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Presentation for ELR National Task Force September 28, 2011

Posted by gonzalezloumiet in EMR, HIT, Technology.
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On October 4, 2011, Eduardo Gonzalez Loumiet will present to the ELR National Task Force. Eduardo will present on the PHLIP RnR Hub. The presention, which will be conducted via webinar will focus on: RnR today and tomorrow, with emphasis on the different projects that used the RnR Hub for secure message transport and routing like: PHLIP Electronic Surveillance Message (ELSM), Pandemic Influenza Project, ETOR Salmonella, and the Florida Dept of Health’s ELR Program.

Web Conference Details:

National ELR Working Group Call

  • Tuesday October 4, 2011, 10-11 Pacific, 1-2 Eastern
  • CONNECTION INFO:
  • AUDIO (Note the new number): Dial 1-866-816-5393  Passcode: 55565077
  • VISUAL: Please pre-register for the webinar at https://www2.gotomeeting.com/register/452472195

Florida Trend – Uber Operations: Healthcare Innovators April 30, 2011

Posted by egonzalezloumiet in Health Care, HIT, Technology.
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We are honored to be mentioned in Florida Trend’s May 2011 issue as one of Florida’s Healthcare Innovators. It is is a testament to our team’s hard work & dedication.

(online version)

Guest Post: Playing Games with ONC Certification February 15, 2011

Posted by gonzalezloumiet in EMR, Health Care, HIT, Technology.
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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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.



UberOps to Attend HIMSS11 and Newly Announced Latino Initiative Workgroup January 24, 2011

Posted by gonzalezloumiet in Health Care, HIT, NHIN, Technology.
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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 .

Top 10 Tech Skills That Stand Out July 16, 2009

Posted by gonzalezloumiet in Technology.
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By Brittany Ballenstedt 07/15/09 03:40 pm ET

A recent survey by Dice.com found that hiring managers are having a difficult time finding job applicants with skills and experience related to the security, efficiency and cost effectiveness of technology, specifically to fill talent voids in areas like networks and databases, and strategies like virtualization and collaboration. "At a time when certain job openings prompt a wave of responses, managers need a way to identify the most serious contenders, just as candidates need a way to demonstrate their skill in a particular technology," the survey states. "For both, certifications are a key element."

While direct experience is key to landing a technology job, Dice says, here are the top 10 skills and certifications that can make applicants stand out:

1. Security
2. Virtualization
3. Java/J2EE
4. SAP
5. .net
6. Database Administrators/Administration
7. Oracle
8. Active Federal Government Security Clearance
9. Project Manager/Management
10. Sharepoint

 

Source: http://wiredworkplace.nextgov.com/2009/07/tech_skills_that_stand_out.php

Tech Industry Remains Vital to Florida’s Economy April 2, 2009

Posted by gonzalezloumiet in Florida, Technology.
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Tech Industry Remains Vital to Florida’s Economy
By TechAmerica – 4/2/2009

TechAmerica, formed by the merger of AeA and the Information Technology Association of America (ITAA), today released its 12th annual Cyberstates report, which includes a first-ever supplement with a 3rd and 4th quarter breakdown of 2008 tech employment. Fourth quarter data show the tech industry’s resilience compared to the U.S. economy as a whole, having sustained only a 0.6 percent drop in employment, or 38,000 jobs, in Q4 2008 when total private-sector employment declined by 1.3 percent.

The high-tech industry has added 382,900 jobs to the U.S. economy over the last four years. The industry added 77,000 net jobs in 2008, for a total of 5.9 million workers. This was on top of 79,600 added in 2007, 139,000 in 2006, and 87,400 in 2005.

The Cyberstates 2009 report — which details national and state trends in high-tech employment, wages, and other key economic factors for all 50 states, the District of Columbia, and Puerto Rico — shows that Florida remained the 4th ranked cyberstate employing 280,300 workers with a total payroll of $19 billion in 2007, the most current year for which state data is available. Florida’s computer systems design and related services sector gained 4,100 net jobs.

“The technology sector is critical to Florida’s economy,” said Maryann Fiala, Executive Director, TechAmerica Florida. “The 2008 national data show that America’s tech sector is stronger and more resilient than the overall economy, and may be better positioned to stage a comeback after the recession if it can tap into the federal stimulus package, which includes significant technology infrastructure investments, to boost job creation and facilitate recovery in the Sunshine state.”

Florida experienced some volatility in its high-tech services base and high-tech employment overall in the state saw a loss of 1,700 net jobs — about one percent, in 2007.

