brain function monitoring business (see here). Hospira bought the technology from a Boston-based company called Physiometrix in 2005. Back in my EEG days I had a chance to work with Physiometrix. We interfaced with their EEG front-end hardware in an attempt to develop an OEM relationship. At the…
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Healthcare IT Consultant Blog
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University of Colorado taps Epic for $67M EMR project
9 Feb 2010 | 5:14 amA three-year, $67 million project to deploy Epic's EMRs across all clinical areas, and will integrate clinical systems and generate more than 150 jobs at the University of Colorado Hospital (UCH) Anschutz Medical Campus, in Aurora, Colo.The Epic software will allow the hospital to implement an integrated computer system, said UCH, which will allow for improved documenting patient care, communicating patient needs and clinical research.“At the peak of the project in 2011, UCH will have added nearly 160 jobs to the local workforce,” said Bruce Schroffel, president and… -
Career Spotlight: The Best Advice for Committee Interviews
6 Feb 2010 | 7:18 amBy Karl RozemeyerWalking into a conference room and fielding questions from several interviewers can be nerve-racking. Being well prepared and maintaining eye contact with all the members of the committee are two starting points. Here are some other ways that you can impress the panel during a multi-person interview.Who’s who? “To prepare for the interview, you want to find out who is in the room,” said Deborah Brown-Volkman, a professional certified coach (PCC) and the president of a career, life and mentor coaching company. “Sometimes you have people from different disciplines… -
Omega Health Management Systems Launches Operations
5 Feb 2010 | 7:58 amOmega Health Management Services (OHMS) is proud to open its doors to serve the needs of smaller physicians’ practices throughout Southern California. There are countless challenges that are unique to this marketplace that are often neglected in favor of large practices, and OHMS intends to step in and fill this void. OHMS is a licensed reseller of the Allscripts MyWay Electronic Health Records (EHR) system. Developed specifically for the smaller practice, MyWay is one of the key players in this marketplace. The system “learns” the needs of each practice as it is used, and adapts itself… -
McKesson unveils HIE platform
5 Feb 2010 | 6:57 amHealth IT company McKesson has unveiled Practice Partner Connect, a health information exchange (HIE) interoperability platform, as a part of version 9.3.3. of Practice Partner.Practice Partner Connect is designed to enable clinical and financial data exchange across care settings via any type of HIE with communication recorded and accessible within the system, according to the San Francisco company. McKesson added that providers maintain full control of their data, but can share critical information regarding the treatment of their patients, eligibility checking and… -
IBM to acquire privately held Initiate Systems
3 Feb 2010 | 6:51 pmIBM this morning announced its plan to acquire Initiate Systems, a Chicago-based company whose software makes sense of the chaos of medical records. Financial terms were not disclosed. The 15-year-old Initiate Systems, with 100 of its 347 employees based at its Chicago headquarters, will complement IBM’s health-care portfolio, the companies announced today. IBM employs 3,800 workers in Chicago, Oakbrook Terrace and Schaumburg. Bill Conroy, president and CEO of Initiate, said Initiate Systems and IBM have worked together for about five years. The company found itself getting an increasing…
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Medicine and Technology [part of HCPLive]
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PDR Network expands REMS services
9 Feb 2010 | 8:24 amPDR “REMS- up” Executive Team Top Medical / Regulatory Experts Join PDR Network Management Team Montvale, NJ– Feb. 9, 2010 – The PDR Network, already the largest distributor of FDA-approved drug information, Alerts and REMS programs to physicians, has added two top regulatory and risk executives to its management team and expanded its REMS and pharmaceutical risk offerings. Christine Côté, MD, has joined PDR Network as the Chief Medical Officer. Dr. Côté has over 24 years experience at Johnson & Johnson and Zeneca Pharmaceuticals, where she held several senior… -
Crestor (rosuvastatin) is the first statin to receive FDA approval for primary prevention
8 Feb 2010 | 7:49 pmCrestor (rosuvastatin) is the first statin to receive FDA approval for primary prevention of heart disease. According to MedPageToday, the indication is for the following: The new indication would be for men 50 or older and women 60 or older who have fasting LDL of less than 130 mg/dL, a highly-sensitive CRP of 2.0 mg/L or greater, triglycerides of less than 500 mg/dL, and no prior history of heart attack or stroke, or coronary heart disease risk. The FDA has been discussing the results of a significant study called the Justification for the Use of Statins in Prevention: an Intervention Trial… -
Meet me on Wed (March 2) at the Meet the Bloggers session at #HIMSS10
