Health informatics electronic health records buzzwords

Epic, Cerner, McKesson, Allscripts, GE/IDX, MEDITECH and other EMR/EHR All major markets in the USA. We are currently engaged in over 26 states. Representing over 150 Health Care Institutions we have nationwide positions that are Contact, Contract to hire and Permanent full time. RED SKY Healthcare Consulting a Nationwide Health Care Consulting: Project based solutions, Management consulting and Staffing firm is looking for consultants, full time employees, project managers and IT professionals with Epic, Cerner, Eclipsys, GE/IDX, McKesson, Meditech's ( OE, PCI, NUR ), Misys, NextGen, Allscripts, Healthvision (Quovadx), Lawson, or Siemens EMR/EHR: Allscripts/Misys: Professional EHR (HealthMatics), Enterprise EHR (TouchWorks), Practice Management, ePrescribe, Payerpath, Document Management (Impact MD), Care Management (UM, QM, DP, DI), Referral Management, Allscripts Mobile, Core System Integration, Allscripts ED, and Allscripts Homecare (Misys Homecare). Cerner: Access Management, FirstNet, HealthSentry, CVNet, CareAware Multimedia, Healthe Connections (IQ Health), CPOE, INet, ProVision Document Imaging, PowerChart, PowerWorks, ProFile, BeyondNow, Executable Knowledge, Controlled Medical Terminology, PowerInsight, PathNet, Cerner Oncology, Outcomes Management, ProFit, CareNet, SurgiNet, Anesthesia Information System, PharmNet, POC/Bridges POC, RadNet, ProVision PACS, Revenue Cycle, Supply Chain, Women*s Health, and Workforce Solutions. Cerner LifeSciences. eCLINICALWORKS: eClinicalWorks EMR, eClinicalWorks Practice Management (PM), eClinicalWorks Patient Portal, eClinicalWorks Electronic Health eXchange (eEHX), eClinicalWorks eClinicalMobile, and eClinicalWorks eClinicalMessenger. ECLIPSYS: Eclipsys Sunrise Enterprise, Eclipsys Revenue Cycle, Eclipsys Sunrise Clinical Manager, Eclipsys Integrated Access Management, Eclipsys Performance Management Epic: EpicCare Inpatient and EpicCare Ambulatory: Analyst, Clarity, Chronicles, Bridges, Cadence, ASAP, Resolute Professional Billing, Resoulte Hospital Billing, HIM, Epic Rx - Willow, Beacon, Stork, Clinical Documentation, Orders, Cardiant, Optime, Anesthesia Information System, Inpatient ICU, Willow, Home Health, Radiant, EpicLab, ADT/Prelude, Customer Relationship Management, Nurse Triage, Tapestry, Epicenter, Identity EMPI, MyChart, Epicare Link, EpicWeb, MyEpic, OutReach, and PlanLink. GE/IDX: Centricity Imaging Portal, Centricity Xi, Centricity Carddas, Centricity Archive, Centricity RIS, LastWord. Greenway: PrimeSuite, PrimePatient, PrimeExchange, PrimeResearch, PrimeMobile, and PrimeRCM INTEGREAT: Integreat EHR, Integreat IC-Script, Integreat IC-Imaging, IntegreatIC-Encounters, Integreat IC-MyHealthRecord Patient Portal, and Integreat IC-Orders. MCKESSON: McKesson Horizon, McKesson Admin-Rx, McKesson Ambulatory Care, McKesson Care Records, McKesson Alerts, McKesson Emergency Care Expert Documentation, McKesson Clinical Documentation, McKesson Orders, McKesson Lab, McKesson Medical Imaging, McKesson Meds Manager, McKesson Mobile Care Rounding, McKesson Messaging, McKesson Order Management, McKesson Patient Folder, McKesson Surgical Manager, McKesson Physician Portal, McKesson Passport, McKesson HealthQuest, McKesson Medipac, McKesson Clinipac, McKesson Pharmacy, McKesson STAR, McKesson Pathways, McKesson Paragon, McKesson Series, McKesson PMAS. MEDITECH: Meditech Quality Reporting and Meditech Closed Loop Medication Management. MISYS: EMisys BMCA Solution, Misys Clinical Financial, Misys Commercial Lab, Misys Connect, Misys CPR, Misys EMR, Misys Encompass, Misys Fast Services, Misys FirstHand, Misys Homecare, Misys iMentor, Misys Insight, Misys Laboratory, Misys Optimum, Misys PatientLink, Misys Pharmacy, Misys Radiology, Misys Tiger, Misys Vision. NEXTGEN: NextGen HER, NextGen Enterprise Practice