HIStory 4
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The document summarizes the evolution of management trends in the healthcare IT industry over the past four decades: 1970s: Management By Objectives (MBO), where managers set goals and were accountable for meeting them. 1980s: A focus on productivity metrics. 1990s: Total Quality Management (TQM) and Continuous Quality Improvement (CQI), emphasizing quality through statistical analysis. 2000s: Six Sigma methodology for reducing errors through specialized "Belts" trained in statistical techniques. Each new trend built upon the previous ones but was seen as a breakthrough at the time until the next new concept arose.
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- Lockheed Missiles & Space originally got into healthcare IT in the late 1960s after their space program declined, looking for new projects for their engineers. They partnered with a large healthcare company to build one of the first "Medical Information Systems" (MIS) on mainframes.
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- Shared Medical Systems (SMS) was a pioneering healthcare IT company founded in 1969 by ex-IBM employees Jim Macaleer, Harvey Wilson, and Clyde Hyde that developed one of the first electronic health record and hospital information systems called SHAS.
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- This transformation was completed under CEO Sam Palmisano, returning IBM to growth and profitability.
History of computing at ibm
IBM is an American multinational technology company founded in 1911. It manufactured computers and related products but now focuses on cloud services, software, and consulting. IBM has faced ups and downs over its long history but recent successes are attributed to focusing on solving major global problems. Its biggest competitors are other large tech firms but tackling huge issues like pollution could yield big profits if successful, despite the challenges. The document provides an overview of IBM's history and strategies.
Material Management
This document provides an introduction to the concepts and methodology of Six Sigma. It discusses how Six Sigma originated from efforts to improve quality at Motorola and other companies in the 1980s-1990s. Six Sigma aims to reduce defects to 3.4 per million opportunities through a data-driven approach to process improvement. The DMAIC methodology involves defining a process problem, measuring key aspects, analyzing sources of variation, improving the process, and controlling changes. Wide adoption of Six Sigma led to significant financial benefits and quality improvements for early adopters like Motorola, GE, and Allied Signal.
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More from Tim Histalk
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
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.