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IN THIS ISSUE
Private Sector Gives ONC Report Qualified Praise
Wal-Mart Strives to Engage Health Care Consumers
ONC Plan Proposes Challenges for Implementation
Kaiser Backs Microsoft Patient-Data Plan
Deals, Deployments, and Short News
Top Links Around the Web

Private Sector Gives ONC Report Qualified Praise
By Neil Versel, contributing editor

WASHINGTON—Health IT advocates in the private sector are giving qualified praise to a federal plan to sharpen the government’s focus on the twin goals of high-quality, cost-efficient, patient-focused health care and of improved population health.

“I like the topic areas,” Charlene Underwood, director of government and industry affairs for hospital systems vendor Siemens Medical Solutions USA (Malvern, Pa.), says of the “ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012.” released last week by the Office of the National Coordinator for Health Information Technology (ONC). “It had very specific objectives and it had tactics underneath it.”

The report stated that the federal government can help the nation achieve the two overarching goals by facilitating secure access to and exchange of electronic health information and continuing to promote adoption of electronic health records (EHRs) and personal health records (PHRs). More...

Wal-Mart Strives to Engage Health Care Consumers
By Neil Versel, contributing editor

WASHINGTON—In the realm of health IT, Wal-Mart Stores is aiming far beyond its participation in the Dossia personal health records (PHR) project. The Bentonville, Ark., retail behemoth seeks to become a catalyst for interoperability by paying attention to customer convenience.

Wal-Mart already has made clear its intent to open 400 in-store health clinics by 2010, up from the current 70. “These clinics are like Trojan horses,” John Agwunobi, president of Wal-Mart health and wellness business unit, said here Monday in a keynote address to the midyear Healthcare Information and Management Systems Society (HIMSS) Summit. More...

Executive Q&A
ONC Plan Proposes Challenges for Implementation

By Cindy Atoji

The newly released ONC strategic plan is an intelligent approach, says James Champy, chairman of Perot Systems Corp. consulting practice. Champy, who is also head of strategy for Perot and one of the founders of the management theory behind Business Process Reengineering (BPR), has long been advocating using information technology to develop a patient-centric services model, one of the primary goals of the ONC plan. To do this, says Champy, IT has to be harnessed to make a fundamental change in the way health care is delivered. “The more transformational IT can be, the more value it can create. This argues for more radical change.”

Champy spoke with Digital HealthCare & Productivity about how he thinks the ONC plan could become a reality, the business case for health IT, and getting the most value out of technology spends.

DHP: What’s your reaction to the federal health IT strategic plan just released by the ONC (Office of the National Coordinator)?
CHAMPY:
The plan takes a very sound approach in that it is not proposing a single large system. The U.K. has been challenged in its approach to build large, regional systems. The U.S. plan takes a coordinated approach, leveraging the major investments and progress that many institutions have already made. The approach is one of “harmonization” of the efforts already underway. This approach is much more likely to work.

Some level of standardization (processes, software, and technology) will still be required, and the plan acknowledges this. But achieving standardization in health care has always been a challenge. Without it, however, we will not achieve the goals of the plan.

Small to medium sized institutions may also be challenged in participating in the effort. The plan requires resources at all levels and from all participants to make it work—and smaller institutions may need some financial and professional help.
On the whole, the plan is very complete in its thinking. The challenge, as always, will be in its implementation. More...

Kaiser Backs Microsoft Patient-Data Plan

Kaiser Permanente, the nation’s largest nonprofit health maintenance organization, is endorsing the drive toward consumer-controlled personal health records in a partnership with Microsoft. The partnership, announced Monday, will begin with a pilot project open to Kaiser’s 156,000 employees, which will run until November, according to the report in The New York Times. If successful, the product linking Kaiser’s patient information with Microsoft’s Health Vault personal health record service will be offered to Kaiser’s 8.7 million members in nine states and the District of Columbia.

“This is a big step for us, and our first partnership with a consumer health record supplier,” said Anna-Lisa Silvestre, Kaiser’s vice president for online services.

