Open Platform Architecture Based Upon SMART Apps Platform and the HL7 FHIR® (DSTU) Demonstrated at HIMSS14
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Update from the CEO by Charles Jaffe, MD, Phd, HL7 CEO HL7’S 22Nd Annual Plenary Meeting
AUGUST 2008 In This Issue... Update from the CEO By Charles Jaffe, MD, PhD, HL7 CEO HL7’s 22nd Annual Plenary Meeting..... 2 Work Group Co-Chair Elections: As the languid days of August almost impercep- Development Organizations What to Expect in Vancouver................ 3 tibly transform into the cool autumn nights of (SDOs). Most importantly, September, some significant milestones emerged Update from Headquarters.............. 4-5 it is a living document. The from the HL7 landscape. Roadmap development team ExL Pharma’s 4th Annual EHR and will continue to be com- Charles Jaffe, MD, PhD eClinical Technologies Conference....... 6 The membership of HL7 has its very first posed of a broad constitu- News from the PMO.............................. 6 Roadmap. A strategic plan for technical and busi- ency with distinct requirements, and with plans to ness development is embodied in this document. It publish Roadmap updates annually. Version 3 Normative Edition 2008 Now Available...................................... 7 is more than just a promise to our stakeholders; the Roadmap provides the end-user community, gov- As the Roadmap matures, it will reflect the changing Multiple Modes of Delivering ernment agencies, software developers and other Education............................................. 8 business needs of our organization. More opportuni- standards development organizations clear guide- ties require more creative resource development and Advisory Council News....................... 9 lines for our products and services. In addition, the new means of expanding our funding model. Co-Chair Election Results.................... 9 Roadmap offers something beyond a commitment to develop a new standard or a new release of a Part of our new funding model emerged with the HL7 Certification Exam balloted one. -
Sprouting Pinenut September 2018
1 Numa News Sprouting Pinenut September 2018 Fallon Paiute Shoshone Tribal Newsletter www.fpst.org Volume 12 Issue 9 September 2018 1 2 Laura Ijames Tribal Secretary Report [email protected] Our department participated in the Back to School Night which was held at the Fallon Convention Center. Jolene Thomas, Secretary’s Assistant, invested her time as a volunteer for the event where many backpacks and supplies given out for the new school year. It was good to see the whole community come out and support our youth. I would like to thank the FPST Co-Ed Softball team for donating their winning plaque to the tribe. Since the tribe donated to the team, they named the team after the tribe. I am glad to see that tribal donations are enriching our young adults in a positive way. If you would like to see the plaque and picture it will be in the lobby at the administration building. A successful antelope hunt The Labor Day weekend is coming soon and I hope everyone has a safe holiday weekend. Committee Openings: Land and Water Resources– 2 vacancies Senior Committee– 1 vacancies Election Committee Alternate-1vacancy Any interested Tribal Member may submit a Committee Appointment form to the FBC Secretary 3 1 4 5 1 6 7 1 8 FPST CO-ED SLOWPITCH CHAMPIONS Congratulations to the FPST Co-Ed Softball Team on their 1st place win in the Oasis Adult Softball Association League on Tuesday, August 8, 2018. The league winners received a 1st place plague as they showed why they are the top team in the league, with a big contin- gent of them tribal members. -
Vista Comparison to the Commercial Electronic Health Record Marketplace Final Report