Management (EPM), NextGen Community Health Solutions (CHS), NextGen NextMD. SIEMENS: Siemens Soarian Clinicals, Siemens Soarian Cardiology, and Siemens Soarian Scheduling. PAC/RIS AMICAS - Vision Series Web-Based PACS, Vision Series RIS Agfa Healthcare - IMPAX RIS Cerner - Cerner ProVision PACS; Millennium RadNet RIS DR Systems - Unity RIS/PACS Eastman Kodak Company - Kodak Carestream PACS Eclipsys - Sunrise Radiology RIS Emageon - Enterprise Visual Medical System (EVMS) GE/Dynamic Imaging - IntegradWeb PACS. Centricity PACS 2.0, IntegradWeb RIS, Centricity RIS-IC FUJIFILM - Synapse PACS Intelerad - INTELEPACS McKesson - Horizon Medical Imaging- PACS; Horizon Radiology Manager-RIS Merge Healthcare - Fusion RIS/PACS, Fusion RIS MX NovaRad - NovaRIS & NovaPACS Philips - iSite PACS (iSite Enterprise, iSite Radiology, iVault), Xiris ScImage - PicomEnterprise; PicomRIS Siemens - Syngo Imaging; Syngo Workflow- RIS Swearingen - RISynergy BASIC QUALIFICATIONS (If you do not meet these qualification completely - please still contact us and send in your resume): * 1 year of full life cycle implementation experience with clinical applications of healthcare-specific software such as Epic, Cerner, McKesson, Eclipsys, GE/IDX, GE Health Care, McKesson, MEDITECH, Misys, NextGen, Allscripts, Healthvision (Quovadx), Lawson, or Siemens  Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens Epic Cerner Eclipsys GE/IDX GE Health Care McKesson MEDITECH Misys NextGen Allscripts Healthvision (Quovadx) Lawson Siemens CareCast, LastWord, GE Centricity, Cloverleaf, Datagate, Cerner, Sunquest, IDXRad, HL7, TANDEM: COBOL, Btrieve, HubLink, Dietary, Comed, Coretet, Logicare, Cams CareCast, LastWord, GE Centricity, Business Analyst, Analysis, Systems Analyst, IT, Information Technology, Healthcare, Electronic Medical Records, Electronic Health Records, EMR, Business Requirements, Design, Build, Test, Communication, Implementation, Liaison, Informatics, Registered Nurse, R.N., RN. Doctor md Epic, Ambulatory, Inpatient, Radiant, Beacon, Optime, ASAP, Revenue Cycle, Willow, Clin Doc, Clinical Documentation, Orders, CPOE, Cache, Clarity, Chronicles, Bridges, Cadence, RX, Prelude, ADT, Resolute Hospital Billing and Professional Billing, Support, Go-Live, Build, Workflow, and Training, EpicCare Inpatient and EpicCare Ambulatory: Analyst, Clarity, Chronicles, Bridges, Cadence, ASAP, Resolute Professional Billing, Resoulte Hospital Billing, HIM, EpicRx, Beacon, Stork, Clinical Documentation, Orders, Cardiant, Optime, Anesthesia Information System, Inpatient ICU, Willow, Home Health, Radiant, EpicLab, ADT/Prelude, Customer Relationship Management, Nurse Triage, Tapestry, Epicenter, Identity EMPI, MyChart, Epicare Link, EpicWeb, MyEpic, OutReach, PlanLink Cloverleaf, Datagate, Cerner, Sunquest, IDXRad, HL7, TANDEM: COBOL, Btrieve, HubLink, Dietary, Comed, Coretet, Logicare, Cams, Ambulatory, Inpatient, Outpatient, Operating Room, software system with a new operational design. The Core Applications implemented and activated on Epic* EpicCare Ambulatory Clinical modules, Inpatient, Outpatient, Operation Room, EMR Shared Medical Systems, benefits, revenue cycles, financials, billing, collections and patient member services systems. Epic Clinical EpicCare Ambulatory-Order Entry, HIPPA, HEDIS, HL7, MyPractice, MyChart, EpicRx, E Prescribe, EpicCare Inpatient,, Outpatient, Epic Resolute Hospital Billing, ADT, Prelude, Radiant, EpicCare Security Management, EpicCare Enterprise Clinical Ancillaries Products, Generating Epic Chronicles Reports, creating & submitting Change Managements policies, Working on medical clinical interface issues and accountable solutions for EpicCare, Epic Ambulatory, MyChart, MyPractice, EpicRx, E Prescribe, EpicCare Security Management, HIM, HL7, Orders, OpTime, Cadence, ClinDoc, Chart &Film Tracking, Prelude