healthsystemcio.com » Clinical Decision Support http://healthsystemcio.com healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs. Tue, 22 May 2012 15:25:24 +0000 en hourly 1 http://wordpress.org/?v=263 2010-2011 healthcio@gmail.com (Anthony Guerra) healthcio@gmail.com (Anthony Guerra) healthcare IT 1440 http://healthsystemcio.com/wp-content/uploads/2010/05/hscio-square-144x144.gif healthsystemcio.com http://healthsystemcio.com 144 144 http://healthsystemcio.com/?feed=podcast Helping CIOs Improve Healthcare healthsystemCIO.com Podcasts feature one-on-one interviews with the industry's most influential figures. From hospital CIOs to CEOs from the largest EMR vendors, you'll enjoy these lively exchanges with editor Anthony Guerra. healthcare IT, health care IT, CIO, Chief information officer, HITECH, Meaningful Use, health information technology, hospital IT Anthony Guerra Anthony Guerra healthcio@gmail.com no no George Reynolds, MD, CIO, Children’s Hospital & Medical Center, Chapter 2 http://healthsystemcio.com/2012/05/16/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-2/ http://healthsystemcio.com/2012/05/16/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-2/#comments Wed, 16 May 2012 12:06:59 +0000 Kate Gamble http://healthsystemcio.com/?p=11852 Implementing clinical decision support Qualifying for MU under Medicaid rules Waiting to attest with Epic “We were going to do this anyway… it hasn’t really changed our philosophy” Moving ahead with ICD-10 “Have a game plan and stick to it” Managing dual CIO & CMIO roles

Source: George Reynolds, MD, CIO, Children’s Hospital & Medical Center, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2012/05/16/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-2/feed/ 0 0:11:02 One of the dictums often spoken at Children’s Hospital and Medical Center is that “pediatric patients are not just small adults.” Children come with a whole different set of needs — from a lack of standard dosing to communication challenges — that m[...] One of the dictums often spoken at Children’s Hospital and Medical Center is that “pediatric patients are not just small adults.” Children come with a whole different set of needs — from a lack of standard dosing to communication challenges — that must be factored in when implementing IT systems. These considerations are taking a front seat as Children’s migrates to a new EHR platform. In this interview, George Reynolds, MD, talks about the work his organization is doing to connect with affiliated physicians as well as other health systems, and the decision support system that’s being rolled out to improve patient care. He also talks about managing the dual roles of CIO and CMIO, the benefits of having clinician experience under his belt, the importance of IT rounding and appointing physician champions, and why networking is more critical now than ever before. children's, hospital, &, medical, center, george, reynolds, Podcast Kate Gamble no no George Reynolds, MD, CIO, Children’s Hospital & Medical Center, Chapter 1 http://healthsystemcio.com/2012/05/09/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-1/ http://healthsystemcio.com/2012/05/09/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-1/#comments Wed, 09 May 2012 19:17:43 +0000 Kate Gamble http://healthsystemcio.com/?p=11779 About Children’s Hospital & Medical Center Migrating to Epic No need to push EMRs out to community docs Being a founding member of NEHII “We intend to use the Epic solutions wherever possible” Complex issues involving decision support with pediatric patients

Source: George Reynolds, MD, CIO, Children’s Hospital & Medical Center, Chapter 1 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2012/05/09/george-reynolds-md-cio-childrens-hospital-medical-center-chapter-1/feed/ 0 0:11:01 One of the dictums often spoken at Children’s Hospital and Medical Center is that “pediatric patients are not just small adults.” Children come with a whole different set of needs — from a lack of standard dosing to communication challenges — that m[...] One of the dictums often spoken at Children’s Hospital and Medical Center is that “pediatric patients are not just small adults.” Children come with a whole different set of needs — from a lack of standard dosing to communication challenges — that must be factored in when implementing IT systems. These considerations are taking a front seat as Children’s migrates to a new EHR platform. In this interview, George Reynolds, MD, talks about the work his organization is doing to connect with affiliated physicians as well as other health systems, and the decision support system that’s being rolled out to improve patient care. He also talks about managing the dual roles of CIO and CMIO, the benefits of having clinician experience under his belt, the importance of IT rounding and appointing physician champions, and why networking is more critical now than ever before. children's, hospital, &, medical, center, george, reynolds, Podcast Kate Gamble no no Dave Holland, CIO, Southern Illinois Healthcare, Chapter 1 http://healthsystemcio.com/2012/03/22/dave-holland-cio-southern-illinois-healthcare-chapter-1/ http://healthsystemcio.com/2012/03/22/dave-holland-cio-southern-illinois-healthcare-chapter-1/#comments Thu, 22 Mar 2012 11:19:09 +0000 Kate Gamble http://healthsystemcio.com/?p=10935 About Southern Illinois Healthcare Forming a PHO to improve care coordination Integrating the acute & ambulatory environments Improving outcomes for chronic disease patients EMR adoption – “it runs the gamut” “It’s mostly a cost issue”

