29. computer synergy_part_2
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SMS acquired Computer Synergy in 1985 but struggled to integrate its competing ACTion and Synergy systems, initially merging them into the convoluted "Spirit Choice" product. After poor sales, SMS returned to the integrated Computer Synergy system, renaming it Allegra. In the late 1990s, facing high costs to update its many aging products for Y2K, SMS sunset Allegra, but former user Rick Opry started IntraNexus to provide ongoing support for Allegra clients. In 2011, Quality Systems acquired IntraNexus for $4.9 million, absorbing its Sapphire software and small hospital clients.
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72. quadra med part 4
Dr. Ralph Korpman founded Health Data Sciences (HDS) in 1983 which developed one of the early electronic medical record systems called UltiCare. UltiCare dominated the bedside terminal market in the late 1980s. HDS and UltiCare would later be sold to prestigious healthcare companies and the product was renamed multiple times. Eventually, QuadraMed acquired HDS and UltiCare became the source of QuadraMed's current electronic medical record capabilities.
82. next gen part 4
Computer Synergy was acquired by SMS in 1985 and renamed Spirit. After integration issues, it reverted to the Allegra name. In 2001, former Allegra client Rick Opry acquired rights to Allegra and renamed his company IntraNexus. In 2011, Quality Systems acquired IntraNexus for $4.9 million, bringing the NextGen product line together through a series of acquisitions spanning several decades. The next episode will cover Meditech, known for longevity and no acquisitions over 40+ years in business.
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.
33. consultants part_1
This document discusses the history of healthcare information systems (HIS) consulting firms through four epochs: the 1970s dominated by the "Big Eight" accounting firms; the 1980s rise of boutique firms; the 1990s rise of large consulting giants; and the 2000s of mergers and consolidations. It provides examples of some of the early pioneering consulting firms and individuals from each epoch. It also notes how involvement between the Big Eight firms and HIS vendors at times blurred the line between objective consulting and promoting specific vendor solutions.
20. saint
Larry Ferguson became president of System Associates Inc. (SAI) in 1985 and led its rapid growth from $5M annual revenue to $50M. SAI created the SAINT hospital information system, initially running on obscure Point Four hardware. American Express later acquired SAI and renamed it FDC, using it to acquire other HIS vendors like McAuto and Gerber-Alley. HBOC eventually acquired FDC and several of its products, rebranding SAINT as Paragon. Though early Paragon adopters faced challenges, McKesson later saved the product which is now one of the most successful small hospital HIS platforms.
3. terminology evolution
The document discusses how terminology used in the healthcare information systems (HIS) industry has evolved over the past 60 years, as the technology advanced. In the 1960s, computers were called "computers" and those who sold and serviced them were called "salesmen" and "system engineers." By the 1970s, terms like "electronic data processing," "marketing representatives," and "shared systems" became more commonly used. Through the 1980s and 1990s, terms grew more sophisticated, with "management information systems," "sales consultants," "implementation consultants," and "remote hosting." Today, the industry is called "information technology" and services are provided through the "cloud."
23 b. gerber-alley_3
- Gerber Alley (G-A) gained early success by riding on the coattails of HP sales but later had a "whopper" of a deal partnering directly with HP to market G-A's software.
- In the 1980s, G-A's partnership with HP and decision to offer their software on DEC platforms as well helped them grow rapidly and rank highly among other healthcare IT vendors.
- However, by 1992 the market bubble had burst and G-A was acquired by other companies, though parts of their software continued operating for many years.
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.
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Dr. Ralph Korpman founded Health Data Sciences (HDS) in 1983 which developed one of the early electronic medical record systems called UltiCare. UltiCare dominated the bedside terminal market in the late 1980s. HDS and UltiCare would later be sold to prestigious healthcare companies and the product was renamed multiple times. Eventually, QuadraMed acquired HDS and UltiCare became the source of QuadraMed's current electronic medical record capabilities.
82. next gen part 4
Computer Synergy was acquired by SMS in 1985 and renamed Spirit. After integration issues, it reverted to the Allegra name. In 2001, former Allegra client Rick Opry acquired rights to Allegra and renamed his company IntraNexus. In 2011, Quality Systems acquired IntraNexus for $4.9 million, bringing the NextGen product line together through a series of acquisitions spanning several decades. The next episode will cover Meditech, known for longevity and no acquisitions over 40+ years in business.
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.
33. consultants part_1
This document discusses the history of healthcare information systems (HIS) consulting firms through four epochs: the 1970s dominated by the "Big Eight" accounting firms; the 1980s rise of boutique firms; the 1990s rise of large consulting giants; and the 2000s of mergers and consolidations. It provides examples of some of the early pioneering consulting firms and individuals from each epoch. It also notes how involvement between the Big Eight firms and HIS vendors at times blurred the line between objective consulting and promoting specific vendor solutions.
