HIStalk
From
A Little Birdie:
"Interesting you
mentioned the future sale of Misys and McKesson's deep pockets on the
same day. Rumor is that McKesson is the primary suitor for Misys
Healthcare Systems. Not sure about the rest of Misys." Now
that's interesting and a well-kept secret if true. If anyone knows
more, I'm all ears. Certainly the displaced Misys siblings would be
right at home with the gaggle of adopted children already living in the
McKesson household. In other speculation, some folks are floating the
idea that Merge Healthcare, now at least somewhat out of the woods, may
have brought in Ken Rardin as CEO just to shop the company around, with
one version of the story suggesting that perhaps Cerner would be
interested. Pure speculation, at least until I hear more.
From
Right to Work:
"RE: Epic
blacklisting Philips' employees. It is sad to see that after all of the
posturing that Epic made about their culture and their support of their
employees, that they are using unfair labor tactics to hurt people that
are getting laid off. Shows true colors, if you ask me." I
know I have some Epic readers, some of them all the way up if you know
what I mean, so I invite them to
e-mail me with
their side of the story. We've heard only one.
From
Anonymous:
"I agree that Krebs
and Newman are good as our some of the other key execs under Neal.
Maybe you should run a contest to rate the top execs (other than the
CEOs) of the major companies. You mentioned the #2 at Epic
awhile back. It would be interesting to see who the industry
thinks are the best and brightest." Another great idea!
Excluding CEOs, what vendor executive do you think is best in the
industry, i.e. would make great CEO now or in the very near future?
E-mail me the
name and company affiliation of your #1 person and we'll take a vote
(or, use the Rumor Report form if you'd rather.) This would be another
HIStalk first, and fun one at that. Maybe I can get the winner to write
up an acceptance speech or something.
From
Anonymous:
"Your blog gets
better and more relevant with age. What's amazing is that you seem to
be very balanced re: the vendors, the competency of IT depts,
etc. I don't see many agendas other than making lots of good
information available. I see a lot of filtering too - there
must be a ton of junk messages where there REALLY is an agenda from the
sender. One suggestion: keep tabs on all the year-to-date wins of open
bid deals by the major vendors in the major categories, like the
baseball standings. This would make your blog extremely sticky - how
many of us flash up our favorite browser page to check the latest stock
prices, sports standings, etc.?" I really don't
have an agenda, other than to keep people informed and entertained so
they keep coming back for more. If I fail, I lose readers, so it's
Darwinism at its best. I do filter out a fair amount of stuff that's
either not newsworthy or not interesting to the typical HIStalk reader.
I keep it short, focused, and easy to read. I have no incentive to pad
stories or run junk just so I can get away with writing fewer of them,
and my ultimate benchmark is to challenge readers: how many items that
were
personally
valuable to you came from HIStalk (either exclusively or
first) as opposed to some other source? I like the "vendor wins"
scoreboard idea, but not being sales-oriented, I have a question: will
I see press releases on all of them so I can keep track? Or is there
another way to get this info? I'll definitely do it if I can get more
than partial information. We like being sticky here at HIStalk.
Of course, I could specialize in "aren't we witty and wacky" puns like
over at
Health Data
Management. I don't read it except to see how much earlier
and better I get the same news out, but it's hard to miss
this
knee-slapper: "Affinity Has an Affinity for PACS." Are they aiming for
the 14-year-old audience, or have they hired one to write headlines?
From
Anonymous:
"You said you were
glad Cerner didn't sponsor since you'd need a new target. Does
buying sponsorship immune one from slings and arrows, be they blunted
or honed?" I have four kinds of information here: (a)
news; (b) rumors; (c) reader comments; and (d) smart-ass
comments and sophomoric humor. Sponsorship doesn't influence (a), (b),
or (c), but I would probably tone it down on (d). Would I keep
sniggering away publicly on the "tick tock" e-mail five years after it
was written if Cerner sponsored? Maybe not. It wouldn't change the
value (or values) of HIStalk. The good news is that they didn't sponsor
and, even if they had, it's a target-rich environment out there for
pithy asides. I think sponsors will always be self-selecting; i.e.,
those I annoy constantly surely won't plunk down money on the off
chance I'll shut up because of it.
From Chris: "Interesting stuff regarding
the informatics/analyst naming debate. Wonder what Scot Silverstein
would call a clinician (non-nursing) working in his Nurse Analyst
position? I know of more than a few Respiratory Therapists, Lab Techs,
etc. doing just that and have no problems understanding the
nurse’s work-flow or mind-set and translating that to the IT
world. Perhaps the 'Analyst' or 'Informatics' positions out there are
really quite hybrid at this time. If the clinical individual is so
inclined, they can be taught any needed IT skills on the job (or obtain
formal education), while a non-clinician (IT background only) can be
taught (if so inclined) what they need to know regarding certain
clinical work-flows. It seems like it takes more than either skill set
(or a title, heaven forbid) to be good at that type of job."