Source: Dave Holland, CIO, Southern Illinois Healthcare, Chapter 1 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2012/03/22/dave-holland-cio-southern-illinois-healthcare-chapter-1/feed/ 0 0:13:11 When he was named CIO at Southern Illinois Healthcare three years ago, two of Dave Holland’s key goals were to reverse the trend of project delays at the five-hospital organization, and to help narrow the gap between IT and clinicians staff. His tea[...] When he was named CIO at Southern Illinois Healthcare three years ago, two of Dave Holland’s key goals were to reverse the trend of project delays at the five-hospital organization, and to help narrow the gap between IT and clinicians staff. His team is addressing both issues by surging ahead with a big Meditech upgrade and establishing a rounding system that will enable the IT staff to better understand how implementations impact clinicians. In the meantime, Holland is focused on building an HIE within the organization, establishing a PHO to improve outcomes for chronic disease patients, and driving EHR adoption among physicians. In this interview, Holland talks about the HIE picture in Illinois, transitioning to a true EHR environment that will enable clinical decision support, and what it takes to change the culture of an organization. dave, holland, Podcast, southern, illinois, healthcare Kate Gamble no no Mary Anne Leach, CIO, Children’s Hospital Colorado, Chapter 1 http://healthsystemcio.com/2012/02/14/mary-anne-leach-cio-childrens-hospital-colorado-chapter-1/ http://healthsystemcio.com/2012/02/14/mary-anne-leach-cio-childrens-hospital-colorado-chapter-1/#comments Tue, 14 Feb 2012 21:04:26 +0000 Kate Gamble http://healthsystemcio.com/?p=10417 About Children’s Connecting with independent physicians Pushing clinical decision support across the continuum Building a sustainable, affordable HIE model “It’s all about the value proposition” Partnering with Epic

Source: Mary Anne Leach, CIO, Children’s Hospital Colorado, Chapter 1 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2012/02/14/mary-anne-leach-cio-childrens-hospital-colorado-chapter-1/feed/ 0 0:12:31 As someone with nearly three decades of health IT experience, Mary Anne Leach knows that accomplishing anything worthwhile means being willing to learn from the past, and not being afraid to lead the way. Children’s Hospital Colorado was one of the [...] As someone with nearly three decades of health IT experience, Mary Anne Leach knows that accomplishing anything worthwhile means being willing to learn from the past, and not being afraid to lead the way. Children’s Hospital Colorado was one of the first pediatric hospitals to fully implement an EHR and was a participant in Colorado’s first RHIO. Now, the organization is drawing from that experience to help build an improved HIE, and leveraging its relationship with Epic to extend its pediatric network. In this interview, Leach talks about the complex Meaningful Use picture in Colorado, how Children’s is partnering with vendors to develop a clinician-friendly mobile device strategy, why it’s critical to participate in advocacy initiatives, and how her background has given her a “well-rounded view.” children's, hospital, colorado, mary, anne, leach, Podcast Kate Gamble no no KLAS Finds Workflow, Alert Fatigue Hamper CDS Growth http://healthsystemcio.com/2011/12/05/klas-finds-workflow-alert-fatigue-hamper-cds-growth/ http://healthsystemcio.com/2011/12/05/klas-finds-workflow-alert-fatigue-hamper-cds-growth/#comments Mon, 05 Dec 2011 13:36:19 +0000 Anthony Guerra http://healthsystemcio.com/?p=9397 Poor integration with clinical workflow is the “Achilles heel” hindering clinical-decision support success, according to a new KLAS report, Clinical Decision Support 2011: Understanding the Impact. Additionally, many reported issues with alert fatigue, describing it as an “overly sensitive mess.” KLAS also stated most tools did well in one of these main arenas, but rarely [...]