20. saint
Larry Ferguson became president of System Associates Inc. (SAI) in 1985 and led its rapid growth from $5M annual revenue to $50M. SAI created the SAINT hospital information system, initially running on obscure Point Four hardware. American Express later acquired SAI and renamed it FDC, using it to acquire other HIS vendors like McAuto and Gerber-Alley. HBOC eventually acquired FDC and several of its products, rebranding SAINT as Paragon. Though early Paragon adopters faced challenges, McKesson later saved the product which is now one of the most successful small hospital HIS platforms.
3. terminology evolution
The document discusses how terminology used in the healthcare information systems (HIS) industry has evolved over the past 60 years, as the technology advanced. In the 1960s, computers were called "computers" and those who sold and serviced them were called "salesmen" and "system engineers." By the 1970s, terms like "electronic data processing," "marketing representatives," and "shared systems" became more commonly used. Through the 1980s and 1990s, terms grew more sophisticated, with "management information systems," "sales consultants," "implementation consultants," and "remote hosting." Today, the industry is called "information technology" and services are provided through the "cloud."
23 b. gerber-alley_3
- Gerber Alley (G-A) gained early success by riding on the coattails of HP sales but later had a "whopper" of a deal partnering directly with HP to market G-A's software.
- In the 1980s, G-A's partnership with HP and decision to offer their software on DEC platforms as well helped them grow rapidly and rank highly among other healthcare IT vendors.
- However, by 1992 the market bubble had burst and G-A was acquired by other companies, though parts of their software continued operating for many years.
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.
22. gerber alley-1
This document provides a three-part summary of the founding and early history of the healthcare IT company Gerber Alley. It describes how Bill Brehm, after leaving American Hospital Supply's Information Services Division, helped develop SMS's financial systems. In 1979, he and Urban Gerber formed Gerber Brehm & Associates (GBA) and created their Integrated Financial & Administrative System (IFAS) on HP minicomputers. In part two, GBA was acquired by Healthcare Billing Organization (HBO) and the software was sold widely. Urban Gerber later left HBO to form a new company, Gerber Alley, with Terry Alley in 1979.
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.
105. cerner, part 2
This document summarizes the early history of Cerner, formerly known as PGI. It discusses how PGI entered the healthcare IT market in the early 1980s by developing a laboratory information system (LIS) called PathNet. PGI was able to win its first contract with St. John Medical Center in Tulsa by automating their entire lab operations with PathNet. PathNet was then implemented at three other pilot sites. This success allowed PGI to raise venture capital and begin competing with established LIS vendors at the time like Spear, BSL, and MedLab. By 1988, PGI, now known as Cerner, had grown to 72 LIS sales, ranking them 9th among LIS vendors.
102. siemens, part 3
This document provides a summary of the evolution of products developed and sold by Siemens over several decades, beginning with mainframe systems in the 1960s and shared systems in the 1970s. Key products mentioned include SHAS, Eagle, Independence, Invision, and Soarian. The document traces the complex evolution and numerous name changes of these products. It highlights the long lifespan of these systems, with some clients still using products decades after they were first developed and implemented. The next episode will cover clinical products developed for minicomputers and microcomputers.
95 epic part 1
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116. mc k part 5 ibax
H.I.S.-tory episode #116 provides a recap of HBOC's evolution through the 1980s and early 1990s via mergers and acquisitions that positioned it as the top healthcare information systems vendor, surpassing former leader SMS. In 1994, HBOC acquired IBAX, formed from previous mergers including DCC and JS Data, making HBOC the dominant vendor across large, medium, and small hospitals. HBOC re-branded IBAX's competing product lines as "Series" systems to integrate them. The episode teases an upcoming discussion of HBOC's second mega-merger in the 1990s involving a small HIS vendor and two large corporations attempting to expand into
70. quadra med part 2
This document summarizes the history of QuadraMed, a leading healthcare IT vendor. It details QuadraMed's numerous acquisitions from 1993-1999, including Compucare which it acquired in 1999. The summary also profiles Frank Pecaitis, a top sales executive at Compucare and later QuadraMed who was instrumental in their growth. It previews how future episodes will discuss QuadraMed's struggles in the 2000s due to the collapse of Arthur Andersen, and how a new CEO helped turn the company around.
73. quadra med part 5
UltiCare, an early EMR created by Health Data Sciences (HDS), was acquired by Medaphis in 1996 and renamed to Patient 1. Patient 1 was later acquired by Misys Healthcare and renamed to the Computerized Patient Record (CPR). In 2007, QuadraMed acquired CPR from Misys and renamed it QCPR, pairing it with their Affinity revenue cycle applications. Today, QCPR remains in use alongside Affinity at large hospitals, serving as the front-end for Affinity's back-end functionality.
67. keane 5 pat com
This document summarizes the history of the PatCom hospital information system, originally developed by Professional Hospital Systems (PHS) which was later acquired by Keane. PHS was formed in 1976 by American Medical International (AMI) to develop a computerized system for its hospitals. PatCom ran on Data General minicomputers and was adopted by major hospitals. In 1993, Keane acquired PHS and PatCom, converting it to run on UNIX. The document provides background on the owners and leaders of PHS over time.
