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EMR Market Topped $20B Last Year

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As we all know, last year was a huge year for EMR adoption. How big?  Well, according to new data from research firm Kalorama Information, the EMR market hit $20 billion in 2012, driven by health IT upgrades and the desire for Meaningful Use incentive payments.

According to Kalorama, the EMR market was $20.7 billion last year, up 15 percent from the $17.9 billion it reached in 2011.  These numbers include revenue for EMR systems, CPOE systems and directly-related services such as installation, training, servicing and consulting.

Kalorama expects near year to be big as well, as providers implement EMR systems in an effort to avoid government penalties for sticking to paper charts.

More than $12.3 billion in Meaningful Use incentive payments had been doled out to 219,000 eligible hospitals and healthcare professionals as of March 1, 2013, with the incentives largely driving physician adoption of EMRs.

A recent CMS study reported that over 70 percent of physicians have used EMR systems, a huge jump from the 26 percent which had used these systems in 2006.  Hospital EMR installlations, meanwhile,  have been maturing, with 77 percent having reached Stage 3 or higher, compared  with 71 percent in 2011.

Going forward, Kalorama predicts that EMR adoption will continue to increase, that hospital adoption will be more rapid than physician adoption and that hospitals currently at adoption Stage 3 will continue to increase their engagement with their systems. The research firm also predicts that current EMR owners will be upgrading their systems.

Meanwhile, researchers say, the threat of penalties for failing to use EMRs meaningfully will force both doctors and hospitals to make upgrades over the next year or so.

While Kalorama doesn’t mention this, the next year or two is also likely to be marked by “the big switch,” with doctors in particular changing out systems that haven’t proven effective to date.  The likelihood that doctors will be buying new systems is likely to lead to a gangbuster year for ambulatory HIT vendors.

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May 2, 2013 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Filed Under: EHR  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  EMR Implementation  Healthcare  HealthCare IT  Hospital EHR  Meaningful Use
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What’s Next TEDMED?

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One of the beauties of TEDMED is that they do a really professional job recording the event and sharing the recorded video with the world. For those who missed it or want to re-watch certain sessions, you can find the full TEDMED session recordings available online. Thanks to Xerox, I was able to cover the event in person. If you’re looking for a cliff notes version of TEDMED, check out my previous posts covering the event:

As I think back on TEDMED, I’m stuck wondering about a major healthcare group I would have loved to see on the TEDMED stage: hospital and healthcare administrators. No doubt they’re doing some really innovative things in healthcare, but yet we didn’t see any of them on stage talking about how to innovate the nuts and bolts of healthcare.

It’s not that many of these hospital and healthcare administrators weren’t at TEDMED, because they were there in force. I met with many of them and saw many of them tweeting about TEDMED like this tweet from New York Presbyterian CIO, Aurelia Boyer:

I hope that many more hospital and healthcare administrators will “Step Out” and speak at TEDMED like Hospital CIO Bill Reiger did at The Breakaway Group’s Healthcare Forum at TEDMED. It’s great that hospital and healthcare administrators are listening and learning at TEDMED, but they also have a voice that needs to be heard.

Looking forward to the next year in healthcare let me suggest three topics I hope we’ll find at TEDMED 2014:

Accountable Care Organizations (ACOs) – ACOs represent the core of a rapidly changing healthcare reimbursement environment. This change will fundamentally alter healthcare as we know it. ACOs are a hard topic to package into a slick presentation, but there are stories to be told about the impact for good and bad of ACOs. We often hear: “If you’ve seen one ACO, you’ve seen…one ACO.” How about we start with one ACO TEDMED talk and expand from there?

Interoperability – Almost nothing could provide more value to healthcare than true data interoperability. There are literally hundreds and possibly thousands of people affected every day by the lack of healthcare interoperability. The challenges to interoperability are real and powerful, but I see a shifting tide where organizations are finally looking to embrace interoperability and its inherent benefits. TEDMED would be the perfect place to highlight the interoperability success stories that will inspire others to follow.

Patient Engagement – A number of sessions at TEDMED 2013 began the discussion of the shifting role of patients in healthcare. I won’t be surprised if 2014 becomes the Year of the Patient. Like a slow moving ship that’s impossible to stop, the patient is finally becoming the center of healthcare. ZDoggMD’s comment at TEDMED highlights this shift from the physician perspective, “I went in to medicine to do things for patients, not to patients.” Patients at the center of healthcare is a message that needs to be shared.