Source: KLAS Finds Workflow, Alert Fatigue Hamper CDS Growth on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/12/05/klas-finds-workflow-alert-fatigue-hamper-cds-growth/feed/ 0 AMIA Weighs In On CDS Debate http://healthsystemcio.com/2011/09/15/amia-weighs-in-on-cds-debate/ http://healthsystemcio.com/2011/09/15/amia-weighs-in-on-cds-debate/#comments Thu, 15 Sep 2011 11:51:39 +0000 Anthony Guerra http://healthsystemcio.com/?p=8686 The critical factor in determining the risk posed by different types of clinical decision support (CDS) software is whether that support “is mediated by a human being,” stated AMIA in a comment letter sent to the FDA, which is preparing draft guidance on mobile medical applications. The FDA’s most rigorous attention, AMIA advised, should be [...]

Source: AMIA Weighs In On CDS Debate on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/09/15/amia-weighs-in-on-cds-debate/feed/ 0 The ROI of Evidence Based Protocols http://healthsystemcio.com/2011/08/25/the-roi-of-evidence-based-protocols/ http://healthsystemcio.com/2011/08/25/the-roi-of-evidence-based-protocols/#comments Thu, 25 Aug 2011 11:28:26 +0000 Dale Sanders http://healthsystemcio.com/?p=8381 A new study from Johns Hopkins reveals the value of standard protocols (aka, clinical practice guidelines) on reduction of central line infections in the ICU–  $1.1M per year. If I were CEO of an insurance company or major employer paying for healthcare, my contracts would require my healthcare providers to show proof that they’ve implemented evidence [...]

Source: The ROI of Evidence Based Protocols on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/08/25/the-roi-of-evidence-based-protocols/feed/ 0 George McCulloch, Deputy CIO, Vanderbilt University Medical Center, Chapter 2 http://healthsystemcio.com/2011/07/28/george-mcculloch-deputy-cio-vanderbilt-university-medical-center-chapter-2/ http://healthsystemcio.com/2011/07/28/george-mcculloch-deputy-cio-vanderbilt-university-medical-center-chapter-2/#comments Thu, 28 Jul 2011 13:05:10 +0000 Anthony Guerra http://healthsystemcio.com/?p=8078 *Thoughts on Meaningful Use *"The biggest issue we have with Meaningful use is the collision with ICD-10" *"CPOE is a huge cultural shift and will likely be the toughest one for community hospitals" *Physician freedom versus evidence-based medicine *"There's still an art to this as well as a science"

Source: George McCulloch, Deputy CIO, Vanderbilt University Medical Center, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/07/28/george-mcculloch-deputy-cio-vanderbilt-university-medical-center-chapter-2/feed/ 0 0:16:55 To say that there is a strong focus on innovation at Vanderbilt University Medical Center would be quite an understatement. In fact, it’s more like a way of life at the academic medical center, which includes an acute care hospital, children’s hospi[...] To say that there is a strong focus on innovation at Vanderbilt University Medical Center would be quite an understatement. In fact, it’s more like a way of life at the academic medical center, which includes an acute care hospital, children’s hospital, clinic, and cancer center. If there is a tool that clinicians need, the IT team will determine whether it can be developed in-house before turning to a vendor. For Deputy CIO George McCulloch, this type of environment may be challenging, but it’s also deeply rewarding. In this interview, McCulloch talks about balancing the needs of different constituents, how practicing medicine is both an art and a science, the importance of working to meet the needs of specialists, and his organization’s road to Meaningful Use. CPOE, Geonomics, ICD-10 Anthony Guerra no no The Need for Genomic Diagnostic Tests in the EHR http://healthsystemcio.com/2011/05/14/the-need-for-genomic-diagnostic-tests-in-the-ehr/ http://healthsystemcio.com/2011/05/14/the-need-for-genomic-diagnostic-tests-in-the-ehr/#comments Sat, 14 May 2011 08:55:26 +0000 Gerry Higgins http://healthsystemcio.com/?p=7402 In some cases, the utility of patient genotyping prior to therapeutics is of unquestioned value.  In non-Hodgkin’s and Mantle Cell lymphoma, DNA sequencing of the tumor provides personalized cancer vaccines that demonstrate statistically significant Phase III clinical trial results with disease-free survival benefit in treatment of these types of follicular lymphoma [1]. The Oncotype DX® [...]

