Small practices

Security Nightmare: Small Practices and Ransomware

by Jerome Carter on December 12, 2016 · 2 comments

For four years, ending in 2004, I was Director of Informatics for the HIV/AIDS clinic at the University of Alabama-Birmingham.   During that time I led a project to create an EHR. Starting with one programmer and myself, over the course of my tenure, the staff grew to include an in-house tech support position, a systems […]


What Flu Season Taught Me About Patient Engagement

by Jerome Carter on October 24, 2016 · 0 comments

It’s flu season again. Visits to ERs will increase, and the waiting rooms of primary care practices will be visited by the walking dead. From my first job out of residency until I began consulting, flu season always held an aura of dread. Since flu symptoms are often confused with upper respiratory ailments, during flu […]


The Future of HIT Innovation is Ambulatory

by Jerome Carter on September 14, 2015 · 2 comments

Well, it’s time to start designing new clinical care systems.  MU is winding down, so the yearly certification requirements churn will be ending soon, or at least slowing greatly, which is a good thing for someone jumping into the market. Current vendors have to support users who do continue in MU because, no matter how […]


EHR Implementation: Where Are We?

by Jerome Carter on March 18, 2013 · 0 comments

Obviously, I am an advocate of EHR use.  Actually, tracking EHR implementation outcomes is somewhat of an obsession.   For years, I have kept a folder on my desktop called “failed projects” that contains the woes, assessments, and post mortems of IT projects gone bad.  Since HITECH, I’ve noticed something interesting.  Whereas pre-HITECH it was fairly […]


Health care is information intensive and, when done properly, highly collaborative.    The increasing focus on data sharing and information exchange is an acknowledgement of the dependence of care delivery on clinician interaction.    However, while the current emphasis on richer communication is focused primarily on EHRs and clinical systems that support hands-on care, there are many […]


Gone Fishing

by Jerome Carter on August 6, 2012 · 0 comments

Well, it’s finally vacation time, and not a moment too soon. I’ve been tinkering with a theory of sorts for informatics, and a vacation will provide the free time needed to work on it (although it’s not really work). For those who are interested, here is a link to a post concerning results management written for American EHR Partners, a site co-sponsored by the American College of Physicians. See you in a couple of weeks.  


An EHR Changes Everything…

by Jerome Carter on June 13, 2012 · 0 comments

We are now three years into ARRA/HITECH, and yet implementation tales of woe with unexpected costs and decreased productivity are ever present.    Why? We have RECs, workforce enhancement programs, and more EHR consultants.  Even so, the fact that successful EHR implementation requires significant planning and attention to detail seems not to have sunk in.   It’s […]