24. minis ihc part i
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The document discusses the history of Intermountain Healthcare (IHC) and its Med/38 hospital information system. It describes how IHC formed in 1975 and charged its IT department, later known as Affiliated Services Inc. (ASI), to build a modern clinical information system. ASI developed the Med/38 system using RPG code on IBM System/38 minicomputers. Med/38 was highly successful, with 70 hospitals implementing it within 3 years. The system included financial, clinical, and other applications ahead of its time.
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24 a. ihc_part_i
- Intermountain Healthcare (IHC) formed in 1975 when the Mormon Church divested its hospitals and charged IHC's IT department to build a modern clinical information system.
- Led by Larry Grandia, IHC developed the Med/38 system using the IBM System/38 minicomputer and RPG programming language. It implemented financial systems first, then clinical systems including pharmacy, medical records, and nursing.
- Med/38 saw early success with 70 hospitals purchasing and implementing it within 3 years, including sales to two other multi-hospital systems. This established IHC's IT department, later called Affiliated Services Inc., as a leading hospital IT vendor in the early 1980s.
24 b. ihc_part_ii
IHC's Med/38 system continued to grow and succeed until 1987 when IHC sold it to GTE. GTE rebranded Med/38 as MedSeries4 and acquired other healthcare IT companies. A few years later, SMS purchased MedSeries4 from GTE and has continued developing the system, now called MedSeries4 and still in use today under Siemens with around 400 hospital clients. The system originates from the 1970s on IBM System/38 hardware and still uses RPG programming language alongside newer technologies.
16. mini meditech
- Meditech originated from a lab at Massachusetts General Hospital that developed the MUMPS programming language and one of the earliest time-sharing systems. Two members of that lab, Neil Pappalardo and Robert Greenes, went on to found Meditech and American Health Systems, respectively.
- Meditech started as a small programming shop writing MUMPS code for various clients before winning its first hospital client, Cape Cod Hospital, in the early 1970s to automate the lab. Meditech gradually expanded its offerings at Cape Cod over the decades.
- By the 1980s, Meditech had grown into a major vendor offering a complete hospital information system to hundreds of clients worldwide, evolving through various
92. allscripts part 1
This document provides a history of Allscripts and its roots originating from Lockheed Aircraft Corporation's Medical Information System (MIS) in the 1960s. Key points:
- Lockheed pioneered clinical systems in the 1960s with MIS, which had an early touchscreen and high usage rates at pilot site El Camino Hospital.
- MIS was later owned by Technicon Data Systems (TDS) and had many illustrious alumni. TDS was highly rated by users.
- TDS underwent numerous acquisitions and name changes over the decades before being acquired again, tying it to Allscripts' history. The full story of Allscripts' complex origins will be continued next week.
Immunohistochemistry
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Basics of Immunohistochemistry
This is a presentation I prepared to demonstrate my mastery of the basics of Immunohistochemistry during my first two months of employment as a Biologist at the Cell Marque Corporation. Please note, there are a few slides that appear to be dysfunctional and overlapping; this is due to the fact that these particular slides included complex animations that I designed to illustrate various scientific concepts related to the practice of Immunohistochemistry. If you wish to view this presentation in its entirety (animations included), feel free to contact me via LinkedIn and I will gladly provide you with a fully-functional version.
principle of Immunohistochemistry and its use in diagnostics
Immunohistochemistry (IHC) localizes antigens in tissues based on antigen-antibody recognition. The principle is visualizing target compounds in tissues with high signal-to-noise ratio. IHC was developed in the 1960s using enzyme labels instead of fluorescent labels to visualize targets under a light microscope. Key steps in IHC include antigen retrieval to unmask antigens, blocking endogenous enzymes, primary antibody incubation, secondary antibody or polymer incubation, and signal development with chromogens. IHC is commonly performed on formalin-fixed paraffin-embedded sections and can identify cell types and localization of proteins to characterize tissues.
Hospital organizational structures
This document discusses the organizational structures of hospitals. It describes the classifications of healthcare as primary, secondary, and tertiary care. Hospitals are also classified as general, specialty, rehabilitation, long-term care, or nursing homes. Regulatory agencies oversee hospitals. The roles of the governing board, hospital administrator, and medical staff are outlined. Advances in technology have increased complexity and professional specialization within hospitals. Effective communication and leadership are needed to coordinate the diverse professionals and administrative functions within this complex organizational system.
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24 a. ihc_part_i
- Intermountain Healthcare (IHC) formed in 1975 when the Mormon Church divested its hospitals and charged IHC's IT department to build a modern clinical information system.
- Led by Larry Grandia, IHC developed the Med/38 system using the IBM System/38 minicomputer and RPG programming language. It implemented financial systems first, then clinical systems including pharmacy, medical records, and nursing.
- Med/38 saw early success with 70 hospitals purchasing and implementing it within 3 years, including sales to two other multi-hospital systems. This established IHC's IT department, later called Affiliated Services Inc., as a leading hospital IT vendor in the early 1980s.