Source: The Need for Genomic Diagnostic Tests in the EHR on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/05/14/the-need-for-genomic-diagnostic-tests-in-the-ehr/feed/ 0 Jason Hess, KLAS GM of Clinical Research, Discusses CDS, Podcast http://healthsystemcio.com/2011/01/26/klas-order-sets-key-to-cds-roi/ http://healthsystemcio.com/2011/01/26/klas-order-sets-key-to-cds-roi/#comments Wed, 26 Jan 2011 17:00:38 +0000 Anthony Guerra http://healthsystemcio.com/?p=5964 When asked which element of electronic clinical decision support (CDS) was having the greatest positive impact on their organizations, healthcare providers cited orders sets more than any others, according to a recent KLAS report, Clinical Decision Support: Striving for More Intelligent Care. While 38 percent selected order sets, evidence-based alerts and reference content were also mentioned as most impactful by 19 percent and 10 percent of providers, respectively.

Source: Jason Hess, KLAS GM of Clinical Research, Discusses CDS, Podcast on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/01/26/klas-order-sets-key-to-cds-roi/feed/ 0 0:40:00 When asked which element of electronic clinical decision support (CDS) was having the greatest positive impact on their organizations, healthcare providers cited orders sets more than any others, according to a recent KLAS report, Clinical Decision [...] When asked which element of electronic clinical decision support (CDS) was having the greatest positive impact on their organizations, healthcare providers cited orders sets more than any others, according to a recent KLAS report, Clinical Decision Support: Striving for More Intelligent Care. While 38 percent selected order sets, evidence-based alerts and reference content were also mentioned as most impactful by 19 percent and 10 percent of providers, respectively. CPOE Anthony Guerra no no NQF Reports Seek to Inform MU Discussion http://healthsystemcio.com/2011/01/07/nqf-reports-seek-to-inform-mu-discussion/ http://healthsystemcio.com/2011/01/07/nqf-reports-seek-to-inform-mu-discussion/#comments Fri, 07 Jan 2011 15:38:00 +0000 Anthony Guerra http://healthsystemcio.com/?p=5837 The National Qualify Forum (NQF) has released two reports — Driving Quality — A Health IT Assessment Framework for Measurement and Driving Quality and Performance Measurement — A Foundation for Clinical Decision Support — which seek to “lay the groundwork for what kind of standards and certification criteria should be considered and put into practice [...]

Source: NQF Reports Seek to Inform MU Discussion on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2011/01/07/nqf-reports-seek-to-inform-mu-discussion/feed/ 0 Evidence-Based Medicine’s Giant Leap http://healthsystemcio.com/2010/08/24/evidence-based-medicines-giant-leap/ http://healthsystemcio.com/2010/08/24/evidence-based-medicines-giant-leap/#comments Tue, 24 Aug 2010 14:33:21 +0000 Dale Sanders http://healthsystemcio.com/?p=4463 Cerner and the British Medical Journal (BMJ) have teamed to provide evidence-based medicine (EBM) embedded in the electronic medical record in a manner that is as exciting and encouraging a development in healthcare IT as anything I’ve ever seen — I repeat, as exciting as anything I’ve ever seen. Coming from a noted cynic and [...]

Source: Evidence-Based Medicine’s Giant Leap on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/08/24/evidence-based-medicines-giant-leap/feed/ 0 PODCAST: One-on-One w/Beaufort Memorial Hospital VP of IS & CIO Ed Ricks, Chapter 3 http://healthsystemcio.com/2010/07/18/podcast-one-on-one-wbeaufort-memorial-hospital-vp-of-is-cio-ed-ricks-chapter-3/ http://healthsystemcio.com/2010/07/18/podcast-one-on-one-wbeaufort-memorial-hospital-vp-of-is-cio-ed-ricks-chapter-3/#comments Sun, 18 Jul 2010 13:56:01 +0000 Anthony Guerra http://healthsystemcio.com/?p=3924 Though there are thousands of Meditech hospitals, only a handful are in the in the process of migrating from the Magic to 6.0 platform. Of course, those hospitals (and their CIOs) are being watched very closely by the Meditech community. One of those CIOs is Ed Ricks of Beaufort Memorial Hospital. Ricks is not only [...]

