Cerner
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Most Doctors Don’t Meet U.S. Push For Electronic Records
Fewer than 1 in 10 doctors used electronic records last year to U.S. standards, according to a survey that shows the challenge facing a multibillion-dollar effort to digitize the health system for improved patient care. Read More »
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Mother Jones piece hits Epic hard: 5 criticisms of the EHR vendor
For a company that is notorious for its lack of media interaction, Epic Systems often finds itself in headlines, for better or for worse. The latest Epic media storm was delivered by a Mother Jones piece in which the author criticized the vendor and the health IT marketplace as failing in its mission to help patients and save money through digitization. Author Patrick Caldwell wrote the healthcare industry has largely underachieved in its goal to digitize medical records and cut waste and costs associated with paper records.
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Navigation Between Heavy-weight and Light-weight Standardization (Part 2)
The previous section of this article laid out the context for HL7 FHIR standard and the Argonaut project; now we can look at the current status.Tripathi portrays the Argonaut process as radically different from HL7 norms. HL7 hasestablished its leading role in health standards by following the rules of the American National Standards Institute (ANSI) in the US, and similar bodies set up in other countries where HL7 operates. These come from the pre-Internet era and emphasize ponderous, procedure-laden formalities. Meetings must be held, drafts circulated, comments explicitly reconciled, ballots taken. Historically this has ensured that large industries play fair and hear through all objections, but the process is slow and frustrates smaller actors who may have good ideas but lack the resources to participate.
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New Blue Button Directory Unveiled at HIMSS17
The National Association for Trusted Exchange (NATE) today unveiled NATE's Blue Button Directory (NBBD) at the HIMSS17 annual conference in Orlando, FL. This FHIR-based solution is the newest prototype being developed by NATE to make it easier for consumers and providers to share data to improve outcomes. Consumers are actively requesting their medical records and providers want to share them but there is often a workflow disconnect between the two. As part of the Federal Health Architecture's vignette in the HIMSS17 Interoperability Showcase (Level 2 | Lobby F | Tangerine Ballroom | Booth 9000), NATE and its partners are demonstrating how a simple enabling infrastructure can alleviate this problem...
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Nurses Demand Delay Of EHR Rollout
"There has been no planned increase in staffing and no decrease in elective procedures during the time of the transition." Read More »
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Nurses Not Happy With Hospital EHRs
'A poorly implemented EHR with chaotic processes and bungling IT support is becoming a detriment to hospital nurse retention and recruitment'...
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ONC Chief Urges Vendors To Go For Blue Button ASAP
Farzad Mostashari, MD, the national health IT coordinator, has challenged vendors to make it easy for consumers by early 2013 to view, download and transmit to another party their health information in the form of a Blue Button feature. Read More »
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ONC fail: EHR 'data blocking' still rampant
Manuel Prado, president of Viva Transcription, Santa Cruz, Calif., publicly complained two years ago about the high interface fees – up to $10,000 – that electronic health record vendors charged for each hospital or physician practice they connect to his transcription service. “That's data blocking,” he charged. “If taxpayers are contributing $44,000 or $63,000 (in federal Medicare and Medicaid incentive payments) for each EHR, it's not too much to ask” that they make interconnect charges free.
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Open Source Collaboration Key to Healthcare Blockchain Adoption
Interest in healthcare blockchain continues to grow as organizations realize the potential data sharing advantages. Blockchain is not currently used in healthcare, but open source projects, such as Hyperledger, are working to develop blockchain standards that can eventually be used in healthcare. Entities are showing genuine interest in blockchain and are currently working on projects for future adoption, according to Hyperledger Executive Director Brian Behlendorf...
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Open Source Electronic Health Records: A Cost Solution For Hospitals
When Oroville Hospital decided to digitize its patient medical records three years ago,...chief executive Robert Wentz...did something almost unheard of for a health care executive: he went open source. As the saying goes in this conservative industry, no one gets fired for picking Epic. Wentz’s decision is not for the squeamish or the straight-laced. It forced long-time hospital administrators with tight schedules and deadlines to loosen up and collaborate with a network of free agents—open source programmers who voluntarily support a publicly available electronic health record called VistA...
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Open Source Goes Corporate: Can Open Healthcare Be Far Behind?
If you aren't in IT, you may have missed the news that IBM is acquiring Red Hat, a leader in the open source Linux movement, or that, a couple days prior, Microsoft closed on its acquisition of GitHub, a leader in open source software development. Earlier this year Salesforce acquired Mulesoft, and Cloudera and Hortonworks merged; all were other open source leaders. I must confess, I had never heard of some of these companies, but I'm starting to believe what MarketWatch said following the IBM announcement: "open source has truly arrived." What exactly that means, especially for healthcare, I'm not sure, but it's worth exploring. IBM is paying $34b for Red Hat.
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Overview of Open Source and VistA in the UK's NHS
There is much widely publicised interest from NHS England in encouraging the development and implementation of open-source software in the National Health System (NHS) with the debate raging in a number of forums, notably on EHI where this article and the comments it has generated are vital reading for anyone interested in this issue. This debate has been fueled by the availability of NHS England’s £260 million Technology Fund which is actively soliciting open source projects include bids to implement an NHS VistA... Read More »
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Pending Upheaval In"The Year Of The Great EHR Switch" Shifts Spotlight To e-Health Industry's Best, Black Book Reveals 2013 Top Scoring Vendors
With more electronic health record systems continuing to fall short of providers' expectations, a new report by Black Book Rankings suggests that 2013 may indeed be the "year of the great EHR vendor switch"... Read More »
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Physicians Prefer VistA-So Should Decision Makers
In their 2014 EHR Report—a survey of 18,575 physicians on their EHR preferences—Medscape concludes that doctors like using the VA’s Computerized Provider Record System (CPRS), the core electronic record in the broader VistA platform, more than any other solution. Here’s what they said, "The highest-rated EHR, with a score of 3.9, is the Veterans Administration EHR: VA-CPRS. It’s regarded as one of the best overall by our physician respondents"
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Population Health Management Becoming a Priority for Providers, but Many Struggle With Stop-Gap Solutions and Lack of Infrastructure, Says Latest Black Book Survey
Black Book’s most recent report on the state of population health management (PHM) reveals that it is among the fastest-growing areas in the healthcare IT space and several effective end-to-end solutions emerging. Record PHM spending underscores its increasing importance with a reported $8B invested in digital health in sum in 2016, with the majority going to population health and patient experience tools. But even as PHM solutions are quickly becoming a priority for healthcare organizations, in Q1 2017, 81% of providers are tackling population health projects without a strategic technology purchase that meets all their needs...
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