24 b. ihc_part_ii
IHC's Med/38 system continued to grow and succeed until 1987 when IHC sold it to GTE. GTE rebranded Med/38 as MedSeries4 and acquired other healthcare IT companies. A few years later, SMS purchased MedSeries4 from GTE and has continued developing the system, now called MedSeries4 and still in use today under Siemens with around 400 hospital clients. The system originates from the 1970s on IBM System/38 hardware and still uses RPG programming language alongside newer technologies.
16. mini meditech
- Meditech originated from a lab at Massachusetts General Hospital that developed the MUMPS programming language and one of the earliest time-sharing systems. Two members of that lab, Neil Pappalardo and Robert Greenes, went on to found Meditech and American Health Systems, respectively.
- Meditech started as a small programming shop writing MUMPS code for various clients before winning its first hospital client, Cape Cod Hospital, in the early 1970s to automate the lab. Meditech gradually expanded its offerings at Cape Cod over the decades.
- By the 1980s, Meditech had grown into a major vendor offering a complete hospital information system to hundreds of clients worldwide, evolving through various
92. allscripts part 1
This document provides a history of Allscripts and its roots originating from Lockheed Aircraft Corporation's Medical Information System (MIS) in the 1960s. Key points:
- Lockheed pioneered clinical systems in the 1960s with MIS, which had an early touchscreen and high usage rates at pilot site El Camino Hospital.
- MIS was later owned by Technicon Data Systems (TDS) and had many illustrious alumni. TDS was highly rated by users.
- TDS underwent numerous acquisitions and name changes over the decades before being acquired again, tying it to Allscripts' history. The full story of Allscripts' complex origins will be continued next week.
Immunohistochemistry
Follow Atifa Ambreen:
Youtube: https://www.youtube.com/channel/UCVTn-4KeMtXKy1h3_9JbVmw
Facebook: https://www.facebook.com/atifaambreen786/
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https://www.instagram.com/invites/contact/?i=1qo1my1nb2qfx&utm_content=kbo8bi7
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Twitter: https://twitter.com/atifa_ambreen
SUBSCRIBE ...
.
Email for inquiries: atifa.ambreen@gmail.com
Basics of Immunohistochemistry
This is a presentation I prepared to demonstrate my mastery of the basics of Immunohistochemistry during my first two months of employment as a Biologist at the Cell Marque Corporation. Please note, there are a few slides that appear to be dysfunctional and overlapping; this is due to the fact that these particular slides included complex animations that I designed to illustrate various scientific concepts related to the practice of Immunohistochemistry. If you wish to view this presentation in its entirety (animations included), feel free to contact me via LinkedIn and I will gladly provide you with a fully-functional version.
principle of Immunohistochemistry and its use in diagnostics
Immunohistochemistry (IHC) localizes antigens in tissues based on antigen-antibody recognition. The principle is visualizing target compounds in tissues with high signal-to-noise ratio. IHC was developed in the 1960s using enzyme labels instead of fluorescent labels to visualize targets under a light microscope. Key steps in IHC include antigen retrieval to unmask antigens, blocking endogenous enzymes, primary antibody incubation, secondary antibody or polymer incubation, and signal development with chromogens. IHC is commonly performed on formalin-fixed paraffin-embedded sections and can identify cell types and localization of proteins to characterize tissues.
Hospital organizational structures
This document discusses the organizational structures of hospitals. It describes the classifications of healthcare as primary, secondary, and tertiary care. Hospitals are also classified as general, specialty, rehabilitation, long-term care, or nursing homes. Regulatory agencies oversee hospitals. The roles of the governing board, hospital administrator, and medical staff are outlined. Advances in technology have increased complexity and professional specialization within hospitals. Effective communication and leadership are needed to coordinate the diverse professionals and administrative functions within this complex organizational system.
18. minis dcc
The document summarizes the history of Dynamic Control Corporation (DCC), an early healthcare IT company that developed turnkey mini-computer systems for hospitals. It describes how DCC was founded by David Pomerance after he developed one of the first hospital information systems on an IBM System 3 mini-computer for Variety Children's Hospital. DCC experienced rapid growth selling systems to other hospitals. It was later acquired by Baxter and became their flagship "mid-range" product called Delta, covering hospitals from 100-400 beds. The systems were later renamed as mergers and acquisitions by companies including IBM, HBOC, and McKesson occurred. The core DCC system evolved into McKesson's Series 2000 product,
18. dcc
Dynamic Control Corporation (DCC) began as an in-house hospital information system developed by David Pomerance for Variety Children's Hospital. Pomerance later formed DCC, which grew rapidly by selling turnkey systems for IBM minicomputers. DCC was acquired by Baxter/Travenol/AHS and renamed Delta. Delta experienced continued success when partnered with IBM as part of IBAX and later acquired by HBOC and McKesson, with the system eventually renamed Series. DCC played a pivotal role in the growth of mini-computer based hospital information systems.