Two other major TechAmerica cyber reports that analyze the U.S. high-tech industry: Cybercities 2009: An Overview of the High-Technology Industry in the Nation’s Top 60 Cities, and Trade in the Cyberstates 2009: A State-by-State Overview of High-Tech International Trade, are forthcoming.

Cyberstates 2009 may be purchased for $150. The quarterly supplement may be freely downloaded. Both reports may be accessed at: www.techamerica.org/cyberstates.

What does high tech mean for Florida?

· 280,300 high-tech workers in 2007 (4th ranked cyberstate)
· 1,700 jobs lost between 2006 and 2007
· High-tech firms employed 41 of every 1,000 private sector workers in 2007, ranked 32nd nationwide
· High-tech workers earned an average wage of $66,900 (31st ranked), or 72 percent more than Florida’s average private sector wage
· A high-tech payroll of $18.7 billion in 2007, ranked 7th nationwide
· 22,700 high-tech establishments in 2007, ranked 3rd nationwide

Florida’s National Industry Sector rankings:

· 1st in computer training employment with 1,600 jobs
· 3rd in communications services employment with 84,900 jobs
· 3rd in engineering services employment with 59,200 jobs

Source: Cyberstates 2009

Commentary: Technology is key to success for U.S. March 17, 2009

Posted by gonzalezloumiet in EMR, Facebook, Obama, Technology, Twitter.
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By Jared Polis
Special to CNN
Editor’s note: Rep. Jared Polis, a Democrat, represents Colorado’s 2nd District in Congress and is appearing in CNN.com’s “Freshman Year” series along with Rep. Jason Chaffetz, a Republican from Utah.

(CNN) — Technology improves our lives in so many ways — from our toasters, ovens and refrigerators at home, to our computers, fax machines and BlackBerrys at work. Technology makes once burdensome tasks easy and fun.

When I was first elected to the Colorado State Board of Education in 2000, we had to carry a big binder filled with hundreds of pages to every meeting. By 2004, the State Board had gone paperless. We even persuaded the less tech-savvy members to use laptops to pull up their information during meetings.

Fast forward to 2009.

Now that I serve in Congress, it can be really tough finding the right balance between politely following convention and trying to work as efficiently as possible for the people of Colorado.

From my own perspective, I value productivity more than tradition, but the customs of the House evolve slowly. I try to keep everything electronic.

Far from a paperless office, however, the use of electronic devices during official business is frowned upon in this institution and we are not allowed to use laptops on the floor of the House. Fortunately, I recently discovered a small room off a corner of the House floor where three networked computers are available for use between votes.

Ties must be worn on the floor and in committee. Coming from the more informal tech industry, as well as our laid-back Colorado customs, I am used to dressing casually with a turtleneck in winter and a polo shirt in summer under my suit coat. (The dress shoes are killing me.)

Creating a sustainable, economic, social and ecological environment that provides everyone the opportunity to succeed is my mission in Congress. I think that opportunity is the foundation of what makes us who we are as a nation. And a critical part of unleashing this opportunity is taking full advantage of the benefits of the Internet.

Through my own new media, online and blogging efforts, I am trying to make the work we do on Capitol Hill open and accessible to everyone. The Obama administration seems interested in doing the same.

For instance, to help bring the economic stimulus package to everyday Americans, President Obama established http://www.recovery.gov/, so people can do research, find benefits and even comment on provisions of the bill. President Obama carries a BlackBerry. The White House, in another first, has its own blog. More and more, the Internet is the tool by which Americans will recognize and capture opportunities to grow and succeed.

With my background as chairman of the State Board of Education and a school superintendent in Colorado, many readers may know by now that education is a pillar of my public policy agenda. The Internet has revolutionized this field. From the ease of research that it affords teachers and students, down to actual online course work for students of all ages, more people have access to quality learning than ever before, thanks to the Internet. Again, opportunity through innovation can change lives.

Through Web-based medical records, hospital forms and appointment reservation services, people can more conveniently access health care services. The Recovery Act that the president recently signed into law provides $19 billion for Healthcare IT upgrades to help bring new efficiencies to our health care system.

It’s funny that some consider blogs and tweets self-indulgent ego trips. In reality, they can be more humbling than anything else. If a blog falls in the forest, but no one reads it, does it make a sound? I consider blogs, Twitter, Facebook and other forms of new media to be important vehicles for transparency and accountability in government. They allow me to send out unfiltered updates about what I’m working on and receive instant feedback.

While, personally, I am firmly of the new media generation, I must remember, as Mark Twain said, to “never pick a fight with a man who buys his ink by the barrel.”

