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March 12, 2010

World of Health IT kicks off in Barcelona

The ministerial High Level eHealth Conference and the World of Health IT Conference and Exhibition will be held jointly this week in Barcelona, Spain.

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Current Issue

March 2010

March 2010

  • Clock ticks toward HIPAA 5010, ICD-10 deadlines
  • Boston-based group employs IT power in Haiti
  • MORE
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Featured Podcast

Industry News March 12
NewsMaker Interview: Stephen Klasko, MD
Stephen Klasko, MD, tells us how the Paper Free Tampa Bay project got started, the challenges and surprises the project encountered, and its evolution into the Paper Free Florida Collaborative Health Information Technology Regional Extension Center.
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Featured Video

Vendors March 03
NCR demos self-service healthcare solutions at HIMSS10
Jeff Kendall of NCR, a maker of self-service products for the healthcare industry, shows us their Wayfinder and MediKiosk solutions.
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Upcoming Events

  • March 17, 2010
    HIPAA Compliance Congress: Data Protection and Privacy Compliance Under the HITECH Act
  • March 25, 2010
    Health Technology Investment Forum
  • March 30, 2010
    3rd Annual Middle East Healthcare Expansion
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Press Releases

March 11, 2010
Houston provider deploys new transcription technology
March 11, 2010
Miami Children’s Hospital launches vascular X-Ray equipment
March 11, 2010
Premier submits comments on proposed EHR "meaningful use" rule
more press releases

International Section

Dutch academic hospital launches new clinical displays
MC Leeuwarden, based in Friesland, the Netherlands has deployed new clinical review displays across its two locations. MORE
NHS 24 extends contract with Clinical Solutions
NHS 24, a telephone and online service providing health advice and information in Scotland, has signed an agreement to extend its partnership with Clinical Solutions. MORE
Hospital to image athletes at 2012 Olympics
Homerton University Hospital in London has installed three CARESTREAM DRX-1 Systems, which feature a wireless, cassette sized detector. The hospital, located just two miles from the main Olympic venues, will be able to image athletes with the new DR technology in half the time. MORE
UAE Ministry of Health endorses InnovHealth 2010 summit
The two-day InnovHealth summit brings together the Middle East's leading healthcare professionals to discuss medical research, technological development, healthcare product solutions, and more. MORE
EPF launches new website
Paris provider focuses on information exchange
iSoft brings Lorenzo to iPhone
GE Healthcare initiates eHealth business unit
Terso expands to Germany
RamSoft to beat language barrier, expand offerings
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Blog

July 06, 2009 John Halamka, MD

International EHR Adoption

I was recently asked to compare EHR adoption in the US to other countries. Based on my own experience and the comments I received from colleagues, there are three aspects to consider... MORE

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Latest Headlines
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  • World of Health IT kicks off in Barcelona
  • Dutch academic hospital launches new clinical displays
  • NHS 24 extends contract with Clinical Solutions
  • World of Health IT kicks off in Barcelona
  • Cerner news cheers investors
  • Drummond Group in EHR testing for the "long term"
  • Five features missing from most EHRs
  • Genome find pushes personalized medicine ahead

Resource Central

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    Six Things Hospitals Need to Know About Replacing Pagers With Smartphones
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    On-Demand--Part II-The Crystal Clear Healthcare Provider: How Cleveland Clinic Delivers Transparency to Stakeholders with Business Intelligence
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    Improve Quality of Care, Ensure Regulatory Compliance and Reduce Operating Costs with Secure & Reliable Connectivity
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    On-Demand--Making Smarter Healthcare a Reality: Implications for Today's CIO
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    2010 U.S. Contact Center Decision-Makers’ Guide
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HEALTHCARE IT JOB SPOT

  • Architect - Clevelan Clinic Abu Dhabi - Abu Dhabi, U.A.E.
  • Epic Business Systems Analyst Ambulatory Practice Management Revenue Cycle - Lee Memorial Health System - Fort Myers, FL
  • Family Medicine Opportunity with EMR - Marshfield Clinic - Rice Lake, Ladysmith & Hayward, WI
  • Meditech Applications Analyst - Saint Joseph Health System - Anaheim, CA
  • Epic Revenue Cycle Manager - Lee Memorial Health System - Fort Myers, FL
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Recent Comments