8 Feb 2010 | 11:21 amIf you're attending HIMSS (Healthcare Information and Management Systems Society) this year in Atlanta, Georgia, then make sure to swing by the Social Media Center on Tuesday March 2 and say hello from 3:30 pm to 5 pm. I'll be participating in the "Meet the Bloggers" session and I look forward to meeting some of you. I was invited to participate last year in "Meet the Bloggers," but I couldn't make it out to Chicago. Last year, the "Meet the Bloggers" was part of the HIMSS Tech Lab. Considering that the buzz word/phrase these days is "Social Media," I'm glad to see that HIMSS has… -
TIGER (Technology Informatics Guiding Education Reform)
8 Feb 2010 | 9:44 amAre you familiar with TIGER (Technology Informatics Guiding Education Reform)? The Technology Informatics Guiding Educational Reform (TIGER) Initiative aims to enable practicing nurses and nursing students to fully engage in the unfolding digital electronic era in healthcare. The purpose of the initiative is to identify information/knowledge management best practices and effective technology capabilities for nurses. TIGER's goal is to create and disseminate action plans that can be duplicated within nursing and other multidisciplinary healthcare training and workplace settings. The TIGER… -
Taking social media to the next level at #HIMSS10
7 Feb 2010 | 6:59 pmMany of us have made contacts in the world of social media. We've seen photos of people on Twitter and Facebook. We've even connected on the phone. However, nothing replaces a face-to-face meeting and I'm looking forward to connecting with some people at HIMSS this year. Over the past 12 months, I've made many connections in the world of health IT and I'm eager to put a real face to these Twitter user names. Make sure to join me at the Meet the Bloggers session on Tuesday, March 2 at 3:30 pm – 5 pm. I'll be on the panel and I look forward to seeing you at the Social Media Center at HIMSS10.
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E-Health Designs, LLC
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The Nationwide Health Information Network (NHIN) and Virtual Lifetime Electronic Record (VLER) and Why They Are Important to the Department of Defense (DOD)
5 Feb 2010 | 3:06 amhttp://www.health.mil/MHSBlog/Article.aspx?ID=764 LCDR Steve Steffensen, MC, USN, Chief Medical Information Officer for the U.S. Army Telemedicine and Advanced Technology Research Center, Fort Detrick, MD, and the Military Health System’s Coordinator for the Nationwide Health Information Network (NHIN) and Virtual Lifetime Electronic Record (VLER), discusses both projects. -
Healthwise, Inc. CEO Comments on HL-7 InfoButton Standard
30 Jan 2010 | 7:57 pmJanuary 28, 2010 The Info-Button Standard: Bringing Meaningful Use to the Patient By DON KEMPER, CEO HEALTHWISE “Regardless of the U.S. administration’s “meaningful use” requirements, if health information technology (HIT) is to become meaningful for patients, it must include the prescription of information and tools to help each patient better manage his or her own care. Ask patients what they want from HIT systems, and they will tell you three things: - “Tell me my diagnosis, what will happen, and what I can do myself to better manage the problem.” - “Tell me my medical… -
Biomedical Informatics Handbook, WikiPedia
31 Dec 2009 | 9:43 amFrom one of my LinkedIn groups: “New Free Handbook on Biomedical Informatics has 250+ articles In another striking innovation in the world of electronic publications and Web 2.0, the online encyclopedia Wikipedia, in its English version, has published today a new online Wikibook entitled “Handbook of Biomedical Informatics “, version 1.0, after more than 5 months of organization work. The book is based on articles published on the subject by Wikipedia. Access to and the download of the book are totally free, with no need for registration of the user at the address:… -
Government Releases First EHR “Meaningful Use” Criteria
31 Dec 2009 | 6:11 amAs reported in Healthcare IT News, “The government delivered on Wednesday the long-awaited definition of meaningful use of electronic health record technology, and it came wrapped in about 700 pages of proposed regulation. [1] Objective: Use CPOE Measure: CPOE is used for at least 80 percent of all orders [2] Objective: Implement drug-drug, drug-allergy, drug- formulary checks Measure: The EP has enabled this functionality [3] Objective: Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT® Measure: At least 80 percent of all unique… -
Healthcare Reform Proposals as of 30 Nov 2009
11 Dec 2009 | 3:41 pmSynopsis_health_reform_side_by_side_Nov_30_20091 (2)
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Legacy Data Access
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Refrigerators to Eskimos
25 Jan 2010 | 8:00 amNot sure where I got this from, but at some point I was told that one of the keys to successful selling was “Tell them what you do, Then tell them what you do again And finally, tell them what you do one more time.” I understand the importance a strong sales strategy has on our company’s success – and how much that old badge of honor“He/She can sell Refrigerators to Eskimos” is coveted in any industry.I do hope, however, that no matter how proficient our team or our message, we would never sell someone something they don’t need… The converse is also true – if we cannot… -