62. kea med part 1
Keane began in 1965 as a software services company led by founder John Keane. In the 1970s, Keane recognized healthcare as a growing market and hired Ray Paris to lead their new healthcare division. Over the decades, Keane acquired many other healthcare IT companies and their products, including Professional Hospital Systems, Source Data Systems, Infostat, First Coast, Ferranti, and LabFusion. Next week's episode will provide more details on Ray Paris' early career and Keane's acquisition strategy that led them to become a major player in the healthcare IT industry.
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
66. dick schopp
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29. minis computer synergy part 2
1) SMS acquired Computer Synergy in 1985 but struggled to merge its competing ACTion and Synergy systems, initially resulting in the poorly received "Spirit Choice" product.
2) SMS later refocused on the integrated Allegra system based on Synergy, which was successful led by Tom Tomlin until SMS discontinued it around 2000 due to high maintenance costs of multiple competing products.
3) Former Allegra user Rick Opry started IntraNexus in 1992 to provide ongoing support to former Allegra clients, and later acquired the Allegra software rights, growing IntraNexus to over 100 employees until its acquisition by Quality Systems (NextGen) in 2011.
103. siemens, part 4
SMS developed many mini and micro-based products to complement their mainframe systems. These included ACTIon, which ran on Four Phase and DEC minis, providing front-end access to the mainframe. SMS also acquired total mini-based HIS like Allegra and MedSeries4. Additionally, SMS pioneered PC-based networks with Harmony and developed the first versions of their ancillary systems on DEC minis before moving them to client-server architectures on PCs as Novius. Today Siemens still supports many of these legacy mini and micro-based products in hundreds of customer sites.
103. siemens, part 4
SMS developed many mini and micro-based products to complement their mainframe systems. These included ACTIon, which ran on Four Phase and DEC minis, providing front-end access to the mainframe. SMS also acquired total mini-based HIS like Allegra and MedSeries4. Additionally, SMS pioneered PC-based networks with Harmony and developed the first versions of their ancillary systems on DEC minis before moving them to client-server architectures on PCs as Novius. Today Siemens still supports many of these legacy mini and micro-based products in hundreds of customer sites.
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.
65. keane 4 infostat
INFOSTAT was formed in the 1980s by hospital IT veterans to provide a financial and clinical HIS running on Prime minicomputers using the PICK operating system. They later transitioned to AT&T and HP minis running UNIX as that OS grew in popularity. INFOSTAT saw success selling to over 50 small and mid-sized hospitals. In 1991, larger LIS vendor Community Health Computing acquired INFOSTAT but struggled to integrate their mismatched client bases. By 1995, CHC sold the INFOSTAT division to Keane, who did not continue INFOSTAT's HIS product line.
68. keane 6 first coast
This document summarizes the last two companies acquired by Keane as part of building their "Threshold" healthcare IT system: First Coast Systems and Source Data Systems. It provides details on the founders and histories of both companies, how their products evolved, and client bases. It describes First Coast being acquired by Keane in 1999 and the eventual retirement of both companies' products around 2009.
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.
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
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.
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This document provides a three-part summary of the founding and early history of the healthcare IT company Gerber Alley. It describes how Bill Brehm, after leaving American Hospital Supply's Information Services Division, helped develop SMS's financial systems. In 1979, he and Urban Gerber formed Gerber Brehm & Associates (GBA) and created their Integrated Financial & Administrative System (IFAS) on HP minicomputers. In part two, GBA was acquired by Healthcare Billing Organization (HBO) and the software was sold widely. Urban Gerber later left HBO to form a new company, Gerber Alley, with Terry Alley in 1979.
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.
105. cerner, part 2
This document summarizes the early history of Cerner, formerly known as PGI. It discusses how PGI entered the healthcare IT market in the early 1980s by developing a laboratory information system (LIS) called PathNet. PGI was able to win its first contract with St. John Medical Center in Tulsa by automating their entire lab operations with PathNet. PathNet was then implemented at three other pilot sites. This success allowed PGI to raise venture capital and begin competing with established LIS vendors at the time like Spear, BSL, and MedLab. By 1988, PGI, now known as Cerner, had grown to 72 LIS sales, ranking them 9th among LIS vendors.
102. siemens, part 3
This document provides a summary of the evolution of products developed and sold by Siemens over several decades, beginning with mainframe systems in the 1960s and shared systems in the 1970s. Key products mentioned include SHAS, Eagle, Independence, Invision, and Soarian. The document traces the complex evolution and numerous name changes of these products. It highlights the long lifespan of these systems, with some clients still using products decades after they were first developed and implemented. The next episode will cover clinical products developed for minicomputers and microcomputers.
