Guest Post: Playing Games with ONC Certification February 15, 2011
Posted by gonzalezloumiet in EMR, Health Care, HIT, Technology.Tags: CCHIT, EMR, HITECH, ONC
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(This is a guest post from our friends at Software Advice.)
By: Houston Neal Houston Neal
Director of Marketing at Software Advice
(513)364-0117
houston@softwareadvice.com
“Certified” is the $44,000 buzzword prefixing electronic health records (EHR) software. To qualify for Health Information Technology for Economic and Clincal Health (HITECH) Act incentive payments, you must use an EHR that is certified by the government. Additionally, you must use a system – or systems – that offer 100% of the functional and security capabilities required to meet “Meaningful Use” criteria.
Many EHR vendors are promoting their products as “certified,” but the claim can be misleading. There are three ways they could lead you astray:
Alternative Certifications
Before the HITECH Act, two organizations certified medical software:
- Certification Commission for Health Information Technology (CCHIT) - CCHIT began certifying EHR software in 2006. Since then they have released 10 certification programs for ambulatory and inpatient EHRs.
- KLAS – KLAS is a private organization that has gathered ratings on EHRs since 1997. Every year they rank EHR vendors and bestow a “Best in KLAS” award on the top 20.
In an effort to stand out from the other 300+ EHR systems on the market, vendors widely promote their CCHIT or KLAS credentials. They may even tack the word “certified” onto their CCHIT or KLAS approved product. This muddies the water for providers. They have to distinguish between CCHIT, KLAS and certification from an ONC-Authorized Testing and Certification Body (ONC-ATCB). While CCHIT and KLAS are meaningful credentials, they’re not the certifications that qualify for incentive funds.
This is especially confusing because CCHIT is now one of six organizations approved to certify EHRs for the HITECH Act. So, if an EHR vendor claims they have CCHIT certification, you’ll need to clarify which one. Is it ONC-ATCB certification, or one of CCHIT’s independent credentials?
Complete EHR vs EHR Module
Software vendors can receive ONC-ATCB certification for a complete EHR or an EHR module. This means a product doesn’t need to meet all criteria for Meaningful Use – instead, it can be partially certified if one or more functions meet a subset of requirements. For example, a vendor could certify their e-prescribing application or their patient portal.
This under-publicized detail could cost you thousands of dollars; by itself, a certified EHR module won’t make you eligible for incentive payments. You must use two or more modular EHRs that, combined, meet 100% of the ONC criteria. So while vendors can officially promote a module as having ONC-ATCB certification, it may fall short of making you eligible.
Guaranteed Incentive Payments
Be mindful of guaranteed incentive payments. It is reasonable for a vendor to guarantee they’ll meet certification criteria. In fact, you might make it a requirement in your purchase decision.
However, guaranteeing incentive payments is altogether different. Technology alone won’t make you eligible. EHRs are just a means to an end. Ultimately, you are responsible for achieving Meaningful Use status. So be wary of this type of guarantee. Read the fine print and find out how you are reimbursed if you don’t qualify for incentive payments. Does the vendor reimburse you the full amount of lost incentive payments? Or do you just get reimbursed for the cost of the software? You shouldn’t purchase a system based on this guarantee alone.
Five Key Questions to Ask Vendors
To help you avoid these pitfalls, we put together a list of 5 questions to ask vendors. Answering these will put you in a good position to become eligible for incentive payments.
- Which certification does the EHR have: CCHIT, KLAS or ONC-ATCB? You must use an EHR that is ONC-ATCB certified in order to be eligible for incentive payments.
- Which product version has been certified? Ask the vendor for complete details of their ONC-ATCB 2011/2012 certification, including: product name and version, date certified, unique product identification number, the criteria for which they are certified, and the clinical quality measures for which they were tested.
- Does the vendor have certification for a complete EHR or an EHR module? If module, you will need to use more than one to be eligible for incentive payments. The ONC has created a handy website that allows you to build a list of EHR modules that meet 100% of ONC criteria.
- Will the vendor resubmit their EHR for final certification in 2012? The current certification is temporary and only lasts through 2011. Make sure your vendor has plans to reapply in 2012, and find out if they will certify a complete EHR or just a module.
- Are you purchasing through a reseller or other business partner that renamed the product? If so, make sure the renamed product has been approved by the ONC-ATCB. Even if it is the same version with identical features and functionality, it won’t make their Certified HIT Products List unless the original vendor reports it to an ONC-ATCB.
Read more: Playing Games with ONC Certification.