On a recent Saturday, speaking to a group of bloggers, I talked about the rise, power and influence of the blogosphere in relation to the recent closure of one of our local newspapers, the Rocky Mountain News. In my remarks, I said “the media is dead…long live new media” and that the rise of new media was “mostly for the better.” Predictably, my statements were vilified by (Monty Python voice) “not-dead-yet” newspaper columnists out to decry my insensitivity during a troubled time in their industry.

Let me be clear, I did not mean to suggest that blogs should replace newspapers in society. I grew up reading the Rocky Mountain News, and its demise and the loss of more than 200 jobs is a major blow to our community, especially in these troubled times.

We were proud to have a city that had two powerful voices, two daily venues for informing the public and a diversity of editorial voices. Not only has Colorado lost more than 200 jobs, but a strong voice for the people also has been silenced.

I apologized to the entire Rocky Mountain News family and anyone who was offended by my recent remarks. I truly hope that the newspaper industry finds a way to survive and to support its news-gathering activities that play such a vital role in our democracy.

The remarkable thing is that my comments echoed across the Internet and appeared in papers as far away as Rochester, New York; Kansas City, Missouri; and Augusta, Georgia. So, my first 15 minutes of fame portrayed a grotesque version of me as newspaper-slayer, a very unlikely and ill-fitting role for me indeed.

While many other factors are contributing to the decline of the newspaper industry, such as the recession and a decline in advertising, the very fact that we are discussing this issue here, on a major, mainstream news network’s Web site, is a demonstration of the indisputable rise of new media.

From business to social networking, I believe Internet communication is the key to bringing opportunity to the American people. I look forward to a more efficient, integrated and online future when Congress will shed some of the worn-out baggage of today’s paperwork and red tape and help bring the institution to new heights in governing our nation.

The opinions expressed in this commentary are solely those of Jared Polis.

SOURCE: CNN.COM

Twitter and Health Care March 14, 2009

Posted by gonzalezloumiet in Health Care, Technology, Twitter.
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Look in the mirror…ask yourself: what are a few “booming” or “hot” topics in today’s world????? I am sure you will think of several…and chances are that the two below are on that list:

1. Twitter
2. Health Care

How can they work together?

Phil Baumann wrote about the two….I don’t agree about all the uses but I also must admit that I dont fully understand all 140. However, its worth the 3-7 mins in reading…enjoy.. – Eduardo Gonzalez Loumiet, Uber Operations.

For more info on Twitter click below:

GAO predicts transition to national health IT system will be challenging March 13, 2009

Posted by gonzalezloumiet in GAO, Stimulus Plan, Technology.
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CCH® Healthcare Compliance — 3/13/09

The transition to a system of health information technology (IT) has the potential to improve the quality and efficiency of health care delivery but will require an important national discussion to establish standards and address existing public concerns about personal privacy, according to a Government Accountability Office (GAO) report entitled “Health Information Technology: Federal Agencies’ Experiences Demonstrate Challenges to Successful Implementation.”

The GAO explained that achieving widespread adoption and implementation of health IT will hinge on receiving input from all important stakeholders, including health care consumers, public and private health care providers, patient advocates, insurance companies, government entities, nonprofit organizations and commercial technology providers. “Developing, coordinating and agreeing on standards are crucial for allowing health IT systems to work together and to provide the right people access to the information they need,” the GAO noted.

Benefits. Government officials have long touted health IT’s potential to reduce the cost of health care by making the collection, storage, and retrieval of medical data more efficient. In 2003, a 1,900-bed teaching hospital reported that it realized about $8.6 million in annual savings by replacing outpatient paper medical charts with electronic medical records. A national, interoperable system of electronic health care records, as well as other technologies such as bar coding drug and biological product labels, also would help cut down on errors, the GAO found.

Making the transition to a national health IT system, however, will be a complicated process. “Achieving this transition and the potential efficiencies and quality improvements promised by widespread adoption of health IT will require consideration of many serious issues, including the need for a foundation of clearly defined health IT standards that are agreed upon by all important stakeholders, comprehensive planning grounded in results-oriented milestones and measures, and an approach to privacy protection that encourages acceptance and adoption of electronic health records,” according to the GAO.

CCH Chicago Bureau, Jan. 28, 2009

HIT = $ x MD^2: a New Theory on Expenditure Relativity March 12, 2009

Posted by gonzalezloumiet in EMR, HIT, Stimulus Plan, Technology.
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Wednesday, March 11, 2009

by Thomas H. Lee M.D.

The much anticipated economic stimulus bill turned the final legislative corner and finally arrived. Health IT advocates eagerly wait to see how the details of the package might shake out.

The $787 billion plan allocates approximately $19 billion to “modernize health information technology systems” — mostly through Medicare Part B incentives to physicians for deploying and using certified electronic health records.