VistA Comparison to the Commercial Electronic Health Record Marketplace Final Report February 4, 2011 Prepared for: U.S. Department of Veterans Affairs Martin Geffen Vice President Gartner Consulting [email protected] GARTNER CONSULTING This presentation, including any supporting materials, is owned by Gartner, Inc. and/or its affiliates and is for the sole use of the intended Gartner audience or other authorized recipients. This presentation may contain information that is confidential, proprietary or otherwise legally protected, and it may not be further copied, distributed or publicly displayed without the express written permission of Gartner, Inc. or its affiliates. © 2010 Gartner, Inc. and/or its affiliates. All rights reserved. Table of Contents ■ Executive Summary ■ Project Objectives and Approach ■ Electronic Health Record Systems Marketplace ■ VistA Overall Findings ■ VistA Capability Assessment ■ Appendices © 2011 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. or its affiliates. 1 Executive Summary © 2011 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. or its affiliates. 2 Objective and Approach ■ Project Objective – The Department of Veterans Affairs (VA) engaged Gartner to develop a fact-based assessment of how VistA capabilities compare to those that are found in leading commercial off-the-shelf (COTS) Electronic Health Record (EHR) products. ■ Approach – Gartner applied an evaluation framework which is based on Gartner research, Gartner‘s definition of an EHR and methodologies (e.g., Magic Quadrant, Generations Model, Hype Cycle) to compare VistA clinical functionality to that of the EHR COTS products. – The evaluation framework compared VistA capabilities to those of COTS products in three major categories: • Core Clinical Capabilities • Support for Key Care Venues • Support for select Stakeholders © 2011 Gartner, Inc. -
A Cloud Based Patient-Centered Ehealth Record
International Journal on Advances in Life Sciences, vol 7 no 1 & 2, year 2015, http://www.iariajournals.org/life_sciences/ 30 A Cloud Based Patient-Centered eHealth Record Konstantinos Koumaditis, Leonidas Katelaris, and Marinos Themistocleous Department of Digital Systems University of Piraeus Piraeus, Greece e-mail: (konkoum,lkatelaris,mthemist)@unipi.gr Abstract - This research focuses on the Patient-Centered integrated view of citizens health status. The latter is reflected e-Health (PCEH) concept by introducing its importance in EHRs and Personal Health Records (PHRs), which are and demonstrating a multidisciplinary project that being enriched and exploited by different actors and combines advanced technologies. The project links stakeholders (i.e., health and care professionals, citizens, several aspects of PCEH functionality, such as: (a) nutrition experts, hospitals, etc.) in the health ecosystem. homecare telemedicine technologies, (b) e-prescribing, e- Three general PHR models have been proposed [7]: a) the referral, e-learning and (c) state-of-the-art technologies stand-alone model, b) Electronic Health Record (EHR) like cloud computing and Service Oriented Architecture system, and c) the integrated one, which is an interoperable (SOA), will lead to an innovative integrated e-health system providing linkage with a variety of patient platform that delivers many benefits to the society, the information sources, such as EHRs, home diagnostics, economy, the industry and the research community. This insurance claims etc. The main types of health information paper provides insights of the PCEH concept and the supported by PHRs are problem lists, procedures, major current stages of the project. In doing so, we aim to illnesses, provider lists, allergy data, home-monitored data, increase the awareness of this significant work and family history, social history and lifestyle, immunizations, disseminate the knowledge gained so far through our medications and laboratory tests [8, 9]. -
HL7 Mobile Health Work Group
SEPTEMBER 2013 HL7 Mobile Health Work Group 101 By Gora Datta, Co-Chair, HL7 Mobile Health Work Group; Co-Lead, HL7 In- teroperability EHR Work Group; HL7 Ambassador; Group Chairman & CEO, CAL2CAL Corporation The HL7 Mobile Health (MH) Work Group is now • Identify and one year old! Over the past year, the work group promote mobile (WG) has rapidly matured from loosely held health concepts interested individuals to a cohesive group of ex- for interoper- perts that meets regularly. We welcome one and ability as Gora Datta all to join our Mobile Friday weekly calls every adopted and Friday at 11am ET. adapted for use in the mobile environment. • Coordinate and cooperate with other The group’s mission “The HL7 Mobile Health groups interested in using mobile health to Work Group creates and promotes health infor- promote