Source: PODCAST: One-on-One w/Beaufort Memorial Hospital VP of IS & CIO Ed Ricks, Chapter 3 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/07/18/podcast-one-on-one-wbeaufort-memorial-hospital-vp-of-is-cio-ed-ricks-chapter-3/feed/ 0 0:09:24 Though there are thousands of Meditech hospitals, only a handful are in the in the process of migrating from the Magic to 6.0 platform. Of course, those hospitals (and their CIOs) are being watched very closely by the Meditech community. One of thos[...] Though there are thousands of Meditech hospitals, only a handful are in the in the process of migrating from the Magic to 6.0 platform. Of course, those hospitals (and their CIOs) are being watched very closely by the Meditech community. One of those CIOs is Ed Ricks of Beaufort Memorial Hospital. Ricks is not only taking his facility to 6.0 and going best of breed in the ED, but using a new integration engine to bring it all together. To gather some lessons learned for healthsystemCIO.com readers, editor Anthony Guerra recently chatted with Ricks. CPOE Anthony Guerra no no A Systems Engineering Approach to Biomed Informatics http://healthsystemcio.com/2010/07/16/a-systems-engineering-approach-to-biomedical-informatics/ http://healthsystemcio.com/2010/07/16/a-systems-engineering-approach-to-biomedical-informatics/#comments Fri, 16 Jul 2010 12:41:06 +0000 Timothy Hartzog http://healthsystemcio.com/?p=3904 The field of biomedical is full of acronyms — CPOE, HIE, EMR, HL7 — that may be interesting to IT professionals, but merely connote longer days, multiple logins and frustration for clinicians. While people in "healthcare" love it concept of CPOE, physicians feel it slow them down and turns them from docs into secretaries. I recently gave a ground rounds to our large children’s hospital to explain how biomedical informatics is evolving. There is a plan in my mind of how CPOE, HIE, etc., can come together leveraging bar code medication administration and actionable alerts, to prevent beside safety issues and improve care. What will also emerge is quality reporting which can provide data for large scale research.

Source: A Systems Engineering Approach to Biomed Informatics on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/07/16/a-systems-engineering-approach-to-biomedical-informatics/feed/ 0 PODCAST: One-on-One w/ El Camino Hospital CIO Greg Walton, Chapter 2 http://healthsystemcio.com/2010/06/24/podcast-one-on-one-w-el-camino-hospital-cio-greg-walton-chapter-2/ http://healthsystemcio.com/2010/06/24/podcast-one-on-one-w-el-camino-hospital-cio-greg-walton-chapter-2/#comments Thu, 24 Jun 2010 15:21:39 +0000 Anthony Guerra http://healthsystemcio.com/?p=3573 Implementing a few clinical systems isn’t going to get you applause at El Camino Hospital. That’s because the organization has “been there, done that,” implementing the first CPOE system some 40 years ago. Considering that tough crowd, the CIO role isn’t for newcomers, and Greg Walton is no newcomer. With 40 years in the business [...]

Source: PODCAST: One-on-One w/ El Camino Hospital CIO Greg Walton, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/06/24/podcast-one-on-one-w-el-camino-hospital-cio-greg-walton-chapter-2/feed/ 0 0:13:16 Greg Walton, CIO, El Camino Hospital Implementing a few clinical systems isn’t going to get you applause at El Camino Hospital. That’s because the organization has “been there, done that,” implementing the first CPOE system s[...] Greg Walton, CIO, El Camino Hospital Implementing a few clinical systems isn’t going to get you applause at El Camino Hospital. That’s because the organization has “been there, done that,” implementing the first CPOE system some 40 years ago. Considering that tough crowd, the CIO role isn’t for newcomers, and Greg Walton is no newcomer. With 40 years in the business to match El Camino’s CPOE tenure, Walton is just the kind of CIO to take on a big challenge. In fact, soon after assuming the job in December 2007, Walton created the Center for Technology Integration to make sure the organization was up on the latest tools for improving patient care. To talk about this, and so much more, healthsystemCIO.com editor Anthony Guerra recently caught up with the California-based CIO. Chapter 1 Chapter 2 Monitoring the horizon for new technologies Embracing change and innovation El Camino’s vendor environment Closed system vs open source Eclipsys, Medicity, Microsoft & the Apple Model Why closed shops are happy – the cost Is the future about analytics, not transactions? When it comes to point-of-care analytics, “We’re nowhere” Hospitals exist “in a controlled state of chaos” LISTEN NOW USING THE PLAYER BELOW OR CLICK HERE TO DOWNLOAD THIS PODCAST AND SUBSCRIBE TO OUR FEED AT iTUNES Chapter 3 Source: PODCAST: One-on-One w/ El Camino Hospital CIO Greg Walton, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.Source: PODCAST: One-on-One w/ El Camino Hospital CIO Greg Walton, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs. Anthony Guerra no no PODCAST: One-on-One w/Hennepin County Medical Center CIO Joanne Sunquist, Chapter 2 http://healthsystemcio.com/2010/06/10/podcast-one-on-one-whennepin-county-medical-center-cio-joanne-sunquist-chapter-2/ http://healthsystemcio.com/2010/06/10/podcast-one-on-one-whennepin-county-medical-center-cio-joanne-sunquist-chapter-2/#comments Thu, 10 Jun 2010 13:28:50 +0000 Anthony Guerra http://healthsystemcio.com/?p=3394 In what has become an interesting debate among CIOs — which to do first: CPOE or bedside bar-coded eMAR — smart individuals are coming down passionately on both sides. It’s also interesting that more than a few intrepid souls are counseling both should be done at the same time, though bandwidth constraints leave that group [...]

