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Lots of Interesting Discussions at HIMSS Day 1

Posted on February 20, 2011 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.

Today’s been a really interesting first day of HIMSS. I’d heard good things about the Health IT Venture Forum in past years and so I was really glad to be able to attend this year. Of course, if you’re following @techguy and/or @ehrandhit, then you’ve already read a number of my updates.

I also posted what might be the biggest news coming out of HIMSS 11 today that meaningful use stage 2 will include EHR usability.

I was impressed by the Mitochon systems presentation at the New Venture Forum. I had a great talk with CEO, Chris Riley after their presentation. I really like his vision for what they’re working to create. The more I talk with Free EHR vendors like Mitochon, the more I can see the potential of their business model. Shahid, the Healthcare IT Guy, told me that he knew of a couple other free EHR at HIMSS. I didn’t get those requests, so I’m interested to know the other Free EHR competitors. (Full Disclosure: Mitochon is an advertiser on this site)


As you can see from that tweet. I was really intrigued by ZyDoc. I’ve been fascinated with NLP since last HIMSS. Combine that with the increasingly popular auto coding engines that are coming out and it’s a really interesting offering.

One of the presenters at the venture forum said the following about the hospital connectivity market. I wonder what people think about it:


I’ve always been fascinated with China. Add in my interest in EHR and of course I loved the presentation on EHR in China. This company is even more interesting since they have built the EHR with the Chinese character set and it seems like they understand the Chinese healthcare culture.


I loved how the Rothman score tried to quantify a patient’s condition for early warning. To see the score change on a graph really does change your view of a patient’s progress. I just wonder what a hospital’s liability is if the score changes and they don’t follow the alert. I also wonder how many false positives it would produce. Some sort of summary like this has to be the future. I really hope that they’re successful.

The following tweet was the best quote by Aneesh Chopa, CTO of the US. I also loved his energy. I bet he’d be a fascinating person to have dinner with.

I also had a chance to meet with Shareable Ink, but I think I’m going to save my discussion of their technology for an after HIMSS post. So, watch for that. It’s really neat technology.

The increasingly famous Brantley Whittington, CEO of spoof EMR company Extormity, stopped and chatted with me. I’m still holding out on saying who’s behind Extormity, but just look for the Brantley Whittington name badge and you’ll be able to figure it out early (or check back Tuesday when I’ll post it).

I also had a good chat with Dynamic Health IT during the HIMSS opening reception. Check them out for EHR certification and meaningful use consulting. Or as they describe it, the gap analysis for hospitals interested in becoming certified and showing meaningful use. Yes, they help with the hospital EHR self-certification.

In the evening, I got the chance to meet with Dana Sellers, CEO of Encore Health Resources. I told one PR person that emailed me that I have a policy of only meeting with smart people. Dana definitely fits this category.

As most of you know, a lot of my focus is on the ambulatory EMR world and so I appreciate Dana taking some time to talk with me (and really educate me) about healthcare IT in the hospital world. One of the most incredible things they told me was that Encore Healthcare has 143 employees and they’re only 2 years old. That’s some pretty good growth for an EHR consulting company.

One thing I was impressed with was Dana’s candor with her previous company (which was sold to IBM) and now what they’re able to do with Encore Health. Dana was partially embarrassed to admit that in the previous company they worried too much about processes and not enough on getting the data back out. She did say that she thinks that Encore Health is in a much better position based on changes to technology and the environment to really get the data out of these systems so they can focus even more on the quality of healthcare that’s provided.

So much more that I could share from my talk with Dana. It probably deserves it’s on post and most certainly the things she shared with me will come up in future posts. Needless to say I was extremely impressed with Dana and so it’s no wonder why Encore Health has been so successful. I might have to stop by Tommy Bahama’s again just to hang out with more smart people.

Finally, a couple interesting tweets I saw during the show:


and
http://twitter.com/#!/biomedsociety/status/39357644800000001

Isn’t it cool that I can cover sessions that I didn’t even attend thanks to Twitter?

Much much more tomorrow. Unless I’m too tired from all the parties;-)

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

Speech Recognition and EMR

Posted on September 21, 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.

Shahid, The Healthcare Guy, recently added a guest post from Nick van Terheyden, MD, Chief Medical Information Officer (Clinical Language Understanding) from Nuance Healthcare (Yes, they make Dragon Naturally Speaking – DNS) about making the most of speech recognition with an EMR. Here are the major points that Nick made:

  • Have the right hardware installed.
  • Intelligent application Coexistence.
  • Use good quality microphones and sound recording equipment.
  • Environmental Considerations.
  • Create a Standard and Replicate.
  • Anticipate Resistance. Expect resistance.
  • Quick Portable Guides.
  • Preparation.
  • Horses for Courses.
  • Identify champion(s).

