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	<title>Comments on: Sweet Rewards for HIT Vendors with Final Stimulus Package</title>
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	<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/</link>
	<description>Providing perspective on key IT trends in the healthcare sector</description>
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		<title>By: ponymnphypors</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-7852</link>
		<dc:creator><![CDATA[ponymnphypors]]></dc:creator>
		<pubDate>Tue, 21 Jun 2011 20:41:11 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-7852</guid>
		<description><![CDATA[Hello all! I like this forum, i set up tons compelling people on this forum.!!!               
              
Great Community, consideration all!]]></description>
		<content:encoded><![CDATA[<p>Hello all! I like this forum, i set up tons compelling people on this forum.!!!               </p>
<p>Great Community, consideration all!</p>
]]></content:encoded>
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		<title>By: Joe Heller</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-5550</link>
		<dc:creator><![CDATA[Joe Heller]]></dc:creator>
		<pubDate>Tue, 17 Aug 2010 18:49:41 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-5550</guid>
		<description><![CDATA[Isn&#039;t this all irrelevant, now that the ONC has made &lt;a href=&quot;http://www.drfirst.com/&quot; rel=&quot;nofollow&quot;&gt;CCHIT certification&lt;/a&gt; equal to that of any other EHR certifying organization.]]></description>
		<content:encoded><![CDATA[<p>Isn&#8217;t this all irrelevant, now that the ONC has made <a href="http://www.drfirst.com/" rel="nofollow">CCHIT certification</a> equal to that of any other EHR certifying organization.</p>
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		<title>By: Swamy</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-5368</link>
		<dc:creator><![CDATA[Swamy]]></dc:creator>
		<pubDate>Thu, 24 Jun 2010 18:10:46 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-5368</guid>
		<description><![CDATA[Nice post. Lot of useful information on ARRA incentives and &#039;meaningful use&#039; of EHR&#039;s. 
I think the introduction of REC [regional extension centres] through the &lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_-_HEALTH_IT&quot; rel=&quot;nofollow&quot;&gt;HITECT act is a great step forward in direction of meaningful use of EHR&#039;s.&lt;/a&gt; 
the REC&#039;s are going to be point of contention looking ahead, towards a successful EMR deployment. 
On the issue of REC&#039;s competing against each other, I feel this will result in a healthy competition, if they don&#039;t get biased for a particular EHR vendor. I believe these REC&#039;s should set their own unique business model, as discussed above within the guidelines set-forth in the HITECH act. 
This would result in each REC having a set of vendors with similar offering , yet maintaining their own unique selling point. 
Each EHR vendor should have their own interpretation of HITECH act, using which the REC&#039;s can quote or compete for the jobs. 

Regarding the &lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_GRANTS&quot; rel=&quot;nofollow&quot;&gt;grants&lt;/a&gt;  given, I believe the &lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_FUNDING&quot; rel=&quot;nofollow&quot;&gt;staggered form of funding does solve most of the confusion.&lt;/a&gt;]]></description>
		<content:encoded><![CDATA[<p>Nice post. Lot of useful information on ARRA incentives and &#8216;meaningful use&#8217; of EHR&#8217;s.<br />
I think the introduction of REC [regional extension centres] through the <a href="http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_-_HEALTH_IT" rel="nofollow">HITECT act is a great step forward in direction of meaningful use of EHR&#8217;s.</a><br />
the REC&#8217;s are going to be point of contention looking ahead, towards a successful EMR deployment.<br />
On the issue of REC&#8217;s competing against each other, I feel this will result in a healthy competition, if they don&#8217;t get biased for a particular EHR vendor. I believe these REC&#8217;s should set their own unique business model, as discussed above within the guidelines set-forth in the HITECH act.<br />
This would result in each REC having a set of vendors with similar offering , yet maintaining their own unique selling point.<br />
Each EHR vendor should have their own interpretation of HITECH act, using which the REC&#8217;s can quote or compete for the jobs. </p>
<p>Regarding the <a href="http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_GRANTS" rel="nofollow">grants</a>  given, I believe the <a href="http://www.waitingroomsolutions.com/wrs/regional-extension-centers-arra-rec#REGIONAL_EXTENSION_CENTER_FUNDING" rel="nofollow">staggered form of funding does solve most of the confusion.</a></p>
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		<title>By: Vishal</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-5333</link>
		<dc:creator><![CDATA[Vishal]]></dc:creator>
		<pubDate>Fri, 18 Jun 2010 16:30:10 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-5333</guid>
		<description><![CDATA[Indeed federal government&#039;s initiative of introducing EHR&#039;s in the National&#039;s healthcare system is a great step forward and of-course well complimented by the incentive packages provided to the medical practitioner.