Uber Ops To Lead Florida In PHLIP ETOR Salmonella Project February 12, 2011
Posted by gonzalezloumiet in American Recovery and Reinvestment Act, APHL, Data Integration, Health Care, HIT, Interoperability.2 comments
February 12, 2011 – Tallahassee, Florida – The Uber Operations team will be leading the Florida Department of Health in the Public Health Laboratory Interoperability Project (PHLIP) – Electronic Test Order & Result (ETOR) Salmonella project.
The ETOR Salmonella project will facilitate the orders of Salmonella tests by a state public health agency/lab to the CDC. The test order will flow through the CDC Public Health Laboratory Interoperability Solutions and Solution Architecture (PHLISSA) infrastructure. Once the test is resulted in the CDC’s Laboratory Information Management System, Starlims, the result message will flow out through PHLISSA and back to the state public health agency/lab. The Florida RnR Hub will have a key role as the states will use this for message transport facilitation. Other states involved in the project are Iowa and Utah. The project is sponsored by the Association of Public Health Laboratories.
The project kicked off this past week. We look forward to leading Florida and will update this blog post as we progress throughout the year.
UberOps to Attend HIMSS11 and Newly Announced Latino Initiative Workgroup January 24, 2011
Posted by gonzalezloumiet in Health Care, HIT, NHIN, Technology.Tags: Health IT, HIMSS, Latino, ONC
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We are proud to announce that we will be participating at the HIMSS 2011 Conference in Orlando, Florida.
Also, Eduardo Gonzalez Loumiet, Managing Director for Uber Operations, is part of the host committee for the newly announced HIMSS Latino Initiative Workgroup reception, to be held on February 20th at the Orange County Convention Center. This program, which has been in the works for close to a year, will finally get an opportunity to facilitate the efforts of health IT in the underserved communities. The event will include several health care leaders, including Antonia Coello Novello, M.D. .
You can register here
If you would like to meet during the conference, please feel free to contact Eduardo at: eduardo@uberops.com .
Broadband Stimulus and the Underserved August 21, 2009
Posted by gonzalezloumiet in Broadband, Health Care.Tags: Broadband
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Some areas most in need of broadband coverage don’t qualify as "underserved" under the rules of the broadband stimulus program
Christopher Vein, chief information officer of the city of San Francisco, has some inventive ways to bring high-speed Internet access to areas of the city barely reached by broadband. He’s marshaled donated PCs and equipment and tapped excess capacity on the city’s fiber-optic network to give inner-city residents a fast connection to the Web and bring state-of-the-art health care to a clinic in one of San Francisco’s least privileged neighborhoods. In many ways, Vein is just getting warmed up; he has even bigger plans.
But as outsize as his ambitions may be, Vein won’t be in line for one of the government’s grandest plans for bringing broadband into underserved parts of the country. At least for now, San Francisco is holding off on applying for a grant under the federal government’s $4.7 billion Broadband Technology Opportunities Program, designed to encourage broadband development around the country.
It’s not that Vein doesn’t want the money, or couldn’t put it to good use. But as written, the rules governing the grants are stacked against cities like San Francisco, even though urban areas are among the places least reached by broadband and most in need of efforts like the one under way.
"I don’t want to be seen as criticizing the Administration’s efforts on the broadband problem around the country," Vein says. "I applaud its efforts. But the rules are written in such a way that it’s difficult for a city like San Francisco to meet the requirements." An Aug. 14 deadline for applicants for the first wave of funds was extended by six days after technical glitches snagged the application process.
To qualify for funding, applicants need to prove they’re catering to an "underserved" area. Yet the National Telecommunications & Information Administration (NTIA), which is overseeing the program, defines underserved as one where at least half of all households lack broadband, or where fewer than 40% of households subscribe to broadband, or a place where no service provider advertises broadband speeds of at least 3 megabits per second. In a densely populated city like San Francisco, where telecom providers like AT&T (T) and Comcast (CMCSA) widely advertise residential broadband all over the city, it’s hard to point to a place that technically meets the "underserved" definition.
Problem Goes Beyond Big Cities
Rather than apply for the first batch of grants, Vein is waiting for a later batch of funds in hopes that the rules will be changed by then. Vein is not alone in his beef with the government’s broadband program. Cities large and small are having a hard time meeting the application requirements from the NTIA. Many are delaying requests until changes can be made to the rules, says Joanne Hovis, a telecommunications consultant who sits on the board of directors of the National Association of Telecommunications Officers & Advisors (NATOA), an organization that represents chief information officers and chief technology officers in local governments. "It’s hard to see how any urban area can qualify for a grant, and that is unfortunate because the most serious needs for broadband access are in urban areas," Hovis says. "Some neighborhoods may indeed be served by commercial operators, but that doesn’t mean the service is affordable."