health, wellness, public health, mation technology standards and frameworks for clinical, social media, and other settings. mobile health” captures the essence of its charter, • Provide a forum where HL7 members and as outlined: stakeholders collaborate in standardizing • Identify (and develop, as applicable) data to enable the secure exchange, storage, standards and functional requirements that analysis, and transmission of data and are specific to the mobile health environment. information for mobile applications and/ or mobile devices. One of the challenges the group has is that it is one of the few HL7 groups (like the EHR WG) that is not domain specific; and is more horizontal in nature. Therefore, its charter cuts across other vertical/domain oriented (work) groups. Given the tremendous interest and participation not only in the US but also globally, the HL7 Mobile Health WG is rapidly stepping up to identify and fill the gaps in the mobile health standards space. -
AC Group's 2007 Annual Report the Digital Medical Office of the Future
AC Group’s 2007 Annual Report The Digital Medical Office of the Future Computer Systems for the Physician’s Office May 2007 Comprehensive Report on: Overview of Physician adoption The Six Levels of Physician IT Maturity Practice Management Marketplace Secured Internet Document Image Management PDA and Mobile Healthcare Electronic Medical Record Functionality Electronic Medical Health Marketplace Regional Healthcare Information Organizations Mark R. Anderson, CPHIMS, FHIMSS Healthcare IT Futurist AC Group, Inc. (v) 281-413-5572 [email protected] www.acgroup.org AC Group’s 2007 Annual Report The Digital Medical Office of the Future Computer Systems for the Physician’s Office More about the Author Mr. Anderson is one of the nation's premier IT research futurists dedicated to health care. He is one of the leading national speakers on healthcare and physician practices and has spoken at more than 350 conferences and meetings since 2000. He has spent the last 30+ years focusing on Healthcare – not just technology questions, but strategic, policy, and organizational considerations. He tracks industry trends, conducts member surveys and case studies, assesses best practices, and performs benchmarking studies. Besides serving at the CEO of AC Group, Mr. Anderson served as the interim CIO for the Taconic IPA in 2004-05 (a 500 practice, 2,300+ physician IPA located in upper New York). Prior to joining AC Group, Inc. in February of 2000, Mr. Anderson was the worldwide head and VP of healthcare for META Group, Inc., the Chief Information Officer (CIO) with West Tennessee Healthcare, the Corporate CIO for the Sisters of Charity of Nazareth Health System, the Corporate Internal IT Consultant with the Sisters of Providence (SOP) Hospitals, and the Executive Director for Management Services for Denver Health and Hospitals and Harris County Hospital District. -
Software & Services
SOFTWARE & SERVICES Recognizing the software and service organizations that excelled in helping providers deliver better patient care PHYSICIAN PRACTICE SOLUTIONS BEST IN KLAS AMBULATORY EMR (1–10 PHYSICIANS) HOW DO VENDOR SOLUTIONS COMPARE? WHO IS KONFIDENCE SCORE TREND LEVEL 1. Cerner PowerChart Ambulatory BEST IN KLAS? 84.3 +13% üü 2. Amazing Charts 83.3 +4% üüü 3. SRSsoft EHR 81.0 -11% üü 4. athenahealth athenaClinicals 80.9 -7% üüü 5. Greenway PrimeSUITE Chart 79.1 -2% üüü HOW DO THEY SCORE? 6. Aprima EHR IN FIVE KEY PERFORMANCE CATEGORIES 78.2 -1% üüü 100 92.4 7. ADP AdvancedMD EHR +3% üüü 90 84.9 78.0 80.6 81.7 81.2 80 8. e-MDs Chart -13% üüü 70 74.0 60 AVG. SEGMENT MKT. 9. GE Healthcare Centricity Practice Solution EMR +1% üü PHYSICIAN PRACTICE PHYSICIAN 50 73.8 40 T10. eClinicalWorks EHR 73.4 -7% üüü 30 20 T10. Henry Schein MicroMD EMR 73.4 +4% üü 10 12. NextGen Healthcare EHR 0 65.1 -3% üüü SALES & FUNCTIONALITY GENERAL CONTRACTING & UPGRADES 13. Allscripts Professional EHR 64.7 -6% üüü SERVICE & IMPLEMENTATION SUPPORT 14. McKesson Practice Partner -14% & TRAINING 48.0 üü 0 10 20 30 40 50 60 70 80 90 100 SEE HOW OTHER VENDOR SOLUTIONS SCORE AT KLASRESEARCH.COM HOW DO THE TOP THREE SOLUTIONS TREND? SOLUTIONS NOT RANKED PRELIMINARY DATA PRODUCTS CompuGroup Medical Enterprise EHR (HEHR)*..................71.0 MIE WebChart EMR* ............................................................75.7 MTBC EMR* .........................................................................82.1 Optum Physician EMR* ........................................................79.6 -
