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Steve Jobs and Healthcare IT – EMR

Posted on October 7, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I like I’m sure many of you have been a bit overwhelmed by the amazing outpouring of love that’s happened after the passing of Steve Jobs. It was weird for me, because I knew that Steve Jobs health wasn’t good but I was still a bit shocked to see on Twitter that he’d passed away. Certainly a major loss for his family, but the effect will be felt well beyond them.

I’ve been touched by a number of posts throughout the healthcare IT and EMR blogosphere. Here’s a roundup of a few of the Steve Jobs posts I found.

Jim Tate did a post that considers what if Steve Jobs had developed an EHR. Here’s one section:

For the past 5 years I’ve kept hoping that Apple would develop an EHR. One that when someone first used it they would say: “Yes, this is how it should be”. Whatever he developed and released to the world didn’t even need an owner’s manual. It just worked in a very human way.

I know I’ve written about the possible Apple EHR as well and what it might look like. As I read Jim’s post I couldn’t help but wonder if the reason Steve Jobs didn’t take on a project like an EHR was because our regulations and reimbursement don’t work in a human way.

Dr. Liu on Kevin MD wrote a post about Steve Jobs as a physician mentor. I love the idea that Steve Jobs was his mentor even though they never met. He offered this heartfelt thought:

I as a doctor I’m incredibly sorry that medicine has not yet evolved to the point that a cure exists for the rare type of cancer Jobs. I’m sorry that he is so ill at an incredibly young age, in his mid 50s, when many people begin to contribute even more to society with all of the knowledge and experience they’ve acquired. The future might be a little less bright without Jobs leading his team at Apple on creating products and experiences none of us truly knew existed until he showed them to us.

It is such a shame that he died so young. In fact, I’d say that might be the hardest part of it all.

The self professed Mac Fan boy, John Moore from Chilmark research, paid a tribute as well. He highlights some of the key things that Steve Jobs did with Apple products:
-Design aesthetics combined with functionality rule
-Supporting a renegade
-Systems rather than parts
-Supporting innovation

Yep, Steve Jobs will be missed in healthcare and well beyond.

EHR Diamonds and Snakes – EHR Certification Doesn’t Differentiate

Posted on August 18, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Jim Tate posted an interesting and valuable warning today in his post on HITECH Answers. Here’s his warning in a nutshell:

“My warning is about the mistaken belief that because an EHR or Module has been listed on the CHPL site it must be good or even serve an intended purpose with any degree of usability. That is simply not the case and everyone knows it.”

He goes on to provide more detail regarding his caution and warning:

Stage 1 Certification is not a seal of approval. No one should think the list of Certified Products is a list of equals. Quite a few of the applications are excellent and demonstrate elegant approaches to the electronic documentation of health information. Others are poorly designed, cumbersome, and no provider will ever be satisfied using them. The purpose of certification was not to separate the good from the bad. So tread very carefully and know the list of these applications contains quite a few diamonds, as well as a few snakes.

Jim Tate and I have actually spoken in person about this before. In fact, I’ve tried to get him to write a series on my blogs about what makes an EHR a diamond and which makes an EHR a snake. So far he hasn’t taken my bait, but I’ll keep trying.

Jim is spot on though. Don’t confuse EHR certification for anything more than a means to obtain EHR stimulus money. It provides no other real assurance to you as a provider. Run from EHR sales people who tell you otherwise.

New Healthcare IT Certification Program

Posted on August 3, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

First we started with EHR certification. Then, we got meaningful use attestation. We also have the HIT professionl Competency exam. Now, we have a new healthcare IT certification program.

If you’ve read my posts for any amount of time, then you probably know how I feel about certifications in general. I don’t like them. They offer such little value to the end user and often mislead people into trusting someone or something for something that the certification doesn’t even represent.

