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Morning Read: CMIO describes ‘mandatory adventure’ of CPOE implementation

Chief medical information officer Eric Hartz solved problems ranging from rebellious cardiologists to pharmacy verification times during his hospital’s transition to a computerized physician order entry program. Hartz shared these insights during a session Monday at the annual meeting of the Healthcare Information and Management Systems Society in Las Vegas. Eastern Maine Healthcare Systems  in […]

Chief medical information officer Eric Hartz solved problems ranging from rebellious cardiologists to pharmacy verification times during his hospital’s transition to a computerized physician order entry program.

Hartz shared these insights during a session Monday at the annual meeting of the Healthcare Information and Management Systems Society in Las Vegas. Eastern Maine Healthcare Systems  in Bangor had a good track record of using technology to improve quality and patient safety, including a virtual ICU and a tele-trauma program. Hartz said it was also important to have strong project management, a streamlined alert system and regular review of order sets.

AstraZenaca is reducing overhead – and profits – by selling its recently off-patent breast cancer drug directly to patients. The company is launching a direct-to-patients sales program for Arimidex to sell U.S. patients a month’s supply for $40. The drug went off patent in 2010, which meant a 91% drop in revenue from 2010 levels, Reuters reports.

Doctors say that new billing rules are costing them money. Physicians switched to Health Insurance Portability and Accountability Act Version 5010 on Jan. 1, which changes how payers are billed. The Centers for Medicare & Medicaid Services said that initially there were processing delays and missing claims, but that those problems have been resolved.

Maybe there’s hope for simplifying the tangled web of health care bureaucracy in this gorup of 25 rising stars under 40. Becker’s Hospital Review announced this list of 25 men and women in executive positions within their hospital or health system. The group includes a range of positions from COO to CIO and institutions – children’s hospitals to wellness companies. The list was created through peer nominations and editorial research.

A doctor and an engineer are looking for a philanthropist to support their work developing child-sized surgical tools. Dr. Sanjeev Dutta and Pablo Garcia won a grant from the Food and Drug Administration several years ago but the money has run out.

The long approval process for medical devices combined with a small market for these specialized tools has discouraged manufacturers from building tools that would make it easier for doctors to operation on children.

Dutta said that when he uses adult-size devices with tiny babies, “…I have to stand a foot-and-a-half away from the patient in order to just do the operation, because the instrument is so big.”

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