25. minis ar mediquest
1) AR/Mediquest was a mini computer-based hospital information system developed in the 1970s by IBM and originally called HPMS. It ran on IBM System 34/36 minicomputers.
2) The system was later owned and developed by a company called AR Medical Management, founded by Andy and Roger. It was then purchased by Jean Johnstone and renamed AR/Mediquest.
3) AR/Mediquest had around 50 clients, mostly small hospitals in the Midwest. It ceased operations in the early 1990s after IRS issues but some hospitals took over development and support through a new cooperative.
17. m inis compucare
1. The document discusses the early history of Compucare, one of the first mini-computer based healthcare IT vendors founded in 1969 by Sheldon Dorenfest.
2. Compucare pioneered a "facilities management" model where it took over management of hospitals' IT departments and shared software code between client sites. However, it struggled with developing clinical applications.
3. Compucare went through several later acquisitions and name changes but continued operating successfully for many years, implementing systems in over 200 hospitals at its peak. Its founders like Sheldon Dorenfest and Ron Aprahamian went on to have continued success in the healthcare IT industry.
27. minis js data part 2
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16. mini meditech
- Meditech originated from the work of researchers at Massachusetts General Hospital who developed the MUMPS programming language. Two researchers, Dr. Robert Greenes and Neil Pappalardo, later went on to form early versions of Meditech.
- Meditech started as a small programming shop developing departmental systems before growing to offer total hospital information systems. Their first client was Cape Cod Hospital in the 1970s.
- Over decades, Meditech evolved their product lines and customer base to become one of the largest hospital EHR vendors, with over 2,000 hospitals worldwide using their systems by 2011.
24. minis ihc part ii
- The document discusses the history of the Med/38 hospital information system, originally developed by Intermountain Health Care (IHC) in the 1980s. IHC sold Med/38 to GTE in 1988, who renamed it MedSeries4. GTE later sold MedSeries4 to SMS, who invested in its research and development.
- MedSeries4 continues today under Siemens, with around 400 client hospitals ranging in size. It still uses the original RPG programming language alongside newer technologies. The document suggests covering early laboratory systems and consulting firms in future pieces.
54. product names_2
- PHAMIS LastWord was an early electronic health record (EHR) system developed in the 1970s that kept records for sailors. It was later acquired by IDX and GE.
- Product names can provide indications of capabilities. For example, larger IBM computer models had more digits, suggesting more power.
- Medical software companies frequently change product names during acquisitions or when introducing new versions, making tracking name histories complex. Systems like JS Data, Dynamic Control, and IBM's PCS underwent numerous name changes as they were acquired over the years.
HIStory 12
McAuto's Healthcare Services Division (HSD) was an early pioneer in healthcare information systems. It began in the 1970s after acquiring Hospital Financial Control (HFC) from Walt Huff. HSD developed several innovative clinical systems like Hospital Patient Care that were among the first electronic medical record systems. While HSD led the industry technologically, SMS prioritized sales over service and was more successful financially. Eventually, HSD was acquired by HBOC, returning control of the system to Walt Huff where it had originated.
20 b. minis saint
This document summarizes the history of System Associates Inc. (SAI), an early healthcare IT company that developed one of the first turnkey hospital information systems called SAI NT, later renamed Saint. SAI was founded in 1966 and focused on developing applications for small hospitals. Under the leadership of Larry Ferguson in the 1980s, SAI grew significantly and was later acquired by American Express, which also acquired other healthcare IT companies and merged them into SAI. American Express eventually sold their healthcare division including SAI to HBOC, which continued developing the Saint product.
77. cpsi part 2
This document provides an overview of CPSI and their success in the small hospital market. Some key points:
1) CPSI is a leading vendor for small hospitals under 100 beds, currently serving around 650 client hospitals.
2) CPSI has experienced impressive revenue growth over the past 20 years, surpassing estimates for competitors like Keane and QuadraMed.
3) Much of CPSI's early success is attributed to hiring an effective salesman from NCR, Scott Schneider, who helped steer CPSI towards focusing on the small hospital market.
4) CPSI developed their software using the COBOL programming language and UNIX operating system, allowing their solutions to run on a variety of hardware
25. ar mediquest
- AR/Medique was a mini computer-based hospital information system founded in the 1970s that grew to serve around 50 midwestern hospitals. It was originally called AR Medical Management and was based on IBM's HPMS software. The company struggled financially and was acquired multiple times before ultimately closing in the early 1990s. However, the software lived on through hospitals that formed a cooperative to continue its use and support.