95 epic part 1
Vince Ciotti was invited to visit Epic's headquarters and meet with CEO Judy Faulkner to discuss the history of the company for an article he was writing. Contrary to his expectations of a formal corporate meeting, Faulkner greeted Ciotti warmly and personally took him to a casual meeting room. She openly answered his questions about Epic's origins and growth without any marketing spin. Based on feedback from several CIOs who are Epic customers, Faulkner maintains close relationships with clients and prioritizes customer service, earning her widespread respect in the industry. Ciotti was impressed by her down-to-earth demeanor and plans to profile Epic's success story from its founding in 1979
116. mc k part 5 ibax
H.I.S.-tory episode #116 provides a recap of HBOC's evolution through the 1980s and early 1990s via mergers and acquisitions that positioned it as the top healthcare information systems vendor, surpassing former leader SMS. In 1994, HBOC acquired IBAX, formed from previous mergers including DCC and JS Data, making HBOC the dominant vendor across large, medium, and small hospitals. HBOC re-branded IBAX's competing product lines as "Series" systems to integrate them. The episode teases an upcoming discussion of HBOC's second mega-merger in the 1990s involving a small HIS vendor and two large corporations attempting to expand into
70. quadra med part 2
This document summarizes the history of QuadraMed, a leading healthcare IT vendor. It details QuadraMed's numerous acquisitions from 1993-1999, including Compucare which it acquired in 1999. The summary also profiles Frank Pecaitis, a top sales executive at Compucare and later QuadraMed who was instrumental in their growth. It previews how future episodes will discuss QuadraMed's struggles in the 2000s due to the collapse of Arthur Andersen, and how a new CEO helped turn the company around.
73. quadra med part 5
UltiCare, an early EMR created by Health Data Sciences (HDS), was acquired by Medaphis in 1996 and renamed to Patient 1. Patient 1 was later acquired by Misys Healthcare and renamed to the Computerized Patient Record (CPR). In 2007, QuadraMed acquired CPR from Misys and renamed it QCPR, pairing it with their Affinity revenue cycle applications. Today, QCPR remains in use alongside Affinity at large hospitals, serving as the front-end for Affinity's back-end functionality.
67. keane 5 pat com
This document summarizes the history of the PatCom hospital information system, originally developed by Professional Hospital Systems (PHS) which was later acquired by Keane. PHS was formed in 1976 by American Medical International (AMI) to develop a computerized system for its hospitals. PatCom ran on Data General minicomputers and was adopted by major hospitals. In 1993, Keane acquired PHS and PatCom, converting it to run on UNIX. The document provides background on the owners and leaders of PHS over time.
62. kea med part 1
Keane began in 1965 as a software services company led by founder John Keane. In the 1970s, Keane recognized healthcare as a growing market and hired Ray Paris to lead their new healthcare division. Over the decades, Keane acquired many other healthcare IT companies and their products, including Professional Hospital Systems, Source Data Systems, Infostat, First Coast, Ferranti, and LabFusion. Next week's episode will provide more details on Ray Paris' early career and Keane's acquisition strategy that led them to become a major player in the healthcare IT industry.
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
66. dick schopp
Dick Schopp, a pioneer in the healthcare IT industry, passed away. He worked in data processing at hospitals in the 1960s and went on to have a successful sales career at multiple companies. Schopp founded his own consulting firm and worked in the industry for over 50 years, earning the respect of his peers for his integrity and commitment to customers. He is remembered fondly for his contributions to the field and friendship to many colleagues over the decades.
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Similar to 29. computer synergy_part_2
29. minis computer synergy part 2
1) SMS acquired Computer Synergy in 1985 but struggled to merge its competing ACTion and Synergy systems, initially resulting in the poorly received "Spirit Choice" product.
2) SMS later refocused on the integrated Allegra system based on Synergy, which was successful led by Tom Tomlin until SMS discontinued it around 2000 due to high maintenance costs of multiple competing products.
3) Former Allegra user Rick Opry started IntraNexus in 1992 to provide ongoing support to former Allegra clients, and later acquired the Allegra software rights, growing IntraNexus to over 100 employees until its acquisition by Quality Systems (NextGen) in 2011.
103. siemens, part 4
SMS developed many mini and micro-based products to complement their mainframe systems. These included ACTIon, which ran on Four Phase and DEC minis, providing front-end access to the mainframe. SMS also acquired total mini-based HIS like Allegra and MedSeries4. Additionally, SMS pioneered PC-based networks with Harmony and developed the first versions of their ancillary systems on DEC minis before moving them to client-server architectures on PCs as Novius. Today Siemens still supports many of these legacy mini and micro-based products in hundreds of customer sites.
103. siemens, part 4
SMS developed many mini and micro-based products to complement their mainframe systems. These included ACTIon, which ran on Four Phase and DEC minis, providing front-end access to the mainframe. SMS also acquired total mini-based HIS like Allegra and MedSeries4. Additionally, SMS pioneered PC-based networks with Harmony and developed the first versions of their ancillary systems on DEC minis before moving them to client-server architectures on PCs as Novius. Today Siemens still supports many of these legacy mini and micro-based products in hundreds of customer sites.
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.
