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September 24, 2015 Headlines 4 Comments

CMS Has Updated Systems and Supported Stakeholders’ Efforts to Use New Codes

The CMS GAO publishes a report on its investigation of the preparations made by CMS ahead of the ICD-10 transition, concluding that the agency will not truly know how prepared it is until it starts processing claims.

The breakdown of costs of Addenbrooke’s Hospital’s £200m Epic IT system

The Cambridge University Hospitals NHS Foundation Trust has been put on special measures “after over-spending an average of £1.2m a week, in part due to its new online patient-record system, which has been fraught with problems.”

OPM says 5.6 million fingerprints stolen in cyberattack, five times as many as previously thought

The Office of Personnel Management reports that 5.6 million fingerprints were stolen in its recent data breach, updating its original estimate of 1.1 million by more than five times.

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Currently there are "4 comments" on this Article:

  1. #addenbrooke’s

    “The Epic system implementation has all of the hallmarks of yet another public-sector IT disaster”

    Is deinstallation in the future? Many Epic men and women flying across the pond to mitigate this disaster.

    Who said that Stanford solved all of its problems, exactly?

  2. RE: Epic….. What kind of prospective vendor has that amount of clout? As a sales person who competes against Epic I have had four CIO’s, a few VP’s and one CFO all say to me some form of “All my doctors want Epic but they can never tell me why.” I have heard this over and over again for years. Then even after demonstrations are graded and Epic finishes 2nd or 3rd there always seems to be a core group of influential Doctors and executives who dig their heels in and insist Epic is the best option. In one case the physician demonstrator from the larger hospital that would be hosting the Epic system for the smaller community hospital told the group that their system had become over customized over the past few years and was causing major issues. As such they were seeing things in the demonstration that most likely wouldn’t be there by the time they went live. Even after it was made crystal clear by a peer in the know that they were looking at a system that would be different, with no idea of what they would eventually get, the key physicians still insisted that they move forward with Epic. I am of the opinion, and so are many hospital executives I talk to, that the smartest thing Epic has done is to create the air of exclusivity while at the same time forcing the hospitals to pay to ensure their clinicians are fully trained on the system. This has created a comfort level among users that has translated in to a reputation for being the best system regardless of other mitigating factors. I think it boils down to Epic positioned itself the best for the new era of EHR’s being a clinician decision instead of being a IT decision and there are a lot of hospital executives who fear losing their revenue stream doctors more than they fear overpaying for a EHR system.

  3. re: Epic. It’s what software is driving Epicare that makes big institutions gravitate to their EMR, and that’s InterSystems Cache. Even TPD! is using InterSystems HealthShare/Cache for an ICD-10-CM/PCS backward mapping software solution for institutions!


  4. I think we’ll actually find that the Epic implementation at Cambridge is what helps them excel for the future. The trending on the CQC report in England is that it was terribly unfair and political.

    No mystery in the US that the vast majority of Epic sites are excelling at margin, quality measures and meaningful use.

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