The problem isn’t limited to big cities. Take the case of Pulaski, Tenn., a small town of about 8,000 located some 70 miles south of Nashville. In 2007, the local power utility, Pulaski Electric, built its own fiber-optic network to serve homes and local businesses. The service, which has about 1,500 customers, is called Energize and offers 10 megabits per second plus TV and voice calling for $99 per month. Pulaski Electric CEO Wes Kelley says he’d like to expand the service to some 2,500 households in outlying rural communities.
But Pulaski runs afoul of the same "underserved" definition as San Francisco does. A patchwork of local phone, cable, and wireless companies offer varying levels of DSL and fixed wireless services, making it difficult to argue in a grant application that these areas are "underserved," Kelly says, even though some of them have no broadband service at all. "There’s a combination of hit-and-miss providers in these communities that made it too complicated, so we decided to sit out the first round and wait," Kelley says.
Monticello, Minn., a city of 12,000 located 41 miles northwest of Minneapolis, is building its own fiber-optic network, paid for by $26 million in voter-approved revenue bonds, that would link not only households in the city itself but another 4,000 people in nearby communities that are part of Monticello’s school district. There, too, a hodgepodge of services from telecom providers such as TDS Telecom (TDS) makes it difficult for the city to seek broadband stimulus money. "We thought we’d be able to use that money to extend our network to families who live outside the city whose children attend schools in the district, and put them all on an equal footing," says Jeff O’Neill, city administrator. "We were all disappointed when it became clear that we wouldn’t qualify."
Lobbying for a Change in Rules
Broadband advocates and city governments have started to lobby the NTIA for a change in the rules. A July 16 letter sent by such groups as NATOA, Consumer Union, and the Media & Democracy Coalition to NTIA Administrator Larry Strickling urged several changes to the rules, chief among them the strict requirement that areas targeted for grants meet the current "underserved" definition. "The definition has the effect of precluding any resident infrastructure program in an area where a minimal level of broadband, even first-generation DSL, is generally available," the letter says.
A spokeswoman for Federal Communications Commission Chairman Julius Genachowski said the FCC isn’t commenting on the broadband grant process. Mark Seifert, senior adviser to NTIA director Strickling, says potential applicants should nevertheless file an application and make the best case possible. He says a good way to make the case is for applicants to take surveys among the local population to see what kind of service is available. But the priority, he says, is for bringing broadband to places where it’s either not available at all or only marginally available. "We know that this program alone will not achieve the President’s goal of broadband for everyone," Seifert says. "We have limited dollars to invest, and we have a directive from Congress and the public record telling us to invest it in areas that are unserved or underserved."
Critics of the NTIA rules are also worried about a provision that allows incumbent telecom carriers to challenge grants in places where they can argue they already offer service. Seifert says that telecom carriers shouldn’t take their rights to challenge grant applications lightly. "If an incumbent wants to challenge an application, they will need to demonstrate their claims with data," he says. "We take this program very seriously and will not allow parties to game the system."
Hesseldahl is a reporter for BusinessWeek.com.
For Outsiders, Opening Doors to Health Care August 20, 2009
Posted by gonzalezloumiet in Education, Health Care, Obama.Tags: Education, Health Care, John Hopkins, Masters, Obama
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August 20, 2009
Health care may be a costly drag on the economy, but it’s still a great place to find a job.
Midcareer managers and other workers have been migrating to health care jobs for years, of course. Now, with the recession, the lure is even stronger. Hospitals, which employ more than four million people, added 135,000 jobs last year and 19,400 more in the first half of 2009, even as millions of American workers wound up unemployed.
“The demand for talented leaders in health care is only going to go up,” predicted Jane Groves, a senior vice president at Integrated Healthcare Strategies, an executive search and consulting firm in Kansas City, Mo. “All that demand can’t and shouldn’t be filled by people already working in health care.”
Frank Pinkowsky worked as a manager at DuPont for 24 years before taking a position as senior vice president for human resources at the Guthrie Clinic in Sayre, Pa. “Don’t underestimate the value of what you learned working for someone else,” he advised.
Colin Ward, a 37-year-old Baltimore hospital executive, also successfully switched careers, leaving ESPN after eight years of producing sports broadcasts. “I felt like I wanted to be contributing in some other way,” he said.
After 11 months of graduate classes in the Johns Hopkins Bloomberg School of Public Health and a year as a paid apprentice at a Baltimore hospital, he had a master’s degree in health science and management.
Mr. Ward stayed at the hospital, Lifebridge Health, for three more years and in 2007 moved to his current post at the Greater Baltimore Medical Center in Towson, Md., as director of corporate strategy. Still a big sports fan, he produces Ravens football games for WBAL radio on weekends.
