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Monday Morning Update 6/24/13

June 22, 2013 News 2 Comments

6-22-2013 4-19-14 PM

From Over Overlake: “Re: Overlake Hospital & Medical Center, Bellevue WA. Recently went live on Epic and is conducting a RIF by reposting its jobs and requiring current employees, including those supporting and installing Epic, to reapply for their jobs. Estimates are they will eliminate 10-15 percent of the IT workforce. The CIO is on a month-long leave while the RIF takes place.” Unverified.

6-22-2013 4-37-16 PM

From Robot Ghost: “Re: Duke University Hospital. Live on Epic as of Saturday morning.” Verified, according to the forwarded e-mail.

6-22-2013 2-46-54 PM

Respondents aren’t impressed with the EHR Developer Code of Conduct, with the vast majority saying it won’t have any effect on anything. New poll to your right, inspired by Ed’s “Bank Life, Not Vacation Days” post: do you take all the paid time off provided by your employer in a given year? I admit that I don’t, meaning my PTO days roll to the long-term bank and I’ll never get them back.

I have HIStalk Webinars scheduled through the end of the year and need more CIO reviewers to spend about 45 minutes reviewing a recorded Webinar rehearsal and providing feedback to the presenter. I’ll send you a $50 Amazon gift certificate and my thanks. Let me know if you are interested.

With Friday’s official start of summer, the industry takes a collective break and legitimate news tapers off until September. HIStalk articles will sometimes be shorter (like this one), but you aren’t missing anything. I just refuse to waste your time padding out the posts with junk news cleverly written to sound important.

6-22-2013 3-26-29 PM

Welcome to new HIStalk Platinum sponsor Clinical Architecture. The Carmel, IN-based company provides solutions that overcome healthcare’s terminology-related barriers. Those challenges include translating the terms within Continuity of Care Documents for Meaningful Use using structured and coded information (lab to LOINC, meds to RxNorm); mapping local terminologies specific to users or departments; handling translation ICD-10; and meeting PQRS/NQF quality reporting by identifying patients using normalized information and a standard coded vocabulary. The company’s approach with its high-performance, self-monitoring Symedical Server is to normalize (with its Cognition Engine), standardize (Coordination Engine), correlate (RelationSense Engine), and interpret (Sift Engine). Behind the scenes, Symedical Server handles high performance run-time APIs, a messaging and communications framework (including an iPad app), content distribution, a domain designer for custom content domains, and tools for searching and collective reasoning. Customers include providers and HIEs (semantic interoperability, quality reporting, and aggregating clinical and administrative data), HIT vendors (meeting Meaningful Use requirements and managing terminology content), and payors (analytics and improving efficiency). Everything in healthcare revolves around terminology and Clinical Architecture’s solutions enable the efficient and semantically accurate exchange of actionable healthcare data. The company is running a Share Your Healthcare Terminology Dream or Nightmare contest just for HIStalk readers, with winners receiving a Windows Surface Pro. Thanks to Clinical Architecture for supporting HIStalk.

Here’s a new YouTube video from Clinical Architecture that describes healthcare terminology challenges.
6-22-2013 3-12-17 PM 

Miami Valley Hospital (OH) CIO Mikki Clancy is promoted to COO.

6-22-2013 4-57-43 PM

Former AirStrip VP Connie McGee launches Evolve Women, a career development website for women.

The “Race for Heroes” 5K race in Alpharetta, GA raises $100,000 for job training for veterans and their spouses. MedAssets and Hire Heroes USA were the sponsors.

Catholic Health Initiatives chooses QuadraMed, now owned by Canada-based Constellation Software, to provide data consolidation services. 

6-22-2013 4-29-08 PM

Creative Skills for Life, along with NHS England, is running a contest that offers $154,000 in prizes to developers of 10 prototype apps that support young people in the UK who have life-threatening and limiting medical conditions.

I’m really enjoying Vince’s HIS-tory of Epic, including his Part 3 installment.


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

More news: HIStalk Practice, HIStalk Connect.


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Currently there are "2 comments" on this Article:

  1. Does anyone know if the Overlake implementation went over budget?

    I usually see Epic take additional IT staff to support the system over the long term, included in the contract for the discounted maintenance rate, but it is different to see a cut so soon unless the implementation was over budget or the finance people saw that they could not support the ongoing cost.

  2. Overlake implementation did not go over budget, quite a bit under as a result of the high turnover before project completion. I chalk it up to inexperienced leadership making poor planning and execution decisions time and time again. IT was completely isolated from the Epic installation, with a very small (less than 10) ‘Technical’ team designated as part of the project. All other roles (80+) designated as ‘clinical’ to help with the build are the ones being reduced.

    The CIO had very little involvement in the project at all and has fallen to what I would call a demotion as well, reporting no longer to the CEO but rather another Sr. VP of Operations who now controls both the clinical and technical aspects.

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Reader Comments

  • Sam Lawrence: Except in this case, coding = medical billing, not development. Though the same warning may be true...
  • BeenThere: Partners will find the savings from their cuts of coders as fools gold. There are a lot of hidden costs running an outs...
  • JC: If there is not there can be. VistA has a reference lab interface that can create the manifests/labeling and such as we...
  • Tom Cornwell: Great stuff from Dr. Jayne as usual. One small typo, last sentence of second-to-last paragraph: should be 'who's' not 'w...
  • HIT Observer: What I find most interesting here, is people defending their common practices rather than truly taking this as invaluabl...
  • Bob: There's no incentive for the provider to spend time doing a price comparison for the patient. Nor is it a good use of th...
  • Peppermint Patty: Veteran - can you clarify what was "fake "? Was something made up (definition of fake) or did you disagree with Vapo...
  • Pat Wolfram: Such a refreshing article. Thanks -- there really can be a simpler version of an acute HIT implementation. But I do ...
  • Woodstock Generation: Bravo to HIStalk's Weekender recaps and other news/opinions. I read it first thing on Monday mornings..................
  • Veteran: #fakenews...

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