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John Russell
Executive Editor

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Associate Managing Editor

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213-300-3886

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860-693-2991

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781-972-5482

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IN THIS ISSUE
Q&A: Rules for EMR/EHR ROI from MSU
Lax Oversight Risks Millions of Medicare Dollars
The eCTD - A Six-Month Checkup
IO Informatics Eyes Healthcare Working Group
Deals, Deployments, and Short News
Top Stories from Around the Web

Executive Q&A
Rules for EMR/EHR ROI from Michigan State Experience

By Cindy Atoji

Nailing down ROI for electronic health records (EHRs) must be a deliberately thought-out process, says Michael H. Zaroukian, chief medical officer at Michigan State University (MSU), one of the early adopters of this technology. Zaroukian, who directed the EHR implementation at the MSU Internal Medicine Clinic, a community-based ambulatory care facility, says the 12-physician practice reaped major savings from a decline in paper chart pulls, staff costs, and transcription expenses.

“Simply putting an EHR system into place doesn’t give you return on investment (ROI), says Zaroukian. “EMRs that yield the most positive ROIs establish measurable financial outcomes at the start of the project.” Zaroukian spoke to Digital HealthCare & Productivity about the importance of tracking an implementation’s progress and avoiding the ROI-sapping effects of EMR customization.

DHP: You’ve said that “there is no free lunch for ROI.” What do you mean by this?
ZAROUKIAN:
If you take actions to improve quality, like putting in an EHR, you might expect cost savings, but it’s not automatic; it requires a cogent plan and striving to change processes in a way that decreases waste and increases efficiencies. The key is starting with the discipline to map your current processes in a paper world. Organizations, including ours, want to skip that—it’s hard and takes time, but if you don’t map out the current processes, you can’t get a handle on parts that are flawed or unnecessary. Be disciplined about process mapping and have a methodology for redesigning them. More...

Lax Oversight Risks Millions of Medicare Dollars

WASHINGTON -- The government is putting millions of Medicare dollars at risk by authorizing fictitious sellers of wheelchairs, prosthetics and other medical supplies to submit reimbursement claims with only limited review, according to a report in the Washington Post. The study by the Government Accountability Office obtained by The Associated Press sought to follow up on oversight gaps that have plagued the Centers for Medicare and Medicaid Services since at least 2005. Roughly $1 billion of the $10 billion in annual Medicare payments the government makes for medical equipment are later deemed improper. Read the full Washington Post article...

The eCTD - A Six-Month Checkup
By Ann Neuer

It’s been six months since the Center for Drug Evaluation and Research (CDER) division of FDA started requiring all electronic submissions to use the electronic common technical document (eCTD) format, and all is not well. Although CDER made the January 1 deadline known to the clinical trials world well in advance, the industry is just waking up to the new reality and is struggling to comply with the recent mandate. More...

Personalized Medicine
IO Informatics Eyes Healthcare Working Group

By John Russell, Digital HealthCare & Productivity staff

The founders of IO Informatics adopted semantic web ideas early and incorporated them into a scientific data integration and management platform for use in drug development. Now they are exploring the formation of a healthcare working group to push into that market. “I think we can go into healthcare with healthcare data management. Particularly we’re going to have great strengths for decision support of diagnostics and biomarkers. We’re going to be creating knowledgebases with signatures that are going to be useful for physicians and doctors,” says CEO Bob Stanley. More...

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

Octagon starts EDC blog, athenahealth acquires Crest Line Technologies, ICA commercializes Vanderbilt continuity of care solution. More...

TOP STORIES FROM AROUND THE WEB
Prescription Data Used To Assess Consumers
washingtonpost.com
A Case Study of How the Indiana Health Information Exchange Works
amednews.com
Senate Effort to Grease the Skids for Health IT Bill Fails
Government Health IT
Alberta Terminates Nine Health Region CEOs
Canadian Healthcare Technology
Firms Invest Big in Passport
Health Data Management
UMass Signs $100 Million Outsource Deal
Health Data Management
Leapfrog Group's Web Site Offers Updated Safety, Quality Info on Hospitals
Healthcare IT News
HIMSS to Launch Middle East Conference with Focus on Education
Healthcare IT News
Draft FY09 Information Systems Operating Plan
Halamka Blog
Nationwide EHR Implementation Price Tag Estimated at $150 billion
Government Health IT

LIFE SCIENCE JOBS

Lilly Singapore Center for Drug Discovery (LSCDD) - Associate Director of Informatics,
Lead and mentor a strong team for the Bioinformatics group at the Integrative Computational Sciences (ICS) department at LSCDD towards the development of novel algorithms, data analysis methods and software tools for drug discovery. Work closely with the Software Engineering group at ICS, and collaborate with the Discovery IT organization in Europe and USA. For additional information, or to apply visit:
LSCDD

Lilly Singapore Center for Drug Discovery (LSCDD)- Senior Bioinformatics Scientist,
Contribute to the development of novel algorithms, data analysis methods and software tools for drug discovery as part of the Integrative Computational Sciences (ICS) department at LSCDD. Work closely with informatics and software engineering peers at ICS, and collaborate with the Discovery IT organization in Europe and USA. The successful candidate will offer hands-on insight and expertise in tailored therapeutic informatics and statistical analyses at the post-genomic era. For additional information, or to apply visit:
LSCDD

