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Short and Sweet Health IT and EHR Thoughts

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I thought for a fun Friday post, I would post a bunch of short and sweet quotes and thoughts from people I talked to this last month at various Health IT & EMR conferences I went to around the country. Hopefully some of these will drive some interesting conversations in the comments.

“ACOs facilitate HIE.”

“They [A hospital] had a hard EHR go-live…well, they all have a hard EHR go-live.”

“Not All ICD-10 engines are created equal.”

“EHR consulting firms have a bad name [image].”

“All the money in hospital IT is in clinical apps.”

November 9, 2012 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 and Google Plus. Healthcare Scene can be found on Google+ as well.

Perceptions of Hospital IT and Nursing

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In response to my post about the Old Boys Club of Healthcare IT, David Allinder, RN offered these interesting perceptions of IT and nursing. These are generalizations, but worth considering:

PERCEPTIONS OF IT: The IT department is sealed behind coded doors locked away from patient care. The only way to contact them is by calling the help desk (which usually doesnt). Time is taken away from patient care to sit on hold for what seems like forever. And then after you define your issue they say let me contact the IT person they will call you back.

PERCEPTIONS OF NURSING: Nurses are control freaks with OCD issues. No one had better mess with my unit, pateints, processes, workflow. Nursing is sitting in a hallway with opened desks with call lights and phones constantly ringing they are there to respond instantly to demands and requests. Nursing are at the bedside taking care of patients. Electronic devices take too much time away from the patient care. I cant do my job because the stinking computer is broken AGAIN.

Don LeBreux summarized my feelings on the above comments, “Your “perceptions” are basically dead on. Funny and sad.”

What strategies have you seen that work to bridge the divide and overcome these perceptions?

August 3, 2012 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 and Google Plus.

EMR Only Doctors, Average EMR Price, Most Wired Hospitals, and Healthcare Social Media

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Before I get to my Twitter round up of EMR and Health IT tweets, I thought at least a few of you would be interested in a short update on my previous post.

Mom and baby are home and doing really well. We’re still adapting to life with 4 children, but we feel really blessed. Thanks to everyone for the kind words on social media. Of course, how could I mention my new baby boy and not provide a picture of Gianluca:

Now on to some interesting EMR and Health IT tweets:


This wasn’t the tweet I meant to embed, but it seems that Dr. Zaphiris must have deleted the one I was going to embed. It talked about how Dr. Zaphiris had used EMR for so long she didn’t remember paper (or something like that). It made me wonder how many doctors today have only known EMR charting. Certainly it’s not a majority or even close, but I bet the number is higher than most would realize. If you add in doctors that don’t really remember paper charting, the number is even higher. This is the shift that’s occurring. We’ll call them EMR natives.


Where on earth did they get these numbers? These numbers remind me of when I started posting about EHR software on this blog 6+ years ago. That can’t be the average, can it?


The Twittersphere has been abuzz with the “Most Wired Hospitals” list that was put out last week. This tweet is one hospital that’s making the most of the list. I made my thoughts clear on lists. I think I heard someone say that those that make the most wired hospital list are better at PR than they are at tech. Those that love the tech don’t worry about some list. Although, I’m sure many at the hospitals on the list are enjoying the pat on the back.


I’d only change the would can to could. I think social media can benefit anything an organization wants to do. The real question is should you use social media to accomplish that purpose. In many cases the answer is no. Often it’s no because it’s not the right tool. Often it’s no because the company culture isn’t amenable to it.

July 15, 2012 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 and Google Plus. Healthcare Scene can be found on Google+ as well.

Top Healthcare IT Vendors by Revenue

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For those of you who aren’t familiar with the now a year old Hospital EMR and EHR, you should check it out and subscribe to the email list. The site has been growing like gang busters and people are loving the content on that site. I’d wanted to do a hospital EHR focused website for a long time. Certainly there’s a lot of cross over between ambulatory EHR and hospital EHR, but there are also unique differences in the hospital EHR environment that were definitely worthy of their own discussion platform. Plus, we like to cover other aspects of hospital IT.

