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Comment Re:There is no security in health care. (Score 1) 99

this reminds me of a story

years ago i was working at a very large, very prestigious hospital in boston. at the time they had no guest wifi. i needed a network connection so i set my laptop on a the nurses workstation and handed her one end of a long network cable and asked her to unplug the printer and plug in my wire. which she promptly did.
i was not in a lab connect, i was in a suit. i didn't know this nurse and she had no idea who i was. she simply removed one cable and plugged in mine.
needless to say, i was stunned.

Comment Re:Colleges are not for education (Score 1) 274

i disagree with the statement "people tend to not value things that they don't think costs them anything".
i went to school basically free. i had to pay 10% of instate costs at a big 10 school.
we grew up poor and it was really the only way i was going without monster loans.
i can tell you i sure valued that education.
i consider the consequences, they are a nice life based on my degree and education.

Comment old news (Score 1) 166

how is this News?

many other healthcare systems are built on mumps, not just VA and EPIC. Notably Meditech is also mumps based, having rolled out of MGH the founders of MT took mumps with them. Judy Faulkner (from epic) then rolled it from MT created epic and drug around mumps with her. IDX (now GE) is also heavily into mumps. its everywhere. here she is talking about using mumps

the new bread of healthcare apps have pretty much moved away from it.

Comment Re:Simplest explanantion is easiest (Score 1) 213

i own my own domain and its a normal name (e.g. or such)
so i get tons of email
recently though i have been receiving legal correspondence from a firm in texas (i'm in mass). its happened a number of times
they send case related info
i keep telling them to stop
they keep sending it.
i know who not to hire as an attorney if i ever need one in texas (god forbid)

Comment Re:It wasn't obamacare, it was the ARRA (Score 1) 130

i agree with all of your points.
connecting your EHR to your lab system, to your HIE, to your practice systems, etc is a mess. HL7 stinks. So things do indeed get missed.
of course, with deliberate, thoughtful deployments, these are solvable problems. it takes time and patience.

and don't get me started on end users. :-) but i do believe they are trying, they are busy, and they didn't go to medical school to deal with systems, but to help people.

Comment It wasn't obamacare, it was the ARRA (Score 5, Informative) 130

Obamacare or ACA did not mandate the use of EHR. This was in legislation long before ACA, it was part of the American Recovery and Reinvestment Act (ARRA). It was specifically called Meaningful Use. it mandates a series of electronic use requirements over three phases with initially payments for use and later penalties by CMS. The vast majority of MU certified vendors were producing EHRs long before ARRA and have reasonable security in place. Clearly though some vendors, and hospitals need some shoring up though.

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