Thinking Outside the Swimming Pool
22 Jan 2010 | 8:32 amIt seems like we're always trying to explain exactly what we do. Not that we mind, of course. We are always trying to raise Data Retirement awareness. Over the last few years we've seen the light bulb go on in more and more healthcare organizations. It's a wonderful thing. And yet I, personally, am surprised at how the old thought patterns still prevail, even among those who understand the challenges of retiring a production application and risks of data conversions. They want to pull all the data out into reports and put the reports into a document imaging system or find some… -
New Year’s Resolutions
14 Jan 2010 | 4:48 pmHappy 2010! Or 2K10.Or Two-thousand Ten. Or Twenty-Ten.Whatever you want to call it!It is amazingly the topic of TONS of blogs.I think some people have too much time on their hands. Here at Legacy, that is definitely not the case. I want to apologize for our sporadic blog posts – I know the number one rule of blogs is to update the content frequently (not to mention with interesting material).The good news for us (but bad for our blog) is that we have been super busy this last quarter, bringing in new clients, upgrading and taking care of existing ones, forging new partnerships, and… -
The Ten Commandments of Legacy System Retirement
9 Dec 2009 | 8:47 amThou shalt retire all data. Thou shalt not alter thy data, neither content nor layout nor format. Honor thy data that it may go well with you in future audits. Thou shalt not convert thine old data into thy new system, for this is detestable. Thou shalt not map thy data to fit another format lest ye fall into the trap of data conversion, for the Immutable Law of Unintended Consequences is absolute and unyielding. Thou shalt not lose functionality essential to thy business. Yolk not the users of thine old system with unfamiliar screens. Thou shalt expect flexibility in thine implementation. -
Why the Pre-built “Data-Archive” Won’t Work: A Techical Perspective
4 Nov 2009 | 10:53 amShelly gave some very important points in the previous posts about pre-built data archiving solutions and how they can impact your application retirement plan and you business in general. I would like to take a few minutes to convince you that there is a very strong technical case against using one of the "turn-key" data archive products. Algorithms + Data Structures = Programs. Not only is it the title of a classical tome that should grace every Computer Science nerd's bookshelf, it is a fundamental principle that underlies all of computing. Data Structures are coherent, structured…
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Goomedic.com
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InstantECG : ECG Educational App for iPhone !
8 Feb 2010 | 4:28 amInstantECG Its small , useful and cheap iPhone medical application for teaching the basics of electrocardiogram (ECG) electrophysiology, myocardial action potential, associated waveforms, intervals and segments in order to help you develop a framework needed to analyze ECGs. It utilize the iPhone features to provide an interactive educational way for ECG , it comes as well [...] -
iAnesthesia CaseLogs iPhone Anesthesia log tracking app.
6 Feb 2010 | 4:17 amCaselogs has a nice and simple history presentation for making it easier for the doctors to review the medical history for the patient in short notice , the entry can be customizable , search-able and editable . The user can customize its preference and application setting as well , as well as the cases form entry [...] -
Patients 2.0 : 12 Patients social networks and social portals !
4 Feb 2010 | 1:00 amAs there are many doctors social networks there are also patients social networks , most of them are created for the same aim to connect people with similar conditions , but some of them are created for different goal , category and clients . Patient 1.0 was the web user who is looking for simple [...] -
eComBill : Open source Web Based EMR and Billing System for clinics and small hospitals
2 Feb 2010 | 10:32 ameComBill is a web based open source EMR and Billing system created with PHP and using MySQL for Data storing . its developed originally for small hospitals and clinics . Features : Create, edit billable items. Search patients/costumers/clients, view/generate bill reports/receipts. License : GPL Home , Download Share and Enjoy: Related PostsCaisis : Open source Web Based EMR for Cancer centers14 Free and [...] -
12 web 2.0 services for finding Your doctor !
1 Feb 2010 | 6:51 amFinding your doctor online is very useful especially when you are living in a huge city , therefore there are many web services and sites provide search and locating doctors for patients . Almost all of those services aimed for USA citizens . but some other countries have very rich doctors search services and directories [...]
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EMR and EHR
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Why spend 80 to get 40?
