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Getting the Right Information to Doctors and Patients at the Right Place and the Right Time

Posted on October 21, 2016 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.

On Tuesday, October 25, 2016 at 1:00 PM ET (10:00 AM PT) I’ll be hosting a live video interview with Denise Basow, MD, President and CEO of Clinical Effectiveness at Wolters Kluwer Health. We’ll be discussing how we can make sure that doctors and patients are getting the right information at the right place at the right time. This is an extremely big challenge, but this discussion should be particularly interesting thanks to Wolters Kluwer’s recent acquisition of Emmi.

The great part is that you can join my conversation live and even add your own comments to the discussion or ask your own questions. All you need to do to watch live is visit this blog post on Tuesday, October 25, 2016 at 1:00 PM ET (10:00 AM PT) and watch the video embed at the bottom of this post or you can watch on YouTube directly. The conversation will be recorded as well and available on this post after the interview.
2016-october-right-info-at-right-place-and-time
We hope you’ll join us live using the video below or enjoy the recorded version of our conversation.


(To Ask Questions, visit the YouTube page)

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.

Smart EMR & CDS

Posted on May 21, 2013 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.

For those who don’t know, I’ve started a series of EMR, EHR and Healthcare IT video interviews with some of the leaders of our industry. You can attend the video interviews live and can ask questions on Twitter. If you want to receive email notifications of upcoming interviews, just subscribe on this page. Tomorrow I’ll be doing another video hangout on Hospital EHR and Healthcare Analytics with Dana Sellers and James Kouba.

The following video embed is from an interview I did with Sean Benson and Andre L’Heureux from Wolters Kluwer Health. We had a great discussion about the gap or white space between EMR software and what clinicians want them to do. We also talked about the challenge of integrating EMR with CDS systems. Plus, I asked them what EMR vendors could do to make the Smart EMR of the future possible. Their answer was quite interesting. We also discussed the challenge hospitals face of clinical knowledge management in their organization. Then, we wrapped up the conversation with a look at the WKH Innovation Lab’s sepsis project.

I think there’s a lot to be excited for when it comes to creating smart EHR and getting the most from clinical decision support systems. Enjoy the Smart EMR and CDS video interview embedded below.

EHR Is the Database of Healthcare

Posted on March 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.

I’ve been regularly writing and thinking for the past few months about something I’ve branded as the “Smart EMR.” Basically, the EMR of the future won’t be a repository of documents and information like before. Instead, doctors will have an expectation that the EMR is smart and can do something valuable with all the health information that’s stored in the EMR. I love this subject. I should put together a presentation on it and start touring it around the country, but I digress.

While at HIMSS I had the pleasure of talking with Sean Benson, VP of Innovation at Wolters Kluwer Health. In our discussion, he said something that hit me like a ton of bricks. He suggested that EHR software is the database of healthcare. The implication being that EHR software is good at collecting healthcare data and storing that data. What they’re not good at doing is actually providing the smart layer that goes on top of that data.

I’m sure that many who know about Wolters Kluwer Health’s (WKH) software offerings might see Sean’s view as bias since WKH, as best I can tell, wants to be the smart layer that goes on top of EHR software. In fact, they showed me some really interesting technology they have for processing all the medical information out there into a really digestible format, but that’s a post for another day. Their interests and clinical decision support software aside, the idea of the EHR software being the database of healthcare seemed to resonate with me.

I’ve often described EHR software to date as a big billing engine. Some EHR are trying to break that mold, but that’s a hard mold to break since a big billing engine is what the market has asked them to create (for the most part). With that in mind, it’s certainly hard for an EHR software to develop a true Smart EHR platform.

I can see in my mind’s eye a product development team going into the EHR vendor executives office and pitching some amazingly smart and effective EHR software for improving patient care. The cynical me then sees the EHR vendor executive saying, “We can’t monetize that.” or a related “That won’t sell more EHR.” The sad thing is that the executive is probably right…at least today. The market hasn’t started demanding a Smart EHR and improved patient care. I’m hopeful that the new ACO model will help to shift that focus, but it’s still too early to tell if that will provide the impetus for change.

