EHR

by Matt Guldin | September 26, 2014

eCQMs: Beginning of a Long and Rocky Road

A New Necessity Payment-based upon quality measurement is at the center of a wide range of efforts to improve health care performance by various payers including the federal government. Historically, quality measurement either had to rely upon either administrative data (e.g., claims) and/or a combination of manual chart abstraction. Electronic clinical

by Brian Murphy | September 17, 2014

The Current State of the Interoperability Crisis

A Long Way To Go The lack of interoperability between healthcare applications has long been decried in white papers and by blue ribbon panels. Efforts to define the problem and spur action keep piling up. Just in the past year, several organizations loudly bemoaned the state of the art. For

by John Moore | August 22, 2014

Cerner Acquires Siemens: What can we Expect?

Chilmark Bight On August 5, Cerner announced its intent to acquire Siemens Health Services (HS) for $1.3B in cash, slightly more than Siemens HS’s FY14 revenue of $1.2B. The deal brings to Cerner a large, relatively stable base of 600-700 hospital customers in the US for upsell opportunities. The acquisition

by Brian Murphy | August 01, 2014

Information Blocking Laws — Ready, Shoot, Aim

Interference The most straightforward definition of interoperability we have heard so far is from David Kendrick, CEO of MyHealth Access Network in Oklahoma, “Every patient deserves to have their complete, longitudinal medical record available wherever and whenever decisions are made about their health.” By this measure, interoperability is still unusual

by Brian Murphy | July 26, 2014

Care Coordination: The HIE Has Waited a Long Time

Care Plan Update As predicted last year, comprehensive care coordination solutions are rapidly becoming an important way for disparate clinicians across multiple organizations to collaborate at a patient and panel level. What can and should a general-purpose care coordination solution for providers look like? The broad outlines of such a

by John Moore | June 26, 2014

The Waning Influence of ONC

Market Challenges Many are beginning to question ONC’s role in the further promotion of EHR adoption and use. Healthcare organizations of all sizes are struggling with a rapidly shifting landscape that is increasingly pushing such initiatives as compliance to ONC’s meaningful use program further back on their list of priorities.

by Cora Sharma | May 22, 2014

ETL Churn: Clinical Analytics Solutions Sandwiched Between Shifting Data Sources and Evolving Business Rules

Stuck in the Middle Clinical analytics solutions are “sandwiched” between (1) a variety of shifting data sources; and (2) ever-evolving business rules that dictate how data is modeled to be consumed by apps. The result is expensive, non-scalable “ETL Churn,” or lengthy and ongoing data integration work to extract, transform,

by Brian Murphy | May 04, 2014

Can Using an HIE for Orders and Results Land You in Club Fed?

Tread Softly Pay-to-play is a cornerstone of many extremely efficient and perfectly legal markets. In healthcare it raises a host of ethical, legal and clinical questions – not the least of which is whether the patient benefits or is harmed from the transaction. Paying for referrals, always considered unethical, has
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