8 Feb 2010 | 11:39 pmSomeone emailed me that this was the growing sentiment among doctors, “Why spend 80 to get 40?” Then, someone else commented, “Remember … 100% of ’stimulus dollars’ will have made it to the vendor before the providers ever get CMS approval of meaningful use.” Another person added, “Caveat Emptor” Related posts:Misconceptions Around Meaningful Use Meaningful Use Sent Back by ONC Head David Blumenthal Another Meaningful Use Webcast -
Blumenthal HIMSS Address Should Prove Meaningless
7 Feb 2010 | 10:48 pmI’m preparing for my time at the HIMSS conference. I can tell that the conference is going to be incredibly busy. Plus, I don’t want to over schedule my time since I want to make sure I spend plenty of time discovering new things and smaller companies that are doing really interesting things. Specially related to EMR is best, but even the technologies that make EMR better are great too. Well, I got an email from HIMSS about one of the keynote speakers. When I looked at the subject line I read “Blumenthal HIMSS Address Should Prove Meaningless.” At first I didn’t… -
Physician Interest in the EMR Stimulus
4 Feb 2010 | 9:17 amOne of my readers sent me an interesting comment about Physician interest in the EMR stimulus: Personally, I was under the impression that most physicians really didn’t take the time to read such things [like this post about harmful consequences of the Government's EHR stimulus]…that they’d rather be thumbing through Golfer’s Digest or Conde Nast’s Traveler. It’s become quite clear that, when something comes along such as a government program like this that can affect their bottom-line, ears perk up and attention is paid. Now, if only more would speak up… -
Uncertain Future for HITSP
3 Feb 2010 | 10:53 amOne of my regular readers and commenters, DKBerry, sent me some extracts on an article by Modern Healthcare about HITSP. DKBerry also commented, “HITSP is still operational through 30 April. Despite the extension question to its future is going to hurt its mission IMO.” I think HITSP does face a very uncertain future. Here are the excerpts from the article: “It appears the Healthcare Information Technology Standards Panel, or HITSP, has become yet another organization formed at the behest of the Bush administration that is being forced to reapply for its job under the federal… -
Misconceptions Around Meaningful Use
2 Feb 2010 | 9:05 pmI was reading an online forum today and was blown away by something someone said about meaningful use: The “Meaningful Use” stages can only be met if the systems are easy to use and the data is accessible in a timely matter. This will mean that EHR/EMR systems will need in-depth analytical capabilities or the information accessible by Business Intelligence systems that understand healthcare. Healthcare organizations that understand this will be able to tap into the upwards of millions of dollars set aside by the government in the stimulus package. Ok, I can’t really knock the fact…
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Healthcare IT Weblog
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Check out the new Apple iPad….
28 Jan 2010 | 1:12 pmSeems like a very cool toy – not sure about it’s use in a ‘business’ environment. Thinking about getting the basic model to test out some of the functionality. Does anyone know of a Citrix app that could run on an iPad? If so, I could then access my EMR. I am sure that clinicians are looking at this device as it looks extremely portable. Would like to try using it with a voice recognition app – that would be very cool. Even though it was only released yesterday we already have CIOs blogging about it – click here Here’s a link to the specs –… -
The Healthcare Notification Network
21 Jan 2010 | 1:48 pmI have signed up for the HCNN. The HCNN is an online service designed to improve the speed and efficacy of the delivery of U.S. Food and Drug Administration (FDA)-mandated Patient Safety Alerts to physicians, prescribers and their staff. By accelerating delivery of these important Alerts, the HCNN protects patient safety and reduces medical liability. Alerts (also known as “Dear Doctor Letters” or “Dear Health Care Professional Letters”) are currently sent to prescribers on paper via traditional U.S. mail – a slow, error-prone process. Snail mailed safety Alert… -
Operation Rainbow
14 Jan 2010 | 8:54 amI just wanted to tell you about a project I am involved in. In February I will be part of team of docs and nurses who will travel to Nicaragua as part of “Operation Rainbow”. Check out www.operationrainbow.org Operation Rainbow is a 501(c)(3) nonprofit organization dedicated to performing free orthopedic surgery for indigent children and young adults in developing countries worldwide who do not have access to related medical procedures or equipment. We aim to perform about 45 to 65 surgeries depending on their complexity and on the number of operating rooms available to us . In… -
The latest on “Meaningful Use”
5 Jan 2010 | 11:19 amOn Wednesday, December 30, the Department of Health and Human Services released the Notice of Proposed Rule Making (NPRM) establishing the Electronic Health Record (EHR) Incentive Program, commonly referred to as the Meaningful Use of an EHR, and the Interim Final Rule (IFR) establishing the Initial Set of Standards, Implementation Specifications and Certification Criteria for EHR Technology. I have posted 2 pdf documents to my Box Files – on the right hand side of this page. The documents are entitled MU Regulation 1 and 2. The first set of regulations lists the “meaningful use”… -
Healthcare Reform
