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Monday Morning Update 4/22/13

April 20, 2013 News 6 Comments

4-20-2013 3-56-35 PM

From The PACS Designer: “Re: iPen rumors. As we approach the middle of 2013, the focus will be on the next innovation from Apple. iPen talk is not new since there’s been a Cregle iPen 1 that’s available today for writing and and drawing on the iPad. Apple wants to enhance their version by adding a small LED that can record writing and drawing for later viewing. The other possible features of the upcoming Apple pen are the ability to plug into an iPad docking station, adding a tiny SIM card for communications, and a camera device which would make it function as an iWatch, iPod and and iPhone – all in one device.”

4-20-2013 4-26-18 PM

From Bostonian: “Re: Boston. The main activity happened about two miles from my house, unfolding directly (and I mean directly) in front of athenahealth’s headquarters and main offices in Watertown. It was the long brick building with the big windows if you watched on TV.” Jonathan Bush of athenahealth posted this letter to the company’s website, saying that the company remained “wide open for business. WIDE open” as the company told its 1,000 Watertown employees to work from home. The letter added that athenahealth believes terrorism should not be able to generate widespread fear and panic that stops society from functioning.

From Marianne: “Re: Boston. This is such a good article by Atul Gawande. As we sit in our locked homes here in the Boston area waiting for this nightmare to end, it is nice to read about how our hospitals responded so well to this attack.” The New Yorker article gives credit to the hospital incident command system for allowing a quick and effective response to the treatment needs of the victims. Many of us have gone through the yearly drills of pretending to be logistics officer and making fun of wearing our yellow vests or writing down messages on paper to communicate with our pretend incident teams. The thing is, incident command systems work when they need to – it all comes back in the crisis.

From Blue: “Re: HIMSS scammer. A company solicited vendors to pay $5,000 to advertise in a publication that was to feature articles by Farzad Mostashari and Kathleen Sebelius and would be distributed at the HIMSS conference. Companies that paid got no further response, no printed version, and the online version has ‘lifted’ articles and ads from companies that never heard of the company. All was reported to HIMSS, which is looking into the false claim that the journal would be distributed at the conference. Vendors beware!” I notice that the welcome message from Kathleen Sebelius was stolen directly from the HHS site from comments she made at a public event, while Farzad’s alleged interview was lifted uncredited from Kaiser Health News. The companies appearing to have been ripped off in the issue I saw are Practice Fusion, iCharts MD, Availity, ChartLogic, and Accenture.  

4-20-2013 2-01-27 PM

When it comes to offering systems that are “open” in the eye of the beholder, the big winner is “none of the above,” followed by Allscripts, Epic, and basically nobody else. New poll to your right: should ONC assess an EHR vendor fee to help fund its certification programs? You can click the Comments link on the poll after voting to be more explanatory than your yes/no vote.

4-20-2013 3-51-17 PM

The first-ever HIStalk Webinar, Vendor Software Training: What Providers Should Demand, will be offered on Tuesday, May 14 from 1:00 to 1:45 PM EDT, presented by Health Technology Training Solutions. See my Webinars page for information on how HIStalk Webinars are moderated and pre-reviewed by CIOs (and me personally) for education value and presentation style. I hope to not only produce vendor Webinars that are a lot better than some of the clunkers I’ve sat through, but also to give folks who work for non-profits a way to offer their presentation to the HIStalk audience at no cost to themselves since I’m paying for the infrastructure and would like to see it used.

The Nashville business paper profiles Applied Health Analytics, a Vanderbilt partner that offers population health management tools, with special emphasis on hospitals that form relationships with big employers.

Cerner and Ciber will offer application management and hosting services to Infor’s healthcare customers.

Indiana’s HIE will spin off a for-profit company to market its HIE platform that was developed by Regenstrief.

UPMC files suit against Pittsburgh Mayor Luke Ravenstahl, claiming that his challenge of the health system’s non-profit status is “a campaign to target and damage UPMC.” The city’s attorney replied, “It is unclear to me how asking a court to make a determination whether UPMC is or is not an institution of purely public charity is a violation of its constitutional rights. The painfully obvious bottom line is that the last thing UPMC wants is judicial scrutiny of its non-charitable agenda.”

4-20-2013 3-07-23 PM

Weird News Andy wonders how this hospital’s health marketing campaign was approved. A North Carolina hospital pulls the plug on its campaign intended to create community health awareness, purely because of its tag line, “Cheat Death.” The hospital said the phrase worked to generate discussion and awareness, but thinks it can do better in sending a message of community unity.

Vince covers the HIS-tory of GE Healthcare in Part 1 this week.


Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.


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Currently there are "6 comments" on this Article:

  1. Kudos to the life savers in the field, in the emergency rooms, in the operating rooms, and in the hospital wards.

    The bulk of the life saving work was using low tech, interestingly, basic first aid at the blast site, ie using direect pressure and shirts and belts as tourniquets to stop profuse bleeding from the horrific injuries.

    There was a high tech glitch reported by CNN, involving the EMR misidentification of at least one patient at MGH, adding to the distress and misery to the family of one of the deceased. The family was told their loved one was alive. Then, they found out that the name was wrong in the EMR.

    Does anyone know anything more about this and how it happened?

  2. re “Stay open. Don’ freeze up”. See last sentence. Takes real courage and real humanity to say a thing like that. Jonathan is the Bush capable of world leading…

  3. I would be very interested to know from interoperability experts more about what they would like to see in vendor systems (e.g. Epic) in terms of “openness ” and examples of why the vendors claims do not hold up.

    Are you looking for all HL7 transactions? (And is the problem problematic localization of standards)?

    Access to all data in system for reporting and extract (is the problem that Clarity doesn’t really do this?) …

    Service oriented architecture (is the problem that you would be putting in security holes by giving direct access to functionality and data?)

    Inclusion of foreign data in their data repositories? (Is the problem that vendor would have very difficult support problems if this were allowed?

    Got no dog in the hunt – but hear this issue so often, it’s got me intensely curious… is experts can weigh in I and other readers would be grateful I’m sure

  4. It was not a high tech glitch. If I recall correctly, the article stated that the person was identified by an article she was carrying with the other victim’s name on it. I did not immediately find the article when I searched for it, so sorry no link.

  5. ” Campbell’s family was dealt a double shock in the wake of the deadly marathon attack. The Campbells were initially told their beloved daughter was wounded in the attack, only to find out later that there was a horrific mixup and she was dead. Hospital officials got it wrong at first because Campbell’s friend, who was wounded but survived, was apparently carrying her ID. ” – New York Daily News.


    @Jenny Dimento – New York Daily News was the first to report this story, and conduct an interview with the family so I posted the original article for you to read. Below you will find the piece CNN did that you referenced. It also contains no mention of an EHR bug or a software issue or a computer issue of any sort in MGH’s ED that day. It was undoubtedly a hectic scene but the root cause of this patient’s misidentification had nothing to do with an EMR bug. I truly hope you were not trying to repurpose this very sad story to support an anti-EHR personal opinion you may carry.


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  2. "Ascension Via Christi sent several ICU nurses home after they raised concerns about inadequate staffing." Nice. That'll show em.

  3. Thank you for sharing the full HIStory file. What a great tribute to Mr. Ciotti. “Those who cannot remember the…

  4. "Epic will roll out a “patients like this one” type tool to its users in Indiana this summer. It will…

  5. I don't see Cerner winning employee satisfaction surveys. I can't see VHA pivoting to Epic. It's going to be some…

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