The Hopkins school, which also offers a three-year master’s of public health degree, is the largest of dozens of accredited graduate and undergraduate programs in hospital management. Many managers with experience in fields like human resources, finance and marketing find a welcome in health care, with a little studying up. Online courses, books, journals and professional magazines provide material.
The American College of Healthcare Executives, based in Chicago, offers several online pages of career tips, including a two-year-old salary summary at www.ache.org. The Association of University Programs in Health Administration also lists contact information for many schools at www.aupha.org.
“We just recently recruited a vice president for human resources from the supermarket industry,” said Mike A. Helm, a senior executive at Sutter Health, a hospital chain with 45,000 employees in Northern California. Sutter hires 20 to 30 executives a year.
Health care does, of course, have its own jargon and a host of complex challenges. Managers have to know how to deal with doctors, nurses and professional groups, as well as with regulators.
“There are tons and tons of regulations, and the burden is growing,” said Dr. Steven A. Wartman, president of the Association of Academic Health Centers, a nonprofit group whose members are both research and health sciences universities that include hospitals.
The Obama administration’s $19 billion 10-year campaign to promote electronic medical records opens another huge opportunity, said Dr. Blackford Middleton, a technology research expert at Partners Healthcare in Boston. An estimated 40,000 to 160,000 additional health information professionals could be needed, he said.
Dr. Middleton is helping to develop an executive education course at the nonprofit American Medical Informatics Association and a certificate course at the Harvard School of Public Health. online, and the National Library of Medicine at the National Institutes of Health sponsors some informatics fellowships.
The industry trade association, known as Himss for the Healthcare Information and Management Systems Society, offers an array of online courses that can help technology workers move into health care. Last month, Himss established its eLearning Academy, which, it says, “offers round-the-clock, on-demand access,” allowing students to work at their own pace on subjects like clinician-focused use of information technology, I.T. customer service to the health care user, and health care I.T. strategic planning.
James Platts, 30, chose a more formal academic setting for his training in health care management and completed the joint master’s program in business and public health at the University of California, Berkeley. He now works on health-related projects in the San Francisco office of the Boston Consulting Group.
He came to Berkeley in 2006 from the White House, where he was a junior-level staff member at the National Economic Council for two years. A Harvard graduate in economics, he also put in two years at Nasdaq, studying financial and economic data.
“I thought it would be fun and interesting from a health care perspective to live in California for a few years,” Mr. Platts said, referring to California’s large-scale health care issues and solutions.
Graduates of the Berkeley program are hired at an “average salary somewhat over $100,000,” said Kristi Raube, director of the joint health management program there. Tuition has tripled since 2007, to $35,893 for California residents and $45,093 for out-of-state students pursuing the joint master’s degree.
“Of course, nobody knows what will happen with health reform,” Dr. Wartman noted. One possibility could be pressure to cut costs by freezing hiring and squeezing out management jobs at hospitals and health insurers.
But, he said, “there is a very strong push to cover more people, with a lot of implications for growth in the health care work force.” Other drivers of growth, Dr. Wartman said, include “the continued march of science and technology, as well as uninvited developments such as new diseases.”
Many in Congress Hold Stakes in Health Industry June 14, 2009
Posted by gonzalezloumiet in Health Care, Obama.add a comment
June 14, 2009
By JACKIE CALMES
WASHINGTON — As President Obama and Congress intensify the push to overhaul health care in the coming week, the political and economic force of that industry is well represented in the financial holdings of many lawmakers and others with a say on the legislation, according to new disclosure forms.
The personal financial reports, due late last week from members of Congress, show that many lawmakers hold investments in insurance, pharmaceutical and prescription-benefit companies and in hospital interests, all of which would be affected by the administration’s overhaul of health care.
The lawmakers’ stakes are impossible to quantify because the reports ask for ranges of value for each asset, and because many officials’ holdings are in stock index and mutual funds. The Senate majority leader, Harry Reid of Nevada, for example, has interests in a stock index fund for the health care sector of more than $50,000 and up to $100,000.
Representative Dave Camp of Michigan, the senior Republican on the Ways and Means Committee, one of three panels in the House with jurisdiction over health care, reported at least tens of thousands of dollars in health-related interests, including the medical technology giant Medtronic, the drug maker Wyeth and the insurance company Aetna.
In Congress, as members and aides of the three House committees continue to meet privately, the Senate health committee will begin publicly drafting and voting on its bill as soon as Tuesday. Later in the week, the Democratic chairman and senior Republican of the Senate Finance Committee, Max Baucus of Montana and Charles E. Grassley of Iowa, are expected to unveil a bipartisan plan.
Neither Mr. Baucus, from a ranching family, nor Mr. Grassley, a farmer, have major health-related holdings, their reports show.