22 Dec 2009 | 10:03 amThe Senate is expected to go forward with a major overhaul of the US healthcare system following a vote on Xmas eve. There are several IT issues that are part of the bill and there have been several amendments which include the following; Items related to health IT include the following: 1. Directing the Secretary of HHS to establish an overall strategic framework for the public reporting of quality measures (integrating health IT in the efforts) 2. Calling for the establishment of a crosswalk between ICD-9 and ICD-10 (updating the crosswalk as appropriate to reflect new revisions of the…
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The Medical Quack
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Biological Grafts – Clinical Study Results Cook Medical Biologic Grafts Reduce Postoperative Pain
9 Feb 2010 | 7:18 amLast year I had a lengthy interview with Cook Medical that describe in detail how hernia repair works and the studies are now showing the graft is out performing a straight synthetic mesh. The material is derived from the small intestine of pigs and communicates with the body, signaling surrounding tissue to grow across the scaffold, which in turn allows the body to naturally restore itself. Historically, surgical procedures have involved using plastic or synthetic repairs. These types of non-natural devices, however, often do not mesh well with the human body and thus are always a… -
Rep. John Murtha From Pennsylvania Dies - Intestine Was Accidentally Damaged in Surgery
8 Feb 2010 | 11:42 pmThis is sad and the accidental hitting of his large intestine that created an infection for a normal routine gall bladder removal even adds a little more despair here with Healthcare reform and all the talk amongst the news. He had the initial surgery at the National Naval Medical Center and Bethesda and was admitted later to a Virginia hospital, so it appears it was the nick of the intestine and developing infection that lead to his death. You wonder if the infection could have been found sooner, but that is something I guess we may never know. Rest in Peace. BD CNN)… -
NoMoreClipboard Expands Offerings At Indiana University – Designing Platform for College Health
8 Feb 2010 | 10:50 pmThe pilot program sounds like it is making some inroads, perhaps a little more successful than some of the other news stories we hear. The numbers sound good with getting freshman involved before arriving on campus and with half using the program to exchange information with the health center. The project now is to customize so an interface that is geared for student use is available. BD Press Release: Fort Wayne, Ind. – February 4, 2010 – Building on the success of recent student personal health record adoption rates at Indiana University’s Bloomington campus,… -
United HealthCare Sends Oncology Reports to Doctors – Assessing Cancer Treatment Rules
8 Feb 2010 | 9:11 pmOnce again the drive and race for data is on the move, insurers will fall over themselves 10 times over to get a hold of data to analyze. I agree with the comments from the Komen Foundation, an insurance company should not be doing this type of evaluation, it’s easy to be a Monday morning quarterback when you are not the doctor and the patient and looking at statistics only. They live and die by all the numbers and with their numbers relative to breast cancer, look at what they do when it comes to testing for the Breast Cancer hereditary gene. Even if they do allow it, it… -
Dr. Margaret Flowers on Medicare Speaks With Bill Moyers on Single Payer System Movement And The Arrests
8 Feb 2010 | 8:06 pmThe doctor has been arrested 3 times in trying to get the attention of Congress and the White House address a single payer system. She says it’s all about what the insurance department will allow. She likes the relationship she has with patients and wants to practice medicine. Here she is a Mom and a good citizen and felt it was the only way to get her voice heard. She did testify in the committee meeting where they seated her next to the CEO of Aetna in the Senate. She said it has fallen apart with the politics and was not sure of exactly why everything…
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Fred Trotter
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Basically a bad deal
5 Feb 2010 | 4:11 amEmma Schwartz is an serious investigative reporter who now works for the Huffington Post She has taken an interest in covering Electronic Healh Record issues and has started to reveal just how problematic this industry is. Her most recent article, Doctors Get Buyers Remorse, is her best yet. She has uncovered not one but several of the [...] -
Hello World with Indivo X
29 Jan 2010 | 11:43 amBen Adida the project manager for the Indivo X project has announced the first public code drop of Indivo X on the Indivo developers mailing list, two days ago. Since then I have been spinning up a Rackspace Cloud instance to see if I could get it up and running. I do not yet have write [...] -
OpenMRS shines in Haiti
25 Jan 2010 | 4:12 amI am utterly not surprised to hear that OpenMRS is shining in Haiti. This reminds me of the tremendous reponse that the VA had to hurricane katrina using VistA. For fun you should ask those involved for the inside scoop of how VistA enabled an entire hospital to uproot and move over the course of a [...] -
VistA License debate: its about proprietarization
20 Jan 2010 | 7:11 amIt looks like WorldVistA is, for now, holding fast to the GPL and AGPL for VistA licensing. I have been a vocal advocate for compromising with DSS and Open Health Tools around the LGPL. The LGPL would allow for some innovations to be licensed under the GPL, and others, in the core of VistA to [...] -
MOSS crosses the threshold
17 Jan 2010 | 2:38 amMOSS has successfully tested the profiles required to run a Health Information Exchange, all available under Open Source licenses. I know for a fact that the MOSS team has been working on this for years. Completing these tests, and making sure they actually work at a Connectathon takes months of preparation and several frantic days of [...]
