Comments on: News 12/17/08 http://histalk2.com/2008/12/16/news-121708/ Healthcare IT News and Opinion Tue, 22 May 2012 14:25:13 +0000 hourly 1 http://wordpress.org/?v=3.3 By: Santa http://histalk2.com/2008/12/16/news-121708/comment-page-1/#comment-2855 Santa Thu, 18 Dec 2008 23:21:01 +0000 http://histalk2.com/2008/12/16/news-121708/#comment-2855 "sleeping wizard" that is either funny, or down right mean...I can't decide which! “sleeping wizard” that is either funny, or down right mean…I can’t decide which!

]]> By: TL2 http://histalk2.com/2008/12/16/news-121708/comment-page-1/#comment-2852 TL2 Thu, 18 Dec 2008 18:02:07 +0000 http://histalk2.com/2008/12/16/news-121708/#comment-2852 Great to see that Skelton still thinks he matters to Misys folks. Otherwise, I would have thought his hubris was a thing of the past. I'm sure that the loyal current and former employees want to be reminded of the leadership that drove the company into the ground. And his sleeping wizard comes along for the ride as usual. Great to see that Skelton still thinks he matters to Misys folks. Otherwise, I would have thought his hubris was a thing of the past. I’m sure that the loyal current and former employees want to be reminded of the leadership that drove the company into the ground. And his sleeping wizard comes along for the ride as usual.

]]> By: Santa http://histalk2.com/2008/12/16/news-121708/comment-page-1/#comment-2841 Santa Thu, 18 Dec 2008 13:05:16 +0000 http://histalk2.com/2008/12/16/news-121708/#comment-2841 Why don't Tom and Rich just host the party in Pittsburgh. Just go home people! Why don’t Tom and Rich just host the party in Pittsburgh. Just go home people!

]]> By: back2basics http://histalk2.com/2008/12/16/news-121708/comment-page-1/#comment-2827 back2basics Wed, 17 Dec 2008 17:41:39 +0000 http://histalk2.com/2008/12/16/news-121708/#comment-2827 On EHR costs $83 Million plus, the cost will also include hundreds of mobile PC’s or WYSE terminals. Thousands of dollars for each one, including mobile stands and bar code scanners. Wireless networks, possibly mobile devices, dozens of Blade servers, Citrix licenses, Cache licenses, Crystal reports licenses and data warehouse databases. Imaging or blob servers. Interfaces to and from external or legacy systems. Importantly things like hot swap backup servers in case the main production servers go down. More powerful generators to cover the downtime requirements. Very high speed links between the sites that store the main server and the backup servers. It’s likely the $83 million was for a multi hospital group with more than 400 beds each, probably over 10,000 users. And we are not figuring in the savings. Electronic prescribing saves lives and law suits. CMS auditing is not only easier, but you have the tools to react and improve percentages, increasing reimbursement. There are a number of EPIC sites that are using the system to bring up their percentages close to 100%. Reduction of billing costs and errors. Increasing vaccination rates, I have worked on projects where we have taken vaccination rates to close to 100%. Research projects and clinical trials. Savings in drug formularies. Better tracking of infections. Cost means little without also quantifying the monetary and reputation benefits, along with quality of care improvements. Could it be done on the cheap? It probably could. However EPIC installation for the size of operation I assumed above can also be completed for far less than $83 Million. And in far less than 10 years. How much is waste? How much is bad planning in the $83 Million? A good consulting team can save you very large amounts of money with an EPIC installation. And here is another little thing, having worked on several installations, after they start using EPIC the Physicians who may have been skeptical, actually don’t mind using the system, which seems to be a hot topic here at the moment. On EHR costs $83 Million plus, the cost will also include hundreds of mobile PC’s or WYSE terminals. Thousands of dollars for each one, including mobile stands and bar code scanners. Wireless networks, possibly mobile devices, dozens of Blade servers, Citrix licenses, Cache licenses, Crystal reports licenses and data warehouse databases. Imaging or blob servers. Interfaces to and from external or legacy systems. Importantly things like hot swap backup servers in case the main production servers go down. More powerful generators to cover the downtime requirements. Very high speed links between the sites that store the main server and the backup servers. It’s likely the $83 million was for a multi hospital group with more than 400 beds each, probably over 10,000 users.

And we are not figuring in the savings. Electronic prescribing saves lives and law suits. CMS auditing is not only easier, but you have the tools to react and improve percentages, increasing reimbursement. There are a number of EPIC sites that are using the system to bring up their percentages close to 100%. Reduction of billing costs and errors. Increasing vaccination rates, I have worked on projects where we have taken vaccination rates to close to 100%. Research projects and clinical trials. Savings in drug formularies. Better tracking of infections. Cost means little without also quantifying the monetary and reputation benefits, along with quality of care improvements.

Could it be done on the cheap? It probably could. However EPIC installation for the size of operation I assumed above can also be completed for far less than $83 Million. And in far less than 10 years. How much is waste? How much is bad planning in the $83 Million? A good consulting team can save you very large amounts of money with an EPIC installation. And here is another little thing, having worked on several installations, after they start using EPIC the Physicians who may have been skeptical, actually don’t mind using the system, which seems to be a hot topic here at the moment.

]]> By: hisjunkie http://histalk2.com/2008/12/16/news-121708/comment-page-1/#comment-2826 hisjunkie Wed, 17 Dec 2008 17:16:10 +0000 http://histalk2.com/2008/12/16/news-121708/#comment-2826 Hey Mr. HISTalk… There ya go again…beating on poor little USA. Just because you don’t use their products, don’t have their sales people pounding on your door every week and they don’t have a big booth at HIMSS ..you can’t understand them? It’s simply a great reliable product, not ‘mass’ marketed and user support that is clearly top flight. Maybe you ought to interview their President Larry Covington and he’ll tell you more secrets to KLAS success, or call their clients like Jewish in Louisville, Florida Hospital in Orlando, or Wellspan in Pa. And by the way did you notice how KLAS changed the rules of the game to be rated the number one vendor? Now you can’t get be considered for that award unless you have 3 applications. USA would have again been rated number one if that rule wasn’t changed in mid-stream. Looks to me like the little guy gets short changed again. Hey here’s another idea…maybe it would help you understand them if they took out an add in HISTalk??? Hey Mr. HISTalk…
There ya go again…beating on poor little USA.
Just because you don’t use their products, don’t have their sales people pounding on your door every week and they don’t have a big booth at HIMSS ..you can’t understand them?
It’s simply a great reliable product, not ‘mass’ marketed and user support that is clearly top flight. Maybe you ought to interview their President Larry Covington and he’ll tell you more secrets to KLAS success, or call their clients like Jewish in Louisville, Florida Hospital in Orlando, or Wellspan in Pa.
And by the way did you notice how KLAS changed the rules of the game to be rated the number one vendor? Now you can’t get be considered for that award unless you have 3 applications. USA would have again been rated number one if that rule wasn’t changed in mid-stream. Looks to me like the little guy gets short changed again.
Hey here’s another idea…maybe it would help you understand them if they took out an add in HISTalk???

]]>