Source: PODCAST: One-on-One w/Hennepin County Medical Center CIO Joanne Sunquist, Chapter 2 on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/06/10/podcast-one-on-one-whennepin-county-medical-center-cio-joanne-sunquist-chapter-2/feed/ 0 0:11:57 In what has become an interesting debate among CIOs — which to do first: CPOE or bedside bar-coded eMAR — smart individuals are coming down passionately on both sides. It's also interesting that more than a few intrepid souls are counseling both sho[...] In what has become an interesting debate among CIOs — which to do first: CPOE or bedside bar-coded eMAR — smart individuals are coming down passionately on both sides. It's also interesting that more than a few intrepid souls are counseling both should be done at the same time, though bandwidth constraints leave that group in the minority. Certainly not a "CPOE Last" believer, Hennepin County Medical Center CIO Joanne Sunquist says "the biggest bang for the buck, in terms of cost savings and error reduction, is in CPOE." Sunquist, who has implemented CPOE with eMAR (she's just starting bar-coding now) recently chatted with healthsystemCIO.com Anthony Guerra to share more about her prioritization when it comes to implementing advanced clinical technologies. CPOE, HITECH Anthony Guerra no no Survey Says: CIOs Prefer eMAR-First Strategy http://healthsystemcio.com/2010/05/26/survey-says-cios-prefer-emar-first-strategy/ http://healthsystemcio.com/2010/05/26/survey-says-cios-prefer-emar-first-strategy/#comments Wed, 26 May 2010 17:16:18 +0000 Anthony Guerra http://healthsystemcio.com/?p=3150 Over 75 percent of CIOs prefer to take on the massive challenge of implementing bedside-barcoded electronic medication administration records (eMAR) versus the equally massive task of converting to CPOE, according to the May healthsystemCIO.com SnapSurvey. But it doesn't look like a weakness in the clinical decision support functionality of CPOE is to blame for the eMAR preference.

Source: Survey Says: CIOs Prefer eMAR-First Strategy on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/05/26/survey-says-cios-prefer-emar-first-strategy/feed/ 0 CPOE and Medication Safety: Devil’s in the Details http://healthsystemcio.com/2010/05/03/cpoe-and-medication-order-safety-the-devil-is-in-the-details/ http://healthsystemcio.com/2010/05/03/cpoe-and-medication-order-safety-the-devil-is-in-the-details/#comments Mon, 03 May 2010 17:59:44 +0000 Marc Holland http://healthsystemcio.com/?p=2916 Health Affairs recently published an interesting article that may have gone unnoticed by many in the industry. The article, entitled “Mixed Results in the Safety Performance of Computerized Physician Order Entry”, was authored by Jane Metzger and Dr. David Classen of CSC, Dr. David Bates and Stuart Lipsitz, of Partners Healthcare, and Emily Welebob, a [...]

Source: CPOE and Medication Safety: Devil’s in the Details on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/05/03/cpoe-and-medication-order-safety-the-devil-is-in-the-details/feed/ 2 FDA to Recommend New Physician Certification http://healthsystemcio.com/2010/04/21/fda-to-recommend-new-physician-certification/ http://healthsystemcio.com/2010/04/21/fda-to-recommend-new-physician-certification/#comments Wed, 21 Apr 2010 12:49:33 +0000 Gerry Higgins http://healthsystemcio.com/?p=2711 The FDA has been receiving a great deal of criticism from the clinical community about a variety of issues, but probably none is as contentious as the ongoing patient safety issues regarding harmful drug-drug interactions and drug-gene interactions, estimated by the Institute of Medicine to cause 250,000 deaths each year in the U.S. The current [...]