One of the recent series that Anne Zieger started on Hospital EMR and EHR is called the Top Hospital HIS Vendors by Revenue. She’s already covered the top 3: McKesson, Cerner, and Siemens. She’ll be going through the rest of the Top 10 Hospital HIS vendors by revenue over the next weeks.

It’s really fascinating and amazing to see the enormous revenue numbers that each of these companies produce. Even more amazing is that we’re really only at the beginning of EHR adoption. There is so much of the EHR market that still is out there waiting to implement an EMR solution.

Of course, the real question is which vendor is going to capture this market share and which company will eventually be created that will take the market share from the incumbents. I’m sure it’s hard for many to believe that some upstart company could take down these large companies, but it will happen. That’s the cycle that occurs over and over again. Although, I will make the prediction that we won’t see much jostling in the hospital EHR space during the HITECH EHR incentive money time frame. The opportunity to take market share will likely happen post EHR incentive money.

May 2, 2012 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 and Google Plus. Healthcare Scene can be found on Google+ as well.

Despite Focus On Security Compliance, Provider Data Still Isn’t Secure

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It looks like we’ve got a billion-dollar mismatch between rules and reality here. An established security research firm has released a study suggesting that while providers are working hard on meeting HIPAA and other security regs, their data isn’t any more secure than when it was before

Kroll’s 2012 HIMSS Analytyics Report: Security of Patient Data, concludes that the rate of  provider data breaches has been rising over the past six years, despite pressure on providers to conduct more security audits and otherwise tighten up their data ship.

What’s scary about this trend is that the healthcare institutions surveyed by Kroll don’t seem to be aware of the problem.  Health IT execs rated themselves at 6.4 out of 7 (seven being “extremely prepared’) on their readiness to address data security. That’s up from 6.06 in 2010 and 5.88 in 2008.

But the data Kroll gathered suggests that they’re overconfident at best. It found that 27 percent of respondents had reported a breach during the past twelve months, up from 19 percent in 2010  and 13 percent in 2008. Worse, of those who saw breaches, 69 percent of providers had seen  more than one breach.

Now, it would be easy to say that regs like HIPAA, Meaningful Use standards and the Red Flags rules are malformed, and that this is just another case of government getting it wrong to industry’s detriment. If there’s any truth to this notion, I do hope CMS leaders take notice and adjusts some of its requirements;  Heaven knows they’d get plenty of credible, carefully thought-out feedback if they ask.

Unfortunately, though, I suspect far from being that easy. We’d all love it if we could just follow the rules, get government approval then say “stick a fork in it, security’s done.”  But as readers know,  security is such a complex mix of implementing technologies and changing inappropriate behaviors that it’s hard to tease out just what went wrong sometimes.

Still, it’s good to have an organization like Kroll remind us that meeting HIPAA requirements isn’t the be all and end all.  Unfortunately, it’s really just the beginning.

April 26, 2012 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.

Amazing Epic Discussion on Google Plus

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As many of you probably know, I started a new Hospital EMR and EHR website that follows a similar pattern to EMR and HIPAA & EMR and EHR, but focused on the technology used in a hospital with the EHR being at the center (most of the times). The site has been growing like crazy with the wonderful Katherine Rourke posting most of the content.

However, one thing I found really interesting was that I took this post about Epic Possibly Being Victim of its Own EMR Success and posted it on Google Plus (UPDATE: You’ll need to add me to your Google Circle so I can add you to my EMR circle to see it. I forgot I only shared it with my EMR google circle and I can’t see how to make it public). I’ve just been dabbling around in Google Plus, and so I was surprised by the results.

In the post itself, there have been 6 comments about Epic EMR’s success. That’s really not a bad number of comments for such a new Hospital EMR blog.

However, the astounding part is that my thread on Google Plus that links to the post has already had 40 comments on it with some amazing insight from those commenting.

It’s still really early in the life of Google Plus. Maybe it’s early and the novelty of Google Plus is what’s currently providing the great discussion. I’ll have to seriously consider how I can incorporate that discussion into future blog posts.

August 21, 2011 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 and Google Plus. Healthcare Scene can be found on Google+ as well.