In true TEDMED form, it only seems appropriate that I also suggest a collaborative musical act that could perform at a future TEDMED. If you’ve never heard of The Piano Guys, they’re great. Where else have you seen a piano and cello collaboration perform Coldplay, Usher, and Adele? Although, their real genius is when they take two songs and mix them into one beautiful piece like they did with Love Story Meets Viva La Vida. I can think of a few areas of healthcare that could benefit from some unexpected collaboration.

What did you take away from TEDMED 2013? Have you had a change in perspective personally or professionally? What topics should we see at future TEDMED events?

You can hear more reflections from TEDMED and predictions for the future of healthcare during the May 2 at 2 p.m. ET “Xerox ‘Ask the Experts’ Episode: Looking Ahead After TEDMED” Google+ Hangout that I’m hosting and participating in. Click here for more details and to watch.

Read more coverage from TEDMED from Xerox on the Real Business at Xerox Blog and follow @XeroxHealthcare.

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April 24, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Filed Under: ACO  Healthcare  HealthCare IT  Hospitals  Meaningful Use  Patients
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User-friendly EMRs, Meaningful Use Fraud, and DietBet – Around Healthcare Scene

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Many are concerned with the user experience in Health IT – particularly regarding the user-friendliness of EMRs. While it is easy to be overwhelmed by the negative reports, there are businesses and providers working hard to resolve these issues. McKesson is one of those companies, and they were recently recognized for their work at HIMSS13. Will more companies start making efforts like this? 

One step toward making EMRs more user-friendly is, well, making them accessible to patients. Unfortunately, according to a recent Accenture study, 65 percent of doctors believe patients should only have limited access to their health records, and 4 percent believe records should be totally closed. Reasons range from self-consciousness of what a doctor says in a record, to being uncomfortable with using digital records. Allowing patient-access may very well be a huge cultural shift for doctors everywhere.

In order to pass Meaningful Use stage 1, one must indicate which EMR was adopted. But, according to BuildYourEMR.com’s CEO, Mike Jensen, 74 percent of the providers who stated they were using his EMR…weren’t. If this is similar across the board, around 5.4 billion dollars were paid in error for incentives. While this isn’t likely to be the case, it’s pretty sad the lengths people will go to in order to get some extra money. EMR vendors need to start going over their CMS data in order to help prevent this fraudulent behavior.

If money was at stake for you to lose weight, would that motivate you? For most people, it probably would. DietBet takes the desire people have to lose weight and pairs it with the innate desire to have money, and creates a weight-loss game. If you lose 4 percent of your body weight in four weeks, you get part of the money pot for the group you are in. If you don’t, you lose the amount you paid to participate in the first place.

John recently had the opportunity to go to TEDMED as a guest of the Breakaway Group (A Xerox company)
. It was a great experience for him, and highlights can be found @ehrandhit or searching #simplehealth on Twitter. John recounts some of key takeaways from TEDMED, and suggests some of the major themes that will likely be seen in healthcare.

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April 21, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Filed Under: EHR  EHR Benefits  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  EMR Consulting  EMR Technology  Healthcare  Healthcare Devices  Healthcare Social Media  Hospitals  Meaningful Use
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EHR Debates and The Growth of mHealth – Around Healthcare Scene

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With the dissatisfaction that many have felt from EMR, providers and patients alike, outside healthcare companies are coming up with new ideas on how to help. Healthpons, a healthcare version of Groupon, recently launched and aims to help people find affordable care, and allow providers to market themselves. Is this “cash for care” model a trickle down effect of EMR Dissatisfaction?

Among the debates related to EHRs, one of the biggest is about purging data. On one side, people believe that all data from a person’s life in order to give the best care possible. Another camp believes that keeping EHR data opens up the door for the institution being held liable. What do you think?

Hospitals are implementing EMRs left and right. However, who is it that pays for it? Some argue that it’s the consumer, others sometimes even say it’s the insurance companies. In the end, it’s the hospitals themselves.

How do you measure the quality of a doctor? In same ways, it’s impossible. Ideally, there would be a way to determine whether the quality of care a doctor provides is worth the cost they charge. However, there are risks involved in this, and really, it’s hard.  Don’t we all want the best doctor possible, for the lowest price? How can we keep doctor’s accountable for the care they provide?

If you have a hard time deciding the quality of a doctor, why not take matters into your own hands? Most people know that Google contains a plethora of health information, and that smartphones have a variety of health-related apps. The digital health market is growing at a fast rate and more technology is being released each day. What do you think the future holds for mHealth?

