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	<title>Comments for MEDI-Talk</title>
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	<link>http://www.medi-talk.com</link>
	<description>MEDITECH News and Opinion sponsored by Iatric Systems</description>
	<lastBuildDate>Fri, 27 Jan 2012 22:28:30 -0500</lastBuildDate>
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		<title>Comment on Submit News by administrator</title>
		<link>http://www.medi-talk.com/contact#comment-21300</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Fri, 27 Jan 2012 22:28:30 +0000</pubDate>
		<guid isPermaLink="false">http://focusblog.iatric.com/#comment-21300</guid>
		<description>We&#039;d love to post this on Monday - our readership goes down on the weekends. 
Thanks!</description>
		<content:encoded><![CDATA[<p>We&#8217;d love to post this on Monday &#8211; our readership goes down on the weekends.<br />
Thanks!</p>
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		<title>Comment on Submit News by Meditech Connect</title>
		<link>http://www.medi-talk.com/contact#comment-21296</link>
		<dc:creator>Meditech Connect</dc:creator>
		<pubDate>Fri, 27 Jan 2012 22:11:57 +0000</pubDate>
		<guid isPermaLink="false">http://focusblog.iatric.com/#comment-21296</guid>
		<description>3 Questions for Meditech at HIMSS 2012

As many of you know, HIMSS is the biggest healthcare it conference of the year, attracting all the top vendors looking to showcase their latest products.  Meditech announced after a hiatus that they were returning this year to highlight a new web-based EHR product, amongst other things.  Here are three pressing questions that they&#039;ll want to address at HIMSS this year...

http://meditechconnect.com/profiles/blogs/3-questions-for-meditech-at-himss-2012</description>
		<content:encoded><![CDATA[<p>3 Questions for Meditech at HIMSS 2012</p>
<p>As many of you know, HIMSS is the biggest healthcare it conference of the year, attracting all the top vendors looking to showcase their latest products.  Meditech announced after a hiatus that they were returning this year to highlight a new web-based EHR product, amongst other things.  Here are three pressing questions that they&#8217;ll want to address at HIMSS this year&#8230;</p>
<p><a href="http://meditechconnect.com/profiles/blogs/3-questions-for-meditech-at-himss-2012" rel="nofollow">http://meditechconnect.com/profiles/blogs/3-questions-for-meditech-at-himss-2012</a></p>
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		<title>Comment on Sen. Rodrigues aims to keep Meditech in Freetown by administrator</title>
		<link>http://www.medi-talk.com/sen-rodrigues-aims-to-keep-meditech-in-freetown#comment-19900</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Fri, 20 Jan 2012 18:09:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3519#comment-19900</guid>
		<description>Public hearing on Meditech-related bill set for next week
http://www.tauntongazette.com/news/x58622474/Public-hearing-on-Meditech-related-bill-set-for-next-week</description>
		<content:encoded><![CDATA[<p>Public hearing on Meditech-related bill set for next week<br />
<a href="http://www.tauntongazette.com/news/x58622474/Public-hearing-on-Meditech-related-bill-set-for-next-week" rel="nofollow">http://www.tauntongazette.com/news/x58622474/Public-hearing-on-Meditech-related-bill-set-for-next-week</a></p>
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	</item>
	<item>
		<title>Comment on Sen. Rodrigues aims to keep Meditech in Freetown by administrator</title>
		<link>http://www.medi-talk.com/sen-rodrigues-aims-to-keep-meditech-in-freetown#comment-18599</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Fri, 13 Jan 2012 20:39:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3519#comment-18599</guid>
		<description>More articles today: Regional board urges governor to save Meditech project
http://www.southcoasttoday.com/apps/pbcs.dll/article?AID=/20120113/NEWS/201130313

