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Passwords – the Weakest Link in Healthcare Security HCT Project Volume 4, January 30, 2007 Passwords are still the most pervasive tool used to secure systems.
As a result, the cost of managing password-based security
represents a growing burden for the healthcare IT professional.
Despite countless expenses and hours in creating guidelines and
procedures and purchasing safeguards, one user can still override
all efforts by simply sharing a password.

Biometrics Strengthen Security and Medical Staff Efficiency HCT Project Volume 4, January 30, 2007 DigitalPersona is the leading
provider of biometric authentication
solutions that improve
security and regulatory compliance
while resolving password
management problems.

Q&A With Carol Diamond HCT Project Volume 4, January 30, 2007 The managing director of the health program at the Markle Foundation
explains why public trust is essential to the successful exchange of electronic
health information – and how we can build it.
Carol Diamond, Markle Foundation
A Focus on Laboratory Revenue Cycle Management HCT Project Volume 4, January 30, 2007 XIFIN offers leading-edge
technology and service solutions
that help laboratories
collect what they are owed,
eliminate compliance risks,
streamline operations and
improve overall profitability.

Q&A With Grace-Marie Turner HCT Project Volume 4, January 30, 2007 If we don’t approach healthcare like other sectors of the economy, where
consumers shop for value and seek services that are faster, better and
cheaper, we’re doomed to default into a government-run healthcare system.
Grace-Marie Turner, Galen Institute
Q&A With Stephen Lieber HCT Project Volume 4, January 30, 2007 The president and CEO of HIMSS discusses his organization’s efforts in
driving America’s move toward an interoperable healthcare system.
Stephen Lieber, HIMSS
Toward a Mature Security Model HCT Project Volume 4, January 30, 2007 HIPAA Administrative Simplification intends to do what
other industries have successfully achieved by sitting
down with competitors – standardize common electronic
transactions to reduce healthcare’s overhead cost.While not a surprising
piece of legislation, Administrative Simplification’s companion
privacy and security regulations have jolted just about
every corner of the industry.
Kate Borten, The Marblehead Group
Leveraging Health Information Technology and Health Information Exchange for Value-Based Healthcare Initiatives HCT Project Volume 4, January 30, 2007 Concerns about cost and quality are driving the federal government
to take action. On August 22, 2006, President Bush issued an executive
order calling for healthcare programs that are administered or
sponsored by the federal government to make available cost and
quality information to their beneficiaries, as well as to utilize HIT systems
and products that meet recognized interoperability standards.
Janet Marchibroda, eHealth Initiative
Chartlogic Case Study HCT Project Volume 3, November 14, 2005 With today’s challenges facing medical practices including government mandates, lower reimbursement and cost risk management, the physicians and administrator at Dover Orthopaedics needed a better alternative for managing patient charts. So in 2001, administrator Marilyn Orr set out to find an electronic medical record system (EMR) for her four-physician practice. Another administrator, who had been through the same experience, had given Marilyn some advice. The administrator advised her to “respect the culture of your group and understand what they are willing and able to do.” With this advice and the list of practice objectives, Marilyn began her search.

EHR Messaging and Data Standards In the United States HCT Project Volume 3, November 14, 2005 The evolving needs of the healthcare industry — especially for EHR implementation — demand uniform
messaging standards and consistent use of those standards.
John Quinn, Accenture
EHRs and the Stark Law HCT Project Volume 3, November 14, 2005 In order to foster the dissemination of the EHR, there needs to be definitional clarity and regulatory
relief from Stark Law concerns.
John E. Steiner Jr., Esq., Cleveland Clinic Health System
EHRs, Automating Coding And Advanced Analytics HCT Project Volume 3, November 14, 2005 Adopting the EHR and integrating it into other elements of the data universe of our healthcare system
will generate positive outcomes at every link in the transaction chain.
Andrea Allmon, Fair Isaac Corporation, Jean de Traversay, Fair Isaac Corporation
Newt Gingrich Advocates the Creation of A 21st-Century Intelligent Health System HCT Project Volume 3, November 14, 2005 Accelerating universal adoption of health IT is fundamental to creating a safer and more affordable
health system.
Newt Gingrich, Center for Health Transformation, David Merritt, Center for Health Transformation
Q and A With Dr. Ed Hammond HCT Project Volume 3, November 14, 2005 Professor Emeritus at Duke University explains the historical evolution of
technical standards.
Ed Hammond, Duke University
Q and A With Lee Ann Stember and Phillip Scott HCT Project Volume 3, November 14, 2005 Leaders of the NCPDP explain why adoption of e-prescribing will be more
rapid than EHRs.
Lee Ann Stember, NCPDP, Phillip Scott, NCPDP
The Health of Our Nation’s Hospitals HCT Project Volume 3, November 14, 2005 How did the healthcare industry fare in 2004? To answer that question,
Solucient® reviewed essential measures of the U.S. healthcare system’s financial
strength from 1997 to 2004, including hospital operating margins and other
operational indicators.