65. keane 4 infostat
INFOSTAT was formed in the 1980s by hospital IT veterans to provide a financial and clinical HIS running on Prime minicomputers using the PICK operating system. They later transitioned to AT&T and HP minis running UNIX as that OS grew in popularity. INFOSTAT saw success selling to over 50 small and mid-sized hospitals. In 1991, larger LIS vendor Community Health Computing acquired INFOSTAT but struggled to integrate their mismatched client bases. By 1995, CHC sold the INFOSTAT division to Keane, who did not continue INFOSTAT's HIS product line.
68. keane 6 first coast
This document summarizes the last two companies acquired by Keane as part of building their "Threshold" healthcare IT system: First Coast Systems and Source Data Systems. It provides details on the founders and histories of both companies, how their products evolved, and client bases. It describes First Coast being acquired by Keane in 1999 and the eventual retirement of both companies' products around 2009.
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.
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
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.
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.
69. quadra med compucare
Ron Aprahamian acquired Compucare in the 1970s and switched it from a mainframe to a minicomputer platform using Meditech's MIIS system. Compucare grew rapidly and went public, attracting acquisition by Baxter-Travenol. Ron later reacquired Compucare from IBAX and rebranded it as Affinity, an open system written in UNIX. In the late 1990s, QuadraMed acquired Compucare and continues running Affinity today in many hospitals. Ron had a successful career acquiring and turning around several healthcare IT companies before retiring.
63. kea med part 2
Keane developed its own internal healthcare information system called Threshold in the late 1970s to run on any minicomputer using the UNIX operating system. This allowed Threshold to run on hardware from IBM, Wang, Data General, DEC, and others. Keane faced a choice between fully building out Threshold's applications or buying other vendors' products; it pursued both strategies, developing Threshold internally while also acquiring several competitor companies, primarily for their client bases and products.
53. product names 1(1)
This document discusses product names used by various healthcare information system (HIS) vendors over time. It highlights that Shared Medical Systems (SMS) generally had the best, most memorable names for their products. Names like UNITY, EXACT, and INDEPENDENCE were catchy and conveyed a positive message. The document also notes some rare missteps by SMS in naming, as well as criticizes McAuto for using bland acronyms. The next installment will cover additional notable product names and trends in HIS naming conventions.
53. product names_1
This document discusses product naming in the healthcare IT industry. It begins by praising Shared Medical Systems (SMS) for having the best product names, including "Focus", "Command", and "Invision". However, it notes a few missteps like "The Spirit Choice". The document also criticizes McKesson's tendency to use bland acronyms for product names like "HFC" and "HDC". It concludes by teasing next week's discussion on additional notable product names and naming conventions.
85. meditech part 3
Meditech began in 1969 using the MUMPS programming language and wrote systems for various clients on a time-sharing basis. They renamed their MUMPS variant MIIS and wrote their first healthcare product for Cape Cod Hospital in 1970. Around 1979, Meditech introduced their Magic programming language. In the 1990s, Meditech released their "Client/Server" system to take advantage of the client-server model. Their most recent platform is Meditech's Advanced Technology (MAT), also known as Release 6.0. Meditech has grown to serve over 2,300 healthcare clients worldwide.
69. quadra med compucare
1) Ron Aprahamian acquired Compucare in the 1970s and switched its platform from mainframes to minicomputers using Meditech's proprietary MUMPS-based system.
2) Under Aprahamian's leadership, Compucare grew rapidly, went public, and was acquired by Baxter for $40 million.
3) Aprahamian later reacquired Compucare's products for $7 million and renamed it Affinity, developing it into an "open system" that could run on multiple hardware platforms.
4) By the late 1990s, Compucare had over 100 Affinity installations and $100 million in revenue when it was acquired by QuadraMed, the
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.
102. siemens, part 3
This document provides a summary of the evolution of products developed and sold by Siemens over several decades, beginning with mainframe systems in the 1960s and shared systems in the 1970s. Key products discussed include the SHAS patient accounting system, Eagle billing system, Independence inhouse system, and Invision mainframe system. The document traces how these products changed names and were developed over time, with some like RCM and Soarian still in use today. It previews that next week's discussion will cover mini and micro computer-based products from the 1980s and 1990s.
58. dairyland, part 3
Dairyland Computing & Consulting grew through acquisitions of other small healthcare IT firms in the 1990s and 2000s, absorbing LeBlanc, Schexnayder & Associates, Henderman Management Systems, Integrated Health Systems, American HealthNet, and Advanced Professional Software. This expanded Dairyland's client base and product offerings. Dairyland was later acquired by venture capital firm Francisco Partners and renamed Healthland, though some remnants of the Dairyland name remained in use.
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2. 2017 Macro Vendors
This document discusses the top 10 healthcare IT vendors by 2016 revenue. It focuses on the high-end vendors with over $1.5 billion in revenue that primarily target large hospitals of 300+ beds. Cerner maintained the #1 spot with around $5 billion in revenue, an 8% increase over 2015. Epic was #2 with $2.5 billion in revenue, up 23%. Allscripts was #3 with $1.5 billion, a 12% increase. McKesson dropped to #4 with around $1.5 billion in revenue from its IT division, a 50% decline from selling off parts of its business. The document outlines recent developments and future prospects for each of these top vendors.