Senator Edward M. Kennedy of Massachusetts, chairman of the health committee, has much of his wealth in blind trusts.
Senator Christopher J. Dodd, Democrat of Connecticut, leads the health committee in consultation with Mr. Kennedy. Mr. Dodd’s wife, Jackie Clegg Dodd, is a member of the board and a shareholder in several health-related companies, including Cardiome Pharma, Javelin Pharmaceuticals and Brookdale Senior Living.
Senator Tom Coburn of Oklahoma, a Republican on the health committee, is an obstetrician with income from his clinic in Muskogee. The wife of Representative Wally Herger of California, the senior Republican on the health subcommittee of the Ways and Means panel, works for Catholic Healthcare West, while the wife of Representative Joe L. Barton of Texas, the top Republican on the House Energy and Commerce Committee, works for JPS Health Network.
Mr. Obama’s chief adviser on health care, Nancy-Ann DeParle, also filed disclosure forms with the White House. Ms. DeParle, who served in the Clinton administration, went on to lucrative positions on the boards of health companies and as director of a private-equity firm with health investments, earning more than $2 million from 2008 to this year, according to forms signed on May 13.
The companies included Medco Health Solutions, a pharmacy benefits manager; Boston Scientific, a device maker; Cerner, a provider of medical information technology; and DaVita, an operator of dialysis services.
A handwritten note on the forms, dated June 4, says that “all conflicting assets have been divested.” Ms. DeParle is the wife of a reporter for The New York Times, Jason DeParle.
Janie Lorber, Ashley Southall and Jack Styczynski contributed reporting.
SAS launches BI system for Canadian health care June 1, 2009
Posted by gonzalezloumiet in Business Intelligence, Data Integration, Health Care.add a comment
The system could be useless if health-care organizations don’t improve their electronic data first, says an analyst
By Jennifer Kavur , Computerworld Canada , 05/29/2009
Sponsored by:
SAS Institute Inc. launched SAS Data Integration for Health Care, a business intelligence system for the Canadian health-care industry based on the SAS Business Analytics Framework.
The data integration and reporting system automates information aggregation and reporting across multiple sources, tracks clinical performance indicators and consolidates data from hospitals, regions and Local Health Integration Networks (LHINs).
SAS has something very sustainable and useful here because performance management in the hospital setting has been a very difficult nut to crack, said Pat Finerty, VP of Alliances and Business Development for SAS Canada.
“People know how to calculate return on investment and return on capital, but when you’re calculating mortality ratios and C. difficile infection rates and wait times and case costing, things of that nature, the calculations can sometimes run 10 to 20 pages long,” he said.
Analysts spend less time consolidating data and more time improving outcomes because SAS automates processes, according to Finerty, including 48 clinical indicators used in the Canadian healthcare system.
The centrally-managed system also helps decision support professionals meet regulatory requirements. Every time a ministry changes a requirement, hospitals have to rework all the numbers in every report that this information is used throughout their system, said Finerty.
The ability to change one calculation and have it automatically deployed throughout the system saves hours of work every time those changes occur — and they do regularly occur, he explained.
While hospitals with existing SAS systems are targeted, SAS Data Integration for Health Care is platform-independent and can work with other systems, including those from Cerner Corp.and Medical Information Technology Inc., better-known as Meditech.
Every BI vendor says its product is platform-independent and sometimes this is hard to believe, said Gareth Doherty, research analyst at Info-Tech Research Group Inc. But SAS differs from vendors like Oracle Corp., SAP AG and IBM Corp. because of the direction they are coming from, he said.
“They are what some people call pure play…SAS has always been a statistical analysis company, so in that sense, they’ve remained agnostic with respect to the platforms,” said Doherty.
SAS offers the “Cadillac of all BI suites,” according to Doherty, and recently reorganized its position in the market.
“Now they refer to their suite of applications as business analytics, as opposed to what other vendors called business intelligence. That’s a way of trying to distinguish themselves from the competition because their focus has been on the analysis,” he said.
The company strengthened its data integration capabilities by acquiring DataFlux Corp. in 2000, he noted.
SAS is trying to position data integration as the first step in moving towards their business analytics platform, which is exactly the place where organizations need to start first, said Doherty. “If you don’t have good data, you’re not going to get good analysis,” Doherty said.
Data quality is the top challenge organizations face with BI systems, according to a 2008 Info-Tech study on business analytics.
Seventy-seven per cent of organizations found data quality very challenging to maintain, while 75 per cent found the process of changing their operations — recording data, analyzing data and using the data to inform their business operations — very difficult, said Doherty.
Health-care organizations in particular face the same top challenge. According to the study, 85 per cent of health-care organizations found data cleaning and data quality to be a challenging exercise.
