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Short audio interviews on issues of interest to physicians involved in healthcare IT and management systems in hospital health system settings. From evolving EHR components to e-Prescribing – there is something of interest to everyone.

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    In this 14-minute inaugural interview, C. Martin Harris, MD, MBA, FHIMSS, provides a description of the “Google-Cleveland Clinic Story,” a joint program that gives patients control over their electronic health records. This new service, according to Dr. Harris, “provides the opportunity of relieving them (patients) of being their own medical librarians.” Dr. Harris, Chief Information Officer and Chairman, IT Division of the Cleveland Clinic Foundation, describes how the program works, and the myriad benefits to both patients and healthcare providers.

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    From the University of California San Francisco, Dr. Michael Blum, CMIO, and Dr. Russell Cucina, Associate Medical Director of IT, discuss UCSF’s employment of clinical documentation in advance of computerized practitioner order entry (CPOE). Dr. Blum and Cucina describe the initial requirements, success criteria, challenges and lessons learned of establishing clinical documentation prior to CPOE. The interview is conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Dr. George Reynolds, CMIO and pediatric intensivist at Children’s Hospital of Omaha, discusses the hospital’s visionary approach clinical decision support that uses business intelligence and clinical analytics to support better patient care. The interview was conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Dr. David C. Stockwell, Medical Director of Patient Safety and Dr. Brian Jacobs, CMIO ;at Children's National Hospital in Washington, DC discuss their innovative Automated Adverse Event Detection Consortium and it use in early or near "real-time" capture, analysis and prevention of adverse patient events. The interview was conducted by Dr. William F. Bria, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Lac Van Tran, MD, CIO, and Julio C. Silva, MD, CMIO at Rush University Medical Center in Chicago, discuss the benefits of a strong partnership between the CIO and CMIO of a medical facility. They share how their collaboration has enabled more effective medical informatics education, technology implementation and integration in the clinical practice and the migration from a paper-based environment to an automated environment. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Ken Ong, MD, Director, Clinical Information Systems, North Shore - Long Island Jewish Health System discusses pearls from several chapters in the HIMSS 2007 Book of the Year titled Medical Informatics: An Executive Primer. Dr. Ong addresses what the CMIO should do to get an organization ready for implementation of an electronic health record; the role of the CMIO in helping to prevent the failure of an HIT project; and his thoughts on how the results of the recent presidential election may change the landscape of healthcare as it relates to the EHR. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Patricia L. Hale, MD, PhD, FACP, Clinical Assistant Professor of Medicine at New York Medical College and Deputy Director of the Office of Health Information Technology Transformation, New York State Department of Health, discusses the recent focus on and interest in e-prescribing. Dr. Hale is also the author of the book, Electronic Prescribing for the Medical Practice: Everything You Wanted to Know but Were Afraid to Ask. She addresses the current state of implementation, the advantages of electronic prescribing, and stand-alone e-prescribing versus a full EHR. She provides an overview of the various incentives and multitude of resources available to physicians considering adoption. Dr. Hale also suggests ways to overcome some of the challenges practices may face when implementing an electronic prescribing system. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community. Electronic Prescribing for the Medical Practice: Everything You Wanted to Know But Were Afraid to Ask by Patricia L. Hale, PhD, MD, FACP, Editor Additional Electronic Prescribing Tools and Resources: Medicare’s Practical Guide to the E-prescribing Incentive Program (CMS - November 2008)Electronic Prescribing Incentive Fact Sheet (CMS - October 2008)E-Prescribing Fundamentals (HIMSS Website)Implementation Challenges and Solutions (HIMSS Website)Quick Tips (HIMSS Website)

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    Dr. Bria has been a leader in applied medical informatics for over 25 years. He was selected as one of Modern Healthcare’s 50 Most Powerful Physician Executives in 2008. He currently serves as chairman of the Association of Medical Directors of Information Systems (AMDIS) Board and chair of the AMDIS/HIMSS Physician Community. Dr. Bria discusses his career in medical informatics and the role that HIT plays at Shriners Hospitals for Children System. He shares background on the collaboration between AMDIS and HIMSS and current Physician Community projects. Learn about the annual AMDIS Physician Computer Connection and their major focus in the coming year. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.