1. 2017 Top 10 HIS vendors
This document summarizes the top 10 healthcare IT vendors by revenue in 2016. Cerner surpassed Epic as the number one vendor by revenue for the third year in a row. McKesson sold off around half of its EIS division. Meditech saw declining revenue for the fourth year in a row. The document also notes acquisitions and name changes among vendors over the past year and provides historical revenue figures for the top 10 vendors over the past 20 years.
112. mckesson part 1 intro
This document provides an overview of McKesson and its history as a healthcare IT vendor. It discusses:
1. McKesson's 2012 annual revenue of $3.2 billion making it the largest healthcare IT vendor.
2. A brief history of McKesson dating back to 1833 and its numerous acquisitions over the years that contributed to its growth, including founding company HBO in 1973.
3. HBO's own history of acquisitions and mergers that expanded its product offerings, and its eventual acquisition by McKesson in 1999 in one of the largest deals in healthcare IT history.
4. An outline of upcoming episodes that will provide more depth on McKesson/
115. mc k part 4 hboc
HBOC continued expanding its product line in the late 1970s and 1980s through both internal development and acquisitions. This included developing a financial system called IFAS on HP3000 minicomputers. In 1981, HBOC acquired Medical Data Corporation, founded by pioneer Ralph Korpman, and its LIS system ClinPro. Major acquisitions in 1985 included consulting firm Amherst Associates and mainframe software vendor Mediflex, greatly increasing HBOC's size and capabilities. By the late 1980s, HBOC had become the second largest healthcare IT company through its range of systems across different hardware platforms.
114. mc k part 3 hbo
H.I.S.-tory podcast episode #114 provides a history of McKesson and profiles Dan La Benne, one of the earliest employees of HBO. La Benne recalls attending training classes with Vince Ciotti in the 1970s and describes leaving SMS to join HBO as its 14th employee. The episode details how HBO was founded in 1973 by Walt Huff, Bruce Barrington, and Dick Rezabek and their first product MEDPRO, which was popular among small and mid-sized hospitals. HBO experienced rapid growth, requiring loans to fund expansion. The episode closes with an anecdote about name confusion between HBO and Home Box Office.
117. mc k part 6 amex
This document summarizes the history of healthcare IT company acquisitions and consolidations in the 1980s-1990s that led to McKesson's formation. It details American Express's acquisitions of Systems Associates Inc. and parts of McAuto Corporation's healthcare division in the late 1980s. In 1995, HBOC acquired American Express's healthcare IT subsidiary, which included Systems Associates and the former McAuto assets. This made HBOC the largest healthcare IT vendor by revenue. The acquisitions expanded HBOC's product lines and client bases, eventually forming the foundation of what became McKesson's healthcare IT business today.
120. mckesson part 8 deal
The document summarizes a large merger and acquisition deal between McKesson and HBOC that set a new high in financial terms at $14.5 billion but ended in scandal and bankruptcy. Key details include:
- In 1998, HBOC with $1.5 billion in revenue initially considered acquiring McKesson with $20 billion in revenue, but HBOC's stock price fell and McKesson acquired HBOC in October 1998.
- The combined company had over 2,800 hospital clients and sales to thousands of other healthcare providers and organizations.
- In 1999, an audit found major accounting problems at HBOC, the stock plummeted 50% when earnings had to be restated
118. mc k part 7 cycare
The document summarizes the acquisition of CyCare Systems by HBOC (now McKesson) in 1996. It describes CyCare's origins in Iowa in 1967 and its growth through acquisitions of other companies like MSWI in 1985. By 1995, CyCare had over 5,000 clients and $63 million in annual revenue. HBOC acquired CyCare in a stock swap deal that same year, expanding its product line and market share. The acquisition of CyCare and two other companies that soon followed made HBOC a major player in several new healthcare IT markets.
122. mckesson 10 end
McKesson's Paragon electronic health record system originated in the 1990s as an executive information system called Paragon. It was re-written in the 1990s as a client-server system to replace aging legacy systems. Early implementations struggled but subsequent releases stabilized. By the 2000s, Paragon was successfully implemented at many hospitals due to its modern Microsoft-based architecture. In a surprising decision, a merged hospital network selected Meditech over Paragon to provide system consistency for users during a challenging transition period, demonstrating a focus on the overall needs of the organization. Paragon went on to become very successful for McKesson due to its flexible, standards-based design.
119. santa letters
This document contains humorous excerpts from fictional letters written by healthcare IT vendor executives to Santa Claus with their Christmas wishes. The letters poke fun at the various vendors and their products and business situations. For example, the Epic CEO asks for another large hospital sale, the Cerner CEO says he doesn't need anything for Christmas, and the Allscripts CEO asks Santa to help them find a buyer for their pharmacy division.