  • CHISP Certification can help too.
    andys

    I agree with the article that getting an degree in healthcare is the way to go. However, for some experienced professionals, giving up their current careers and go back to school may not be easy. Therefore, one may consider to get an Healthcare IT certification to booster their career. For example, the CHISP certification offered by the ASHIM is a good example. You can see their website to find more information. http://www.ashim.org

  • Of cabbages—and kings— And
    paulroemer

    Of cabbages—and kings—

    And why the sea is boiling hot—and whether pigs have wings. Lewis Carroll, Out of the Looking Glass. It is a nonsense story, one which cannot be argued.

    As are Electronic Health Records (EHR) and Meaningful Use (MU)—at least to date. Measured against any reasonable set of standards, except on a one-off basis, the national rollouts of EHR and MU have failed. I expect it will be even more so next year.
    You, the public, have the right to comment, and we have the right to tell you why your comments hold no water. I think it is the inverse of you have the right to remain silent, you just don’t have the ability. I am writing about the ONC and the bone they tossed calling for public comment. They are required to provide for public comment in order to remove the N and the P from the NPRM.

    Who among us believes the rule making will markedly shift direction as a result of any of the public comments? That is unfortunate for if they were to shift direction they might find a direction. We don’t know where we are going, but we are making good time getting there. Figures suggest a failure rate of EHR implementations of somewhere between fifty and seventy percent. As healthcare IT resources become scarcer, I expect the failure rate to increase. As providers rush into EHR without a detailed strategy simply to grab the incentive money, there will be more expensive failures. More failed EHRs is not a way to measure progress.
    The current cover of Government Health HIT magazine depicts a foot race to meet MU. There is no race if there are no entrants. There may be more people on the cover than will actually qualify for the race, even fewer who will reach the end.

    We would be better served if the plan for national rollout of EHR were not written on an Etch-A-Sketch. We don’t know what will be included in Stages 2 and 3 of MU. When will fifty percent of providers have an EHR, not just the software, but one that actually boosts productivity? How about 70% or 80%? Ten years? I ask the same question of the Health Information Exchanges (HIEs). Without unilateral adoption there will be large gaps. Will the national network function with these gaps? To what extent? Will the records only make it part of the way from Patient A to Doctor X?

    Having not solved the EHR program on their own, and having no viable plan, the government laid the burden of making EHR successful on the backs of the providers. The government tries to offset the burden by offering financial gratuities—and penalties—to the providers. Not exactly the second coming of the Three Wise Men. Trying to hit the ONC’s targets is a little like playing the confidence game, the shell game. Under which shell will providers find the rules, the plan?
    What to do?

    It is easy to criticize. Permit me to offer a few suggestions. To the hospitals, if you are not well along the EHR path, do not make a difficult effort more difficult by chasing Gossamer incentive dollars. Stick to your plan. You have multiple failure points which three years from now will make chasing those dollars look like a pipe dream. The failure points? Your plan, the implementation, meeting the MU requirements, passing the MU audit. It does not look very promising to me.

    To those hospitals which haven’t started their EHR initiative, or are less than halfway through the passing the failure points, don’t cancel your summer vacation. You have a lot more time to get it right then you have to get it wrong. Pay no attention to the man—or woman; even I can have a moment—handing out the Monopoly money. You won’t be receiving any. From where I sit, that is good news. It will cost a lot more to perform disaster recovery on a poor implementation than the funds you would have received by meeting MU.

    How long does a hospital spend planning to build a new hospital wing? For large hospitals, the cost of your EHR will likely exceed the cost of the new wing. Plan accordingly. Invest six or nine months building a plan that might succeed.

    For medium and small practices and solo providers you have nothing to lose by waiting a year months other than the resource problem. By then you will find very viable ASP and shrink-wrapped solutions.
    Those who follow my blog, healthcareitstrategy.com, know I don’t write to garner favorable replies from those who think they’ve already got it figured out. I write for those who because of EHR have difficulty sleeping. Thanks for reading. As always, I appreciate your comments and disagreements.

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