77. cpsi part 2
CPSI is a leading vendor for small hospitals, currently serving around 650 client hospitals, most under 100 beds. They have experienced impressive revenue growth over the past 20 years, surpassing estimates for competitors like Keane and QuadraMed in 2011. CPSI achieved success by focusing exclusively on the small hospital market and hiring Scott Schneider, an effective NCR salesman, as their 11th employee. Under Schneider and later John Morrissey as VP of Sales, CPSI was able to build a national sales force. Technically, CPSI adopted an "open" approach using UNIX and later Linux operating systems. They also developed their software suite internally over many years to include more applications than competitors, such as their own PACS and time
HIStory 10
IBM's SHARED HOSPITAL ACCOUNTING SYSTEM (SHAS) was developed in the 1960s to allow smaller hospitals to share the large costs of IBM mainframe computers. It helped hospitals automate billing processes made more complex by the introduction of Medicare. SHAS offered applications for tasks like patient census, billing, accounts receivable, general ledger, and cost reporting. It saw widespread adoption among hospitals that used organizations like Blue Cross to jointly operate SHAS on their IBM systems. While revolutionary at the time, SHAS also had some limitations that prevented its use in every hospital.
53. product names 1
This document discusses product names in the healthcare information systems industry. It begins by recapping the 52 previous episodes of the podcast. It then discusses how Shared Medical Systems (SMS) generally had the best product names, such as UNITY, EXACT, and INDEPENDENCE. Meanwhile, McAuto tended to use confusing acronyms for its product names. The document also examines some unusual product names from other vendors and how names were frequently changed as systems were acquired by different companies.
12. mc auto
McAuto, the IT arm of aircraft company McDonnell-Douglas, was a major leader in the shared healthcare IT systems revolution of the 1970s. It acquired Hospital Financial Control (HFC) from developer Walt Huff and ran it as the core of its new Healthcare Services Division (HSD). HSD developed several innovative clinical and administrative systems, such as one of the first electronic medical record systems. Although McAuto had superior technology, its parent company was eventually acquired and HSD's systems were later sold to HBOC, coming full circle back to Walt Huff's company.
27. js data_part_2
This document summarizes the history of the healthcare IT company JS/Data. It discusses how JS/Data was acquired by Baxter in 1984 along with another company, DCC, to expand Baxter's healthcare IT offerings. It then describes how Baxter and IBM partnered to form IBAX in 1989, and how IBAX was later acquired by HBOC in 1994, integrating JS/Data's products into HBOC's existing offerings. The document also provides brief biographies of some of the key people involved with JS/Data, including its founder John Sacco, and notes that Sacco now works at UCLA.
17. compucare
This document summarizes the early history of the Compucare healthcare IT company. It describes how founder Sheldon Dorenfest originally envisioned Compucare as a shared system vendor in 1969, but then pioneered the facilities management model of outsourcing hospital IT departments. Compucare grew quickly using this model before facing challenges developing clinical applications. It acquired applications from Meditech and eventually was sold to Baxter. Baxter later sold Compucare back to founder Ron Aprahamian, who rebuilt it and it was later acquired by QuadraMed, where remnants of the system still run today.
17. compucare
This document summarizes the early history of the Compucare healthcare IT company. It describes how founder Sheldon Dorenfest originally envisioned Compucare as a shared system vendor in 1969, but then pioneered the facilities management model of outsourcing hospital IT departments. Compucare grew quickly using this model before facing challenges developing clinical applications. It acquired applications from Meditech and eventually was sold to Baxter and IBAX before founder Ron Aprahamian bought it back and rebuilt it as Affinity, which was later acquired by QuadraMed. Compucare helped pioneer the facilities management model and development of mini-computer based clinical and financial healthcare IT systems.
1. overview
This document summarizes the history of hospital information systems (HIS) over four epochs from the 1960s to the 1990s. It describes the dominant hardware platforms of each era - mainframes in the 1960s, shared mainframe systems in the 1970s, minicomputers in the 1980s, and microcomputers in the 1990s. It also profiles some of the key vendor companies and provides symbolic vehicles that represent the computer technologies of each decade. An outline is given for the detailed overview of the HIS history to be covered.
HISsies 2020
The document summarizes the winners of the 2021 HISsies Awards, which honor the best and worst of healthcare IT as voted by readers of HIStalk. Some of the winners included Epic for Smartest Vendor Action Taken, Cerner for Stupidest Vendor Action Taken, Epic for Best Healthcare IT Vendor, IBM Watson Health for Worst Healthcare IT Vendor, Judy Faulkner of Epic for Best Leader of a Vendor, and Kaiser Permanente for Best Provider User of Healthcare IT. John Halamka of Mayo Clinic won several categories including Most Effective Healthcare IT Provider Executive.
HISsies 2019
The document summarizes the winners of the Twelfth Annual HISsies Awards which honors the best and worst of healthcare IT as voted by readers. Some of the categories and winners mentioned are:
- Smartest Vendor Action Taken in 2018: Cerner convinces the VA to choose its system without issuing an RFP.
- Stupidest Vendor Action Taken in 2018: Athenahealth hires Jeff Immelt, fires Jonathan Bush, and prematurely enters the inpatient market.
- Best Healthcare IT Vendor or Consulting Firm in 2018: Epic.
- Worst Healthcare IT Vendor or Consulting Firm in 2018: Allscripts.