The past few weeks, some well-known names in health IT have lost dear family members. Remember these people in your thoughts.

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April 7, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Filed Under: EHR  Electronic Health Record  Electronic Medical Record  EMR  EMR Technology  Healthcare  HealthCare IT  Hospitals  Meaningful Use
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Hospitals, Representative Ask For Extension of EMR “Safe Harbor”

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Right now, it’s legal for hospitals to give doctors EMRs under certain circumstances, despite the existence of the Stark law banning payments intended to induce referrals.  Specifically, hospitals won’t face anti-kickback enforcement if doctors pay 15 percent of the cost of EMRs donated by hospitals.

But the Stark law exception established by CMS, plus a “safe harbor” rule established by the HHS Office of the Inspector General, are both due to expire at the end of 2013. This will take place despite the fact that Medicare incentives for EMR adoption will continue through 2016, notes iHealthBeat.

Hoping to address this state of affairs, the Federation of American Hospitals has made the renewal of EMR exceptions to the Stark law its top recommendation in a proposed list of safe harbors, reports Modern Healthcare. More recently, Rep. Jim McDermott (D-Wash.) wrote a letter to the chief counsel to HHS’ OIG to extend those exceptions soon.

Extending these safe harbor provisions at least through the life of the Meaningful Use program seems necessary and wise. After all, it’s hard enough to get smaller practices up on EMRs even with the promise of incentives. Letting hospitals pay for most of the cost of the system would meet the public policy objectives which prompted the creation of HITECH in the first place.

According to Modern Healthcare, the federal Office of Management and Budget is reviewing proposed rules regarding the Stark exception and the anti-kickback safe harbor. Let’s hope they’re finalized in time to solve the problem.

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April 3, 2013 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Filed Under: ARRA  EHR  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  Healthcare  HealthCare IT  Hospital EHR  Hospitals  Meaningful Use
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EHR Expert Jobs, Healthcare Social Media, MU Attestation Data

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I guess Cleveland Clinic doesn’t think the government trained EHR workforce. I know a lot of them that can’t get a job in any EHR position.


This story is a crazy one and spiral out of control is the right term. Although, this post by Amanda Blum is the best look at the issues from my point of view. Dr. Nick is right that you do have to be careful. In fact, the case above wasn’t even something that happened on social media. It was something that happened in person at a conference and then social media blew it up. So, I’d actually argue that it’s more important than ever for you to be involved in social media. That way if something does blow up, you see it and can deal with the situation before it spins out of control.

What I do hate most about the story is the lack of civility and not giving people the benefit of the doubt. I hate that part of the way society is heading. Communication can solve a lot of issues if people would just use it. Instead, we assume the worst in people. That’s unfortunate.


Evan’s opening line to the blog post says, “CMS just released the December 2012 attestation data, and one thing is abundantly clear—many EHR vendors will not be around to see Stage 2.” I don’t agree with his conclusion. I expect we’ll have nearly as many in meaningful use stage 2 as we did in stage 1. Meaningful Use stage 3 is likely where we’re going to see fallout. Although, it does beg the question of how many EHR vendors will stay in business without EHR incentive money?

I’ve often said that it’s surprising how good of a business you can run with just a few thousand doctors.

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March 31, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Filed Under: ARRA  EHR  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  EMR jobs  Healthcare Social Media  HITECH  Meaningful Use
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Patient Education, Cloudalization of Healthcare, and EHR Vendors – #HITsm Chat Highlights

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Topic One: How valuable do you see the use of gaming as a vehicle for patient education and engagement? #mHealth

Topic Three: Is healthcare departing from the client/server architecture toward the cloud? AKA, “The cloudalization of healthcare.”

Topic Three: Is HITECH to blame for introducing false demand for #EHRs? What will happen after all the money is flushed out of the system?

Topic Four: If an #EHR vendor fails, how will their customers migrate to another product if their data is locked in a proprietary system?

 

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March 23, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Filed Under: EHR  Electronic Health Record  Electronic Medical Record  EMR  Healthcare  Meaningful Use
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Meaningful Use Stage 3 Priorities

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In my reading, I came across this message of what the priorities for meaningful use stage 3 should be:

To be considered for Stage 3, objectives must support new models of care, address national health priorities, promote advancement, be achievable and widely adopted by 2016, and be reasonable from a products and organizational perspective.