ADT/Prelude, Clarity/Analyst, Tapestry, Resolute, EpicOnHand, EpicCare ClinDoc & POE, Epic ED, Radiant, Epic Lab, EpicCare Inpatient& Outpatient, Pyxis, Rx, pharmacy, Health Informatics Management, applications, systems, networks, infrastructures, bridges, smart forms. Picture Archiving Communication Systems- PACS, Radiology Information Systems-RIS, Cardiology, Cardiac Catheterization, Angiography, Cystoscopy, Radiation Oncology, Neurology, Gastroenterology, other Medical Specialty Units, Patient Financials, Clinical Enterprise Wide Applications & Tools, Interfaces to GE Centricity, Misys, Invision, Siemens Acuson, Siemens Clinical Segments, crystal reporting, Microsoft productivity software, SARBANES OXLEY, SOX Electronic Medical Records-EMR CCHS production community providers, shared medical System, benefits, revenue cycles, financials, billing, collections, patient member service systems and employee master files, context updates, duplications, replications of files, physician master file maintenance requests source code analysis to accurately implement EpicCare Ambulatory, EpicCare Inpatient, Outpatient, Epic Resolute Hospital Billing, ADT, Prelude, Radiant, EpicCare Enterprise Clinical Ancillaries Products, Generating Epic Chronicles Reports, Submitting Change Managements policies, Working on medical clinical interface issues and accountable solutions for EpicCare, Epic Ambulatory, MyChart, MyPractice, EpicRx, E Prescribe, EpicCare Security Management, HIM, HL7, Orders, OpTime, Cadence, ClinDoc, Chart &Film Tracking, Prelude, ADT, Prelude, Clarity/Analyst, Tapestry, Resolute, EpicOnHand, EpicCare ClinDoc & POE, Epic ED, Radiant, Epic Lab, EpicCare Inpatient, Outpatient, Pyxis, Rx, pharmacy, Health Informatics Management, crystal reporting, Microsoft productivity software, applications, systems, networks, infrastructures, bridges, smart forms, Cerner, McKesson, Siemens, Epic, Nextgen, Misys CPR, Eclipsys Sunrise, Keane, Per-Se Patient1, HDS UltiCare, Misys Connect, Misys Data Warehouse, CPOE, Radiology, PIM, PACS, SunQuest CoPath, Lab, Citrix, PICIS, Pyxis, Quantum QuadraMed, IMPAC, Dictaphone, CBORD, MedQuist, MedAssets Accuro, CarePricer, Contract Manager I*MaCS, DCS FIRE, Passport OneSource, R&B RAMP, NCR Galvanon, MediKiosk, GBS HTP RevRunner, Predictive Dialing, IntelliSource, CareMedic, CodeCorrect, InterQual, PCA, RelayHealth ePREMIS, HL7, RightFax, compliance ICD9 ICD10 ICD-9 ICD-10 HIPPA 4010 HIPPA 5010.  ADT (Inpatient and Outpatient Admission-Discharge-Transfer Application): ASAP (Emergency Department Application), Beacon (Oncology Application), Beaker (Clinical Laboratory Application), BedTime (Bed Management Application), Bridges (Interface Application), Cadence (Scheduling Application), Cardiant (Cardiology Application), Care Everywhere (Information Exchange Application), Clarity (RDBMS Management Application), Data Courier (Data Environment Propagation Utility), EpicCare Ambulatory (Ambulatory Medical Record Application), EpicCare Inpatient (Universal Hospital System), EpicCare Link (Web-based Application for Community Users), EpicWeb (Web-based Clinical Application), Haiku (iPhone & iPod Touch Application[App]), HIM (Chart Tracking, Chart Deficiency Tracking, Release of Information Application, Coding & Abstraction), Identity (Master Patient Index [MPI] Application), Kaleidoscope (Ophthalmology Application), MyChart (Patient Chart Access), MyEpic (Dashboard Application), OpTime (Surgical Application), Phoenix (Transplant Application), Prelude (Inpatient and Outpatient Registration Application), Radiant (Radiology Application), Reporting Workbench (Operational Reporting Application), Resolute (Billing Application), Stork (OB/Gyn Application), Tapestry (Managed Care Application), Welcome (Patient Self-Service Kiosk), Willow (formerly named EpicRx (Hospital Pharmacy)) Application.