- HIS Industry Figure of the
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18. minis dcc
The document summarizes the history of Dynamic Control Corporation (DCC), an early healthcare IT company that developed turnkey mini-computer systems for hospitals. It describes how DCC was founded by David Pomerance after he developed one of the first hospital information systems on an IBM System 3 mini-computer for Variety Children's Hospital. DCC experienced rapid growth selling systems to other hospitals. It was later acquired by Baxter and became their flagship "mid-range" product called Delta, covering hospitals from 100-400 beds. The systems were later renamed as mergers and acquisitions by companies including IBM, HBOC, and McKesson occurred. The core DCC system evolved into McKesson's Series 2000 product,
18. dcc
Dynamic Control Corporation (DCC) began as an in-house hospital information system developed by David Pomerance for Variety Children's Hospital. Pomerance later formed DCC, which grew rapidly by selling turnkey systems for IBM minicomputers. DCC was acquired by Baxter/Travenol/AHS and renamed Delta. Delta experienced continued success when partnered with IBM as part of IBAX and later acquired by HBOC and McKesson, with the system eventually renamed Series. DCC played a pivotal role in the growth of mini-computer based hospital information systems.
25. minis ar mediquest
1) AR/Mediquest was a mini computer-based hospital information system developed in the 1970s by IBM and originally called HPMS. It ran on IBM System 34/36 minicomputers.
2) The system was later owned and developed by a company called AR Medical Management, founded by Andy and Roger. It was then purchased by Jean Johnstone and renamed AR/Mediquest.
3) AR/Mediquest had around 50 clients, mostly small hospitals in the Midwest. It ceased operations in the early 1990s after IRS issues but some hospitals took over development and support through a new cooperative.
17. m inis compucare
1. The document discusses the early history of Compucare, one of the first mini-computer based healthcare IT vendors founded in 1969 by Sheldon Dorenfest.
2. Compucare pioneered a "facilities management" model where it took over management of hospitals' IT departments and shared software code between client sites. However, it struggled with developing clinical applications.
3. Compucare went through several later acquisitions and name changes but continued operating successfully for many years, implementing systems in over 200 hospitals at its peak. Its founders like Sheldon Dorenfest and Ron Aprahamian went on to have continued success in the healthcare IT industry.
27. minis js data part 2
The document discusses the history of the healthcare IT company JS/Data, including its founding, acquisition by Baxter in 1984, and eventual merger with other Baxter products. It provides background on some key figures involved with JS/Data and highlights its use of IBM systems. The summary concludes with John Sacco's current retirement and relocation to France.
16. mini meditech
- Meditech originated from the work of researchers at Massachusetts General Hospital who developed the MUMPS programming language. Two researchers, Dr. Robert Greenes and Neil Pappalardo, later went on to form early versions of Meditech.
- Meditech started as a small programming shop developing departmental systems before growing to offer total hospital information systems. Their first client was Cape Cod Hospital in the 1970s.
- Over decades, Meditech evolved their product lines and customer base to become one of the largest hospital EHR vendors, with over 2,000 hospitals worldwide using their systems by 2011.
24. minis ihc part ii
- The document discusses the history of the Med/38 hospital information system, originally developed by Intermountain Health Care (IHC) in the 1980s. IHC sold Med/38 to GTE in 1988, who renamed it MedSeries4. GTE later sold MedSeries4 to SMS, who invested in its research and development.
- MedSeries4 continues today under Siemens, with around 400 client hospitals ranging in size. It still uses the original RPG programming language alongside newer technologies. The document suggests covering early laboratory systems and consulting firms in future pieces.
54. product names_2
- PHAMIS LastWord was an early electronic health record (EHR) system developed in the 1970s that kept records for sailors. It was later acquired by IDX and GE.
- Product names can provide indications of capabilities. For example, larger IBM computer models had more digits, suggesting more power.
- Medical software companies frequently change product names during acquisitions or when introducing new versions, making tracking name histories complex. Systems like JS Data, Dynamic Control, and IBM's PCS underwent numerous name changes as they were acquired over the years.
HIStory 12
McAuto's Healthcare Services Division (HSD) was an early pioneer in healthcare information systems. It began in the 1970s after acquiring Hospital Financial Control (HFC) from Walt Huff. HSD developed several innovative clinical systems like Hospital Patient Care that were among the first electronic medical record systems. While HSD led the industry technologically, SMS prioritized sales over service and was more successful financially. Eventually, HSD was acquired by HBOC, returning control of the system to Walt Huff where it had originated.
20 b. minis saint
This document summarizes the history of System Associates Inc. (SAI), an early healthcare IT company that developed one of the first turnkey hospital information systems called SAI NT, later renamed Saint. SAI was founded in 1966 and focused on developing applications for small hospitals. Under the leadership of Larry Ferguson in the 1980s, SAI grew significantly and was later acquired by American Express, which also acquired other healthcare IT companies and merged them into SAI. American Express eventually sold their healthcare division including SAI to HBOC, which continued developing the Saint product.
