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Cerner, Leidos, and Accenture Win DoD EHR Project – $4.3 Billion

Posted on July 30, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

All the news at the end of the day yesterday was around Cerner (and their major partners Leidos, Accenture) winning the DoD EHR project. We’d been told the decision would come by the end of the month and you knew a decision was close once the major news organizations started writing about what a waste the DoD EHR project will be before they’d even named the winner. That’s called priming the pump. Of course, the critics make some good points about the DoD EHR project dealing with today instead of the future, and they also suggested that “We’re going to make Epic or Cerner the Standard Oil of health IT. It will become a monopoly at a time when we need to be moving to solutions that allow everyone to participate.”

I guess now that we know that Cerner has won the DoD contract, does that make them the Standard Oil of Health IT?

What we do know is that Cerner, Leidos, and Accenture were awarded the $4,336,822,777 (Our government’s so precise they got a 10 year project down to the dollar?) EHR contract with it projected to be around $9 billion over the life of the 10 year contract. That’s massive by any terms. It’s also much less than the projected $11 billion that was previously discussed. I guess competition for the DoD EHR contract brought the price down? Although, how often does the government project the costs for a project and then they balloon over the life of the project. According to Healthcare IT News, they’ll be working on bringing their first sites live in the Pacific Northwest by the end of 2016 and 1000 sites by 2022.

A lot of people have been commenting how this is a big win for Cerner and a big loss for Epic. Of course, I wrote a little over a year ago that the best thing for Epic might be to NOT win the DoD EHR contract. You can be sure that many hospital systems won’t be selecting Cerner now that they’re going to be tied up with the massive DoD EHR contract. Who does that leave? In most cases, that will leave Epic. I can’t help but wonder how many Soarian users will now decide to go to Epic instead of Cerner as well because of the Cerner win. Cerner should start working on this potential perception problem.

You can imagine the celebrations happening at the companies that won this contract. HIStalk posted a great image that shows all the partners that will be involved in the bid:
DoD EHR Partners

While they may be celebrating the contract now, it reminds me of startup companies who do big celebrations when they raise a round of funding. Those celebrations are premature since it’s really the start of all the hard work to come.

I personally lean more towards G Gordon Liddie’s comment on the HIStalk post on this subject:

Cerner will do as good a job as Epic would have done…which won’t be great. The federal government can’t pull off something like this.

I think this shares many people’s fears of a project this size. Others might suggest, if the government can’t roll out an insurance exchange website without major issues, how are they going to make an EHR roll out which is much more complex a success. I’m sure Cerner, Leidos, and Accenture will be thinking about this every day for the next 5-10 years.

Other DoD EHR Coverage:
Healthcare IT News
nextGov
HIStalk
MedCityNews

4 Great Healthcare IT Bloggers

Posted on March 9, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post was inspired by Dave Newman’s post which listed his 4 favorite health IT bloggers. In his list, I’m in great company alongside Marsha Tatt, Shahid Shah and Ed Marx. What I loved about Dave’s description of each is that you knew he actually read each of the sites regularly since he summed us each up very well.

Also to answer his question “Does he [John Lynn] ever sleep?” Yes, I do sleep. My favorite response is “Sleep is for the weak…and sometimes I’m weak.”

I think the reason I loved Dave’s post so much is that it hearkened me back to my early days of blogging where people would do posts like this all the time. This was pre social media. Twitter didn’t exist and Facebook was for college campuses. The idea of a healthcare IT blogging “community” has kind of gone away in a lot of respects. There are a bunch of bloggers, but not much of a blogging community.

I miss those days, but I’m not sure it’s an awful thing. The reason there was a blogging community before was that the blog was the only format people had to share their ideas and thoughts about what was happening. So, the blogs and the comments of blog posts was this amazing way to connect with people who had common interests. That blogging community has now moved to social media where we have Twitter communities. Many people who were blogging and who would blog are now just sharing their thoughts on Twitter and other social media. In many ways that’s a lot easier than starting a blog. Plus, those communities are really strong.