How computers screwup your life

http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/AdvisoryCommitteeforPharmaceuticalScienceandClinicalPharmacology/UCM370538.pdf
 this is a good  powerpoint  on  drug drug interaction alerts and  how to  minimize alert fatigue and improve safety.

How do you feel when there is warning which just says

"something is wrong!"
without telling what it is
while you are trying to  finish the clinical note.

I and everyone else  i know would like to reach for that sledge hammer.

like  the alert   for  codeine  and   baby aspirin.

or the  alert for  rhabdo in a patient  who  has been on  a statin for > a deaced.

EHR and alert fatigue the good old wolf wolf story

If you are a primary care physician using  any EHR
at the end of the day  you feel like taking a hammer and  either  hitting the  computer  or hitting  your  own head to put and end to the  misery.

I am  talking about the recurring alerts when you are trying to treat and prescribe for patients.

 people  seem to be noticing this .

there is a latest article just on this.
I am looking forward to the day when every EHR  should have this kind  of required understanding  and learning mandatory.


Alert fatigue represents a common problem associated with the use of clinical decision support systems in electronic health records (EHR). This problem is particularly profound with drug–drug interaction (DDI) alerts for which studies have reported override rates of approximately 90%. The objective of this study is to report consensus-based recommendations of an expert panel on DDI that can be safely made non-interruptive to the provider's workflow, in EHR, in an attempt to reduce alert fatigue.

J Am Med Inform Assoc 2013;20:489-493 doi:10.1136/amiajnl-2012-001089

• Research and applications

Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records

1. Shobha Phansalkar1–3, 
2. Heleen van der Sijs4, 
3. Alisha D Tucker1, 
4. Amrita A Desai1,
5. Douglas S Bell5,6, 
6. Jonathan M Teich7, 
7. Blackford Middleton1–3, 
8. David W Bates1–3

+Author Affiliations

1. ¹Partners HealthCare Systems, Wellesley, Massachusetts, USA
2. ²Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA
3. ³Harvard Medical School, Boston, Massachusetts, USA
4. ⁴Erasmus Medical Center, Rotterdam, The Netherlands
5. ⁵RAND Corporation, Santa Monica, California, USA
6. ⁶Department of Medicine, UCLA, David Geffen School of Medicine, Los Angeles, California, USA
7. ⁷Elsevier Inc, Philadelphia, Pennsylvania, USA

1. Correspondence toDr Shobha Phansalkar, Partners HealthCare Systems, Inc, Clinical Informatics R&D, 93 Worcester Street, 2nd Floor, Wellesley, MA 02481, USA; sphansalkar@partners.org

If you are a patient and you are having a side effect or suspicion that the medicine may be the cause of something please search it on google and other search engine

 by searching  you may be acting as an early warning

according to this  paper

Web-scale pharmacovigilance: listening to signals from the crowd

1. Ryen W White1, 
2. Nicholas P Tatonetti2, 
3. Nigam H Shah3, 
4. Russ B Altman4, 
5. Eric Horvitz1

+Author Affiliations

1. ¹Microsoft Research, Redmond, Washington, USA
2. ²Department of Biomedical Informatics, Columbia University, New York, New York, USA
3. ³Department of Medicine, Stanford University, Stanford, California, USA
4. ⁴Departments of Bioengineering and Genetics, Stanford University, Stanford, California, USA

