NEMUG Newsletter
March, 2005, Articles
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From the Chair
Elections: We will be electing the next Board Members in the May meeting. This meeting we would like to take nominations or volunteers from the floor.
We are clever folks. We know you can come up with some thought-provoking, clever puzzles, tricks, questions to help us get a discussion going for our May meeting. You can either send it to me at my email (heidipl48@aol.com). If you are registered, you can send it to nemug-news@mail.intersystems.com If you haven't yet registerd, you can sign up on line .
Our NEMUG web site has a web form for the Big M Celebration April 9th. If you wish you can pay using PayPal and you don't need an account. Don't forget, your reservations are due by March 12th for the hotel deadline.
Tentative Schedule for April 9th:
- 5pm arrival time
- 6:30 dinner
- Entertainment before and after dinner
- Panels after dinner
- 10pm party is over, head out to local watering holes to get together with old friends.
Upcoming meetings:
- March 9, 2005, DEVCON 2005 (Feb 27-March 2) recap of the Intersystems Developer's Conference
- April 9, 2005, M Celebration, +$H reaching 60000 is a good excuse for marking our milestones. Come see what the 40 years have done to a wild idea by a bunch of crazy pioneers.
- May 11, 2005, Member programming problems, discussions, tricks and practices presented by Ray Wright, Sales Engineer at Intersystems.
January, 2005, Meeting: Patient Site
John D. Halamka MD, CIO, CareGroup, CIO, Harvard Medical School, spoke on PatientSite and the new emerging technologies, their urgency for healthcare.
When Dr. Halamka came on as CIO Care Group BID and CIO at Harvard Medical School in 1998, they were using M WebLink. He demonstrated their early system on WebLink. Web services will retrieve medical record if the patient can be found. For the continuity of care record, all that is needed is on one screen, demographics, insurance providers, doctors, alerts, lab results and visits.
The newer interfaces use web services and Cach
objects. Dr. Halamka accessed a SSL gateway in a real life situation but in demo mode with all names and data scrambled. You can page through quickly by clicking name. A medicine query goes to a simultaneous query of all prescription benefit services in the state. It brings back everything reimbursed for the patient, all pharmaceuticals. Just by highlighting any aspect of record you go immediately to www.uptodate.com, the latest information on various medical questions.At Beth Israel Deaconess, using their provider OE, there has been no voice or handwritten order since 2001. You find out what medications the patient already has. You find out protocols that are standard. You have one click ordering. There has been a 50% reduction in mistakes. Provider OE needs to be fully integrated. It needs to use the same rules. The use of handhelds started to fall in 2003. The pages use html, but the screen is too small, data entry is difficult. Soon wireless connection through out their facilities will make a huge difference. Doctors prefer tiny laptop for the more standard keyboard and larger screen.
Case studies will help Caché. The BID system is on $25000 of HP hardware. They have 900 users sub- second response time, millions of records and queries. They have patient interactions on the web using PatientSite. The technology is available to all patients, doctor gives authentication proxy. Doctor can delegate roles and have out of office messages.
~ submitted by Heidi Pape Laird