News

HIMSS 18 and the Disruption of the Traditional Office Visit

Healthcare is evolving quickly and HIMSS 18 offers a broad range of healthcare issues to explore, but will it recognize the disruption of the traditional office visit? New requirements for implementing HIT systems are changing as new health IT priorities and procedures emerge. Convergence in the health care sector is accelerating the need for interoperability, not just for EHRs, but also across clinical, financial, and operational systems. This need is also challenging and changing one of the biggest traditions in healthcare—the doctor-patient medical visit. 

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Medicity's CEO's Thoughts on Interoperability

Last week I had the esteemed privilege of attending the EHR Interoperability Meeting at the White House with Seema Verma, CMS Administrator, and Don Rucker MD, National Coordinator at ONC. The attendees represented payer organizations, and the discussion was focused on the barriers to interoperability and how we can band together to overcome them. Below are my responses to the major questions asked of each payer. As you read through this information, I hope it further clarifies our position on these topics.

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The Heritage and Legacy of M (MUMPS) – and the Future of YottaDB

In computing, the term legacy system has come to mean an application or a technology originally crafted decades ago, one important to the success of an enterprise, and which at least some people consider obsolete. But age alone does not make something obsolete – we still read and appreciate Shakespeare a half-millenium after his death, and paper clips from over 100 years ago are still familiar to us today, We must recognize that software is also part of our technical and cultural heritage (see Software Heritage). As in much else in our daily lives, legacy and heritage are intertwined.

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A Better Marketing Plan for Your Open Source Software Project

OSS marketing has evolved since the emergence of OSS in the 1990s and early 2000s. It now includes the community at every step of the life cycle (a fact that shouldn’t surprise anyone familiar with open source communities’ expectations for inclusivity). It also outperforms traditional command-and-control approaches to marketing, because it’s built on the strength and reach of project communities. A community that’s bought into a marketing program will generate far more content than a marketing team alone can. We aim here to describe a process for inclusive marketing that any technology marketer can apply to increase impact.

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8 open source drone projects

Over the past few years, interest in civilian, military, and commercial drones has grown rapidly, which has also driven the maker community's interest in open source drone projects. The list of unmanned aerial devices (UAVs) that fit the moniker of drone seems to be constantly expanding. These days, the term seems to encompass everything from what is essentially a cheap, multi-bladed toy helicopter, all the way up to custom-built soaring machines with incredibly adept artificial intelligence capabilities. Most people are looking for something in the middle. They'd like a flying vehicle that is large enough to support a decently long flight time, hold a camera or other data capture device, and perhaps be able to control some (or all) of its flight autonomously using pre-programmed coordinates or real-time data.

Approaches for Immunization Information System (IIS) Project Collaboration with HIE Networks

We have written in a previous policy white paper about collaboration between Immunization Information System (IIS) projects and Health Information Exchange (HIE) networks, and a second more technical white paper about options for interoperability between IIS and electronic health record (EHR) systems. We described a range of interoperability options for EHR users and IIS and the strengths and challenges of each alternative...

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Artificial Intelligence and Machine Learning Bias has Dangerous Implications

Algorithms are everywhere in our world, and so is bias. From social media news feeds to streaming service recommendations to online shopping, computer algorithms—specifically, machine learning algorithms—have permeated our day-to-day world. As for bias, we need only examine the 2016 American election to understand how deeply—both implicitly and explicitly—it permeates our society as well. What’s often overlooked, however, is the intersection between these two: bias in computer algorithms themselves. Contrary to what many of us might think, technology is not objective...

ONC's Trusted Exchange: A Public Health Perspective

In January 2018 the Office of the National Coordinator for Health Information Technology (ONC) issued a draft Trusted Exchange Framework and Common Agreement (TEFCA), and related supporting documents, in response to a requirement imposed by Congress in the 21st Century Cures Act. The Act says that the TEF may include a common method for authenticating users, a common set of rules, enabling policies, and a process for managing non-compliance. Nowhere does the Act instruct ONC to determine an actual technical architecture in this process, though such a step is not precluded either. The primary document is in two parts: Part 1 is a set of principles that set the foundation for Part 2 which is a set if minimum terms and conditions for trusted exchange.

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Paul Biondich - One Million Reasons to Celebrate our Amazing OpenMRS Community…

Today, I’m thrilled to announce that OpenMRS, Inc. received a $1 million dollar donation from the Pineapple Fund. This donation came as a product of a competitive application process, awarded to initiatives that demonstrate international-scale impact and novel, innovative ways of solving society’s most vexing problems. We are looking forward to using this generous donation to further support our strategic goals, and to increase the long-term sustainability of the OpenMRS community. Stay tuned for more specifics about this important contribution in the days to come.

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The Evolving Landscape of Health Information Exchange

The original vision for nationwide health information exchange was a “network of networks” model where local HIEs would interact HIE-to-HIE to form a virtual national network. But notice that many of the new initiatives are essentially solving a different problem: they are enabling point-to-point connections across a wider geography and set of clinical sites. This seems more like a large, single national network rather than leverage of more distributed organizations or implementations. Only time will tell if these private sector initiatives will collaborate, converge or compete. And only time will tell of the limitations of ONC’s ability to influence and provide leadership will creates gaps or provide new opportunities for innovation.

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