77. cpsi part 2
This document provides an overview of CPSI and their success in the small hospital market. Some key points:
1) CPSI is a leading vendor for small hospitals under 100 beds, currently serving around 650 client hospitals.
2) CPSI has experienced impressive revenue growth over the past 20 years, surpassing estimates for competitors like Keane and QuadraMed.
3) Much of CPSI's early success is attributed to hiring an effective salesman from NCR, Scott Schneider, who helped steer CPSI towards focusing on the small hospital market.
4) CPSI developed their software using the COBOL programming language and UNIX operating system, allowing their solutions to run on a variety of hardware
25. ar mediquest
- AR/Medique was a mini computer-based hospital information system founded in the 1970s that grew to serve around 50 midwestern hospitals. It was originally called AR Medical Management and was based on IBM's HPMS software. The company struggled financially and was acquired multiple times before ultimately closing in the early 1990s. However, the software lived on through hospitals that formed a cooperative to continue its use and support.
77. cpsi part 2
CPSI is a leading vendor for small hospitals, currently serving around 650 client hospitals, most under 100 beds. They have experienced impressive revenue growth over the past 20 years, surpassing estimates for competitors like Keane and QuadraMed in 2011. CPSI achieved success by focusing exclusively on the small hospital market and hiring Scott Schneider, an effective NCR salesman, as their 11th employee. Under Schneider and later John Morrissey as VP of Sales, CPSI was able to build a national sales force. Technically, CPSI adopted an "open" approach using UNIX and later Linux operating systems. They also developed their software suite internally over many years to include more applications than competitors, such as their own PACS and time
HIStory 10
IBM's SHARED HOSPITAL ACCOUNTING SYSTEM (SHAS) was developed in the 1960s to allow smaller hospitals to share the large costs of IBM mainframe computers. It helped hospitals automate billing processes made more complex by the introduction of Medicare. SHAS offered applications for tasks like patient census, billing, accounts receivable, general ledger, and cost reporting. It saw widespread adoption among hospitals that used organizations like Blue Cross to jointly operate SHAS on their IBM systems. While revolutionary at the time, SHAS also had some limitations that prevented its use in every hospital.
53. product names 1
This document discusses product names in the healthcare information systems industry. It begins by recapping the 52 previous episodes of the podcast. It then discusses how Shared Medical Systems (SMS) generally had the best product names, such as UNITY, EXACT, and INDEPENDENCE. Meanwhile, McAuto tended to use confusing acronyms for its product names. The document also examines some unusual product names from other vendors and how names were frequently changed as systems were acquired by different companies.
12. mc auto
McAuto, the IT arm of aircraft company McDonnell-Douglas, was a major leader in the shared healthcare IT systems revolution of the 1970s. It acquired Hospital Financial Control (HFC) from developer Walt Huff and ran it as the core of its new Healthcare Services Division (HSD). HSD developed several innovative clinical and administrative systems, such as one of the first electronic medical record systems. Although McAuto had superior technology, its parent company was eventually acquired and HSD's systems were later sold to HBOC, coming full circle back to Walt Huff's company.
27. js data_part_2
This document summarizes the history of the healthcare IT company JS/Data. It discusses how JS/Data was acquired by Baxter in 1984 along with another company, DCC, to expand Baxter's healthcare IT offerings. It then describes how Baxter and IBM partnered to form IBAX in 1989, and how IBAX was later acquired by HBOC in 1994, integrating JS/Data's products into HBOC's existing offerings. The document also provides brief biographies of some of the key people involved with JS/Data, including its founder John Sacco, and notes that Sacco now works at UCLA.
17. compucare
This document summarizes the early history of the Compucare healthcare IT company. It describes how founder Sheldon Dorenfest originally envisioned Compucare as a shared system vendor in 1969, but then pioneered the facilities management model of outsourcing hospital IT departments. Compucare grew quickly using this model before facing challenges developing clinical applications. It acquired applications from Meditech and eventually was sold to Baxter. Baxter later sold Compucare back to founder Ron Aprahamian, who rebuilt it and it was later acquired by QuadraMed, where remnants of the system still run today.
17. compucare
This document summarizes the early history of the Compucare healthcare IT company. It describes how founder Sheldon Dorenfest originally envisioned Compucare as a shared system vendor in 1969, but then pioneered the facilities management model of outsourcing hospital IT departments. Compucare grew quickly using this model before facing challenges developing clinical applications. It acquired applications from Meditech and eventually was sold to Baxter and IBAX before founder Ron Aprahamian bought it back and rebuilt it as Affinity, which was later acquired by QuadraMed. Compucare helped pioneer the facilities management model and development of mini-computer based clinical and financial healthcare IT systems.
1. overview
This document summarizes the history of hospital information systems (HIS) over four epochs from the 1960s to the 1990s. It describes the dominant hardware platforms of each era - mainframes in the 1960s, shared mainframe systems in the 1970s, minicomputers in the 1980s, and microcomputers in the 1990s. It also profiles some of the key vendor companies and provides symbolic vehicles that represent the computer technologies of each decade. An outline is given for the detailed overview of the HIS history to be covered.