OUR VIEW: Time to shed some light on Mass. Historical Commission
http://www.heraldnews.com/features/x1112931004/OUR-VIEW-Time-to-shed-some-light-on-Mass-Historical-Commission</description>
		<content:encoded><![CDATA[<p>More articles today: Regional board urges governor to save Meditech project<br />
<a href="http://www.southcoasttoday.com/apps/pbcs.dll/article?AID=/20120113/NEWS/201130313" rel="nofollow">http://www.southcoasttoday.com/apps/pbcs.dll/article?AID=/20120113/NEWS/201130313</a></p>
<p>OUR VIEW: Time to shed some light on Mass. Historical Commission<br />
<a href="http://www.heraldnews.com/features/x1112931004/OUR-VIEW-Time-to-shed-some-light-on-Mass-Historical-Commission" rel="nofollow">http://www.heraldnews.com/features/x1112931004/OUR-VIEW-Time-to-shed-some-light-on-Mass-Historical-Commission</a></p>
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		<title>Comment on Sen. Rodrigues aims to keep Meditech in Freetown by administrator</title>
		<link>http://www.medi-talk.com/sen-rodrigues-aims-to-keep-meditech-in-freetown#comment-18406</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Thu, 12 Jan 2012 21:41:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3519#comment-18406</guid>
		<description>Anyone know if MEDITECH still wants to pursue Freetown? Two more articles today:

&lt;a href=&quot;http://www.tauntongazette.com/news/x1354948900/Future-of-Meditech-stalled-on-Beacon-Hill&quot; rel=&quot;nofollow&quot;&gt;Future of Meditech stalled on Beacon Hill&lt;/a&gt;

&lt;a href=&quot;http://www.heraldnews.com/news/x1836577340/Massachusetts-Historical-Commission-gets-closer-scrutiny-after-role-in-Meditech-standoff&quot; rel=&quot;nofollow&quot;&gt;Massachusetts Historical Commission gets closer scrutiny after role in Meditech standoff&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Anyone know if MEDITECH still wants to pursue Freetown? Two more articles today:</p>
<p><a href="http://www.tauntongazette.com/news/x1354948900/Future-of-Meditech-stalled-on-Beacon-Hill" rel="nofollow">Future of Meditech stalled on Beacon Hill</a></p>
<p><a href="http://www.heraldnews.com/news/x1836577340/Massachusetts-Historical-Commission-gets-closer-scrutiny-after-role-in-Meditech-standoff" rel="nofollow">Massachusetts Historical Commission gets closer scrutiny after role in Meditech standoff</a></p>
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		<title>Comment on Jobs by Denisha Corbeil</title>
		<link>http://www.medi-talk.com/jobs-3#comment-12528</link>
		<dc:creator>Denisha Corbeil</dc:creator>
		<pubDate>Thu, 22 Dec 2011 18:58:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/#comment-12528</guid>
		<description>I&#039;m not positive if I&#039;m writing this in the right area, but I&#039;m getting ready to transfer to the United States and am attempting to secure jobs in the i . t industry.  I currently have a job lead with a enterprise (LTJ Management, LLC, 900 Congress Ave, Suite L-150, Austin, TX 78701 (512) 895-9500) and sought some ideas on the best way to research them to discover if they might be a good company to work for.  I&#039;ve checked on their web site, but believed someone here may have some other thoughts on where to look.  Thank very much.</description>
		<content:encoded><![CDATA[<p>I&#8217;m not positive if I&#8217;m writing this in the right area, but I&#8217;m getting ready to transfer to the United States and am attempting to secure jobs in the i . t industry.  I currently have a job lead with a enterprise (LTJ Management, LLC, 900 Congress Ave, Suite L-150, Austin, TX 78701 (512) 895-9500) and sought some ideas on the best way to research them to discover if they might be a good company to work for.  I&#8217;ve checked on their web site, but believed someone here may have some other thoughts on where to look.  Thank very much.</p>
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	<item>
		<title>Comment on HISTalk: Epic moving into Meditech territory by administrator</title>
		<link>http://www.medi-talk.com/histalk-epic-moving-into-meditech-territory#comment-12135</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Wed, 21 Dec 2011 16:37:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3707#comment-12135</guid>
		<description>Holiday Spirit Says:
Nice pics of the contributions and holiday activities of your sponsors. Congrats to them for the work they do!