Part of the problem is the complexity of health records in the first place, said Doherty, which becomes particularly acute in Canada with multiple health-care providers at regional and provincial levels.
“You have lots of different data sources and some degree, but not complete standardization and when you take all that data and pull it together so you can do some performance management it becomes very difficult to get consistency in all the records,” he said.
A 2007 study by The Commonwealth Fund found only 23 per cent of Canadian physicians using some form of electronic medical health records, Doherty pointed out. At the time, 98 per cent of physicians were using electronic health records in The Netherlands, 92 per cent in New Zealand and 89 per cent in the U.K., he said.
Canada is improving on this front with programs such as Canada Health Infoway, but standardizing electronic health records are just the first step, according to Doherty. The second challenge is getting health-care workers to actually record the information in a consistent and diligent way.
“If you don’t have high-quality records, anything else you’re going to be doing is going to be compromised … If you put garbage data into a BI system, run some analysis, all you’re going to get on the other side is some garbage analysis,” he said.
Niagara Health System was the first healthcare organization in Canada to implement the SAS Data Integration for Health Care system, which also collates Discharge Abstract Database (DAD) and National Ambulatory Care submissions to the Canadian Institute for Health Information (CIHI).
The system provides “timely, detailed, accurate insights into key performance indicators,” said Teresa Struk, director of Finance and Decision Support Services for Niagara Health System, in a statement.
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Medical industry pins hopes on IT funds May 17, 2009
Posted by gonzalezloumiet in Health Care, Virginia.add a comment
Former Gov. Mark Warner said sharing medical records among providers will improve care and reduce costs.
By Sarah Bruyn Jones
981-3264
With nearly $20 billion in federal funds about to hit the world of health care information technology, Virginia’s health sector and political leadership are trying to prepare to capture their share of the money.
The money is part of the federal stimulus bill signed by President Obama in February and is intended as a financial incentive to get the health care industry to embrace using electronic medical records. Still, the timeline and details of how the money will be distributed have not been finalized.
“This represents a big leap forward for health technology, so we are excited about it,” said Virginia Secretary of Health and Human Resources Marilyn Tavenner. “We just want to be positioned to take maximum advantage of it.”
Some monies will likely go directly to the states to be distributed, while other funds will be allocated through a competitive grant process.
Tavenner said a significant amount of money coming to Virginia could boost job growth for information technology specialists as more health providers implement electronic record-keeping systems.
To help ready Virginia for coming funding, U.S. Sen. Mark Warner has arranged for a health IT summit Monday in Richmond. The national coordinator for health information technology, recently appointed by Obama, will be at the summit.
“This is going to be one of the areas that is going to drive health care reform,” Warner said.
The state will form an advisory group to help Virginia providers access the federal money and implement effective electronic medical record systems.
Between 15 and 20 people will be named to the group, including four people already named to the newly created Health Information Technology Standards Advisory Committee, which was established by the 2009 General Assembly, Tavenner said.
Warner said establishing electronic medical records in hospitals, nursing homes and physicians’ offices throughout the state will improve care and reduce costs.
“There is no reason why health care can’t get some of the efficiencies that every other field has,” he said, pointing to manufacturing and telecommunications as examples.
While the guidelines for exactly how the money will be distributed are still being worked out, Warner said he believes that cooperation between different health care providers will be the key to attracting government dollars. That includes requirements that different hospital systems and physicians’ offices be able to share information.
Warner, who has a background in telecommunications, said the system should be similar to the way cellphone companies operate: There are different providers, but a call from a Verizon phone can be received by a Sprint phone. Financial incentives will be needed to push a working system into operation, he said.
Questions remain about the security of such a system. And some medical providers don’t want to share all their data with another business due to competition in the industry.
Carilion Clinic’s chief information officer, Daniel Barchi, said it is important for system administrators to talk to each other as electronic records become the standard. Carilion began rolling out its new multi-million-dollar record system last year and has been in discussions with some other hospital systems in the state to share experiences, he said.
“The more that health IT leaders get together, the better off we are going to be,” Barchi said.
He is one of the four people already appointed to the advisory committee.
“By cooperating and choosing a common data record, there is a way we can share — with patient permission — information across all these health systems,” Barchi said. “And I think the government is doing an admirable job of putting incentives out there for the providers to make their systems more interoperable.”
The state-led efforts also focus on helping providers who don’t already have electronic medical records systems establish one. That’s because much of the federal funding will be tied to providers who already have an electronic record in use.
What’s Elevated, Health-Care Provider? May 15, 2009
Posted by gonzalezloumiet in Health Care.add a comment
Economy of language would be good for the economy.