Similar to 24. minis ihc part i (20)
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The document summarizes the winners of the 2021 HISsies Awards, which honor the best and worst of healthcare IT as voted by readers of HIStalk. Some of the winners included Epic for Smartest Vendor Action Taken, Cerner for Stupidest Vendor Action Taken, Epic for Best Healthcare IT Vendor, IBM Watson Health for Worst Healthcare IT Vendor, Judy Faulkner of Epic for Best Leader of a Vendor, and Kaiser Permanente for Best Provider User of Healthcare IT. John Halamka of Mayo Clinic won several categories including Most Effective Healthcare IT Provider Executive.
HISsies 2019
The document summarizes the winners of the Twelfth Annual HISsies Awards which honors the best and worst of healthcare IT as voted by readers. Some of the categories and winners mentioned are:
- Smartest Vendor Action Taken in 2018: Cerner convinces the VA to choose its system without issuing an RFP.
- Stupidest Vendor Action Taken in 2018: Athenahealth hires Jeff Immelt, fires Jonathan Bush, and prematurely enters the inpatient market.
- Best Healthcare IT Vendor or Consulting Firm in 2018: Epic.
- Worst Healthcare IT Vendor or Consulting Firm in 2018: Allscripts.
- HIS Industry Figure of the
4. 2018 low end vendors 4-6
This document summarizes and analyzes the top 10 healthcare IT vendors based on 2017 annual revenue. It discusses the estimated $300M or less annual revenue of the last four vendors - CPSI, Harris Healthcare, Medhost, and Cantata. For each, it provides a brief history, product lines, client base, and future prospects. It concludes that the biggest news this year was McKesson and Siemens no longer being in the top 10, and Epic now having three product varieties for different hospital sizes.
3. 2018 mid range vendors 4-4
This document provides an overview and analysis of 3 mid-sized healthcare information system (HIS) vendors: athenahealth, eClinicalWorks, and Meditech. It discusses their annual revenues, product lines, client bases by hospital size, recent acquisitions and developments, and future prospects. Athenahealth has over $1 billion in annual revenue and offers both physician practice and hospital information systems. eClinicalWorks generates $490 million annually from its electronic health records for small physician practices but faced legal issues in 2017. Meditech has a long history and three distinct HIS products serving over 1,000 hospitals, and its prospects are positive with a new physician system and cloud offerings.
2. 2018 macro vendors 3 30
Cerner maintained the #1 spot for the fourth year in a row with over $5 billion in annual revenue. Their growth was driven by large government contracts like the $8 billion DoD deal and a $5 billion contract with the VA. Epic remained in second place with 9% revenue growth to $2.7 billion, and will likely gain clients switching from Siemens and Allscripts. Allscripts acquired McKesson's EIS business for $185 million, giving them new HIS products like Paragon to expand in the small hospital market as their physician practice business provides the majority of their $1.8 billion in revenue.
1. 2018 top his vendors 3 26
This document summarizes the top 10 healthcare IT vendors based on annual revenue. Cerner surged to the lead with over $5 billion in revenue in 2017 thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings 20 years ago are also provided for comparison - none of today's top 5 vendors were on the list at that time. Future episodes will provide more details on vendor performance in the large, mid-size, and small hospital market segments.
1. 2018 top his vendors 3 25
This document summarizes the top 10 healthcare IT vendors in 2018 based on annual revenue. Cerner surged to the top spot with over $5 billion in revenue thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings and vendors have changed significantly over the past 20 years. In upcoming episodes, each vendor's performance will be analyzed based on the hospital size segments they target.
1. 2018 top his vendors 3 23
This document summarizes the top 10 healthcare IT vendors based on annual revenue. Cerner surged to the lead with over $5 billion in revenue in 2017 thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings 20 years ago are also provided for comparison - none of today's top 5 vendors were on the list at that time. Future episodes will provide more details on vendor performance in different market segments.
HISsies 2018
This document summarizes the winners of the 11th Annual HISsies Awards, which honors the best and worst of healthcare IT as voted by readers of HIStalk. Key award categories and winners included Smartest Vendor Action Taken (Cerner convinces VA to choose its system without bidding), Stupidest Vendor Action Taken (EClinicalWorks accused of falsifying EMR certification data), Best Healthcare IT Vendor (Epic), and Most Effective Healthcare IT Figure (John Halamka of BIDMC). The awards recognize significant people, organizations, technologies and events in the healthcare IT industry each year.
3. march 1988
This document summarizes articles from a 1988 healthcare computing magazine, highlighting how hospital information systems have changed over the past 30 years. It notes that in the late 1970s and early 1980s, hospitals switched from shared systems to in-house systems but were beginning to return to shared systems for improved support. Today, leading vendors like Cerner, Epic and Meditech predominantly offer remote hosting from large data centers, similar to the old shared systems. The document also discusses the evolution of healthcare consulting firms and provides advice on selecting consultants that is still relevant today.
