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	<title>Comments on: Readers Write 10/5/09</title>
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	<description>Healthcare IT News and Opinion</description>
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		<title>By: Mark Moffitt</title>
		<link>http://histalk2.com/2009/10/05/readers-write-10509/comment-page-1/#comment-6062</link>
		<dc:creator>Mark Moffitt</dc:creator>
		<pubDate>Fri, 09 Oct 2009 03:57:40 +0000</pubDate>
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		<description>TechnologyMan:

Bullseye.  And one of the reasons I prefer to work in a smaller, rural system where tight budgets require a different approach.  

Want to see the future of healthcare IT.  Go visit an innovative healthcare IT shop in a rural, not for-profit system with razor thin margins.  There the options are innovate or do nothing.</description>
		<content:encoded><![CDATA[<p>TechnologyMan:</p>
<p>Bullseye.  And one of the reasons I prefer to work in a smaller, rural system where tight budgets require a different approach.  </p>
<p>Want to see the future of healthcare IT.  Go visit an innovative healthcare IT shop in a rural, not for-profit system with razor thin margins.  There the options are innovate or do nothing.</p>
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		<title>By: TechnologyMan</title>
		<link>http://histalk2.com/2009/10/05/readers-write-10509/comment-page-1/#comment-6055</link>
		<dc:creator>TechnologyMan</dc:creator>
		<pubDate>Thu, 08 Oct 2009 20:38:25 +0000</pubDate>
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		<description>I have worked for almost 10 years in Sales for Healthcare Technology companies and I work with both organizations that utilize ISV&#039;s comprehensive solutions and others that utilize best of breed approach.  I have also worked with CIO&#039;s from National organizations to the rural hospitals.  To the typical Rural hospital that doesn&#039;t have the pockets of HCA, Kaiser Permanente, and others, utilizing web services and pushing the limits of technology can really pay off for you to become a high performing IT shop spending less money, while ultimately providing a higher level of service to your Hospital system.  On the other spectrum, Historically there seems little motivation for some of the largest Hospital systems to challenge the ISV&#039;s.  The safe play (Job perspective), is to pay the high dollar ISV price tag on applications &amp; technology that is somewhat dated and holds back the progression of Healthcare IT and keep our heatlhcare costs on the rise.   Change is not easy, but change takes leadership in the industry and people who are willing to push the envelope, such as what Mark is providing, to improve on our current Healthcare System.  The key is when you develop, discover, and implement new solutions that work is to make sure you share with the Healthcare IT community so that others too can learn and benefit.  Ultimately, I would ask that when you select an application or technology partner, ask them if they are willing to bend to meet your Hospital systems needs, not the other way around.  Then you truly are challenging the system and encouraging change and innovation.  Just one mans thoughts.</description>
		<content:encoded><![CDATA[<p>I have worked for almost 10 years in Sales for Healthcare Technology companies and I work with both organizations that utilize ISV&#8217;s comprehensive solutions and others that utilize best of breed approach.  I have also worked with CIO&#8217;s from National organizations to the rural hospitals.  To the typical Rural hospital that doesn&#8217;t have the pockets of HCA, Kaiser Permanente, and others, utilizing web services and pushing the limits of technology can really pay off for you to become a high performing IT shop spending less money, while ultimately providing a higher level of service to your Hospital system.  On the other spectrum, Historically there seems little motivation for some of the largest Hospital systems to challenge the ISV&#8217;s.  The safe play (Job perspective), is to pay the high dollar ISV price tag on applications &amp; technology that is somewhat dated and holds back the progression of Healthcare IT and keep our heatlhcare costs on the rise.   Change is not easy, but change takes leadership in the industry and people who are willing to push the envelope, such as what Mark is providing, to improve on our current Healthcare System.  The key is when you develop, discover, and implement new solutions that work is to make sure you share with the Healthcare IT community so that others too can learn and benefit.  Ultimately, I would ask that when you select an application or technology partner, ask them if they are willing to bend to meet your Hospital systems needs, not the other way around.  Then you truly are challenging the system and encouraging change and innovation.  Just one mans thoughts.</p>
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		<title>By: Mark Moffitt</title>
		<link>http://histalk2.com/2009/10/05/readers-write-10509/comment-page-1/#comment-6051</link>
		<dc:creator>Mark Moffitt</dc:creator>
		<pubDate>Thu, 08 Oct 2009 15:23:47 +0000</pubDate>
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		<description>Interesting comment, &quot;suckers&quot; and &quot;get a big check.&quot;  

The kind of web services I&#039;m talking about are the one&#039;s you need to provide interoperability.  An example is: 1) provide a list of radiology reports for a patient, 2) given a unique id (accession #) return a radiology report.  And without the overhead of an HL-7 message.

I have yet to find a vendor that provides this level of interoperability using web services.

But if you know of one please post the name.  I&#039;m open to being surprised.</description>
		<content:encoded><![CDATA[<p>Interesting comment, &#8220;suckers&#8221; and &#8220;get a big check.&#8221;  </p>
<p>The kind of web services I&#8217;m talking about are the one&#8217;s you need to provide interoperability.  An example is: 1) provide a list of radiology reports for a patient, 2) given a unique id (accession #) return a radiology report.  And without the overhead of an HL-7 message.</p>
<p>I have yet to find a vendor that provides this level of interoperability using web services.</p>
<p>But if you know of one please post the name.  I&#8217;m open to being surprised.</p>
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		<title>By: Cash Cow</title>
		<link>http://histalk2.com/2009/10/05/readers-write-10509/comment-page-1/#comment-6022</link>
		<dc:creator>Cash Cow</dc:creator>
		<pubDate>Wed, 07 Oct 2009 02:26:46 +0000</pubDate>
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		<description>Web services are wonderful for people hoping to get a big check to use them.  Reality is that the big vendors have web services, there just aren&#039;t enough suckers willing to pay someone to interface using them.</description>
		<content:encoded><![CDATA[<p>Web services are wonderful for people hoping to get a big check to use them.  Reality is that the big vendors have web services, there just aren&#8217;t enough suckers willing to pay someone to interface using them.</p>
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	<item>
		<title>By: Mark Moffitt</title>
		<link>http://histalk2.com/2009/10/05/readers-write-10509/comment-page-1/#comment-6020</link>
		<dc:creator>Mark Moffitt</dc:creator>
		<pubDate>Wed, 07 Oct 2009 01:15:07 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/05/readers-write-10509/#comment-6020</guid>
		<description>Blah: Really?

From Doug Diamond:
To the article concerning web services: like so many others looking to the ‘cloud’ as the future, the author is using the term ‘web services’ without really understanding what they can offer........The article makes it sound like because you are not hosting the data yourself, you can magically make different web-based vendors talk to each other in the background, but it just isn’t so.</description>
		<content:encoded><![CDATA[<p>Blah: Really?</p>
<p>From Doug Diamond:<br />
To the article concerning web services: like so many others looking to the ‘cloud’ as the future, the author is using the term ‘web services’ without really understanding what they can offer&#8230;&#8230;..The article makes it sound like because you are not hosting the data yourself, you can magically make different web-based vendors talk to each other in the background, but it just isn’t so.</p>
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