Half of readers from hospitals say their CIO reports directly to the CEO, with a fairly even split of the remainder reporting to the CFO and COO. New poll to your right, for providers: if an HIE’s technology platform is owned by an insurance company (as in Axolotl and Medicity), would your organization be less likely, more likely, or equally likely to participate in that HIE? Click the Comments link on the poll to add yours.
The president of the Australian Medical Association says the government’s EHR efforts should focus on making information available to doctors in real time: labs, rads, meds, and discharge summaries.
Trustees of Campbell County Memorial Hospital (WY) vote to buy themselves iPads and 3G accounts, claiming their $15,000 hospital cost will save time and copying expense. Otherwise, it’s an all-paper hospital, with CPOE and ED order entry “in the mill.” That jibes with my personal experience: electronic executive toys (and the IT support to keep them running) are always of highest priority, with no justification required except, “These are cool … we want them.”
A CDC survey finds that around half of physician practices uses EMRs, but only 25% of practices use a system that meets “basic system” functionality, with just 10% using a “fully functional” EMR that includes medical history, drug interaction checking, e-prescribing, electronic ordering of lab and radiology tests, and viewing electronic images. Still, the use “fully functional” EMRs has gone from 3.1% to 10% since 2006. Laggard states include Kentucky, Louisiana, and Florida, in which more than 60% of physicians in practice do not use any form of EMR. Leading the pack is Utah, with 51.5% of office-based doctors having access to a basic EMR.
Children’s Dayton chooses Medicity’s Novo Grid for exchanging information with its physicians and partners.
An EMT who took a crime scene photo of a dead woman and posted it on his Facebook avoids jail time, but is sentenced to 200 hours of community service and the permanent loss of his EMT license. His attorney blamed the man’s “raw sense of humor.” Social networking may also have been involved in the woman’s death: her parents say she was killed after an enemy spread false rumors on MySpace that she was romantically involved with the man who was eventually convicted of killing her over the incident.
The Army is testing the AHLTA EMR on mobile devices that include the iPad, iPod Touch, iPhone, Sprint HTC EVO, and Samsung Epic.
An ortho tech at Memorial Medical Center (CA) is arrested and charged with stealing 23 computers from the hospital.
An interesting WikiLeaks disclosure: drug company Pfizer hired investigators to check out Nigeria’s attorney general, hoping to uncover evidence of corruption that would force him to resign. A Nigerian state had sued the company for $2 billion, claiming its testing of meningitis drug Trovan there had killed 11 children (it was later heavily restricted in the US and banned in Europe). Pfizer settled for $75 million in July, but the AG had already been removed after corruption articles were run in local newspapers.
Above is a good interview with Stuart Rosenberg, MD of Beth Israel Deaconess Physician Organization, which just signed an “Alternative Quality Contract” with Blue Cross that pays the group a fixed amount for its HMO patients. He was paid over $700K in the organization’s most recent tax return, which despite being an ample income, doesn’t seem all that excessive considering what non-clinical hospital executives make.