Fidelity® Total Market Index Fund
Quarterly Holdings Report for Fidelity® Total Market Index Fund May 31, 2021 STI-QTLY-0721 1.816022.116 Schedule of Investments May 31, 2021 (Unaudited) Showing Percentage of Net Assets Common Stocks – 99.3% Shares Value Shares Value COMMUNICATION SERVICES – 10.1% World Wrestling Entertainment, Inc. Class A (b) 76,178 $ 4,253,780 Diversified Telecommunication Services – 1.1% Zynga, Inc. (a) 1,573,367 17,055,298 Alaska Communication Systems Group, Inc. 95,774 $ 317,970 1,211,987,366 Anterix, Inc. (a) (b) 16,962 838,941 Interactive Media & Services – 5.6% AT&T, Inc. 11,060,871 325,521,434 Alphabet, Inc.: ATN International, Inc. 17,036 805,292 Class A (a) 466,301 1,099,001,512 Bandwidth, Inc. (a) (b) 34,033 4,025,764 Class C (a) 446,972 1,077,899,796 Cincinnati Bell, Inc. (a) 84,225 1,297,065 ANGI Homeservices, Inc. Class A (a) 120,975 1,715,426 Cogent Communications Group, Inc. (b) 66,520 5,028,912 Autoweb, Inc. (a) (b) 6,653 19,028 Consolidated Communications Holdings, Inc. (a) 110,609 1,035,300 Bumble, Inc. 77,109 3,679,641 Globalstar, Inc. (a) (b) 1,067,098 1,707,357 CarGurus, Inc. Class A (a) 136,717 3,858,154 IDT Corp. Class B (a) (b) 31,682 914,343 Cars.com, Inc. (a) 110,752 1,618,087 Iridium Communications, Inc. (a) 186,035 7,108,397 DHI Group, Inc. (a) (b) 99,689 319,005 Liberty Global PLC: Eventbrite, Inc. (a) 114,588 2,326,136 Class A (a) 196,087 5,355,136 EverQuote, Inc. -
Semi-Annual Market Review
Semi-Annual Market Review HEALTH IT & HEALTH INFORMATION SERVICES JULY 2019 www.hgp.com TABLE OF CONTENTS 1 Health IT Executive Summary 3 2 Health IT Market Trends 6 3 HIT M&A (Including Buyout) 9 4 Health IT Capital Raises (Non-Buyout) 14 5 Healthcare Capital Markets 15 6 Macroeconomics 19 7 Health IT Headlines 21 8 About Healthcare Growth Partners 24 9 HGP Transaction Experience 25 10 Appendix A – M&A Highlights 28 11 Appendix B – Buyout Highlights 31 12 Appendix C – Investment Highlights 34 Copyright© 2019 Healthcare Growth Partners 2 HEALTH IT EXECUTIVE SUMMARY 1 An Accumulating Backlog of Disciplined Sellers Let’s chat about fireside chats. The term first used to describe a series of evening radio addresses given by U.S. President Franklin D. Roosevelt during the Great Depression and World War II is now investment banker speak for “soft launches” of sell-side and capital raise transactions. Every company has a price, and given a market of healthy valuations, more companies are testing the waters to find out whether they can achieve that price. That process now looks a little more informal, or how you might envision a fireside chat. Price (or valuation) discovery for a company can range from a single conversation with an individual buyer to a full-blown auction with hundreds of buyers and everything in between, including a fireside chat. Given the increasing share of informal conversations, the reality is that more companies are for sale than meets the eye. While the healthy valuations publicized and press-released are encouraging more and more companies to price shop, there is a simultaneous statistical phenomenon in perceived valuations that often goes unmentioned: survivorship bias. -
Private Equity Buyouts in Healthcare: Who Wins, Who Loses? Eileen Appelbaum and Rosemary Batt Working Paper No
Private Equity Buyouts in Healthcare: Who Wins, Who Loses? Eileen Appelbaum* and Rosemary Batt† Working Paper No. 118 March 15, 2020 ABSTRACT Private equity firms have become major players in the healthcare industry. How has this happened and what are the results? What is private equity’s ‘value proposition’ to the industry and to the American people -- at a time when healthcare is under constant pressure to cut costs and prices? How can PE firms use their classic leveraged buyout model to ‘save healthcare’ while delivering ‘outsized returns’ to investors? In this paper, we bring together a wide range of sources and empirical evidence to answer these questions. Given the complexity of the sector, we focus on four segments where private equity