CPOE studies generate buzz

I was interviewed by Andis Roberznieks of Modern Healthcare in his latest article entitled CPOE studies generate buzz. It was about my thoughts on the Cerner CPOE study that I wrote about a couple of times last week.

Alexa (the search engine) is making its data available on the Amazon.com Web Services platform, and it will open up many uses for healthcare IT entrepreneurs who can use 5 billion pages of information at their disposal or would like to host their own applications in the Amazon server farm. Granted Alexa has absolutely nothing to do specifically with healthcare, but the new web service can be used in some interesting cases for vertically oriented search engines.

Matthew wrote an article recently entitled Can doctors ever learn to love the EMR?. As interesting as the article was, the comments it generated were even more interesting. What some of the readers wrote is worth reviewing: Allan wrote: One hypothesis that needs to be considered is that the first “wave” of EMR/CPOE implementations were led by medical organizations that already had their “act together” and that the addition of a tool (the EMR) designed to enhance the specific operating environment in which those organizations provide care.

The Deloitte Hospital CEOs Survey has been released. There are some very interesting results from an IT perspective: 5% of Boards of Directors believe IT is a concern (whereas 66% believe financial viability is a big concern) 22% of CEOs believe additional IT infrastructure is the second greatest need in healthcare industry after coverage for the uninsured (63% believe that) 27% of CEOs believe the Internet will have a big impact on medicine in the next 2 years.

Yesterday I spent some time being interviewed by reporters about the impact of the CPOE study (about Cerner) that I reported on a few days earlier. One of the reporters asked a great question: what will be the impact of this negative study? My answer was two fold. One was that I didn’t see any big impact on Cerner itself because any objective reading of the Pediatrics article would see a few flaws in the study (which I also elaborated on at length).

Now that HL 3.0 is live lets hope that vendors and hospitals start to use the single object model, RIM, and XML syntax. However, as new implementations come down the pike they’ll eventually run into some problems which many other early adopters have encountered. The HL7 UK site reports that over the past year Rene Spronk has been collecting notes about HL7 v3 implementation issues discovered by early implementers, notably in the UK and in the Netherlands.

There have been listservs and mailing lists that discuss health IT topics, especially those specific to a vendor like IDX, Cerner, Epic, or Siemans. In fact, user groups have been around forever that discuss their favorite topics (or rants) about their favorite vendors (or those they hate). However, searching those kinds of mailing lists is a bit tough and navigating their topics is also difficult. Discussion boards and forums (fora?) have been cropping up for health IT and I just ran across another one today.

After my article about tracking of HIPAA complaints and the current figures, two healthcare knowledgable lawyers, Robert Coffield and Alan Goldberg were gracious enough to send some specific statistics. It turns out that the topic of HIPAA complaints numbers was actually discussed in a legal listserv and here’s what Robert had to say about it: I thought I would share a post that appeared on the American Health Lawyer’s listserve a couple of days ago.

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