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	<title>Comments on: News 3/25/09</title>
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	<link>http://histalk2.com/2009/03/24/news-32509/</link>
	<description>Healthcare IT News and Opinion</description>
	<lastBuildDate>Wed, 08 Feb 2012 23:08:39 +0000</lastBuildDate>
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		<title>By: Skep Tic</title>
		<link>http://histalk2.com/2009/03/24/news-32509/comment-page-1/#comment-3785</link>
		<dc:creator>Skep Tic</dc:creator>
		<pubDate>Thu, 26 Mar 2009 00:51:51 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=1594#comment-3785</guid>
		<description>In the NEJM Blumenthal writes &quot;The HIT components of the stimulus package — collectively   labeled HITECH in the law — reflect a shared conviction   among the fledgling Obama administration, the Congress, and   many health care experts that electronic information systems   are essential to improving the health and health care of Americans.&quot;

I would really like to see some comparative effectiveness research and/or robust studies that support this &quot;conviction&quot;, and that refute a growing body of literature that provide contrary evidence.</description>
		<content:encoded><![CDATA[<p>In the NEJM Blumenthal writes &#8220;The HIT components of the stimulus package — collectively   labeled HITECH in the law — reflect a shared conviction   among the fledgling Obama administration, the Congress, and   many health care experts that electronic information systems   are essential to improving the health and health care of Americans.&#8221;</p>
<p>I would really like to see some comparative effectiveness research and/or robust studies that support this &#8220;conviction&#8221;, and that refute a growing body of literature that provide contrary evidence.</p>
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		<title>By: HISJunkie</title>
		<link>http://histalk2.com/2009/03/24/news-32509/comment-page-1/#comment-3783</link>
		<dc:creator>HISJunkie</dc:creator>
		<pubDate>Wed, 25 Mar 2009 21:55:26 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=1594#comment-3783</guid>
		<description>Escrow agreements…good luck Mr. CYA.
It’s maybe comforting to have an escrow agreement but the reality is they are not worth the paper they are written on. Here’s why. 

When a software company goes belly-up the only real asset they have is the software and the client base. Meanwhile, bankruptcy judges sit at the right hand of GOD. In one quick motion they can cancel ALL existing contracts or freeze them. Their main focus is to preserve all assets for possible satisfaction of creditors, and you bet the creditors will ask that the software be held back from any distribution. That means good-bye base contract and its escrow clause. Look at what the bankruptcy court has done for airlines – bye-bye labor contracts etc. (they could do the same for GM &amp; Chrysler…but that’s for another blog).

And by the way, even if you make sure the code is off site in the hands of an independent third party (escrow agent) the judge still can freeze it. Maybe if you ‘get wind’ the bankruptcy is coming you could try to get the code from the third party early…but the judge will make you give it back. Just like anyone that is paid by the company within the last 90 days of bankruptcy filing can be told to give the money back to the debtor. Having been both a vendor, and a buyer I’ve seen it happen.</description>
		<content:encoded><![CDATA[<p>Escrow agreements…good luck Mr. CYA.<br />
It’s maybe comforting to have an escrow agreement but the reality is they are not worth the paper they are written on. Here’s why. </p>
<p>When a software company goes belly-up the only real asset they have is the software and the client base. Meanwhile, bankruptcy judges sit at the right hand of GOD. In one quick motion they can cancel ALL existing contracts or freeze them. Their main focus is to preserve all assets for possible satisfaction of creditors, and you bet the creditors will ask that the software be held back from any distribution. That means good-bye base contract and its escrow clause. Look at what the bankruptcy court has done for airlines – bye-bye labor contracts etc. (they could do the same for GM &amp; Chrysler…but that’s for another blog).</p>
<p>And by the way, even if you make sure the code is off site in the hands of an independent third party (escrow agent) the judge still can freeze it. Maybe if you ‘get wind’ the bankruptcy is coming you could try to get the code from the third party early…but the judge will make you give it back. Just like anyone that is paid by the company within the last 90 days of bankruptcy filing can be told to give the money back to the debtor. Having been both a vendor, and a buyer I’ve seen it happen.</p>
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	<item>
		<title>By: CDiff</title>
		<link>http://histalk2.com/2009/03/24/news-32509/comment-page-1/#comment-3782</link>
		<dc:creator>CDiff</dc:creator>
		<pubDate>Wed, 25 Mar 2009 15:47:27 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=1594#comment-3782</guid>
		<description>Re:Chicago weather - Inga, planning and packing for Chicago can strain anyone, but Paris provides some ideas:
http://www.nytimes.com/pages/fashion/index.html

Click On The Street A Show of Legs in Paris for some narrated inspiration on what would surely charm everyone you meet in Chicago or anywhere else for that matter.</description>
		<content:encoded><![CDATA[<p>Re:Chicago weather &#8211; Inga, planning and packing for Chicago can strain anyone, but Paris provides some ideas:<br />
<a href="http://www.nytimes.com/pages/fashion/index.html" rel="nofollow">http://www.nytimes.com/pages/fashion/index.html</a></p>
<p>Click On The Street A Show of Legs in Paris for some narrated inspiration on what would surely charm everyone you meet in Chicago or anywhere else for that matter.</p>
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	<item>
		<title>By: Cedars Insider</title>
		<link>http://histalk2.com/2009/03/24/news-32509/comment-page-1/#comment-3781</link>
		<dc:creator>Cedars Insider</dc:creator>
		<pubDate>Wed, 25 Mar 2009 13:50:45 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=1594#comment-3781</guid>
		<description>A while back someone wrote in singing praises of the recent Epic Resolute, Cadence etc deployment at Cedars Sinai in Beverly Hills.  If this project was such a success ... why have they gotten rid of most consultants/contractors that were there and are now on a mission to locate all new consultants?  All new consultants will be coming in under Deloitte?  That does not sound or look like a success.  What project can be called a success if they are looking for almost total project resource over haul? Not one that I have ever heard of.</description>
		<content:encoded><![CDATA[<p>A while back someone wrote in singing praises of the recent Epic Resolute, Cadence etc deployment at Cedars Sinai in Beverly Hills.  If this project was such a success &#8230; why have they gotten rid of most consultants/contractors that were there and are now on a mission to locate all new consultants?  All new consultants will be coming in under Deloitte?  That does not sound or look like a success.  What project can be called a success if they are looking for almost total project resource over haul? Not one that I have ever heard of.</p>
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		<title>By: Winston Zeddemore</title>
		<link>http://histalk2.com/2009/03/24/news-32509/comment-page-1/#comment-3780</link>
		<dc:creator>Winston Zeddemore</dc:creator>
		<pubDate>Wed, 25 Mar 2009 11:23:32 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=1594#comment-3780</guid>
		<description>One foot in Partners, one foot in ONC?  That gives at least the appearance of a conflict of interest.  I sure wish my organization&#039;s CIO could get such quality face time with Blumenthal.</description>
		<content:encoded><![CDATA[<p>One foot in Partners, one foot in ONC?  That gives at least the appearance of a conflict of interest.  I sure wish my organization&#8217;s CIO could get such quality face time with Blumenthal.</p>
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