There are several companies offering personal health records on the Web, but the big new players are Microsoft, which entered the field last October, and Google, which came in last month. Read full New York Times report...

Deals, Deployments, and Short News
Allison Proffitt, Digital HealthCare & Productivity Staff

Merge Healthcare announces reorganization and management changes, National Alliance of Health Information Technology announces new framework, Drugs.com releases iPhone-ready edition, and more…

TOP STORIES FROM AROUND THE WEB
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GAO: DOD Not Maximizing IT in Mental Health Screenings
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Halamka Blog

LIFE SCIENCE JOBS

Memorial Sloan-Kettering Cancer Center - Application Analyst
MSKCC Genomics Core seeks an Application Analyst to configure UNIX and Windows systems, maintain LIMS server and install analysis software. Requires a Master’s degree, UNIX experience, and knowledge of a language besides PERL beyond the beginning level. Email Jobops5@mskcc.org or www.mskcc.org #015563. EOE/AA

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FEATURED EVENTS

Computing Short Courses at MIT - June / July - Cambridge, MA

BIO International Convention - June 17 – 20, 2008, San Diego Convention Center, San Diego, CA

DIA 44th Annual Meeting, June 22-26, Boston,MA

5th Annual Meeting on the NCI’s cancer Biomedical Informatics Grid—CaBIG—initiative (Annual Meeting)S -June 23-25, 2008, Washington,DC

2nd Label-Free Protein Array- Latest Advances in Analysis of Macromolecular Interactions,July 3-4th 2008 -Paris- France

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Digital HealthCare & Productivity would love to receive your feedback and ideas for contributed commentary. Please contact John Russell for editorial Inquiries.

MARKET TREND REPORTS

Battle Between Best-of-Breed and Sole Source Continues
Given all the consolidation among health-IT suppliers in the last few years, more than a few big guns have assembled true, end-to-end integrated clinical and management systems. You want single source? You got it. Yet the ongoing national push for data and interoperability standards means it easier than ever to knit together best-of-breed solutions in Lego-like fashion. More

IT Outsourcing: A Game of Specialization and Global Reach
The low hanging fruit was harvested in the first wave of healthcare-IT outsourcing. Now, national and global companies report the biggest opportunities lurk in niches. Moreover, traditionally entrenched players like EDS and Oracle are ceding ground to new global companies, say observers. More

EHRs Forge Links to Practice Management S/W
Electronic health records are gaining ground, but slowly. Conversely the practice management software market, though unexciting, is steady. Efforts are now on to fuse the two. More

Trends in Medical PCs, PDAs, and Portable Workstations
Do healthcare professionals in your organization want laptop computers? Tablet PCs? Plain old desktop machines? Personal digital assistants? Sure. All can work just fine in clinical environments. More

Wireless Technology Use Jumps in Hospitals
While adoption of many health-IT technologies has stalled, the use of mobile and wireless technology has soared and the choices are proliferating. More

Does Asset Tracking Live Up to the Hype?
Asset tracking has become a hot technology. Indeed, makers of RFID systems – just one of the technology choices – claim to provide near instantaneous ROI. What’s the real state of the market? More

EXCLUSIVE WEBCAST

NEW! Life Science Webcasts from Bio-IT World and Cambridge Healthtech Media Group

Bio-IT World proudly introduces Life Science Webcasts -- a series of informal conversations with leading researchers and executives in the bio-IT and biopharma arena.

Personalized Genetics: Advancements and Driving Change
Linda Avey, co-founder of 23andMe, delivers her keynote at the 2008 Bio-IT World Conference & Expo in Boston, April 30, 2008.
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The Future of Personal Genomics
A distinguished panel of personal genomics experts discuss the future of personal genomics at the 2008 Bio-IT World Conference & Expo in Boston, April 30, 2008. They include Dietrich Stephan (co-founder, Navigenics); George Church (Harvard Medical School); Jeff Drazen (editor-in-chief, New England Journal Medicine); Fred Ledley (Bentley College); John Halamka (CIO, Harvard Medical School); and Linda Avey (23andMe). Bio-IT World Editor-in-Chief Kevin Davies moderates the discussion.
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