I thought this was a really interesting statement, because there’s always a lot of discussion about what meaningful use should really accomplish. If you ask someone in healthcare IT what meaningful use is suppose to accomplish, I expect you’d get a different answer from every person that you ask. That’s unfortunate, because if we’re going to spend billions of dollars on this you’d think we’d have a clear vision of what we want to accomplish with that money.

At the end of the day, it’s ONC-CMS-HHS that makes the meaningful use rules and so it doesn’t really matter what we think if they don’t think the same way we do. Plus, unfortunately it’s a really sad minority that actually give feedback during the meaningful use process.

I wonder how many doctors actually gave any sort of feedback to ONC during the meaningful use process. I’m not talking doctors who are now working for some company. I’m talking about practicing doctors who took the time to understand the MU regulations and provided comments on it. The same could be said for hospital C-level executives. I heard of some that copied and pasted their response from their EHR vendor, but how many hospital CIO’s really dug into the regulations and provided comment? The answer is not enough (despite significant effort on ONC’s part to hear from them).

The above statement seems to make ONC’s position clear on what they want to accomplish with meaningful use stage 3. In fact, the priorities listed above seem in line with the actions they’ve taken when it comes to meaningful use and other ONC initiatives. Right, wrong, or otherwise, it’s important to understand where ONC is coming from when they make the final meaningful use rules. Everyone else can say what they want, but they’re not making the rules.

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March 22, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Filed Under: ARRA  EHR  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  Healthcare  HealthCare IT  Meaningful Use
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EHR Penalties after Meaningful Use Failure

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While at HIMSS I had a discussion with the consulting firm Stoltenberg Consulting. I was really intrigued by their approach to EHR consulting and will likely write more about it later. Plus, the started what in many ways became a theme of my HIMSS experience around rural healthcare EHR. You can be sure I’ll be writing about rural EHR here on this site and on Hospital EMR and EHR much more in the future.

In our casual introductory conversation we had a good discussion about how many of the smaller hospitals look at meaningful use and the EHR incentive money. Needless to say, many of these smaller institutions are faced with a huge challenge when it comes to adopting an EHR and showing meaningful use. Many of these rural hospitals barely have an IT staff and the CFO usually takes care of the IT environment. I heard one story at HIMSS where the IT person at a rural hospital started out as the janitor and his home IT skill made him the most qualified person to help.

Needless to say, rural and smaller hospitals have some real challenges facing them when it comes to EHR adoption and showing meaningful use of that EHR. Although, an even worse thought struck me in my discussions about these smaller hospitals.

Imagine many of these smaller hospitals making a good faith effort to adopt EHR and show meaningful use. It’s not that hard to see many of these hospitals falling short of the meaningful use standard. What will this mean to that organization? They’ve spent millions on an EHR. They won’t get the EHR incentive money they likely used as a justification for the EHR spending. To add insult to injury, now they’re going to get penalized for not being meaningful users of an EHR.

This scenario honestly makes me sick to even consider. Something similar could easily happen in small ambulatory practices as well. The scale of the damage will just be different. I expect in meaningful use stage 1 this won’t likely be a problem since it’s self attestation. However, this could become a much bigger issue in meaningful use stage 2.

Although, consider an organization who fails a meaningful use stage 1 audit. In most cases you can’t go back and fix whatever you failed in the audit. You’d be in a very similar situation where you have to return the EHR incentive money and would be open to the meaningful use penalties. At least that’s my understanding of how the EHR penalties will be implemented. If you know otherwise, I’d love to hear it.

While I think the above scenarios are brutal, hopefully this will also serve as a warning for those hospitals pursuing EHR and the EHR incentive money. Be sure you are able to show meaningful use or you’ll not only lose out on the incentive money, but you’ll also be open to the EHR penalties. Not to mention, are you ready for a meaningful use audit?

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March 15, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Filed Under: ARRA  EHR  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  EMR Consulting  Healthcare  HealthCare IT  HITECH  Meaningful Use
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HIMSS Analytics Clinical & BI Maturity Model

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While the theme of HIMSS 2013 may have been, “How Great Is Interoperability,” the effectiveness of the many facets of interoperability are only as good as the actionable value of the shared data. The clinical insights that should be enabled by Meaningful Use Stage 2+ are expected to drive market trends in myriad areas of the healthcare system: chronic disease management, targeted member interventions, quality measures. In order to assess organizational readiness to capitalize on the promise of Meaningful Use, HIMSS Analytics began measuring the implementation and adoption of EMR and clinical documentation using a maturity model called EMRAM.

