February 2013

Clinical Workflow Resources 1.0

by Jerome Carter on February 25, 2013 · 1 comment

As promised, Version 1.0 of the Clinical Workflow Resources page is now available.   Pulling this page together required more effort than expected.  Because the workflow literature is extensive, especially outside of health care, deciding what to include was a challenge.  Those who have been following the blog for a while might recall that workflow issues […]

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From Idea to System: A Story of Architecture and Design

by Jerome Carter on February 18, 2013 · 0 comments

The Idea Drs. Jane Doe and John Smith are subspecialists with three practice locations in Western City, USA.   All of their patients are obtained via referrals. Unfortunately, they have not been able to find an EHR system that meets their needs, so they have decided to build one – SubspecialtyEHR. The Development Process: Waterfall vs. […]


Moving Beyond Paper-based Thinking in EHR Design

by Jerome Carter on February 11, 2013 · 2 comments

Good software designs help users become more efficient and productive.  Often, determining what constitutes a good design is not straightforward.  While wearing my entrepreneurial hat, I came across a great book that has given me a new perspective on product development and, unexpectedly, EHR design. Thinkertoys, Second Edition, by Michael Michalko, focuses on business creativity […]


Is Your EHR Hackable?

by Jerome Carter on February 4, 2013 · 2 comments

Last month the Washington Post ran an article, Health-care Sector Vulnerable to Hackers, Researchers Say, which sounded alarms concerning the security of clinical systems.   Reflecting on the state of HIT security, the article quotes Avi Rubin, a security researcher: I have never seen an industry with more gaping security holes,” said Avi Rubin, a computer […]