Lilly Singapore Center for Drug Discovery (LSCDD) - Manager, Software Engineering (Integrative Computational Sciences)
Join the Integrative Computational Sciences (ICS) department at Lilly Singapore Centre for Drug Discovery (LSCDD),as Manager Software Engineering. Lead the development of integrated applications to process and visualize data from cutting edge technologies used by scientists at Lilly Research Labs (LRL) and the Drug Discovery Research (DDR) teams. Masters in Computer Science/Engineering or related discipline, 10+ years post graduation experience , 2 years management experience needed. For a complete job description and requirements or to apply visit: LSCDD

Lilly Singapore Center for Drug Discovery(LSCDD) -Senior Software Engineer,
Join a strong team of software engineers in our Integrative Computational Sciences (ICS) at LSCDD. Collaborate with, and help develop integrated applications to process and visualize data from cutting-edge technologies used by scientists at Lilly Research Labs (LRL) and the Drug Discovery Research (DDR) teams. The Software Engineering team provides computational tools and tailored software solutions that enable the global effort of Tailored Therapeutics; ‘The Right Drug, at The Right Dose for The Right Patient at The Right Time'. For additional information, or to apply visit:
LSCDD

Linguamatics, Applications Specialist, Life Sciences Text Mining Software - Northeast U.S.*
Linguamatics, a leader in semantic search and text mining for the
pharma/biotech industry, is looking for an experienced life science
focused applications specialist to demonstrate the value of our products and help drive the growth of our North American business. For further information visit:
www.linguamatics.com

Assistant Editor (Science Writer)~Cambridge Healthtech Institute (CHI), Needham, MA,
Cambridge Healthtech Institute seeks an assistant editor (science writer) who is an ambitious, dependable journalist who can fulfill a range of writing and editorial duties for a series of eNewsletters covering various aspects of the biopharmaceutical industry in addition to CHI’s flagship publication, Bio-IT World magazine. This is a superb opportunity to make important contributions to the growth and success of a multimedia science publishing group, while gaining invaluable experience in multiple facets of the publishing industry. Interested candidates should submit a cover letter, including 3 writing samples (attached in Word or PDF format), salary history or requirements, and resume to kdavies@healthtech.com. For a detailed description of the Assistant Editor position, please click here.

More Life Science Jobs ~ Add a Job Listing

FEATURED EVENTS

ELNs: Advanced Laboratory Solutions-September 15 - 17 2008 • Crowne Plaza, Brussels, Belgium

Discovery Knowledge & Informatics - September 15 - 17, 2008 • Crowne Plaza, Brussels, Belgium

Multiplexed Genomics Tools: Targeting the Missing Links
Between Health and Disease
- September 21-23, 2008 •
Providence, RI

Next-Generation Sequencing Data Analysis -September 22-23, 2008 • Providence, RI

DIA 2nd Annual Clinical Forum: Data Driven Drug Development Decisions - October 20-23, 2008 | Ljubljana, Slovenia

Barnett Educational Services,
2008 Schedule

To have your event featured here, contact Lynn Cloonan for more information.

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PRESCRIPTIONS

Your Forum

Digital HealthCare & Productivity welcomes 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

FEATURED CONTENT

Will Healthcare IT Trends Standardize?
A new wave of activities are driving transformation within the healthcare market. One solution is found in a guide to PDF Healthcare Best Practices. This “Best Practices Guide” describes Portable Document Format (PDF) attributes and use to facilitate the capture, exchange, preservation and protection of healthcare information. This webinar will focus on trends in today’s healthcare market, the challenges in overcoming these issues, and finally how to use best practices to improve patient care, enhance productivity and eliminate paperwork. It’s hosted by Adobe and moderated by Digital Healthcare & Productivity Executive Editor, John Russell. Click here...

GenoLogics
Enabling Translational Research Informatics
Learn about the challenges facing life sciences research labs to manage their translational research data:
The trends for organizations to adopt informatics solutions for translational research.
The unique requirements with managing complex data and workflow. What labs should consider when reviewing informatics solutions for translational research.
Which life sciences research organizations are successfully adopting an informatics solution.Download Now

Spain’s Emerging Biotech Revolution
The biotechnology sector is growing 10 percent faster in Spain than it is in the U.S. Driven by a culture, government and private sector that are open-minded and optimistic, Spain-based companies are emerging as leaders in this dynamic field. Discover how your business can capitalize on creative solutions from Spain-based enterprises. Download Now

To have your white paper featured here, contact Lynn Cloonan for more information.

EXCLUSIVE WEBCAST

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

Bio-IT World Expo
Video Highlights

Drug Discovery, Development and Commercialization: Evolving Challenges and Opportunities
Joshua Boger, PhD, president and CEO, Vertex Pharmaceuticals Inc., delivers his keynote at the 2008 Bio-IT World Conference & Expo in Boston, April 30, 2008.
View the webcast.

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.
View the webcast.

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.
View the webcast.

Published by Cambridge Healthtech Media Group, division of CHI, Copyright 2008; All rights reserved. Digital Healthcare & Productivity may not be reproduced, electronically or in print, by any means, mechanical or electronic, in whole or in part, without written permission of Cambridge Healthtech Media Group, 250 First Ave., Suite 300, Needham, MA, 02494.
For reprints and/or copyright permission, please contact The YGS Group, 1808 Colonial Village Lane, Lancaster, PA 17601. Phone: 717-399-1900, ext. 125. Email: becky.mullaney@theYGSgroup.com