By PEGGY NOONAN
The indecipherable language of government has actually become dangerous to the well-being of the nation. As the federal government claims ever greater powers, its language has become vague to the point of meaningless and meaningless to the point of menacing.
The other day I was watching “Morning Joe” on MSNBC, and Kathleen Sebelius, the secretary of health and human services, came on from Washington to talk about health care. A reporter on the set, Andrew Ross Sorkin of the New York Times, asked a few clear and direct questions: What is President Obama’s health care plan, how would it work, what would it look like? I leaned forward. Finally I will understand. Ms. Sebelius began to answer in that dead and deadening governmental language that does not reveal or clarify but instead wraps legitimate queries in clouds of words and sends them on their way. I think I heard “accessing affordable quality health care,” “single payer plan vis-à-vis private multiparty insurers” and “key component of quality improvement.” In any case, she didn’t answer the question, which was a disappointment but not a surprise. No one answers the question anymore.
As she spoke, I attempted a sort of simultaneous translation, which is what most of us do now when we hear our political figures, translate from their language to ours. “Access health care” must mean “go to the doctor.” But I gave up. Then a thought crossed my mind: Maybe we’re supposed to give up! Maybe we’re supposed to be struck dumb, hypnotized by words and phrases that are aimed not at making things clearer but making them more obscure and impenetrable. Maybe we’re not supposed to understand.
I shouldn’t pick too hard on Ms. Sebelius specifically. Most people in the administration, and many in government, speak as she speaks, and have for many years. In her case there’s reason to believe it’s a quirk. A New York Times profile recently had her recalling with self-deprecating charm the time her child ran a high fever and she caused a bit of confusion by forgetting to say, “We have to go to the hospital!” and announcing instead, “This unsustainable increase in body temperature requires immediate access to a local quality health-care facility!” I made that up, but it was believable, wasn’t it?
New Class gobbledygook, which is more prevalent than ever, is also more destructive than ever because the government itself is doing more than ever. The Journal this week had a front page story reporting that the Obama administration is attempting to come up with ways, including federal regulations and “moral suasion,” to change the way employees and executives are paid in the financial services industry “including at companies that did not receive federal bailout money.” This is rather stunning, and is just one very small area of the new activism.
But back to language. Lately it is as if the American government, having decided in its programs, assumptions and philosophy to become more European, has at the same time decided it would be amusing to speak to the American people only in French.
Which would give rise to a simple and wholly understandable suspicion that the government doesn’t speak clearly about what it’s doing for the reason that they know that if people fully understood they would say, “Oh that’s not a good idea,” or, “The cost of that will kill us.”
I think there are two major but not fully formed or fully articulated fears among thinking Americans right now, and the deliberate obscurity of official language only intensifies those fears.
The first is that Mr. Obama’s government, in all its flurry of activism, may kill the goose that laid the golden egg. This is as dreadful and obvious a cliché as they come, but too bad, it’s what people fear. They see the spending plans and tax plans, the regulation and reform hunger, the energy proposals and health-care ambitions, and they—we—wonder if the men and women doing all this, working in their separate and discrete areas, are being overseen by anyone saying, “By the way, don’t kill the goose.”
The goose of course is the big, messy, spirited, inspiring, and sometimes in some respects damaging but on the whole brilliant and productive wealth-generator known as the free-market capitalist system. People do want things cleaned up and needed regulations instituted, and they don’t mind at all if the very wealthy are more heavily taxed, but they greatly fear a goose killing. Economic freedom in all its chaos and disorder has kept us rich for 200 years, and allowed us as a nation to be generous and strong at home and in the world. But the goose can be killed—by carelessness, hostility, incrementalism, paralysis, and by no one saying, “Don’t kill the goose.”
Complicating all this is the fact that so many of the Obama people seem to be extremely bright and pleasant academic types with no particular and personal knowledge of business in America. They are not messy businessmen with a love for the system that lifted them. Mr. Obama himself, like John McCain, has shown no particular interest in making money in his life, with the latter preferring military and then political glory, and the former preferring political power.
The second great fear is that the balance between those who pay taxes and those who need benefits will be left, after the great flurry, all out of whack. When this balance is deeply disturbed or distorted, when the number of those who need to take truly overwhelms those who need to make, a tipping point occurs. People become disheartened. Generations become resigned. Tiredness steps in. We will miss irrational exuberance.
Is anyone in the Obama administration watching this? If they are, they’re not saying, certainly not clearly. I continue to be astounded by how much Mr. Obama reminds me in his first few months of George W. Bush in his first few years. There is a sense with both men that they always pushed too hard, were always revolutionizing and doing “the work of generations,” as Mr. Bush put it. They appear to share an insensitivity to the delicacy of even so great a nation as ours, an inability to see limits, and to know at a certain point that what you do with a nation becomes what you do to it.