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Most Popular Items from healthcareitnews.com
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Five healthcare IT decisions to avoid
4 Feb 2010 | 8:02 amProviders eager to capitalize on incentives offered through the federal government's definition of 'meaningful use' of healthcare IT may find themselves evaluating their relationships with existing and new IT vendors. -
Blog: The top 10 barriers to EHR implementation
2 Feb 2010 | 5:48 amLast week I taught Module II of Leadership Strategies for Information Technology in Healthcare at the Harvard School of Public Health. My students included administrators, clinicians, CIOs, CMOs, and policymakers. -
Docs face frustrations in search for IT, article shows
1 Feb 2010 | 7:46 amDoctors who have shopped for healthcare software have sometimes come to regret their purchases, according to a new story reported by the Huffington Post Investigative Fund. -
One in three hospitals has social media plan
29 Jan 2010 | 7:19 amAccording to a new study, as many as 90 percent of hospitals and health systems use social media, but just one in three has a formal social media plan in place – something researchers say is key to using such media successfully. The survey, which was conducted by Atlanta-based Greystone.Net, a provider of Web-related services for hospitals and healthcare organizations, finds that nine in ten hospital or health system of those surveyed are currently involved in social media to some degree. -
Three more hospitals reach Stage 7
25 Jan 2010 | 7:48 amThree more hospitals have been recognized for attaining Stage 7, the highest level on the HIMSS Analytics Adoption Model. Citizens Memorial Hospital in Boliver, Mo., Stanford Hospital and Clinics in Palo Alto, Calif., and the University of Wisconsin Hospital and Clinics in Madison, Wis., have been validated by HIMSS Analytics, a not-for-profit subsidiary of the Chicago-based Healthcare Information and Management Systems Society, for delivering care without the use of paper charts and readily sharing clinical information with other care providers via electronic transactions.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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News from healthcareitnews.com
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North Carolina group offers help with ARRA
9 Feb 2010 | 7:11 amLeaders at the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) announced Tuesday they have published a free business associate agreement to help providers comply with the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA makes significant changes to the Health Insurance Portability and Accountability Act (HIPAA), requiring providers to establish new arrangements with their business associates. -
New Hampshire hospital pulls its data together
9 Feb 2010 | 6:52 amConcord Hospital, a regional medical center and one of the busiest acute care hospitals in New Hampshire, will roll out a new platform to streamline data integration. Hospital executives have selected Santa Monica, Calif.-based Orion Health's Rhapsody Integration Engine to supplement and eventually replace the hospital's Sun Microsystems eGate. Rhapsody will serve as the hospital's platform to migrate, manage and streamline message exchange for its health information system. -
KLAS questions vendor claims on HIEs
9 Feb 2010 | 4:16 amVendors may suggest that many successful health information exchanges have been built with their technology, but the reality is different, according to a new report from KLAS. A small number of vendors – with Axolotl among the top – have risen to the challenge enough times to claim a proven, repeatable model, the Orem, Utah-based research firm found. -
Terso expands to Germany
8 Feb 2010 | 1:49 pmTerso Solutions, Inc., based in Madison, Wis., has expanded to Mannheim, Germany due to increasing demand for the company’s radio frequency identification technology in Europe. The company's new facility will manufacture RFID-enabled appliances that include refrigerators, freezers and cabinets for industries that include healthcare, life sciences and security. -
SunCrest Healthcare contracts with Philips for telehealth monitors
8 Feb 2010 | 8:13 amPhilips Telehealth Solutions has been chosen to provide telehealth monitors to SunCrest Healthcare, a Madison, Tenn.-based provider of home health, companion care, and therapy. SunCrest plans to use telehealth technology to observe patients remotely, easing the in-patient load at hospitals while at the same time offering assurance to patients that they're being regularly monitored by healthcare providers.
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Latest videos from healthcareitnews.com
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Healthcare Stimulus Exchange Conference: James Ferguson, Kaiser Foundation Health Plan
5 Feb 2010 | 8:57 amThese video-cast shorts were recorded at the San Francisco 'Healthcare Stimulus Exchange' Conference Jan 19-20. The second conference will take place next week in Boston February 9-10, if you can't make it on site you can subscribe to attend the live webcast of the conference at http://www.healthstimulusx.com/boston/agenda-boston.html. -
Healthcare Stimulus Exchange Conference: Richard Roth, Catholic Healthcare West
5 Feb 2010 | 7:51 amThe video-cast shorts were recorded at the San Francisco 'Healthcare Stimulus Exchange' Conference Jan 19-20, 2010. The second conference will take place in Boston February 9-10, if you can't make it on site you can subscribe to attend the live webcast of the conference at http://www.healthstimulusx.com/boston/agenda-boston.html. -
Healthcare Stimulus Exchange Conference: Len Bowes, Intermountain Healthcare