Also, as far as NashvilleAware’s comment – this Christmas goose is cooked. HCA is going Epic. Likely just a courtesy to those inplace vendors giving them time to come to grips with how they’ll deal with the change in revenue sources. HCA is a good match for Epic and the Epic history of super scalable architectures meets a need that Meditech never could.</description>
		<content:encoded><![CDATA[<p>Holiday Spirit Says:<br />
Nice pics of the contributions and holiday activities of your sponsors. Congrats to them for the work they do!</p>
<p>Also, as far as NashvilleAware’s comment – this Christmas goose is cooked. HCA is going Epic. Likely just a courtesy to those inplace vendors giving them time to come to grips with how they’ll deal with the change in revenue sources. HCA is a good match for Epic and the Epic history of super scalable architectures meets a need that Meditech never could.</p>
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		<title>Comment on Analysis of MUMPS in Healthcare &amp; EMR by Art Gasch</title>
		<link>http://www.medi-talk.com/analysis-of-mumps-in-healthcare-emr#comment-12101</link>
		<dc:creator>Art Gasch</dc:creator>
		<pubDate>Wed, 21 Dec 2011 14:08:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3650#comment-12101</guid>
		<description>I believe that no existing DBMS is an interoperability platform for very large datasets, because they all represent information stored in cumbersome ways. The variety of datatypes and the need for an a-priori definition of data fields and relationships, limits what they can store and how data can later be joined and aggregated. It doesn&#039;t matter whether the database is Mumps/M or Oracle or SQL Server, MySQL or whatever, whether it&#039;s a relational or object-oriented DBMS systems. This is particularly true when the aggregation and integration of large amounts of data is involved, where the performance comes to a crawl. 

I believe a better approach is data fusion, which actually holds promise to aggregate and fuse clinical information. MSP has been pioneering this semiotic approach in healthcare by combining an MPI (originally developed to support 250M Americans), eConsent (patented and patent-pending) data access management, a clinical context data dictionary (C2D2) and a new data representation (patent applied for) that accommodates text, imaging, waveforms and other information in one common data format. The net result is that information of all types can be processed, compared, combined and searched rapidly, even as the amount of data becomes very large. These features make it the best approach we have seen for doing longitudinal data mining to determine optimum outcomes.

IDC a year ago (2010) estimated that data worldwide will reach 2502 Extabytes by the end of 2012. About one third of this data has to be sustained for periods of a decade or more due to either regulatory or other constraints. Mumps or other conventional approaches is simply not up to this task. In fact, if we truly want to maintain an audit trail at the item level of all accesses to that stored data over decades, the access log quickly becomes larger than the data itself and presents its own data storage and searching issues. 

At MSP&#039;s www.medinception.com website, we have laid out one integrated approach that will actually solve these problems. The beauty of it is that the MSP Data Linkers described there work seamlessly with any existing ODBC compliant database (including MUMPS), allowing a direct migration path forward from multiple legacy systems into the new representation, which is completely HIPAA compliant, impervious to insertion (man in the middle) hacking and other security issues. 

The MSP approach reduces storage costs dramatically since the new representation is a bit smaller than storing the same information in conventional representations currently used. MSP can host secure, HIPAA compliant, multi-petabye data stores for $98K per petabyte per year. The reduction in storage cost alone is a compelling reason to consider adopting the MSP data approach, rather than maintaining data in older representations and trying to revive and squeeze out the last ounce of performance from dead-horse legacy approaches. 

The proof is in the doing. Any healthcare provider that has a large store of MUMPS-based data is welcome to let MSP provide a proof-of-concept implementation to migrate all of the data forward from these systems into this format, with minimal changes to their application code base. 

This can be a game-changer for hospitals that adopted &quot;best of breed&quot; approaches and are now struggling to integrate them into one component EHR system that actually works across these legacy platforms.

If you will be attending HIMSS 2012 in Las Vegas and would like to discuss this approach, contact us (contact info is on the website referenced above). 