1. Correspondence toDr Ryen W White, Microsoft Research, Redmond, WA 98052, USA; ryenw@microsoft.com

• Received 9 November 2012
• Revised 8 January 2013
• Accepted 13 January 2013
• Published Online First 6 March 2013

Abstract

Adverse drug events cause substantial morbidity and mortality and are often discovered after a drug comes to market. We hypothesized that Internet users may provide early clues about adverse drug events via their online information-seeking. We conducted a large-scale study of Web search log data gathered during 2010. We pay particular attention to the specific drug pairing of paroxetine and pravastatin, whose interaction was reported to cause hyperglycemiaafter the time period of the online logs used in the analysis. We also examine sets of drug pairs known to be associated with hyperglycemia and those not associated with hyperglycemia. We find that anonymized signals on drug interactions can be mined from search logs. Compared to analyses of other sources such as electronic health records (EHR), logs are inexpensive to collect and mine. The results demonstrate that logs of the search activities of populations of computer users can contribute to drug safety surveillance

It's not that compromise is inherently wrong

" It's not that compromise is inherently wrong," he said to me.
" I just didn't find it satisfying. And the one thing I've discovered
as I get older is that you have to do what is satisfying to you. In
fact that's one of the advantages o f old age, I suppose, that You've
finally learn ed what matters to you. It's ha rd to know that at
twenty- six. And the problem is th at no body else can answer that
question for you. You can only figure it o ut on your own."
Twenty years later, I think back on that conversation and appreciate
my fri end's words mo re than I did at the time. For I am
getting to an age where I have a sense of what satisfies me, and
although I am perhaps more tolerant of compromise on the issues.
Obama in audacity of hope

True democracy is the result of a local awakening.

First, we should be skeptical of those who believe we can single-highhandedly liberate other
people from tyranny. I agree with George W. Bush when in his
second inaugural address he proclaimed a universal  desire to be
free. But the re a re few examples in history in which the freedom
men and women crave is delivered through outside intervention.
In almost every successful social  movement of the last century,
from Gandhi's campaign against British rule to the Solidarity
movement in Poland to the anti apartheid movement in South
Africa, democracy was the result of a local awakening.

Barack Obama in  Audacity of hope

Where is the hope OBAMA ?

 I have been  an ardent supporter of Barack Obama   of the 3 times  i have voted in US presidential elections  2 times  was to vote for him. Although  voting for him in Dallas Texas  was  more  for moral support  rather than  any  concrete use due to the electoral college system of American elections.

recently I was reading  the  excerpts of the  book Audacity of Hope by Obama .

many  things he wrote in that book are  similar to my own opinions  which may be a reflection of his  upbringing.
I reproduce a paragraph here.

"Still, it's not too early to draw some conclusions from our
actions in Iraq. For our difficulties there don't just arise as a result
of bad execution. They reflect a failure of conception. The
fact is, close to five years after 9/11 and fifteen years after the
breakup of the Soviet Union, the United Stares still lacks a coherent nationaI security policy. Instead of guiding principles, we have what appear to be a series of adhoc decisions, with dubious
results. Why invade Iraq and not North Korea or Burma? Why
intervene in Bosnia and nor Darfur? Are our goals in Iran regime
change,The dismantling of all Iranian nuclear capability, the prevention
of nuclear proliferation, or all three? Are we committed
to mobilize force wherever there's a despotic regime that's terrorizing
its people and if so, how long do we stay to ensure democracy
takes root? How do we treat countries like China that are liberalizing
economically but not politically Do we work through
the United nations on all issues or only· when the UN is  willing
to ratify decisions we've already made?"

Now  with Barak Obama  in his second term
where are we ?
 we still have similar adhocism
what are our goals in Iran ?
Why invade Libya but not Syria?
What is the legality of drone strikes.
why have we forgotten about Guantanamo?