What’s clear to me is that people’s desire to connect with other people in a community and people’s desire to share their ideas and thoughts will never end. It’s just the format that will change.

With all of that said, I still have a friendly affection for bloggers. Particularly bloggers that can slay the content beast and regularly publish thoughtful content. While I like many of you don’t follow that many bloggers fanatically like I might have done before (I use social media to bubble up the interesting content), I still am fond of some really exceptional healthcare IT bloggers who I do read regularly. Here are 4 of the many I could highlight.

Life After Epic – Epic is the Apple of Healthcare IT. They have such tremendous fan following on each side. Plus, they are incredibly secretive about many of their business practices. Everyone likes to know a secret, so it’s always fun to read some of the behind the scenes insights that Life After Epic provides. I hope he/she brings on some other former Epic people to contribute content to the site so that the site is always updated on the latest perspectives. In fact, they need a button that lets someone submit info to them to be published. They should continue to publish it anonymously, but not accept anonymous submissions.

EMR Advocate (Jim Tate) – If you care about meaningful use, then Jim is a must follow. He’s deep in the meaningful use attestation and audit world. Plus, he’s just a fantastic individual. While he doesn’t post as regular as some, whenever he posts it’s interesting.

HIStalk – When I first found HIStalk 10 years ago, it wasn’t that interesting to me since I wasn’t deeply entrenched in the industry. However, as I dug in and understood many of the inner workings of healthcare IT, I started to appreciate HIStalk so much more. I can’t imagine the number of hours Mr. H spends and has spent creating all of the content he creates. He deserves a lot of credit for the work he’s done. If you’re entrenched in healthcare IT like me, you’ll enjoy and appreciate the work they do on HIStalk.

HealthSystemCIO (Anthony Guerra) – Ever since Anthony and I first battled it out on a “Meet the Bloggers” panel at HIMSS (we have very different views on how to approach content), I’ve respected the work he’s done. He has a very ardent view of how to approach content and I respect him for sticking with it all these years later. Although, his work I love the most is when he writes about his personal experiences. I always love a good story and Anthony’s great at telling stories.

There you go. 4 great healthcare IT bloggers. Notice that I didn’t say “favorite” since it’s impossible for me to choose a favorite, or a top, or a greatest. Plus, the comparison doesn’t matter to me. Variety is the spice of life, so I love mixing in a variety of great bloggers.

Which bloggers do you read regularly? Which bloggers are your favorite? Which social media personalities do you wish were blogging?

What’s the Black Market Value of a Health Record?

Posted on September 22, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Somewhere in the past, an article put the value of a health record at $50. I’m really not sure who or what wrote the original article or set the price at $50, but that value has been perpetuated in article after article on the internet. Yes, that’s one of the features of the internet. It perpetuates misinformation (kind of like an EMR).

When people make the claim that a compromised health record is worth $50, they usually then say that it’s more valuable than a credit card which is only worth $5 (probably something else that’s debatable). When I hear this, I’ve always wondered how they got the $50 price tag. The reality is that the value of a health record is only what someone is willing to pay. You can say something has a certain value, but without a market to validate that people will consistently pay that price, then does it really have that value?

I’ve always wanted to dig into the black market of health records to try and validate the $50 price tag that everyone likes to claim for health records. However, there are some obvious reasons why I don’t want to dig around in the black market of health records. So, I’ve avoided touching that story.

The good news is that HIStalk discovered a great story by Krebs on Security that puts a value on the health record. Here’s an excerpt from the story:

How much are your medical records worth in the cybercrime underground? This week, KrebsOnSecurity discovered medical records being sold in bulk for as little as $6.40 apiece. The digital documents, several of which were obtained by sources working with this publication, were apparently stolen from a Texas-based life insurance company that now says it is working with federal authorities on an investigation into a possible data breach.

