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Demonstrating Open-Source Healthcare Solutions (DOHCS)

Fred Trotter sent me a note about the second annual “Demonstrating Open Source Health Care Solutions” (DOHCS) Open Source health care conference. It will be held on February 8, 2008, prior to the 6th Annual So Cal Linux Expo and will allow health care professionals to learn about opportunities to implement Open Source software solutions in their field. They are requesting: If you’ve already implemented an Open Source solution in a health care environment, please consider sharing your experiences with us.

Shahid N. Shah

Management 2.0

In a nice interview with Gary Hamel, Allan Alter at CIO Insight writes: The efficiency-focused management model has run its course, says strategist Gary Hamel. To see the future of management, look to the Internet, open source, free markets and democratic institutions. It’s a good article. Some other interesting snippets: Has management as we know it reached the end of the road? Strategy expert Gary Hamel thinks so.

Shahid N. Shah

Make sure your online SaaS vendors are appliance-capable

We’ve all been hearing pundits rave about how SaaS (software as a service) is the next wave of technology (mainframes, desktop PCs, and client/server systems being earlier waves). I certainly agree that software running “in the cloud” is a great idea for lots of reasons. However, companies in general, and healthcare enterprises particularly, need to be careful putting any mission-critical data into the hands of other firms no matter who they are.

Shahid N. Shah

Key Health IT opportunity: Medicare Says It Won’t Cover Hospital Errors

Last week the NY Times and others reported that Medicare will stop covering expenses incurred by hospitals for what the agency considers as errors: In a significant policy change, Bush administration officials say that Medicare will no longer pay the extra costs of treating preventable errors, injuries and infections that occur in hospitals, a move they say could save lives and millions of dollars. Assuming the rules get enacted as expected, this is a major opportunity for health IT firms to jump in with solutions.

Shahid N. Shah

Microsoft Health Common User Interface (CUI) Guidance and Controls

Microsoft’s been tying to make some major inroads into healthcare IT (some impressive, others that are a little “me too”). They are strong in the office automation and general computing space in hospitals but weak in the healthcare-specific vertical and clinical areas. One of the areas that Microsoft’s always been strong is supporting the development community and they’re starting to make some good progress in health IT (specifically health not the just IT part).

Shahid N. Shah

Health IT Blogs Visualized

Ryan Byrd over at [healthTech.accordingtome.com][1] has a great picture of the HIT blogosphere. Here’s how he described what he did: What does the healthcare blogosphere look like? That is, how are all the healthcare IT blogs interconnected? … I wrote a quick program that extracted the blogs listed there and for each of them, I spidered the first page for links and checked to see if those links linked back to the original 50.

Shahid N. Shah

E-mail good for patients, not so much for docs

There was an interesting article in the Portland Business Journal a few weeks ago which intimated that as physicians increase their use of e-mail with patients, their incomes may decline: For physicians’ offices, e-mail between patients and providers may prove a mixed blessing. Patients who use e-mail to communicate with their medical providers are apt to visit the doctor’s office less and are also less likely to phone the doctor’s office, according to recent data from the Kaiser Permanente Center for Health Research.

Shahid N. Shah

If you can’t repeat it, don’t bother automating it

There’s been plenty of discussion in both literature and general media about how most software projects fail. There are plenty of reasons for failed projects: from inadequate requirements gathering to poor project management to plain incompetence. Some of the problem starts at the C-Suite where projects are actually identified and initiated — for asking to automate (presumably with software) something that maybe has no business being automated. My simple advice to most CEOs and CIOs about project management starts with a question: can you methodically and manually repeat the thing you are trying to automate?

Shahid N. Shah

Guest Article: Safeguarding critical patient information

I’ve been researching service continuity for patients in Healthcare organizations recently. I ran across a company, Marathon Technologies, who focuses on fault tolerance in IT infrastructures and I found it interesting that they were targeting tools necessary to provide care for patients. I invited Mr. Joost Verhofstad, Director of Healthcare Solutions at Marathon, to talk a bit about what they do and how they safeguard critical patient information. I requested that he help prescribe preventative high availability solutions to ensure that unplanned system failures never come between patients and their healthcare needs.

Shahid N. Shah

Research questioning EMRs effectiveness mounts

A buddy of mine, Bob Burns at 5th Quadrant, sent me a couple of links questioning the clinical effectiveness of EMRs; the links were just adding to several others reports that I’ve seen recently. I’m not sure I agree with all the findings, but the direction in which the winds are blowing is clear: be wary of EMRs that promise better clinical outcomes. Electronic Health Record Use and the Quality of Ambulatory Care in the United States (from the Archives of Internal Medicine).

Shahid N. Shah
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