2. february 1988
This document summarizes and discusses news articles from the February 1988 issue of Computers in Healthcare magazine. It describes an advertisement from Phillips promoting their PACS technology from 30 years ago. The lead story featured Professional Healthcare Systems (PHS), an HIS vendor spun off from a large hospital chain. PHS was later acquired by several different companies over the years. Another article discusses three companies pioneering bedside terminal systems in the 1980s. The document analyzes the longevity and acquisitions of various healthcare IT vendors mentioned in the magazine from 30 years ago compared to today's leading companies.
1. jan 1988
This document provides a summary of news and events from the healthcare IT industry in January 1988, as reported in two industry publications. It describes the formation of SMS's turnkey division to offer in-house systems in response to competitors. A pioneering hospital is highlighted for being an early adopter of barcoding for medication verification. A LIS vendor offers an unprecedented uptime guarantee. The name changes of two vendors, AIC and HMS, are noted. Several early healthcare IT companies and their original names/acronyms are identified.
5. december 1987
This document summarizes news from the healthcare IT industry in December 1987:
- Kodak was a major vendor of photographic film but struggled after digital cameras were introduced. A device from Kodak allowed displaying a PC screen on an overhead projector.
- Sentry Data was a major player in the 1980s with their Tandem "non-stop" healthcare IT system. A modern startup reused the name "Sentry."
- In 1987, CEOs of four leading lab vendors made predictions about 1992 - two predictions were premature but others proved accurate about adoption of EHRs and integrated healthcare IT systems.
- The document provides other insights into the early healthcare IT industry including vendors like Medite
4. november 1987
This document summarizes healthcare IT news from November 1987 and discusses how the industry has changed. It provides ads and articles from that time period about leading vendors like Cerner, Sunquest, and NCR. It also discusses the evolution of technologies like mainframes, minicomputers, microcomputers, and today's cloud-based systems. Additionally, it accurately predicts that the number of hospitals and beds in the US would decrease by 2000. The document highlights how healthcare IT has progressed over the last 30 years.
3. october 1987
The document summarizes news from the healthcare IT industry from October 1987. It discusses how leading EMR vendor TDS withdrew from bidding on the DoD's CHCS contract due to issues with requirements. Many major vendors at the time bid on the large DoD project, though McDonnell Douglas subsidiary McAuto ultimately lost to consulting firm SAIC. The document also describes the founding of the HL7 standard to help address the problem of building interfaces between different clinical systems. Advertisements from the time show how few vendors from 30 years ago are still in business today under the same name.
2 september 1987
This document summarizes healthcare IT news and events from September 1987:
- It highlights an editorial from Bill Childs questioning IBM's dominance of the hardware market.
- It profiles Scott Holbrook, who had an impressive career moving between major companies like IBM, McAuto, and IHC.
- The major healthcare IT conferences at the time were ECHO and the AHA annual convention, while HIMSS was still relatively small.
- It reflects on vendors advertising in 1987, noting that only Sunquest still exists under the same name today.
- A graph shows the longevity of today's major EHR vendors like Meditech, Epic, CPSI, and Cerner, who have been in business for
109. cerner, part 6
This document discusses the history of the healthcare IT company Cerner, including:
- Cerner has had consistent leadership, with Neal Paterson serving as CEO for the company's entire 34-year history.
- Trace Devanny served as Cerner's President from 1999-2010 after joining as a sales representative and rising through the ranks.
- In 2013, Zane Burke was promoted from COO to become Cerner's third President.
- Cerner has experienced tremendous growth over 34 years, with annual revenue increasing and over 12,000 employees worldwide.
108. cerner, part 5
This document provides an overview of Cerner's history from its beginnings in 1979 developing lab information systems to its current position as a leading provider of healthcare IT systems. It discusses Cerner's development of its Health Network Architecture (HNA) in the 1990s which expanded its offerings beyond labs into a full hospital information system. Key acquisitions and partnerships that helped grow Cerner's product portfolio are also summarized. The document concludes by teasing the story of McKesson's history which will be covered in the next episode.
107. cerner, part 4
Cerner was selected by a large Pennsylvania healthcare system for their new laboratory information system (LIS) after a thorough selection process. The selection team evaluated vendors through scored demonstrations, user documentation reviews, phone reference calls to existing clients, and unaccompanied site visits. Cerner scored highest across all evaluation steps, excelling in user-friendliness, documentation quality, post-implementation support, and system functionality witnessed at client sites. As a result of this selection process, Cerner rose to the top of the LIS market and was chosen by the healthcare system over competitors like Sunquest and ALS.
1. august 1987
This document summarizes news from the healthcare IT industry in August 1987 and discusses lessons that can be learned. It provides details on leading vendors of the time, including that only one vendor from 1987 still exists today under the same name and leadership. It also discusses people in the industry at that time, including earnings for various roles, and looks at advertisements from industry publications in 1987 for vendors and products, many of which are still in use today. The document concludes by previewing what will be covered from industry publications in September 1987.
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