Phil Gaughan, Solucient, part of Thomson Healthcare, Gary Pickens, Ph.D., Solucient, part of Thomson Healthcare
The Pivotal Role of Government in Transforming U.S. Healthcare HCT Project Volume 3, November 14, 2005 A national healthcare IT network would enable the electronic exchange of health data among patients
and clinicians as well as with the public health sector and life sciences industry.
Rick Wheeler, Accenture, Jon Kaplan, Accenture
A Common Language Architecture for Health Care HCT Project Volume 2, July 17, 2004 Interpreting health information within electronic health information systems requires clinical
data that can be transmitted without loss of meaning, aggregated at general levels from multiple
perspectives, and is consistent over time and across boundaries.
Franklin R. Elevitch, M.D., SNOMED International
CEO Chet Burrell Explains RealMed's Role As a Bridge Between Payers and Providers HCT Project Volume 2, July 17, 2004 There is really no investment required by a practice to get on the service, so
ROIs tend to be high as measured by administrative cost savings and faster
time to payment.
Chet Burrell, RealMed Corporation
Digitize Your Hospital: It Is a Quality and Efficiency Imperative HCT Project Volume 2, July 17, 2004 Hospitals can no longer design closed systems that just talk to Medicare, Medicaid, and the big
insurance companies. They need to transform key business and clinical processes, aggressively
implement new technologies, and demonstrate patient safety.
Giri Iyer, GE Healthcare
Disease Management: Changes and Challenges HCT Project Volume 2, July 17, 2004 Disease management – the concept and the industry – have experienced both success and scrutiny
during its brief history. Currently, as technology seems poised to improve management systems,
everyone is struggling with elevating costs and the appropriate measurement of impact.
Alison Johnson, R.N., M.B.A., Milliman, Patty Armocida, R.N., M.B.A., Milliman
Dockside to Bedside: A New Paradigm for Health System Medication Management HCT Project Volume 2, July 17, 2004 In the distributor-lead paradigm, a closed-loop solution provides the most efficient, best practice
model available for each health care organization by integrating, automating, and monitoring
each pharmaceutical-related transaction from purchase order to patient.
Russell Lewis, AmerisourceBergen Technology Solutions
EAI Provides Opportunities for Collaboration HCT Project Volume 2, July 17, 2004 Enterprise application integration enables information sharing, transaction processing, and
collaboration across the health industry. Payer-provider collaborations form the hub and provide
the access points for transactions among the other constituents.
Brian D. Peterson, Capgemini
Effective Demand Forecasting In the Health Care Supply Chain HCT Project Volume 2, July 17, 2004 The road to automated replenishment is not an easy one. However, through the integration of
intelligence, technology, and expertise, effective demand forecasting in the health care supply
chain is attainable.
Timothy J. Callahan, Owens & Minor, Inc., David R. Guzman, Owens & Minor, Inc., Mark A. Van Sumeren, Owens & Minor, Inc.
Enterprise Business Process Management for Health Care Payers HCT Project Volume 2, July 17, 2004 Implementations of tightly integrated business process management software and business
rules engines are finding that traditional boundaries and limitations associated with functional
specialties within health care payers can be removed.
Tom Congoran, Pegasystems Inc.
Health Information Technology: Implications for Healthcare Organizations HCT Project Volume 2, July 17, 2004 In the spring of this year, President Bush established a vision of interoperable
electronic health records within 10 years, and appointed David Brailer, MD,
PhD to serve as the National Coordinator for Health Information Technology
(HIT). This established a focal point for action and captured the attention
of both the health care industry and the nation.
Peter Kongstvedt, M.D., Accenture, John Quinn, Accenture, Hindy Shaman, Capgemini
Hospitals and Medical Malpractice--Risk Management Issues and Approaches HCT Project Volume 2, July 17, 2004 Risk management is a function that is heavily dependent on the culture of an organization.
If the culture of an organization fosters patient safety, the organization’s risk management
program will be greatly enhanced.
Richard H. Bucilla, Lexington Insurance Company, Charles G. Benda, Independent Consultant
How E-Prescribing Is Fostering Collaboration Between Payers and Providers HCT Project Volume 2, July 17, 2004 We absolutely are where health care and other segments of this industry
on the medical side want to be.
Lee Ann Stember, NCPDP, Phillip Scott, NCPDP
Next Generation Payer-Provider Connectivity HCT Project Volume 2, July 17, 2004 The challenges of clearinghouses will be met by forward-thinking health care organizations
that are willing to take the initiative to leverage emerging technologies, market drivers, and the
HIPAA regulatory environment to their strategic advantage.