With that understanding, I can’t say I’m that much more excited about this new HIT certification program. However, I do think it’s an interesting package that they’ve put together between EMR Approved, HITECH answers, and HIELIX. Let’s call it what it really is, a great way for these 3 groups to sell more product.

I’m not sure how much this new HIT certification costs and what exactly they’re offering people who do it. So, it’s hard for me to say if it’s worth it for someone to participate. I know the HITECH answers people put out some quality information about the HITECH act. That’s likely the most relevant information for most IT firms trying to enter the EHR and EMR market. HIELIX might be a great product, but there are other free options out there like EMR Consultant. Plus, the EMR selection process is so personal that an automated solution isn’t very good.

I’ll be interested to see how well this HIT certification program does. Will they be able to create a brand that will last? That seems to be the key to having a great certification.

EMR and Healthcare IT Related Conferences

Posted on July 22, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been itching to attend a conference the past couple months and haven’t found one that is the right fit for my needs and interests. So, I was excited to see HITECH answers list of Fall 2011 Healthcare IT conferences.

Although, after looking at the list I was a little disappointed. I’m definitely going to MGMA in Las Vegas this year. Plus, I’m probably about 90% sure I’m going to AHIMA in Salt Lake City. I would be interested in going to CHIME, but it’s at the same time as MGMA. So, I guess that’s not really a possibility. Plus, I’m not sure how much CHIME likes bloggers at their conference.

I really would like to go to a health IT conference in Washington DC this fall. I have a ton of contacts there that I’d love to visit. It’s always nice to put a conference together with visits to smart people. I’m sure something will come up. I’ll just have to keep looking.

Are there other healthcare IT and/or EMR conferences happening this Fall that I should consider? Let me know.

Likely Delay in Meaningful Use Stage 2

Posted on May 12, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Everyone that lives and breathes EMR and meaningful use has been seeing the people calling for meaningful use Stage 2. Jim Tate posted on HITECH Answers some new proposed timing options for meaningful use stage 2 that came out of the HIT Policy Committee and meaningful use workgroup. Of course, this committee is just a committee and just makes recommendations, but most of their recommendations have been taken.

Here’s Jim Tate’s summary of the MU stage 2 delay:

It is now being fully recognized that the move from entry level Stage 1 to Stage 2 will not be simple small step. Stage 1 was designed to facilitate buy in from vendors, EPs and EHs. Stage 2 will be where it gets real and the present timeline is simply not sufficient. The MU Workgroup has proposed several possible timing options to the current plan. All signs point to the creation of more elbow room in Stage 1.

On Jim’s post, he also has the chart he posted that showed the various meaningful use stage 2 timing options. Looks like meaningful use stage 2 is in for a delay.

Which EHR Certifying Body?

Posted on March 3, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Many of you will probably remember my post about Jim Tate and all his EHR certification experience. As I said in that post, Jim Tate knows his stuff when it comes to the EHR certification bodies (ONC-ATCB). So, I found his advice for EHR vendors on HITECH Answers pretty interesting when it comes to selecting which ONC-ATCB an EHR company should use.

You can go read the whole article, or here’s the Cliff notes version: Responsiveness and Support of the EHR certifying body is most important.

ONC-ATCB Certified EHR Breakdown by EHR Vendor

Posted on December 4, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This is the third post in the series of posts(see the previous ONC-ATCB Certified EHR Breakdown and ONC-ATCB Certified EHR Breakdown by Certifying Body) looking at the EHR certification numbers put together by HITECH Answers. The following is a list of Certified EHR products by vendor:

Top 3 Vendors by number of Products Certified
– Cerner Corporation – 13 products
– Siemens Medical Solutions USA Inc – 9 products
– Epic Systems Corporation – 4 products

I guess these are the EHR software you want to avoid. Ok, that’s partially facetious. Just, can you imagine trying to battle the other 12 certified EHR to get support. Granted, most of them are likely hospital EHR and so there are usually support contracts in place to deal with this kind of thing. Don’t worry though, Allscripts should be on this list soon. I think they have something like 7 EHR software for just ambulatory right now. I guess that’s the nature of acquisitions.