On the point of usability and defining the term &#039;meaningful use&#039;, I would add further that the medical practitioners are looking to avail of this federal incentive by trying to comply with the definition of meaningful use but at the same time EHR providers are looking at their own set of profits.
This misunderstanding is mostly I believe as a result of wrong interpretation of the federal guidelines. The EHR providers need to look at these guidelines from the prospective of the practitioners who deal with different specialties.
Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by im most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place.
I think ROI is very important factor that should be duly considered when look achieve a &#039;meaning use&#039; out of a EHR solution. Though one may get vendors providing &#039;meaning use&#039; at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment. Found a pretty useful &lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/emr-ehr-roi-calculator&quot; rel=&quot;nofollow&quot;&gt;ROI tool&lt;/a&gt;
that is pretty customizable and easy to use. It also accounts for the different specialty EHR&#039;s too.
There are other good references on the topics of:

&lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives&quot; rel=&quot;nofollow&quot;&gt;Usability/meaningful use&lt;/a&gt;

&lt;a href=&quot;http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives#Certification_Criteria_EHR&quot; rel=&quot;nofollow&quot;&gt;Certification criteria for EHR&lt;/a&gt;]]></description>
		<content:encoded><![CDATA[<p>Indeed federal government&#8217;s initiative of introducing EHR&#8217;s in the National&#8217;s healthcare system is a great step forward and of-course well complimented by the incentive packages provided to the medical practitioner.</p>
<p>On the point of usability and defining the term &#8216;meaningful use&#8217;, I would add further that the medical practitioners are looking to avail of this federal incentive by trying to comply with the definition of meaningful use but at the same time EHR providers are looking at their own set of profits.<br />
This misunderstanding is mostly I believe as a result of wrong interpretation of the federal guidelines. The EHR providers need to look at these guidelines from the prospective of the practitioners who deal with different specialties.<br />
Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by im most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place.<br />
I think ROI is very important factor that should be duly considered when look achieve a &#8216;meaning use&#8217; out of a EHR solution. Though one may get vendors providing &#8216;meaning use&#8217; at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment. Found a pretty useful <a href="http://www.waitingroomsolutions.com/wrs/emr-ehr-roi-calculator" rel="nofollow">ROI tool</a><br />
that is pretty customizable and easy to use. It also accounts for the different specialty EHR&#8217;s too.<br />
There are other good references on the topics of:</p>
<p><a href="http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives" rel="nofollow">Usability/meaningful use</a></p>
<p><a href="http://www.waitingroomsolutions.com/wrs/arra-stimulus-money-44k-arra-emr-stimulus-bill-arra-ehr-stimulus-incentives#Certification_Criteria_EHR" rel="nofollow">Certification criteria for EHR</a></p>
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		<title>By: Randolph Sanks</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-3267</link>
		<dc:creator><![CDATA[Randolph Sanks]]></dc:creator>
		<pubDate>Fri, 31 Jul 2009 16:56:05 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-3267</guid>
		<description><![CDATA[What portion of the bill provides training opportunities for the healthcare organizations to hire training firms to come in and train the EMR concept to providers.

Randolph Sanks
404-786-3297]]></description>
		<content:encoded><![CDATA[<p>What portion of the bill provides training opportunities for the healthcare organizations to hire training firms to come in and train the EMR concept to providers.</p>
<p>Randolph Sanks<br />
404-786-3297</p>
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		<title>By: The health IT miracle &#171; My Life as a Cat</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-3096</link>
		<dc:creator><![CDATA[The health IT miracle &#171; My Life as a Cat]]></dc:creator>
		<pubDate>Tue, 23 Jun 2009 17:23:39 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-3096</guid>
		<description><![CDATA[[...] requires the adoption of &#8220;certified electronic health records,&#8221; it may end up giving a major advantage to proprietary health IT developers, depending on how it is [...]]]></description>
		<content:encoded><![CDATA[<p>[...] requires the adoption of &#8220;certified electronic health records,&#8221; it may end up giving a major advantage to proprietary health IT developers, depending on how it is [...]</p>
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		<title>By: Bob Birmingham</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-2626</link>
		<dc:creator><![CDATA[Bob Birmingham]]></dc:creator>
		<pubDate>Thu, 16 Apr 2009 13:55:19 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-2626</guid>
		<description><![CDATA[John, 

Thanks for your insightful points.  I generally agree with your statement that interoperability doesn&#039;t equate to data liquidity, but worry that people may take away the wrong message about the importance of interoperability.  Data liquidity (without interoperability) provides little more than ability to move &quot;data&quot; (with or without semantic meaning)... We&#039;ve been doing that rather successfully for decades... Interoperability helps to assure common meaning and understanding of information. 

Both interoperability AND data liquidity are EQUALLY important foundational characteristics of a national/global standards-based electronic health information infrastructure.  

