Bidding The Hierarchical Database Adieu

Jeff Atwood over at the Stack Exchange recently posted his thoughts on the differences between Flat or Threaded style web discussion forums. To save you the trouble of clicking, a flat discussion thread would be one where the comments are linear, a threaded style would be where they are nested, or hierarchical.  How is this … Continue reading

The Changing Hospital Feeder System

The act of a major tertiary care hospital acquiring a number of smaller community hospitals is not a new concept.  In terms of healthcare business models, the industry is fairly monochrome.  Strategically speaking, the idea is to siphon or “feed” patients from hospitals that are providing a standard level of care to the more advanced … Continue reading

Decide On This

A fundamental factor in understanding Information Theory is that a signal, regardless of noise, will degrade over time and distance.  Those of us in healthcare are starting to feel that a person’s mental capacity also degrades the more time and clicks they spend on an EHR.   There are people who really hate working with EHRs.  … Continue reading

Meaningful Use Attestations Show the Rich Get Richer

Originally posted on HISTalk Practice. Meaningful Use charts and graphs are a dime a dozen these days and as much as I’d like to add another bar or delicious pie chart to the mix, I just can’t bring myself to do it.  I have no reservations about creating maps from the data though!  For the … Continue reading

MEDITECH Screen Icons

For those familiar, MEDITECH’s screen icons have always been a bit of a joke. Not purposefully, unfortunately as I always appreciate a dash of whimsy in products, but just short of the line of what most people would consider something acceptable to put out in public. Ever since they blue themselves and their interface starting … Continue reading

Service Woes of EHR Vendors

  One of my clients had their service representative notify them that they were leaving the company on Monday.  Her last day would be that same day. Then she laughed maniacally.  OK, she didn’t do the laugh, but there were some nervous giggles.  Given the abruptness though, her supervisor was contacted, apologies were issues, and … Continue reading

3 Models For Exchanging Healthcare Data Post-EHR Craze

Reposted from HISTalk Practice. Let’s assume for a moment that the current craze surrounding EHRs is completely effective and every physician in America is meaningfully utilizing one in the near future (hurray for blind optimism!). There are two purposes for doing this, despite the numerous reasons that have been thrown out there. One is the … Continue reading

Health Informatics: Defined

Originally posted on HISTalk Readers Write Series Health Informatics [helth in-fer-mat-iks] -a noun? Health Informatics is a term that has garnered a multitude of definitions over the relatively short term it has been in use. Papers have even been written on it, positing definitions containing the synergistic relationship between the disciplines of medicine, operations management, … Continue reading