It will be interesting to continue to see this evolve.

ONC-ATCB Certified EHR Breakdown by Certifying Body

Posted on December 3, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This is the second post in the series of posts (see the previous ONC-ATCB Certified EHR Breakdown) looking at the EHR certification numbers put together by HITECH Answers. The following is the breakdown of EHR Certification by Certifying body:

2 Certified by Infogard
– 1 Modular Ambulatory system
– 1 Modular Inpatient system
40 Certified by Drummond
– 15 Complete Ambulatory systems
– 5 Complete Inpatient systems
– 15 Modular Ambulatory systems
– 5 Modular Inpatient systems
88 Certified by CCHIT
– 50 Complete Ambulatory systems
– 15 Complete Inpatient systems
– 11 Modular Ambulatory systems
– 12 Modular Inpatient systems

Infogard is just getting started, but CCHIT and Drummond Group are cranking them out. I’m guessing right now demand for their service is strong and they can certify them as quick as they can. It will be interesting to see what happens to these organizations post EMR Stimulus money, but they have a few years before they have to worry about that.

Of course, this is only the temporary ONC EHR Certification. ONC will have the official one and then all the EMR vendors will likely have to re-certify again. Let’s call it the EHR certifying body stimulus program.

ONC-ATCB Certified EHR Breakdown

Posted on December 2, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Many people were worried that we wouldn’t have many certified EHR available for 2011. I wasn’t one of those people, but they were out there. Seems to me that this really won’t be an issue at all. There’s 130 partial or complete EHR companies on the official ONC certified EHR list. That’s a lot of software and it’s only the beginning of December. I expect we’ll have 200 or so more ONC-ATCB certified EHR software by the first quarter of 2011.

The good people at HITECH Answers have done the hard work putting together the number of systems certified. Check out the numbers:
85 Complete EHR
– 65 Ambulatory systems
– 20 Inpatient systems
45 Modular EHR
– 27 Ambulatory systems
– 18 Inpatient systems

That’s right. 65 Complete Certified Ambulatory EHR. 27 other modular certified EHR and I’m sure that many of those are just doing the modular as a stepping stone to the full certification.

Meaningful Use Rule by July 14th

Posted on July 8, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

A favorite topic of this blog has been Meaningful Use and it will likely continue to be a popular topic well into the future. As such, we’re all sitting around waiting to hear the word from CMS on the final rule for Meaningful Use. Doctors are waiting for it so they can select an EMR or modify their current EMR to meet the guidelines. EMR vendors are waiting for it so they can say that their EMR software can meet the meaningful use guidelines. RECs are waiting for it so that they can help doctors reach meaningful use. We’re all just waiting to see what’s going to come out.

Fierce EMR reported that the Meaningful Use final rule will be published by July 14th. Here’s a couple quotes from that report:

FierceEMR spoke with a CMS official directly involved in writing and publishing the final regulation, and she assures us that although there’s no “official” publication date (CMS missed its own self-imposed June 30 deadline), “I would be very surprised if it’s published any later than July 14.”

Not a very firm commitment to July 14th, but it should be around that date I imagine.

“We hoped to have it out by the end of June, but it’s looking more like mid-July,” the official told us this week. “There are so many moving parts and so many people are involved. This is a long regulation.” No doubt! The proposed rule was thicker than many novels. We expect nothing less from the final reg.

That wasn’t quite the novel I was hoping to read this summer, but it will be nice to have something final.

All of this said, we may be waiting for nothing. First, because I don’t think that we’ll see any real meaningful changes to the regulation. Plus, I think the regulation will still be missing much of the meat and potatoes that will be involved in managing that regulation. There will still be a lot of practical details needed and interpretation of the regulation to be done. At least if it’s the government process that I know.