Author Archive: Jim Tate
The Summer of EHR Incentive Audits
EHR Incentive Audits Heating Up by Jim Tate Twitter: @JimTate Ah, summer. I love the sound of that word, “summer”. It rolls off the tongue like warm Tupelo honey and bring backs memories of my childhood. Those golden hours spent with my cousins at a lake cabin where every day blended into the next in [...]
EHR Incentive Audits to Escalate
EHR Incentive Audits, Now Pre-Payment by Jim Tate Twitter: @JimTate The calls keep coming in. Hospitals, providers, vendors, consultants, and of course the occasional journalist. Those CMS EHR Incentive audits are starting to work their way through the ether and everybody wants to talk about them. Attesting in 2011 and 2012 for Meaningful Use (MU) [...]
The Healthcare revolution will not be televised, but it might be Tweeted
Commentary by Jim Tate Twitter: @JimTate A brief history lesson for those under 60. In the heady days of the Cultural Revolution against Richard Nixon, our parents, anyone over 30, and “the Man”, we were told by Gill Scott-Heron to not look for the revolution on television. How right he was. Don’t look for the [...]
On the Patient Engagement Trail at HIMSS13
HIMSS13 Commentary by Jim Tate Twitter: @JimTate HIMSS……….it almost seems mythic. The annual pilgrimage of the faithful to the Holy Mountain where the tablets of All That is New and All That is Relevant will be revealed. It doesn’t matter if the water is unfit to drink or if the wait for a taxi is [...]
Are There No Limits?
Commentary by Jim Tate Twitter: @JimTate Is it just me? I think I had the flu last week or maybe I’m just out of touch. I find myself on the border of outrage at least three times a week. Maybe I need to go back down to the Osa Peninsula in Costa Rica and cool [...]
“To the Victor Goes the Spoils”
Commentary by Jim Tate Twitter: @JimTate I love that sentence, “To the Victor Goes the Spoils”. Sounds like something Julius Caesar would have said but the phrase can actually be attributed to a New York senator and was uttered in 1831. We know what it means and it can be expressed in many ways. I [...]
The Hacking of Healthcare
Influence of Lobbyists on Healthcare Commentary by Jim Tate Twitter: @JimTate “Lobbying is the act of attempting to influence decisions made by officials in the government most often legislators or members of regulatory agencies.” That is what Wikipedia tells us. They should know, they know everything. The future of healthcare has been hacked by a system which [...]
The 8 Commandments of Meaningful Use Penalties for EPs
Eligible Professionals, EHR Incentives, Meaningful Use and Penalties We know the mantra well enough by now. “Carrots and Sticks”. The CMS EHR Incentive programs are based on a system of incentives and penalties. We’ve now seen 11 billion dollars worth of carrots, but what about those sticks? Well, here they come. For EPs that miss [...]
Has the EHR Bubble Burst?
The HIT boom may be over The bubble has burst. That is really not a good analogy of what is happening now in the HIT marketplace. Better to say the balloon is deflating at a pace that is accelerating. Back in the heady days of 2011 the promise of golden business modules was fueled by [...]
Coming soon to an EHR near you: Ads
Next step in the intrusion of commercial interests in EHRs As far as I can tell the first advertisements appeared in 17th century newspapers. According to Wikipedia, “Advertising is a form of communication for marketing and used to encourage or persuade an audience to continue or take some new action.” Since the 17th century there has been a steady stream [...]







Providers working towards HIE and interoperability face the challenge of bringing connectivity to scale to take advantage of the data being generated by EHR adoption. This paper seeks to demonstrate that connectivity at scale can be accomplished. 








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