Thanks,

Bob Birmingham
Johnson &amp; Johnson]]></description>
		<content:encoded><![CDATA[<p>John, </p>
<p>Thanks for your insightful points.  I generally agree with your statement that interoperability doesn&#8217;t equate to data liquidity, but worry that people may take away the wrong message about the importance of interoperability.  Data liquidity (without interoperability) provides little more than ability to move &#8220;data&#8221; (with or without semantic meaning)&#8230; We&#8217;ve been doing that rather successfully for decades&#8230; Interoperability helps to assure common meaning and understanding of information. </p>
<p>Both interoperability AND data liquidity are EQUALLY important foundational characteristics of a national/global standards-based electronic health information infrastructure.  </p>
<p>Thanks,</p>
<p>Bob Birmingham<br />
Johnson &amp; Johnson</p>
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		<title>By: John</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-2212</link>
		<dc:creator><![CDATA[John]]></dc:creator>
		<pubDate>Fri, 20 Feb 2009 23:25:09 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-2212</guid>
		<description><![CDATA[Calvin,
Really do not understand your beef with CCHIT.  While I may have some concerns regarding what &quot;certified EHR&quot; may mean to the market and in particular adoption of new, innovative approaches believing that the legislation appears to have headed down the wrong track, i.e., let&#039;s provide incentives for behavioral change on part of providers, not the technology itself, as an entity unto itself, do believe that CCHIT operates with the best of intentions.

Please, let&#039;s bring the conversation back to are we headed in the right direction via language that states reimbursement for &quot;meaningful use of certified EHR&quot;.

Tom,
Thanks for adding your voice to the chorus of other HIT vendors looking to assist your customers and prospects in understanding the implications of the HITECH Act.  It is still very much a work in progress and education of the broader market will be critical.]]></description>
		<content:encoded><![CDATA[<p>Calvin,<br />
Really do not understand your beef with CCHIT.  While I may have some concerns regarding what &#8220;certified EHR&#8221; may mean to the market and in particular adoption of new, innovative approaches believing that the legislation appears to have headed down the wrong track, i.e., let&#8217;s provide incentives for behavioral change on part of providers, not the technology itself, as an entity unto itself, do believe that CCHIT operates with the best of intentions.</p>
<p>Please, let&#8217;s bring the conversation back to are we headed in the right direction via language that states reimbursement for &#8220;meaningful use of certified EHR&#8221;.</p>
<p>Tom,<br />
Thanks for adding your voice to the chorus of other HIT vendors looking to assist your customers and prospects in understanding the implications of the HITECH Act.  It is still very much a work in progress and education of the broader market will be critical.</p>
]]></content:encoded>
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		<title>By: Thinking Pharma: Executive Dinner with Microsoft &#171; Chilmark Research</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-2209</link>
		<dc:creator><![CDATA[Thinking Pharma: Executive Dinner with Microsoft &#171; Chilmark Research]]></dc:creator>
		<pubDate>Fri, 20 Feb 2009 19:51:53 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-2209</guid>
		<description><![CDATA[[...] on the ePharma event, have not had much time to talk about the dinner.  A little thing called the Stimulus Bill (ARRA) and the HITECH Act has consumed most of my time for the past [...]]]></description>
		<content:encoded><![CDATA[<p>[...] on the ePharma event, have not had much time to talk about the dinner.  A little thing called the Stimulus Bill (ARRA) and the HITECH Act has consumed most of my time for the past [...]</p>
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		<title>By: Tom Brock</title>
		<link>http://chilmarkresearch.com/2009/02/13/sweet-rewards-for-hit-vendors-with-final-stimulus-package/#comment-2206</link>
		<dc:creator><![CDATA[Tom Brock]]></dc:creator>
		<pubDate>Fri, 20 Feb 2009 19:35:39 +0000</pubDate>
		<guid isPermaLink="false">http://chilmarkresearch.com/?p=1252#comment-2206</guid>
		<description><![CDATA[Thanks for the timely exchange of information.  The passing of the economic stimulus package represents a positive step toward making healthcare safer, more cost efficient and better connected.    We at RelayHealth believe this legislation will be the catalyst to drive innovative changes for physicians, pharmacies and hospitals to embrace secure online communication and information exchange. Healthcare providers can view this as an opportunity to invest in tools to enhance care delivery and connect more closely with their patients and their community to drive this transformation. While there is much work ahead, we stand fully prepared to help drive this change to support our nation&#039;s dedicated care providers.
Tom Brock VP Strategy &amp; Planning, RelayHealth]]></description>
		<content:encoded><![CDATA[<p>Thanks for the timely exchange of information.  The passing of the economic stimulus package represents a positive step toward making healthcare safer, more cost efficient and better connected.    We at RelayHealth believe this legislation will be the catalyst to drive innovative changes for physicians, pharmacies and hospitals to embrace secure online communication and information exchange. Healthcare providers can view this as an opportunity to invest in tools to enhance care delivery and connect more closely with their patients and their community to drive this transformation. While there is much work ahead, we stand fully prepared to help drive this change to support our nation&#8217;s dedicated care providers.<br />
Tom Brock VP Strategy &amp; Planning, RelayHealth</p>
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