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	<title>Comments on: News 10/7/09</title>
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	<link>http://histalk2.com/2009/10/06/news-10709/</link>
	<description>Healthcare IT News and Opinion</description>
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		<title>By: hitgal</title>
		<link>http://histalk2.com/2009/10/06/news-10709/comment-page-1/#comment-6035</link>
		<dc:creator>hitgal</dc:creator>
		<pubDate>Wed, 07 Oct 2009 15:13:07 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=3065#comment-6035</guid>
		<description>Dr. Adelstein writes: &quot;A simple Internet search turns up a plethora of complaints and reports of lawsuits regarding the effectiveness of Cerner’s software and, more important, its failure to provide requested support. The pattern of receiving untested software has been a recurring problem at this institution. Three years ago, the radiology department dropped a Cerner software program because it was seriously flawed. I always admired the courage of the radiology chairman for cutting his losses. Most institutions become so financially committed to Cerner they cannot get out without admitting they made a serious administrative blunder.&quot;

I reported in a comment several days ago that there was more to the Missou deal. 

Missou must have an IRB to supervise experiments using  untested patient and workflow  management software on patients.

Cerner has a cluster of these &quot;committed&quot; hospitals offering up their patients for Neal&#039;s experiments.</description>
		<content:encoded><![CDATA[<p>Dr. Adelstein writes: &#8220;A simple Internet search turns up a plethora of complaints and reports of lawsuits regarding the effectiveness of Cerner’s software and, more important, its failure to provide requested support. The pattern of receiving untested software has been a recurring problem at this institution. Three years ago, the radiology department dropped a Cerner software program because it was seriously flawed. I always admired the courage of the radiology chairman for cutting his losses. Most institutions become so financially committed to Cerner they cannot get out without admitting they made a serious administrative blunder.&#8221;</p>
<p>I reported in a comment several days ago that there was more to the Missou deal. </p>
<p>Missou must have an IRB to supervise experiments using  untested patient and workflow  management software on patients.</p>
<p>Cerner has a cluster of these &#8220;committed&#8221; hospitals offering up their patients for Neal&#8217;s experiments.</p>
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		<title>By: S Silverstein</title>
		<link>http://histalk2.com/2009/10/06/news-10709/comment-page-1/#comment-6034</link>
		<dc:creator>S Silverstein</dc:creator>
		<pubDate>Wed, 07 Oct 2009 14:31:12 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=3065#comment-6034</guid>
		<description>Re:  &quot;The medical school’s administrative residency program is on probation and is undergoing critical review; a major factor is that the Cerner system is so cumbersome that resident training is compromised&quot;

Resident training is inherently risky as-is due to inexperience and exhaustion(e.g., remember the Libby Zion case?)

If HIT compromises resident training, it also likely compromises patient care.  Enterprising malpractice lawyers might want to buy some of the clinical data Cerner&#039;s seliling to pharma to see if there&#039;s gold in the data regarding compromised patient care...

My full thoughts on sale of patient data by HIT vendors to third parties is now at http://tinyurl.com/hit-trafficking

Can anyone provide examples of contract language from any HIT vendor that allows the sale of HIT-based data to occur?</description>
		<content:encoded><![CDATA[<p>Re:  &#8220;The medical school’s administrative residency program is on probation and is undergoing critical review; a major factor is that the Cerner system is so cumbersome that resident training is compromised&#8221;</p>
<p>Resident training is inherently risky as-is due to inexperience and exhaustion(e.g., remember the Libby Zion case?)</p>
<p>If HIT compromises resident training, it also likely compromises patient care.  Enterprising malpractice lawyers might want to buy some of the clinical data Cerner&#8217;s seliling to pharma to see if there&#8217;s gold in the data regarding compromised patient care&#8230;</p>
<p>My full thoughts on sale of patient data by HIT vendors to third parties is now at <a href="http://tinyurl.com/hit-trafficking" rel="nofollow">http://tinyurl.com/hit-trafficking</a></p>
<p>Can anyone provide examples of contract language from any HIT vendor that allows the sale of HIT-based data to occur?</p>
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		<title>By: Mr. Canon</title>
		<link>http://histalk2.com/2009/10/06/news-10709/comment-page-1/#comment-6032</link>
		<dc:creator>Mr. Canon</dc:creator>
		<pubDate>Wed, 07 Oct 2009 13:52:20 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=3065#comment-6032</guid>
		<description>Anodyne is popular among GE/IDX sites for their dashboard/scorecard technology - appears to be based on Adobe Flex technology....users seem to like the fancy front-end. Developers appreciate their experience with the GE/IDX system, but the data model and metric definitions are mostly fixed and lack integration to organizational targets/benchmarks.  