When you read the rest of the article, it’s amazing the sophisticated methods they’re using to sale, pay for and distribute these records. Reminds me of how many incredible things society could create if these smart people turned their efforts to good instead of bad, but I digress.

I love the last line of the article, “Incidentally, even at $8 per record, that’s cheaper than the price most stolen credit cards fetch on the underground markets.”

Like most markets, prices fluctuate based on supply and demand. So, I’m sure we could find various prices for health records. However, I hope we can do away with the blanket statement that health records are worth $50 and worth more than credit cards. Articles like this illustrate why I’m not sure that’s the case.

5 EHR and Healthcare IT Bloggers

Posted on May 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I recently wrote an article talking about the evolution and attrition of EHR bloggers over the last 9.5 years I’ve been blogging about EMR and healthcare IT. I thought it might be fun every week or so to highlight a number of EHR, healthcare IT or related blogs. I’ve been collecting a list for quite a while and I think you’ll find some new ones that you’ll find interesting and useful. In some cases, the blogs may not be updated regularly, but they usually have plenty of archived content for your reading enjoyment.

Here’s 3 EHR and Healthcare Blogs You Might enjoy:
MD Whistleblower – I think this doctor’s blog description says it all, “MD WHISTLEBLOWER PRESENTS VIGNETTES AND COMMENTARIES ON THE MEDICAL PROFESSION. WE PEEK ‘BEHIND THE MEDICAL CURTAIN’ AND DELIVER CANDOR AND CONTROVERSY IN EVERY POST.” Dr. Kirsch definitely delivers on his desire to deliver candor and controversy in his posts. I appreciate a blogger that’s not afraid to have strong opinions. It broadens the discussion and helps us all to learn and improve even if we don’t agree with the opinion.

Kristen Paulet – This is a newer healthcare IT marketing blog, but I figure why discriminate based on age. Ever since organizing the Health IT Marketing and PR conference I’ve been extremely interested in learning all I can about the techniques health IT companies are using to market their business. It’s been fun reading a fresh perspective and commentary on the subject from someone working in health IT marketing.

Perficient Healthcare – Many company blogs are terrible since they more like a company news feed than a blog. This can’t be said for Perficient’s healthcare blog. They cover a wide array of healthcare topics and really spend a lot of time making sure they’re creating quality content. Take for example, this post by Mel Smith Jones on what health education can learn from Netflix.

Nerdy Nurse – With a name like that, how could you not want to check her out? I believe we need more nurses blogging so that the nurse’s voice is heard. Right now I think the nurse voice is often missing in the healthcare IT discussions we are having. So, I’m glad that The Nerdy Nurse, a clinical informatics nurse, does what she can to elevate the voice of the nurse.

HIStalk – The TMZ of the healthcare IT industry and one of the only people that’s been blogging about healthcare IT longer than me. Mr. H does a tremendous job covering the latest and greatest healthcare IT trends, rumors, happenings, and gossip. #HITNerds love to read HIStalk.

There you have it. I’d love to hear your thoughts on these blogs and feel free to submit any blogs you like reading or think that I might not know about. I have quite a list for future posts, but I’m always on the looking for more.

First Hand EMR User Experiences, Slaying the Paper Dragon, and EMR GUIs

Posted on July 1, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Time again for a quick look around some of the EHR and Health IT topics being discussed on Twitter. It’s an interesting time for healthcare IT on Twitter. They’ve started accepting nominations for what they’re calling the #HIT100. A number of people have already nominated my @techguy and my @ehrandhit Twitter accounts as a #HIT100 nomination. I’m honored that people would consider me in that group. I’ll be interested to see who ends up making it on the list. Those lists aren’t perfect, but I enjoy them for discovering new people I didn’t know about.

Also, before I go through some tweets, be sure you check out the Around Healthcare Scene post on EMR and EHR.