Source: FDA to Recommend New Physician Certification on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/04/21/fda-to-recommend-new-physician-certification/feed/ 0 ONC Awards $60 Million in SHARP Grants http://healthsystemcio.com/2010/04/02/onc-awards-60-million-in-sharp-grants/ http://healthsystemcio.com/2010/04/02/onc-awards-60-million-in-sharp-grants/#comments Fri, 02 Apr 2010 20:57:54 +0000 Anthony Guerra http://healthsystemcio.com/?p=2265 As part of its Strategic Health IT Advanced Research Projects (SHARP) program to promote innovation, ONC has awarded four organizations a total of $60 million — Mayo Clinic of Medicine, Harvard University, University of Texas Health Science Center at Houston, and University of Illinois at Urbana-Champaign. Each institution’s research projects “will identify short-term and long-term [...]

Source: ONC Awards $60 Million in SHARP Grants on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/04/02/onc-awards-60-million-in-sharp-grants/feed/ 0 PODCAST: One-on-One w/GE Health CEO Vishal Wanchoo http://healthsystemcio.com/2010/04/02/podcast-one-on-one-wge-healthcare-it-pres-ceo-vishal-wanchoo/ http://healthsystemcio.com/2010/04/02/podcast-one-on-one-wge-healthcare-it-pres-ceo-vishal-wanchoo/#comments Fri, 02 Apr 2010 20:50:00 +0000 Anthony Guerra http://healthsystemcio.com/?p=2252 At HIMSS 2010, GE Healthcare IT tried to make a splash with the release of its Qualibria clinical knowledge management platform. While it’s unclear how the industry has received that new application, it is clear the vendor has one thing going for it — outstanding development partners in the likes of Intermountain Healthcare and the [...]

Source: PODCAST: One-on-One w/GE Health CEO Vishal Wanchoo on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/04/02/podcast-one-on-one-wge-healthcare-it-pres-ceo-vishal-wanchoo/feed/ 0 One-on-One w/U of Wisc. Hospitals CIO Mike Sauk (II) http://healthsystemcio.com/2010/03/18/one-on-one-wu-of-wisconsin-hospitals-cio-mike-sauk-ii/ http://healthsystemcio.com/2010/03/18/one-on-one-wu-of-wisconsin-hospitals-cio-mike-sauk-ii/#comments Thu, 18 Mar 2010 18:53:22 +0000 Anthony Guerra http://healthsystemcio.com/?p=1835 While meeting Stage 1 requirements of the Meaningful Use NPRM is a daunting challenge to most, a few are just about there. One such institution is University of Wisconsin Hospitals and Clinics, a HIMSS Analytics Stage 7 facility. And though VP and CIO Mike Sauk has just a few odds and ends to deal with, [...]

Source: One-on-One w/U of Wisc. Hospitals CIO Mike Sauk (II) on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/03/18/one-on-one-wu-of-wisconsin-hospitals-cio-mike-sauk-ii/feed/ 0 PBM versus EHR: Culture Clash? http://healthsystemcio.com/2010/03/11/pbm-versus-ehr-culture-clash/ http://healthsystemcio.com/2010/03/11/pbm-versus-ehr-culture-clash/#comments Thu, 11 Mar 2010 18:24:10 +0000 Gerry Higgins http://healthsystemcio.com/?p=1586 Individualizing drug therapy based on pharmacogenomics (PGx) is considered by many academic researchers and clinical experts as the “next significant domain of clinical practice” (see the American College of Clinical Pharmacology’s very informative web-based tutorial, “The Future of Medicine: Pharmacogenomics”, http://user.accp1.org/index_new.html). Drugs that are currently recommended for PGx testing by the FDA include specific medications [...]

Source: PBM versus EHR: Culture Clash? on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/03/11/pbm-versus-ehr-culture-clash/feed/ 0 New Mandatory Genomics Education is Imminent http://healthsystemcio.com/2010/02/19/new-mandatory-genomics-education-is-imminent/ http://healthsystemcio.com/2010/02/19/new-mandatory-genomics-education-is-imminent/#comments Fri, 19 Feb 2010 16:05:22 +0000 Gerry Higgins http://healthsystemcio.com/?p=1159 An HHS committee on Physician and Patient Education is developing new certification requirements for hospital physicians in genomics and pharmacogenomics.  Most hospital physicians, unless your specialty is oncology or obstetrics, are not familiar with anything but diseases inherited as classical Mendelien traits.  These new rules will require basic certification in both classical genetics and the [...]

