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Black Book Releases Research on "The Interoperability Tangle"...HIE Replacements, Middleware and FHIR

Press Release | Black Book Research | April 7, 2016

2,012 provider HIE users and 2,300 payer HIE users, as well as 4,100 prospective HIE users of all user types were polled to understand the importance of interoperability in their strategic planning initiatives, as well as their ongoing and new challenges in areas such as connectivity and data exchange. Between Q3 2015 and Q1 2016, the survey recorded growing HIE user frustration over the lack of standardization and readiness of unprepared providers and payers...“Every stakeholder in the healthcare delivery process cannot establish the infrastructure needed to support interoperability, as evidenced by 83% of physician practices responding and 40% of hospitals, that currently admit they are still in the planning and catch up stages of sending and sharing secure, relevant data, “ said Doug Brown, Managing Partner of Black Book.

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Halamka's Recommendations for Effective Care Management

By John D. Halamka, MD | January 25, 2017

I recently joined the advisory board of Arcadia Healthcare Solutions, a leading provider of analytics, decision support, and workflow enhancement services. At my first advisory board meeting there was a rich debate about the marketplace for care management and population health tools. I’ve spent years studying such solutions at HIMSS and found most of the products are “compiled in Powerpoint”, which is a very agile programming language, since it’s so easy to change…

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Is the Technology Gap the Reason Why Medical Errors are the 3rd Leading Cause of Death in the US?

By Thanh Tran | June 20, 2016

Hardly a day goes by without some new revelation of an information technology (IT) mess in the United States that seems like an endless round of the old radio show joke contest, “Can You Top This” except that increasingly the joke is on us. From nuclear weapons updated with floppy disks, to critical financial systems in the Department of the Treasury that run on assembler language code (a computer language initially used in the 1950s and typically tied to the hardware for which it was developed), to medical systems that cannot exchange patient records leading to a large number of needless deaths from medical errors.

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Plug and Play Healthcare: Open Middleware and the Emergence of a Functional Interoperability Framework

By Thanh Tran | May 19, 2016

“A middleware architecture has been shown to be the best technological solution for addressing the problem of EHR interoperability. The middleware platform facilitates the transparent, yet secure, access of patient health data, directly from the various databases where it is stored. A server-based middleware framework supporting access to the various patient health data stores allows for a scalable, unified and standardized platform for applications to be developed upon.  The middleware architectural design has been successfully used to link data from multiple databases, irrespective to the database platform or where the database is located,” says Voltz. Read More »