Scot did
have a little more to say on the subject: "The statement that
informaticists are 'trying to straddle two separate worlds which don't
require straddling" reflects a limited, fish-eye, extremist,
counterproductive, my territory-or-death view common in unidisciplinary
personnel (especially in a time of job instability and outsourcing),
and is unfortunately at the root of health IT failure. Unidisciplinary
IT personnel have scant expertise on which to base an opinion about the
needs of clinical medicine and clinical computing. Indeed, as I have
written, clinical IT development and implementation must be viewed as
complex social-medical projects that happen to involve computers, not
as IT projects that happen to involve clinicians in order for optimal
success to be achieved. It is exactly the 'straddling of two worlds'
that is an essential role for the clinical IT leadership. See my
healthcare IT failure
site for
examples of what happens with - and without - such straddling." Link.
I already
reported it here, but it's official: Sharp HealthCare has
signed with Cerner to replace GE/IDX. More from HITman: "I just talked to my contacts
at CliniComp. Currently, CliniComp is still in the mix. CliniComp
recently implemented the latest release and installed at the Coronado
location. Clinicians do not want to dump CliniComp charting." The other unknown is whether
Allscripts will be affected by the change.
CIO
Field Report
- Hospital type:
Community, Multiple Hospital Group, <200 Beds, Midwest.
- IT Operating
Budget: $2-5 million.
- Most
important IT projects now underway: Document imaging,
building a new inpatient facility, progress toward an EMR, physician
education on ambulatory EMR, wireless.
- Systems
you'll buy within the next three years: Cardiology PACs,
single sign on, best practice order sets, physician portal, CPOE,
interfaces for integration of clinical modalities.
- Best
application vendors: MedHost, Amicas, Meditech.
- Worst
application vendors: I'm not sure we have anyone that bad.
They all have their issues from time to time.
- Hottest IT
skills in the market: Database analyst.
- Hottest
people in the HIT industry: Folks working on LEAN and
process change.
- Trends really
heating up: Position of CMIO, RFID asset tracking.
If you're a CIO or IT director,
I'll e-mail you an HIStalk Yearbook just for completing the quick
online CIO
Field Report. Thanks.
As rumored here two weeks before it happened, former IMNET founder Ken
Rardin gets
the CEO job at Merge Healthcare. The company got current and avoided
delisting by filing its Q2 report this week. During that quarter, the
company lost $216 million, most of it due to writing off goodwill from
previous acquisitions related to their restatements. Merge also
announced two new board members, adopted a poison pill provision, and
initiated a stock buyback program to stave off any unsolicited
takeover. Ken's deal: $425K a year, options for 450,000 shares, up to
70% annual bonus with 50% guaranteed the first year, commuting
expenses, and change-of-control perks like immediate option vesting and
2x annual salary.
Galvanon will
use Boston Software's scripting tool to interface its
MediKiosk to the back-end ADT systems of customers.
Orion Health's Rhapsody integration engine plows
through 1.36 million HL7 transactions per hour in
benchmark tests.
Former Newton-Wellesley Hospital CIO Margaret Thomas joins
Sentillion as VP of services.
Idiotic lawsuit of the week: a New York man who traveled to Thailand
for cheap dental work is
suing a dentist who dropped a screw and dental implant down
his throat during a root canal. The man claimed he spent $6,600 to get
the root canal finished stateside. He's suing for $267,000.
You may remember Dr. Philip Chen, an occasional HIMSS speaker who
founded Orlando-based Cognoscenti Health Institute, a progressive lab
company using technology to deliver evidence-based medicine along with
lab results to office-based physicians. He's sold
the company to Australia's Sonic Healthcare. He'll be VP and Chief
Medical Informatics Officer for the company's Clinical Pathology
Laboratories subsidiary.
Rich Grehalva is
named VP at Medseek. His previous work: The Process of Connecting the
Dots and Winning Customers for Life®, Unleashing the Power of
Consultative Selling, and Take 2 Clicks and Call Me in the
Morning -The Emergence of the Healthcare Knowledge Exchange in the 21st
Century. He peddles his stuff here.
Here's a pearl he gives away: "Attitudes,
Beliefs, Communications: The ABC'S of Success. If you can see
it, if you can believe it, you can achieve it."
I'd be afraid to get too close too him because, as a life-long cynic,
our union of matter and anti-matter might wipe out a good-sized city. I
bet he works his free hand while shaking yours, either locking onto
your wrist or squeezing your shoulder in that manner peculiar to
glad-handing sales guys.
The General Accounting Office says
HHS and ONCHIT have made progress in preparing the country for
widespread electronic medical records by 2014, but need to develop more
concrete plans and timelines.
I don't get this
article from a Regenstrief guy: one patient got the wrong
wristband and was almost given an inappropriate med, therefore bedside
bar-coding is bad technology that requires extensive critical
examination. "the
available evidence contradicts the frothy hype for rushing to implement
these systems today." I
had a bag of Cheetos that didn't ring up the sale price at a Food Lion
once, so I suggest we go back to manual cash registers while we convene
academics to study the matter for a few years.
Mediware reports
FY06 numbers: revenue up slightly, EPS was down.
Your comments and story ideas are always welcome. E-mail me, or
use the anonymous Rumor Report to your right like all the Russian
spammers, whose constant Rumor Report postings fill my inbox with
offers for phentermine and ringtones.