firms have been particularly active: hospitals, outpatient care (urgent care and ambulatory surgery centers), physician staffing and emergency * Co-Director and Senior Economist, Center for Economic and Policy Research. [email protected] † Alice H. Cook Professor of Women and Work, HR Studies and Intl. & Comparative Labor ILR School, Cornell University. [email protected]. We thank Andrea Beaty, Aimee La France, and Kellie Franzblau for able research assistance. room services (surprise medical billing), and revenue cycle management (medical debt collecting). In each of these segments, private equity has taken the lead in consolidating small providers, loading them with debt, and rolling them up into large powerhouses with substantial market power before exiting with handsome returns. https://doi.org/10.36687/inetwp118 JEL Codes: I11 G23 G34 Keywords: Private Equity, Leveraged Buyouts, health care industry, financial engineering, surprise medical billing revenue cycle management, urgent care, ambulatory care. -
This Is the 19Th Annual Sohn Investment Conference. the First
This is the 19th Annual Sohn Investment Conference. The first time Ispoke here was in 2002. It is amazing how this great event has grown, and I am honored to be here. 1 2 A couple weeks ago, we wrote in our quarterly letter that we believe that a narrow group of cool kid stocks have disconnected from traditional valuations and formed a bubble. This got a lot of criticism. Half the critics thought we were talking our book, even though we didn’t name names. The other half were upset that we didn’t tell them which stocks we were short. Since we can’t seem to please anybody, I’ve decided to validate both criticisms. Today, I’m going to illustrate the bubble basket doing a deep dive into one of the companies, while not disclosing the others. This company is an excellent company with an excellent product, run by a well‐meaning and honest, though occasionally promotional CEO. The world may be a better place if it succeeds, and even though we are short, I am in no way rooting for it to fail. Its main problem is that it isn’t positioned to succeed the way the bulls hope, as the assumptions the bulls are making are not plausible. The stock is simply at the wrong price. It’s caught up in a bubble and could easily fall 80% or more from its recent peak. Let me introduce you to athenahealth. 3 I think athena deserves a smaller capitalization, and I’m not just referring to how it fails to capitalize the first letter of its name. -
PROPERTY RIGHTS and ELECTRONIC HEALTH RECORDS by Jessica Carges
No. 17-37 Summer 2017 MERCATUS GRADUATE POLICY ESSAY PROPERTY RIGHTS AND ELECTRONIC HEALTH RECORDS by Jessica Carges The opinions expressed in this Graduate Policy Essay are the author’s and do not represent official positions of the Mercatus Center or George Mason University. Abstract This is an analysis of the current assignment of property rights of electronic health records and patient medical data. The paper focuses on the adverse incentives created by the current structure of property rights and hypothesizes that giving patients and provers co-ownership of medical data will best address concerns about interoperability and privacy, and also result in a number of additional positive benefits. Next the paper describes ways to make stronger patient ownership a reality despite the presence of special interest groups incentivized to block access. The paper concludes with state policy level analysis examining New Hampshire – the only state to currently grant patient ownership over medical data and electronic health record. this paper finds that state governments can follow New Hampshire’s lead and extend co-property rights to patients and providers to improve interoperability and privacy outcomes. Author Bio Jessica Carges is a research associate with the State Fiscal Health Team at The Pew Charitable Trusts. She received an MA in economics from George Mason University, and is an alumna of the Mercatus MA Fellowship program. Jessica holds a BS in economics, also from George Mason University. Committee Members Bobbi Herzberg, Distinguished Senior Fellow, F.A. Hayek Program for Advanced Study in Philosophy, Politics, and Economics. Nicole Fisher, President, HHR Strategies, Inc.