Source: New Mandatory Genomics Education is Imminent on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/02/19/new-mandatory-genomics-education-is-imminent/feed/ 2 Personalized Medicine Ignites Hospital System http://healthsystemcio.com/2010/01/28/personalized-medicine-ignites-hospital-system/ http://healthsystemcio.com/2010/01/28/personalized-medicine-ignites-hospital-system/#comments Thu, 28 Jan 2010 16:18:19 +0000 Gerry Higgins http://healthsystemcio.com/?p=745 The Ignite Institute is a new non-profit institute based in the National Capital region. Ignite is one of the first entities to fully integrate biomedical research, development, commercialization, all integrated into a hospital and healthcare network. In November 2009, Virginia Governor Timothy Kaine announced a $200 million commitment from the State and its partners to [...]

Source: Personalized Medicine Ignites Hospital System on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/01/28/personalized-medicine-ignites-hospital-system/feed/ 0 3 Hospitals Take Stage 7 Honors http://healthsystemcio.com/2010/01/26/3-hospitals-take-stage-7-honors/ http://healthsystemcio.com/2010/01/26/3-hospitals-take-stage-7-honors/#comments Tue, 26 Jan 2010 22:16:22 +0000 Anthony Guerra http://healthsystemcio.com/?p=664 HIMSS Analytics has recognized two academic medical centers and the first rural hospital with its Stage 7 Award. The hospitals are: Citizens Memorial Hospital, Boliver, Mo.; Stanford Hospital & Clinics, Palo Alto, Calif.; and University of Wisconsin Hospital & Clinics, Madison, Wis. Stage 7 hospitals: deliver patient care without the use of paper charts; are [...]

Source: 3 Hospitals Take Stage 7 Honors on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/01/26/3-hospitals-take-stage-7-honors/feed/ 0 Feds Enable Genome-based EHR http://healthsystemcio.com/2010/01/23/feds-enable-genome-based-ehr/ http://healthsystemcio.com/2010/01/23/feds-enable-genome-based-ehr/#comments Sat, 23 Jan 2010 16:41:01 +0000 Gerry Higgins http://healthsystemcio.com/?p=508 Although not mentioned as one of the ‘Meaningful Use’ or ‘Initial Set of Standards and Certification Criteria’ for a Certified or Complete Electronic Health Record (see http://healthit.hhs.gov/blog/onc/), a new federal guideline to enable the use of personal genomic data in EHRs is being developed, according to sources within HHS.  The U.S. Veterans Affairs Department (VA), [...]

Source: Feds Enable Genome-based EHR on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/01/23/feds-enable-genome-based-ehr/feed/ 0 FDA Expands Gene Testing for Drug Prescription http://healthsystemcio.com/2010/01/22/fda-expands-the-use-of-gene-testing-for-drug-prescription/ http://healthsystemcio.com/2010/01/22/fda-expands-the-use-of-gene-testing-for-drug-prescription/#comments Fri, 22 Jan 2010 15:11:27 +0000 Gerry Higgins http://healthsystemcio.com/?p=460 “The FDA considers both unwanted harmful effects and lack of efficacy to be adverse events. When considering candidates for pharmacogenomic relabeling, the FDA evaluates the severity of the adverse reaction, the degree to which genetics predicts the reaction, and the total number of individuals likely to be affected.  These factors are important in assessing the [...]

Source: FDA Expands Gene Testing for Drug Prescription on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/01/22/fda-expands-the-use-of-gene-testing-for-drug-prescription/feed/ 7 One-on-One w/MedStar Health’s Gerry Higgins http://healthsystemcio.com/2010/01/19/one-on-one-wgerry-higgins-chief-innovation-officer-medstar-health/ http://healthsystemcio.com/2010/01/19/one-on-one-wgerry-higgins-chief-innovation-officer-medstar-health/#comments Tue, 19 Jan 2010 18:23:28 +0000 Anthony Guerra http://healthsystemcio.com/?p=363 Gerald Higgins, PhD., MBA, MS, is not your typical CIO — that’s because Higgins is a chief innovation officer. Getting paid not to carry out EMR implementations or persuade physicians to embrace CPOE, Higgins is remunerated to “see what’s happening one or two hills over the horizon.” With a dizzying array of jobs and accomplishments [...]

Source: One-on-One w/MedStar Health’s Gerry Higgins on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

]]> http://healthsystemcio.com/2010/01/19/one-on-one-wgerry-higgins-chief-innovation-officer-medstar-health/feed/ 0