5 Feb 2010 | 7:13 amThese video-cast shorts were recorded at the San Francisco 'Healthcare Stimulus Exchange' Conference Jan 19-20. The second conference will take place next week in Boston February 9-10, if you can't make it on site you can subscribe to attend the live webcast of the conference at http://www.healthstimulusx.com/boston/agenda-boston.html. -
Sentara CIO Bert Reese on IT, continuum of care
5 Feb 2010 | 6:43 amIn this video from Cox Business Television, Bert Reese, CIO of Sentara Healthcare, discusses healthcare IT, stimulus funds and the continuum of patient care. -
Tech Review: HP TouchSmart DX9000
21 Jan 2010 | 9:29 amThe HP TouchSmart, a cross between a desktop PC and tablet, may be a great option for hospitals and providers seeking touchscreen functionality. In this review, resident hardware junkie Marcel Vachon takes a closer look at the features and usability. For more information: HP TouchSmart Home Page
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Latest Podcasts from healthcareitnews.com
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William Spooner, Senior VP and CIO of Sharp Healthcare
4 Feb 2010 | 1:18 pmIn this podcast, Editor Bernie Monegain speaks with William Spooner, senior VP and CIO of Sharp Healthcare, based in San Diego. Spooner will receive the 2009 John E. Gall CIO of the Year Award at the annual HIMSS conference in Atlanta on March 2. -
Behind 'Best in KLAS'
14 Jan 2010 | 5:43 amIn this podcast, Adam Gale of KLAS Research tells Bernie Monegain the truth about the vendors listed in the 2009 "Best in KLAS" report. Gale, president of KLAS, identifies the winners and losers of 2009 and discusses the challenges and trends ahead for vendors and healthcare providers in 2010. -
HITECH Security Preparedness with Rob Seliger, CEO of Sentillion
25 Nov 2009 | 11:03 amTwo recent surveys reveal that healthcare organizations across the country are not prepared to meet the security rules required by the HITECH Act. In this podcast editor Bernie Monegain asks Seliger about security challenges specific to the healthcare industry, and why most hospitals are at best only partially prepared. -
How one hospital plans to show meaningful use of IT
13 Nov 2009 | 11:59 amIn this podcast interview, Editor Bernie Monegain speaks with Sue Schade, vice president and CIO of Brigham and Women's and Faulkner's Hospitals in Boston. Schade tells how Brigham and Women's is preparing to show meaningful use of healthcare IT and provides advice for smaller hospitals with fewer resources. -
Fast-Tracking Your EHR: How to Implement an EHR in 9 1/2 Weeks or Less
20 Oct 2009 | 9:42 amImplementing a new application system can be a lengthy and, at times, daunting project. Left in the lurch by their incumbent EHR vendor, and forced to revert back to paper-based medical records, SunHealth needed to get their new EHR/document management system up and running in a hurry. Learn how they planned, managed, and flawlessly executed a nine-month implementation project in nine weeks - and what they learned along the way. 5 minute excerpt from original recording.
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22 Dec 2009 | 6:44 amWinter Health IT Summit February 9-10, 2010 Sheraton Wild Horse Pass Resort & Spa
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Healthcare IT News Resources
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2010 U.S. Contact Center Decision-Makers’ Guide
8 Feb 2010 | 7:52 amAuthor: Resource Central Teaser: Syntellect has partnered with ContactBabel to bring you the 2009/2010 U.S Contact Center Decision-Makers’ Guide, which identifies seven of the major pain points and issues that affect the contact center industry. Syntellect has partnered with ContactBabel to bring you the 2009/2010 U.S Contact Center Decision-Makers’ Guide, which identifies seven of the major pain points and issues that affect the contact center industry. With 25 years plus of contact center experience and more than two million IVR ports and contact center agents deployed… -
Web Seminar on February 18 @ 2 pm ET--The Road Traveled: Providers' Perceptions of ARRA Legislation from Inception to Meaningful Use
3 Feb 2010 | 2:21 pmAuthor: Resource Central Teaser: The American Recovery and Reinvestment Act is tantamount to how historians view President Obama's legacy. Register and delve into the results of a hospital executive study conducted by Billian's HealthDATA and Porter Research in February 2009, following legislative approval of the ARRA. Results will be presented and compared to a follow-up study measuring changes in provider perceptions, following the December 2009 release of expanded "meaningful use" requirements. "The adoption and meaningful use of information technology in health care is… -
Six Things Hospitals Need to Know About Replacing Pagers With Smartphones
3 Feb 2010 | 10:23 amAuthor: Resource Central Teaser: Making the decision to replace pagers with smartphones is certainly a weighty consideration for your hospital. Lives are at stake, and there is no room for error. This timely report, “Six Things Hospitals Need to Know About Replacing Pagers With Smartphones,” provides a valuable tool to help you determine the right path for your organization. Many doctors, nurses, and administrators now request all communications - including code calls - to be sent to their smartphones. They wish to shed their tool belt of onsite and wide-area pagers and… -
Best Practices for Healthcare: A Risk Management Approach to HITECH