Do members of the administration speak obscurely because they can’t help themselves, or do they speak the way they speak because they really aren’t all that keen to have people understand them? Maybe they calculate that lack of clarity ensures maximum ability to maneuver. But maybe they should think less about maneuvering. They’re not helping the prevailing sense of national anxiety by speaking in a special lingo all their own. After all, it’s not their health-care system they’re reforming, it is America’s. It would be nice if America were allowed to know what exactly the plan is, and how it would work, and who would pay, and how.
As for the Republicans, the administration is giving them an opening. There could be gain in becoming the party that speaks with concrete honesty, and in a known human language, on the great issues of the day. The GOP could become the party that doesn’t make you translate, and doesn’t leave you giving up. I wonder if the party right now, for all the battering it’s experienced the past few years, is still quick enough to see an opening like this.
WebReach, Inc. Becomes Mirth Corporation April 25, 2009
Posted by gonzalezloumiet in Health Care, Mirth, Mirth Connect(TM), open source, WebReach.add a comment
New name signals expanded vision to speed healthcare interoperability following successful launch of Mirth Project, healthcare’s leading open source healthcare integration engine
IRVINE, Calif., April 24 /PRNewswire/ — WebReach, Inc., a leader in open source healthcare information technology products and consulting services, today announced its new company name, Mirth Corporation (Mirth). Mirth is dedicated to helping healthcare organizations – including Health Information Exchanges (HIEs), hospitals, clinics, pharmacies, and clinical laboratories – successfully achieve interoperability-driven improvements in care at a fraction of the time and cost of existing commercial or homegrown data interface solutions.

New Web Site
In 2006, WebReach founded the open source Mirth project, incubated its code base, and has served as its corporate sponsor and primary source of professional support and related consulting services since the project’s inception. Since that time, Mirth has become the most widely downloaded open source software for healthcare data integration, achieving over 60,000 worldwide downloads since its launch. The Mirth contributor and user community now stands at over 6,000 registered users. Mirth healthcare integration software and appliances are in production use within leading HIEs and hospital systems across the U.S. and UK.
The latest version of the Mirth integration engine, called Mirth Connect(TM), enables healthcare organizations to quickly and securely move laboratory data, radiology images, prescriptions, and continuity of care records to points of care within the organization and across the healthcare community. It can be downloaded and easily integrated into an organization’s information environment or run on purpose-built Mirth Appliances that provide out-of-the-box interoperability with minimal installation complexity. Customers have used Mirth Connect to rapidly build data exchange interfaces with health information technology leaders like Cerner, Epic, Siemens, McKesson, GE, Allscripts, NextGen, Sage Software and many others.
Current national and regional initiatives to promote physician and hospital adoption of electronic health records, including the $19B health information technology component of the U.S. economic stimulus package just signed into law by President Obama, create the risk of “information silos.” Mirth facilitates and simplifies information exchange allowing critical patient information to flow among clinicians and across healthcare communities – supporting data-driven clinical decision support and effective care collaboration. “Patients arriving in a care setting, such as an Emergency Department, benefit when doctors and nurses have relevant data at their fingertips to support time urgent care decisions,” said Jon Teichrow, co-founder and president of Mirth. “Mirth Connect helps make that happen at a cost that’s affordable for the smallest community hospitals and clinics as well as the largest regional health information exchanges” added Teichrow. “We’ve seen clients go from zero to live with Mirth-powered data interchanges in days to weeks, not months to years.”
Mirth Connect supports all major healthcare data interchange standards, including HL7, X12, DICOM, NCPDP, and even XML. “As standards-based, open source software, Mirth Connect dramatically reduces up-front cost for hospitals, clinics and HIEs and eliminates vendor lock-in. With full certification and backing, it offers healthcare CIOs the benefits of both open source software and commercial-grade support. We also offer security hardened information appliances and full turnkey hosting. Consequently we’re seeing more and more institutions make the switch from older interface engines to Mirth – lowering their total cost of ownership and harnessing the power of data in their legacy systems” said Teichrow.
About Mirth Corporation
Mirth is a global leader in commercial open source products and services powering healthcare interoperability. Mirth also delivers information technology consulting, hosts high availability secure applications. Mirth solutions are used daily by thousands of health professionals and institutions worldwide to streamline care management processes and to securely exchange health information. The Mirth Project represents the first in a series of Mirth initiatives aimed at transforming health information technology by making high-value information technology utilities available to the healthcare community on an open source basis. For more information visit www.MirthCorp.com.
SOURCE Mirth Corporation