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    This is the first in a series of Davies Award podcasts. David Collins, HIMSS Director, Healthcare Information Systems, is responsible for the oversight of the four Nicholas E. Davies Awards. In this podcast, Mr. Collins provides an overview of this nationally coveted Awards program, including purpose, benefits, and program value, highly relevant for the industry's new emphasis on the meaningful use of EHRs. Learn about the value of applying and the tools and resources that are available on the Davies website - www.himss.org/davies. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.

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    Dr. Ray Aller, Senior Physician and Director of the Automated Disease Surveillance Section of the Los Angeles County Department of Public Health, provides an overview of Public Health Informatics. Utilizing his deep public health background, he provides an historical perspective on Public Health. He also offers suggestions on how clinicians can do a better job of protecting the public's health using informatics. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Gordon Guyatt, MD, MSc, is a physician and Professor of Clinical Epidemiology & Biostatistics and of Medicine at McMaster University in Hamilton, Ontario. Dr. Guyatt has been a leading exponent of evidence-based approaches to clinical practice, having coined the term “evidence-based medicine” in 1990. He has published over 650 peer-reviewed articles in medical journals and has also written extensively on health care policy in the popular press. In this podcast, he provides information on the sequential assessment of the quality of evidence, followed by assessment of the balance between benefits versus downsides and subsequent judgment about the strength of recommendations. This grading system – developed by the GRADE working group - allows clinicians to interpret the recommendations of clinical practice guidelines (CPGs) and apply them for the management of their own patients. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

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    Eric Hartz, MD, CMIO at Eastern Maine Medical Center (EMMC), and Catherine Bruno, FACHE, Vice President and CIO at Eastern Maine Healthcare Systems, join us for a discussion about implementing a "meaningful EHR." EMMC was the recipient of the 2008 Nicholas E. Davies Organizational Award of Excellence. Dr. Hartz and Ms. Bruno provide valuable and candid insight into key components of a large-scale successful EHR implementation including project management, communication, leadership and lessons learned. Learn about the significant benefits their organization has realized from their EHR. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.

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    Patricia Hale, MD, PhD, Deputy Director, Office of Health Information Technology Transformation New York State Department of Health, Albany, NY and Mr. Kevin Marvin, RPh, Principal, Kevin Marvin Consulting LLC, Burlington, VT discuss e-Prescribing from several perspectives including physician, pharmacist and patient. Physicians and pharmacists have unique challenges in implementing and using e-Prescribing effectively and Dr. Hale and Mr. Marvin speak to these differences and offer suggestions on how to overcome them through careful project planning and collaboration. They also provide valuable insight on patient issues that will arise during the transition to e-prescribing and how to deal effectively with patient education and communication. They also provide a wealth of information on available resources to assist in your implementation. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS.Visit the HIMSS E-Prescribing Wiki

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    Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS Vice President, Informatics at HIMSS, discusses the Technology Informatics Guiding Education Reform (TIGER) initiative which aims to enable practicing nurses and nursing students to fully engage in the unfolding digital electronic era in healthcare. The purpose of the initiative is to identify information/knowledge management best practices and effective technology capabilities for nurses. Learn about why TIGER was created, organizations involved, accomplishments to date and future plans. Please visit www.thetigerinitiative.org to learn more. The interview was conducted by Pam Brewer, Coordinator, HIS, HIMSS. TIGER Executive Summary Report

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    Jack Varga, MD, physician informaticist and consultant to federal agencies, provides an overview of Health Record Banking. Emulating commercial banking and described as a central repository, the health record banking service provides a private and secure location for each person to store his/her medical records from all sources via a deposit/withdrawal process. Learn about this patient-centric approach, privacy and security issues and current pilot projects. Please visit http://www.healthbanking.org/ to learn more. The interview is moderated by Linda Christmann, MD, a member of the HIMSS/AMDIS Physician Community Leadership Committee.  