3 Feb 2010 | 8:52 amAuthor: Resource Central Teaser: Your patients trust you with their lives, let them also trust you with their data. Symantec provides products and services to reduce the challenges Healthcare Providers are having in Storing, Securing and Sharing protected health information in support of the US Government’s definition of “meaningful use”. Symantec is Healthcare! Your patients trust you with their lives, let them also trust you with their data. Symantec provides products and services to reduce the challenges Healthcare Providers are having in Storing, Securing and Sharing… -
Accelerate EMR Application Development Using Imaging Tools
3 Feb 2010 | 8:26 amAuthor: Resource Central Teaser: Images are a vital, yet highly challenging, part of nearly all EMR designs. Using third-party tools for handling images enables you to add advanced features while speeding up development, reducing cost, and getting your product to market sooner. We are on the cusp of the greatest opportunity in U.S. history for improved healthcare through expanded availability of patient data. As the EMR revolution gains steam, with the help of nearly $20 billion in new funding through the American Recovery and Reinvestment Act (ARRA), more custom implementations…
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Latest Blog Entries for heathcareitnews.com
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EHR redux
8 Feb 2010 | 6:36 amIt's time to revive the discussion of electronic health record software in light of the new federal regulations that define criteria for meaningful use and also set criteria for the EHR technologies that must be implemented by doctors and hospitals in order for them to become, and be paid for being, "meaningful users of certified EHR technology." -
Updates on meaningful use, certified EHR technology and the stimulus bill
4 Feb 2010 | 8:25 amOn December 30, 2009, the Office of the National Coordinator for Health Information Technology and the Centers for Medicare & Medicaid Services released documents shedding light on what physicians and hospitals must do to qualify for electronic health records (EHR) incentive payments under the HITECH Act. To qualify for incentives, physicians and hospitals must be using “certified EHR technology” in a “meaningful manner.” -
IBM strengthens healthcare play, picks up Initiate
4 Feb 2010 | 6:18 amOn Feb. 3, IBM announced that it will acquire leading healthcare Master Data Management (MDM) vendor Initiate for an undisclosed sum. -
Blog: The top 10 barriers to EHR implementation
2 Feb 2010 | 5:48 amLast week I taught Module II of Leadership Strategies for Information Technology in Healthcare at the Harvard School of Public Health. My students included administrators, clinicians, CIOs, CMOs, and policymakers. -
A real, hard number on ARRA funding for HIT
29 Jan 2010 | 11:31 amThe spending estimate for health IT provisions in the American Recovery and Reinvestment Act seems like a moving target. (I guess that's the nature of estimates, anyway.) The popular number thrown around for a year has been $19.2 billion for EHRs. But that's a net figure based on expected efficiency gains. I've heard that the real outlay is anywhere from $25 billion to $45 billion.
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healthcareitnews.com
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Christiana Care Health System seeks HIPAA compliance with email encryption
9 Feb 2010 | 7:11 amZix Corporation, a provider of email encryption services, has signed a three-year contract with Christiana Care Health System, a Delaware-based regional health system with two hospitals and numerous satellite facilities. ZixCorp's Email Encryption Service will help secure Christiana Care's confidential information and facilitate their compliance with the updated Health Insurance Portability and Accountability Act (HIPAA) legislation. -
Orlando Health deploys partners with MedeAnalytics for clinical, financial risk compliance
9 Feb 2010 | 6:38 amOrlando Health has added Quality and Compliance Analytics (QCA), developed by MedeAnalytics. By utilizing the QCA solution specifically for Recovery Audit Contractor (RAC) audits, Orlando Health will proactively monitor financial and clinical compliance risk areas to optimize and manage the audit process. Plans also call for streamlining the reporting process for Orlando Health’s inpatient hospitals and growing physician practices. -
Cook Children's Health Care System launches enterprise solutions
9 Feb 2010 | 6:25 amLawson Software has signed a contract with Cook Children’s Health Care System. Under the contract, Lawson will provide multiple enterprise solutions including Lawson Human Resource Management, Supply Chain Management, Mobile Supply Chain Management, Strategic Sourcing and Contract Management applications. Cook Children’s also selected Lawson Business Intelligence, Learning Accelerator and ProcessFlow Integrator. The contract was signed during Lawson’s second quarter of fiscal 2010, which ended Nov. 30, 2009. -
Health Dialog unveils Health Crossroads member Website
8 Feb 2010 | 7:18 amHealth Dialog today announced the Health Crossroads member website, a multimedia decision-support tool that offers evidence-based healthcare resources to individuals so they can better understand their conditions, ask their physicians the right questions about treatment options, and make more informed medical decisions. -
Englewood Hospital and Medical Center to improve clinical financial processes
4 Feb 2010 | 1:59 pmEnglewood Hospital and Medical Center in Bergen County, N.J., announced it will replace its existing clinical and financial systems with healthcare information technology (HIT) from McKesson. The HIT investment is part of a transformational initiative to better serve Englewood Hospital’s patient community while enabling the hospital to qualify for incentives under the American Recovery and Reinvestment Act (ARRA).