Art Gasch
CEO - Medical Strategic Planning, Inc.</description>
		<content:encoded><![CDATA[<p>I believe that no existing DBMS is an interoperability platform for very large datasets, because they all represent information stored in cumbersome ways. The variety of datatypes and the need for an a-priori definition of data fields and relationships, limits what they can store and how data can later be joined and aggregated. It doesn&#8217;t matter whether the database is Mumps/M or Oracle or SQL Server, MySQL or whatever, whether it&#8217;s a relational or object-oriented DBMS systems. This is particularly true when the aggregation and integration of large amounts of data is involved, where the performance comes to a crawl. </p>
<p>I believe a better approach is data fusion, which actually holds promise to aggregate and fuse clinical information. MSP has been pioneering this semiotic approach in healthcare by combining an MPI (originally developed to support 250M Americans), eConsent (patented and patent-pending) data access management, a clinical context data dictionary (C2D2) and a new data representation (patent applied for) that accommodates text, imaging, waveforms and other information in one common data format. The net result is that information of all types can be processed, compared, combined and searched rapidly, even as the amount of data becomes very large. These features make it the best approach we have seen for doing longitudinal data mining to determine optimum outcomes.</p>
<p>IDC a year ago (2010) estimated that data worldwide will reach 2502 Extabytes by the end of 2012. About one third of this data has to be sustained for periods of a decade or more due to either regulatory or other constraints. Mumps or other conventional approaches is simply not up to this task. In fact, if we truly want to maintain an audit trail at the item level of all accesses to that stored data over decades, the access log quickly becomes larger than the data itself and presents its own data storage and searching issues. </p>
<p>At MSP&#8217;s <a href="http://www.medinception.com" rel="nofollow">http://www.medinception.com</a> website, we have laid out one integrated approach that will actually solve these problems. The beauty of it is that the MSP Data Linkers described there work seamlessly with any existing ODBC compliant database (including MUMPS), allowing a direct migration path forward from multiple legacy systems into the new representation, which is completely HIPAA compliant, impervious to insertion (man in the middle) hacking and other security issues. </p>
<p>The MSP approach reduces storage costs dramatically since the new representation is a bit smaller than storing the same information in conventional representations currently used. MSP can host secure, HIPAA compliant, multi-petabye data stores for $98K per petabyte per year. The reduction in storage cost alone is a compelling reason to consider adopting the MSP data approach, rather than maintaining data in older representations and trying to revive and squeeze out the last ounce of performance from dead-horse legacy approaches. </p>
<p>The proof is in the doing. Any healthcare provider that has a large store of MUMPS-based data is welcome to let MSP provide a proof-of-concept implementation to migrate all of the data forward from these systems into this format, with minimal changes to their application code base. </p>
<p>This can be a game-changer for hospitals that adopted &#8220;best of breed&#8221; approaches and are now struggling to integrate them into one component EHR system that actually works across these legacy platforms.</p>
<p>If you will be attending HIMSS 2012 in Las Vegas and would like to discuss this approach, contact us (contact info is on the website referenced above). </p>
<p>Art Gasch<br />
CEO &#8211; Medical Strategic Planning, Inc.</p>
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		<title>Comment on HISTalk: Epic moving into Meditech territory by administrator</title>
		<link>http://www.medi-talk.com/histalk-epic-moving-into-meditech-territory#comment-8181</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Wed, 23 Nov 2011 22:05:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3707#comment-8181</guid>
		<description>Martin Memorial Health Systems, Florida is also going to Epic from MEDITECH, according to HISTalk: Martin Memorial Health Systems, Florida</description>
		<content:encoded><![CDATA[<p>Martin Memorial Health Systems, Florida is also going to Epic from MEDITECH, according to HISTalk: Martin Memorial Health Systems, Florida</p>
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	<item>
		<title>Comment on HISTalk: Epic moving into Meditech territory by administrator</title>
		<link>http://www.medi-talk.com/histalk-epic-moving-into-meditech-territory#comment-8180</link>
		<dc:creator>administrator</dc:creator>
		<pubDate>Wed, 23 Nov 2011 22:03:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.medi-talk.com/?p=3707#comment-8180</guid>
		<description>HISTalk From Insider: “Re: Epic moving into Meditech territory at Poudre Valley. It’s true that PVHS is getting rid of Meditech 6.0 and putting in Epic. Meditech’s 6.0 performance was just too painful and their response was not enough to keep the business.”</description>
		<content:encoded><![CDATA[<p>HISTalk From Insider: “Re: Epic moving into Meditech territory at Poudre Valley. It’s true that PVHS is getting rid of Meditech 6.0 and putting in Epic. Meditech’s 6.0 performance was just too painful and their response was not enough to keep the business.”</p>
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