I love Inga from HIStalk and I love these first person perspectives and comments on EMR software. We need more doctors, practice managers, nurses, etc talking about their experience. Props to Inga for putting that together.


I love the concept of the “paper beast.” Such a perfect description and something that so many people forget about when their planning their EHR implementation. Dealing with the existing and future paper (yes, paperless is a myth) is an absolute must in a good EHR implementation.


This is a topic we’ve discussed many times before. Although, I think we need to keep pointing it out so that physicians take a good hard look at the documentation method of EHR software. There are so many options out there that doctors shouldn’t settle for something less than optimal.

EHSD – EHR Hunt Stress Disorder

Posted on May 10, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Dr. Gregg wrote an interesting post recently about what he called EHSD (EHR Hunt Stress Disorder). He does such a great job defining the funk, I’ll let his words speak for themselves.

Since I first broke the news about Allscripts’ sunsetting of my current EHR (Peak Practice) about a year and a half ago, I have developed a severe case of a newly defined malady: EHR Hunt Stress Disorder (EHSD). I am worn down, drug out, and generally pooped. I can’t figure anymore re: local host versus cloud versus disruptor / innovator versus corporate clout versus Quippe-able versus app-able versus templates versus NLP versus digital pens versus etc., etc., etc. I just can’t. I’m done.

I have seen a slew of systems — some great, some not so much. I’ve seen apps and clouds and cool tech. I’ve even had some had offers to work with some vendors. But, in trying to decide, I think I have run headlong into The Paradox of Choice wall. Too many options have led me to the paralyzingly dissatisfactional funk of EHSD. Can’t find that “just right” one.

I’ve seen this so many times. Sometimes it goes to outrageous extremes that you almost have to just laugh at the situation. I think the core of the problem is the 600+ EHR companies that are all vying for the physician’s attention. It’s an incredible challenge for physicians to sift through all the EHR noise.

One thing that I don’t think many people want to admit is that every practice could probably select a dozen or more different EHR software and be quite satisfied. Each of those dozen EHR software would have their own intricacies, annoyances and benefits, but they all would deliver some benefit to the practice. On the opposite end, there are at least some clinics who could select any of the 600 EHR vendors and have a terrible experience. Luckily, I believe this is the minority of clinics. Most clinics I know could find benefit from any 1 of a dozen EHR.

The challenge is that the dozen EHR that could provide benefit to a practice is different for every practice. The list of good EHR for a pediatric practice is different than for a OB/GYN or Family Practice Doc. The list of good EHR is different for a solo practice versus a large group practice or multi specialty group. The list of good EHR could be different for someone in California versus Ohio. You get the idea.

My best suggestion I first gave back in 2006 when I started blogging about EMR (The EHR term wasn’t in use back then). It is to quickly narrow your EHR selection to 5 EHR vendors. This will let you focus on 5 EHR and study them in depth. This doesn’t mean that you HAVE to select one of those 5 EHR. You can always add more later if you’re not satisfied with your first 5 EHR, but it gives you something manageable.

Just remember that the goal is to find an EHR that benefits your practice, not finding the perfect EHR. Setting reasonable expectations is a key to avoiding EHSD.

Kaiser’s Mobile App, EHR Anxiety Coding, EHR Accessibility Challenge and EHR Design

Posted on January 29, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re back with our weekend round up of interesting tweets from the Twittersphere. We’ve got some really interesting ones to consider this week. So, much is happening in healthcare IT. Hopefully I can provide a good insight to some of the trends that are most interesting. No doubt this will be a challenge as we head into what is one of the most busy healthcare IT news cycles of the year around HIMSS.

Now, on to the various EHR and Healthcare IT tweets:


Kaiser Permanente just made 9 Million EHR records available on line to the patients. That’s definitely worth talking about. Go read about it in Jennifer’s post.

This tweet just made me laugh (although, if you’re experiencing it, it’s not that funny):


I think they probably need a DSM-IV code.


