May 2012

Greatest Hits, Volume 1

by Jerome Carter on May 30, 2012 · 0 comments

As of Monday, there have been 70 EHR Science posts.   Looking at the statistics, it is difficult to say which subjects are the most popular.   I have been completely unable to predict how a given post will be received.   Since I will be taking a 10-day hiatus to work on business planning activities, this seems […]


Memorial Day

by Jerome Carter on May 28, 2012 · 1 comment

I would like to use this post to acknowledge our fellow citizens who, out of honor and duty, made the ultimate sacrifice.  Grace and peace to them and their families on this day.  

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Medicare penalties for failure to demonstrate meaningful use are a little more than 30 months away (January 2015).   Considering the time required to select an EHR, implement it, and then demonstrate MU for at least 90 days, time may be getting short for providers who have not already begun the process.   A recent Health Affairs […]


Workflow Analysis–Doing the Math

by Jerome Carter on May 21, 2012 · 2 comments

Workflow-related issues are probably the most challenging aspect of EHR implementation.   First, there is the tedious job of mapping existing practice workflows, followed by figuring out acceptable adaptations to the EHR product’s implicit workflows.    The larger the organization, the longer it takes, and the more people it requires to complete the analysis.   Get it wrong, […]


Making Clinical Concepts Computable

by Jerome Carter on May 16, 2012 · 2 comments

One of the most difficult aspects of creating clinical systems is rendering clinical concepts in a way that allows computers to reason with them.    This is the central challenge in areas such as decision support, workflow management, and interoperability.   Building smart EHRs requires computable concepts. Let’s consider a simple example using test orders.   Version 1.0 […]


CSS: A Marriage of Art and Technology

by Jerome Carter on May 14, 2012 · 0 comments

Most of my development efforts have been focused on desktop and traditional client/server applications.   The move to PHP and the web has been an eye-opener.    Wanting to understand  web technologies from the ground up, I have been creating simple web applications from scratch.   News Flash — FrontPage and other website builders make this look far […]


Resources Update—Security and Usability

by Jerome Carter on May 9, 2012 · 0 comments

Since the last resources-related post, two additional pages have been added— Usability and Security.   Resource pages offer practical information for those implementing systems and research information for informatics researchers and system designers. Usability The initial version of the usability page focuses on major national policy reports/documents and selected research articles going back to 1999.  The […]