EMRAM

But, in analytics terms, EMRAM’s results are simply targeted foundational reporting, answering the question, “WHAT happened with Meaningful Use EMR adoption criteria.” So, you’ve got your clinical data in an EMR. Now what are you able to DO with it?

In 2013, HIMSS Analytics is taking a broader approach with the introduction of a new Clinical Business Intelligence maturity model, creating a framework to benchmark participating providers’ analytics maturity level.

I’ve been fortunate to know James Gaston, Senior Director of HIMSS Analytics Clinical & Business Intelligence, for many years, going back to his days with Arkansas Blue Cross. His appreciation for BI initiatives is matched only by his enthusiasm for the first day of turkey hunting season. When I ran into him at TDWI’s BI World summit in Orlando in November, he acted like a kid on Christmas morning, telling me about the brave new world of clinical data management that he was about to tackle. The excitement continued to build in the months leading up to HIMSS. James was practically glowing when we spoke about the upcoming C&BI Maturity Model release.

“Our customers are interested in not just understanding how to deploy IT applications, but how effectively they’re using those applications to support clinical business intelligence, as well as analytical pursuits,” James said. “So, HIMSS Analytics partnered with IIA to create and present a Clinical & BI Maturity Model that helps healthcare organizations measure that level of effectiveness.”

Sarah Gates, the VP of Research for IIA (the International Institute of Analytics), elaborated. “The HIMSS Analytics C&BI Maturity Model leverages the Competing on Analytics DELTA model, developed by Tom Davenport, which measures not only how well you’re using data and technology, but how well you’re building an analytical organization.” There are 5 core competency measurements in the DELTA model that will inform the HIMSS Analytics C&BI analysis: Data, Enterprise, Leadership, Targets, and Analysts. The methodology is holistic, touching on the cultural aspects of the organization as well as the technical, allowing a longitudinal view of the organization’s analytics program. A yardstick value from 1-5 will be assigned to each respondent based on Davenport’s criteria for each core competency.

Although HIMSS Analytics will eventually offer Level 1-5 certification program for those organizations with observed results for analytics, James and Sarah agreed that it is not appropriate for every provider to reach for the Level 5 gold star. Per Sarah, “Healthcare is an industry just starting to discover analytics. We’re expecting to see lots of practitioners that are emerging in use of analytics, so we believe it (survey results) will be heavy on the lower end of the maturity scale. Data warehouse capabilities and staffing career paths for data analysts will be key differentiators for mature programs.” Not all providers have the resources – financial, human, and/or technical – to attain advanced analytics nirvana, and James wants to insure that these providers don’t feel as if they’ve “failed”; the goal is to baseline against the peer group, identify opportunities for improvement, and focus on what is possible for each individual organization, working within their constraints.

What can we expect to see at next year’s C&BI survey results presentation? James said, “We want to be able to talk about benchmarking the industry as a whole, helping healthcare find its way with clinical business intelligence and begin to understand how important it is, and where opportunities lie Everyone’s talking about clinical and BI – it is the opportunity to realize savings in healthcare, to use information to empower people to make better decisions.”

So, it’s up to you, providers and technology partners. You’ve implemented your EMR, achieved a high adoption rate across your organization’s core clinical processes, attested to Meaningful Use Stage 2, achieved Stage 7 on the HIMSS EMRAM scale, perhaps even participated in multi-HIE CCD medical records sharing with other provider networks. You’ve got the data in-house and availabe. It’s time to see how ready you are to rise to the analytics challenge and maximize your return on those EMR and HIE investments.

Attempt to beat your previous Doug Fridsma long jump.

Note: for the complete HIMSS 2013 Leadership Survey Results, please download PDF here.

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March 14, 2013 I Written By

Mandi Bishop is a healthcare IT consultant and a hardcore data geek with a Master's in English and a passion for big data analytics, who fell in love with her PCjr at 9 when she learned to program in BASIC. Individual accountability zealot, patient engagement advocate, innovation lover and ceaseless dreamer. Relentless in pursuit of answers to the question: "How do we GET there from here?" More byte-sized commentary on Twitter: @MandiBPro.

Filed Under: Certified EHR  Clinical Decision Support  EHR  EHR Benefits  EHR Stimulus  Electronic Health Record  Electronic Medical Record  EMR  EMR Implementation  EMR Technology  Healthcare  Healthcare Business Intelligence  Healthcare Interoperability  HealthCare IT  HIE  HITECH  HL7  Hospital EHR  Hospitals  Meaningful Use
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