A.H. might get audience with former Groupcast sites but Flowcast/Centricity Business would seem to be a reach?</description>
		<content:encoded><![CDATA[<p>Anodyne is popular among GE/IDX sites for their dashboard/scorecard technology &#8211; appears to be based on Adobe Flex technology&#8230;.users seem to like the fancy front-end. Developers appreciate their experience with the GE/IDX system, but the data model and metric definitions are mostly fixed and lack integration to organizational targets/benchmarks.  </p>
<p>A.H. might get audience with former Groupcast sites but Flowcast/Centricity Business would seem to be a reach?</p>
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		<title>By: Suzie, RN</title>
		<link>http://histalk2.com/2009/10/06/news-10709/comment-page-1/#comment-6030</link>
		<dc:creator>Suzie, RN</dc:creator>
		<pubDate>Wed, 07 Oct 2009 13:28:04 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=3065#comment-6030</guid>
		<description>&quot;Kathleen Sebelius tells Cerner and its customers that President Obama thanks them for being “a health partner in this ongoing battle.” &quot;

Of course she would heap praise.  Her buddy pal chum former Cerner trustee  deParle is the reform czar. 

Did Sebelius express concerns about the safety, efficiency, and reliability of the medical equipm,ent Cerner is using to gather the data?</description>
		<content:encoded><![CDATA[<p>&#8220;Kathleen Sebelius tells Cerner and its customers that President Obama thanks them for being “a health partner in this ongoing battle.” &#8221;</p>
<p>Of course she would heap praise.  Her buddy pal chum former Cerner trustee  deParle is the reform czar. </p>
<p>Did Sebelius express concerns about the safety, efficiency, and reliability of the medical equipm,ent Cerner is using to gather the data?</p>
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		<title>By: Arkay1</title>
		<link>http://histalk2.com/2009/10/06/news-10709/comment-page-1/#comment-6027</link>
		<dc:creator>Arkay1</dc:creator>
		<pubDate>Wed, 07 Oct 2009 11:17:17 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=3065#comment-6027</guid>
		<description>Surprised you didn&#039;t cover this earth shaking announcement:
&quot;CHIME, in partnership with Castle Worldwide, a leader in certification solutions, has developed the first Certified Healthcare CIO Program. Created for health care CIOs, by health care CIOs, this credential will allow leaders in the industry to quickly and easily identify themselves.&quot;

LOL!
If they can&#039;t identify themselves why don&#039;t they just wear name tags?

[From Mr. HIStalk] I covered it &lt;a href=&quot;http://histalk2.com/2009/07/18/monday-morning-update-72009/&quot; rel=&quot;nofollow&quot;&gt;at length&lt;/a&gt; when it was announced in July. I share your cynicism.


&lt;blockquote&gt;CHCIO is much like CPHIMS: pass a test and you are in, but in CHIME’s case, you have to already have been a CIO for three years or more (so maybe the point is to unmask those poser CIOs who really weren’t qualified after all?) Obviously CHIME gets the same benefits that HIMSS does: certification generates revenue, makes the organization look like the de facto authority, and locks certificants into further revenue-generating renewals and conference attendance. It seems pointless to me – if you’ve got three years of CIO experience, I doubt slapping a credential nobody’s heard of after your name is going to impress anyone further (especially potential employers or peers). Certification often appeals to those lacking academic credentials, but there is no excuse for someone holding a six-figure CIO job not to have a master’s degree, given the plethora of convenient, cost-effective offerings widely available (I did it myself for one of my degrees while working two jobs and writing HIStalk, so I don’t buy the “I don’t have time” excuse). Still, for the insecure folks looking for a vanity credential that demonstrates what you already know instead of studying something new to earn a recognized degree or graduate certificate, you’ve got a new option. I’m thinking of launching my own certification, Designated In Primary Study of Healthcare Information Technology. I think the acronym would look real nice on a business card.&lt;/blockquote&gt;

</description>
		<content:encoded><![CDATA[<p>Surprised you didn&#8217;t cover this earth shaking announcement:<br />
&#8220;CHIME, in partnership with Castle Worldwide, a leader in certification solutions, has developed the first Certified Healthcare CIO Program. Created for health care CIOs, by health care CIOs, this credential will allow leaders in the industry to quickly and easily identify themselves.&#8221;</p>
<p>LOL!<br />
If they can&#8217;t identify themselves why don&#8217;t they just wear name tags?</p>
<p>[From Mr. HIStalk] I covered it <a href="http://histalk2.com/2009/07/18/monday-morning-update-72009/" rel="nofollow">at length</a> when it was announced in July. I share your cynicism.</p>
<blockquote><p>CHCIO is much like CPHIMS: pass a test and you are in, but in CHIME’s case, you have to already have been a CIO for three years or more (so maybe the point is to unmask those poser CIOs who really weren’t qualified after all?) Obviously CHIME gets the same benefits that HIMSS does: certification generates revenue, makes the organization look like the de facto authority, and locks certificants into further revenue-generating renewals and conference attendance. It seems pointless to me – if you’ve got three years of CIO experience, I doubt slapping a credential nobody’s heard of after your name is going to impress anyone further (especially potential employers or peers). Certification often appeals to those lacking academic credentials, but there is no excuse for someone holding a six-figure CIO job not to have a master’s degree, given the plethora of convenient, cost-effective offerings widely available (I did it myself for one of my degrees while working two jobs and writing HIStalk, so I don’t buy the “I don’t have time” excuse). Still, for the insecure folks looking for a vanity credential that demonstrates what you already know instead of studying something new to earn a recognized degree or graduate certificate, you’ve got a new option. I’m thinking of launching my own certification, Designated In Primary Study of Healthcare Information Technology. I think the acronym would look real nice on a business card.</p></blockquote>
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