I know there are a number of companies working on this. The problem isn’t the technology to get the Qcode to access your patient record. It’s aggregating your patient record in some place so that it’s accessible. That’s going to take a long time (if ever) to get it all connected.


I’m fascinated by this idea as well. I hope some companies will take it really seriously. The interesting thing is that often by making software accessible, you also learn a lot about how you can simplify the software.


Dr. Rick does a great job starting the conversation around EHR usability. I can’t imagine the effort he put in just to create the first post. Of course, it is a first offering, but I’m really glad that he’s started a deeper discussion around EHR usability. My only disappointment is that he isn’t posting them on one of my sites instead of HIStalk. Regardless, by the looks of the discussion in that post it’s going to drive some really interesting conversation that will hopefully result in improved EHR design.

A Few EMR and Healthcare IT Blog Recommendations

Posted on November 22, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As you know on the weekend, I try to do my simple posts since most of you are enjoying the weekend like you should.

Today I thought it might be interesting to point to a few different EMR and healthcare IT blog recommendations. This is far from an inclusive list. In fact, I could probably do this every weekend and not repeat the same blog recommendations. Maybe I will! Especially since then as I read various other blogs I can remember to make note of it. So, for this post I’ll start with some popular ones that many people know about.

Fierce EMR – I really like the work that Neil Versel does and Fierce is lucky to have him working on their EMR content.

HIStalk – This is often a bit too hospital focused for my tastes. They do have HIStalk Practice which is more ambulatory focused and has gotten better as Inga’s focused on it more.

Chilmark Research – I really enjoy John’s blog. He does a good job analyzing HIE, EHR and mobile healthcare. The only complaint is that he doesn’t publish enough, but that’s ok. When he does publish it’s almost always an interesting read.

The Health Care Blog – My only complaint about The Health Care blog is that often times it has a lot of posts that aren’t related to health care IT. Although, it does have a strong group of health care IT bloggers that do some great IT and EMR related posts.

Like I said, there are dozens and dozens of other ones. These are a few of the ones that have been around for quite a while doing their thing. I’ll cover some more of the other blogs I enjoy next time. Or you could just keep reading this site and my other blogs (EMR and EHR & The Wired EMR Practice) where I try to write about a lot of the major happenings in the EMR and healthcare IT world.

Allscripts’ Acquisition of Eclipsys

Posted on June 10, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m going to be a little lazy today and just give you a couple links to the story of yesterday. I guess I get busy sometimes too. In case you missed it, the BIG news yesterday was Allscripts acquisition of Eclipsys.

I posted most of the relevant links on EMR and EHR yesterday along with some interesting user comments about the deal. Also, if you like this stuff, you’ll enjoy this lengthy analysis that was done on HISTalk about the acquisition.

Here’s my thoughts after reading the HISTalk analysis:
“After this merger, the new company will be trying to support eight EMRs systems and five practice management solutions with a sprinkling of inpatient technology”

Talk about an ugly situation. Plus, this quote doesn’t even highlight all the HIE software they’re dealing with.

I ran into a number of unhappy Misys users who were angry for Allscripts making them change. Just wait for these Allscripts resellers who are going to have to deal with the MyWay fall out.

HISsies Nominations by HISTalk

Posted on January 2, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m always a fan of awards and I’m also a fan of HISTalk. So, it just makes sense for me to let you all know about the annual HISsies nominations being done by HISTalk. Here’s Mr. HIStalk’s description of the awards:

Tell me your thoughts about 2009’s best and worst vendors, the smartest and stupidest vendor moves, and of course the granddaddy of all HIT industry awards: your choice for “HIT industry figure in whose face you’d most like to throw a pie.”

My favorite category is “HIT industry figure with whom you’d most like to have a few beers.” Ok, now go and nominate your favorite people in the HIS world. I’ll try to remember to publish a link to the voting once it starts as well. Maybe Mr. HIStalk can send me a note when it’s up if I miss it.