Sandy Williamson, CapTech Ventures, Inc., Brian Deasy, CapTech Ventures, Inc.
The Clinical and Financial Transformation Of Asia's Largest Private Hospital HCT Project Volume 2, July 17, 2004 With the “big bang” approach, Bumrungrad Hospital implemented an enterprise software
solution that provides doctors, nurses, radiologists, and lab technicians with immediate clinical
information and satisfies the billing and material management needs of back-office users.
Patrick Downing, Global Care Solutions, Curtis Schroeder, Bumrungrad Hospital
The National Provider Identifier HCT Project Volume 2, July 17, 2004 On January 23, 2004, the Department of Health and Human Services (HHS) published the final rules on the implementation of the National Provider Identifier (NPI). The NPI will be unique to the provider and will be never ending; in other words, the same NPI will be used regardless of when or where that provider conducts standard transactions such as third party billing.
Peter Kongstvedt, M.D., Accenture, John Quinn, Accenture, Hindy Shaman, Capgemini
Achieving Standardization Through CIS Implementation HCT Project Volume 1, July 01, 2003 Standardization of clinical processes and practices is the reason for the effort and expense of building a clinical information system. It is the means by which quality and safety of patient care are improved, efficiencies realized, and costs reduced.
Robert B. Williams, M.D., Capgemini, Jay Toole, Capgemini, Michele Salvaneschi, R.N., Capgemini
Connecting Health Care Users to Information: Convenience, Security, and Authentication Management HCT Project Volume 1, July 01, 2003 Secure, simplified authentication is more of an issue than ever as the demand for access to clinical data spreads from hospitals to clinics, doctors' offices, and patients. One solution is to separate and extract the authentication process from the underlying application. Authentication services can then be provided as a "network service."
Daniel Palestrant, BNX Systems
Domestic Violence: Confronting A Healthcare Epidemic HCT Project Volume 1, July 01, 2003 Domestic violence has reached epidemic proportions in this country, and yet it remains one of the least reported and most misunderstood health issues facing our society today. If fully recognized and treated like other illnesses, domestic violence would likely be as common, if not more so, than breast cancer, and far more prevalent than hypertension, colon cancer, hepatitis and many other medical conditions which healthcare providers routinely screen and treat.
Ellen Taliaferro, M.D., Polaroid
Ed Hammond Discusses the Need for Increased Data Sharing and the Development of Collaborative Health Care Industry Standards HCT Project Volume 1, July 01, 2003 Q&A Between Dr. W. Ed Hammond, Professor Emeritus, Community and Family Medicine and Professor Emeritus, Biomedical Engineering at Duke University and Barry Jacobs, Publisher of Health Care Technology.
Ed Hammond, Duke University
Enterprise PACS: Practical, Proven, and In Demand HCT Project Volume 1, July 01, 2003 Picture Archiving and Communication Systems are a crucial component of truly integrated, effective patient care and information services. Institutions of every size, mission, and financial capacity can no longer afford to delay PACS investment.
Brad Levin, AMICAS
Information Technology in the Emergency Department HCT Project Volume 1, July 01, 2003 Adhering to fundamental critical success factors while avoiding common pitfalls will increase the chance of building, integrating, and deploying a successful computer-based patient record. Organizations that strive for, and measure, improvements in patient care and satisfaction are more likely to thrive than those that measure financial benefits more exclusively.
Kenneth N. Sable, M.D., Maimonides Medical Center
Interview with John Glaser, ABCs of Evaluating Technologies Worth Your Investment HCT Project Volume 1, July 01, 2003 John Glaser, CIO of Partners HealthCare, explains the ABCs of evaluating which technologies are worth your investment.
John Glaser, M.D., Partners HealthCare
Managing the Risks: Are You Scared Yet? HCT Project Volume 1, July 01, 2003 Nervous about the risks involved in implementing an advanced clinical information system? Good! Anxiety motivates caution and a thoughtful quest for answers to hard questions. The question is: are you anxious enough? Here are reasons your anxiety is justified.
Manuel Lowenhaupt, M.D., Accenture, Michele Salvaneschi, R.N., Capgemini
Protecting Private Health Information With Role-Based Authorization HCT Project Volume 1, July 01, 2003 There are several reliable methods for meeting HIPAA compliance for authentication, authorization, and accountability, including passwords, digital certificates, tokens, and biometrics. Compliance can be simple, but no one piece of software can do it all.
Michelle Netten, Secure Computing Corporation
Providing New Solutions for Care Coordination HCT Project Volume 1, July 01, 2003 Successful care management programs share common designs incorporating collaborative, inter-disciplinary care teams; information repositories; standardized communication protocols and care-management processes; continuously monitored outcomes; and reduced care team administrative tasks.