113. mc k part 2 osf
The document provides an episode summary of the history of HBO, focusing on its founders Walter Huff, Bruce Barrington, and Richard Owens. It describes how Huff became frustrated with the patient accounting system at OSF Healthcare where he worked and how Barrington created the first system called CRASH. It also notes how Urban Gerber, who had previously implemented a system at OSF, helped inspire their work. The summary then discusses how CRASH and a related system called SHIS were later commercialized and acquired by McDonnell Douglas, forming the basis for HBO.
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 solutions. 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, as well as its ongoing growth in revenue, employees and client base both domestic and international.
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 checklists during demonstrations of the systems' user interfaces. Cerner and Sunquest received the top scores. The team also reviewed user documentation, finding Cerner's to be the most comprehensive and easy to understand. Reference calls with existing users favored Cerner and Sunquest. However, site visits where end users could observe systems firsthand in different departments showed that Cerner excelled across key criteria. As a result, Cerner was determined to best meet the needs of the healthcare system for their new LIS.
106. cerner, part 3
Cerner began as PGI in 1979 and changed its name in 1984 after hiring advertising executives to come up with a new name. They chose "Cerner", which comes from Latin and other languages meaning things like "to discern" and "to blossom". In 1986, Cerner became a publicly traded company through an IPO, allowing initial investors to profit from the company's success. If someone had invested $10,000 in Cerner at its IPO, those shares would now be worth around $1.9 million due to stock splits and growth. Cerner has seen significant revenue growth over the past few decades and become a leading healthcare IT company.
104. cerner, part 1
This document provides a summary of the early history of the healthcare IT company Cerner. It describes how Cerner was founded in 1979 by Neal Patterson, Cliff Illig, and Paul Gorup under the name PGI, Inc. It details the educational and professional backgrounds of the three founders. It also discusses some of PGI's early clients in healthcare and how they began focusing on clinical systems, pioneering their PathNet product. The company would later become known as Cerner and grow to be one of the largest healthcare IT vendors.
109. cerner, part 6
This document discusses the history of the healthcare IT company Cerner, including its leadership over time. It notes that Neal Paterson has led Cerner as CEO for its entire 34-year history, providing consistency. It also discusses that Trace Devanny served as Cerner's President from 1999 to 2010 after being a successful sales representative for the company. The most recent President is Zane Burke, who took over in 2013 and faces the challenge of continuing Cerner's strong growth in revenue and employee numbers.
100. siemens, part 1
This document provides a summary of the origins of Siemens' hospital information systems and its predecessor, Shared Hospital Accounting System (SHAS). It describes how SHAS was developed by IBM in the 1960s to allow small-to-mid sized hospitals to share mainframe systems. Over time, Shared Medical Systems (SMS) was formed and grew to support SHAS. Siemens later acquired SMS and its products like Invision, which still incorporates parts of the original SHAS system from the 1960s. The document shares recollections from industry veterans on the early development and implementation of SHAS.
101. siemens, part 2
This document provides a summary of the early history of Shared Medical Systems (SMS) from 1969-1981, as told by one of its early employees. It describes how SMS grew from a small startup in 1969 focused on implementing the IBM SHAS system, to eventually becoming the largest healthcare IT vendor. It shares some of the challenges SMS faced early on, including bugs in the original SHAS system, growing pains as the company expanded, and the inexperience of some of its early implementation employees. It also highlights some humorous stories and near misses SMS experienced during this founding period.
98 epic part 4
Epic has dominated large healthcare systems over the past few years through true integrated systems for hospitals and physician practices. Their success stems from providing physicians with an identical system to use in both settings. While Epic is not perfect and faces challenges, their philosophy of integration differentiates them from competitors who offer separate inpatient and outpatient solutions.
96 epic part 2
1) Judy Faulkner founded Epic Systems in 1979 after getting a PhD in computer science. She developed one of the first electronic health record systems using the MUMPS programming language.
2) Faulkner's first clients were hospitals and clinics affiliated with the University of Wisconsin, where she developed her initial software applications. She incorporated Epic Systems in 1979 with three employees.
3) Early mentors like Phil Hicks and Neal Pappalardo of Meditech helped Faulkner set up her new company. Both Epic and Meditech focused on developing software for large hospitals and healthcare systems.
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29. computer synergy_part_2
- 1. “H.I.S.-tory” by Vince Ciotti © 2011 H.I.S. Professionals, LLC, all rights reserved Episode # 29: Computer Synergy Part 2
- 2. Shared System Acquisitions • We left off last week with how shared systems were trying to “keep up with the (turnkey mini) Joneses” by either building or buying competitive mini systems. On the “buy” side: – McAuto had very deep pockets thanks to its giant airplane company parent, and bought a number of minis: • Skip Shippee’s “MSA” mini-based HIS out of NC, programmed in the “Pick” operating system, running on: • Microdata minicomputers made in the UK, which McAuto’s parent had bought earlier - talk about a “total solution!” • Mac also bought a number of ancillary dept. systems, eg: – LabCom = Dr. Hick’s “LSI,” a premier, large-hospital LIS – SMS – hardly asleep, SMS started with the rights to HBO’s MedPro in the 70’s, eventually buying MedSeries4 in the 90’s,
- 3. “The Spirit Choice” • In 1985, SMS acquired Computer Synergy, but ran into a dilema: • The ACTIOn 1100 and 1500 lines were, in a sense, competitors: – Running ADT, Order Entry, etc – Also on DEC VAX minis! • What to do? Well , when in doubt, compromise, so SMS merged the two competing products into “The Spirit Choice,” using ACTion clinicals as the “front end” and Synergy apps as the financial “back-end” systems.