I think that voice recognition is fascinating. Personally, I haven’t used it all that much. I certainly write a lot and so you’d think it would be perfect for me. I guess the reason I haven’t done it is first that I type pretty fast and second the extra time that it takes me to type the post helps me to formulate my ideas into a more coherent manner.

People are generally surprised to find out that I don’t proofread these blog posts (most of the time). It’s definitely a different type of publishing, but for the most part I build an idea in my head and then formulate the content for the blog as I type it. I’m not sure how well that would work with voice recognition. Although, maybe this week I’ll try it and see how it goes.

This said, I think many doctors have well trained dictation skills and so the idea of using speech recognition to capture their documentation into an EMR is a very natural thing. Hopefully the above ideas will help out those that are interested in pursuing speech recognition.

HHS Says Certified EHR Available in Fall 2010

Posted on June 21, 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.

Well, it always seems to happen when I go out of town on vacation that HHS finally decides to go to work and make some announcements. The final rule for the Temporary EHR certification rule is out and will be published to the Federal Register on June 24th. It’s non-final format is available at the Federal Register’s Public Inspection Desk. Does anyone else kind of squirm when they read about this final rule for a temporary EHR certification. Final and temporary just don’t sound right together, but that’s what we have.

The Healthcare IT Guy attended an HHS ONC press conference and added a nice little summary of what was said:

*As of today if you’re interested in being a certification body you must request the HHS Certifying Body application in writing
*On July 1 ONC will start accepting applications
*By the “end of the summer” (HHS’s words) there will be one or more certifying bodies open for business (accepting products)
*By “this fall” (again, their words) there will be fully HHS certified products available

One important clarification was made by ONC — there is no grandfathering in CCHIT or previously certified products. Everybody is going to be re certified using the new NIST rules. This means that if you have even 2011 CCHIT certification now it won’t mean anything, you have to go through the process again. CCHIT is offering their “ARRA Interim Certification” but beware — the rules say that you have to follow the NIST plans, not what CCHIT developed. So, if you have the ARRA Interim Certification you may not have pay again but you still will be required to change your software to meet the HHS/NIST test plans and requirements.

Nothing that’s all that newsworthy, except it’s nice to finally have a little bit more solid timeline for when there will be some ARRA EHR certification bodies.

I think that Shahid’s analysis of the now meaningless 2011 CCHIT certification is spot on as well. Although, I’m sure we’ll still see quite a few EMR vendors using the marketing power of the CCHIT certification on unsuspecting clinics who don’t know the difference.

Yes, it does also mean that clinics will have to wait until Fall of 2010 (or later) before they’ll really know if an EHR will be a certified EHR or not. Of course, I’ll be very surprised if less than 98% of EMR vendors don’t become ARRA certified.

HIMSS 10 Day 3

Posted on March 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.

Today was a much more laid back day at HIMSS. I still had pretty much back to back meetings, but I’m learning little by little to manage the day at HIMSS. It’s still a work in progress, but I’m getting closer to managing this HUGE event.

In kind of a surprise meeting, I had a chance to sit down and talk with Shahid from The Healthcare IT Guy. We had a really good chat and I can see us working on a number of projects together. It’s been really interesting to meet people in person that you’ve only ever known online. A few times I’ve come away disappointed, but the opposite was true with Shahid. I couldn’t be more impressed with Shahid.

I had a number of really interesting interviews today and a meeting with the CMO of Verizon to talk about an interesting medical data exchange that they’re working on. It was really interesting to hear the vision of what Verizon and the group behind it are doing to make healthcare data exchangeable. I’ll be posting a lot more on this in the future, but you can see my original post about this consortium for some initial information. I have a video talking about the consortium and another video talking about the really neat technology behind MModal.

I also had a nice media lunch from HP. The food was great. The content was a little weak, but their talk of the thin clients was pretty useful for me in my day job. Little by little I’ve been getting more and more convinced that thin clients will be the future of desktop management. At least in any reasonably sized implementation.

Oh yes, and I have to mention the most incredibly tacky part of the lunch. While they were speaking, one of the media people’s phone rang. Not only did they not turn off the ringer, but he then proceeded to answer the phone in the middle of the meeting and was talking on the phone while the person was presenting. Then, after the call he got up and left. I was totally shocked that he really did that. Unbelievable!!

However, the event of the day without a doubt was the ONC town hall. It started off with David Blumenthal announcing that the details of accrediting the EHR certifying bodies (officially the NPRM on certification) were just released. You can find the details posted on the HHS website. I’ll be posting a lot more about this soon. ONC did a pretty lengthy question and answer and even a powerpoint on the new accreditation for EHR certifications. I’ll cover those details very soon.

I also met one of the people behind Fierce Health IT and talked about possibly working together on something. They really went all out to kind of make a splash at HIMSS and I must admit that they’ve come along way since they first started.

Lots of other things, but I better get to bed so I can make the Blumenthal keynote tomorrow.