Rodd Padden M.B.A., Canopy Systems, Inc., Phil Beauchene, R.N., M.H.A., Mind My Heart, Kathleen Anderson, B.S.N., M.H.A., W.V. University Hospitals
Question & Answer with Bill Spooner, VP and CIO of Sharp Healthcare HCT Project Volume 1, July 01, 2003 Barry Jacobs talks to Bill Spooner about the necessity of multiple products and vendors, and end-user participation.
Bill Spooner, Sharp HealthCare
Question & Answer with Eric Paul, Graduate Pharmacist, Baxter Corporation HCT Project Volume 1, July 01, 2003 Eric Paul says real-time, point-of-care technology is the key to ensuring that clinicians have the best possible decision support.
Eric Paul, Baxter Corporation
Question & Answer with Jeff Goldsmith, President of Health Futures, Inc. HCT Project Volume 1, July 01, 2003 Jeff Goldsmith discusses how clinical IT will integrate a patient's history with embedded best practice guidelines to help clinicians design the best possible treatment plan.
Jeff Goldsmith, Ph.D., Health Futures, Inc.
Reducing Practice Variation HCT Project Volume 1, July 01, 2003 There is a growing body of clinical evidence supporting leading practice interventions for treating specific medical conditions. Embedding and automating these leading practices within a computerized physician ordering system helps to ensure that the most current medical knowledge informs treatment decisions, and variations from accepted practice will be based on the patient’s specific circumstances and risks.
Robert B. Williams, M.D., Capgemini, Steve Margolis, M.D., Capgemini, Jane Neumann, M.D., ProHealth
Smart Cards and Clinical Care Delivery HCT Project Volume 1, July 01, 2003 In the search for fast, secure, and accurate patient clinical information storage, smart cards offer advanced options to care providers and patients. Smart card technology allows health care providers and health care organizations to streamline medical processes, participate in secure health care data exchange, as well as increase quality of service through improved data access.
Dr. Bruno Lassus, D.D.S., Gemplus
Special Section: Clinical Documentation HCT Project Volume 1, July 01, 2003 Clinical documentation is often viewed as a necessary evil: a cause for overtime work, an incomplete patchwork of irrelevant or out-of-date data, or a task done to avoid legal or regulatory consequences. In this section, we make the case for designing, building, and implementing automated clinical documentation according to a new paradigm, one with the power to transform clinical practice and yield major benefits to health care organizations, clinicians, and patients.
Carol Belmont, Capgemini, Bonnie Wesorick, R.N., M.S.N., CPM Resource Center, Helen Jesse, R.N., M.S., Capgemini, Michelle R. Troseth, R.N., M.S.N., CPM Resource Center, David Brown, M.A., Eclipsys
Special Section: Medical Safety HCT Project Volume 1, July 01, 2003 Medication error and patient safety emerged as critical issues in health care in 1999 when the Institute of Medicine (IOM) released their report, To Err is Human: Building A Safer Health System. The report estimated that as many as 98,000 patients die in hospitals each year due to medical errors.
Brian Shea, Pharm.D., Capgemini, Jill Fainter, HCA, Inc.
Special Section: Technology Overview HCT Project Volume 1, July 01, 2003 In this section, John Quinn offers an in-depth examination of core information systems. His discussion includes a look at the management of large hospital information systems, core building components and systems integration, and data management and architecture.
John Quinn, Accenture
Technology in Health Care: Building an Integrated Infrastructure HCT Project Volume 1, July 01, 2003 A significant obstacle to making clinical care available one is system interoperability. Designing and implementing a modern replacement for limited-interoperability legacy systems can be an expensive, chaotic, and time-consuming endeavor. A less disruptive and costly alternative is to add an XML-based integration layer over existing systems.
Mark Blatt, Intel Corporation
The Impact of IT on the Health Care Workforce HCT Project Volume 1, July 01, 2003 The role of information technology is not to replace clinicians, but to change their work environment to
provide better job satisfaction and better patient care. By redesigning clinical processes and automating them with enabling technologies – often through innovative outsourcing arrangements – health care providers
transform themselves into competitive enterprises that better serve their communities.
Charles Colander, Northwestern Memorial Hospital, Karyl Woldum R. N., Capgemini, Brian Shea, Pharm.D., Capgemini
The Net Effect HCT Project Volume 1, July 01, 2003 Internet-based, global information technology has revolutionized the technological landscape for the health care industry. While privacy and security issues persist in patient care, safety is within reach utilizing existing security devices and systems.
Curtis K. Levinson, SBC
Why Total Perioperative Automation Is Essential for 21st Century Health Care Systems HCT Project Volume 1, July 01, 2003 Total perioperative automation (TPA) improves competitive and financial viability. TPA systems reduce costs, increase efficiency, and improve quality of care by managing and integrating the entire perioperative environment from pre-op scheduling and assessment through post-anesthesia care.
Christopher Grover, Grover Group
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