March 2012

The newly proposed rules for EHR certification, referred to by ONC as Certification Criteria for Electronic Health Record Technology, 2014 Edition, contains a few pleasant surprises that bode well for EHR users.   There are provider-friendly changes in how CEHRT is defined; a new security requirement that may help with data breaches; and comments on data […]


Needs Assessment: Getting There from Here

by Jerome Carter on March 26, 2012 · 0 comments

In my experience, the decision to implement an electronic health record is usually an attempt to solve ongoing practice problems. Whether or not an EHR successfully meets expectations depends on the complexity of the problems and how appropriate an EHR is for solving them.    Some problems are straightforward and readily solved by implementing an EHR–remote […]


Startup Surprise

by Jerome Carter on March 21, 2012 · 0 comments

It appears I have, unexpectedly, reached a Hamletesque “to be, or not to be” moment with my programming explorations.   What began last year as an attempt to learn object-oriented programming and new development tools, segued into tinkering with an idea for PHP/Joomla, and finally morphed into a mini-web development project.  As serendipity would have it, […]


Stakeholder Viewpoints and EHR Project Success

by Jerome Carter on March 19, 2012 · 0 comments

For an outside consultant, one of the most challenging aspects of helping an organization through an implementation is dealing with the attitudes, expectations, and beliefs of stakeholders.    In my experience, turf battles and organization politics cause more project failures than technology issues.   More often than not, stakeholders bring a range of backgrounds and viewpoints to […]


How Long Will You Be Married to Your EHR?

by Jerome Carter on March 14, 2012 · 2 comments

Making an EHR sale takes time and resources.  Once a sale is made, client sites provide vendors with a steady stream of income.    Client sites that decide to switch from one EHR to another will find vendors less than eager to see them go.   Though data migration options should be included in contraction negotiations, it […]


If You Read This Post, Then You Will Be Smarter

by Jerome Carter on March 12, 2012 · 1 comment

Having spent a few months studying logic and proofs, I find that I pay closer attention to the statements people make in everyday conversation.     One type of argument that I see misused is logical implication.   Implications are conditional statements of the storied: “if  statement-1, then statement-2” type (i.e. if p, then q).      The statement following […]

{ 1 comment }

Resources Update

by Jerome Carter on March 7, 2012 · 0 comments

After wrestling with the issue of maintaining the resource pages, I finally decided on what I hope will be a workable process.   Originally, the plan was to have a single page for each major topic (e.g. EHRs, software architecture, and open source) with subsections set up for special topics.   Article references were slated to be […]