- 4. Round 2 in Malvern… • Sounded good on paper, but sold like “cold cakes” as the two disparate systems required an interface “under the covers” and savvy MIS Directors (no “CIO”s back then…) saw through the charade… • After a few frustrating years trying to get the marketing, programming teams and R&D plans in synch, SMS finally relented and went back to the original integrated Computer Synergy product and came up with a much better name as well: • “The Spirit Choice” was a bit of a mouthful! COLD!COLD!
- 5. Allegra • Now that name was more like it! – Hot, upbeat, positive, just like sales of this totally integrated VAX-based HIS, with >100 sold by SMS’ superb sales team. • And SMS’ Allegra had a leader as hot as the product: – Tom Tomlin, by the 1990s, SMS’ senior vice president and general manager of the Turnkey Systems Division • Tom ran a tight ship, and led the Allegra team well; I can still remember hearing his excellent shtick at a “Dog & Pony” show in Malvern in the 90s as our firm was including Allegra in system selections • Just one fly in the ointment…
- 6. Internecine Warfare • SMS ran into the same problem Baxter had with JS Data (Alpha) competing with DCC (Delta) in the small hospital market – if you remember last week’s episode... • Indeed, when we issued an RFI for one of our hospital clients, we were never sure what SMS would bid: – Allegra, MedSeries, Independence, ACTIon, Unity… – Indeed, they probably didn’t know either! • Plus, the R&D costs to keep so many competing products up to date in the ever-changing world of Healthcare, let alone the imminent threat of Y2K… •
- 7. As the sun sets slowly in the west… • SMS stunned about 175 Allegra users with a sad letter announcing the “sunset” of Allegra just before Y2K required extensive re- writes – A wise business decision, as re-writing the millions of lines of COBOL code in SHAS alone would task any R&D team, let alone their myriad of other products like MedSeries4, ACTIon, etc. – (Which leads one to appreciate the stunning name of “Sunrise” Eclipsys came up with for their successor product to TDS!) • So what were the hundreds of Allegra clients going to do? • One of them was Virginia Beach General Hospital, that had an excellent user department head who had mastered Computer Synergy so well, he left and formed his own computer company: • “Opry Consulting” – started in 1992
- 8. Rick Opry in the Nexus… • Rick saw an excellent opportunity and jumped right in: – Offering ongoing support and ongoing maintenance to the many Allegra clients stuck between a -> • Indeed, Opry Consulting picked up so many Allegra clients (about 75 all told), he started writing a series of new “Sapphire” web-based apps for them programmed in Ruby & Java. • In 2001, Rick purchased rights to the Allegra software from SMS, and re-named his company: “IntraNexus” • A bit of a tongue-twister, but then so was Computer Synergy & The Spirit Choice! • IntraNexus grew to over 100 employees, and Rick prided himself in the excellent personal touch of service & support he provided.
- 9. End of the Story? “VIRGINIA BEACH, VA --- April 1April 1, 2011 --- Quality Systems Inc. (NasdaqGS: QSII) entered into an asset purchase agreement to acquire IntraNexus, Inc. for $4.9 million on April 1, 2011. The purchase price consisted of cash consideration of $3.3 million plus additional contingent consideration to be made over a three year period, not to exceed $1.7 million.” • Quality Systems Inc. is the parent company of NextGen, the same firm that bought Opus clinicals & Sphere financials last year. • So how are they going to position Sapphire and these two small- hospital products? Talk about an intra-nexus… • So there you have it: from Tom Culligan in San Fran in the 1970s, through SMS in the 1980s, to Opry Consulting/IntraNexus in the 1090s, to NextGen in the 2000s – almost a mini-HIS-tory in itself! • And pieces still running in about 50 IntraNexus clients today!
- 10. End of the Story? “VIRGINIA BEACH, VA --- April 1April 1, 2011 --- Quality Systems Inc. (NasdaqGS: QSII) entered into an asset purchase agreement to acquire IntraNexus, Inc. for $4.9 million on April 1, 2011. The purchase price consisted of cash consideration of $3.3 million plus additional contingent consideration to be made over a three year period, not to exceed $1.7 million.” • Quality Systems Inc. is the parent company of NextGen, the same firm that bought Opus clinicals & Sphere financials last year. • So how are they going to position Sapphire and these two small- hospital products? Talk about an intra-nexus… • So there you have it: from Tom Culligan in San Fran in the 1970s, through SMS in the 1980s, to Opry Consulting/IntraNexus in the 1090s, to NextGen in the 2000s – almost a mini-HIS-tory in itself! • And pieces still running in about 50 IntraNexus clients today!