Though there has been some debate as to the efficacy of such an incentive program, most policymakers view health IT investment as an obvious short- and long-term win. Upgrading health information systems could immediately stimulate the economy and, over time, provide higher quality care at lower costs.

But will the stimulus achieve the outcomes we desire? And is $19 billion the right amount? Perhaps it’d be helpful to examine the issue from a slightly different perspective.

The Space-Time Continuum

It was more than 90 years ago when Albert Einstein was working on his breakthrough papers on special and general relativity.

Special relativity proposed that distance and time are not absolute concepts (as suggested by Isaac Newton) but rather relative — linked together by a single construct called the space-time continuum. Counterintuitively, a simple measurement by yardstick or clock is dependent on the relative motion of the observer. One hundred yards is not the same 100 yards when measured by observers moving at different rates of speed. Clocks that are moving appear to tick slower than those that are stationary.

General relatively further expanded the theory to include gravity that, like motion, would also affect the intervals of time and space. Clocks in stronger gravitational fields would appear to tick slower than those in weaker gravitational fields.

Hailed as one of the great breakthroughs in physics since Newton 250 years before, Einstein provided a new perspective on relationships that were once considered fixed and absolute. He showed that distance and time were relative — influenced by both speed of motion and strength of gravity.

Distortions in Expenditure?

Though a far cry from relativity theory, some of the proposed health IT expenditures appear to be exhibiting similar counterintuitive distortions of reality.

Generally speaking, most lawmakers and industry experts believe that total health IT expenditures should correlate with health IT adoption and the subsequent improvement in the cost and quality of health care. Simply put, dollars put into the system should correlate to outcomes achieved. Though many including myself would take issue with that statement, let’s agree for the moment that this might be true.

Assuming a Newtonian correlation between expected outcome and proposed expenditures, what does that say about the proposed health IT expenditures? What impact should we expect from $19 billion? And is this the appropriate amount given our expectations?

In the latest version of the stimulus bill, $19 billion is proposed to help physicians adopt certified EHRs over the next several years. How does that compare with what we’re already currently spending? As context, some of today’s largest EHR mega-vendors such as Allscripts and NextGen generate annual revenues of $150 million to $300 million, or about just 1% of the proposed total. And in 2007, the size of the total EHR market was estimated to be $1.2 billion. Spent over time, $19 billion would represent about 3.5 times the total expenditures in 2007 for the entire EHR market, for each of the next five years.

In addition, the stimulus bill includes $2 billion that would be allocated to the Office of the National Coordinator for Health IT. Just a year ago, former President George W. Bush proposed a 2008 ONC budget of $117.9 million, of which only $61.3 million was approved (the same amount it received in 2007). A $2 billion budget would represent a whopping eight-fold increase in spending on an annual basis for the next five years. That would be enough to employ more than 3,200 employees at ONC.

If we’re to believe that health IT expenditures should generally correlate with improvement in outcomes, do we honestly expect adoption rates and outcomes to improve three- to eight-fold over the coming five years? If not, what could be accounting for the huge disparity in expenditures and expectations?

The Relativity of Expenditures

The reality is that the environment in which the health IT expenditures are being evaluated today is like no other in recent decades. With massive unemployment and prolonged recession looming, legislators are being forced to act broadly and swiftly with a general stimulus bill 40 times larger than the health IT portion alone. Given the context of trillion-dollar deficits, multibillion-dollar bailouts, millions of job losses, and a $787 billion stimulus package, $19 billion almost appears trivial.

It is the urgency and magnitude of the economic context today that are distorting our ability to measure the potential impact and efficacy of health IT expenditures. Just like distance and time are influenced by motion and gravity, so are the expected outcomes and metrics of expenditures distorted by the urgency and the gravity of the underlying situation.

In a normal economic environment, I think it’d be hard to find legislators who believe that $19 billion spent on health IT infrastructure alone would make for a sound investment. More individuals would question why health IT vendors haven’t created the market for themselves. And others might consider modifying the economic incentives for quality and cost-efficiency directly, rather than indirectly through health IT.

Unfortunately, given the times we’re in, it’s hard to fully criticize the intent of the health IT expenditures proposed in the stimulus bill. But over time, we may be reassessing this decision for years to come. Will it create the health IT utopia we all imagine? Or will it lead to hasty adoption of inadequate systems that only erode the crumbling infrastructure of medical practices for years to come? Perhaps the only reliable outcome we can predict from the stimulus bill is that health IT vendors should expect a financial windfall that could fully stretch across the space-time continuum.

SOURCE: http://www.ihealthbeat.org/Perspectives/2009/HIT-MD2-a-New-Theory-on-Expenditure-Relativity.aspx

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