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    Robert M. Schumacher, PhD, Managing Director at User Centric, Inc., a leading global user research firm, and Lyle Berkowitz, MD, Medical Director of Clinical Information Systems for Northwestern Memorial Physicians Group, discuss how EHR usability impacts EHR adoption. Topics include the "paper paradigm," why and how physicians and vendors need to re-think the design process, factors to consider, and how to fine-tune current EHRs.  Hear their thoughts on the white paper created by the HIMSS EHR Usability Task Force (reporting to the HIMSS Enterprise Information Systems Steering Committee): "Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating." The interview is moderated by Steve Arnold, CMO of Virginia Premier Health Plan and Chair of the HIMSS/AMDIS Physician Community. Download the EHR Usability White Paper

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    Michael Blum, MD, cardiologist, Professor of Medicine and CMIO at University of California, San Francisco (UCSF) Medical Center, and Seth Bokser, MD, pediatric hospitalist, Assistant Clinical Professor, and Medical Director for IT at UCSF Children’s Hospital, share the implementation process and benefits of mobile technology in a hospital setting. This discussion covers the importance of mobile solutions, care processes, clinician workflows, the Mobility Ecosystem and the challenges associated with mobile technology. The interview was conducted by Jack Varga, MD, MHSA, CPHIMS, FHIMSS, Physician Informaticist, Veterans Health Administration, Washington, DC.  

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    Mr. Ned Simpson, HIMSS Life Fellow, past HIMSS Chairman and a Principal at CSC Consulting, shares his expertise in the field of Auto-ID and Bar Coding and discusses top-of-mind healthcare IT issues related to HITECH and Meaningful Use, benefits of this technology, breakthroughs in this area and what the future holds. Mr. Simpson established and for many years chaired the HIMSS Auto-ID and Bar Code Task Force. Along with Ken Kleinberg, Mr. Simpsonedited the contributions of a number of Task Force members to for the book,Implementation Guide to Bar Coding and Auto-ID in Healthcare: Improving Quality and Patient Safety, which was published by HIMSS in 2009. The interview was conducted by Pat Wise, HIMSS, Vice President, Healthcare Information Systems.Learn more about the book, Implementation Guide to Bar Coding and Auto-ID in Healthcare: Improving Quality and Patient Safety

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    Lynn Witherspoon, MD, System Vice President and Chief Medical Information Officer for the Ochsner Health System, discusses the critical challenges faced by physicians in the aftermath of Hurricane Katrina in 2005, how far they have progressed in breaking down silos within the stakeholder community, and what he sees in the future for Louisiana's Healthcare Information Exchange. Part One provides an overview of what worked, what didn't and what work-arounds were developed to provide medical care for patients in the days, weeks and months following Katrina.Learn more about the Louisiana Health Care Quality Forum

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    Lynn Witherspoon, MD, System Vice President and Chief Medical Information Officer for the Ochsner Health System, discusses the critical challenges faced by physicians in the aftermath of Hurricane Katrina in 2005, how far they have progressed in breaking down silos within the stakeholder community, and what he sees in the future for Louisiana's Healthcare Information Exchange. In Part Two, Dr. Witherspoon shares his perspectives on how this disaster impacted Louisiana's forward progress in the on-going development of their Healthcare Information Exchange. Learn about the value and power of the EHR, the importance of building relationships and trust, and the factors that enable a successful community exchange. Dr. Witherspoon also discusses the establishment of the Louisiana Health Care Quality Forum and the important role this organization has played and will continue to play in the further expansion of a statewide HIE. The interview was conducted by Linda Christmann, MD, VPMA/Regional CMO of CHRISTUS Central Louisiana, Arlington, LA.Learn more about the Louisiana Health Care Quality Forum

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