Another part of me hopes that a true entrepreneur will come along and build an EHR that provides such a stark contrast in how it provides patient care that doctors won’t be able to resist using it. Something impactful like the stethoscope, that if a doctor isn’t using it patients won’t go to that doctor. However, this line of thinking seems to push the concept of EHRs being the database of healthcare and not the All in One Smart EHR.

If I’m an entrepreneur with the vision of transforming patient care through smart use of EHR data, why would I want to build an EHR from the ground up when there are a number of very large EHR vendors that have APIs that allow me to build upon their data? If the data’s already been collected, then I’m likely to focus all of my energy creating innovative solutions with that data, not creating the mechanism to collect the data.

What’s a database? Tools to collect data, store data and then retrieve data. What’s an EHR today? Mechanisms to collect health data, store the data and then retrieve the data.

Ok, that’s a bit of an over simplification, but the analogy is there. You can see why so many EHR vendors are trying to become “the platform” of healthcare. Turns out that being the repository of data that everyone else builds cool stuff on top of is very valuable. However, building that platform requires a very different culture and focus than building Smart EHR solutions.

This is why I’m sure many EHR vendors will try to develop some Smart EHR solutions, but in the end EHR will be the Database of Healthcare that other Smart EHR applications connect into. I don’t think that’s a bad thing at all.

Medispan Clinical Expands CDS Offerings by Wolters Kluwer Health

Posted on March 1, 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.

Since I know I have a number of EMR vendors that read this blog, I know they’ll be interested to learn the news coming out of Wolters Kluwer Health about a new clinical decision support (CDS) offering called Medi-Span Clinical. Here’s a part of the press release announcement:

Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, today unveiled Medi-Span® Clinical, a robust clinical decision support (CDS) platform that delivers the functionality, interoperability and medication-related CDS necessary to advance the practice of evidence-based medicine and to achieve meaningful use of health IT.

From the looks of their website page about Medi-Span Clinical, this looks like it’s the announcement of the features that they have listed nicely as “launching in 2010.”

APIs OFFERING CLINICAL DECISION SUPPORT
SCREENING INFORMATION LAUNCHING IN 2010
Drug Interactions™ API
Route Contraindications™ API
Drug Allergy™ API
Duplicate Therapy™ API
Dose Screening and Drug Orders™ API
Drug Disease Contraindications™ API
Pregnancy, Lactation, Age and Gender™ API

APIs OFFERING CLINICAL DECISION SUPPORT
REFERENCE INFORMATION
Trissel’s IV-CHEK™ API
Integrated MedFacts Module™ API
Integrated Drug Facts and Comparisons™ API
Drug Image and Imprint™ API

That’s quite a robust offering of services that can really benefit an EMR. I tried really hard to get our EMR to implement Medispan since that’s what our pharmacy uses. Unfortunately, they chose to integrate a different drug database mostly because of cost of Medi-Span I believe. We’ll see if they are regretting that after announcements like this.

I know there are a number of interesting API services like this out there. I’d be interested to hear more about EMR vendor and users experiences with the other people in the industry.

One other interesting piece from the press release:

“In addition to unprecedented interoperability, Medi-Span Clinical delivers advanced end-user controls over alerts and warnings that reduce the risk of ‘alert fatigue’ and drive adoption at the point-of-care,” said Subramanian. “By deploying Medi-Span Clinical within their EMRs, providers and vendors alike are able to advance the meaningful use of health IT and provide clinicians with the advanced point-of-care CDS they will actively embrace.”

I think that a third party service offering like this can really help an EMR vendor. It kind of makes sense to have it separated, but tightly integrated through an API. I’m sure it’s all a bit technical for many readers of my blog, but let’s just say it’s a good thing for the EMR industry for these capabilities to continue to improve.

Also, it should help an EMR vendor meet some of the meaningful use guidelines. Although, it does seem a bit gratuitous to use the buzzword meaningful use like this. I wonder if I’ll get any press releases that won’t include that term somewhere.